Office of Community Continuity

Declaration of Continued Community Commitment

01. Declaration

I confirm that, at the time of this declaration, I remain present. This statement should not be interpreted as a prediction of all subsequent circumstances.

02. Scope of commitment

Continued participation may include holding, reading notices, or maintaining an appropriately considered silence. The Office records these contributions without assigning a market value.

03. Changes in circumstances

Any intention to amend this declaration should be accompanied by Form SELL-01. Applicants are reminded that circumstances may change more quickly than the relevant documentation.

04. Applicant record

Applicant alias: ______________________________ Date of continued participation: ______________________________ Signature or suitably deliberate mark: ______________________________

MINISTRY OF PROFIT · WE NOT ME.