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The Case Management Society of Australia and New Zealand and Affiliates
(CMSA) Certification sets the benchmark of excellence in case management.
Certified Practising Case Managers™ (CPCM) and Certified Case Managers
(Non Practising)™ (CCMNP) adhere to the CMSA National Standards and
National Code of Ethics for Case Management and are recognised for their
advanced education, experience, knowledge and skills by their colleagues,
consumers and employers.
The Case Management Society of Australia and New Zealand and Affiliates (CMSA) Certification sets the benchmark of
excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™
(CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for
their advanced education, experience, knowledge and skills by their colleagues, consumers and employers.
COPYRIGHT © 2017 Case Management Society of Australia and New Zealand and Affiliates (CMSA)
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Attachment 8 - UAE Statutory Declaration Form
UNITED ARAB EMIRATES (UAE) STATUTORY DECLARATION FORM
Applicant details:
Title
(Dr, Prof, Mr, Mrs, Ms):
SURNAME:
GIVEN/FIRST name:
Applicant address (residence):
I, the aforesaid applicant, do
hereby solemnly declare and
affirm that:
Declared at
Place:
Area:
Emirate State / Province:
Date:
Signature of Applicant
In the presence of the authorised
proxy:
SURNAME:
GIVEN/FIRST name:
Position / Title:
Company Name (if applicable):
Date:
Signature of Proxy
Proxy Declaration:
I certify the following matters concerning the making of this
statutory declaration by the person who made it:
I saw the face of the person
OR
I did not see the face of the person because the person was
wearing a face covering.
I have known the person for at least 12 months
OR
I have confirmed the person’s identity using an identification
document and the document I relied on was
EXAMPLE ONLY