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1. Personal Information: Declarant's full name, ID number, contact details and other identifying information as required by FICA
2. Current Residential Address: Detailed physical address including street number, street name, suburb, city, province and postal code
3. Postal Address: Mailing address if different from residential address
4. Period of Residence: Duration of stay at the current address and immediate previous address if less than 3 years
5. Property Status: Whether the declarant owns, rents, or has another arrangement at the declared address
6. Declaration and Signature: Legal declaration of truth and accuracy of provided information, with date and signature
1. Previous Address Details: Section for listing previous addresses if moved within the last 3 years
2. Third Party Confirmation: For cases where the declarant lives with someone else and needs their confirmation
3. Business Address: For cases where a business address needs to be declared in addition to residential
4. Alternative Contact Person: Details of an alternative contact person who can verify the address
5. Temporary Residence Declaration: For cases of temporary residence or multiple residences
1. Schedule A: Required Supporting Documents: List of acceptable proof of address documents and requirements for each
2. Schedule B: Address Verification Checklist: Checklist for internal use to verify the completeness and validity of the declaration
3. Appendix 1: Guidelines for Proof of Address: Detailed guidelines on what constitutes acceptable proof of address
4. Appendix 2: Privacy Notice: POPIA-compliant privacy notice regarding the collection and processing of personal information
Postal Address
Physical Address
Declarant
Proof of Address
Supporting Documentation
Principal Place of Residence
Temporary Residence
Property Owner
Tenant
Occupant
Third Party Verifier
Business Address
Correspondence Address
Official Documentation
Street Address
Municipal Address
Premises
Authorized Representative
Verification Documents
Previous Address
Period of Residence
Utility Bill
Bank Statement
Lease Agreement
Declaration Date
Identity Document
Personal Information
Address Details
Declaration
Privacy Notice
Data Protection
Verification
Supporting Documentation
Consent
Compliance
Change of Address
Authentication
Certification
Witness Requirements
Information Accuracy
Third Party Confirmation
Document Validity
Legal Consequences
Record Keeping
Banking and Financial Services
Insurance
Real Estate
Telecommunications
Utilities
Healthcare
Legal Services
Government Services
Educational Institutions
Retail Banking
Corporate Services
Property Management
Compliance
Risk Management
Customer Service
Operations
Legal
Administration
Client Onboarding
Records Management
Data Protection
Front Office
Due Diligence
Customer Relations
Regulatory Affairs
Compliance Officer
Risk Manager
Customer Service Representative
Account Manager
KYC Specialist
Operations Manager
Legal Counsel
Administrative Officer
Branch Manager
Client Onboarding Specialist
Records Manager
Data Protection Officer
Regulatory Affairs Manager
Front Desk Officer
Customer Due Diligence Officer
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