DECLARATION
u n d e n a kteh a tl s h a l u t l l r s rey v s l o n l y r o Í l h e p u e o s eo Í w h i . h V s a h a s b e e nê p p i € d , : n d
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presefl n Nelherlands on the dale of @king this appli€tionand that all lhe infomationqrvêi
accuraleandcomolête
lundèBland thêt rry visa appliÉlionis bêing handledthroughBLSIntenaíonalSeNic6 BV
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setoice
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s not rêsponsibêlor lhe sameor toÍ any dêlayin the Íecelploí the visa Tnê pÍocessng otyour
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ncludng DisclameÍánd BLS 0átá PÍotectionPolicyat lhê dále o1 my áppliÈton{doMloadsble
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in €laliof io my appli€lbn and ádviceof InfoÍ@i@ gtuenlo me ,ncludlng
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PÍolection Policy (doMloadable iiom
lhê BLs
http://ww!vbsndia.nl6m)andt)êlmydalamybêpro.6sedbyanaflilaledómpanyurrch
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roy iake place n Indiá bol subjectlo the sêmestandardsasapply nNethe ênds
lnport ntNotê: SuppÍessionoí Íacts oí furnshing nislealing/falsêinfordalionwil Íêsult n
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visa.
PLACÊ
& DATÊ
Signsrurêor !hê Appicanl
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