Government of Jamaica Flag of Jamaica

FORM 4 (Regulation (8(1))

Basic Information
Identification
Voters IDDriver's LicensePassportOther
Property Information
NoYes
Statement by Applicant

I/We hereby certify that the information contained in this application and any document submitted to the Authority, are true and completed to the best of my/our knowledge and belief.

I/We understand that any misrepresentation contained in the form shall lead to discontinuation of the processing of the application and the revocation of any licence granted and may also lead to prosecution. I/We further understand that the licence, if granted, may be suspended or revoked for breach of any of the terms or conditions stipulated therein.