Regulations Concerning the Licensing and Operations of Electronic Payment Services in Liberia 7. SUPPORTING DOCUMENTS S/N Documents 1. Covering letter 2. All documents listed for a bank or non-bank applicant respectively. 8. DECLARATION (by Shareholders) I/We, the undersigned, hereby declare: 1. THAT the particulars set out herein are true and correct to the best of my/our knowledge and belief; 2. THAT I am/we are not undischarged bankrupt and that I/we have never been convicted of fraud or dishonesty; Name: Signature: Signature: Name: Name: Signature: BEFORE ME: NAME:………………………………………………………………………… SIGNATURE:………………………………………………………………… DATE:…………………………………………………………………………. ADDRESS:…………………………………………………………………… 24