I hereby declare that all of the above information is true and correct to the best of my knowledge and belief . I have read and understood the terms and conditions, I hereby agree to abide by them. I also agree to abide by any changes that may be made in them from time to time.

I also understand that submission of this application does not mean automatic acceptance. I hereby authorize "Kiseki One Day Home Painting" to make inquiries about my antecedent.

I understand that any misrepresentation of factual information requested on this application form may be a cause for removal being a business associate from Kiseki One Day Home Painting.