特此证实。
I hereby certify that the above information is complete and accurate.
我特此证明,上述资讯是正确的。
I hereby certify that Information on this form is accurate and complete.
本人谨此声明此表及后附之医生报告中提供的所有咨询完整、属实。
I hereby certify that: All the information on this form is true and correct.
我特此证明:本表所填写的内容和提供的材料真实无误。
I hereby certify that all information filled in the application form is true.
本人承诺,本人在此申请表中填写的信息均属实。
I hereby certify that the information given in this form is true and correct.
我保证以上所提供的资料都是正确并且真实。
I hereby certify that all the information I have furnished is complete and accurate.
我填写完成了所有资料信息并保证其真实准确性。
I hereby certify that all the information I have furnished is complete and accurate.
我填写完成了所有资料信息并保证其真实准确性。
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