I hereby authorize the Agency to proceed with any consultation or verification, in particular with suppliers, financial institutions, accounting firms, funding agencies, credit agencies and any government agencies, that it deems necessary to assess the application for financial assistance or the administration ans follow-up of any resulting contribution agreement, and I agree to the parties contacted disclosing the information requested.
I also authorize the Agency to disclose the information in its possession with regard to the client and the project to other government departments and agencies.
I understand to provide the Agency, at no charge, without delay and in the form requested, with any information required to complete the evaluation of the application for financial assistance. Lastly, I attest that the information provided in the application and all the documentation provided is complete, truthful and accurate.
Name of authorized person:_________________________
Signature : ____________________________________
Date : ____________________________________