DECLARATION OF FINANCIAL SUPPORT

(sworn statement)

I, the undersigned ____________________________________________________________

Date of Birth ________________________ Place of Birth ___________________________

Nationality _________________________________________________________________
Residing at _________________________________________________________________
___________________________________________________________________________

Holder of residence permit No. ________________________________________________

Declare on my honour that I take financial responsibility for:

Mr/Mrs/Ms (surname(s) and first name(s)) ________________________________________

Date of Birth ________________________ Place of Birth __________________________

Relationship ______________________________________________________________
ID document No. ________________________________________________________
Residing at _________________________________________________________________
___________________________________________________________________________

Monaco (date) ______________________________________________________________

Signature ____________________________________