Certificate of declaration: Fill out & sign online

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Click ‘Get Form’ to open the declaration certificate format in the editor.
Begin by entering your name, membership number, address, contact number, and email ID in the designated fields. Ensure all information is accurate for proper identification.
In the 'Details of Unstructured Learning Activities Undergone' section, specify the type of activities you have completed. Choose from options like discussion on technical issues, home study, self-learning, or web-based modules.
For each activity type selected, provide detailed particulars including topics covered and dates of completion. This will help substantiate your request for CPE hours.
Indicate the total CPE hours requested at the end of this section to summarize your claim.
Finally, complete the undertaking statement by signing and dating it. If additional space is needed for details, feel free to annex a separate sheet.

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