By submitting this application, I hereby declare that all information provided in this form is true, complete, and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the denial or revocation of my license application.

I authorize Licensing Pathways Luxembourg to verify the information provided and to share my application and supporting documents with the appropriate Luxembourg licensing authorities as necessary for processing my license.

I acknowledge that I am responsible for all applicable fees related to my license application and understand that these fees are non-refundable once submitted.

I agree to comply with all rules, regulations, and professional standards of the licensing authority and understand that successful submission of this form does not guarantee license approval.

I hereby confirm that I have read and understood the Agreement & Declaration and I consent to all terms stated above.