I understand that under the provisions of the Bermuda Immigration and Protection Act, 1956, it is a criminal offence to make any statement which is false in a material particular and which I know to be false or I believe not to be true. I understand that breach of the Bermuda Immigration and Protection Act, 1956 may cause my permission to reside in Bermuda to be revoked. I understand am not regarded as an immigrant and there is no guarantee to continue residence in Bermuda at any time.
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