<p style="font-size: 12.222222328186px;"><span style="font-size: small;"><strong>14.&nbsp; Certification:</strong></span></p>
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<td><span style="font-size: small;">I, the undersigned, certify to the best of my knowledge and belief&minus;</span></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>Yes</strong></span></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>No</strong></span></td>
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<td><span style="font-size: small;">(i) this CV correctly describes my qualifications and my experience</span></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>X</strong></span></td>
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<td><span style="font-size: small;">(ii) I am employed by the Executing or the Implementing Agency</span></td>
<td><br /></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>X</strong></span></td>
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<td><span style="font-size: small;">(iii) I am a close relative of a current ADB staff member</span></td>
<td><br /></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>X</strong></span></td>
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<td><span style="font-size: small;">(iv) I am the spouse of a current ADB staff member</span></td>
<td><br /></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>X</strong></span></td>
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<td><span style="font-size: small;">(v) I am a former ADB staff member.</span></td>
<td><br /></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>X</strong></span></td>
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<td><span style="font-size: small;">If yes, I retired from ADB over 12 months ago</span></td>
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<td><span style="font-size: small;">(vi) I am part of the team who wrote the terms of reference for this&nbsp;</span><span style="font-size: small;">consulting services assignment.</span></td>
<td><br /></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>X</strong></span></td>
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<td><span style="font-size: small;">(vii) I am sanctioned (not eligible for engagement) by ADB.</span></td>
<td><br /></td>
<td style="text-align: center;"><span style="font-size: small;"><strong>X</strong></span></td>
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<p style="font-size: 12.222222328186px;">&nbsp;</p>
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<td><span style="font-size: small;">I understand that any willful misstatement described herein may lead to my disqualification or dismissal, if engaged.</span></td>
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<p style="font-size: 12.222222328186px;"><span style="text-decoration: underline;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</span><span style="font-size: small;">&nbsp;Date:&nbsp;&nbsp;</span><span style="text-decoration: underline;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</span></p>
<p style="font-size: 12.222222328186px;"><span style="font-size: small;"><em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</em>Signature of expert&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (Day/Month/Year)</span></p>
<p style="font-size: 12.222222328186px;"><em>CV-format-10June08</em></p>