I am aware of and consent to the following: any personal data concerning me which appear on this visa application form will be supplied to the relevant authorities in Brazil and processed by those authorities, if necessary, for the purposes of a decision on my visa application. I declare that to the best of my knowledge all particulars supplied by me are correct and complete. I am aware that any false statements will lead to my application being rejected or to the annulment of a visa already granted and may also render me liable to prosecution under the law of the Brazilian State which deals with the application. I undertake to leave the territory of Brazil upon the expiry of the visa, if granted. I have been informed that possession of a visa is only one of the prerequisites for entry into the territory of Brazil. The mere fact that a visa has been granted to me does not mean that I will be entitled to compensation if I fail to comply with the relevant provisions of the laws of Brazil. The prerequisites for entry will be checked again on entry into the territory of Brazil