| Name | Description | Type | Additional information |
|---|---|---|---|
| UKResident | boolean |
None. |
|
| ICONSENT | boolean |
None. |
|
| Date | string |
None. |
|
| Signature | string |
None. |
|
| DateSigned | string |
None. |
|
| NameSigned | string |
None. |
|
| Gaurdian | string |
None. |