Certificate of Accuracy Re: Champions for Change Diversity Reporting I, <full name>* ______________________________________, hereby attest that to the best of my knowledge, ability, and belief, the data supplied by <insert company> _______________________________ on <insert date>______________________for the purpose of the Champions for Change Diversity Reporting is a true, accurate, and complete representation of the original data sourced from our systems. I also acknowledge and agree on behalf of <insert company> _______________________________ to the terms outlined in the Champions for Change Diversity Reporting Privacy Statement. *Note, this Certification of Accuracy must be completed by the Champion for Change (CEO or Chair) Signature: _________________________ Date: _________________________ www.championsforchange.nz