I, registered intermediary at the Royal Belgian Football Association (hereafter the “Intermediary”), officially declare and confirm, by means of this document (the “Declaration”) , the following:
the Intermediary nor any affiliated company, branch, director, employee or independent contractor under contract with the Intermediary has or had any direct or indirect links with any company or individual named in the Panama Papers, Offshore Leaks or Paradise Papers;
the Intermediary is the ultimate beneficiary of the fees or payments made by RSCA to the Intermediary or in case the Intermediary is not the ultimate beneficiary, it shall identify this ultimate beneficiary to RSCA by means of a document in annex of this Declaration;
the Intermediary nor any affiliated company, branch, director, employee or independent contractor under contract with the Intermediary has ever been or is currently subject to any investigation concerning intermediary practices in the broad sense from either a public authority, a national football association, the FIFA or the UEFA.
The Intermediary fully complies with the following laws and regulations:
Ordonnance of 14 July 2011 concerning the mixed management of the labor market in the Brussels-Capital Region, BS 10-08-2011;
Decree of 3 April 2009 on the registration or authorization of employment agencies, BS 05-05-2009 ;
Decree of 10 December 2010 concerning private employment mediation, BS 29-12-2010 ;
Appendix 9 of the Federation Regulations: Regulations concerning cooperation with intermediaries;
FIFA Regulations on Working with Intermediaries
RSCA considers this information necessary and reasonable in order to ensure the legal validity of the envisaged performance of services by the Intermediary and in the light of its license requirements with the Royal Belgian Football Association and the UEFA.
Therefore, RSCA considers it necessary to halt the conclusion of any contractual relationship between the parties and the payment of any invoice or future invoice of the Intermediary, until the Intermediary has signed this Declaration and has provided RSCA with additional information if necessary. This declaration shall be integrally part of the Agreement.
The Intermediary agrees that no payments shall be due by RSCA to the Intermediary in case this declaration, or any of its statements, appear to be incorrect, false, fraudulent or falsified. Such event shall justify the immediate suspension of payments by RSCA to the Intermediary and shall constitute a rightful ground for unilateral termination of the Agreement by RSCA, without any right for compensation for the Intermediary. In case any of the declared elements in this Declaration becomes untrue, the Intermediary shall immediately inform RSCA of the change and the extent hereof in all transparency and too its best knowledge.