6.1. An application for the recognition of an assistant to a person of full age submitted to the Public Curator must include(1) the identification of the person of full agenamely, the person’s name, gender, date of birth, civil status, address, telephone number and e-mail address, if any;
(2) the identification of the proposed assistant, namely, the assistant’s name, gender, date of birth, civil status, address, telephone number, e-mail address, if any, and relationship to the person of full age;
(3) a description of the difficulties experienced by the person of full age;
(4) where applicable, the wish of the person of full age that where 2 assistants are proposed, they should be required to act jointly;
(5) the name and address of the spouse of the person of full age and the addresses of the person’s father, mother and children of full age or, failing that, of at least 2 persons who show a special interest in the person of full age, to the exclusion of any proposed assistant. In the latter case, the relationship of the person of full age to such persons must be indicated;
(6) where applicable, the reasons for being unable to provide the contact information of at least 2 persons who are either from the family of the person of full age, or who show a special interest in the person, excluding any proposed assistant;
(7) a summary description of the patrimony of the person of full age, namely, the person’s income, assets and liabilities;
(8) where applicable, a conflict of interest declaration by the proposed assistant disclosing any situation that poses a potential, perceived or real conflict between the personal interests of the proposed assistant and those of the person of full age;
(9) an undertaking by the proposed assistant to respect the privacy and personal information of the person of full age;
(10) a statement by the person of full age to the effect that the person understands the scope of the application;
(11) for the purpose of verifying if the proposed assistant has a criminal record:(a) date of birth;
(b) address;
(c) consent to a criminal records check;
(12) the consent of the proposed assistant to disclosure of the day and month of the assistant’s date of birth to a third person for identification purposes if the proposed assistant acts as an intermediary between the third person and the person of full age;
(13) a copy of 2 identity documents of the person of full age, one of which must contain a photo and have been issued by a government authority;
(14) a copy of 2 identity documents of the proposed assistant, one of which must contain a photo and have been issued by a government authority; and
(15) where applicable, proof that the proposed assistant is fully emancipated.