Forename Middle name Last name E-Mail Previous name Surname at birth Address Line1 Address Line 2 Address Line 3 City Country Postcode Phone number Home number Mobile number Personal Details Date of birth NI Number Gender Ethnicity Nationality National Identity National Identity 2 Domicile Disability (Please describe) Disabled student allowance Service Leaver: Yes/No Entry Qualification details Maths GCSE grade English GCSE grade Science GCSE grade A-levels/equivalent Subject/grade and when achieved Placements School1 Duration Address School phone number Finance e-mail Name of Head Teacher Name of school CPD co- ordinator/Professional Tutor What position do you currently hold? Full time/ Part time If part time percentage of time working as a teacher Is the school a State primary Academy International State secondary Free School COBIS Special school Independent Other Age range of pupils taught Subjects taught School experience of QTS assessment Has the school previously worked with St Mary’s? Is the school part of the St Mary’s school partnership? Has the school had experience of QTS candidates through another provider? Mentor experience of ITE Please give details of mentor’s experience Has the mentor undertaken any mentor training? If yes through which institution School 2 Placement 2 duration Address Position held Full time/ Part time If part time percentage of time working as a teacher Is the school a State primary Academy International State secondary Free School COBIS Special school Independent Other Age range of pupils taught Subjects taught Course Phase ITT subject 1 ITT subject 2 ITT subject 3 Entry Details Additional Academic Qualifications First degree or equivalent: BA, BSc, other Subject of UG degree Class of UG degree Awarding Institution Date undergrad degree obtained Date skills tests passed English Math DBS Certificate number Applicant statement I confirm that all of the information I have provided is accurate I confirm I can provide original certificates at the interview stage of my application I understand that the information on this application will be stored on a database and made available to the Department for Education Signature Date Partnership Agreement confirmation between St Mary’s University and (insert name of school)
Platby In consideration for the services rendered by the Institute, in the Study, the Sponsor agrees to pay to the Institute according to the Budget, attached as Exhibit B hereto (the “Fee”). Jako protiplnění za služby poskytnuté Zdravotnickým zařízením při provádění Studie se Zadavatel zavazuje hradit Zdravotnickému zařízení platby podle Rozpočtu, který je ke Smlouvě přiložen jako Příloha B („Poplatek“). The Fee shall be payable for each eligible Subject properly enrolled according to the Protocol upon proper completion and delivery to the Sponsor of the Case Report Forms (the “CRF”) for each Subject. The Fees, plus VAT calculated in the legal amount, shall be the full remuneration and payment by Sponsor for all costs incurred in the course of the clinical Study. Any and all taxes or other registration charges shall be borne by the Institute. Poplatek bude splatný za každého způsobilého Účastníka, který je zařazen do Studie podle Protokolu, po řádném vyplnění a doručení Zadavateli záznamových formulářů („CRF“) za každého Účastníka. Poplatky navýšené o DPH vypočítanou v zákonné výši budou úplnou odměnou a platbou Zadavatele za všechny náklady, které vzniknou v průběhu klinické Studie. Náklady na veškeré daně nebo jiné registrační poplatky ponese Zdravotnické zařízení. The Institute will recruit a maximum of 300 Subjects into the Study. The Sponsor will not pay Fees, reimburse any expense, charge, cost, nor bear any liability to the Institute, nor to any other person or entity, in respect of any Subject in excess of the maximum number of Subjects specified in the previous sentence. Zdravotnické zařízení do Studie získá maximálně 300 Účastníků. Zadavatel nezaplatí Poplatky, neuhradí žádný výdaj, poplatek ani náklad ani neponese žádnou odpovědnost vůči Zdravotnickému zařízení ani vůči jakékoliv jiné osobě nebo subjektu, pokud jde o jakéhokoliv Účastníka nad rámec maximálního počtu Účastníků specifikovaného v předchozí větě. Fees due will be transferred by the Sponsor upon provision of a respective invoice to the following account of the Institute: Splatné Poplatky Zadavatel převede po poskytnutí příslušné faktury na následující účet Zdravotnického zařízení:
Signed by (Print name) …………………………………….. (State role / position) for and on behalf of [insert name of Grant Recipient] This Agreement has been executed as a deed and is delivered and takes effect on the date stated at the beginning of it EXECUTED as a DEED by affixing ) the common seal of the ) GREATER LONDON AUTHORITY ) In the presence of: Authorised Signatory EXECUTED as a DEED by affixing ) the common seal of ) [GRANT RECIPIENT] ) in the presence of: Authorised signatory
Authorized Signatory Dated:____________________ CERTIFICATE OF AUTHENTICATION This is one of the Class A-[_] Certificates referred to in the within-mentioned Agreement. JPMORGAN CHASE BANK, as Certificate Registrar By: ________________________ Authorized Signatory ASSIGNMENT FOR VALUE RECEIVED, the undersigned hereby sell(s), assign(s) and transfer(s) unto _______________________________________________________________ (Please print or typewrite name and address including postal zip code of assignee) the beneficial interest evidenced by the within Trust Certificate and hereby authorizes the transfer of registration of such interest to assignee on the Certificate Register of the Trust Fund.
Datenschutzrichtlinie Ihre Informationen werden jederzeit gemäß der Apple Datenschutzrichtlinie behandelt, die durch Verweis in diese Lizenz integriert wird und unter folgender Adresse verfügbar ist: xxxx://xxx.xxxxx.xxx/de/privacy/.
The Limited Liability Company The Members have created a limited liability company: [NAME OF THE LLC] ("Company") and formed on the date of [FORMATION DATE] in the State of Washington D.C. (“Governing Law”). The operations of the Company shall be governed by the laws located in the State of Governing Law and in accordance with this Agreement as follows:
Mitsui Iron Ore Corporation Pty Ltd. to vary the Iron Ore (Marillana Creek) Agreement;
Eindgebruikers binnen de Amerikaanse overheid De Apple software en de bijbehorende documentatie zijn “Commercial Items”, zoals omschreven in 48 C.F.R. §2.101, en bestaan uit “Commercial Computer Software” en “Commercial Computer Software Documentation”, zoals beschreven in 48 C.F.R. §12.212 of 48 C.F.R. §227.7202, afhankelijk xxx xxxxx paragraaf van toepassing is. Overeenkomstig 48 C.F.R. §12.212 of 48 C.F.R. §227.7202-1 tot en met 227.7202-4, afhankelijk xxx xxxxx paragraaf van toepassing is, xxxxxx de “Commercial Computer Software” en “Commercial Computer Software Documentation” aan eindgebruikers binnen de Amerikaanse overheid (a) alleen als “Commercial Items” in licentie gegeven en (b) alleen met de rechten die xxxxxx verleend aan alle andere eindgebruikers conform de voorwaarden die hierin xxxxxx genoemd. Ongepubliceerd: rechten voorbehouden krachtens de auteursrechtwetgeving van de Verenigde Staten.
Authorized Signature Your signature on the Account Card authorizes your account access. We will not be liable for refusing to honor any item or instruction if we believe the signature is not genuine. If you have authorized the use of a facsimile signature, we may honor any check or draft that appears to bear your facsimile signature even if it was made by an unauthorized person. You authorize us to honor transactions initiated by a third person to whom you have given your account number even if you do not authorize a particular transaction.
Authorized Signatures (1) Each of the undersigned represents that he or she is fully authorized to enter into the terms and conditions of, and to execute, this Settlement Agreement on behalf of the Parties identified above their respective signatures and their law firms.
