Authorised Signature. (Head Teacher / Deputy) I approve this user to be set-up on the school systems relevant to their role Signature ......................................... Date .........................................
Authorised Signature. DATA IMPORTER Name: ..........................................
Authorised Signature. DATA IMPORTER Name: Xxxxx XxXxxxxx, COO Authorised Signature:........................................................
Authorised Signature. (Head Teacher / Deputy) I approve this user to be set-up on the school systems relevant to their role Signature Date: Full Name: Xx Xxxxx Xxxxxxxxx (printed)
Authorised Signature. DATA IMPORTER Capital Confirmation, Inc. Name: Xxxxx Xxxxxxxx Authorised Signature .........................................................................................................................................
Authorised Signature. Date:.…..............……………….. for and on behalf of the Provider Organisation. I agree I will deliver this EHC sub-contract and will sign and deliver the Chlamydia screening and C Card sub-contract alongside. I enclose evidence of required HAG accreditation or Declaration of Competence I provide assurance that Pharmacist has required qualifications, training and accreditation and evidence will be provided by end of July 2015. I understand that if evidence is not provided this will delay / cease payments for activity.
Authorised Signature. This includes the date and signature of the exporter or producer.
Authorised Signature. The undersigned expressly guarantees that he is duly vested with the authority to sign so as to commit his company or organisation lawfully by means of this agreement. DNS Belgium shall in any event be able to rely on the fact that the mere signing of this agreement entails full consent with this document on the part of the registrar. For DNS Belgium For the registrar Xxxxxx Du Bois (name + title) General Manager Annex 1: Registration, renewal and other fees that apply on signing this agreement Annex 2: Data Processing Annex Annex 1 to the agreement between DNS Belgium and the registrar
Authorised Signature. Any person specified as its authorised signatory under Schedule 1 (Conditions Precedent) or pursuant to paragraph (e) of Clause 20.4 (Information: Miscellaneous) is authorised to sign Utilisation Requests and Selection Notices (in the case of the Borrower) and other notices on its behalf.
