Country. [insert country where ITT is issued]
Country. Risk – shall have the meaning set forth in the Custodian Agreement.
Country. Primary Phone Number Secondary Phone Number Primary Email Address* Secondary Email Address Receive email notifications?* q Yes q No If not a U.S. Citizen, enter country of citizenship Employment Status: q Employed q Self Employed q Not Employed/Retired Employer Name Health Plan Type: q Single q Family Effective Date of Qualified Health Insurance (mm|dd|yyyy) / / Health Insurance Carrier *By providing an email address and checking the “Yes” box, the account holder represents and warrants that he/she consents and has the ability to receive the electronic delivery of all investment-related, account-related information and notices at the provided email address. Electronic delivery may include, but is not limited to, emailed copies of or internet links to documents in PDF format. Investment-related and account-related information and notices may include, but is not limited to fund prospectuses, tax notices, account statements, confirmations of statements, account access passwords, etc. Account holder’s consent will be in effect until revoked. Account holder may request no-cost written copies of any electronically delivered documents and/or may revoke his/her consent to electronic delivery by contacting Customer Service.
Country. The information provided in the Student Agreement applies also for the second-year studies.
Country. 2d. SEE INSTRUCTIONS ADD’L INFO RE ORGANIZATION DEBTOR 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any NONE
Country. [Click here and enter Host Country name]
Country. AREA CODE AND TELEPHONE NUMBER
Country. The participant shall receive a financial support from Erasmus+ EU funds for _______ months and ______ days [if the participant receives a financial support from Erasmus+ EU funds: the number of months and extra days shall be equal to the duration of the mobility period. If the participant receives a financial support from Erasmus+ EU funds combined with a zero-grant period: the number of months and extra days shall correspond to the period covered by financial support from Erasmus+ EU funds, which shall be provided at least for the minimum duration of the period abroad (2 months for traineeships and 3 months or 1 academic term or trimester for studies)]; [If the participant receives a zero-grant for the entire period: this number of months and extra days should be 0].
Country. [insert country where ITT is issued]
v) ITT No: [insert ITT reference number from Procurement Plan]
Country. The term ‘‘country’’ means a foreign coun- try, a political subdivision, dependent xxxxx- xxxx, or possession of a foreign country, and, except for the purpose of antidumping pro- ceedings, may include an association of 2 or more foreign countries, political subdivisions, dependent territories, or possessions of coun- tries into a customs union outside the United States.
