DECLARATION. (TO BE TYPED ON A LETTER HEAD OF THE COMPANY/ FIRM)
DECLARATION. Do you have any illness/injury/health problem that may render you unable to carry out the inherent requirements of the position? Yes No
DECLARATION. This election will become irrevocable upon the later of its signing or the acquisition of employment-related securities to which this election applies.
DECLARATION. I hereby make application for the premises set out in this form for the day and the times specified in this form. I acknowledge that I have read the Xxxxxxx Xxxxx Council Terms and Conditions of Hire and Emergency Evacuation Procedure. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) Xxxxxxx Xxxxx Council – Privacy Collection Notice: Xxxxxxx Xxxxx Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.
DECLARATION. This is our standard client agreement upon which we intend to rely. For your own benefit and protection you should read these terms carefully before signing them. If you do not understand any point please ask for further information.
DECLARATION. 36.1. The Client declares that he has read, understood and accepted this Agreement in its entirety.
36.2. The Client declares that he has read, understood and accepted the document entitled Risk Disclosure and he has understood the warnings contained in this document.
36.3. By accepting this Agreement, the Client declares that he has read, understood and accepted all the information available on the website of the Company:
36.4. The Client declares that he consents and agrees to direct advertising through cold calling by any means, including but not limited to, by phone, email and facsimile.
36.5. The Client declares that he is over 18 years old and/or has full capacity (in case of legal entities) to enter and be bound by this Agreement and that he is not prohibited by the legislation/regulations of his country of residence to enter into this Agreement.
36.6. The Client declares that all information provided in the “Account application form” is true, accurate, complete and not misleading and that he undertakes to inform the Company of any changes that might occur to the data/information provided in the “Account application form”.
DECLARATION. Le Co-contractor may submit an application for reimbursement of the Recycling fee to Ecotrel by means of the declaration form on a quarterly or annual basis, depending on its usual declaration system.
DECLARATION. The undersigned, as the Beneficial Owner or a nominee thereof, agrees to notify the Trust within sixty (60) days of the date that the Beneficial Owner becomes a foreign person. The undersigned understands that this certificate may be disclosed to the Internal Revenue Service by the Trust and any false statement contained therein could be punishable by fines, imprisonment or both. ------------------------------------ Name ------------------------------------ Title (if applicable) ------------------------------------ Signature and Date *NOTE: If signed pursuant to a power of attorney, the power of attorney must accompany this certificate. FORM OF INVESTMENT LETTER [NON-RULE 144A] [DATE] [CERTIFICATE REGISTRAR] RE: SEQUOIA MORTGAGE TRUST 199_-_ INVESTOR CERTIFICATES, 199_-_, (THE "INVESTOR CERTIFICATES") Ladies and Gentlemen: In connection with our acquisition of the above-captioned certificates, we certify that (a) we understand that the Investor Certificates are not being registered under the Securities Act of 1933, as amended (the "Act"), or any state securities laws and are being transferred to us in a transaction that is exempt from the registration requirements of the Act and any such laws, (b) we are an "accredited investor," as defined in Regulation D under the Act, and have such knowledge and experience in financial and business matters that we are capable of evaluating the merits and risks of investments in the Investor Certificates, (c) we have had the opportunity to ask questions of and receive answers from the depositor concerning the purchase of the Investor Certificates and all matters relating thereto or any additional information deemed necessary to our decision to purchase the Investor Certificates, (d) we are not an employee benefit plan that is subject to the Employee Retirement Income Security Act of 1974, as amended, or a plan that is subject to Section 4975 of the Internal Revenue Code of 1986, as amended, nor are we acting on behalf of any such plan, (e) we are acquiring the Investor Certificates for investment for our own account and not with a view to any distribution of such Investor Certificates (but without prejudice to our right at all times to sell or otherwise dispose of the Investor Certificates in accordance with clause (g) below), (f) we have not offered or sold any Investor Certificates to, or solicited offers to buy any Investor Certificates from, any person, or otherwise approached or
DECLARATION. I/We hereby declare that we have read the entire agreement and understood the contents thereof. DATE:
DECLARATION. The Lender hereby DECLARE that the Lender had sought independent legal advice in respect of this transaction and the contents of this Agreement.