Declaration and Consent. You, or your decision maker, confirm that you have read this agreement or have had this agreement explained to you and agree that the information is true and correct and may be used by Adventure Ability Services and their support workers to provide appropriate support according to this agreement.
Declaration and Consent. I declare by my signature; To have read, understood and agreed to the Xxxxxxx Xxxxx Xxxxxxx Investment Limited Retail Client Agreement and such supplementary documents listed in 1.3; as detailed above.
Declaration and Consent. I declare by my signature; To have read, understood and agreed to the Xxxxxxx Xxxxx Xxxxxxx Investment Limited Retail Client Agreement and such supplementary documents listed in 1.3; as detailed above. Client Signature: Please send a signed copy of this Agreement to: Trade Support. Xxxxxxx Xxxxx Xxxxxxx Investments Limited. 000 Xxxxxx Xxxxx Xxxx, Muswell Hill, London. N10 3DU.
Declaration and Consent the undersigned authorise the Company to collect, use and disclose my personal and sensitive information to any third party that the Company may engage. Signature Date :SK : 19-Dec-2020 03 Letter from the CEO 04 Section 1: 05 Section 2: 08 Section 3: 11 Section 4: 12 Section 5: Xxxxxx Xxxxxx
Declaration and Consent. (Check the appropriate box) — The additional policy fee is $100 • That I am a natural person residing in Canada and that I am capable of performing my regular duties. □ □ • That I am 18 years of age or older, but less than 71 years of age for life insurance, less than 65 years of age for disability insurance and/or critical illness insurance, and less than 60 years of age for unemployment insurance. □ □
Declaration and Consent. I/We have read and consent to the above Client Agreement and confirm the issue and receipt of the IDD. I/We hereby authorise the transfer of information between such third parties, as described above, on a confidential basis when warranted. I/We agree that the Client Agreement will come into effect from the date of their receipt. I/We authorise illingworths insurance & financial services to act on my/ our behalf in obtaining the mortgage loan and/or any required non-investment insurances.
Declaration and Consent. Part A – To be completed by the individual submitting this form Part B – To be completed by each of the Other Partner(s) (if any), whose personal information is or will be provided for the purposes of seeking support under the RFCS Programme
Declaration and Consent. You, or your decision maker, confirm that you have read this agreement or have had this agreement explained to you and agree that the information is true and correct and may be used by Patch DSS and their staff to provide appropriate support according to this agreement.
Declaration and Consent. We take your privacy very seriously and will only use your personal information and data to administer the services we have agreed to provide you with, including but not limited to any products or contracts for investments, pensions or life cover you have made or entered into through our firm.
Declaration and Consent. With due regard to the contents of POPI and the definitions contained above, I declare and confirm that-
4.1. I irrevocably authorise the Owner and the Related Parties to collect and process my personal information as they deem necessary and appropriate;
4.2. I irrevocably waive the confidentiality attaching to my personal information shared with the Owner and/or the Related Parties;
4.3. I will not have any claim of whatsoever nature against the Owner and/or the Related Parties for collecting and/or processing my personal information;
4.4. I understand the contents of this document and the implication of signing this document and have been given an opportunity to ask for clarification and explanation;
4.5. I agree to make my personal information available to the Owner and/or the Related Parties as and when required; and
4.6. I make this declaration willingly and freely.
