Common use of Departmental Officer Clause in Contracts

Departmental Officer. Name [Insert name] Position [Insert position] Postal address [Insert postal address] Telephone number [Insert telephone number] Fax number [Insert fax number] E-mail address [Insert email address (if any)] EXECUTED as an Agreement SIGNED by [insert name] [insert position] as delegate for the Director-General of the Department of Communities, Child Safety and Disability Services ) ) ) ) ) 🗶 _ ) Signature ) 🗶 _ Signature of Witness 🗶 _ Date 🗶 _ Name of Witness (This EXECUTION CLAUSE is to be used for any NGSP that is NOT a company delete this instruction when printing) (Delete the entire clause if the annexure clause on the next page is to be used- delete this instruction when printing) ) SIGNED by [insert name] [insert position] for ) ) and on behalf of [insert name of Service ) Provider] as its duly authorised officer: ) 🗶 _ Signature 🗶 _ Signature of Witness 🗶 _ Date 🗶 _ Name of Witness This EXECUTION CLAUSE is for use by companies only - delete this instruction when printing) (delete entire clause if the other annexure clause is used - delete this instruction when printing SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 🗶 _ (signature of director/secretary) 🗶 _ (signature of director) _ _ _ _ (name of director/secretary) (name of director)

Departmental Officer. Name [Insert name] Position [Insert position] Postal address [Insert postal address] Telephone number [Insert telephone number] Fax number [Insert fax number] E-mail address [Insert email address (if any)] EXECUTED as an Agreement SIGNED by [insert name] [insert position] as delegate for the Director-General of the Department of Communities, Child Safety and Disability Services Communities ) ) ) ) ) 🗶³ _ ) Signature ) �) ³ � _ Signature of Witness ³ 🗶 _ Date³ 🗶 _ Name of Witness (This EXECUTION CLAUSE is to be used for any NGSP that is NOT a company delete this instruction when printing) (Delete the entire clause if the annexure clause on the next page is to be used- delete this instruction when printing) ) SIGNED by [insert name] [insert position] for ) ) and on behalf of [insert name of Service ) Provider] as its duly authorised officer: ³ ) 🗶 _ Signatu³ re 🗶 _ Signature of Witn³ ess 🗶 _ ³ Date 🗶 _ Name of Witness This EXECUTION CLAUSE is for use by companies only - delete this instruction when printing) (delete entire clause if the other annexure clause is used - delete this instruction when printing SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations ActXxx 0000 ³ 2001 🗶 _ (signature of director/secr³ etary) 🗶 _ (signature of director) _ _ _ _ (name of director/secretary) (name of director)

Departmental Officer. Name [Insert name] Position [Insert position] Postal address [Insert postal address] Telephone number [Insert telephone number] Fax number [Insert fax number] E-mail address [Insert email address (if any)] EXECUTED as an Agreement SIGNED by [insert name] [insert position] as delegate for the Director-General of the Department of Communities, Child Safety and Disability Services ) ) ) ) ) 🗶³ _ ) Signature ) �) ³ � _ Signature of Witness ³ 🗶 _ Date³ 🗶 _ Name of Witness (This EXECUTION CLAUSE is to be used for any NGSP that is NOT a company delete this instruction when printing) (Delete the entire clause if the annexure clause on the next page is to be used- delete this instruction when printing) ) SIGNED by [insert name] [insert position] for ) ) and on behalf of [insert name of Service ) Provider] as its duly authorised officer: ³ ) 🗶 _ Signatu³ re 🗶 _ Signature of Witn³ ess 🗶 _ ³ Date 🗶 _ Name of Witness This EXECUTION CLAUSE is for use by companies only - delete this instruction when printing) (delete entire clause if the other annexure clause is used - delete this instruction when printing SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations ActXxx 0000 ³ 2001 🗶 _ (signature of director/secr³ etary) 🗶 _ (signature of director) _ _ _ _ (name of director/secretary) (name of director)

Departmental Officer. Name [Insert name] Position [Insert position] Postal address [Insert postal address] Telephone number [Insert telephone number] Fax number [Insert fax number] E-mail address [Insert email address (if any)] EXECUTED as an Agreement SIGNED by [insert name] [insert position] as delegate for the Director-General of the Department of Communities, Child Safety and Disability Services ) ) ) ) ) 🗶³ _ ) Signature ) �) ³ � _ Signature of Witness ³ 🗶 _ Date³ 🗶 _ Name of Witness (This EXECUTION CLAUSE is to be used for any NGSP that is NOT a company delete this instruction when printing) (Delete the entire clause if the annexure clause on the next page is to be used- delete this instruction when printing) ) SIGNED by [insert name] [insert position] for ) ) and on behalf of [insert name of Service ) Provider] as its duly authorised officer: ³ ) 🗶 _ Signatu³ re 🗶 _ Signature of Witn³ ess 🗶 _ ³ Date 🗶 _ Name of Witness This EXECUTION CLAUSE is for use by companies only - delete this instruction when printing) (delete entire clause if the other annexure clause is used - delete this instruction when printing SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act³ 2001 🗶 _ (signature of director/secr³ etary) 🗶 _ (signature of director) _ _ _ _ (name of director/secretary) (name of director)

Departmental Officer. Name [Insert name] Position [Insert position] Postal address [Insert postal address] Telephone number [Insert telephone number] Fax number [Insert fax number] E-mail address [Insert email address (if any)] EXECUTED as an Agreement SIGNED by [insert name] [insert position] as delegate for the Director-General of the Department of Communities, Child Safety and Disability Services ) ) ) ) ) 🗶 _ ) Signature )) �� _ Signature of Witness 🗶 _ Date �� _ Name of Witness (This EXECUTION CLAUSE is to be used for any NGSP that is NOT a company delete this instruction when printing) (Delete the entire clause if the annexure clause on the next page is to be used- delete this instruction when printing) ) SIGNED by [insert name] [insert position] for ) ) and on behalf of [insert name of Service ) Provider] as its duly authorised officer) : ) 🗶 _ Signature 🗶 _ Signature of Witness 🗶 _ Date 🗶 _ Name of Witness This EXECUTION CLAUSE is for use by companies only - delete this instruction when printing) (delete entire clause if the other annexure clause is used - delete this instruction when printing SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations AXxx 0000 ct 2001 🗶 _ (signature of director/secretary) 🗶 _ (signature of director) _ _ _ _ (name of director/secretary) (name of director)

Departmental Officer. Name [Insert name] Position [Insert position] Postal address [Insert postal address] Telephone number [Insert telephone number] Fax number [Insert fax number] E-mail address [Insert email address (if any)] EXECUTED as an Agreement SIGNED by [insert name] [insert position] as delegate for the Director-General of the Department of Communities, Child Safety and Disability Services ) ) ) ) ) 🗶 _ ) Signature )) �� _ Signature of Witness 🗶 _ Date �� _ Name of Witness (This EXECUTION CLAUSE is to be used for any NGSP that is NOT a company delete this instruction when printing) (Delete the entire clause if the annexure clause on the next page is to be used- delete this instruction when printing) ) SIGNED by [insert name] [insert position] for ) ) and on behalf of [insert name of Service ) Provider] as its duly authorised officer) : ) 🗶 _ Signature 🗶 _ Signature of Witness 🗶 _ Date 🗶 _ Name of Witness This EXECUTION CLAUSE is for use by companies only - delete this instruction when printing) (delete entire clause if the other annexure clause is used - delete this instruction when printing SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 🗶 _ (signature of director/secretary) 🗶 _ (signature of director) _ _ _ _ (name of director/secretary) (name of director)

Departmental Officer. Name [Insert name] Position [Insert position] Postal address [Insert postal address] Telephone number [Insert telephone number] Fax number [Insert fax number] E-mail address [Insert email address (if any)] EXECUTED as an Agreement SIGNED by [insert name] [insert position] as delegate for the Director-General of the Department of Communities, Child Safety and Disability Services Communities ) ) ) ) ) 🗶 _ ) Signature ) 🗶 _ Signature of Witness 🗶 _ Date 🗶 _ Name of Witness (This EXECUTION CLAUSE is to be used for any NGSP that is NOT a company delete this instruction when printing) (Delete the entire clause if the annexure clause on the next page is to be used- delete this instruction when printing) ) SIGNED by [insert name] [insert position] for ) ) and on behalf of [insert name of Service ) Provider] as its duly authorised officer: ) 🗶 _ Signature 🗶 _ Signature of Witness 🗶 _ Date 🗶 _ Name of Witness This EXECUTION CLAUSE is for use by companies only - delete this instruction when printing) (delete entire clause if the other annexure clause is used - delete this instruction when printing SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 🗶 _ (signature of director/secretary) 🗶 _ (signature of director) _ _ _ _ (name of director/secretary) (name of director)