Full Names xxxxxx declare that I was in the employ of the following companies during the last four years. Company Name 1st Working Day : Date Last Working Day : Date / Current Reason for Termination ie : Resigned / Retrenched etc. xxx.xxxxx-xxxxxx.xx.xx xxxxxxxxxx@xxxxx-xxxxxx.xx.xx Office: 000 000 0000 Mobile: 000 000 0000 Fax: 000 000 0000 I, the undersigned FULL NAME: SURNAME: ID NUMBER: Appoint Sweet Dreamz to be my lawful agent for managing and transacting my claim for illness benefits in terms of Section 25 of the Unemployment Insurance Act 63 of 2001, in the Republic of South Africa with full powers of authority and in my name and for my account and benefit. Signature: Date: Sweet Dreamz has no legal agreement or affiliation with Department of Labour regarding any UIF claims for illness benefits, and therefore cannot be held liable for any damages due to any action taken, or decisions made by the Department of Labour regarding our service or claim. Sweet Dreamz will not be held responsible for any payments, or non-payments, by the Department of Labour as a result of false or insufficient information supplied by you, or any other reason. • I understand that once Sweet Dreamz has submitted the application to the Department of Labour the processing and approval of the application is out of their hands and must follow due course, as stipulated by the Department of Labour. • I understand that Sweet Dreamz cannot control payments by the Department of Labour and can only give me feedback on information given to them by the Department of Labour. • I understand that it is my responsibility to make sure that all forms and documents reach Sweet Dreamz in time. • I understand that Sweet Dreamz are not allowed and will not submit my application if all my documentation is not in their possession and completed correctly by myself and any third parties that must have completed them as stipulated in the forms and instructions supplied by Sweet Dreamz. • I understand that all forms (except the UI19 and UI2.7) should be original forms. Sweet Dreamz will only take responsibility for forms and faxes once they send me an SMS/Email to confirm receipt. If I do not receive the SMS/Email I will call and confirm that they did receive the document. This will be confirmed on the phone and with an SMS/Email. • I understand that if I were to handle my own Illness UIF claim directly with The Department of Labour that this is a FREE service that they offer and that it was my own choice to emp...
Full Names. Property Owner (s) (if different from above) ABN/ACN Property Address: Postal Address: Land Title Information (Lot / DP numbers, as shown on a Council Rates Notice) Local Government Area Property Size (ha) Possible Agreement size (Ha) Contact phone numbers: Email Address: Preferred method of contact? How did you hear about us? Have you spoken to a BCT staff member about your request? PROPOSED AGREEMENT AREA DETAILS Note: Please fill in this section if you have the information. It will assist the BCT in handling your request. Size of your proposed Agreement Area (Ha) Vegetation Type(s) E.g., “Grey Box and native pasture”, “Cypress Pine with Vine thickets in gullies” Description of the vegetation condition E.g., Age, Remnant or Regrowth; Vegetation layers present: shrubs, grass and trees; weediness and general health) Threatened flora and fauna species or any other species of interest in the area, (if known) What is the current land use on the proposed agreement area? E.g., ‘occasional grazing’; ‘only passive uses’. Aspirations and Goals for the Agreement Area E.g., “improve the overall health”, “more native plant regeneration”, “conserve the areas special attributes for future generations”. Can you attach a map to your Interest Form? A simple map of your property showing your proposed agreement area can help the BCT identify the site and its features. This could be a hand drawn map, or based on a satellite image or topographic map. ☐Yes ☐No Are you interested in regular updates from the BCT on other programs and opportunities? If so, tick yes below to be added to a BCT distribution list to receive updates and e newsletters in the future. ☐Yes ☐No Signature(s) of all the legal owners of the property are required I am interested in establishing a BCT agreement on my property and understand that submitting an Interest Form does not carry any rights or obligations. If more than one owner, please use additional spaces. Signature Signature Name Name Position Position Date Date Signature Signature Name Name Position Position Date Date Lodging your Interest Form Once completed, send the Interest Form with any attachments to the BCT. Electronically – via Email to: xxxx@xxx.xxx.xxx.xx Or by post: NSW Biodiversity Conservation Trust. Locked Bag 5022
Full Names. Position: SIGNED at on this the day of 20 in the presence of the undersigned witnesses. AS WITNESSES:
Full Names. 3.3 Identity Number (RSA)
Full Names. I.D. Number: Physical Address: Postal Address: Code Telephone No’s: (w) (h) (f) (cell) E-Mail
Full Names. 4.2.5 Driver’s licence, passport and/or national identity card;
Full Names. Designation:
Full Names. Signature: This Memorandum of Agreement is hereby signed by (insert the name of the signatory) in his/her capacity as (insert the signatory designation) for the Department of (insert name of Department or legal entity) who hereby affirms that he/she is duly authorized to sign this agreement on its behalf. _________________________________ Full name Designation Department or Legal Entity Signed at _______________on this________day of ______________ 2022. As a Witness: ___________________ .
Full Names. Customer’s Signature Date Of Birth: .................................................................................................... I agree to the above conditions and have completed the Application - Agreement on the reverse side hereof. Date.............................................................. ........................................................................................... New Customer's Signature PAYMENT TERMS The CUSTOMER agrees to pay the following to the Corporation in respect of the telephone/telefax leased lines telex leased lines - where applicable services, as the case may be the amounts to be determined from time to time by the Corporation:
