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Given Name Sample Clauses

Given Name. Nationality............................................................ [ ] Male [ ] Female Date of Birth ….… / ....... /....... Address...................................................................................................................... Telephone ............................................................Mobile............................................... Fax ............................................................Email.........................................................
Sample 1Sample 2Sample 3
Given Name. Nationality............................................................ [ ] Male [ ] Female Date of Birth !.! / ....... /....... Home Country Contact Details Address...................................................................................................................... Telephone ............................................................Mobile............................................... Fax ............................................................Email......................................................... Australian Contact Details Address...................................................................................................................... Telephone ............................................................Mobile............................................... Fax ............................................................Email.........................................................
Sample 1
Given Name. Address ............................................................................................................................................................ Phone (Home) ................................... (Work) ................................. (Mobile)........................................... To best serve the needs of students the College should be made aware of any conditions that could impact on your son's learning. Does your son have any special achievements or talents? ❑ Yes ❑ No If yes please provide further information or attach supporting documentation ........................................................... ........................................................................................................................................................................ Does your son have any of the following? Dyslexia ❑ Yes ❑ No Asperger Syndrome or Autism ❑ Yes ❑ No Attention Deficit Disorder (with/without hyperactivity (ADD/ADHD) ❑ Yes ❑ No Intellectual disability ❑ Yes ❑ No Language disorder ❑ Yes ❑ No Emotional or behavioural disturbances ❑ Yes ❑ No Borderline intellectual disability ❑ Yes ❑ No PHYSICAL IMPAIRMENTS Physical disability ❑ Yes ❑ No Vision impairment ❑ Yes ❑ No Hearing impairment ❑ Yes ❑ No Are there any reports that provide further information? E.g. psychological, speech pathology, medical etc ❑ Yes ❑ No If yes, please provide a copy with this application. Your son may be assessed by the College Psychologist. You will be informed if this is to happen. The results of this assessment or previous reports may allow the College to source assistance from outside organisations. Please sign the release form below so that reports can be passed on and extra help accessed for your son if he is eligible. Does your son suffer from any of the following conditions? Is your child under a health care plan for Asthma? ❑ Yes ❑ No (if yes please provide a copy of the Health Care plan from your doctor) Severe Allergy (E.g. Bee Sting) ❑ Yes ❑ No Joint Disorder (E.g. Arthritis) ❑ Yes ❑ No Ear Disorder (E.g. Drainage Tubes) ❑ Yes ❑ No Incontinence ❑ Yes ❑ No Medication usually taken at school ❑ Yes ❑ No Diabetes ❑ Yes ❑ No Heart Disorder ❑ Yes ❑ No Skin Condition (E.g. Dermatitis) ❑ Yes ❑ No Swallowing/Choking difficulties ❑ Yes ❑ No Communication Difficulties ❑ Yes ❑ No
Sample 1

Related to Given Name

  • Company Name The Members may change the name of the Company or operate under different names, provided a majority of the Members agree and the name complies with Section 00-00-000 of the Act.

  • Formation; Name The Company was formed by the filing of the Certificate. The Company shall be operated as a limited liability company pursuant to this Agreement and the Act. Whenever the terms of this Agreement conflict with any provision of the Act, the terms of this Agreement shall control except to the extent any provision of the Act cannot be waived or altered by a limited liability company operating agreement. The Company shall be operated under the name “General Cable Overseas Holdings, LLC.” The Member or an authorized Person shall file such other certificates and documents as are necessary to qualify the Company to conduct business in any jurisdiction in which the Company conducts business.

  • Print Name Date: ………………

  • Name; Address Unless you have promptly notified the Manager In Writing otherwise, your name as it should appear in the Registration Statement, Prospectus or Offering Circular and any advertisement, if different, and your address, are as set forth on the signature pages hereof.

  • Xxxxx Fargo Name The Sub-Adviser and the Trust each agree that the name "Xxxxx Fargo," which comprises a component of the Trust's name, is a property right of the parent of the Adviser. The Trust agrees and consents that: (i) it will use the words "Xxxxx Fargo" as a component of its corporate name, the name of any series or class, or all of the above, and for no other purpose; (ii) it will not grant to any third party the right to use the name "Xxxxx Fargo" for any purpose; (iii) the Adviser or any corporate affiliate of the Adviser may use or grant to others the right to use the words "Xxxxx Fargo," or any combination or abbreviation thereof, as all or a portion of a corporate or business name or for any commercial purpose, other than a grant of such right to another registered investment company not advised by the Adviser or one of its affiliates; and (iv) in the event that the Adviser or an affiliate thereof is no longer acting as investment adviser to any Fund or class of a Fund, the Trust shall, upon request by the Adviser, promptly take such action as may be necessary to change its corporate name to one not containing the words "Xxxxx Fargo" and following such change, shall not use the words "Xxxxx Fargo," or any combination thereof, as a part of its corporate name or for any other commercial purpose, and shall use its best efforts to cause its trustees, officers and shareholders to take any and all actions that the Adviser may request to effect the foregoing and to reconvey to the Adviser any and all rights to such words.

  • Website, Email Address and Toll-Free Number The Administrator will establish and maintain and use an internet website to post information of interest to Class Members including the date, time and location for the Final Approval Hearing and copies of the Settlement Agreement, Motion for Preliminary Approval, the Preliminary Approval, the Class Notice, the Motion for Final Approval, the Motion for Class Counsel Fees Payment, Class Counsel Litigation Expenses Payment and Class Representative Service Payment, the Final Approval and the Judgment. The Administrator will also maintain and monitor an email address and a toll-free telephone number to receive Class Member calls, faxes and emails.

  • Trade Name “Capital One Auto Receivables, LLC” is the only trade name under which the Seller is currently operating its business. For the six (6) years (or such shorter period of time during which the Seller was in existence) preceding the date hereof, the Seller operated its business under the trade name “Capital One Auto Receivables, LLC”. “Capital One Auto Receivables, LLC” is the name of the Seller indicated on the public record of the Seller’s jurisdiction of organization which shows the Seller to have been organized.

  • Email Address (For delivery of Documents to Seller) (For delivery of Documents to Buyer)

  • Place of Business; Name The Borrower will not transfer its chief executive office or principal place of business, or move, relocate, close or sell any business location. The Borrower will not permit any tangible Collateral or any records pertaining to the Collateral to be located in any state or area in which, in the event of such location, a financing statement covering such Collateral would be required to be, but has not in fact been, filed in order to perfect the Security Interest. The Borrower will not change its name or jurisdiction of organization.

  • Forwarding Address Prior to vacating the PREMISES, RESIDENT must provide MANAGEMENT with written notice of the designated RESIDENT’S forwarding address. Within forty five (45) days, MANAGEMENT will forward to the designated RESIDENT a statement explaining the disposition of the security deposit by e-mail. Unless otherwise specified in writing, the statement will be sent to the e-mail address that was used at the time of application. A hard copy of the statement of deposit is available upon request. The designated RESIDENT will then distribute the prorated amount returned along with a copy of the Statement of Deposit Account (SODA) to other lessees. If RESIDENT fails to give notice of forwarding address, MANAGEMENT will send the security deposit statement to the last known address of the designated RESIDENT or GUARANTOR. In accordance with Section 55.1-1226 of the Code of Virginia, MANAGEMENT will retain the security deposit refund (if any) until RESIDENT notifies the office of the correct address. Upon receipt of notification, any refund due will be forwarded.

Most Referenced Clauses

Most Referenced Definitions