Signed Witness. ( ) Signed Witness
Signed Witness. I hereby warrant that I have no spouse (being single/ dead spouse/ divorce) at the time of execution of this Agreement. Signed Promisor
Signed Witness. The Union will save the Company harmless from any and all claims which may be made by employees against the Company for amounts deducted from pay as provided in this Article. The Union will directly to any employee any monies deducted in error along with of such to the Company. The Company will show the amount of dues deduction on any employee's Form for income tax purposes.
Signed Witness. Documents attached to University Staff Employment Contract
Signed Witness. (......................................................................................)
Signed Witness. (Montri Sapkerd)
Signed Witness. On this 15 Day of December 1997 The Common Seal of the City of Geraldton ) Was hereto affixed on 14 day of November 1997 ) Common Seal Affixed In the presence of: ) Mayor Chief Executive Officer
Signed Witness. Date Signed for and on behalf of AUSTRALASIAN MEAT INDUSTRY EMPLOYEES’ UNION ..................................... ...........................................
Signed Witness. Date Date If signed other than patient, indicate legal relationship: I hereby also consent to the release of any and all alcohol and/or drug abuse, sickle cell anemia or psychiatric treatment records under the same conditions as outlined above. I understand that such information cannot be released without my specific consent. Date sent: Initials: Student Signature Staff Signature -- \ Release of Medical Information Date Date
