Statement of Consent Sample Clauses

Statement of Consent. I understand that information may be held about me/or the participant regarding the NDIS plan.
Statement of Consent. (To be signed in the presence of a legalized notary public.)
Statement of Consent. I have read and understand the information about electronic transactions and the use of electronic records, documents, and electronic signatures. I understand that I am not required to receive documents electronically and that I may request to receive paper copies of all records, documents, and other materials at any time. I acknowledge that the receipt of documents electronically has security and privacy risks, and that e-mail and online security and privacy cannot be guaranteed.
Statement of Consent. By clicking “I agree” below you indicate that you are at least 18 years old, have read and understood this consent form and agree to participate in this part of the research study.
Statement of Consent. I hereby give explicit consent to Triple P UK Ltd, to process my personal data concerning health, for the purposes of adequately accommodating me, if possible, in respect of the provision of training/accreditation services. Information regarding my disability: Full Name: Signature: Date:
Statement of Consent. 3.1. I further hereby give my unequivocal permission to ExpressCredit's Collections Officer to share my personal information with other service providers in connection with my loan agreement with ExpressCredit be it for the purposes of collecting or disbursing funds to and from me for the due fulfillment of my obligations to ExpressCredit. 3.2. I further authorize and hereby give my express and voluntary written consent evidenced by my signature below, to all banks in Botswana, all financial institutions, all parastatals, government or statutory entity, all mobile telephone operators, all mobile money operators where my personal banking, financial or personal data is held by virtue of my having opened an account with them, to disclose to ExpressCredit, upon ExpressCredit's request, any information relating to my banking activities or transactional activities with any of the aforementioned entities. 3.3. I fully understand that my personal financial information will be discussed and disclosed to ExpressCredit and I hold harmless my bank, mobile telephone service provider, Parastatal, corporate or statutory entity for disclosing any personal banking information, mobile telephone account / number information or any information relating to any account I hold with the aforementioned entities.
AutoNDA by SimpleDocs
Statement of Consent. I have read the above information. I have asked for and received a satisfactory explanation of any language that I did not fully understand. I understand that I may withdraw m consent at any time. I consent to participate in the study.
Statement of Consent. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for delivery in connection with my agreement to the USER AGREEMENT. I have been able to view, download and print this USER AGREEMENT using my computer and software. I have an account with an Internet service provider, and I am able to send e-mail and receive e- mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my agreement to USER AGREEMENT with COMPANY in place of written documents and handwritten signatures.
Statement of Consent. I have read this release and understand its meaning. I understand I do need to sign this Photo Release Form in order to be in the study. Printed Name of Adult Study Subject Signature of Adult Study Subject Date Printed Name of Person Explaining Release Form Signature of Person Explaining Release Form Date You will be given a signed and dated copy of this release consent form to keep.
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!