Applicant’s Details Sample Clauses

Applicant’s Details. Surname First Name Phone Date of birth Address Suburb Postcode Agreement Surname First Name Signature Date I agree that all library materials lent to me shall receive due care while in my possession and that I will pay for lost and or damaged items and fines if incurred. If signing the agreement on behalf of: A family member or a client in a nursing home or hostel please read and complete agreement below. I am aware that the above mentioned client is a member of the home delivery service. I agree that in the event that the client is no longer able to be responsible for their library materials I will take respon-sibility for any fines incurred and lost and or damaged items. Surname First Name Phone Relationship Address Suburb Postcode Signature Date Submission Please return the completed form to the library via any of the methods below. Please also complete the library item selection form on the reverse of this page. Email: xxxxxxx@xxxxxxxxx.xx.xxx.xx Mail: Town of Cambridge PO Box 15 Floreat WA 6014 Fax: 00 0000 0000 In Person: Cambridge Library 00 Xxx Xxxxxxxxx Floreat WA 6014 00 Xxx Xxxxxxxxx Floreat | 08 9383 8999 xxxxxxx@xxxxxxxxx.xx.xxx.xx | xxx.xxxxxxxxx.xx.xxx.xx Library Selection Name Item Type Tick your choice How many would you like each fortnight? Maximum of 12 in total Books Regular Print Large Print Talking Books CD MP3 Item Type Tell us what type Magazines DVDs Music CDs Item Type How many pieces? How many would you like each fortnight? Maximum of 12 in total How many would you like each fortnight? Maximum of 12 in total Jigsaws 500 1000 1500 2000 Subjects of interest Please tick the subjects that interest you. Adventure Espionage Animals Family Saga Australiana Fantasy Crime/Thriller Ghost Stories History Romance Horror War Humour/Comedy Westerns Mystery Biographies Other Non Fiction Your comments & suggestions
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Applicant’s Details. Applicant: Australian Business No. (if applicable)   Address: Suburb: State: Postcode: Contact Name: Tel (BH): Mobile: Email : SCHEDULE / DETAILS OF HIRE: DESCRIPTION OF EVENT: DATE REQUIRED FROM: TIME IN: ACCESS FROM DATE/TIME: No of persons expected to attend: TO : TIME OUT: DISMANTLE FROM DATE/TIME: FACILITIES : AREA REQUIRED AREA REQUIRED DAY/S TIME IN: TIME OUT MAIN HALL FOYER KITCHEN CLASSROOM 1 CLASSROOM 2 CLASSROOM 3 CLASSROOM 4 CLASSROOM 5 CLASSROOM 6 CLASSROOM 7 CLASSROOM 8 PREKINDIES/KINDIES CLASSROOM MEZZANINE EQUIPMENT REQUIRED TABLES & CHAIRS AUDIO SYSTEM (PA) SCREEN & PROJECTOR UPRIGHT PIANO OTHER CANCELLATION/REFUND POLICY: IF CANCELLATION IS MADE AT LEAST 5 WORKING DAYS PRIOR TO “DATE IN” ABOVE, A REFUND LESS 20% ADMINISTRATION FEES WILL BE GRANTED. IF CANCELLATION IS MADE LESS THAN 5 WORKING DAYS PRIOR TO “DATE IN” ABOVE, NO REFUND WILL BE MADE. KEYS ISSUED: KEYS RETURNED No: Received by: Signed: Date: No: Employee: Signed: Date: PERMITS: Is police permit or any other permit or licence required? No Yes (please attached copy)
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Applicant’s Details. Xxxxxxxxx(s) name (all legal property owner(s)) Use the same postal address as the rates account OR Primary contact Address Contact number Email Phone Mobile Fax
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Related to Applicant’s Details

  • Applicants If the NRMP's investigation of an alleged Match violation by an applicant results in a finding that an applicant has committed a violation of this Agreement, the processing of the applicant's rank order list may be interrupted. The NRMP at its discretion may withdraw the applicant from the SMS Match. If a matched applicant is the subject of a violation investigation, the program to which the applicant matched may not fill the position with another applicant until the NRMP has issued the Final Report or granted a waiver, whichever is earlier. If the violation investigation has not concluded by the start date of training, the program shall begin training the matched applicant unless NRMP has granted a waiver or issued a deferral. The NRMP’s Final Report on the confirmed violation will be delivered to the applicant with copies to:

  • Account Details (a) Account for payments to Counterparty: To be provided. Account for delivery of Shares to Counterparty: To be provided.

  • Your Details From time to time we will ask you to provide information so that we can perform our obligations under this Agreement. The personal information that we collect from you will include the information provided in the signature page of this Agreement or online when you complete the reservation process. We will treat all your personal information as confidential (though we reserve the right to disclose this information in the circumstances set out below). We will keep it securely and we will fully comply with our obligations under applicable data protection and privacy laws. You hereby give us your consent to use your personal information and other information which you provide so that we can process your reservation and conduct administration, so that Tesla can prepare the order and Purchase Agreement, and we and Tesla may inform you of any marketing information. We may share this information with our group companies (but not with third parties) for these purposes. From time to time, we and our group companies may contact you by mail, telephone, email, text and fax for the above purposes and you agree that you will not consider any of the above as being a breach of any of your rights under any data privacy, data protection or privacy law. You can opt out of receiving marketing information from us at any time and you may contact us for more information. However, we will still use your information to process your reservation. You may ask for a copy of your information (for which we may charge a fee) and you may correct any inaccuracies. We will be the responsible party for the management of your personal information. If you wish to make a request with regard to your personal information, please call international number +0 000 000 0000 or visit our website at xxx.xxxxxxxxxxx.xxx/xxxxx/xxxxxxx.

  • Certification of Applicants The Employer will determine the number of applicants to be certified to the hiring official for consideration. All employees on the internal layoff list for the classification, and all promotional, transfer and voluntary demotion candidates, who have the skills and abilities to perform the duties of the position will be certified and will be considered by the Employer, prior to consideration of other candidates.

  • Contact Details (a) Except as provided below, the contact details of each Party for all communications in connection with the Finance Documents are those notified by that Party for this purpose to the Facility Agent on or before the date it becomes a Party.

  • CONTRACT DETAILS 42.2.1 Works Description: Construction of water and sanitation facilities

  • Account Information The account balance and transaction history information may be limited to recent account information involving your accounts. Also, the availability of funds for transfer or withdrawal may be limited due to the processing time for any ATM deposit transactions and our Funds Availability Policy.

  • Payment Details You will make all Payments due under this Master Agreement by 12:00 P.M., Connecticut time, on the day they are due. You will make all Payments in US Dollars (US$) in immediately available funds. We do not have to make or give "presentment, demand, protest or notice" to get paid. You waive "presentment, demand, protest and notice."

  • Applicant The individual who executed the application for coverage.

  • Credit Information As to each consumer report (as defined in the Fair Credit Reporting Act, Public Law 91-508) or other credit information furnished by the Seller to the Purchaser, that Seller has full right and authority and is not precluded by law or contract from furnishing such information to the Purchaser and the Purchaser is not precluded from furnishing the same to any subsequent or prospective purchaser of such Mortgage. The Seller shall hold the Purchaser harmless from any and all damages, losses, costs and expenses (including attorney's fees) arising from disclosure of credit information in connection with the Purchaser's secondary marketing operations and the purchase and sale of mortgages or Servicing Rights thereto;

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