CONTACT INFORMATION FOR QUESTIONS AND CONCERNS Sample Clauses

CONTACT INFORMATION FOR QUESTIONS AND CONCERNS. If you have any questions about this study or you feel that your child has been harmed by taking part in this study, you can bring your child to Machinga District Hospital at any time and ask to see Xx. Xxxxx Mwandama or you can contact Dr. Don Mathanga at the Malaria Alert Centre on telephone number 00 000 000. This proposal has been reviewed and approved by the ethics committees of the Malawi College of Medicine Research and Ethics Committee and the US Centers for Disease Control and Prevention. These committees make sure that study participants are protected from harm. If you have questions about your rights as a study participant or you wish to find out more about the institutional review board, you may contact the Chairman of the College of Medicine Ethical Review Committee, Xxxx. Xxxxxx-Mfutso Bengo, at telephone number 00 000 000. If you are sick, do not call these numbers. Please go to the nearest health facility. Your signatures or thumb prints below means that you voluntarily agree for you and your child to participate in this research study: Today’s study: The above has been explained to me and I agree that I and my child will take part in the study. I understand that I am free to choose whether I and my child will be in this study and that saying “NO” will have no negative effects for me or my child. I agree for my child’s blood to be tested for malaria and anemia. If you agree, circle “YES,” if you do not agree, circle ‘NO’. YES NO Child 1 Name: Child 2 Name: Child 3 Name: Parent/ guardian or adult providing consent Name: Signature/ thumbprint: Date Witness* Name: Signature: Date Name of person obtaining consent Name: Signature: Date: *A parent or caregiver can sign, or place a thumbprint and verbally state his/her consent in the presence of a wLLINess who will then sign.
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Related to CONTACT INFORMATION FOR QUESTIONS AND CONCERNS

  • Contact Information 1. The contact information of the Programme Operator is as specified in this programme agreement.

  • Business Contact Information Each party consents to the other party using its Business Contact Information for contract management, payment processing, service offering, and business development purposes related to the Agreement and such other purposes as set out in the using party’s global data privacy policy (copies of which shall be made available upon request). For such purposes, and notwithstanding anything else set forth in the Agreement with respect to Client Personal Information in general, each party shall be considered a data controller with respect to the other party’s Business Contact Information and shall be entitled to transfer such information to any country where such party’s global organization operates. EXHIBIT A DEFINITIONS

  • CONTRACT INFORMATION 1. The State of Arkansas may not contract with another party:

  • Contact Information for Privacy and Security Officers and Reports 2.1 Business Associate shall provide, within ten (10) days of the execution of this Agreement, written notice to the Contract or Grant manager the names and contact information of both the HIPAA Privacy Officer and HIPAA Security Officer of the Business Associate. This information must be updated by Business Associate any time these contacts change.

  • Updating Contact Information I understand and agree that I am responsible for keeping Lock Haven University records up to date with my current physical addresses, email addresses, and phone numbers by following the procedure at MyHaven Change of Address/ Phone Form. The linked procedure is incorporated herein by reference. Upon leaving Lock Haven University for any reason, it is my responsibility to provide Lock Haven University with updated contact information for purposes of continued communication regarding any amounts that remain due and owing to Lock Haven University. ENTIRE AGREEMENT This agreement supersedes all prior understandings, representations, negotiations and correspondence between the student and Lock Haven University constitutes the entire agreement between the parties with respect to the matters described, and shall not be modified or affected by any course of dealing or course of performance. This agreement may be modified by Lock Haven University if the modification is signed by me. Any modification is specifically limited to those policies and/or terms addressed in the modification. FINANCIAL AID I understand that aid described as “estimated” on my Financial Aid Award does not represent actual or guaranteed payment, but is an estimate of the aid I may receive if I meet all requirements stipulated by that aid program. I understand that my Financial Aid Award is contingent upon my continued enrollment and attendance in each class upon which my financial aid eligibility was calculated. If I drop any class before completion, I understand that my financial aid eligibility may decrease and some or all of the financial aid awarded to me may be revoked. If some or all of my financial aid is revoked because I dropped or failed to attend class, I agree to repay all revoked aid that was disbursed to my account and resulted in a credit balance that was refunded to me. I agree to allow financial aid I receive to pay any and all charges assessed to my account at Lock Haven University such as tuition, fees, campus housing and meal plans, student health insurance, parking permits, service fees, fines, bookstore charges, or any other amount, in accordance with the terms of the aid. Federal Aid: I understand that any federal Title IV financial aid that I receive, except for Federal Work Study wages, will first be applied to any outstanding balance on my account for tuition, fees, room and board. Title IV financial aid includes aid from the Pell Grant, Supplemental Educational Opportunity Grant (SEOG), Direct Loan, PLUS Loan, Xxxxxxx Loan, and TEACH Grant programs. I authorize Lock Haven University to apply my Title IV financial aid to other charges assessed to my student account such as student health insurance, parking permits, bookstore charges, service fees and fines, and any other education related charges. I may withdraw it at any time by notifying the Financial Aid Office in writing. Prizes, Awards, Scholarships, Grants: I understand that all prizes, awards, scholarships and grants awarded to me by Lock Haven University will be credited to my student account and applied toward any outstanding balance. I further understand that my receipt of a prize, award, scholarship or grant is considered a financial resource according to federal Title IV financial aid regulations, and may therefore reduce my eligibility for other federal and/or state financial aid (i.e., loans, grants, Federal Work Study) which, if already disbursed to my student account, may need to be reversed and returned to the aid source.

  • Errors, Questions, and Complaints a. In case of errors or questions about your transactions, you should as soon as possible contact us as set forth in Section 6 of the General Terms above.

  • Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

  • Vendor Identity and Contact Information It is Vendor’s sole responsibility to ensure that all identifying vendor information (name, EIN, d/b/a’s, etc.) and contact information is updated and current at all times within the TIPS eBid System and the TIPS Vendor Portal. It is Vendor’s sole responsibility to confirm that all e-correspondence issued from xxxx-xxx.xxx, xxxxxxx.xxx, and xxxxxxxxxxxxxxxx.xxx to Vendor’s contacts are received and are not blocked by firewall or other technology security. Failure to permit receipt of correspondence from these domains and failure to keep vendor identity and contact information current at all times during the life of the contract may cause loss of TIPS Sales, accumulating TIPS fees, missed rebid opportunities, lapse of TIPS Contract(s), and unnecessary collection or legal actions against Vendor. It is no defense to any of the foregoing or any breach of this Agreement that Vendor was not receiving TIPS’ electronic communications issued by TIPS to Vendor’s listed contacts.

  • INFORMATION ABOUT US AND HOW TO CONTACT US 2.1. Who we are. We are PayrNet Limited, an EMI as described above.

  • Research Questions The study addresses the following questions.

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