Date of Birth. (format yyyy-mm-dd) - Employee's date of birth (e.g. if employee's birth date is March 25, 1951, it would appear as (1951-03-25).
Date of Birth. Your statement of your date of birth contained in your application for the PLAN shall be deemed to be your certification of your age upon which the Trustee may rely and your undertaking to provide any further evidence of proof of age that may be required when a retirement income is to be provided.
Date of Birth. The statement of the Annuitant’s age contained in the Annuitant’s Account Application shall be deemed to be a certification by the Annuitant and an undertaking by the Annuitant to provide any further evidence of proof of age that may be required when a retirement income is provided.
Date of Birth. The Holder's statement of his or her date of birth in the Application shall be deemed to be a certification as to the Holder's age, on which the Trustee and the Agent may rely, and an undertaking to provide any further evidence of proof of age as may be required by the Agent.
Date of Birth. (If an individual) The Subscriber’s date of birth is: .
Date of Birth. 4. Whether disabled for the purposes of the Equality Act 2010;
Date of Birth. 3 ………………………………........................................ Date of Birth: ………………........................... Home Address:………………………………………….…………………………………………………...............................................
Date of Birth. Name ... ... ... ... ... ... ... ... ... ... ...
Date of Birth. (New Drivers should enclose original Birth Certificate. Address: …..………………………………………………….……..………. ………………………………………………………………………………... ……………………………………………… Postcode: …...……………… Parent Telephone Number/s (Home/Mobile) Email Address: …………………………………………………………………………….
Date of Birth. If this form is for an individual, please enter individual’s date of birth.
