DECLARATION AND AGREEMENT. This form is for any person who is a participant or volunteer of the organization, or an attendee at an event, program or activity of the organization. By signing this form, the person named below, or the person’s guardian, states all of the following to be true: The person:
DECLARATION AND AGREEMENT. I/We have read the Licence Terms and unreservedly accept and agree to be bound by those terms should my/our Application be accepted. Authorised signatory / on behalf of the Applicant: NRIC No. Designation Mobile No. E-mail Date
DECLARATION AND AGREEMENT. By signing this Application and in consideration of UOB Bullion and Futures Limited (“UOBF”) opening, operating and/or maintaining an account (where applicable) and/or facility and/or agreeing to provide us with the services requested for, we (the “Customer”) hereby declare, warrant and agree: -
DECLARATION AND AGREEMENT. For the avoidance of doubt, the Hirer hereby declares and agrees that he has read and understood the Agreement (which consists of the terms and conditions set out herein and in the Schedule and the Standard Terms and Conditions for Hire Purchase Agreement (Non Hire Purchase Act) ‘Version:CL/NACT/TAC/JUL12’ attached hereto) and agrees to be bound by these terms and conditions.
DECLARATION AND AGREEMENT. I / We acknowledge that I / we have read the terms as stated in the overleaf and agree to be bound by those terms should my/our application be accepted. Sign by/on Behalf of Applicant (Print Full Name) (Signature and Company stamp) (NRIC Number) (Designation) (Date) (E-mail Address) (Mobile Number) The licence as applied for shall be granted and an agreement deemed to have been made only upon the acceptance and execution of this application by MACP. MACP may refuse to accept the application where information contained in this application form is inaccurate or incomplete. A licence sticker confirming the licence granted will be issued upon receipt of full licence fees from the Applicant.
DECLARATION AND AGREEMENT. Acceptance and implementation of this Contract constitutes a declaration and agreement by the principal executive officers of Seller that no bribes, rebates, gifts, kickbacks, or gratuities to secure this Contract, or for favorable treatment under such agreement, or for any other purpose relating to the Contract have been or will be directly or indirectly offered or given to, or have been or will be arranged with officers, officials or employees of the Buyer by the Seller, its employees or agents.
DECLARATION AND AGREEMENT. In consideration of Mirage agreeing to provide goods and services to the Customer named above, then, on behalf of the Customer, you:
DECLARATION AND AGREEMENT. 1. I/We the above named Proposer declare that:
DECLARATION AND AGREEMENT. This Declaration shall be construed as acknowledgement and agreement by the legal owner(s) of the real property herein described on Exhibit A, which consists of the tax lot(s) indicated above, that the (size, type and/or use of building) will not be used, either permanently or temporarily, as a dwelling. This Declaration shall in no way limit, restrict or pre-empt the authority of Jefferson County to exercise any of its governmental authority regarding the property herein described. It is hereby intended that this Declaration shall be binding on the legal owner(s) of the property herein described and on all subsequent owners, as well as any of the aforesaid heirs, successors, assignees or purchasers of the herein described property, and shall run with the title to the said property. This Declaration shall immediately be recorded in the Deed Records of Jefferson County for the herein-described property and shall not be removed until this waiver is no longer required by Jefferson County. PRINT NAME: SIGNATURE: STATE OF OREGON COUNTY OF JEFFERSON BE IT REMEMBERED that on this day of , 20 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared the within named , known to me to the identical individual(s) described in and who executed this instrument and acknowledged to me that the same was executed freely and voluntarily with full knowledge of the facts and circumstances regarding the issuance of this waiver. Notary Public for Oregon
DECLARATION AND AGREEMENT. In consideration of Mirage agreeing to provide goods and services to the Customer named above, then, on behalf of the Customer, you: 1. In accordance with the Privacy Act 1993, consents to Mirage contacting the above credit references to discuss the Customer’s credit record 2. Agree to Mirage’s Terms and Conditions (which can be found at xxx.xxxxxxxxxxxx.xxx); and 3. Declare that the information supplied in this form is correct. Full Name Signed Designation Date GUARANTEE In consideration of Mirage agreeing to supply goods and services to the Customer at my/our request: 1. I/We unconditionally guarantee to Mirage the due and punctual payment by the Customer of all moneys payable in accordance with the Terms and Conditions set out on the reverse side of this form as and when the same become due and payable by the Customer. 2. I/We agree to be deemed as principal debtor for all accounts held by the Customer with Mirage. 3. I/We agree that this guarantee will be a continuing guarantee and will not be discharged by any settlement or payment of account and that this guarantee is both joint and several. 4. I/We agree that our liability under this guarantee will not be discharged, abrogated, prejudiced or affected by: a. the granting of time, credit or the indulgence or other concession to the Customer; b. any alteration, modification, variation or addition to any agreement in respect of the supply of goods and services; or c. any other act, omission or event which but for this provision might operate to discharge, impair or otherwise affect, my/our obligations under this guarantee or any powers or remedies conferred on you by this guarantee or by law. 5. I/We confirm that I/we have been advised by Mirage that I/we should seek legal advice before signing this guarantee. Name Signed Designation Witness Name Witness Signed Date Name Signed Designation Witness Name Witness Signed Date FOR SUPPLIER USE ONLY: Credit limit $ Customer No Authorised by Approved by +00 0 000 0000 info@miragevisual. com miragevisual .com MIRAGE VISUAL LIMITED
