PERSONAL DETAILS. 4.1. When entering into Transactions over the internet, some websites may require you to enter your Personal Details and, in such instances, you should supply the most recent Personal Details that you have provided Program Manager with.
PERSONAL DETAILS. 1.1 The maximum number of applicants who may be party to the mortgage is four.
PERSONAL DETAILS a. In order to process your agreement, we require the Member’s personal details. il xxxxx healthcenters processes these personal details in a proper and careful manner, and within the applicable legal and regulatory framework, that is, the General Data Protection Regulation (GDPR).
PERSONAL DETAILS. 3.12.1 To notify the Landlord in writing within 10 days of any change to personal details including change of address, mobile and landline phone numbers or email address.
PERSONAL DETAILS. (Name details provided must be same as the details on the Student ID) Family Name: Given Names: Address: Student ID: Phone Number: Date of Birth: Gender: University/TAFE:
PERSONAL DETAILS. Primary Permanent Full-time Secondary Temporary Part-time Casual Surname: Given name/s: Title: Date of birth: Sex: Former names (if applicable): Permanent address: Postcode: Address for correspondence: (if different from above) Postcode: Telephone numbers: Private: Work: Mobile: Email: Country of Citizenship: Australian Resident: YES NO If NO, please attach a copy of Working VISA Church currently attending: How long: WWCC Expiry Date: WWCC Verification Date: Office Use Only WWCC Clearance Number:
PERSONAL DETAILS. Please write your data exactly as they appear on your passport (or on other official documents) in a legible way. Incomplete or illegible applications may be rejected and cannot be processed nor answered. Surname: First name(s): Maiden and/or any other names that may have been used on official documents: Sex: ◻ male/ ◻ female Current nationality: Date of birth (dd/mm/yyyy): Place of birth: Permanent address in your home country (as mentioned in your passport or other official document): Street: N°/box: Postal code: Town/city: Country: Address in Belgium (if applicable): Telephone (country code + area code + phone number): E-mail: Programme that you will follow at Hasselt University: Pre-registration number or student number: Personal home bank (name + address): Personal home account number: Return this agreement, along with the proof of international bank transfer and a copy/scan of your admission letter and passport, to Xxxxxxxx.xxxxxxxx@xxxxxxxx.xx I hereby declare that this information is correct and complete and that I shall immediately inform Hasselt University of any change regarding my situation. I declare my acceptance of this Agreement in its entirety. Signature Place Date
PERSONAL DETAILS. Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.2: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.3: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.4: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No On behalf of the trust known as We, the trustees, wish to invest £. (min of £5,000 and amounts in excess of £5,000 must be a multiple of £1,000) into The Greenbackers CleanTech Fund subject to the terms set out in the Fund Management Agreement attached to this Application Form. Please select one of the choices below: I wish all of our Commitment to be invested into the Fund, with investment into a portfolio of EIS and SEIS Companies in the proportions outlined in the Fund Management Agreement (subject to sufficient SEIS capacity being available in Investee Companies). OR I wish all of our Commitment to be invested into the Fund, with the following amounts to be applied to SEIS and EIS respectively:
PERSONAL DETAILS. You must ensure your contact details are up to date in the eStudent portal. Some of your personal information including your name, student number and photo, contact details and information on special requirements will be disclosed to the healthcare provider where you are undertaking your PEP. Where personal information is provided to a healthcare provider, the provider will be informed that they are bound by the privacy provisions of the University in relation to the use, disclosure and storage of personal information. Your de-identified personal information (that is information that does not readily identify an individual) may be used by the healthcare provider for management of PEPs, research and statistical purposes. The healthcare provider will ensure that data will: • be protected; • not be provided to unauthorised third parties; • only be used for the stated purposes; and • remain de-identified. Final Version: 18 October 2023 Your personal information will only be used or disclosed for the primary purpose for which it is collected. Personal information will be managed in accordance with the Personal Information Protection Act 2004, Privacy Act 1988 (Cth), the UTAS Privacy Policy and Privacy Statements available here: xxx.xxxx.xxx.xx/xxxxxxx For more information on how your information is being used by the University, or to access your personal information, visit the University’s website at xxxx://xxx.xxxx.xxx.xx/, or contact the University on (00) 0000 0000. The University may be required to provide your name, course information, healthcare provider details and your start and end date to the commonwealth government. The information is required for funding purposes and failure to consent to that information transfer will result in you not being permitted to undertake PEP. Further information will be provided to you via email when the data collection commences including the Privacy Policy for the commonwealth government and a contact person.
PERSONAL DETAILS. 1.1.1 FATHER / LEGAL GUARDIAN MOTHER / LEGAL GUARDIAN Mrs/Ms/Miss: Mr: Full name I.D No Physical Address Code *Initial here NB! Both parent’s details must be provided here for single, separated and/or divorced parents. In divorce and separation cases, this Information is required specifically where both parents bear a joint financial responsibility for school fees and associated costs Name of Employer: Position Held: Duration of current employment: Contact: Home: Work: Cell: E-mail:
