Sign Here. Sign Here: Print Name: Print Name: Xxxxxxx Xxxxxxxx-Xxxxx Address: Address: 0000 Xxxxxxxxxxx Xxx XX, #000 Xxxxxxxxxx, XX 00000 Date: Date: Name of student participant: Student Name: Parent/Guardian Name: _ _ Parent/Guardian and Student Checklist Please initial each line below to confirm your understanding and agreement: Initial P/G S I understand that I need to monitor my data usage so that it does not exceed 10 GB per month and that I may not stream audio or video except in connection with the program, and that I may not stream games. P/G S I agree not to download any billable or paid applications (apps) except those that are provided by my school. P/G S I agree not to use the personal hotspot on the device or allow any other devices to access the device’s personal hotspot. P/G S I agree not to remove any hardware (i.e. SIM chip) or software from the device unless authorized by VCRG or Verizon Wireless. P/G S I agree to use my assigned device only within the 50 states of the United States of America. P/G S If my assigned wireless device is damaged, lost or stolen, I agree to report it immediately to the District Lead. P/G S I understand that if my device becomes inoperable due to a manufacturer’s defect, I will return the device to the school and exchange it for an operating device. I understand that if I receive a device and it is lost, stolen or damaged, including a cracked screen, I may have limited use of the device in accordance with school procedures. P/G S I understand that Digital Promise, Verizon Wireless or VCRG can suspend or terminate service at any time, without notice. P/G S I agree to be kind and safe in my digital interactions with others and to take care of the device assigned to me. I understand if I violate any of these terms, I may be required to return my assigned wireless device to the Principal who will return it to the District Lead. _ _ _ Parent/Guardian Date
Sign Here. Date: / / First Name: Last Name: Age: Date of Birth: / / Gender: Male Female Race: Parent/Guardian’s Name: Address: City: Zip Code:
Sign Here s/ Pxxx X Xxxxxx Name: Pxxx X Xxxxxx Title: President Date: April 20, 2022 The Company: PROTECTIVE LIFE INSURANCE COMPANY AND PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY, As administrator on behalf of and with power of attorney granted by: Great-West Life & Annuity Insurance Company; Great-West Life & Annuity Insurance Company of New York; GWFS Equities, Inc; and each Separate Account: Sign Here: /s/ Sxxxx Xxxxxx Print Name: Sxxxx Xxxxxx Title: Chief Product Officer – Retirement Division Date: Apr 25, 2022 Email: sxxxx.xxxxxx@xxxxxxxxxx.xxx FEDERATED HERMES INSURANCE SERIES Sign Here: /s/ Jxxx X Xxxxxx Name: Jxxx X. Xxxxxx Title: President Date: April 20, 2022 FEDERATED SECURITES CORP.
Examples of Sign Here in a sentence
Sign Here Signature of U.S. person ▶ Date ▶ General Instructions Section references are to the Internal Revenue Code unless otherwise noted.
Vendor/Releasor Agent Sign Here Sworn to before me this day of , 20 .
Sign Here Signature of U.S. person } Date } General Instructions Section references are to the Internal Revenue Code unless otherwise noted.
Scheme Plan ( ) Regular DirectOption ( ) Growth (Default) Payout of Income Distribution cum capital withdrawal option (earlier known as Dividend Payout) Reinvestment of Income Distribution cum capital withdrawal option (earlier known as Dividend Reinvestment)Sign Here - Sole/First Applicant/Guardian/POA Sign Here - Second ApplicantInvestment Amount (`) NetAmount (`)Cheque/DD No. Bank A/c.
Sign Here - Sole/First Applicant/Guardian/POA Key Partner / Agent Information (Of individual ARN holder or Of employee relationship Mangaer/sales Person of the Distubutor )ARNMutual Fund Distrubutor ARNRegistered Investment Advisor Code/Portfolio Manager's Registration Number (PMRN)ARNSub-Broker ARN COdePAN/PEKRN Folio No.Name of First / Sole Applicant KIN Enclosed KYC Proof 1.
More Definitions of Sign Here
Sign Here s/ Pxxx X Xxxxxx Name: Pxxx X Xxxxxx Title: President
Sign Here. Sign Here: Print Name: Print Name: Xxxxxxx Xxxxxxxx-Xxxxx Address: Address: 0000 Xxxxxxxxxxx Xxx XX, #000 Xxxxxxxxxx, XX 00000 Date: Date: Name of student participant: Student Name: Parent/Guardian Name: Initial Parent/Guardian and Student Checklist Please initial each line below to confirm your understanding and agreement: P/G I understand that I need to monitor my data usage so that it does not exceed 30 GB per month and that I may not stream audio or video except in connection with the program, and that I may not stream games. S P/G I agree not to download any billable or paid applications (apps) except those that are provided by my school. S P/G I agree not to use the personal hotspot on the device or allow any other devices to access the device’s personal hotspot. S P/G I agree not to remove any hardware (i.e. SIM chip) or software from the device unless authorized by VCSG or Verizon Wireless. S P/G I agree to use my assigned device only within the 50 states of the United States of America. S P/G If my assigned wireless device is damaged, lost or stolen, I agree to report it immediately to the District Lead. S
Sign Here s/ Mxxxxxx Xxxxx Print full legal name here: Mxxxxxx X. Xxxxx Address: 300 Xxxx Xxxxx, Xxxxxxx Xxxxx
Sign Here. Authorised signatory print name: Signed by duly authorised for and on behalf of [the Broker] ) ) ) ) sign here: Authorised signatory print name:
Sign Here name here: Date: School agreement: - To offer technical support for students devices where applicable. - To ensure the classroom environment adheres to the CyberSmart curriculum. - To support parents in engaging with student work. School sign here: Date:
Sign Here. Signature Date Print Preparer’s Name Phone Number Email Address Part V: Contact Information - Individual Authorized to Represent the Vendor Vendor Contact Person: Title Contact’s Email Address: Phone Number: ( ) DO NOT SUBMIT FORM TO IRS - SUBMIT FORM TO NYS OFFICE OF GENERAL SERVICES
Sign Here. Signature Date Print Preparer's Name Phone Number Email Address Part V: Contact Information – Individual Authorized to Represent the Vendor Vendor Contact Person: Title: Contact’s Email Address: Phone Number: DO NOT SUBMIT FORM TO IRS – SUBMIT FORM TO NYS ONLY AS DIRECTED FOR OSC USE ONLY AC 3237-S (Rev. 1/12) NYS Office of the State Comptroller Instructions for Completing Substitute Form W-9 New York State (NYS) must obtain your correct Taxpayer Identification Number (TIN) to report income paid to you or your organization. NYS Office of the State Comptroller uses the Substitute Form W-9 to obtain certification of your TIN in order to ensure accuracy of information contained in its payee/vendor database and to avoid backup withholding.1 We ask for the information on the Substitute Form W-9 to carry out the Internal Revenue laws of the United States. You are required to give us the information. Any payee/vendor who wishes to do business with New York State must complete the Substitute Form W-9. Substitute Form W-9 is the only acceptable documentation. We will not accept IRS Form W-9.