APPLICATION DECLARATION. The undersigned Applicant represents that all information contained in this Application for Sponsorship, and any other documentation supplied thereto, is true and correct. The Applicant hereby applies for an account relationship with Bank, as a ATM Source of Funds Provider sponsored by Bank. The undersigned acknowledges that in order to fight the funding of terrorism and money laundering activities, Bank is required to verify the identity of each person who opens an account with Bank. Therefore, the undersigned agrees that Bank is authorized to obtain Consumer and (if applicable) Business Credit Reports and to undertake a Criminal Background Investigation in connection with this Application. Applicant authorizes Bank or any of its agents to investigate information or data obtained from this Application. If the ATM Source of Funds Provider Applicant is a company, Applicant hereby provides the signed authorization for such Principals as well. Applicant agrees to provide any further information, including financial data, as may be reasonably requested by Bank. Applicant may, upon written request, obtain a complete and accurate disclosure of the nature and scope of the investigation requested hereunder. Applicant acknowledges that Bank may accept or deny this Application in its reasonable discretion.
APPLICATION DECLARATION. The undersigned Applicant represents that all information contained in this Application for Sponsorship, and any other documentation supplied thereto, is true and correct. The Applicant hereby applies for an account relationship with Bank and/or Payment Alliance International, Inc., as an ATM Operator sponsored by Bank and/or Payment Alliance International, Inc. The undersigned acknowledges that in order to fight the funding of terrorism and money laundering activities, Bank and/or International, Inc. is required to verify the identity of each person who opens an account with Bank and/or Payment Alliance International, Inc. Therefore, the undersigned agrees that Bank and/or Payment Alliance International, Inc. is authorized to obtain Consumer and (if applicable) Business Credit Reports and to undertake a Criminal Background Investigation in connection with this Application. Applicant authorizes Bank and/or Payment Alliance International, Inc. or any of its agents to investigate information or data obtained from this Application. If there is more than one Principal indicated above, Applicant hereby provides the signed authorization for such Other Principals as well. Applicant agrees to provide any further information, including financial data, as may be reasonably requested by Bank and/or Payment Alliance International, Inc. Applicant may, upon written request, obtain a complete and accurate disclosure of the nature and scope of the investigation requested hereunder. Applicant acknowledges that Bank and/or Payment Alliance International, Inc. may accept or deny this Application in its reasonable discretion. 25. SIGNATURE OF ATM OPERATOR / DATE 26. I.D., Drivers License Number or other identifying document State Issued Expiration Date 27. By signing below, I certify that the document used to identify this ATM Operator was provided to me and, to the best of my knowledge, the above identification information is true and accurate and reflects the identity of this ATM Operator.
APPLICATION DECLARATION. The undersigned Applicant represents that all information contained in this Application for Sponsorship, and any other documentation supplied thereto, is true and correct. The Applicant hereby applies for an account relationship with Bank and/or ISO, as an ATM Operator sponsored by Bank and/or ISO. The undersigned acknowledges that in order to fight the funding of terrorism and money laundering activities, Bank and/or ISO is required to verify the identity of each person who opens an account with Bank and/or ISO. Therefore, the undersigned agrees that Bank and/or ISO is authorized to obtain Consumer and (if applicable) Business Credit Reports and to undertake an OFAC and Criminal Background Investigation in connection with this Application. Applicant authorizes Bank and/or ISO or any of its agents to investigate information or data obtained from this Application. If there is more than one Principal indicated above, Applicant hereby provides the signed authorization for such Other Principals as well. Applicant agrees to provide any further information, including financial data, as may be reasonably requested by Bank and/or ISO. Applicant may, upon written request, obtain a complete and accurate disclosure of the nature and scope of the investigation requested hereunder. Applicant acknowledges that Bank and/or ISO may accept or deny this Application in its reasonable discretion.
APPLICATION DECLARATION. This section must be reviewed and completed by the Applicant and, in the case of an Applicant that is a public body or other organization type referenced in Section 1 of this Application, this section must be reviewed and completed by the authorized representative/signatory on behalf of that public body or organization. I, the Applicant, by checking the “I confirm and agree” checkbox below, declare and represent to the Ministry that: 1. I am the Applicant or the authorized representative/signing authority of the Applicant, in which case I have the authority to submit this Application and related information and materials on behalf of the Applicant; 2. I understand and commit to supporting the proposed Project; 3. I have reviewed and understand the Childcare BC New Spaces Funding Guidelines (“Guidelines”) and the New Spaces Program Frequently Asked Questions (FAQs) and I understand the requirements of this Program. I accept and agree to commit to the process set out in the Terms and Conditions in Appendix A of the Guidelines; 4. All information provided in this Application or otherwise in connection with this Application is true and complete. I have not knowingly withheld any information that is relevant to the Ministry’s consideration of this Application. I understand that providing false or misleading information in connection with this Application for funding under this Program could result in certain penalties or repayment obligations, or both, under the Child Care BC Act or the New Spaces Funding Agreement; 5. As between the Ministry and the Applicant (including any of its directors and officers), no known conflict of interest exists in connection with this Application for New Spaces funding or the proposed Project; and 6. In the case of an Applicant that is a public body or organization, all necessary authorizations and approvals are in place to ensure that the Applicant has the power and authority to apply for the New Spaces Funding and, if selected to receive funding, to enter into and comply with the obligations set out in a New Spaces Funding Agreement. I confirm and agree
