Family Details Sample Clauses

Family Details. Name Relation If, Alive If, Expired Age (Years) Health Cause of Death Year of Death Father Mother Grandfather Grandmother Brother/Sister Brother/Sister Brother/Sister
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Family Details. Mother’s Name Address (If different from child) _ Occupation Day time telephone _ Evening telephone _ Mobile Father’s Name _ Address (If different from child) _ Occupation Day time telephone _ Evening telephone _ Mobile Email (For financials and centre information) Emergency Contacts (In addition to parents details) Name Relationship Telephone Name Relationship Telephone _ Is there any person who is prohibited access to your child? Yes  Name No  Custody order on file? Yes  No  Enrolment Details Days Enrolled: Monday Tuesday Wednesday Thursday Friday Times Enrolled: Total hours: 20 Hours ECE at this service Total hours: 20 Hours ECE at another service Total hours: Parent/Guardian Signature: Date: /_ / 20 Hours ECE Details Is your child receiving 20 Hours ECE for up to six hours per day, 20 hours per week at this service? Yes  No  Is your child receiving 20 Hours ECE at any other services? Yes  No  I hereby declare that my child is not enrolled at another early childhood institution at the same times that he/she is enrolled at Childsplay Unlimited: Parent/Guardian Signature: _ Date: /_ / _ Privacy Statement We are collecting personal information on this enrolment form for the purposes of providing early childhood education for your child. We will use and disclose your child’s information only in accordance with the Privacy Act 1993. Under that Act you have the right to access and request correction of any personal information we hold about you or your child. Details about your child’s identity will be shared with the Ministry of Education so that it can allocate a national student number for your child. This unique identifier will be used for research, statistics, funding, and the measurement of educational outcomes. You can find more information about national student numbers at: xxx.xxxxxx.xxxx.xx/xxxxxxx * Information about acceptable identity verification documents is available online at xxx.xxxx.xxx.xxxx.xx and xxx.xxxxxx.xxxx.xx/xxxxxxx The Ministry recommends that all services keep a copy of the identity verification document of each child who is enrolled at the service. Declaration Please read and agree to the following before signing the application:
Family Details. If married, name of your spouse: ........................................................................................................ Surname:............................................................................................................................................... If employed, profession/duty of your spouse: ..................................................................................... Registered trade name of the company your spouse works for:......................................................... Address of the company your spouse works for: ............................................................................... ...............................................................................................................................................................
Family Details. Current occupation: ............................................................................................................... Currently living in Owned/Rented property (please delete as appropriate) FEES I confirm that if my tender is accepted, I agree to pay £300 non-returnable reservation deposit, which will be counted towards the first month’s rent. SIGNED: ........................................................ DATE: ..............................................
Family Details. Current occupation:................................................................................................................ Currently living in Owned/Rented property (please delete as appropriate) LEGAL FEES I confirm that if my tender is accepted and solicitors instructed, I will pay the agreed proportion of the legal costs in connection with the Tenancy Agreement whether abortive or not. I also agree to pay £200 non-returnable reservation deposit which will be counted towards the first months rent. SIGNED:................................................ DATE:..............................................

Related to Family Details

  • Company Details This Limited Liability Company Operating Agreement (“Agreement”), entered into on , 20 is a: (check one) ☐ - Single-Member LLC, entered into by , being the sole owner with a mailing address of . ☐ - Multi-Member LLC, entered into by and between Members known as: Member #1: , with ownership of % of the Company, and a mailing address of . Member #2: , with ownership of % of the Company, and a mailing address of . Member #3: , with ownership of % of the Company, and a mailing address of . Member #4: , with ownership of % of the Company, and a mailing address of . (“Member(s)”)

  • Your Details From time to time we will ask you to provide information so that we can perform our obligations under this Agreement. The personal information that we collect from you will include the information provided in the signature page of this Agreement or online when you complete the reservation process. We will treat all your personal information as confidential (though we reserve the right to disclose this information in the circumstances set out below). We will keep it securely and we will fully comply with our obligations under applicable data protection and privacy laws. You hereby give us your consent to use your personal information and other information which you provide so that we can process your reservation and conduct administration, so that Tesla can prepare the order and Purchase Agreement, and we and Tesla may inform you of any marketing information. We may share this information with our group companies (but not with third parties) for these purposes. From time to time, we and our group companies may contact you by mail, telephone, email, text and fax for the above purposes and you agree that you will not consider any of the above as being a breach of any of your rights under any data privacy, data protection or privacy law. You can opt out of receiving marketing information from us at any time and you may contact us for more information. However, we will still use your information to process your reservation. You may ask for a copy of your information (for which we may charge a fee) and you may correct any inaccuracies. We will be the responsible party for the management of your personal information. If you wish to make a request with regard to your personal information, please call international number +0 000 000 0000 or visit our website at xxx.xxxxxxxxxxx.xxx/xxxxx/xxxxxxx.

  • Payment Details You will make all Payments due under this Master Agreement by 12:00 P.M., Connecticut time, on the day they are due. You will make all Payments in US Dollars (US$) in immediately available funds. We do not have to make or give "presentment, demand, protest or notice" to get paid. You waive "presentment, demand, protest and notice."

  • Account Details (a) Account for payments to Counterparty: To be provided. Account for delivery of Shares to Counterparty: To be provided.

  • Financial Institution with a Local Client Base A Financial Institution satisfying the following requirements:

  • Budget Detail Budget detail is contained in the Attachments to this Exhibit. EXHIBIT D Special Terms and Conditions

  • Project Details 1. Representatives

  • 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.

  • Extended Illness Bank Employees who were hired prior to January 15, 1984 and who have hours remaining in their extended illness bank may access those hours in accordance with the Employer’s policy. Hours do not accrue in these extended illness banks.

  • Description Details Type of personal data The personal data to be processed is defined in the ILR specification. xxxxx://xxx.xxx.xx/government/collections/individualised- learner-record-ilr Categories of data subject The data subjects are Learners on education or training programmes administered by the Department that are subject to this Agreement. Retention and destruction of the data once the processing is complete UNLESS requirement under union or member state Law to preserve that type of data Information on how the data must be supplied to the Department is detailed in the ILR specification and its appendices. xxxxx://xxx.xxx.xx/government/collections/individualised- learner-record-ilr For the purposes of the Department as a data controller of the data, the Provider is required to retain the data for the funding and audit purposes set out in this Agreement for 6 years from the end of the Financial Year in which the last payment is made under this Agreement. For the purposes of the Department for Work & Pensions as a data controller, where Learner data is used as match on the 2014-20 ESF programme, the data must be retained securely until 31st December 2030. The Provider (and any other data controller) is responsible for determining any further need to process the data, including its retention, prior to secure destruction.

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