Annexure-III. We hereby confirm that the installation address mentioned above is (please tick the option as applicable)

Size: px
Start display at page:

Download "Annexure-III. We hereby confirm that the installation address mentioned above is (please tick the option as applicable)"

Transcription

1 T, Indian Cmmdity Exchange f India Ltd 4 th Flr, Thane-Belapur Rad, Airli, Annexure-III On cmpany s letterhead Sub: Applicatin fr New MPLS leased circuits This has reference t yur circular n. dated. fr the purpse f Natinwide MPLS cnnectivity. We wuld like t apply fr Kbps/ Mbps (In case f BSNL please mentin Gld r Silver scheme) MPLS circuit frm (Airtel / TCL / BSNL) service prvider. Fr Installatin f MPLS circuit please find the details as mentined belw:- Name f Trading Member Member ID Permanent Address Installatin Address City State Pin Cde Cntact Number (Landline) Cntact Number (Cell Phne) Fax number Cntact persn name ID Feasibility f the lcatin checked with YES / NO the Exchange Cnnectivity Interface mde (Please n apprpriate chice) Ethernet V.35 G.703 We hereby cnfirm that the installatin address mentined abve is (please tick the ptin as applicable) Registered Office Address f the Member Branch Office address f the Member Address f ur Registered Authrised Persn (AP) with the Exchange The Authrised Persn cde alltted by the Exchange is (In case the address is f registered Authrised Persn) We agree t the terms and cnditin fr installatin f MPLS circuit. Fr any further cmmunicatin in this regard, please cntact Mr./Ms./Mrs. (Name f the cntact persn) n (cntact numbers) r at. Thanking yu. Yurs faithfully Fr (Name and signature f the authrized signatry) Cmpany Stamp If applicatin exceeds mre than ne page please prvide the signature and stamp n all the pages

2 Annexure - IV (On Nn-judiciary stamp paper f Rs 300/-) UNDERTAKING I/we (Member Name) d hereby undertake the fllwing: I/We agree that the leased Circuit (Circuit) will be used purely fr the purpse f trading n ICEX nly. I/We agree that this circuit will nt be intercnnected t any f the Leased Line/ Data Circuit/ Netwrk/ PSTN/EPABX etc. f any ther service prviders which are nt permitted by the terms and cnditins f Telegraph/DOT Authrity. I/We further agree t extend facility t the Telegraph authrity in rder t enable (view nly) mnitring f the purpse, perfrmance and peratin f the circuit, as and when required. I/we hereby agree t abide by the prvisins f Indian Telegraph Rules/DOT Rules in frce and as mdified frm time t time and such ther terms and cnditins prescribed by the cncerned Authrities. I/We agree that necessary charges fr registratin/installatin/advance annual rental/arrears, if any will be paid t the cntrlling/billing authrity f service prvider & ICEX, as and when we receive demand nte/advice frm service prvider/icex and when such charges becme due. I/We agree that I/We shall pay the cancellatin charges and ther expenses incurred t establish the circuit as requested by me/us that may becme payable, in the event f cancellatin f the applicatin/clsure f the circuit at a later date. I/We d hereby agree t indemnify the Gvt. f India/ DOT/ service prvider and keep them indemnified against any lss damage claim, cst, charges, expenditure incurred by r made against them in respect f lss f rent/ call charges, vilatin f C.U.G. nrms due t misuse f the circuit r therwise whatsever in the matter. In case service prvider prvides us mdems, it will be ur respnsibility t maintain the same safely. In case f any physical damage r theft we will bear the charges specified by Service Prvider. I/We undertake t ensure that access shall be given nly t the individuals authrised and als a methd shall be established t ensure that nn authrised persns cannt access the system. (i) ICEX shall have the right and privilege f inspecting and testing at my/ur site withut any prir ntice. I / We shall keep full security f ICEX's databases and recrds in accrdance with best cmputing practice. I / We hereby undertake t duly infrm ICEX in case f any cause, resulting in any change t my/ur entity, r any change in any f the eligibility criteria. Fr (Name and signature f the authrized signatry) Rubber Stamp f the entity

3 I / We shall render all pssible assistance and c-peratin t ICEX by prviding access t any kind f infrmatin in any frm as it may require and I/we hereby undertake t prduce such dcuments, recrds, accunts, bks, data hwsever stred including data stred in magnetic tapes, flppy diskettes, etc. and any ther infrmatin as may be required by ICEX at its discretin. I / We agree and undertake that ICEX shall nt be liable fr any direct r indirect lss, damage, csts, claims and expenses whatsever caused r cntributed by any event f frce majeure. Fr the purpses f this Clause, "Frce Majeure" means and includes wars, insurrectins, revlutin, fires, flds, epidemic, quarantine restrictins, declared general strikes in relevant industries, act f Gd, act f the Gvernment f India and any cncerned State Gvernment and such ther acts r events beynd ICEX's cntrl and further the abve is withut prejudice t the rights already accrued t ICEX due t my/ur failure t perfrm either in full r in part, my/ur bligatins prir t the ccurrence f events f Frce Majeure. I / We shall nt hld ICEX respnsible fr delay, disturbance r nn-availability f cnnectivity r delay in respnse frm server during trading sessin r nn-trading sessin, any delay in refund after surrender f cnnectivity r due t any reasn at any time including the reasns stated in Frce Majeure clause hereinabve. I / We shall indemnify and keep indemnified ICEX harmless against every and all claims, demand, damages, liabilities, lsses and expenses suffered by it directly by reasn f my / ur nn-cmpliance, cntraventin with any f the prvisins f this Undertaking r any penalty impsed by Service Prvider r DOT due t my nn-cmpliances f any prvisins f the applicable Act Rules and Regulatins. I / We agree that n frbearance, delay r indulgence by ICEX in enfrcing the prvisins f this Undertaking shall prejudice r restrict the rights f ICEX nr shall any waiver f its rights perate as a waiver f any subsequent breach and n rights, pwers, remedies herein cnferred upn r reserved fr ICEX is exclusive f any ther right, pwer r remedy available t ICEX and each right, pwer r remedy shall be cumulative. I / We undertake that any declaratin r ther ntice t be given by me/us t ICEX shall be sent by registered letter r telex/cable r facsimile transmissin t the address first mentined abve. That I / we shall execute, sign and subscribe t such ther dcuments, papers, agreement, cvenants, bnds, and/r undertakings as may be prescribed r required by ICEX frm time t time. I/We als agree that in the event f my/ur nn-cmpliance with any f the prvisins as mentined abve, ICEX shall take such actin against us as it may deem fit in this regard. IN WITNESS WHEREOF this Undertaking is executed by the undersigned n the day, mnth, year and the place mentined hereunder. Stamp & Signature f the Authrized Signatry Place:

4 Annexure VI Frmat fr Trading Member (Authrizatin letter frm PCM/ITCM in favr f the Exchange t debit Annual Recurring Charges T Indian Cmmdity Exchange f India Ltd 4th Flr, Thane-Belapur Rad, Airli, Fax N.: T be printed n letter head f the respective PCM / ITCM Sub: MPLS leased circuit annual recurring charges debit facility fr ur Trading Member, (Name f the Trading Member) having Member ID. This has reference t Exchange circular n. dated. I / we authrize Exchange t debit ur settlement accunt n. in (Name f the bank) fr Rs. (plus Taxes as applicable) twards the annual recurring charges f MPLS leased circuit. Fr (Name f ITCM / PCM) Authrized Signatry Name Member ID Rubber Stamp: Place:

5 Frmat f Authrizatin letter frm PCM /ITCM in favur f Exchange t Debit cnnectivity charges. T, Indian Cmmdity Exchange f India Ltd 4th Flr, Thane-Belapur Rad, Airli, Fax N.: T be printed n letter head f the respective PCM/ITCM Sub: Cnnectivity charges with respect t Leased Line / VSAT This is with reference t the abve we wuld like t infrm yu that M/s (Name f the member) having Member ID is affiliated with us. Therefre, we authrised the Exchange t debit ur settlement accunt twards the applicable cnnectivity charges (alng with service tax if any) with respect t the leased line / VSAT. Fr (Name f ITCM / PCM) (Signature) Name f the Signatry:- PCM/ITCM Member ID:- Rubber Stamp

CORPORATE ONLINE BANKING SERVICE APPLICATION FORM(ENQUIRY ONLY) SECTION 1: ACCOUNT HOLDER S INFORMATION

CORPORATE ONLINE BANKING SERVICE APPLICATION FORM(ENQUIRY ONLY) SECTION 1: ACCOUNT HOLDER S INFORMATION BANK OF CHINA Singapre Branch www.bankfchina.cm/sg CORPORATE ONLINE BANKING SERVICE APPLICATION FORM(ENQUIRY ONLY) SECTION 1: ACCOUNT HOLDER S INFORMATION * f Accunt Hlder 1 *Mailing Address 1 Ntice Email

More information

VODACOM BROADBAND FIBRE

VODACOM BROADBAND FIBRE VODACOM BROADBAND FIBRE SECTION A: Custmer Details & Package Selectin Surname First Names ID Number Street Address Estate Suburb City Prvince Phne Number (Hme) Phne Number (Wrk) Phne Number (Cell) Email

More information

TERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR

TERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR TERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR 1 PRIVATE & CONFIDENTIAL Date: T, Independent Directrs, Subject: Appintment as an Independent Directr InfBeans Technlgies Limited Dear Sir/Madam,

More information

Best Execution & Client Order Execution Policy. October P age 1 6. BE31/10/17 v1

Best Execution & Client Order Execution Policy. October P age 1 6. BE31/10/17 v1 Best Executin & Client Order Executin Plicy Octber 2017 BE31/10/17 v1 P age 1 6 Cntents 1. Backgrund... 3 2. Order placement... 3 3. Order executin factrs... 3 4. Order executin plicy... 3 5. Order executin

More information

CRG PATIENT REGISTRATION FORM

CRG PATIENT REGISTRATION FORM CRG PATIENT REGISTRATION FORM PATIENT INFORMATION Patient s Name: Birth : (Last) (First) (Middle) Scial Security Number: Male: Female: Hme Address: (Street / RR Bx # / Apt. #) (City/State) (Zip) Preferred

More information

AusNet Electricity Services Pty Ltd. Information Sharing Protocol and Register

AusNet Electricity Services Pty Ltd. Information Sharing Protocol and Register AusNet Electricity Services Pty Ltd Infrmatin Sharing Prtcl and Register 1 BACKGROUND This is AusNet Electricity Distributin Pty Ltd s ( DNSP s) infrmatin sharing prtcl, and infrmatin sharing register,

More information

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests This package is ONLY fr Class A sharehlders f. Cntents f this package (5 pages): - Instructins fr cmpleting yur retractin request - Retractin Request frm fr CareVest Mrtgage Investment Crpratin The February

More information

De minimis aid declaration

De minimis aid declaration De minimis aid declaratin Declaratin within the scpe f the prvisin f aid as referred t in the de minimis aid Regulatin (OJ 2006, L379). It is recmmended that yu read the explanatry ntes in the annex t

More information

Details of Rate, Fee and Other Cost Information

Details of Rate, Fee and Other Cost Information Details f Rate, Fee and Other Cst Infrmatin Accunt terms are nt guaranteed fr any perid f time. All terms, including fees and APRs fr new transactins, may change in accrdance with the Credit Card Agreement

More information

Terms and Conditions 19 December 2018

Terms and Conditions 19 December 2018 Stck and Shares Lifetime ISA (Prperty Saver) Terms and Cnditins 19 December 2018 These Terms, tgether with the Applicatin Frm, frm a legal agreement between yu and us which sets ut hw the Lifetime ISA

More information

Terms & Conditions for Gold Plus Savings Account

Terms & Conditions for Gold Plus Savings Account Terms & Cnditins fr Gld Plus Savings Accunt These Terms and Cnditins (the Terms ) apply t and regulate the peratin f the Gld Plus Savings Accunt with Quantum Optima Facility (the Accunt ) ffered by ICICI

More information

IRDA Update: Draft Guidelines on Web Aggregators

IRDA Update: Draft Guidelines on Web Aggregators IRDA Update: Draft Guidelines n Web Aggregatrs 17 March 2011 By way f an update, the IRDA has issued draft guidelines n web aggregatrs n 16 th March 2011. Cmments have been invited by 31 st March 2011.

More information

Terms and Conditions - UPAY Services JANUARY, Upay Department UNITED COMMERCIAL BANK LIMITED UCB.COM.BD UPAYBD.COM

Terms and Conditions - UPAY Services JANUARY, Upay Department UNITED COMMERCIAL BANK LIMITED UCB.COM.BD UPAYBD.COM JANUARY, 2019 Upay Department UNITED COMMERCIAL BANK LIMITED UCB.COM.BD UPAYBD.COM A. Intrductin 1. These terms and cnditins ("Terms") apply t and regulate yur use f United Cmmercial Bank Limited's (the

More information

CORPORATE ONLINE BANKING SERVICE APPLICATION FORM SECTION 1: ACCOUNT HOLDER S INFORMATION

CORPORATE ONLINE BANKING SERVICE APPLICATION FORM SECTION 1: ACCOUNT HOLDER S INFORMATION BANK OF CHINA Singapre Branch CORPORATE ONLINE BANKING SERVICE APPLICATION FORM SECTION 1: ACCOUNT HOLDER S INFORMATION www.bankfchina.cm/sg * f Accunt Hlder 1 *Mailing Address 1 Ntice Email 2 *Registratin

More information

PATIENT LIABILITY STATEMENT

PATIENT LIABILITY STATEMENT PATIENT LIABILITY STATEMENT (Updated 6/17) We will nt initiate therapeutic services until signed authrizatin is prvided. I understand that I am persnally respnsible fr charges incurred fr services rendered

More information

AGREEMENT FOR PEER-PROVIDER SERVICES

AGREEMENT FOR PEER-PROVIDER SERVICES AGREEMENT FOR PEER-PROVIDER SERVICES THIS AGREEMENT, is made and entered int this day by and between the Califrnia Department f Justice Peer-Prvider LiveScan Califrnia," a subsidiary f LiveScan USA, a

More information

Hawaii Division of Financial Institutions 2018 Renewal Checklist

Hawaii Division of Financial Institutions 2018 Renewal Checklist Hawaii Divisin f Financial Institutins 2018 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,

More information

Summerlin Banyo. Terms and Conditions of Website Use. 1. Ownership of Website

Summerlin Banyo. Terms and Conditions of Website Use. 1. Ownership of Website Summerlin Bany Terms and Cnditins f Website Use 1. Ownership f Website This Website is wned and perated by DFC (Prject Management) Pty Ltd ACN 161 448 139. In these terms and cnditins (Website Terms),

More information

Training course and online qualification bookings Updated June 2018

Training course and online qualification bookings Updated June 2018 Terms and cnditins Training curse and nline qualificatin bkings Updated June 2018 Terms and cnditins fr training curse and nline qualificatins 1. Definitins and Interpretatin 1.1. The fllwing definitins

More information

Renewal of Manager s Certificate

Renewal of Manager s Certificate Applicatin fr Renewal f Manager s Certificate Sectin 219, Sale and Supply f Alchl Act 2012 General infrmatin: Yu must renew yur manager s certificate befre it expires. Once yur manager s certificate has

More information

ARIZONA FIRE DISTRICT ASSOCIATION FINANCIAL PROCEDURES POLICY

ARIZONA FIRE DISTRICT ASSOCIATION FINANCIAL PROCEDURES POLICY FINANCIAL PROCEDURES POLICY 1. PURPOSE The purpse f these Financial Prcedures is t prvide cnsistent applicatin f cnduct and prper internal cntrls t safeguard the assets f the Arizna Fire District Assciatin

More information

This financial planning agreement (the Agreement ) is made on this date: between the undersigned party, whose mailing address is

This financial planning agreement (the Agreement ) is made on this date: between the undersigned party, whose mailing address is F I N A N C I A L P L A N N I N G A G R E E M E N T This financial planning agreement (the Agreement ) is made n this date: between the undersigned party, CLIENT(s): whse mailing address is (hereinafter

More information

Order Execution Policy

Order Execution Policy Glbal Markets Order Executin Plicy State Street Bank Internatinal GmbH, Frankfurt branch State Street Bank Internatinal GmbH, Frankfurt branch ( SSB Intl. GmbH Frankfurt branch ) prvides the fllwing investment

More information

GAS AND GROCERY REWARDS PROGRAM TERMS and CONDITIONS

GAS AND GROCERY REWARDS PROGRAM TERMS and CONDITIONS GAS AND GROCERY REWARDS PROGRAM TERMS and CONDITIONS Any persn s use f a Rewards accunt, enrllment in the Rewards Prgram r use f this website, cnstitutes accepting all the Terms and Cnditins stated here.

More information

VOLUMETRIC PRODUCTION PAYMENTS. Liz McGinley

VOLUMETRIC PRODUCTION PAYMENTS. Liz McGinley VOLUMETRIC PRODUCTION PAYMENTS Liz McGinley What is a Vlumetric Prductin Payment ( VPP )? A nn-perating, nn-expense bearing, limited term ryalty. It entitles the hlder t a specified vlume f hydrcarbns

More information

address: Driver license number: Date of birth: Occupation:

address: Driver license number: Date of birth: Occupation: MEMBERSHIP APPLICATION PRIMARY MEMBER INFORMATION Name: Scial security Member Number: Hme phne: Cell phne: Business phne: Mther s Maiden Name: Security passwrd: Mailing address: City: State: ZIP Cde: Street

More information

Producer Statements will be accepted only in accordance with this policy.

Producer Statements will be accepted only in accordance with this policy. Prducer Statements Plicy This plicy has been prepared t ensure that Cuncil has clearly dcumented plicies and prcedures fr the request fr and acceptance f Prducer Statements in cnnectin with applicatins

More information

Purpose... 1 Definitions... 1 Policy... 2

Purpose... 1 Definitions... 1 Policy... 2 Cntents Purpse... 1 Definitins... 1 Plicy... 2 1. Privacy Principles... 2 2. Cllectin f infrmatin... 2 3. Unique Student Identifiers (USI)... 3 4. Strage and use f infrmatin... 4 5. Disclsure f infrmatin...

More information

GUIDELINES FOR BIRAC-PATH (PATENTING & TECHNOLOGY TRANSFER FOR HARNESSING INNOVATIONS) AND BIRAC AS A FACILITATOR UNDER SIPP (START-UP INTELLECTUAL

GUIDELINES FOR BIRAC-PATH (PATENTING & TECHNOLOGY TRANSFER FOR HARNESSING INNOVATIONS) AND BIRAC AS A FACILITATOR UNDER SIPP (START-UP INTELLECTUAL GUIDELINES FOR BIRAC-PATH (PATENTING & TECHNOLOGY TRANSFER FOR HARNESSING INNOVATIONS) AND BIRAC AS A FACILITATOR UNDER SIPP (START-UP INTELLECTUAL PROPERTY PROTECTION) 1 GUIDELINES FOR BIRAC-PATH (PATENTING

More information

Designated Fund Contribution Form

Designated Fund Contribution Form 1 Designated Fund Cntributin Frm Name(s) Address Street City State Zip Alternate Address: Business Seasnal Street City State Zip Telephne Wrk Hme Cell Email: Alternate email: Hw did yu hear abut the Cmmunity

More information

CONTRACT. Fax: City State Zip Code Country

CONTRACT. Fax: City State Zip Code Country July24-26,2019 AmadrCnventinCenter Panama,Rep.f Panama CONTRACT COMPANY INFORMATION: (Please fill ut the fllwing infrmatin exactly as yu wuld like it t appear in the exp s Official Shw Guide) Cmpany Name:

More information

The Company is a public company incorporated in Bermuda and its securities are listed on AIM.

The Company is a public company incorporated in Bermuda and its securities are listed on AIM. (Incrprated in Bermuda Registratin N. 44512) POLICY FOR TRADING IN COMPANY SECURITIES The Cmpany is a public cmpany incrprated in Bermuda and its securities are listed n AIM. Schedule 1 t this Plicy cntains

More information

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE:

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE: PAGE 1 f 8 SCOPE: This Patient Billing and Cllectins Plicy applies t all Presbyterian Healthcare Services (Presbyterian) hspital facilities, including inpatient, utpatient, hme health care services and

More information

TELECOMMUNICATIONS SERVICES THROUGH THE PROVISION OF VOICE & DATA EPABX S TO BSNL S CUSTOMERS

TELECOMMUNICATIONS SERVICES THROUGH THE PROVISION OF VOICE & DATA EPABX S TO BSNL S CUSTOMERS VOICE & DATA EPABX - REVENUE SHARE SCHEME OPPORTUNITY FOR VARIOUS EPABX MANUFACTURERS /AUTHORIZED DISTRIBUTORS TO PROVIDE VOICE & DATA EPABX S TO BSNL s CUSTOMERS ON REVENUE SHARE BASIS (Authrized distributrs

More information

CONTRACT. (Please fill out the following information exactly as you would like it to appear in the expo s Official Show Guide) Fax:

CONTRACT. (Please fill out the following information exactly as you would like it to appear in the expo s Official Show Guide) Fax: July 24-26, 2019 Amadr Cnventin Center Panama, Rep. f Panama CONTRACT COMPANY INFORMATION: (Please fill ut the fllwing infrmatin exactly as yu wuld like it t appear in the exp s Official Shw Guide) Cmpany

More information

Alabama Department of Revenue Driver Or Vehicle Data Information Request

Alabama Department of Revenue Driver Or Vehicle Data Information Request Alabama Interactive, Inc 104 Nrth Jacksn Street Mntgmery, AL 36104 (866) 353-EGOV www.alabamainteractive.rg subscriptins@alabamainteractive.rg Alabama Department f Revenue Driver Or Vehicle Data Infrmatin

More information

Terms and conditions for training courses

Terms and conditions for training courses Terms and cnditins fr training curses Imprtant ntice: Please read carefully befre buying training curses r accessing r dwnlading any training materials frm this website. This is a legal agreement between

More information

Audit Committee Charter

Audit Committee Charter Audit Cmmittee Charter I. Purpse f Audit Cmmittee The purpse f the Audit Cmmittee, which is part f the Bard, shall be (a) t assist the Bard s versight f (i) the integrity f the Cmpany s financial statements,

More information

A. Accept only those clients whose identity is established by conducting due diligence appropriate to the risk profile of the client.

A. Accept only those clients whose identity is established by conducting due diligence appropriate to the risk profile of the client. Custmer Acceptance Plicy (CAP) A. Accept nly thse clients whse identity is established by cnducting due diligence apprpriate t the risk prfile f the client. B. Where the investr is a new investr, accunt

More information

2.6 When introducing new systems, care must be taken to ensure:

2.6 When introducing new systems, care must be taken to ensure: Appendix 3 SRA Guidelines Accunting Prcedures and Systems 1. Intrductin 1.1 These guidelines, published under rule 26 f the SRA Accunts Rules 2011, are intended t be a benchmark r brad statement f gd practice

More information

Guide to Young Adult Dependent Coverage

Guide to Young Adult Dependent Coverage Guide t Yung Adult Dependent Cverage The New Yrk State Legislature passed a law in 2009 which extends the availability f health insurance cverage t yung adults thrugh the age f 29. As a result, Freelancers

More information

The commission related to the dividend payment is supported by BVB.

The commission related to the dividend payment is supported by BVB. ANNOUNCEMENT May 16, 2017 DIVIDEND ALLOCATION PROCEDURE BURSA DE VALORI BUCUREȘTI SA In accrdance with the reslutin f the Ordinary General Meeting f Sharehlders f April 12, 2017, Bursa de Valri București

More information

FOR PLAN ADMINISTRATORS

FOR PLAN ADMINISTRATORS QDRO INFORMATIONAL KIT FOR PLAN ADMINISTRATORS T ensure cmpliance with requirements impsed by the IRS, we infrm yu that any infrmatin cntained in this cmmunicatin (including any attachments) was nt intended

More information

SRP Business Solutions: Electric Technology Rebates Forklift Rebate Application (Customer)

SRP Business Solutions: Electric Technology Rebates Forklift Rebate Application (Customer) SRP Business Slutins: Electric Technlgy Rebates Frklift Rebate Applicatin (Custmer) Instructins: Fill ut this rebate applicatin cmpletely and sign. Attach required dcumentatin: all invices shwing dates

More information

STATE OF NEW YORK MUNICIPAL BOND BANK AGENCY

STATE OF NEW YORK MUNICIPAL BOND BANK AGENCY STATE OF NEW YORK MUNICIPAL BOND BANK AGENCY Recvery Act Bnd Prgram Written Prcedures fr Tax Cmpliance and Internal Mnitring, adpted September 12, 2013 PROGRAM OVERVIEW The State f New Yrk Municipal Bnd

More information

INT Evaluation of Interchange Transactions. A. Introduction

INT Evaluation of Interchange Transactions. A. Introduction A. Intrductin 1. Title: Evaluatin f Interchange Transactins 2. Number: INT-006-5 3. Purpse: T ensure that respnsible entities cnduct a reliability assessment f each Arranged Interchange befre it is implemented.

More information

HIPAA Privacy Rule LINKS AND RESOURCES AFFECTED ENTITIES IMPACT ON EMPLOYERS. Provided by Brown & Brown of Louisiana, LLC

HIPAA Privacy Rule LINKS AND RESOURCES AFFECTED ENTITIES IMPACT ON EMPLOYERS. Provided by Brown & Brown of Louisiana, LLC Prvided by Brwn & Brwn f Luisiana, LLC HIPAA Privacy Rule The HIPAA Privacy Rule establishes natinal standards t prtect individuals medical recrds and ther persnal health infrmatin. The Privacy Rule applies

More information

Audit and Risk Management Committee Charter

Audit and Risk Management Committee Charter Audit and Risk Management Cmmittee Charter Pivtal Systems Crpratin ("Cmpany") 1. Objectives The Audit and Risk Management Cmmittee (Cmmittee) has been established by the bard f directrs (Bard) f the Cmpany.

More information

Terms and Conditions of the 811 Wowzies offer: Offer period as mentioned in the mailer/communication received by you

Terms and Conditions of the 811 Wowzies offer: Offer period as mentioned in the mailer/communication received by you IMPORTANT LINK: T dwnlad Ktak mbile Banking app visit: app.ktak.cm Terms and Cnditins f the 811 Wwzies ffer: Offer perid as mentined in the mailer/cmmunicatin received by yu Eligible custmers Ktak 811

More information

APPLICATION FOR RESIDENTIAL TENANCY

APPLICATION FOR RESIDENTIAL TENANCY Head ffice: 7/29 Cllier Rad, Mrley WA 6062 (08) 9207 2088 Wangara ffice: 1/7 Prindiville Dr, Wangara WA 6065 (08) 9409 7577 admin@xceedre.cm.au 1. PROPERTY DETAILS APPLICATION FOR RESIDENTIAL TENANCY PROPERTY

More information

8722 S. HARRISON ST. SANDY, UT P.O. BOX 4439 SANDY, UT FAX

8722 S. HARRISON ST. SANDY, UT P.O. BOX 4439 SANDY, UT FAX 8722 S. HARRISON ST. SANDY, UT 84070 P.O. BOX 4439 SANDY, UT 84091 877-678-7342 FAX 800-478-9880 HOT AIR BALLOON PROPOSED EFFECTIVE DATE: A. General Infrmatin Applicant s Name: Applicant s Mailing Address:

More information

Cascades Wedding Show January 14 th 2017 Vendor Application

Cascades Wedding Show January 14 th 2017 Vendor Application Cascades Wedding Shw January 14 th 2017 Vendr Applicatin Return t: LAY IT OUT EVENTS 704 NW Gergia Ave Bend, OR 97703 Att: Vendr Crdinatr Make Checks payable t: Lay It Out Events Business Name Applicant

More information

Standard INT Evaluation of Interchange Transactions

Standard INT Evaluation of Interchange Transactions Standard INT-006-4 Evaluatin f Interchange Transactins A. Intrductin 1. Title: Evaluatin f Interchange Transactins 2. Number: INT-006-4 3. Purpse: T ensure that respnsible entities cnduct a reliability

More information

The UK Register of Trusts 21 December 2017

The UK Register of Trusts 21 December 2017 The UK Register f Trusts 21 December 2017 If yu are a trustee f a UK resident trust r f a nn-resident trust which has UK assets r UK surce incme yu may need t take actin befre 5 January 2018. Backgrund

More information

IDENTIFICATION FORM AUSTRALIAN COMPANY

IDENTIFICATION FORM AUSTRALIAN COMPANY AUSTRALIAN COMPANY GUIDE TO COMPLETING THIS FORM This frm is fr nly. Fr cmpanies incrprated r registered utside f Australia use the FOREIGN COMPANY IDENTIFICATION FORM. Cmplete ne frm fr each cmpany. Tax

More information

Terms of Reference - Board of Directors (approved by the Board on 12 April 2018)

Terms of Reference - Board of Directors (approved by the Board on 12 April 2018) Terms f Reference - Bard f Directrs (apprved by the Bard n 12 April 2018) 1. Respnsibility and Principal Duties The Bard f Directrs has the verall respnsibility fr the gvernance f the Cmpany and fr supervising

More information

MD Collection Agency License Amendment Checklist (Company)

MD Collection Agency License Amendment Checklist (Company) MD Cllectin Agency License Amendment Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin Amendments GENERAL INFORMATION Instructins Maryland Cmmissiner f Financial Regulatin (MD) Agency des nt require

More information

Pershing Financial Services Guide (FSG) including its Privacy Policy

Pershing Financial Services Guide (FSG) including its Privacy Policy Pershing Financial Services Guide (FSG) including its Privacy Plicy Issued by Pershing Securities Australia Pty Ltd ABN 60 136 184 962 Australian Financial Services License N. 338 264 Date FSG was prepared:

More information

Hawaii Division of Financial Institutions 2019 Renewal Checklist

Hawaii Division of Financial Institutions 2019 Renewal Checklist Hawaii Divisin f Financial Institutins 2019 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,

More information

2018 Summer Intern Housing Program COMPLETE HOUSING APPLICATION AND CONTRACT

2018 Summer Intern Housing Program COMPLETE HOUSING APPLICATION AND CONTRACT 2018 Summer Intern Husing Prgram COMPLETE HOUSING APPLICATION AND CONTRACT Applicatins can be emailed t ldging@unm.edu, Attn: Rebecca Clón Applicatins can be mailed t: Residence Life and Student Husing

More information

SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION

SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION INSTRUCTIONS SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION Wh shuld use this frm? This frm applies t all internatinal and dmestic fee paying students and all dmestic Cmmnwealth supprted

More information

Sewer Blockage Procedure

Sewer Blockage Procedure Sewer Blckage Prcedure I N F O R M A T I O N F O R P L U M B E R S J U N E 2 0 1 7 When a blckage is identified in the sewer Huse Cnnectin Branch (HCB) we will review the issue and in sme circumstances:

More information

Instructions Fee Schedule

Instructions Fee Schedule City f Lndn Tree Prtectin By-Law C.P.-1515-228 Tree Prtectin Area Permit Applicatin Cemetery r Glf Curse Planning Services - Urban Frestry 267 Dundas Street, 3rd Flr Lndn, Ontari N6A 1H2 Telephne: 519-661-CITY

More information

A-1110 Wien. Privacy Notice

A-1110 Wien. Privacy Notice Eurfins Lebensmittelanalytik Tel. +43 (1) 944 33 44-0 ffice@eurfins.at www.eurfins.at Privacy Ntice Table f cntents 1 Cntrller infrmatin... 2 2 What infrmatin shuld yu give Eurfins?... 2 3 Why d we use

More information

AUDIT & RISK COMMITTEE (ARC)

AUDIT & RISK COMMITTEE (ARC) AUDIT & RISK COMMITTEE (ARC) The Audit and Risk Cmmittee is an independent appraisal bdy appinted by the chapter bard t assist the bard in fulfilling its versight respnsibilities pertaining t the integrity

More information

Investor Money Regulations

Investor Money Regulations Investr Mney Regulatins A new regime fr fund service prviders in Ireland On the 30 th March 2015, the new Investr Mney Regulatins were brught int effect by Statutry Instrument 105 f 2015, with crrespnding

More information

CONSENT FOR TREATMENT

CONSENT FOR TREATMENT Thank yu fr chsing 2 nd Street Dental, LLC as yur dental prvider. We are cmmitted t yur treatment being successful. Please understand that payment f yur fees is cnsidered part f yur treatments. The fllwing

More information

National Management Group

National Management Group Jb card Natinal Management Grup Natinal Management Grup This jb card utlines the rles and respnsibilities f the Natinal Management Grup (NMG) during all phases f a respnse t an Emergency Plant Pest (EPP)

More information

Thank you for your consideration, and if you have further questions or you need more information, please do not hesitate to contact me.

Thank you for your consideration, and if you have further questions or you need more information, please do not hesitate to contact me. Dc 2011-20523 (6 pgs) September 23, 2011 Michael Caballer Internatinal Tax Cunsel United States Department f the Treasury 1500 Pennsylvania Avenue, NW Washingtn, DC 20220 Michael Danilack Deputy Cmmissiner

More information

PAYMENT BY CARD TERMS & CONDITIONS

PAYMENT BY CARD TERMS & CONDITIONS PAYMENT BY CARD TERMS & CONDITIONS Versin 2.0 - June 2013 Effective frm 1 st June 2013 Issued n 1 st June 2013 Terms & Cnditins fr use f Credit/Debit card fr Payments (POS) Intrductin This Service is ffered

More information

HOME IMPROVEMENT CONTRACT

HOME IMPROVEMENT CONTRACT HOME IMPROVEMENT CONTRACT YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THIS CONTRACT, SIGNED BY BOTH YOU AND THE CONTRACTOR BEFORE ANY WORK MAY BE STARTED. CONTRACTOR S NAME: ADDRESS: PHONE: FAX:

More information

PLAN DOCUMENT TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES. Effective January 1, 2014

PLAN DOCUMENT TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES. Effective January 1, 2014 DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES PLAN DOCUMENT Effective January 1, 2014 (Replaces January 1, 2013 Plan Dcument) 1 CONTENTS OVERVIEW...

More information

Privacy Notice for Applicants and Tenants

Privacy Notice for Applicants and Tenants Privacy Ntice fr Applicants and Tenants What we need Scttish Brders Husing Assciatin (SBHA) will be a "cntrller" f the persnal infrmatin that yu prvide t us thrugh yur cmpleted Husing Applicatin Frm, and

More information

Subject Access Requests

Subject Access Requests Subject Access Requests The Data Prtectin Act 1998 gives rights t individuals in respect f the persnal data that rganisatins hld abut them. One f thse rights is the right t get a cpy f the infrmatin that

More information

PASSPORT INFORMATION:

PASSPORT INFORMATION: Dear Vlunteers, Thank yu fr yur interest in the Kids Arund the Wrld playgrund build trip. We are excited fr the pprtunity t wrk alngside yu t impact the lives f these children. The need there is tremendus

More information

HPLC Demo Columns

HPLC Demo Columns Terms and Cnditins HPLC Dem Clumns - 01.01.2018-30.06.2018 By rdering a dem clumn yu agree t the fllwing terms and cnditins: 1. Yu can test fr free ne r mre f ur analytical HPLC dem clumns ( dem clumns

More information

FINANCIAL SERVICES GUIDE

FINANCIAL SERVICES GUIDE PART N: iinvest Securities Financial Services Guide (FSG) FINANCIAL SERVICES GUIDE DATED: Octber 2017 Cntents f this FSG This Financial Services Guide ( FSG ) is an imprtant dcument that iinvest Securities

More information

Explanation of a U.S. Address and/or U.S. Phone Number (S3)

Explanation of a U.S. Address and/or U.S. Phone Number (S3) Explanatin f a U.S. Address and/r U.S. Phne Number (S3) Custmer Name Custmer Number By cmpleting yur IRS Frm W-8 yu are affirming that yu are nt a citizen r resident f the United States r ther U.S. persn

More information

Storage and Usage of a Payment Credential Merchant Initiated Standing Instructions Cardholder Initiated

Storage and Usage of a Payment Credential Merchant Initiated Standing Instructions Cardholder Initiated Strage and Usage f a Payment Credential Merchant Initiated Standing Instructins Cardhlder Initiated July 6, 2018 Versin 4 All changes frm versin 3 are highlighted in yellw thrughut the dcument. Recurring

More information

8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax

8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 877-678-7342 Fax 801-304-5551 HANGAR General Infrmatin Prpsed Effective Date: Applicant s Name: Applicant s Mailing Address: E-Mail: Cunty:

More information

Risk and Audit Committee charter

Risk and Audit Committee charter Risk and Audit Cmmittee charter 1. Intrductin The Bard f Cffey Internatinal Limited ( Cffey r the Cmpany ) has established a Risk and Audit Cmmittee ( Cmmittee ). It is nted that the Cmmittee is a sub-cmmittee

More information

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax Salt Lake City Area Office 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 800-257-5590 Fax 800-478-9880 Chicag Office 303 W. Madisn Street Suite 2075 Chicag, IL 60606 800-456-4576 Fax

More information

VOLUNTEER REGISTRATION FORM

VOLUNTEER REGISTRATION FORM VOLUNTEER REGISTRATION FORM Office Use Only Prgram: Site: Day(s): Time: Name Email: Phne Number (cell) (hme) (Wrk) Address Birth date What is yur current ccupatin? Are yu r have yu ever been a member f

More information

PAYMENT PLAN REQUEST INFORMATION Texas Property Code - Section (Not Applicable for Condominium Associations Governed Under Section 82)

PAYMENT PLAN REQUEST INFORMATION Texas Property Code - Section (Not Applicable for Condominium Associations Governed Under Section 82) PAYMENT PLAN REQUEST INFORMATION Texas Prperty Cde - Sectin 209.0062 (Nt Applicable fr Cndminium Assciatins Gverned Under Sectin 82) This dcument includes infrmatin regarding a payment plan request in

More information

TRID Rule Purchase For Applications dated on or after 10/3/2015

TRID Rule Purchase For Applications dated on or after 10/3/2015 Fr Applicatins dated n r after 10/3/2015 This dcument prvides a brief verview f the TRID Rule s requirements and specifies the purchase requirements fr CMG Mrtgage, Inc., dba CMG Financial, (CMG). CMG

More information

Renewing an Insurance Policy

Renewing an Insurance Policy AGENTS, BROKERS Renewing an Insurance Plicy This renewal prcedure is designed t help representatives respect their bligatins when renewing an insurance plicy. Essentially, these bligatins are spelled ut

More information

Section I: Membership Application (Please Print or Type)

Section I: Membership Application (Please Print or Type) Telesca Center fr Justice One West Main Street, 10 th Flr Rchester, New Yrk 14614-2098 Visit us at www.mcba.rg Sectin I: 2018-19 Membership Applicatin (Please Print r Type) Name **Birth Date Firm Affiliatin

More information

Summary Plan Descriptions (SPD)

Summary Plan Descriptions (SPD) Descriptins (SPD) SPDs What Are They and Wh Needs Them? What is an SPD? The DOL defines the SPD as the Primary vehicle fr infrming participants and beneficiaries abut their plan and hw it perates. Must

More information

The UK Register of Trusts 23 October 2017

The UK Register of Trusts 23 October 2017 The UK Register f Trusts 23 Octber 2017 If yu are a trustee f a UK resident trust r f a nn-resident trust which has UK assets r UK surce incme yu may need t take actin befre 5 December 2017. Backgrund

More information

GUARANTEE AGREEMENT. This guarantee is made between: (1) [ Full Name & Address ] (the Guarantor )

GUARANTEE AGREEMENT. This guarantee is made between: (1) [ Full Name & Address ] (the Guarantor ) GUARANTEE AGREEMENT This guarantee is made between: (1) [ Full Name & Address ] (the Guarantr ) 2) Derwent Facilities Management Limited (cmpany number 07264667) (Trading as Derwent Students) f N.1 Centr

More information

TD Insurance s Multi-Year Accessibility Plan

TD Insurance s Multi-Year Accessibility Plan TD Insurance s Multi-Year Accessibility Plan TABLE OF CONTENTS... 1 INTRODUCTION AND STATEMENT OF COMMITMENT... 1 OUR PLAN... 1 ACCESSIBILITY POLICIES...1 TRAINING...1 INFORMATION COMMUNICATION STANDARDS...2

More information

A company is liable to UK corporation tax on all its profits and chargeable gains, whether made in the UK or elsewhere.

A company is liable to UK corporation tax on all its profits and chargeable gains, whether made in the UK or elsewhere. launchpad January 2014 crprate tax It may be sme years befre a start-up cmpany begins t make a prfit, but unfrtunately that des nt mean it can ignre tax issues. Even if tax is nt an issue n day ne f the

More information

For personal use only

For personal use only Fr persnal use nly NSL Cnslidated Ltd 21 September 2016 Dawn James Australian Securities Exchange Level 8, Exchange Plaza 2 The Esplanade PERTH WA 6000 RESPONSE TO ASX PRICE VOLUME QUERY We refer t the

More information

Act No. 72 to Amend the Puerto Rico Internal Revenue Code of 2011

Act No. 72 to Amend the Puerto Rico Internal Revenue Code of 2011 June 3, 2015 www.mcvpr.cm TAX ALERT Act N. 72 t Amend the Puert Ric Internal Revenue Cde f 2011 On May 29, 2015, the Gvernr f Puert Ric signed int law Act N. 72 (the Act ) t amend the existing Puert Ric

More information

NUMBER: BUSF 3.30 Business and Finance. Other Educational and General Program Accounts ("E" Funds) Date: October 18, 2006 I. PURPOSE OF THE POLICY

NUMBER: BUSF 3.30 Business and Finance. Other Educational and General Program Accounts (E Funds) Date: October 18, 2006 I. PURPOSE OF THE POLICY NUMBER: BUSF 3.30 SECTION: Business and Finance SUBJECT: Other Educatinal and General Prgram Accunts ("E" Funds) Date: Octber 18, 2006 Plicy fr: Prcedure fr: Authrized by: Issued by: All Campuses All Campuses

More information

Independent Director and Audit Committee

Independent Director and Audit Committee Independent Directr and Audit Cmmittee Rules summary The listed cmpany s bard f directrs is representing the sharehlders. They are respnsible fr making decisins n the cmpany s imprtant plicies and strategies.

More information

ONLINE BANKING AGREEMENT

ONLINE BANKING AGREEMENT ONLINE BANKING AGREEMENT This Agreement sets frth the terms and gverns the use f the Online Banking Services that Missin Valley Bank ( us r the Bank ) makes available t its custmers ( yu ) thrugh the Bank

More information

MIFID Policy Client classification

MIFID Policy Client classification MIFID Plicy Client classificatin Page 1 f 8 Cntents 1. Intrductin... 3 2. Purpse... 3 3. Client Classificatin... 5 a) Eligible cunterparties... 5 b) Prfessinal clients... 6 c) Retail clients... 8 d) Classificatin

More information

Application Checklist: Supporting documents you need to provide with your application: o Application fee

Application Checklist: Supporting documents you need to provide with your application: o Application fee Applicatin fr Special Licence Sectin 138, Sale and Supply f Alchl Act 2012 General infrmatin: Office Use Only An applicatin fr a special licence MUST be ldged at least 20 wrking days befre the event(s)

More information

Dear Customer, Alsalam Alaikum Wa-Rahmat Allah Wa-Barakatuh,

Dear Customer, Alsalam Alaikum Wa-Rahmat Allah Wa-Barakatuh, Dear Custmer, Alsalam Alaikum Wa-Rahmat Allah Wa-Barakatuh, We are pleased t extend ur sincere gratitude and appreciatin fr yur cntinued trust in Bahrain Islamic Bank (BisB). We wuld like t take this pprtunity

More information