Common use of DECLARATION Clause in Contracts

DECLARATION. I hereby make application for the premises set out in this form for the day and the times specified in this form. I acknowledge that I have read the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms and Conditions of Hire and Emergency Evacuation Procedure. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.

DECLARATION. I hereby make a) I/We understand that the loan processing fee and bankruptcy search fee is not refundable. b) I/We agree that this application is accepted on the understanding that approval is not guaranteed and your Company may reject the application without assigning any reasons. c) I/We agree that your Company may at its absolute discretion vary all or any terms of the loan requested in this application. d) I/We agree that any misrepresentation of facts herein contained shall entitle your Company to recall the loan. e) I/We agree that any building inspections conducted by your authorised officer/agent are for the premises set out sole benefit of your Company and under no circumstances will they be construed as supervison on my/our behalf. f) I/We confirm that I/we am/are not declared bankrupt, and I/we have no outstanding or impending judgements against me/us. g) I/We have no relationship to any director(s), officer(s) or employee(s) of Borneo Development Corporation (Sabah) Sdn. Bhd. pursuant to Section 62 of the Banking and Financial Institution Act, 1989. h) I/We declare and confirm that neither I/We, my/our spouse(s), parent(s) or child(ren) are in this form for the day and the times specified in this formemployment of Borneo Development Corporation (Sabah) Sdn. I acknowledge that I have read the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms and Conditions of Hire and Emergency Evacuation Procedure. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible for ensuring Bhd. i) I/We confirm that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided given above is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements I/We authorise and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to you obtaining any other information from any other sources including the making of enquiries Inland Revenue Authorities and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this applicationwhatever means as Borneo Development Corporation (Sabah) Sdn. Applicant Signature: Date: Print Name: Position: (if company or organisationBhd. considers appropriate. j) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your Expressly consent to such disclosureand authorise you to disclose, as you shall in your absolute discretion deem fit, to Bank Negara Malaysia, any other bodies, authorities (CAGAMAS, debt collection agents) and companies within Borneo Development Corporation (Sabah) Group inlcuding but not limited to the respective agents, independent contractors and/or associates for purpose of providing integrated services, maintaining records (financial or otherwise), marketing, distribution and/or other programmers, at a time and without notice or liability, any information and particulars (financial or otherwise) relating to my/our affairs and accounts, facilities and conduct thereof. For further information about how we manage your personal information please see our reason. Applicant’s signature & date : k) I hereby authorise you to make credit checks against the Central Credit Reference Information Privacy Policy.System (CCRIS), Financial Information Services (FIS), Credit Tip-Off System (CTOS) and any other credit reference agencies without asisgning any

DECLARATION. ❖ I hereby make application for am aware that participation in a retreat and ceremonies with the premises set out Inner Shift Institute involves the use of Psilocybin. ❖ I understand that taking these plants may involve emotional, psychological, and physical reactions, and I agree to take part and abide by the Terms and Conditions in this form for document and any other instructions given orally or in writing. ❖ I declare that I am choosing to participate of my own free will and have not been coerced into participating in a retreat or session by the day organisers or by any other person. The decision to participate is mine alone, and is based on my own personal assessment of the effects, the exclusion criteria, the potential risks and benefits, the focus of the ceremonies, and the times specified team of The Inner Shift Institute. ❖ The Team of The Inner Shift Institute has explained to me what to expect from the retreat or session and how it is intended to proceed. I am aware that I can ask questions about the ceremonies at any time and can change my mind about participating at any time before the ceremonies begin during the retreat. ❖ I agree to answer all questions honestly during the screening process, and understand that I must complete all medical questionnaires and respond to all follow up questions in order to participate in a retreat. I agree to provide all relevant information regarding my medical history, mental and physical health, and any other information that may serve to protect my health during this process. ❖ I have made the confidential disclosures requested by the Organiser and these are honest and accurate regarding my needs and condition(s). I understand that these will be kept in the strictest confidence. I reiterate my understanding of this by signing this form. ❖ I acknowledge accept full responsibility for participating in a retreat and in ceremonies with The Inner Shift Institute. ❖ I understand and agree that I have read can be excluded from participation in a retreat or ceremony at the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms discretion of the facilitator. This agreement is between Consciousness Rising Org VOG (the Organiser of The Inner Shift Institute Retreats and Conditions Ceremonies) and You (the Participant). The Inner Shift Institute operates under the umbrella of Hire Consciousness Rising as a subsidiary entity. The present terms and Emergency Evacuation Procedureconditions are subject to the law applicable in the Netherlands. I undertake to be bound by and comply with these documents in every respect and I further undertake to Consciousness Rising Org will not be responsible for ensuring that all individuals or groups using any change on the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions needed by the rules and they have current licences/certificates regulations approved by the Government, Parliament or Health Authorities. All the terms and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent conditions can suffer changes due to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy situation of the personal information held by uscountry regarding the pandemic COVID-19. The way in which By booking a Retreat with Consciousness Rising you agree to all of the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.following items listed:

DECLARATION. I hereby make application for the premises set out All boxes in this form for the day section must be ticked and accepted and the times specified in this formapplicant must sign the form prior to Council processing the application. I acknowledge certify that the information provided in the application is true and correct. I understand that if the information declared on this application is not true and correct the City of Mount Gambier may refuse my application. I have read and completely understand the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms terms and Conditions conditions of Hire use and Emergency Evacuation Procedurehire detailed in Part 8 of this document, as well as the hire fee schedule, and agree to comply. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible for ensuring will also ensure that all individuals or individuals, groups and contractors using the premises in association with this application shall also comply with all conditions and requirements outlined in this document. Signature or initials Print name Date / / PART 7 - FLOOR PLAN PART 8 - TERMS & CONDITIONS 1. Cancellations made within 7 days of the event may result in a cancellation fee of 50% of the actual hire rate. This includes bookings where hire fees have been waived. 2. The hirer agrees to indemnify the Council and agents from and against all actions, costs, claims, damages, charges and expenses whatsoever which may be brought or made or claimed against them arising out of or in relation to use of the venue. 3. For major events/hiring and where requested by Council, the Hirer shall take out and keep current a public risk insurance policy in the name of the hirer insuring the hirer for the minimum sum of ten (10) millions dollars ($10,000,000) against all actions, costs, claims, damages, charges and expenses whatsoever which may be brought or made or claimed against the hirer in relation to the activity. 4. The hirer, where appropriate, shall ensure that it is licensed or registered to carry out the activity when approved by Council and shall comply with and give all notices required by any Act of Parliament, Ordinance, Regulation or By-Law relating to the activity. 5. The hirer must comply with all legal requirements relating to the use of the premises and/or the conduct of performances or functions. 6. Hirer’s employees and agents – all persons engaged or employed by the hirer in connection with the venue shall comply with the provisions of this agreement, and the hirer agrees to accept responsibility for any failure on the part of his agents, employees, contractors, guests and invitees to observe and comply with these Conditionsprovisions. If Use of The Riddoch Arts & Cultural Centre 1. The hirer is only permitted use of the application is made by a corporation or incorporated association, exact area booked and identified on the person signing the form agreement. 2. Venue capabilities (specified on page 1) must occupy a position that is legally entitled to be adhered to. 3. The hirer will not make an application on behalf addition or alterations to the structure, facilities, goods, equipment or decoration of the corporation venue, unless approved by the Venue Coordinator in writing. Nails, screws, tape or incorporated associationany fastenings must not be driven into or attached in any way to walls, ceiling, floors, furniture or fittings. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects must also seek Council’s guidance and manages personal information permission to decorate the venue with items such as flags, banners or streamers. Use of confetti, helium filled balloons, fireworks or candles is not permitted. The display of posters and signage will be permitted only on boards provided for this purpose. 4. If the hirer moves venue furniture and fittings they must be returned to their original storage place. 5. The hirer is responsible for the whole area as booked and specified in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by usconfirmation letter. The way hirer is liable for any damage to the venue, its facilities and furnishings etc during booked hours. This includes the behavior of all people (invited or not) accessing the venue during the hire period. 6. Children must be supervised at all times. 7. No animals, except service dogs, are permitted on the premises. 8. The premises are only to be used for the purposes described in which the council manages personal information application and approved in the confirmation letter. 9. Presentation standards – Council retains the right to request the hirer to remove any material that is governed considered by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent be detrimental to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policyits venue presentation standards.

DECLARATION. I hereby make application for desire to participate, at my own risk, in the premises set out activity described above. I have been informed and fully realize that there are inherent risks and dangers associated with this activity and that injury could result from my participation. However, I knowingly and willingly wish to participate in this form for the day and the times specified in this formactivity. I acknowledge represent that I have read the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms will take all safety precautions necessary thereto, assuming sole and Conditions of Hire and Emergency Evacuation Procedure. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible full personal responsibility for ensuring that all individuals reasonably foreseeable safety requirements are met to my personal satisfaction prior to my active participation in such activity. I state that I am in good health, physically fit to engage in this activity, and have no known medical condition which could jeopardize my safety during such participation or groups using be aggravated by such participation. As a condition precedent to my being permitted to engage or participate in such activity, I personally hereby forever release, acquit, discharge, indemnify and hold harmless the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated associationUnited States, the person signing State of North Carolina and their agents, officers, and employees, from any and all causes of action, including personal injury, illness, death, and property damage, costs, charges, claims, demands and liabilities of whatever kind, name or nature in any manner arising out of or in connection with my participation in the form must occupy a position indicated activity. I understand and agree that I may be held liable for any damage or loss to the United States or the State of North Carolina Government that is legally entitled to make an application on behalf of the corporation caused by my negligence, willful misconduct, or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me fraud while participating in this application is true activity. Date and correct and I consent to the making Signature of enquiries and exchange Participant Printed Name of information with authorities Participant Signature of any Local, StateParent or Legal Guardian Printed Name of Parent or Legal Guardian (PRINT) LAST NAME FIRST NAME MI STREET ADDRESS CITY STATE ZIP CODE NRA NUMBER DATE OF BIRTH EMAIL ADDRESS DATE LOCATION SIGNATURE OF COMPETITOR NAT’L MATCH CS CLASSIFICATION RIFLE MID RANGE CLASSIFICATION RIFLE LONG RANGE CLASSIFICATION RIFLE UNCLASSIFIED SERVICE UNCLASSIFIED ANY/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print IRON UNCLASSIFIED ANY/IRON HIGH MASTER MATCH HIGH MASTER ANY/ANY HIGH MASTER ANY/ANY MASTER TACTICAL MASTER SERVICE MASTER SERVICE EXPERT EXPERT PALMA EXPERT PALMA SHARPSHOOTER SHARPSHOOTER F/TR SHARPSHOOTER F/TR MARKSMAN MARKSMAN F/O MARKSMAN F/O Date Date of Birth Last Name First Name MI Address City State Zip Code E-mail Address Phone Number NRA Number Emergency Point of Contact (Name: Position: ) (if company or organisationPrint) Applicant Signature: Date: Print Name: Position: Phone Number (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (QldArea Code). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.

DECLARATION. I hereby make application for the premises set out in this form for the day and the times specified in this form1. I / We acknowledge that you may be obliged to comply with or, at your sole and absolute discretion, choose to have regard to, observe or fulfill the requirements or expectations of the laws, regulations, orders, guidelines, codes, market standard, good practices and requests of or agreements with public, judicial, taxation, governmental and other regulatory authorities or self-regulatory bodies (the “Authorities” and each an “Authority”) in various jurisdictions as promulgated and amended from time to time (the “Applicable Requirements”). In this connection, I have read / we agree that you may take any and all steps to ensure your compliance or adherence (whether voluntary or otherwise) with the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms and Conditions of Hire and Emergency Evacuation ProcedureApplicable Requirements. 2. I undertake / We agree that you may disclose my / our particulars or any information to any Authority in connection with the Applicable Requirements whether effected directly or sent through any of your Head Office(s) or other related corporations or in such manner as you deem fit. I / We shall provide you with further information as may be bound by and required for disclosure to any Authority within such time as may be reasonably required. 3. I / We further agree to co-operate with you to enable you to comply with these documents your obligations under all Applicable Requirements concerning my / our takaful certificates with you. 4. I / We agree to update you in every respect and a timely manner of any change of any of the details previously provided to you: • If I further undertake to be responsible for ensuring that all individuals / we are an individual, I / we shall notify you immediately if my / our personal identification number, address, telephone number, nationality, tax status or groups using the premises tax residency changes or if become tax resident in association with this application shall comply with these Conditionsmore than one country. • If the application is made by I / we are a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf any other type of the corporation or incorporated association. In making this applicationentity, I confirm all shall notify you immediately of changes to my / our registered address, address of my / our place of business, substantial shareholders, legal and beneficial owners or controllers (who own or control more than 10% of my / our shares or ownership interest or control), tax status, tax residency or if I / we become tax resident in more than one country. 5. If any of these changes occur, you reserve the right to request certain documents or information from me / us, which I / we must provide at my / our own cost, including but not limited to, duly completed and / or executed (and, if necessary, notarised) tax declarations or forms. 6. If I / we do not provide you with the information or documents requested in a timely manner or if any information or documents provided is true and correct and I am 18. By signing the Declaration are not up-to-date, accurate or complete such that you are confirming that any third party contractor operating at unable to ensure your ongoing compliance or adherence with the event (food vendorsApplicable Requirements, amusement ride businesses, hire companies etcI / we agree that: a) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities extent permitted under applicable law, you may withhold payment of any Local, State/Territory amount due to my / our (or Commonwealth department my / our personal representatives) under my / our takaful certificate in regards compliance with the Applicable Requirements (and / or pay the same to any matters relevant Authority on my / our behalf); and / or b) You may take any and all steps as you deem fit to this application. Applicant Signature: Date: Print Name: Position: (if company ensure your compliance or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance adherence with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by lawApplicable Requirements, or unless you have given us otherwise to protect your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policylegal and / or commercial interests.

DECLARATION. I hereby make application for the premises set out in this form for the day and the times specified in this form. I acknowledge that I have read the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms and Conditions of Hire and Emergency Evacuation Procedure. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, State/Territory Print Name: Position: (if company or Commonwealth department in regards to any matters relevant to this application. Applicant organisation) Signature: DateDated: Print Name: Position: (if company or organisation) Applicant Signature: DateDated: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Information Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages Statement Your personal information in has been collected for the course purpose of performing its activities, functions and dutiesassessing your Application for Approval. We respect The collection of your information is authorised under the privacy of the Local Government Act 2009. You are providing personal information held by uswhich will be used for the purpose of delivering services and carrying out Council business. The way in which the council manages Your personal information is governed by handled in accordance with the Information Privacy Act 2009 (Qld)and will be accessed by persons who have been authorised to do so. We are collecting your personal Your information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required be given to do so by law, any other person or agency unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy PolicyCouncil permission or the disclosure is required by law.

DECLARATION. I hereby make application / WE confirm having read and understood the work requirements, terms & conditions and all relevant information regarding the tender Notification No - HLL/AFT/PUR/O&M OF B&WP/2020-23 dated 26-08-2020 and agree to abide by all without any deviation from what are stated above and contained therein in the Tender Notification. Place: SIGNATURE Date: Name & Address Seal (in case of society / Organization/Firm) If the tenderer fails to execute the work as per the requirements mentioned in the Service Order or violates or infringes the existing rates as agreed to as mentioned in the Service Order, the tenderer shall and will indemnify the company against all loses or damages whatsoever to be incurred or sustained including the legal cost or expenses incurred by the company by reason of non-execution of work at agreed Schedules, Operating Procedures and terms & conditions specified in the Tender Document and Service Order. The company will initiate legal action if the tenderer fails to execute the work as per the requirements specified in the tender document and Service Order for the premises set out actual loss suffered. Responsiveness of the Bid shall be at the discretion of HLL. The tenderer shall have no right to change the conditions stipulated in the Tender Document & Service Order. Bid pronounced Non Responsive by HLL shall be summarily rejected. The decision of HLL will be final and no correspondence of this shall be entertained. We have read and understood the above conditions and agree to abide by the same. PLACE: NAME AND SIGNATURE OF THE APPLICANT DATE: (WITH OFFICE SEAL) I / We am/are fully aware of the statutory obligations to be complied with respect to this offer and on awarding the work to me/us, I/We will be responsible for all the statutory/legal aspects like Labour, cGMP etc. I/We have also fully understood the nature of work and costs involved. The rates quoted by me/us in this form bid is all inclusive and in case work is awarded, during the period of contract I/We will not claim any upward revision in the rate. SIGNATURE: (Seal of the Tenderer) NAME & ADDRESS OF TENDERER Name & Address of the Tenderer : ……… …………………………………. ……… …………………………………. ……… …………………………………. ……… …………………………………. The Tenderer shall quote his/her/its competitive rate for engaging labours for carrying out the work mentioned in the tender. The tenderer should essentially understand the Tender conditions and other requirements specified in the Technical Bid. The rate shall include Minimum Wage - including employee contribution of PF & ESI, Other Charges Including Employer’s PF & ESI contributions, accident insurance coverage charges, Bonus, Supervision /Service charges, Goods Service Tax (GST), Income Tax & Other Charges, if applicable and any other payments as per EPF, ESI, Bonus Acts etc or Rules applicable, at the rates prevalent. Wage calculation sheets shall also be attached with Price Bid. The tenderer shall submit Electronic Challan cum Return (ECR) for the day and previous wage month along with a copy of Challan which bears the times specified in this formbank acknowledgement, while submission of monthly bills. I acknowledge that I have read The ECR shall contain the details of labourers / workmen employed at HLL Lifecare Limited, Akkulam duly highlighted with marker pen". Tenderer shall submit the ▇▇▇▇ on monthly basis and the ▇▇▇▇ ▇shall be prepared based on actual deployment (Attendance) of personnel. Separate ▇▇▇▇ Council Terms shall be submitted for Ash Removal (Monthly), Quarterly and Conditions of Hire and Emergency Evacuation ProcedureAnnual Maintenance. I undertake Fee & Levies to the statutory bodies to be bound paid for the operation of Boiler will be borne by and comply with these documents in every respect and I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these ConditionsHLL. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇Monthly ▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information shall be submitted before 5th of every month to the officer in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance charge along with the Local Government Act 2009 so that we can assess and finalise your applicationattendance statement. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.PRICE BID FORM I.A Operator 9 I.B TOTAL COST PER MONTH (31 DAYS) I.C TOTAL COST / YEAR (12 MONTHS)

DECLARATION. I HEREBY DECLARE that the above particulars are true to the best of my knowledge and belief and agree to abide by the by-laws of the society, the loan policy, and any directions of the Credit Committee, in respect of Section B above. I hereby make application authorize the necessary deductions of the Terms and conditions. 1. Nkwazi Cooperative reserves the first right to recover loans or a debt on gratuity / pension in the event termination of contract / retirement from employer. 2. We have the right to employ any person to assist us with the collection and recovery of any outstanding or overdue amount owed by you to us. If debt collectors or any other service provider are engaged all costs of recovering and collecting the debt will be passed on to the member. 3. Any outstanding principal amount of loan will continue to earn interest at prevailing interest rate for the premises set out particular loan. 4. In the event of collateral held this may be disposed at price below market price in this form for order to quickly recover debt and cost deposal will be passed on to member. 5. The board may recommend to AGM expulsion of defaulting members from general membership. 6. The Board or appointed agents may report a defaulting member to the day credit refence bureau. 7. No notice, reminder or intimation will be given to the Borrower regarding his/her obligation to pay Nkwazi Cooperative regularly on each due date. It shall entirely be his/her responsibility to ensure prompt and timely payment to the times specified Bank. 8. If false or inaccurate information is provided and fraud is identified or suspected, details may be passed to fraud prevention agencies. 9. Nkwazi Cooperative may take any action to meet Compliance Obligations relating to or in this formconnection with the detection, investigation and prevention of Financial Crime. 1. I acknowledge that I have read the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms submit this loan application to Nkwazi Cooperative Savings and Conditions of Hire Credit Society Limited and Emergency Evacuation Procedure. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me herein is true and accurate. 2. I also authorise you to make any inquiries you deem necessary for confirmation of the information contained in this application is true and correct for the purpose of credit assessment. 3. I understand that you may decline this application. 4. I confirm that I am in employment and I consent to the making have not received a Notice of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards Redundancy relative to any matters relevant stated employment. (This may not apply to those not in employment but provide collateral) 5. I have read, understood and accepted the terms and conditions. NAME OF MEMBER SIGNATURE: DATE: NAME: SIGNATURE: DATE: ◻ Current Pay slip/Stub ◻ Allotment Form FOR OFFICIAL USE ONLY Total Shares and Savings Total Loan Outstanding Frequency of Loans during the Year Amount (this application. ) New total loans will be K Member Savings x 3 = Guarantors cover amount YES/NO __________________________________ Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in Principal Amount ZMW I certify that the course of performing its activities, functions and duties. We respect application is/is not within the privacy rules of the personal information held by usSociety. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. GenerallyIf not, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.reasons:

DECLARATION. I I/ we hereby make application declare that I/we have made myself/our selves thoroughly conversant with the local conditions regarding all materials such as stones,murum,sand etc and labour on which I/we have based my /our rates for this Work. The specification ,lead & lift for this work have been carefully studied and understood by me before submitting the premises set out in this form for tender. I/we undertake to use only the day best material approved by the Engineer- in- charge or his duly representative before starting the work and to abide by his decision. I/We shall maintain /rectify the times specified in this form. I acknowledge that I have read the ▇▇▇▇entire work as per as per standard specification of P.W.D (▇▇▇ ▇▇▇▇▇ Council Terms Book ) and Conditions of Hire M.O.R T and Emergency Evacuation Procedure.H specification as soon as damage occurs up to the expiry defect liability period without putting forth any reasons. I hereby undertake to be bound pay the labourers engaged on the work as per Maharashtra Contract Labour (Regulation and Abolition rule 1971) or at the rate revised by the Competent Authority time to time applicable to the zone concerned. Sr. No. Name of Equipment No. of Unit Kind of Make Capacity Age of machinery Present Conditions Present location with name & address of organisation where machinery under use at present Whether machinery is hypothecated to any division / Bank or other institution etc. Remarks Notes :- The above machineries are readily available with me / us for use on this work Contractors :- Name :- Sr. No. Designation Name Qualification Professional Experience of work carried out Remarks Contractors :- Name :- Address :- Sr. No. Name of Work Name & address of organisation for whom the work was done Place and comply with these documents country Works in every respect and hand Works tendered for Remarks Tendered cost Cost of remaining work Anticipated date of completion Estimated cost Date when decision is expected Stipulated date or period of completion I,.............................................................. (Name of Contractor/ person,) Aged about that I further undertake to be responsible for ensuring that all individuals or groups using am the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated associationproprietor/Partner of (Name of company/firm) Registered at................... I do hereby declare that, the person signing the form must occupy a position that is legally entitled to make an application on behalf documents submitted in envelope No. 1 of the corporation or incorporated associationtender document for the Construction of Type - I Residential Quarters - 2 Nos. In making this applicationAmal Nala Fish Seed Farm at Bailampur. Tah-Korpana, I confirm all information provided is Dist-Chandrapur CHANDRAPUR are true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licencescomplete Signature of Authorised person/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, StateContractor Applicant/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.Contractor Name Address.........................................

DECLARATION. (Signed on-line during registration) I hereby make application declare that I am a Major and I am competent to execute this agreement. I hereby confirm having gone through, read and understood the above terms and conditions and that I shall abide by the same and the same is acceptable to me. A. I hereby declare that I am an Indian Citizen above 18 yrs. of age and am applying for the premises set out Consultantship of Divine Noni Family Wellness Business Marketing Plan of Wellness Noni Limited and understand that the Consultantship does not make me an employee, agent or legal representative of Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) or give me any authority to speak for contract or bind Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) or my sponsor. B. I will operate my business by buying and retailing of Divine Noni Family Wellness Business Marketing Plan products at my own expenses and by sponsoring and training others as Divine Noni Family Wellness Business Marketing Plan Consultants, to build my sales team and business. I will participate in this form team building activities of my upline's sales team and empower my sales team members to participate in team building activities by organising regular team meetings and team events. I shall also participate in local, state level, regional level and national level events, workshops and training Programmes to learn and to build Divine Noni Family Wellness Business Marketing Plan. C. I agree to participate and conduct weekly product seminars and Business training programmes for the day members of my sales team and maintain necessary records for the times specified same. D. As a Marketing / Stockist Consultant I agree to sell / retail the pack to improve the sales of the Products more specifically in this form. my region and other parts of the country. E. I acknowledge will not directly or indirectly promote, stock, market, sell or encourage any other Brand products among DivineNoni Family members or others while I am a Marketing/Stockist Consultant of Divine Noni Family Wellness Business Marketing Plan. F. I will not make any income claims, income or other representation or statements about Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) business or its products other than that are stated in Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) official literature. G. I have read the indemnify Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) against any legal liabilities arising out of unauthorized claims, representations or statements made by me. H. I agree to abide by Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) Sales and marketing plan, its code of ethics, rules policies and procedures as setforth in Divine Noni Family Wellness Business Marketing Plan literature and Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) website ▇▇▇.▇▇▇▇▇▇▇ ▇▇▇▇.▇▇▇ Council Terms and Conditions of Hire and Emergency Evacuation Procedure. Manual or any other circular/announcements that may be published on the website from time to time. I. I undertake further agree to be bound by abide and comply with these documents the rules and regulations governing my Consultantship, and accept the Divine Noni Family Wellness Business Marketing Plan which is part of this agreement and declaration. J. I hereby undertake that I will not make any claim that Divine Noni is a medicine or it is preventive or curative. I also undertake that I will not undersell the products in every respect and the market. K. I further undertake understand that my Consultantship may be revoked if I fail to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the above stated terms and conditions of the Consultant agreement, Divine Noni Family Wellness Business Marketing Plan and this declaration. L. I hereby declare that I am submitting the application is made by a corporation for Consultantship voluntarily out of my own free choice and willingness to become Divine Noni Family Wellness Business Marketing Plan (Wellness Noni Limited) Consultant without any pressure, force or incorporated associationcoercion. M. I agree that I am accepting the above and submitting my Consultantship application, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated associationagreement, Divine Noni Family Wellness Business Marketing Plan and declaration. In making I have duly signed this application, I confirm all information provided is true agreement, Divine Noni Family Wellness Business Marketing Plan and correct and I am 18declaration online electronically. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.COMPANY CONSULTANT Divine Noni Family Wellness Business Distributor's Rules & Regulations

DECLARATION. ❖ I hereby make application for am aware that participation in a retreat and ceremonies with A Whole New High involves the premises set out use of Psilocybin. ❖ I understand that taking these plants may involve emotional, psychological, and physical reactions, and I agree to take part and abide by the Terms and Conditions in this form for document and any other instructions given orally or in writing. ❖ I declare that I am choosing to participate of my own free will and have not been coerced into participating in a retreat or session by the day organisers or by any other person. The decision to participate is mine alone, and is based on my own personal assessment of the effects, the exclusion criteria, the potential risks and benefits, the focus of the ceremonies, and the times specified team of A Whole New High. ❖ The Team of A Whole New High has explained to me what to expect from the retreat or session and how it is intended to proceed. I am aware that I can ask questions about the ceremonies at any time and can change my mind about participating at any time before the ceremonies begin during the retreat or private experience. ❖ I agree to answer all questions honestly during the screening process, and understand that I must complete all medical questionnaires and respond to all follow up questions in order to participate in a retreat. I agree to provide all relevant information regarding my medical history, mental and physical health, and any other information that may serve to protect my health during this process. ❖ I have made the confidential disclosures requested by the Organiser and these are honest and accurate regarding my needs and condition(s). I understand that these will be kept in the strictest confidence. I reiterate my understanding of this by signing this form. ❖ I acknowledge accept full responsibility for participating in a retreat and in ceremonies with A Whole New High. ❖ I understand and agree that I have read can be excluded from participation in a retreat or ceremony at the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms discretion of the facilitator. This agreement is between Consciousness Rising VOG (the Organiser of A Whole New High Retreats and Conditions of Hire Ceremonies) and Emergency Evacuation ProcedureYou (the Participant). I undertake The present terms and conditions are subject to be bound by and comply with these documents the law applicable in every respect and I further undertake to the Netherlands. Consciousness Rising will not be responsible for ensuring that all individuals or groups using any change on the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions needed by the rules and they have current licences/certificates regulations approved by the Government, Parliament or Health Authorities. All the terms and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent conditions can suffer changes due to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy situation of the personal information held by uscountry regarding the pandemic COVID-19. The way in which By booking a Retreat with Consciousness Rising you agree to all of the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.following items listed:

DECLARATION. I hereby make application HEREBY DECLARE that the above particulars are true to the best of my knowledge and belief and agree to abide by the by-laws of the society, the loan policy, and any directions of the Credit Terms and conditions. 1. Nkwazi Cooperative reserves the first right to recover loans or a debt on gratuity / pension in the event termination of contract / retirement from employer. 2. We have the right to employ any person to assist us with the collection and recovery of any outstanding or overdue amount owed by you to us. If debt collectors or any other service provider are engaged all costs of recovering and collecting the debt will be passed on to the member. 3. Any outstanding principal amount of loan will continue to earn interest at prevailing interest rate for the premises set out particular loan. 4. In the event of collateral held this may be disposed at price below market price in this form for order to quickly recover debt and cost deposal will be passed on to member. 5. The board may recommend to AGM expulsion of defaulting members from general membership. 6. The Board or appointed agents may report a defaulting member to the day credit refence bureau. 7. No notice, reminder or intimation will be given to the Borrower regarding his/her obligation to pay Nkwazi Cooperative regularly on each due date. It shall entirely be his/her responsibility to ensure prompt and timely payment to the times specified Bank. 8. If false or inaccurate information is provided and fraud is identified or suspected, details may be passed to fraud prevention agencies. 9. Nkwazi Cooperative may take any action to meet Compliance Obligations relating to or in this formconnection with the detection, investigation and prevention of Financial Crime. 1. I acknowledge that I have read the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms submit this loan application to Nkwazi Cooperative Savings and Conditions of Hire Credit Society Limited and Emergency Evacuation Procedure. I undertake to be bound by and comply with these documents in every respect and I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application on behalf of the corporation or incorporated association. In making this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me herein is true and accurate. 2. I also authorise you to make any inquiries you deem necessary for confirmation of the information contained in this application is true and correct for the purpose of credit assessment. 3. I understand that you may decline this application. 4. I confirm that I am in employment and I consent to the making have not received a Notice of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards Redundancy relative to any matters relevant stated employment. (This may not apply to this applicationthose not in employment but provide collateral) 5. Applicant Signature: Date: Print Name: Position: (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects I have read, understood and manages personal information in accepted the course of performing its activities, functions terms and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policyconditions.

DECLARATION. I hereby make application for You must read the premises set out in this form for the day following statements and the times specified in this formsign below to indicate you understand your contract with VU. I If you are under 18, you must get a parent or legal guardian to sign as well. I, , acknowledge that that: (please print name here) • I have read received a letter of offer that identifies my course, the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms fees payable, OSHC costs and Conditions of Hire and Emergency Evacuation Procedureany conditions attached to the offer. • I undertake agree to be bound by and comply with these documents in every respect the conditions attached to the offer. • I understand that the written agreement, as required by the National Code of Practice 2007, between VU and I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with these Conditions. If the application is made by a corporation or incorporated associationconsists of an offer letter (outlining course content and structure), the person signing Accept Your Place booklet (outlining VU’s refund policy) and this Accept Your Offer form. • I understand my obligations under the form Education Services for Overseas Students (ESOS) Act 2000 which states that I must occupy a position that is legally entitled to make an application on behalf notify VU of any change in my Australian address within seven days for the corporation or incorporated associationduration of my enrolment. In making this application, • I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare understand that the information provided by me in this application is true and correct and that I consent provide to VU may be made available to the making Australian Government and designated authorities (see privacy statement below for further details). • I understand that this agreement, and the availability of enquiries complaints and exchange appeals processes, does not remove the right of information with the student to take action under Australia’s consumer protection laws. • the university reserves the right to alter any course, subject, admission requirement or fee without notice. • my tuition fees do not include the cost of books, study materials , field trips, visa costs or living expenses and may be subject to adjustment and annual increases. • I understand that the Letter of Offer made by VU will be withdrawn and my enrolment cancelled if I have provided any false or fraudulent information. VU will also notify the Australian Government and other authorities of the change in my enrolment, which may lead to the cancellation of my visa. • I am not a permanent resident/citizen of Australia or citizen of New Zealand accepting a Letter of Offer for a higher education course. • I must arrive at VU before the commencement of classes unless I have obtained authorised permission from VU international. • I recognise and accept any Localrecognition of prior learning (RPL) as indicated in my Letter of Offer. I understand that if I do not accept a decision to refuse RPL, State/Territory I must appeal within the time frame specified. • VU will not permit my enrolment in any course or Commonwealth department subject unless all fees have been paid in regards full by the required date. I understand that all fees will be based on the number of units I enrol in as explained in the letter of offer and are subject to any matters relevant change. • I have read and understood VU’s Accept Your Place booklet (including the Refund Policy contained in that booklet). • I have read and signed a declaration on the VU International Student Application Form and agree to this applicationabide by those conditions. Applicant Signature: Date: Print Name: Position: If you are studying an ELICOS program with VU’s English Language Institute (if company or organisation) Applicant Signature: Date: Print Name: Position: (if company or organisation) ▇▇▇), you must read and agree to the following in addition to the above. • I must complete all class work, assignments, activities and assessments in order to maintain satisfactory progress. • I cannot change institutions during the course without a written letter of release from VU. • I understand that VU can share information about my course and progress with my parents (only for students who are under 18). • I understand that VU reserves the right to: change its tuition fees and conditions; cancel or defer courses; and alter course timetables and class locations at any time without notice. • I may be required to do an additional number of weeks of study stated in my Letter of Offer after I complete a placement test on enrolment day at ▇▇▇▇ . • I will apply myself to study in order to complete the program successfully within the period as specified in my Letter of Offer, visa and ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇. • I understand that I cannot change my study program after the VU census date (31 March for Semester 1 and 31 August for Semester 2). • I understand that I am bound by all VU statutes, rules and policies. • The ▇▇▇ ▇▇▇▇▇ Council collects and manages personal information program has 20 hours of face to face lessons with up to 5 hours of supervised study in the course Self Access Centre, Multi-media Centre or Learning Commons. Signature: X Date: Parent/guardian’s signature: X Date: (If the person accepting the offer is under 18 years of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policyage.) Email address:

DECLARATION. I hereby make application I/We wish to apply for K-CARD and request that card(s) be issued (and new or renewal card(s) from time to time) for the premises set out in this form for vehicles described on the day list provided to KenolKobil Ltd. by me/us. I/ We warrant that the information given above is correct and the times specified in this formauthorize KenolKobil Ltd. to contact my/our bankers and any other party quoted above to obtain information required regarding my/our credit worthiness. I acknowledge that I I/We have read and understood the ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council Terms and Conditions of Hire Use of the K-CARD, detailed on pages 5 & 6 of this application, and Emergency Evacuation Procedure. I undertake agree to be bound by them and by any subsequent amendments, and that my/our failure to comply with these documents them will result in every respect withdrawal of the credit facilities provided. I/We understand that, in the event that I/we default on my/our credit payments, KenolKobil Ltd. may list my/our name and I further undertake to be responsible for ensuring transaction details with the Credit Reference Bureau Ltd. and that all individuals or groups using interest charges, legal expenses and debt collection fees incurred as a result of recovering the premises outstanding amounts owed will be borne: 1. Myself (Sole Proprietorship) 2. Directors ( jointly and severally) 3.The Corporation (Parastatal) I/We, the Directors/Owner(s) of the above named business/company hereby declare that I/we shall be personally/severally and jointly liable for all claims made by KenolKobil Ltd. from my/our business/company in association with respect of this Agreement that cannot be recovered directly from the business/company. We agree that KenolKobil Ltd. may proceed against me/us and my/our assets to recover any amounts due under this facility (not applicable in respect to State Owed corporations). I/ We understand that KenolKobil Ltd. has the right to decline this application shall comply with these Conditions(or to refuse to issue a card for any vehicle indicated by us) without giving any reason or entering into any correspondence. 2. If the application is made by a corporation Affix Company Seal or incorporated association, the person signing the form must occupy a position that is legally entitled to make an application Rubber Stamp: Signed for and on behalf of the corporation or incorporated association. In making Company as per details in Section A of this application, I confirm all information provided is true and correct and I am 18. By signing the Declaration you are confirming that any third party contractor operating at the event (food vendors, amusement ride businesses, hire companies etc) will comply with all requirements and terms and conditions and they have current licences/certificates and current Public Liability Insurance cover. I declare that the information provided by me in this application is true and correct and I consent to the making of enquiries and exchange of information with authorities of any Local, State/Territory or Commonwealth department in regards to any matters relevant to this application. Applicant Agreement: Name: Signature: Position (Director/Partner/Authorised Representative): Date: Print Name: Position: (if company or organisation) Applicant Signature: Position (Director/Partner/Authorised Representative): Date: Print Name: Position: (if company or organisation) ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council – Privacy Collection Notice: ▇▇▇▇▇▇▇ ▇▇▇▇▇ Council collects and manages personal information in the course of performing its activities, functions and dutiesFor KenolKobil Ltd. Use Only CREDIT WORTHINESS REVIEW 1. We respect the privacy of the personal information held by usCredit rating from other credit cards Good Bad 2. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance Credit status with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.other oil companies/petrol stations Good Bad