zilongwang/ReadingBank huggingface dataset:
Michigan Department of Transportation 0394 (10/17) WELDING PROCEDURE SPECIFICATION (WPS) To be completed by the Contractor and submitted to the Engineer for approval. Naming Convention: 0394 CS-JN YYYY-MM-DD Field Welding Plan.pdf LOCATION CONTROL SECTION Bridge Field Services Approval Block WELDING CONTRACTOR JOB NUMBER PROCEDURE # / REVISION # STRUCTURE # PREPARED BY DATE WELDING INFORMATION JOINT DETAIL MATERIAL SPECIFICATION WELDING PROCESS WELDING METHOD WELDING POSITION FILLER METAL SPECIFICATION FILLER METAL CLASSIFICATION CURRENT/POLARITY WELDING PROGRESSION ROOT TREATMENT PREHEAT SURFACES 3” IN EVERY DIRECTION FROM WELD BASE METAL THICKNESS PREHEAT TEMPERATURE < 1½” 250 F MIN 1½” TO 2½” 300 F MIN > 2½” 400 F MIN INTERPASS TEMPERATURE 650 F MAX WELDING PROCEDURE WELD INSPECTION AND TESTING PASS NO. ELECTRODE DIAMETER WELDING CURRENT TRAVEL SPEED VISUAL TESTING – 100% PENETRANT TESTING – 100% MAGNETIC PARTICLE TESTING – 100% ULTRASONIC TESTING – 100% RADIOGRAPHIC TESTING – 100% OTHER AMPERES VOLTS Approved Form 0394 must be in the possession of the welder performing the work at the jobsite. Welding is not allowed when the ambient air temperature is below 40 F or during periods of precipitation unless heating and housing the area has been approved by the Engineer.
Michigan Department of Transportation 0395 (10/17) WELDING PROCEDURE SPECIFICATION (WPS) To be completed by the Contractor and submitted to the Engineer for approval. Naming Convention: 0395 CS-JN YYYY-MM-DD Field Welding Plan.pdf LOCATION CONTROL SECTION Bridge Field Services Approval Block WELDING CONTRACTOR JOB NUMBER PROCEDURE # / REVISION # STRUCTURE # PREPARED BY DATE WELDING INFORMATION JOINT DETAIL MATERIAL SPECIFICATION WELDING PROCESS WELDING METHOD WELDING POSITION FILLER METAL SPECIFICATION FILLER METAL CLASSIFICATION CURRENT/POLARITY WELDING PROGRESSION ROOT TREATMENT PREHEAT SURFACES 3” IN EVERY DIRECTION FROM WELD BASE METAL THICKNESS PREHEAT TEMPERATURE < 1½” 250 F MIN 1½” TO 2½” 300 F MIN > 2½” 400 F MIN INTERPASS TEMPERATURE 650 F MAX WELDING PROCEDURE WELD INSPECTION AND TESTING PASS NO. ELECTRODE DIAMETER WELDING CURRENT TRAVEL SPEED VISUAL TESTING – 100% PENETRANT TESTING – 100% MAGNETIC PARTICLE TESTING – 100% ULTRASONIC TESTING – 100% RADIOGRAPHIC TESTING – 100% OTHER AMPERES VOLTS Approved Form 0395 must be in the possession of the welder performing the work at the jobsite. Welding is not allowed when the ambient air temperature is below 40 F or during periods of precipitation unless heating and housing the area has been approved by the Engineer.
TABLE TWO: PROJECT ON-SITE MITIGATION SUMMARY MITIGATION ID CREATION RESTORATION ENHANCEMENT WETLAND PRESERVE PRESERVE OTHER AREA TARGET TYPE AREA TARGET TYPE AREA TARGET TYPE AREA TYPE AREA TYPE AREA TARGET TYPE PROJECT TOTALS COMMENTS: CODES (multiple entries per cell not allowed): Target Type or Type = target or existing habitat type from an established wetland classification system or land use classification for non-wetland mitigation
Insert Sheet (This page should only be completed if the Beneficial Ownership Act 2017 does not apply to the legal entity) Where the Beneficial Ownership Act 2017 does not apply to a legal entity please complete the following confirmation statement (Note 1). The Beneficial Ownership Act 2017 does not apply to this legal entity because – The Company is listed on a stock or investment exchange recognised by the Treasury (Note 2); The Company is a wholly owned subsidiary of a legal entity listed on a stock or investment exchange recognised by Treasury, where the disclosure obligations on the legal entity include beneficial ownership information in respect of the entity and its subsidiaries; The company is one to which an Order made by the Treasury under section 5(4) of the Beneficial Ownership Act 2017 applies (Note 3). The Order is: ………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………….. and I confirm that the Order applies to the Company. Full Name _________________________________________ Date________________________ Signed _________________________________ Director/Secretary/Authorised Signatory* * please delete as appropriate NOTES 1. Section 5(2) of the Beneficial Ownership Act 2017 lists the entities to which that Act does not apply. 2. Section 5(3) of that Act specifies that “an exchange is “recognised” if its name or another suitable description of it is published by the Treasury in such manner as the Treasury determines”. 3. Section 5(4) of the Beneficial Ownership Act 2017 allows the Treasury to amend the list of entities in section 5(2) to which that Act does not apply. If the Treasury has added to the list, details of the relevant Order and confirmation that the Order applies to the Company should be included.
Voluntary reporting in 2014 NOT so much in 2016! New Form 1095-C Employers who have over 50 or more full time employees will be required to take some new actions. Those employers must file information returns with the IRS. They will also have to provide statements to all full-time employees about health coverage the employer has offered or to show the employer did not offer any form of coverage. In order to be ready to report the correct information to the IRS and issue the new Form 1095-C to employees, you will need to know the following: Who are the full-time employees for each month, track health coverage information in 2015 to help complete new IRS forms. (a full-time employee is an employee who is employed on average, of at least 30 hours of service per week ( or at least 130 hours of service in a calendar month) Is your company/ firm “considered” large? Do you have 50 + full- time employees? What type, if any health insurance coverage have you offered your employees? We can assist you with answering all questions and determining how to processed with the filing of Form 1095-C. Let us ease your January Tax’s blues, call us or email today so we can set up a free consultation to discuss any and all questions you may have. Judy Keith-Wynn 702-372-0027
4. EXISTING BORROWING OF APPLICANT/GROUP OF ENTITIES WITH PARENT- SUBSIDIARY RELATIONSHIP IN MALAYSIA Applicant (Based on latest management account as at __________ (dd/mm/yyyy) Group of Entities With Parent- Subsidiary Relationship (Based on audited account as at ___________ (dd/mm/yyyy) if latest management account is not available) Limit (RM) Outstanding (RM) Limit (RM) Outstanding (RM) Borrowing obtained from: Non-resident in Foreign Currency Non-resident in Ringgit (EA) Resident bank in Foreign Currency Resident non-bank in Foreign Currency Resident in Ringgit Sub-total Financial guarantees obtained from offshore financial institutions other than offshore banks Total 5. REPAYMENT/PREPAYMENT OF EXISTING OFFSHORE BORROWING (Only applicable if the purpose of borrowing is to repay or prepay other offshore borrowing) Details of borrowing to be repaid/prepaid Loan ID (if applicable) Approval date Currency Amount outstanding as at ……………… (dd/mm/yyyy) Amount to be repaid/prepaid Reason(s) for obtaining the offshore borrowing for repayment/prepayment (Please provide attachment, if necessary)
2nd half Exact date (if available) 2 1st half 2nd half Exact date (if available) 3 1st half 2nd half Exact date (if available) 4 1st half 2nd half Exact date (if available) 5 1st half 2nd half Exact date (if available) 6 1st half 2nd half Exact date (if available) 7 1st half 2nd half Exact date (if available) 8 1st half 2nd half Exact date (if available) 9 1st half 2nd half Exact date (if available) 10 1st half 2nd half Exact date (if available) Grand total Note: “1st half” refers to the first 15 days and “2nd half” subsequent 15 days. If exact date is known please indicate in the given column. Grand total should tally with amount applied All amounts should be reported in full value. If remittance schedule covers period longer than specified above, please provide additional attachment using similar format PROPOSED DRAW DOWN SCHEDULE FOR OFFSHORE BORROWING Draw down dd mm yyyy Currency Amount (RM equivalent) 1 1st half 2nd half Exact date (if available) 2 1st half
2nd half Exact date (if available) 3 1st half 2nd half Exact date (if available) 4 1st half 2nd half Exact date (if available) 5 1st half 2nd half Exact date (if available) 6 1st half 2nd half Exact date (if available) 7 1st half 2nd half Exact date (if available) 8 1st half 2nd half Exact date (if available) 9 1st half 2nd half Exact date (if available) 10 1st half 2nd half Exact date (if available) 11 1st half 2nd half Exact date (if available) 12 1st half 2nd half Exact date (if available) Grand total Note: “1st half” refers to the first 15 days and “2nd half” subsequent 15 days of the month. If exact date is known please indicate in the given column. Grand total should tally with amount applied All amounts should be reported in full value. If remittance schedule covers period longer than specified above, please provide additional attachment using similar format TERMS & CONDITIONS OF BORROWING Type of borrowing Term loan Revolving credit Advance / Inter-company loan
Child & Adult Care Food Program DAILY ATTENDANCE AND MEAL COUNT ROSTER (A) FORM TYPE (check only one):  Daily Attendance  Breakfast  Am Snack  Lunch  Pm Snack  Supper  Eve Snack (B) MONTH & YEAR: ____________________________ (C) CALENDAR DATES: (D) FIRST & LAST NAMES: M TU W TH F M TU W TH F M TU W TH F M TU W TH F M TU W TH F (F) TOTALS: (E) DAILY TOTALS: _________________________________________________ ___________________________ Signature Date
Build new plants/production lines Purchase of land & buildings Working capital- e.g. administrative expenses, salaries, utilities Others (Please specify) Sub-total Total 4. EXISTING BORROWING OF APPLICANT/ GROUP OF ENTITIES WITH PARENT-SUBSIDIARY RELATION IN MALAYSIA Applicant (Based on latest management account as at ____________ (dd/mm/yyyy) Group of Entities With Parent- Subsidiary Relationship (Based on audited account as at __________(dd/mm/yyyy) if latest management account is not available) Limit (RM) Outstanding (RM) Limit (RM) Outstanding (RM) Borrowing obtained from: Non-resident in foreign currency Non-resident in ringgit (EA) Resident bank in foreign currency Resident non-bank in foreign currency Resident in ringgit Financial guarantees obtained from offshore financial institution other than banks Total
TERMS AND CONDITIONS OF REDEEMABLE PREFERENCE SHARES (RPS) Type of RPS Cumulative RPS Others (please specify): ………………………… Participation in profits of company: Participating Non-participating Main terms of RPS No. of units to be issued Par value Issue price per unit Dividend rate ________% per annum Tenure Fixed ______Year(s) ______Month(s) No fixed tenure Option/convertibility etc. Convertible/exchangeable Call option/early redemption by issuer Put option by holder Period for Option/convertibility can be exercised : Start date _____________ (dd/mm/yyyy) End date _____________ (dd/mm/yyyy) Terms for Option/convertibility can be exercised: (Please describe) ___________________________________________ ___________________________________________ Cross default clause Yes No Particulars of non-resident subscribers (Please complete Schedule D) Name Country Amount (RM) Proposed currency of Subscription Redemption
PROPOSED SUBSCRIPTION SCHEDULE FOR REDEEMABLE PREFERENCE SHARES (RPS) Subscription Schedule dd mm yyyy (RM equivalent) 1 1st half 2nd half Exact date (if available) 2 1st half 2nd half Exact date (if available) 3 1st half 2nd half Exact date (if available) 4 1st half 2nd half Exact date (if available) 5 1st half 2nd half Exact date (if available) 6 1st half 2nd half Exact date (if available) 7 1st half 2nd half Exact date (if available) 8 1st half 2nd half Exact date (if available) 9 1st half 2nd half Exact date (if available) 10 1st half 2nd half Exact date (if available) 11 1st half 2nd half Exact date (if available) 12 1st half 2nd half Exact date (if available) Grand Total Note: “1st half” refers to the first 15 days and “2nd half” subsequent 15 days of the month. If exact date is known please indicate in the given column. Grand total should tally with amount applied All amounts should be reported in full value. If remittance schedule covers period longer than specified above, please provide additional attachment using similar format
Helicopter operations to/from a public interest site Helicopter operations over a hostile environment located outside a congested area (CAT.POL.H.420) Helicopter operations without a safe forced landing capability Helicopter offshore operations (National requirements until 01/07/18) NAME & Signature of the Accountable Manager : Date of signature (dd/mmm/yyyy) : NAME & Signature of the Compliance Monitoring Manager : Date of signature (dd/mmm/yyyy) : Number of attached annexes : 1 Curriculum vitae form (BCAA Procedures form 1118) completed to be annexed 2 Fill in only for changed document/situation or N/A
Republic of the Philippines DEPARTMENT OF EDUCATION Region 02 DIVISION OF CAUAYAN CITY Telefax (078)-652-1614 or call (078)897-1633 E-mail Address: deped_cauayancity@yahoo.com OBJECTIVES Weight per KRA PERFORMANCE INDICATORS 5 4 3 2 1 Accounted for learning outcomes viz-a-viz goals and targets at the end SY 2016-2017 *** * For school that obtained 75 and above NAT MPS **For schools below 75 NAT MPS Zero non-readers Zero Dropout rate Performed “one-teacher a day” instructional supervision 3% *Achieved / sustained 75 and above NAT MPS 70-74 % NAT MPS 65-69 NAT MPS 60-64 NAT MPS Below 60 NAT MPS ** Increased 5 % and above of the total MPS Increased 1-5 % of the total MPS Latest MPS Decreased 1- 5 % Decreased below 5 % 2% 0 non-reader 1-2 % non-reader 3-5 % Non-reader 6-10 % Non-reader Above 10 % Non-reader 5% 0 dropout rate 1-2 % dropout rate 3-5 % dropout rate 6-10 % dropout rate Above 10 % 10% 20 teachers / month with mentoring and/or coaching/TA 15-19 teachers/month with mentoring and or coaching TA 10-14 teachers/month with mentoring and or coaching TA 5-9 teachers / month with mentoring and/or coaching/ TA 1-4 teachers/month with mentoring and/or coaching/ TA
Achieved Level II, Stage 1 SBM Practice @ the end of the SY Liquidated MOOE and other finance of the school @ the end of the SY 2016 Achieved Level II Stage 1 Liquidated 100% of the total amount of SY 2016 MOOE and other financial matters Achieved Level I Stage 3 Liquidated 90% of the total amount of SY 2016 MOOE and other financial matters Achieved Level I Stage 2 Liquidated 80% of the total amount of SY 2016 MOOE and other financial Achieved Level I Stage 2 Liquidated 70% of the total amount of SY 2016 MOOE and other financial matters Started Organizing Liquidated 60% of the total amount of SY 2016 MOOE and other financial matters
TASMANIA MAGISTRATES COURT (CIVIL DIVISION) FORM 13 NOTICE OF PAYMENT INTO COURT MAGISTRATES COURT ACTION No. . Address: Phone No: Fax No: CLAIMANT: DEFENDANT: To: . TAKE NOTICE that the . ………………………………………………… has paid into ( Claimant / Defendant / Third Party / etc. ) Court the sum of $. in full and final settlement of his / her/ its liability to the ....………………………………………………...... in this action. ( Claimant / Defendant / Third Party / etc. ) The amount stated above includes* / does not include* an amount in respect of costs. This payment into Court is made with* / without* an admission of liability. Dated:...................................Signed............................................................................................ * Delete whichever is inapplicable Filed by or on behalf of ..................…………...............................................whose address for the service of documents is: .......................................................................... Phone: Fax: DX: Contact:
INFORMATION ABOUT INTERESTED PERSONS AND OTHERS TO CONSULT Family member or friend Name Address Telephone Anyone named by the person as someone to be consulted about their welfare Name Address Telephone Anyone engaged in caring for the person or interested in their welfare Name Address Telephone Any donee of a Lasting Power of Attorney granted by the person Name Address Telephone Any Personal Welfare Deputy appointed for the person by the Court of Protection Name Address Telephone Any IMCA instructed in accordance with sections 37 to 39D of the Mental Capacity Act 2005 Name Address Telephone
REQUEST FOR AN EXTENSION TO THE URGENT AUTHORISATION If Supervisory Body is unable to complete the process to give a Standard Authorisation (which has been requested) before the expiry of the existing Urgent Authorisation An Urgent Authorisation is in force and a Standard Authorisation has been requested for this person. The Managing Authority now requests that the duration of this Urgent Authorisation is extended for a further period of DAYS (up to a maximum of 7 days) It is essential for the existing deprivation of liberty to continue until the request for a Standard Authorisation is completed because the person needs to continue to be deprived and exceptional reasons are as follows (please record your reasons): Please now sign, date and send to the SUPERVISORY BODY for authorisation Signature Date RECORD THAT THE DURATION OF THIS URGENT AUTHORISATION HAS BEEN EXTENDED This part of the form must be completed by the SUPERVISORY BODY if the duration of the Urgent Authorisation is extended. The Managing Authority does not complete this part of the form. The duration of this Urgent Authorisation has been extended by the Supervisory Body. It is now in force for a further days Important note: The period specified must not exceed seven days. This Urgent Authorisation will now expire at the end of the day on: SIGNED (on behalf of the Supervisory Body) Signature Print Name Date Time
VII. Current/Past Interventions Please check all current and/or past interventions attempted with student, and list result: Environment Teaching Techniques Intervention Outcome Intervention Outcome Clarify rules Change seating Reduce distractions Change class activities Change groups Increased physical space Special quiet/time-out area Modify schedule Add structure Vary voice volume Use hand on shoulder contact Reduce stimulation Teacher circulates around room Repeat instruction same way Designate activities Use behavior modification Use visual aids Activities Miscellaneous Intervention Outcome Intervention Outcome Simplify Shorten Individual contracts Buddy system Notebooks for assignments Alt assignment structure Use of tape recorder Review cum folder Keep work samples Assessment results Parent contact Referral to counselor Referral to office Referral to (specify): Instruction Program Materials Intervention Outcome Intervention Outcome Cooperative learning Individualized instruction Health awareness Guidance lesson Small group Other (specify): Use varied materials Tapes Soft music Play activities Computer Books/stories Completed by: __________________________________________________ ____________ Teacher / Staff Signature Date
DEPRIVATION OF SAFEGUARDS FORM 1 REQUEST FOR STANDARD AUTHORISATION AND URGENT AUTHORISATION Request a Standard Authorisation only (you DO NOT need to complete pages 6 or 7) ☐ Grant an Urgent Authorisation (please ALSO complete pages 6 and 7) ☐ Full name of person being deprived of liberty Sex : Date of Birth (or estimated age if unknown) Est. Age : Relevant Medical History Sensory Loss Communication Requirements Name and address of the care home or hospital requesting this authorisation Telephone Number Person to contact at the care home or hospital, (including ward details if appropriate) Name Telephone Email Ward (if appropriate) Present address of the person, (if different to above) Telephone Number Name of the Supervisory Body where this form is being sent How the care is funded Local Authority please specify ☐ NHS ☐ Local Authority and NHS (jointly funded) ☐ Self funded by person ☐ Funded through insurance or other ☐ REQUEST FOR STANDARD AUTHORISATION
Certificate/Duty Counsel Guaranteed Daily Rate Account Page 2 As duty counsel I assisted the following persons: Please print legibly or type Name Does client identify as First Nation, Métis, Inuit? Date of Birth Financial Eligibility Service 1 Service 2 Service 3 (Surname, First Name) Yes No Not Asked (mm/dd/yyyy) Eligible Not Eligible Newly Eligible No Test Insert up to 3 service numbers from Legend, include 0 for services 01 – 09
FORM 29 INQUIRY BY EMPLOYER TO ESTABLISH WHETHER PERSON’S NAME APPEARS IN PART B OF NATIONAL CHILD PROTECTION REGISTER (Regulation 44) [SECTION 126 OF THE CHILDREN’S ACT 38 OF 2005] TO: The Director-General Department of Social Development Private Bag X901 0001 Dear Sir / Madam In terms of section 126 of the Children’s Act, 38 of 2005, I Paul Vernon Hooper, (full names and surname) wish to inquire whether the name of a person in my employ or that I wish to employ appears in Part B of the National Child Protection Register. A certified copy of one of the following documents is attached as verification of my identity (mark with an “x”): □ birth certificate (only if not in possession of identity document or passport) □ identity document X □ passport In the event that his/her name is included in Part B of the Register kindly furnish reason why this was done. Please note that section 126 of the Act requires you to respond to this inquiry within 21 working days. Name of business : The Homestead Projects for Street Children Physical address of business : 150 Strand Street, Cape Town, Western Cape Postal address of business : P O Box 21538, Kloof Street 8008 Telephone numbers of business : 021 4199763/4 Position held or to be held by person: Personal details of person employed or to be employed. Full names : Surname : Physical address : Postal address : Telephone number : Alias or nickname : ID number : Passport number : Yours sincerely (Signature) (Date)
Ethylene dibromide Formaldehyde Furfural Guthion Isoprene Isopropanolamine Kelthane Kepone Malathion Mercaptodimethur Methoxychlor Methyl mercaptan Methyl methacrylate Methyl parathion Mevinphos Mexacarbate Monoethyl amine Monomethyl amine Naled Napthenic acid Nitrotoluene Parathion Phenolsulfonate Phosgene Propargite Propylene oxide Pyrethrins Quinoline Resorcinol Stronthium Strychnine Styrene 2,4,5-T (2,4,5-Trichlorophenoxyacetic acid) TDE (Tetrachlorodiphenyl ethane) 2,4,5-TP [2-(2,4,5-Trichlorophenoxy) propanoic acid] Trichlorofan Triethylamine Trimethylamine Uranium Vanadium Vinyl acetate Xylene Xylenol Zirconium
What is the meeting registration fee per learner/person? Is Exhibit space available at this activity? What is the cost per exhibit space/booth? Contact Information regarding exhibits (Name, Email, Phone No.) $ Yes No $ Target Audience Expected Attendance Geographic reach MD/DO National Regional State Local PharmD PhD Physician Assistant Nurse Practitioner RNs Medical Technologists Other Medical Professionals Session or Content Outline – must include speaker names and credentials/qualifications CME Activity Description
Child’s Name_______________________ sign _______________date_________reason______________
Firearm Make and Type Serial No. Calibre Target Discipline 3 occasions in the last 12 months? 10B.6 10B.7 10B.8 Part B continued Firearms that you wish to purchase or acquire for target use on approved ranges. Firearm Make and Type Serial No. Calibre Target Discipline Have you used club firearms in this discipline? 3 occasions in the last 12 months? 11B.1 11B.2 11B.3 Part C Club declaration: I confirm that the above named is a full member of this club and has served a 12 month probationary period. (see below*) I confirm that this club is authorised for the use of the firearms listed at 10 and 11 above. I confirm that the statements of discipline participation are confirmed by club records. I support this applicant’s use of the firearms listed at 10 and 11 above. Club Official Signature: Date: *If you are prepared to waive the 12-month probationary period please state your reasons for doing so below. Club Official Signature:
The Evaluation Section A – Details of the Child and their Setting Consortia Number: Name of Child: Date of Birth: Name of setting: Name of person completing this form: Role of person completing this form: Contact number of person completing this form: Email address of person completing this form: Section B: Baseline Assessment Please provide the original assessment information given within the application form for the funding referred to in this evaluation: Date Child’s age in months Communication & Language Physical Development Personal, Social & Emotional Listening & Attention Understanding Speaking Social Moving & Handling Health & Self care Self Confidence awareness Managing feelings behaviours Making Relationships Birth – 11 months 8-20 months 16-26 months 22-36 months 30-50 months 40-60 months E.L.Goal
FORM 4311 / INDUSTRIAL SECURITY APPROVAL OR ACCESS REQUEST RETURN MAILING ADDRESS: TYPE OF ACTION: INITIAL REINVESTIGATION CROSSOVER CANCELLATION BADGE RENEWAL TERMINATION OTHER (INCLUDE DESCRIPTION IN COMMENTS SECTION) LEVEL OF ACCESS: FACILITY ACCESS AUTHORIZATION LIMITED (FAA/L) ISA/S ISA/TS ISSA/TS ADD NO-ESCORT BADGE (FOR ISSA/TS ONLY) CDCG PERSONNEL CLEARANCE LEVEL: ISA/S ISA/TS ISSA/TS DOES SUBJECT HAVE A CLEARANCE HISTORY? YES NO UNKNOWN COMMENTS: FORM 4311 MAY 2009 PREVIOUS EDITIONS OBSOLETE
Pattern 7 Pattern 8 PATTERN 7 1. Proceed to end of arena. Run down in the middle of the arena, past end marker and come to a sliding stop. Hesitate. 2. Complete ¼ turn to the right, pick up right lead, and make one large, fast circle and one small, slow circle. Stop. 3. Complete 2¼ spins to the right. Hesitate. 4. Run down to end of arena, past end marker and come to a sliding stop. Hesitate. 5. Complete ¼ turn to the left, pick up left lead and make one large, fast circle and one small, slow circle. Stop. 6. Complete 2 spins to the left. Hesitate. 7. Pick up left lead to make one figure eight, change in center of arena to right lead. Proceed back to center of arena and change leads to the left. Close circle, stop. 8. Back 10-15 feet. 9. Hesitate to complete pattern. PATTERN 8 1. Start in center of arena and complete 3 spins to the right. Hesitate. 2. Begin on right lead, complete one circle to the right, change leads to the left, close this circle and stop. 3. Complete 3 spins to the left. Hesitate. 4. Begin on left lead, circle to the left, change leads to the right. 5. Do not close this circle. Run straight down side of arena approximately 20 feet from the fence, past end marker and come to a sliding stop. 6. Complete 1½ spins to the left. 7. Continue back down side of arena approximately 20 feet from fence, around end of arena (horse should be on the left lead at this point). Run straight down other side of arena approximately 20 feet from fence, past end marker and come to a sliding stop. 8. Complete 1½ spins to the right. 9. Continue back down side of arena approximately 20 feet from fence, around the end of arena (horse is to be on the right lead at this point). Run straight down middle of arena, past middle marker and come to a sliding stop. 10. Back 10-15 feet. 11. Hesitate to complete pattern.
COURSES Course #1: (see Figure 1) Enter at a trot Trot through 10-foot square (four [4] cones) Trot a serpentine of four (4) cones (25’apart) Walk with right wheel(s) between poles (6”–8” apart) (A) (B) Trot a figure-eight Walk with left wheel(s) between poles 3 B A 30’ 5 8 Walk a serpentine Walk into square, stop with wheels (front) between front cones, back four (4) steps, return to forward position Stand quietly until dismissed by judge or ringmaster 9 25’ 7 2 6 4 - - - - - Cone Course #2: (see Figure 2) Enter at a trot Trot through two (2) pairs of cones (10’ square, CDEF) Trot a figure-eight (go to the left cone first) Trot a serpentine of five (5) cones (25’ apart) Walk with right wheel(s) between poles (6”–8” apart) 25’ 1 1 Figure 1 Precision Driving Standard Course #1 4 3 2 E C Walk to top of four (4) cone square (CDEF) pivot 90 degrees to the right, back to the farthest set of cones (EF), stand ten
UCPR 4.5(3) apply. State "as above" if the filing party’s address for service is the same as the filing party's address stated above.] [suburb/city] [state/territory] [postcode] #Telephone #Fax #Email
Child and Adult Care Food Program DAILY INFANT MEAL RECORD Date: NAMES: BREAKFAST AM SNACK LUNCH or SUPPER PM SNACK Birth through 5 months old BM MN PF CF Breast Milk or Formula 4-6 oz. Breast Milk or Formula 4-6 oz. Breast Milk or Formula 4-6 oz. Breast Milk or Formula 4-6 oz. NAMES: BREAKFAST AM SNACK LUNCH or SUPPER PM SNACK 6 through 11 months old BM MN PF CF Breast Milk or Formula 6-8 oz. Infant Cereal 0-4 T. and/or Meat/Meat Alternates 0-4 T. Vegetable, Fruit or both 0-2 T. Breast Milk or Formula 2-4 oz. Bread slice 0-1/2; or Crackers 0-2; or Infant cereal or Cereal 0-4 T. Vegetable, Fruit or both 0-2 T. Breast Milk or Formula 6-8 oz. Infant Cereal 0-4 T. and/or Meat/Meat Alternates 0-4 T. Vegetable, Fruit or both 0-2 T. Breast Milk or Formula 2-4 oz. Bread slice or Crackers 0-2; or Infant cereal or Cereal 0-4 T Vegetable, Fruit or both 0-2 T.
FORM 4: VISA APLICATION FORM FEDERATION: Arrival Date: Departure Date: We will apply for the Visas at ________________Embassy in__________________(City/Country). Surname First Name Position Date of Birth Place of Birth Nationality Passport Nº Date of Issue Date of Expiry This form must be returned to the Portuguese Judo Federation () before 29th December 2017. Date: __/__/__ Head of the Delegation's Signature & Federation's Stamp:
_______________________________ Signature of Defendant’s Attorney _______________________________ Typed Name and Bar Number
ALABAMA COMMISSION ON HIGHER EDUCATION Form and Instructions for the Submission of Reasonable Extensions to Existing Programs: New Options, Tracks, Specializations, and Concentrations Commission Review of Extensions to Be Added to Existing Programs: Proposals for new options, tracks, specializations, and concentrations, etc., to be added to existing programs are reviewed as substantive extensions under the Commission’s “Guidelines for the Review of Extensions and Alterations of Existing Programs.” The purpose of the Commission’s review and decision on a proposed extension is to insure that it is reasonable in the context of the existing program and in terms of its impact. Note: An option, track, specialization, concentration, focus, or emphasis will not be identified separately in the Commission’s Academic Program Inventory, and the institution may not identify it as a degree program. The Commission’s Definitions Related to Extensions/Alterations: Reasonable Extension or Alteration of a Unit or Program of Instruction: Modification of an existing unit or program of instruction which does not change its essential character, integrity, or objectives. Such modifications do not create new units or programs of instruction. Program changes may include reasonable extensions such as the addition of a new area of specialization (concentration, option, emphasis, focus, track), or reasonable alterations such as a change in degree nomenclature at the same degree level (except doctoral), or a change in program title or CIP code, provided these modifications are within the Commission guidelines. Provisions for reasonable extensions or alterations of units or programs of instruction do not relate to the addition of off-campus sites or adding any new unit or program. Extensions and alterations are either non-substantive or substantive. Non-substantive extensions/alterations require Commission notification by information item. Substantive extensions/alterations require Commission approval. Specialization, Concentration, Option, Focus, Track, Emphasis: Synonymous terms that represent a specified group of courses within a program of instruction. For additional information, refer to the “Guidelines for the Review of Extensions and Alterations of Existing Programs” for details. The Guidelines are available on the Commission’s website at the following address: . Specific sections of the guidelines related to this topic are attached to this document, pages 5-6. The following form is for the submission of any proposed option, specialization, track, concentration, emphasis, or focus. Each proposed extension must be submitted in a separate document.
Details of export proceeds to be net-off No. Invoice no. Shipment date (dd/mm/yyyy) Latest known full value of goods to be received/ deemed to be received Date of payment due to be received & repatriated (dd/mm/yyyy) Amount to be net-off Currency Amount RM equivalent Currency Amount RM equivalent Total
Instructions: Form 5 must be completed for each EL/Civics grant submitted. All individuals who wrote part or the entire submitted grant must be listed. For each individual all sections must be filled out. Name: Title: Contributed Part(s): Email address:
TERMS & CONDITIONS OF LOAN Interest Effective Date Interest Type Interest Reference Interest Reference Tenure Interest Rate/Spread Interest Range Tenure of loan Fixed ____Year(s)____Month(s) No fixed tenure Repayment schedule Fixed schedule No fixed schedule Year Currency (in foreign currency [FC] and RM equiv) Amount Principal Interest/ profit Total 1 FC RM 2 FC RM 3 FC RM Balance for remaining years FC RM
Notice Change of address or contact details Form 79 Change your details online Instead of using this form, change your details online at: www.commerce.wa.gov.au/building-commission/change-your-contact-details-online Use of this form If the online service is not for you, use this form to notify the Plumber’s Licensing Board of a change in a licence or permit holder’s contact details. Post the signed form to Locked Bag 14 Cloisters Square WA 6850, fax to 08 6251 1501 or email to plumbers@commerce.wa.gov.au. Licence or permit Please complete a separate form for each licence or permit holder. Licence or permit number Plumbing contractor’s licence Tradesperson’s licence Tradesperson’s licence (drainage plumbing) Provisional tradesperson’s licence Provisional tradesperson’s licence (drainage plumbing) Restricted plumbing permit License or permit holder Salutation Mr Mrs Ms Other please specify Family name First name Other name(s) Date of birth Address a street address, not a post office box. Street Suburb State Postcode Postal address if different to address above. Street or PO Box Suburb State Postcode Contact details – not published in the register. Phone (home) Phone (work) Phone (mobile) Fax Email Date of effect Preferred date of effect of this notice / / or effective immediately. Signed by the licence or permit holder Signature Date
Signature:___________________________ Date:________________________
Patents Form 7 Patents Act 1977 (Rule 10) Statement of inventorship and of right to grant of a patent Your reference Patent application number (if you know it) Full name of the or of each applicant Title of the invention State how the applicant(s) derived the right from the inventor(s) to be granted a patent How many, if any, additional Patents Forms 7 are attached to this form? (see note (c)) I/We believe that the person(s) named over the page (and on any extra copies of this form) is/are the inventor(s) of the invention which the above patent application relates to. Signature Date Name, e-mail address, telephone, fax and/or mobile number, if any, of a contact point for the applicant. Notes a) If you need help to fill in this form or you have any questions, please contact the Office on 0300 300 2000. b) Write your answers in capital letters using black ink or you may type them. c) If there are more than three inventors, please write the names and addresses of the other inventors on the back of another Patents Form 7 and attach it to this form.
Students on Continuing Terminal Probation as of the end of Spring 2015 are required to complete and submit this form each semester while still subject to dismissal based on the current semester’s grades. Step I Develop an initial plan for continued success and improvement. Step II Meet with your academic advisor to discuss your plan. Step III When you have agreed upon your plan of action, complete and sign the form. NOTE: Both you and your advisor need to sign the form. Step IV Submit the form to the Office of the Vice Provost for Undergraduate Education, LC-30, by Friday, October 2nd, 2015. Students who do not submit the form will have a hold placed on their Winter and Spring 2016 registrations. Note: Summer Sessions classes do not have any impact on your academic status as of the end of the Spring ‘15 semester or on the necessity to submit this form. NAME___________________________________________________________ ID#____________________ Describe what circumstances you believe contributed to your academic success this past semester. Please attach additional pages if you feel you need to do so. Describe the steps you will be taking to continue this success. Remember that you will again need to have a semester grade point average at 2.00 or higher to remain at the University. State the arrangements you have made to resolve “I” grades. Explain what remains to be done and the dates by which it will be done. When possible, include a statement from the instructor to substantiate this. When grade changes or resolved “I” grades raise your average significantly, your academic standing does not change automatically. You must request that it be recalculated by the Vice Provost’s Office. This form remains due by the stated deadline. Student Signature Advisor Name (print) Advisor Signature date THIS FORM MUST BE RETURNED TO: Office of the Vice Provost and Dean for Undergraduate Education 30 University at Albany DEADLINE: Friday, October 2nd, 2015
Please provide details of the shares/assets swap and/or reason for conversion of loan into equity 8. DETAILS OF LOAN TO BE CONVERTED INTO EQUITY Loan ID No. (If any) Approval date (If any) Outstanding Currency Amount RM equivalent 9. BENEFITS TO MALAYSIA (Please describe in detail. Provide attachment, if necessary) 10. SHAREHOLDERS’ FUNDS OF APPLICANT AND GROUP OF ENTITIES WITH PARENT- SUSIDIARY RELATIONSHIP IN MALAYSIA as at _______________________(dd/mm/yyyy) (Based on latest audited accounts) Company (Applicant) Group Of Entities With Parent-Subsidiary Relationship (Consolidated) (RM) (RM) Paid-up capital _______________ ______________ Share premium _______________ ______________ Capital revaluation reserves _______________ ______________ Revenue reserves/(losses) _______________ ______________ Others ________________ ______________ Shareholders’ funds =============== ==============
Research Team – Other Investigator / Student / Staff 8.2. Name of Investigator/Student/Staff: Procedures (including but not limited to surgery, anaesthesia, euthanasia, capture methods) Species Involved Current experience and/or training required Investigator Competent or Not Yet Competent? Training completed and now competent 1. Animal handling Rabbits General husbandry experience – at least weekly over last 2 years Competent Not applicable Intraperitoneal injections Mice No experience. Chief Investigator to provide specific training & supervision. Not Yet Competent To be advised 8.3. Name of Investigator/Student/Staff: Procedures (including but not limited to surgery, anaesthesia, euthanasia, capture methods) Species Involved Current experience and/or training required Investigator Competent or Not Yet Competent? Training completed and now competent 1. Animal handling Rabbits General husbandry experience – at least weekly over last 2 years Competent Not applicable Intraperitoneal injections Mice No experience. Chief Investigator to provide specific training & supervision. Not Yet Competent To be advised Note: Copy and insert additional entries or delete superfluous rows as required. List of Procedures 8.4. Describe the Procedures to be used in this project Name of Procedure Outline of Procedure Note: Copy and insert additional entries or delete superfluous rows as required. Details of Standard Operating Procedures (SOP)
Department of Materials Apparatus Risk Assessment Form Outline of Work/Activity: Review date: Location: Assessor Name: Signature: Date: Authorised By: Signature: Date: Hazard Who Might Be Harmed? Existing Control Measures What Further Action is Required? By Whom/When?
Form – Expression of interest: potential outside counsel to Board Staff * Indicates required information Once completed, please submit this form to (For internal use only) Registration No. Amendment Applicant Information * Date prepared * Name of attorney * Year of call of attorney(s) * Telephone number (555-555-5555) Extension * Email (name@example.com) * Address * City * Province / State * Postal code * Country * Official Language(s) in which the attorney has the capacity to provide legal services (Select: English, French) * Brief description (limit: 250 words) of attorney’s relevant legal experience qualification to act as Outside Board Staff Counsel – can be attached as a separate document * CV of Attorney(s) – can be attached as a separate document * Signature(s) of registrant(s) Reference Information * Name of contact person * Telephone number (555-555-5555) Extension * Email (name@example.com)
Date: ____________________ Site Plan Drawing Area Approved □ Not Approved □ Must be submitted with Soil Erosion Application Project Address: Owner Name: Site plan must include the following: Parcel Number: Owner Mailing Address: Lot dimensions and area North Arrow Roads, ROW & Easements All buildings with sizes Building setbacks Utilities (gas, elect, etc.) Bodies of water w/setback Well\Septic\Sewer system Lot coverage Driveway & parking areas Zoning District: Township: Owner Phone: Lot Size: Project Type: Scale: Date Drawn:
Coordinating beneficiary Profile Information Short Name Participant ref. CO Legal information on the Coordinating beneficiary Legal Name Legal Status VAT No Public Private Natural person Legal Registration No Registration Date International organisation Legal address of the Coordinator Street Name and No PO Box Post Code Town/City Country Code Country Name Coordinator contact person information (only if different to above) Title Function Surname First Name Department / Service Name Street Name and No PO Box Post Code Town/City Country Telephone No Fax No E-mail Website Coordinator details Number of employees Number of employees in department conducting project Is the entity independent (Yes or No) If No, please indicate legal name(s) of owner(s) who own 25 % or more Is the entity affiliated to any other participant(s) in the project? (Yes or No) If Yes, please indicate Participant Short Name(s) and character of affiliations(s) Brief description of the structure and the activities of the Coordinating beneficiary Form A5 ASSOCIATED BENEFICIARY PROFILE (Complete for each Associated Beneficiary)
Section acronym Section nº Technical description of the full-proposal Maximum characters allowed Scientific and/or technological excellence OBJECTIVES 1.1. Objectives with detailed account of their relationship to the call topic and expected impact 4000 METHODOLOGY 1.2. Research methodology and approach, highlighting the type of research and innovation activities proposed 4000 PROGRESS 1.3 Current state of art and progress beyond the originality and/or innovation of the concept and approach (if applicable, indicate start and target TRL) 8000 INTERDISCIPLINARY 1.4. Consideration of interdisciplinary approaches and, where relevant, use of stakeholder knowledge 4000 Impact IMPACT 2.1. Expected outcomes and expected impacts (contribution to the expected impacts at European and/or international level of the relevant topic and sub-topic; any substantial impacts that would enhance innovation capacity; any barriers/obstacles, and any framework conditions such as regulation, standards, public acceptance, workforce considerations, financing of follow-up steps, cooperation of other links in the value chain, that may determine whether and to what extent the expected impacts will be achieved) 8000 DISSEMINATION 2.2. Proposed measures for exploitation, dissemination and communication of project activities and expected outcomes 8000 CONTRIBUTION 2.3 Contribution for the implementation of the Strategic Implementation Plan of the European Innovation Partnership on Raw Materials. 4000 CONSORTIUM AGREEMENT 2.4 Consortium agreement principles (describe partners’ rights and duties, conflict solving, position with regard to intellectual property rights (IPR) management) 4000 Quality and efficiency of the implementation WORK PACKAGE 3.1 Detailed work plan description, including work package objectives and description, list of deliverables and list of milestones 28000 MANAGEMENT 3.2. Description of project management structures and procedures, including risk and innovation management 4000 IMPLEMENTATION 3.3 Describe the expertise of partners and their complementarity for the expertise of the consortium as 4000
RQ 99 System must authenticate member data if mis-spelled or system unable to locate creating an error RQ 100 Solution should be able to maintain a wait list for events. RQ 101 Solution has link for easy cancelling available in email or text. RQ 102 Solution needs to identify when/if there is a need for a disability benefit and only allow them to schedule with select people. RQ 103 If no retirement estimate, solution should point member to retirement request. RQ 104 System must authenticate member by using SSN or MID and DOB. RQ 105 Solution should allow member to filter/search based on type of appointment. RQ 106 Solution should send the appointment confirmation when removed from the waitlist. RQ 107 Solution needs to be able to determine if there is a recent retirement estimate (Within 12 months of today's date). RQ 108 Solution should maintain a history of wait listed people even after event date. RQ 109 Solution should automatically fill open slot w/waitlist. RQ 110 Solution should hold the open spot for the wait listed people until confirmed or by a certain time and then move to next person. RQ 111 Solution allows comments from the member scheduling. RQ 112 Solution should allow members to see schedule in an easy to see schedule/ master Calendar. RQ 113 Solution should allow member to filter/search based on date of appointment. RQ 114 Solution should allow member to filter/search based on location of appointment. RQ 115 Solution should link to account to record they have an appointment, CALLSS/WEBS. RQ 116 Scheduling tool should have ability to link to descriptions of types of appointments to aid in member selecting type. RQ 117 Solution should allow member to filter/search based on day of week. RQ 118 Solution allows member to filter/search based on time. RQ 119 Solution should be able to have multiple types of appointments with varied time allowances if member wants to schedule an appointment for other topics besides retirement. Reporting and Analytics and Tracking
Sl.No Name of other person (a) Relationship (b) PAN of other person (c) Aggregate value of all assets (d) Debt owed in relation to such assets (e) Net amount [(d) (e)] (B) Total net wealth of the person Schedule IFA Interest held in the assets of a firm or association of persons (AOP) as a partner or member thereof: (A) Sl.No Name(s) of Address(es) of PAN of Name(s) Assessee’s Value of the Debt owed in Net amount Firm(s)/AOP( Firm(s)/AOP(s) Firm(s)/AOP(s) of other Sharing interest in the assets of to such interest s) (a) (b) (c) Partners/ (e) firm/AOP as per Schedule III (e) [(d) (e)] (d) (d) (B) Total interest held in the asset of a firm or association of persons (AOP) as a partner or member thereof Schedule ACE Assets referred to in section 2(ea) which are claimed as exempt under section 5 Schedule ACE Sl.No Description of Assets Value Debt owed in relation to such asset Reason for claiming exemption