zilongwang/ReadingBank huggingface dataset:
4 Where the testator died on or after the 5th August 1996 and the provisions of section 20A of the Wills Act 1936 apply so as to revoke the appointment of the testator’s former spouse as one of the executors of the will or if the applicant’s title to the grant is dependent upon the revocation of the executorship of the former spouse or upon the operation of the section being excluded then refer to the modifications of the form of oath below. Modifications to Form 37 (a) Oath of executor where the appointment of one of the executors has been revoked by section 20A(1) of the Wills Act 1936 [Heading] I [or We] [full name, address and occupation of deponent] SWEAR ON OATH/DO TRULY AND SOLEMNLY AFFIRM [delete whichever is inapplicable] THAT: 1 I [We] believe (complete as in Form 37) 2 I am [We are] the daughter[s] [or as the case may be] and the executor [the executors] [one of the executors] as described in the will. 3 The appointment of G.H. the former spouse of the deceased an executor named in the will has been revoked pursuant to section 20A(1)(b) of the Wills Act 1936. 4 I [We] will: (complete as in Form 37) (b) Oath of executor where the applicant’s title to the grant is dependent upon the application of section 20A(1) of the Wills Act 1936 (eg. the testator’s former spouse having been appointed the sole instituted executor of the will). [Heading] I [or We] [full name, address and occupation of deponent) SWEAR ON OATH/DO TRULY AND SOLEMNLY AFFIRM (delete whichever is inapplicable] THAT: 1 I [We] believe [complete as in Form 37] 2 I am [We are] the son[s] [or other relationship to the deceased if applicable] and the executor [the executors] [one of the executors] as described in the will. 3 The appointment of G.H. the former spouse of the deceased an executor named in the will has been revoked pursuant to section 20A(1)(b) of the Wills Act 1936
BURNER ATCAA USAGE REPORT MONTH/YEAR ________/________ TOTAL HOURS SCHEDULED FOR PARTICIPATING AIRCRAFT ONLY TOTAL HOURS ACTIVATED/USED FOR PARTICIPATING AIRCRAFT ONLY TOTAL AIR OPERATIONS (A FLIGHT OF 4 EQUALS 4) FWO INIT DAY DAY OF WEEK # & TYPE UNIT Time & Alt Hours Active/Used MCAS FORM 3722/27 (01-2015) Supersedes Previous Edition
MONTH/YEAR ________/________ TOTAL HOURS SCHEDULED FOR PARTICIPATING AIRCRAFT ONLY TOTAL HOURS ACTIVATED/USED FOR PARTICIPATING AIRCRAFT ONLY TOTAL AIR OPERATIONS (A FLIGHT OF 4 EQUALS 4) FWO INIT DAY DAY OF WEEK # & TYPE UNIT Time & Alt Hours Active/Used MCAS FORM 3722/27 (01-2015) Supersedes Previous Edition
Nova Scotia Board of Examiners in Psychology Continuing Competence Activities and Credit Values Minimum 20 credits required each year to maintain registration status Continuing Competency Activity Maximum # of Credits Allowed each Renewal Period Value of Credits by Activity Documentation Required 1. Peer Consultation (case consultation groups, journal clubs, grand rounds, regional research groups, mentoring, shadowing a colleague) 10 1 hour = 1 credit Your documentation should outline the date, duration, and general area of discussion and/or name of presenter and topic presented 2. Practice Outcome Monitoring (assessing patient/client outcomes via questionnaire) 5 10 patients/clients = 1 credit Your documentation should reference what you have done, number of patients, and submit a blank copy of the questionnaire / survey administered 3. Professional Activities: Serving on the executive of a psychological association Serving on the board of a psychology regulatory body Serving on a committee of a psychological association 10 1 year per Board / Association / Committee = 5 credits Your documentation should state the name of board / committee and dates served
Section 2: Reduction of Regulated Activity 2.1 Please tick “” the regulated activities you intend to cease. Regulated activity Proposed effective date (dd/mm/yyyy) Type 1 (dealing in securities) / / Type 2 (dealing in futures contracts) / / Type 3 (leveraged foreign exchange trading) (Not applicable to registered institutions) / / Type 4 (advising on securities) / / Type 5 (advising on futures contracts) / / Type 6 (advising on corporate finance) / / Type 7 (providing automated trading services) / / Type 8 (securities margin financing) (Not applicable to registered institutions) / / Type 9 (asset management) / / Type 10 (providing credit rating services) / / 2.2 Please state the reason for ceasing the above regulated activities. Unfavourable business conditions Sale of business Group consolidation Relocation of business out of Hong Kong Others (please specify)
Form 4 Affidavit as to alias – Intestacy SOUTH AUSTRALIA IN THE SUPREME COURT TESTAMENTARY CAUSES JURISDICTION In the Estate of Miriam Sarah Smith otherwise Sarah Smith deceased I [full name, address and occupation of deponent] SWEAR ON OATH/DO TRULY AND SOLEMNLY AFFIRM [delete whichever is inapplicable] THAT: 1 I am the intended administrator of the estate of Miriam Sarah Smith otherwise Sarah Smith late of [address] deceased (“the deceased”) who died at …………… on …………… 20… intestate. 2 [Here establish the identity of the deceased under the alternative names e.g.: The deceased’s correct name is Miriam Sarah Smith but that she usually referred to herself as Sarah Smith and was generally known by that name.] 3 [Here set out details of property justifying the issue of the grant in the alternative names e.g.: The deceased effected a policy of assurance on her own life in the name of Sarah Smith in the X Insurance Company Ltd. A letter signed by the Manager of the Company verifying the name in which the policy is held is annexed hereto and marked “A”. and 4 The deceased is registered in the name of Miriam Sarah Smith as the proprietor of an estate in fee simple in the whole of the land comprised in Certificate of Title Register Book Volume ….. Folio ….. A photocopy of the Certificate of Title is annexed hereto and marked “B” [or as the case may be – in the case of real estate see Note 2 to this Form].] 5 In order to deal with the above property it is desired that the grant should issue in the names of Miriam Sarah Smith otherwise Sarah Smith deceased. Sworn/Affirmed [delete whichever is inapplicable] by the abovenamed deponent at [place]
Table 4: Contributions in goods or services from corporations or unions (Note: must also be recorded as expenses in Box C) Name of Corporation (Legal and Carrying on Business As) Full Address President or Business Manager Authorized Representative Description of Goods or Services Value $ Additional information is listed on separate supplementary attachment Total Total Part II Contributions (Add Totals from Tables 1–4) (Record in Part I – Summary) $ 1B Part III – Inventory Table 5: Inventory of Campaign Goods and Materials from Previous Campaign used in this Campaign (Note: value must be recorded as a contribution from the candidate and as an expense) Description Date Acquired (yyyy/mm/dd) Supplier Current Market Value $ Quantity Total Value $ Additional information is listed on separate supplementary attachment Total
DECLARATION I, …………………………………………………, hereby declare the following: I am aware that should I knowingly or intentionally supply false or misleading information herein, I may be liable to prosecution. …………………………………………………………………….. SIGNATURE …………………………………..… DATE I certify that the above statement was taken by me and that the deponent has acknowledged that he/she knows and understands the content of this statement. This statement was signed in my presence at: ............................................……………… on this ….....… day of ...................……………………………. (mm/yy) ………………………………………………………. Justice of the Peace/Notary Public Other documents to be attached to the Application: A copy of Work Permit or Permanent Residence Permit – with the right to work (for citizens); A copy of the relevant pages of the applicant’s passport (to include name, date of birth, nationality, signature, expiration date and photograph); Applicant’s current Police Certificate (not more than three months old) or an affidavit in the acceptable form, if the Police Certificate is not available; Three recent photographs of the Applicant, individually signed on the back by the Applicant; Copy of any relevant degree, educational or professional course(s) passed;
Name of Seed Works: Serial Number Inspection date Seed sold or kept Cultivar Harvest date Gen Registered area number Seed lot code Number of containers Seed lot weight (kg) Label colour Label numbers range Line pass or fail TADS No. To be completed and signed by manager of the Seed Works I declare that the seed described on this form was grown and/or received, packed and officially labelled in accordance with the appropriate Western Australian Seed Potato Scheme Rules. Name: Signature: Date: Email white copy to or fax to 08 9777 0001 and retain yellow copy in book.
page 3 Form 434 Statement of Subsisting Charges created by the Company (not being charges comprising solely property situate outside Tanzania) Date and Description of the instrument creating or evidencing the charge Amount secured by the charge Short particulars of the property charged Names and addresses of the persons entitled to the charge Particulars as to commission, allowance or discount (note 1)
Rule 204A(4) Form 45 Notice of opposition to permission to serve warrant of possession NOTICE OF OPPOSITION TO PERMISSION TO SERVE WARRANT OF POSSESSION I (name), a defendant/occupier (delete whichever is inapplicable) of the property request a hearing before the Court to oppose the issue of a warrant of possession. The names of the persons who are occupiers of the premises are: (names) Defendant/occupier’s address The defendant/occupier’s address for service is: Place: Email: The defendant/occupier’s address is (if the defendant/occupier is an individual - place of residence or business; if the defendant/occupier is a corporation - principal place of business). Date: Signed by (name) Defendant/Occupier/Defendant’s solicitor/Occupier’s solicitor (delete whichever is inapplicable) Note Rule 204A(4) requires that this notice be supported by an affidavit deposing to the facts that you, the defendant/occupier, seek to rely.
Notes: In the case of orders of the Full Court the Judges will be named as follows: “The Honourable Chief Justice and Justices.............................................……and .............................................……………………………………………............” (or) “The Honourable Justices .....................…………………………………..........., ......................................……………………………………………............. and ....................................……………………………………………………........” When an attendance is certified fit for counsel by the Judge or Master, the following is to be added immediately after the last numbered paragraph of the order: “Fit for counsel” (or) “Fit for counsel in respect of attendances on (dates).”
Rule 271(1B) Form 49 Claim for costs CLAIM FOR COSTS CLAIM FOR COSTS OF THE (ROLE OF PARTY), (name) Presented pursuant to order dated (date) TO THE (ROLE OF PARTY): (name) of (address) If you wish to dispute any item in this claim you must comply with Rule 271(4) of the Supreme/District Court Civil Rules 2006 and, within 28 calendar days of service of this claim: (1) set out in the appropriate columns below, your response to each disputed item and your offer for each item in the claim; and (2) serve on the claimant a copy of the claim containing such responses and offers. Item No. Date Details of item No of Pages/ Sheets/ Length of Attendance Amount Claimed Response (eg Agreed, Not Agreed, Agreed in Part Offer Example 1/1/16 LIABILITY QUANTUM $ TOTAL SOLICITORS FEES $ DISBURSEMENTS Counsel fees Specify total and attach scanned copy of accounts $
Section 12: Change in Bank Account (Major Operational and Segregated Trust Accounts) Part A (Ceasing to use a bank account) 12.1 Please provide the following information: Name of bank Account number Effective closing date (dd/mm/yyyy) Reason Closed Commercial reason Ordered to be frozen by a competent authority Name of bank Account number Effective closing date (dd/mm/yyyy) Reason Closed Commercial reason Ordered to be frozen by a competent authority Part B (Using a new bank account) 12.2 Please provide the following details of major operational and segregated trust accounts you will use to carry out your regulated activities. Type of account: Current Savings Others (please specify) Name of bank Account number Date opened (dd/mm/yyyy) Currency Is it a trust account? Yes No Effective date (dd/mm/yyyy) Type of account: Current Savings Others (please specify) Name of bank Account number Date opened (dd/mm/yyyy) Currency Is it a trust account? Yes No Effective date (dd/mm/yyyy)
Form 50 APPLICATION FOR VARIATION OR REVOCATION OF CONTROL ORDER or INTERIM CONTROL ORDER Magistrates Court of South Australia Child Sex Offenders Registration Act 2006 Section 66JE(1) Court Use Date Filed: Date Posted: Service on Commissioner of Police: AP Number Registry File No Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address Applicant Full Name Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address Rank and ID No. Registrable Offender Full Name DOB dd/mm/yyyy Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address This application is in regards to: Control order made on file number: dated: Interim control order made on file number: dated: The applicant seeks to have the order: varied revoked Details of variations sought: Hearing details Registry Date Address Time am/pm Telephone Facsimile Email Address Date APPLICANT
Texas A&M Forest Service – Form 500 Personnel/Budget Action Extended Source Form Date: PIN: Fiscal Year: SOURCE REQUESTED RECOMMENDATION Title Code Period Source Acct Analysis Obj Class Percent Effort Requirement From Thru PT Acct Sup Acct Acct Sup Acct Bud Pool
3 I am the attorney appointed by C.D. (which appointment has not to the best of my knowledge information and belief been revoked) and am duly authorised to apply to this Court for the sealing of the grant. 4 To the best of my knowledge the deceased died possessed of assets in the State of South Australia [where the deceased died before 1 July 1987, add: as disclosed in the annexed inventory and annex Form 54]. Notes 1 A copy of the power of attorney must be lodged with the application. 2 For a form of power of attorney, see Form 59. (b) Oath by a practitioner authorised in writing to apply on behalf of the executor or administrator [Heading] I [full name, address and occupation of deponent] SWEAR ON OATH/DO TRULY AND SOLEMNLY AFFIRM [delete whichever is inapplicable] THAT: 1 A grant of probate of the will [or as the case may be] of A.B. late of [as in grant] deceased who died at …………. on …………… 20… aged ......... years was granted to C.D. by the Supreme Court of the State of ..................... at .................... on …………… 20… 2 The deceased was at the time of his death domiciled in ................... within the jurisdiction of the said Court [the last seven words to be struck out if inapplicable]. 3 I am the person authorised in writing by C.D. to apply on his [her] behalf for the sealing of the grant. The authority is annexed and marked “A”. I believe that the signature to the authority is of the proper handwriting of C.D. and that such authority has not been revoked. 4 To the best of my knowledge the deceased died possessed of assets in the State of South Australia [where the deceased died before 1 July 1987, add: as disclosed in the annexed inventory and annex Form 54].
SUMMARY OF FINDINGS (FORM 6) MANAGEMENT PLAN PHASE III LIST IN ORDER OF RESPONSE ACTIONS NUMBER C.D.B. PROJECT NO. BUILDING NAME C.D.B. BUILDING NO. HOMOGENEOUS AREA MATERIAL DESCRIPTION ACM CONTENT (%) DAMAGE ASSESSMENT NO DAMAGE SALIENT DAMAGE SIGNIFICANT DAMAGE NO POTENTIAL DAM AGE POTENTIAL DAMAGE POTENTIAL SIGNIFICANT DAMAGE RESPONSE ACTION CHRYSOTILE AMOSITE OTHER ASSUMED ACM NUMBER DESCRIPTION (I.E. REMOVE, REPAIR, ENCLOSE, ENCAPSULATE OR O & M)
(ICS 205) 1. Incident Name: 2. Date/Time Prepared: Date: Time: 3. Operational Period: Date From: Date To: Time From: Time To: 4. Basic Radio Channel Use: Zone Grp. Ch # Function Channel Name/Trunked Radio System Talkgroup Assignment RX Freq N or W RX Tone/NAC TX Freq N or W TX Tone/NAC Mode (A, D, or M) Remarks 5. Special Instructions: 6. Prepared by (Communications Unit Leader): Name: Signature: ICS 205 IAP Page Date/Time:
Block Number Block Title Instructions 4 (continued) TX (Transmit) Frequency (N or W) Enter the Transmit Frequency (TX Freq) as the mobile or portable subscriber would be programmed using xxx.xxxx out to four decimal places, followed by an “N” designating narrowband or a “W” designating wideband emissions. TX Tone/NAC Enter the Transmit Continuous Tone Coded Squelch System (CTCSS) subaudible tone (TX Tone) or Network Access Code (TX NAC) for the transmit frequency as the mobile or portable subscriber would be programmed. Mode (A, D, or M) Enter “A” for analog operation, “D” for digital operation, or “M” for mixed mode operation. Remarks Enter miscellaneous information concerning repeater locations, information concerning patched channels or talkgroups using links or gateways, etc. 5 Special Instructions Enter any special instructions (e.g., using cross-band repeaters, encoders, private line (PL) tones, etc.) or other emergency communications needs). If needed, also include any special instructions for handling an incident within an incident. 6 Prepared by (Communications Unit Leader) Name Signature Date/Time Enter the name and signature of the person preparing the form, typically the Communications Unit Leader. Enter date (month/day/year) and time prepared (24-hour clock).
Rule 321(2) Form 60 Response to statement of facts, issues and contentions RESPONSE TO STATEMENT OF FACTS, ISSUES AND CONTENTIONS 1. Facts (set out the response to any contested facts in the appellant’s part 1) 2. Issues (replicate the issues in the appellant’s part 2) (identify succinctly any additional issues in neutral terms) 3. Contentions (identify succinctly the respondent’s contention on each issue) 4. Extension of time (if applicable) (set out the response to the application for extension of time) 5. Annexures (if value of land or any other thing is in issue—annex copy of any expert report by a valuer addressing its value) Certificate: This response to statement of facts, issues and contentions is put forward in accordance with the instructions of the respondent, (name), and it complies with the Supreme Court Civil Rules 2006.
Grounds of Application I claim an interest in the above mentioned vehicle that has been seized and clamped or impounded. I make an application for release of the above mentioned vehicle. Please attach to this application the Written Determination of the Fines Enforcement and Recovery Officer to clamp or impound and any Notice of Disposal. Provide evidence of your interest in the vehicle and the grounds for release in an affidavit. Please attach the affidavit to this application. Date APPLICANT Hearing details Registry Date Address Time am/pm Telephone Facsimile Email Address IMPORTANT NOTICE TO THE REGISTRAR A copy of this application and affidavit must be served on the Fines Enforcement and Recovery Officer within one working day. A copy must also be served on the debtor, interested party and registered owner (if the person is not the debtor or the applicant). IMPORTANT NOTICE TO ALL PARTIES If you wish to be heard on this application, you should attend court at the date and time stated above otherwise the court may hear and determine the matter in your absence. IMPORTANT NOTICE TO THE FINES ENFORCEMENT AND RECOVERY OFFICER The Fines Enforcement and Recovery Officer is required to notify the Registrar of any interested parties not already on the application. Proof of Service (fill in where required) Name of deponent: Address of deponent: Service on the Debtor Name of person served: Address at which service effected: Date service effected: Time of day: Between am/pm and am/pm Service of application effected: personally pre-paid post email Service on the registered owner of the vehicle (if applicable) Name of person served: Address at which service effected: Date service effected: Time of day: Between am/pm and am/pm Service of application effected: personally pre-paid post email Service on the interested party (if applicable) Name of person served: Address at which service effected: Date service effected:
Rule 326 Form 61 Interlocutory application for stay and referral to arbitration INTERLOCUTORY APPLICATION FOR STAY AND REFERRAL TO ARBITRATION International Arbitration Act 1974 (Cth) s 7 TO THE (ROLE OF PARTY): (name) of (address) The (role of party), (name), being a party to an arbitration agreement, applies for an order under section 7 of the International Arbitration Act 1974 (Cth) to stay the whole/part (delete whichever is inapplicable) of this proceeding and referral of the parties to arbitration and the other relief set out in this application. Action required The Court will hear this application, or make orders for the hearing of the application, at the time and place stated below. If you or your lawyer do not attend, the Court may make orders in your absence and without further notice. Hearing The application will be heard before…………………………… in the Supreme Court of South Australia, 1 Gouger Street, Adelaide on......................at ……….. or so soon afterwards as the business of the Court allows. The courtroom in which the application will be heard will be published: on the Courts Administration Authority website the day before; in the Advertiser on the day; and on the notice board at the Courts Building. (if applicable) The Court ordered that the time for serving this application be abridged to (Court to insert date).
Rule 329(3)(c) Form 65C Subpoena to attend for examination and produce documents SUBPOENA TO ATTEND FOR EXAMINATION AND PRODUCE DOCUMENTS International Arbitration Act 1974 (Cth) s 23 TO: (name) of (address) You are ordered to attend for examination and to produce this subpoena or a copy of it and the documents or things specified in the Schedule of documents. See next page for details. Failure to comply with this subpoena without lawful excuse is a contempt of court and may result in your arrest. Please read Notes 1 to 15 at the end of this subpoena. The last date for service of this subpoena is (date). (see Note 1). (if applicable) The last date for service of this subpoena was fixed by order made by Judge (name) dated (date) FILED: (Registry to place seal) Issued at the request of (name of party), (name) whose address for service is: Place: Email: Details of subpoena
(ICS 208) 1. Incident Name: 2. Operational Period: Date From: Date To: Time From: Time To: 3. Safety Message/Expanded Safety Message, Safety Plan, Site Safety Plan: 4. Site Safety Plan Required? Yes No Approved Site Safety Plan(s) Located At: 5. Prepared by: Name: Position/Title: Signature:
Rule 331(1) Form 67 Originating application to prohibit/allow disclosure of confidential information ORIGINATING APPLICATION TO PROHIBIT/ALLOW DISCLOSURE OF CONFIDENTIAL INFORMATION International Arbitration Act 1974 (Cth) s 23F or 23G TO THE DEFENDANT: (name) of (address). The plaintiff, (name), being a party to an arbitration agreement, applies for an order under section 23F/23G (delete whichever is inapplicable) of the International Arbitration Act 1974 (Cth) prohibiting/allowing (delete whichever is inapplicable) the disclosure of confidential information and the other relief set out in this application Action required The Court will hear this application, or make orders for the hearing of the application, at the time and place stated below. If you or your lawyer do not attend, the Court may make orders in your absence and without further notice. You must file a Notice of Address for Service (form 16 or 17) before attending Court or taking any other steps in the proceeding. Hearing The application will be heard before……………………………. in the Supreme Court of South Australia, 1 Gouger Street, Adelaide on......................at ……….. or so soon afterwards as the business of the Court allows. The courtroom in which the application will be heard will be published: on the Courts Administration Authority website the day before; in the Advertiser on the day; and on the notice board at the Courts Building. (if applicable) The Court ordered that the time for serving this application be abridged to (Court to insert date).
AFFIDAVIT IN THE MATTER OF THE LAND TITLES ACT OF ALBERTA AND IN THE MATTER OF THOSE LANDS DESCRIBED AS: See attached Schedule A (the “Lands”) We, Name of ATB Team Member who is a Branch Officer and Name of ATB Team Member who is a Branch Officer, of the City or Town of , in the Province of Alberta, MAKE OATH AND SAY THAT: We are branch officers for ATB Financial, previously Alberta Treasury Branches (the “Mortgagee”) with respect to the registration of an Amending Agreement (the “Amending Agreement”) to a Mortgage against the Lands, registered at Land Titles Office as Instrument Number (the “Mortgage”) dated . The additional principal amount secured by the Amending Agreement is $ (the “Additional Principal Amount”). We make this Affidavit in support of a request to the Registrar to assess registration fees based upon the Additional Principal Amount. SWORN BEFORE ME at the City or Town of , in the Province of Alberta, this day of Month, 20 . ATB FINANCIAL Per: Name of ATB Team Member who is a Branch Officer Branch Officer And per: Name of ATB Team Member who is a Branch Officer Branch Officer _________________________________________________ A Commissioner for Oaths in and for the Province of Alberta (Print or Stamp Name Next to Commissioner’s Signature) My Commission Expires:
Section 6: Directors 6.1 Please provide the following information on your directors. Name of director HKID/ Passport number* Passport details* Date of Appointment (dd/mm/yyyy) Date of expiry Issuing country * Only applicable to individuals who are non-Hong Kong permanent residents. Section 7: Complaints Officer and Emergency Contact Person 7.1 You must appoint a complaints officer to handle complaints received by you. Please provide the following information on your complaints officer. [Note: The complaints officer should reside in Hong Kong to ensure he/she will be immediately contactable as and when necessary.] Name in English Name in Chinese HKID/Passport Number* Job title Telephone number Facsimile number Business address Office e-mail address * Only applicable to individuals who are non-Hong Kong permanent residents.
TO the Secured Party: Attention: Fax No.: Telephone No.: TO the Debtor: Attention: Fax No.: Telephone No.: Notices may be sent by fax or may be delivered during the business hours of the intended recipient. Notices will be deemed to have been received on the first business day following receipt on the fax machine of the recipient or on the date of delivery. Any party may change its delivery address by written notice to the other parties sent in the manner provided above. General As long as any of the indebtedness of the Debtor remains outstanding, the Debtor will stand possessed of its assets so charged for ATB and the Secured Party in accordance with their respective interests and priorities as herein set out. The Debtor consents to ATB and the Secured Party advising each other of the particulars of the indebtedness of the Debtor to each and exchanging any other financial information they deem relevant. Neither ATB nor the Secured Party will have or incur any liability to the Debtor for providing such information, nor for any direct or indirect consequences resulting from doing so. The parties will do all things necessary from time to time to give full effect to this agreement. No consent of the Debtor will be necessary to any amendment of the terms of this agreement by ATB and the Secured Party. This agreement may be terminated by either ATB or the Secured Party at any time on ten days written notice. Such termination will not effect a termination of this agreement with respect to any existing loans or advances made to the Debtor by either ATB or the Secured Party or the security interests of either of them in any assets of the Debtor obtained prior to the effective date of such termination. Termination of this Agreement by either ATB or the Secured Party may be treated by the other as a notice under Section 9, in which case the provisions of Subsection 8(b) will apply to any money or instruments received prior to or after the effective date of such termination. Upon termination of this agreement pursuant to Section 17 or upon receipt of notice pursuant to Section 9, ATB or the Secured Party may, at their option and as applicable, do any one or more of the following: treat such event as an event of default entitling it to immediately terminate any or all credit facilities of the Debtor, including any revolving line of credit, and to refuse to make any further advances on any such facilities;
Orders sought On the grounds stated in the accompanying affidavit, the plaintiff seeks: 1. an order under section 27H/27I (delete whichever is inapplicable) of the Commercial Arbitration Act 2011 that the disclosure of confidential information (insert details of the confidential information and to whom disclosure is sought to be prevented or allowed) be prohibited/allowed (delete whichever is inapplicable); 2. (state briefly but specifically any other orders sought). Accompanying documents This application must be accompanied by an affidavit stating: the person against whom the order is sought; the order sought; the material facts relied on for the making of the order; if the application is made under section 27H, the terms of the order of the arbitral tribunal allowing disclosure of the information and the date the order was made; or 5. if the application is made under section 27I, either: the date the arbitral tribunal’s mandate was terminated; or the date and the terms of: the request made to the arbitral tribunal for disclosure of the confidential information; and the arbitral tribunal’s refusal to make the order. Plaintiff’s address The plaintiff’s address for service is: Place: Email: The plaintiff’s address is (if the plaintiff is an individual - place of residence or business; if the plaintiff is a company - principal place of business). Service on the Defendant (select one of these three options and delete the others) It is intended to serve this application on all defendants. It is intended to serve this application on the following defendants: (name of each defendant on whom application is to be served)
Orders sought On the grounds stated in the accompanying affidavit, the plaintiff seeks: 1. an order under section 11(3), 11(4), 13(4), 14, 16(9), 17H, 17I, 17J, 19(6) or 27 of the Commercial Arbitration Act 2011 (delete whichever is inapplicable) of the Model Law that (insert details of the specific order sought); 2. (state briefly but specifically any other orders sought). Accompanying documents This application must be accompanied by an affidavit stating the material facts on which the application for relief is based. Plaintiff’s address The plaintiff’s address for service is: Place: Email: The plaintiff’s address is (if the plaintiff is an individual - place of residence or business; if the plaintiff is a company - principal place of business). Service on the Defendant (select one of these three options and delete the others) It is intended to serve this application on all defendants. It is intended to serve this application on the following defendants: (name of each defendant on whom application is to be served) It is not intended to serve this application on any defendant. Signed by (name) Plaintiff/Plaintiff’s solicitor (delete whichever is inapplicable) Date:
This document assists Residential Service Providers in tracking all complaints received to inform continuous improvement activities. Date received Complainant Type Complaint Issue Persons Involved Complaint Requested Remedy Outcome/Action Taken Policy / Procedures Affected Date closed Person’s Notified Further Action to Consider Follow up with Complainant 21.2.12 Resident Stolen property Resident AJ Resident DK Staff RL Items to be returned or replaced by DK or program Room search completed, statements from all involved, Repayment of stolen items by DK Updated POC treatment plan 14.1 Rights and Responsibilities 15.3 Respect for others property 28.2.12 Notified CAS Worker and probation officer Residents being able to go into other residents’ rooms without permission
(ICS 214) 1. Incident Name: 2. Operational Period: Date From: Date To: Time From: Time To: 3. Name: 4. ICS Position: 5. Home Agency (and Unit): 6. Resources Assigned: Name ICS Position Home Agency (and Unit) 7. Activity Log: Date/Time Notable Activities 8. Prepared by: Name: Position/Title: Signature:
OPERATIONAL PLANNING WORKSHEET (ICS 215) 1. Incident Name: 2. Operational Period: Date From: Date To: Time From: Time To: 3. Branch 4. Division, Group, or Other 5. Work Assignment & Special Instructions 6. Resources 7. Overhead Position(s) 8. Special Equipment & Supplies 9. Reporting Location 10. Requested Arrival Time Req. Have Need Req. Have Need Req. Have Need Req. Have Need Req. Have Need Req. Have Need ICS 215 11. Total Resources Required 14. Prepared by: 12. Total Resources Have on Hand Name: Position/Title: 13. Total Resources Need To Order Signature: Date/Time:
Name & Address Type (e.g., individual, LLC) Paid-In Capital Unfunded Commitment Capital Commitment Diversity Investor (Y/N) Enter “X” if Parent Fund Totals Table 1D – Dual Commitments “X” if this is a Drop-Down Fund Name & Address Type of Entity for Primary Investor & Type of Entity and Qualifying Subsection for Backup Investor Paid-In Capital Unfunded Commitment Capital Commitment Diversity Investor (Y / N) Primary Investor #1 – list in brackets [$ in brackets] [$ in brackets] Back-up Investor(s) Primary Investor #2 – list in brackets [$ in brackets] [$ in brackets] Back-up Investor(s) Primary Investor #2 – list in brackets [$ in brackets] [$ in brackets] Back-up Investor(s) TOTALS [Add only amounts that are not in brackets] Table 1E –Investor Commitments to Parent Fund (for Drop-Down SBICs only) Names of Investors Paid-In to Parent Unfunded Commitment to Parent Total Commitment
Table 1H – Qualified Non-private Funds Name of Investor (from Table 1A, 1B or 1C) Capital Commitment Qualified Non-private Funds Whose Source is Federal Funds Qualified Non-private Funds Whose Source is State or Local Gov’t. Funds Totals Non-Federal Qualified Non-private Funds ÷ Regulatory Capital % Table 1I –Associates of Applicant Name of Investor Describe Relationship to Applicant Applicable Subsection of Definition of Associate Table 1J – Investor Affiliates Name of Investor#1 Name of Investor #2 Describe Relationship Between Investors
Rule 370(1)(b) Form 91A Affidavit in support of application for admission AFFIDAVIT I (full name, address and occupation of deponent) SWEAR ON OATH/DO TRULY AND SOLEMNLY AFFIRM (delete whichever is inapplicable) THAT: 1. My date of birth is (date). 2. I have complied with the academic requirements for admission meeting rule 7 (delete whichever is inapplicable) of the LPEAC Rules in that I have (set out details of the academic qualifications meeting rule 7 or rule 16 of the LPEAC Rules). 3. A true copy of the original certificate dated (date) that I have obtained or become qualified to obtain the academic qualifications referred to in paragraph 2 above (the original of which I am required to produce to the Law Society upon lodgment) is now shown to me marked ‘A’. I am the person therein named. 4. I have complied with the practical requirements for admission meeting rule 8 (delete whichever is inapplicable) of the LPEAC Rules in that I have (set out details of the academic qualifications and experience meeting rule 8 or rule 16 of the LPEAC Rules). 5. A true copy of the original certificate dated (date) that I have obtained or become qualified to obtain the academic qualifications and experience referred to in paragraph 4 above (the original of which I am required to produce to the Law Society upon lodgment) is now shown to me marked ‘B’. I am the person therein named. 6. I have in all other respects complied with Chapter 17 Part 4 of the Supreme Court Civil Rules 2006 and the LPEAC Rules 2004. 7. A true copy of my driver’s licence/passport/birth certificate (delete whichever is inapplicable) (the original of which I am required to produce to the Law Society upon lodgment) is now shown to me marked ‘C’. I am the person therein named. 8. I have read the Disclosure Guidelines for Applicants for Admission to the Legal Profession issued by the Law Admissions Consultative Committee.
Rule 37(1) Form 9A Cross action and third party action CROSS ACTION AND THIRD PARTY ACTION PART 1 CROSS ACTION TO THE DEFENDANT TO CROSS ACTION: (name of defendant to counterclaim who IS an existing party in the action) of (address) The (role of party), (name) makes a counterclaim against you or which may affect you. Details of the claim and relief sought are contained in the accompanying Statement of Counterclaim/Affidavit (delete whichever is inapplicable). Action required If you wish to defend the claim, you must file a Defence/answering Affidavit (delete whichever is inapplicable) within 28 calendar days after service of the Statement of Counterclaim/Affidavit relied on by the Cross Claimant (delete whichever is inapplicable) on you. If a Defence/answering Affidavit (delete whichever is inapplicable) is not filed within the time stated, you will not be entitled to challenge the (role of party)’s claim against you and you will be taken to have admitted the (role of party)’s claim against you. A judgment in respect of such liability may be given against you in your absence and without further notice. PART 2 THIRD PARTY ACTION TO THE DEFENDANT TO THIRD PARTY ACTION: (name of defendant who is NOT an existing party in the action) of (address). The (role of party), (name) brings a third party action against you or which may affect you. Details of the claim and relief sought are contained in the accompanying Statement of Counterclaim/Affidavit (delete whichever is inapplicable). Action required If you wish to defend the claim, you must: (a) file a Notice of Address for Service within 14 calendar days after service of this Third Party Action on you; and (b) file a Defence/answering Affidavit (delete whichever is inapplicable) within 28 calendar days after service of the Statement of Counterclaim/Affidavit relied on by the Cross Claimant (delete whichever is inapplicable) on you.
3.3 My experience in this area, including previously completed relevant VET and/or work placement, is… 3.4 Evidence of my independent learning, self-management, planning and organising skills incudes… 3.5 My participation in the Training Guarantee for SACE Students scheme will help me achieve my career goal by… 3.6 Student’s Signature Date Section 4: Application for Skills for All course At school 4.1 Course National ID and Course Name of ‘TGSS Approved’ qualification that will be undertaken as part of SACE. Certificate II in Engineering – MEM20105 4.2 What is the SACE Stage of the qualification? (Refer to SACE Board VET Recognition Register) Stage 1 Stage 2 4.3 What is the minimum/maximum number of CREDITS that SACE Board will grant if the qualification is completed? (Refer to SACE Board VET Recognition Register) Min 25 Max 85 4.4 Is the qualification ‘shaded’? (Refer to SACE Board VET Recognition Register) Yes No 4.5 Can the qualification be undertaken in conjunction with an apprenticeship/traineeship? (Refer to SACE Board VET Recognition Register) Yes No 4.6 Number of NOMINAL HOURS student wishes to gain through Skills for All funded VET undertaken from qualification. Stage 1 280 Stage 2 Total
NIPP at NSPP Associates* of NIPP *Associates of NIPP is a pool of qualified & experienced persons interested in the Policy Research & Dialogue work of NIPP. Registration Form Name Mr./Mrs./Ms. Postal Address Contacts Phones: Email: Academic Qualifications Principal Areas of Professional & Research Interest Would like to be invited to: Lecture discussions Series (02 hrs) Dialogue Series (02 days) Would like to receive NIPP publications Publications Research updates Please fill out & return to: by email or post at DEAN National Institute of Public Policy National School of Public Policy 87- Shahrah-e-Quaid-e-Azam, The Mall, Lahore. Signatures:______________
_________________________________is designated as the Minority Business Enterprise Liaison (Name of Designated Liaison) responsible for administering the Minority and Women-Owned Business Enterprises- Equal Employment Opportunity (M/WBE-EEO) program. M/WBE Contract Goals ________percent Minority and Women’s Business Enterprise Participation ________percent Minority Business Enterprise Participation ________percent Women’s Business Enterprise Participation ____________________________________________ (Authorized Representative) Title: ________________________________________ Date: ________________________________________
FORM B STAFFING PLAN Submit with Bid or Proposal – Instructions on page 2 Solicitation No.: Reporting Entity: Report includes Contractor’s/Subcontractor’s: □ Work force to be utilized on this contract □ Total work force Offeror’s Name: □ Offeror □ Subcontractor Subcontractor’s name________________ Offeror’s Address: Enter the total number of employees for each classification in each of the EEO-Job Categories identified EEO-Job Category Total Work force Work force by Gender Work force by Race/Ethnic Identification Total Male (M) Total Female (F) White (M) (F) Black (M) (F) Hispanic (M) (F) Asian (M) (F) Native American (M) (F) Disabled (M) (F) Veteran (M) (F) Officials/Administrators Professionals Technicians Sales Workers Office/Clerical Craft Workers Laborers Service Workers Temporary /Apprentices Totals PREPARED BY (Signature): TELEPHONE NO.: EMAIL ADDRESS: DATE: NAME AND TITLE OF PREPARER (Print or Type): Submit completed with bid or proposal
4. Factors affecting ability to participate in proceedings Please give details of any factors affecting litigation capacity Provide details of any referral to or assessment by the Adult Learning Disability team, and/or any adult health service, where known, together with the outcome Are you aware of any other factors which may affect the ability of the person concerned to take part in the proceedings? Complete this section if you have ticked the relevant box on the front of this form. 7
5. Cases with an international element Do you have any reason to believe that any child, parent or potentially significant adult in the child’s life may be habitually resident in another state? Complete this section if you have ticked the relevant box on the front of this form. Yes No If Yes, please give details Do you have any reason to believe that there may be an issue as to jurisdiction in this case (for example under Brussels 2 revised)? No If Yes, please give details Has a request been made or should a request be made to a Central Authority or other competent authority in a foreign state or a consular authority in England and Wales? Yes No If Yes, please give details
Location of court or Name of Judge Allocated by District Judge Legal Adviser Date D D / M M / 11. Signature Print full name Your role/position held The facts in this application are true to the best of my knowledge and belief and the opinions set out are my own. Signed Applicant Date D D / M M /
Details of parties – please complete this section in full The applicant Name of applicant (local authority or authorised person) Name of contact Job title Address Postcode Contact telephone number Mobile telephone number Fax number Email DX number Solicitor’s details Solicitor’s name Address Postcode Telephone number Mobile telephone number Fax number Email
If there are more than two respondents please continue on a separate sheet. The respondents Respondent 1 Respondent’s full name Date of birth D D / M M / Gender Male Female Place of birth (town/county/country, if known) Current address Postcode Telephone number Relationship to the child(ren) Respondent 2 Respondent’s full name Date of birth D D / M M / Gender Male Female Place of birth (town/county/country, if known) Current address Postcode Telephone number Relationship to the child(ren)
Others who should be given notice Person 1 Person’s full name Date of birth D D / M M / Gender Male Female Address Postcode Relationship to the child(ren) Relationship to the respondents Person 2 Person’s full name Date of birth D D / M M / Gender Male Female Address Postcode Relationship to the child(ren) Relationship to the respondents
Pursuant to federal regulations, we collect responses to the questions below for record keeping purposes. This information will NOT be kept with your application for employment. Federal law prohibits unlawful discrimination on the basis of race, color, sex, age, national origin, religion, or disability. Check the block for the racial or ethnic group with which you identify: Check the block for the highest level of education you have completed (check only one): Check the appropriate block: Female White (includes Arabian) Less than 8th grade Male Black (includes Jamaican, Bahamians and Completed 8th grade other Carribbeans of African but not Hispanic Attended high school or Arabian descent) High school graduate or equivalent Please indicate your date of birth: / / Hispanic (includes persons of Mexican, Attended college and/or associate degree Puerto Rican, Central or South American or College graduate Position applied for: other Spanish origin or culture) Attended graduate school Position number: Asian & Asian American (includes Pakistanis, Master’s degree Indians & Pacific Islanders) Graduate study beyond master’s American Indians (includes Alaskans) requirements FOR OFFICE USE ONLY Ph.D. or professional degree EEO Category: How did you find out about this employment opportunity? Newspaper* Brunswick County Website Radio/TV* Agency Bulletin Board VEC Other (please specify) *specify name of newspaper or other media
Universal Tools: Read Aloud – Everything Except ELA Reading Passages English Language Arts Mathematics Science All students may have the items and directions read aloud to them without an IEP/504 plan via one of the following methods which must be marked in the testing system prior to use: Text-To-Speech Text-To-Speech Text-To-Speech Human Reader Human Reader Human Reader Assistive Technology Assistive Technology Assistive Technology Native Language (ELs Only) Native Language (ELs Only) Native Language (ELs Only) Accommodations Accommodations: Read Aloud – ELA Reading Passages ELA Reading Passages may only be read to a student with an IEP/504 plan via one of the following methods which must be marked in the testing system prior to use: Grades 3-5 Use of this accommodation will cause an invalidation for ELA and the student will receive the Lowest Obtainable Scale Score (LOSS). Grades 6-8 Use of this accommodation will not affect the student’s score Blind Students (For Blind students at any grade level who do not yet possess adequate Braille skills) Use of this accommodation will not affect the student’s score Text-To-Speech Text-To-Speech Human Reader Human Reader Assistive Technology Assistive Technology Native Language (ELs Only) Native Language (ELs Only) Accommodations The following tools need to be marked in the testing system prior to use: Accommodation ALL ELA Math Science Abacus Alternate Response Options (See scenarios for usage in the Tools and Accommodations document at the link above) Braille Calculator (For Non-Calculator Allowed Items) – Grade 3 (Use of this accommodation will cause an invalidation for Math and the student will receive the Lowest Obtainable Scale Score (LOSS)). Calculator (For Non-Calculator Allowed Items) – Grades 4-8 Large Print Multiplication Table – Grade 3 (Use of this accommodation will cause an invalidation for Math and the student will receive the Lowest Obtainable Scale Score (LOSS)). Multiplication Table – Grades 4-8 Paper Based Assessment Sign Language Specialized Calculator (For Calculator Allowed Items Only) Speech-To-Text via Assistive Technology Other – Not marked in the system (Describe) Form D – Part 2 MAP End-Of-Course (EOC) Assessments ONLY for students in Grades 9-12, or if appropriate, earlier grades