Collection Notice. The Victorian Curriculum and Assessment Authority (VCAA) is a statutory authority continued under the Education and Training Reform Act 2006 (Vic). The VCAA collects the information requested in this form, which includes personal information as defined in section 3 of the Privacy and Data Protection Act 2014 (Vic), for the purpose of facilitating your school’s conduct and administration of Victorian Certificate of Education (VCE) external assessments. When an individual’s personal information is provided to the VCAA by a third party, the VCAA requests that the individual is made aware their personal information will be or has been provided to the VCAA, the purpose for which it will be or was provided and to whom it will be or is likely to be disclosed. The personal information collected in this form will be disclosed to and used by relevant employees and/or contractors for and in connection with the abovementioned purpose. The personal information collected will not otherwise be used or disclosed by the VCAA, except with the consent of the individual, or if the VCAA is required or otherwise permitted by law to do so. If the requested information is not provided, it will mean that your school will not be able to conduct or administer VCE external assessments. An individual may request access to personal information the VCAA holds about them, if any, and request its correction if inaccurate. To do so, please contact Assessment Operations on
Collection Notice. Party B has the right to report to relevant government authorities and make a public announcement through the news media to collect overdue principals and interest should Party A be in arrears on the loan payment or in breach of the contract.
Collection Notice. The personal information requested on this form is collected under the authority of the University Act, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA). The information will only be used for the purpose of tracking your bike locker rental and for contacting you in regards to your bike locker rental. Direct any questions about this collection to Parking Services at xxxxxxx@xxx.xx or see xxx.xxx.xx/xxxxxxxxxxxxxxxxxx.
Collection Notice. (a)We collect personal information about you in order to create your Account, enable you to access and use the Site, to contact and communicate with you, to respond to your enquiries and for other purposes set out in our Privacy Policy.
Collection Notice. Drawboard collects personal information about you in order to provide you access to our Products, communicate with you, and for purposes otherwise set out in our Privacy Policy. We may disclose that information to third parties that help us deliver our Products (including parties such as information technology suppliers, communication suppliers and our business partners) or as required by law. If you do not provide this information, we may not be able to provide all of our Products to you. We may also disclose your personal information to recipients that are located outside of Australia, including to technology partners and vendors. Our Privacy Policy explains: (i) how we store and use, and how you may access and correct your personal information; (ii) how you can lodge a complaint regarding the handling of your personal information; and (iii) how we will handle any complaint and (iv) other information. If you would like any further information about our privacy policies or practices, please contact us at xxxxxxx@xxxxxxxxx.xxx. By providing your personal information to us, you consent to the collection, use, storage and disclosure of that information as described in the Privacy Policy and these Terms.
Collection Notice. I acknowledge and agree that LifeVantage is collecting my personal information to establish and maintain a relationship with me, to process my orders, respond to queries and keep me informed of new products and services. I have read and agree with the LifeVantage Customer Agreement and the LifeVantage Privacy Policy and Website Use Agreement and all monthly subscription requirements. Further, I consent that LifeVantage, its consultants in my organisation or a third party acting for LifeVantage may contact me at my provided email address and/or telephone number and as updated using automated text messages at any time by replying "STOP". I consent and agree that my provided personal information to include my name, birth date, gender, addresses, phone and fax numbers, sales data and banking information will be transmitted to LifeVantage and trusted third parties in the United States of America ("USA") to support my LifeVantage account, product orders and their fulfillment. I understand that I may access and rectify my data as well as opt-out of any data transfer to the USA by contacting LifeVantage Compliance at xxxxxxxxxx@xxxxxxxxxxx.xxx. I understand that by opting out, LifeVantage may not be able to support my LifeVantage account and deliver my product orders. By electronically clicking and signing or otherwise signing and submitting this form and payment for my Customer order, I am applying to become a LifeVantage Customer. I acknowledge that I have read and agree to all the terms and conditions of this LifeVantage Customer Agreement, the LifeVantage Privacy Policy and Website Use Agreement and Virtual Office Agreement. ____________________________________________________________ Co-Applicant Signature (if applicable) ____________________________________________________________ Printed Name of Co-Applicant (if applicable) Applicant Signature Printed Name of Applicant
Collection Notice. I understand that any and all accounts that become 90 days delinquent are subject to collections and may incur a $25.00 collection fee. Insurance Company: ID#: Subscriber Name: Group#: I certify that I am eligible for benefits under my prepaid health benefit plan. In the event that I am later found to be ineligible or in consideration of being treated without proof of eligibility, I agree to pay for any and all services provided by my individual practitioner based upon regular fees then in effect. I understand that all Co-pays will be due at the time of service and that all non- covered, co-insurance, and Deductible amounts must be paid within 30 days of receipt of notice from my insurance or Nightingale Medical Billing. I grant permission to Nightingale Medical Billing to submit claims on my behalf to my insurance carrier for services provided by Xx. Xxxx Xxxxxxxxxx. I authorize the release of any medical or other information necessary to process my claims. I authorize payment of medical benefits to “Natural Rhythms Integrative Medicine” directly from my insurance carrier. I have read and understood the above information and have been provided with a copy at my request. Patient Signature or Parent/Guardian (if under 18 years of age) DATE
Collection Notice. City of Darwin collects personal information from you, including Office Use Only your personal contact and bank details. We collect this information for the purpose of payment of rates and amongst other things, providing appropriate services to ratepayers, carrying out the Council’s functions, and in some cases, for compiling or reporting statistics. The Local Government Act 2019 allows or authorises us to collect this personal information and you may seek access to this information. We will only use your information for the purpose described here. It will not be used or disclosed in any other way unless we have your consent or we are authorised or required by law to do so. If you choose not to provide us with your information, we will be unable to complete your request which may affect your ability to meet your obligations. Your personal information will be handled in accordance with our Privacy Statement and the Information Xxx 0000 (NT). Council’s Privacy Statement is available from the City of Darwin, Xxxxx Xxxx Ave, Xxxxxx or via the Council’s website at: xxx.xxxxxx.xx.xxx.xx. Account no.: Operator: Date: Comments: City of Xxxxxx Xxxxx Xxxxxx Xxxxx Xxxx Avenue Darwin NT 0800 ABN 11 503 313 301 Postal XXX Xxx 00, Xxxxxx XX 0000 Telephone (00) 0000 0000 Facsimile (00) 0000 0000 Email xxxxxx@xxxxxx.xx.xxx.xx
Collection Notice. The information on this form is collected under the authority of the Algoma University Act, 2008 (S.O. 2008, CHAPTER 13). The information collected is related directly to and needed by the University to provide you access to records containing third party confidential information. The information will be used to make a decision about your application and if approved to ensure your compliance with the terms and conditions of the Research Agreement. If you have any questions about the collection and use of this information please contact the Shingwauk Residential Schools Centre. 26/03/2013 –Draft KM/XX Xxxxxxxxx Residential Schools Centre, Algoma University Definitions Anonymized information: Information is irrevocably stripped of direct identifiers, a code is not kept to allow future re-linkage, and risk of re-identification of individuals or communities from indirect identifiers is very low. Community information: Recorded information about an identifiable community, including but not limited to: • names, addresses and telephone numbers; • geographic location or identifiers; • community population; • ethnic, religious, or language origins; • landmarks and distinguishing visual features; • government issued identification numbers. Identifiable Information: Information that may reasonably be expected to identify an individual or community, alone or in combination with other available information. Individually Identifiable Information: Refers specifically to data from any list, record, response form, completed survey, or aggregation about an individual from which information about particular individual may be revealed by either direct or indirect means. Personal information: Recorded information about an identifiable individual, including but not limited to: • names, home addresses and telephone numbers; • age; • sex; • marital or family status; • identifying number; • race, national or ethnic origin; • colour; • religious or political beliefs or associations; • educational history; • medical history;
Collection Notice. A notice, in substantially the form attached to a Collection Account Agreement from the Administrator to a Collection Bank. Collections: With respect to any Receivable, all cash collections and other cash proceeds in respect of such Receivable, including, without limitation, all Finance Charges or other related amounts accruing in respect thereof and all cash proceeds of Related Security with respect to such Receivable. Commercial Paper: Promissory notes of Market Street issued by Market Street in the commercial paper market to fund the Purchased Assets.
