Commitment letter of honest enterprise 1 In order to maintain fair competition in the market and create an honest and trustworthy market environment, our unit voluntarily registers and publishes the information of relevant members of our unit through the database system of bidders' honesty information in __X city. The above information is confirmed by our unit and we voluntarily make the following commitments:
1. Where our company participates in the bidding project through the online bidding system of __X city, the information such as enterprise performance and awards submitted during qualification examination and bidding will be made public in the information system in advance, and the undisclosed information cannot be used as the basis for our company's qualification examination and bid evaluation.
2. Our company will take full responsibility for the authenticity of all materials in this statement. The submitted certification materials have no forged or false elements, and the performance and award-winning information described in the materials belong to our company. In case of violation of this commitment, once verified, our unit will voluntarily withdraw from all project bids in Nantong tangible building trading market, accept public notification, and bear all the adverse consequences brought to our unit.
Commitment:
Date:
As the owner of a food production enterprise (small workshop), I know that the quality, safety and hygiene of the food we produce are directly related to the health and life safety of consumers. In order to effectively protect the food safety of the people and safeguard the legitimate rights and interests of consumers, the owner solemnly promises as follows:
First, strictly abide by the national product quality law, metrology law, standardization law, food hygiene law, consumer rights protection law and other relevant laws and regulations to ensure that food quality meets the requirements of relevant national product standards, and firmly establish the concept of quality first, safety first and honest management.
Two, to ensure that enterprises meet the requirements of laws, administrative regulations and national policies. For products subject to production license management, it is guaranteed to organize production under the premise of obtaining production license qualification.
Three, establish and improve the rules and regulations, and strive to improve the quality management level of enterprises. The person in charge of the enterprise and the main management personnel should consciously study and understand the laws and regulations related to food safety. Ensure that enterprises have professional and technical personnel, skilled workers and quality personnel suitable for food production.
4. Have production equipment, process equipment and related auxiliary equipment to ensure product quality and safety, and have workshops or places suitable for raw material processing, processing and storage to ensure product quality.
Five, to ensure that the food processing technology is scientific and reasonable, the production and processing process is strictly regulated, and the key points of production are strictly controlled.
Six, to ensure that the raw materials and additives used in the production of food meet the relevant provisions of the state, and do not use non-edible raw and auxiliary materials to process food.
Seven, to ensure that the production is carried out in accordance with product standards, to ensure that the standard system is established in the whole production process, to implement standardized management, and to implement the whole process quality management from raw material procurement, product ex-factory inspection to after-sales service.
Eight, to ensure the use of scientific and standardized quality inspection and measurement methods, inspection and test instruments regularly through metrological verification. Ensure that the products undergo strict inspection before leaving the factory, and ensure that the products are qualified.
Nine, to ensure that food packaging materials, storage, transportation and loading and unloading of food containers, packaging, tools and equipment meet food safety requirements.
X. The owner (legal representative) of a food production enterprise, as the first person responsible for food safety in the production process, is fully responsible for food safety in production and processing. If there are quality problems in the produced food that harm consumers' rights and interests, they shall voluntarily accept the treatment in accordance with the provisions of laws and regulations such as the Consumer Rights Protection Law and the Product Quality Law.
Please supervise the above commitments from all walks of life.
Commitment enterprise name: (seal) Commitment enterprise owner:
(Legal Representative)
Production license number:
Health license number:
Business license number: supervision unit: (seal)
Supervisor:
Date of Commitment: Year Month Day
Commitment letter of good faith enterprise 3 This enterprise solemnly promises:
First, follow the principles of openness, fairness, justice and good faith to participate in the annual low-rent housing project bidding in xxx, Kaihua County;
2. All materials provided are true, valid and legal;
Three, do not collude with other bidders to bid, do not crowd out the fair competition of other bidders, and damage the legitimate rights and interests of the tenderer or other bidders;
Four, do not collude with the tenderer or the procuratorial agency, damage the national interests, social and public interests or the legitimate rights and interests of others;
Five, not to bribe the tenderer or members of the bid evaluation committee to win the bid;
Six, shall not bid in the name of others or resort to deceit in other ways to win the bid;
Seven, don't sell the qualification, let others affiliated bidding;
Eight, shall not maliciously depress or raise the tender offer price.
Nine, shall not disturb the bidding market order in Kaihua County;
Ten, do not make false and malicious complaints after the bid opening.
1 1. passed the prequalification, failed to receive the tender documents on time, participated in the pre-bid question-and-answer without reason and submitted the tender documents on time, and was willing to accept the cancellation of the bidder's bidding registration qualification within Kaihua County for more than three months (including three months).
If the company violates this commitment, it is willing to bear legal responsibilities, including: it is willing to accept the punishment made by the relevant administrative departments, and it is willing to accept the market access and eviction treatment made by Kaihua County Bidding Management Committee Office and Kaihua County Bidding Center.
Legal representative of the bidder (seal) (signature and seal)
20xx year x month x day
4. Letter of Commitment for Integrity Enterprise of Xincai County Housing Committee Office:
I solemnly promise that the certificate of our company in the bidding registration of 20xx affordable housing construction project in Xincai County of Henan Yuzheng Municipal Engineering Co., Ltd. is true.
Commitment unit (official seal)
Legal Representative (Seal)
201March 22nd
Commitment letter of honest enterprise 5 1. Fill in all kinds of information of enterprises in strict accordance with the requirements of "20xx Annual Credit Management Manual for Construction Enterprises in Jiangsu Province".
2. The enterprise changes its name, address, legal representative, technical director, etc. , the enterprise fills in the column of "Content 5: Enterprise Change" in the Credit Manual by itself and seals it in the construction market supervision office.
3. Within 30 days after the signing of the construction contract, it is guaranteed to go through the registration formalities at the Market Supervision Office of Xuzhou Urban and Rural Construction Bureau.
4. Within 30 days after the completion of the project, it is guaranteed to go through the relevant information registration formalities at the Market Supervision Department of Xuzhou Urban and Rural Construction Bureau.
5. Within 30 days after winning the prize and being punished, the enterprise shall go through the relevant information registration formalities at the Market Supervision Department of Xuzhou Urban and Rural Construction Bureau.
6. Ensure that you can log in to Xuzhou Construction Engineering Trading Network in time and master relevant laws and regulations, rules and regulations, daily notices and other management information.
7, consciously accept the supervision of the administrative department of construction, not fraud, adhere to the integrity.
8. Ensure that this certificate is only used by the enterprise and shall not be altered, forged, lent or transferred.
If I violate the above commitment, I will voluntarily return the 20xx credit manual, and I will not receive the 20xx credit manual any more, and I am willing to bear the corresponding responsibilities.
Legal representative (signature):
Commitment unit (official seal):
date month year
Commitment Letter of Honesty Enterprise 6 In order to create a market environment of honest management and fair competition, strengthen the construction of quality integrity system, effectively ensure product quality, safeguard consumers' legitimate rights and interests, and promote the construction of a "quality power", this enterprise solemnly promises to the society:
First, firmly establish the idea of "quality first", constantly enhance quality awareness and social responsibility awareness, ensure and improve product quality, implement the main responsibility of enterprise quality, meet people's expectations and needs for high-quality products, and enhance people's consumption confidence.
Second, strictly abide by the product quality law, standardization law, metrology law and other laws and regulations, strictly implement product standards, do not make and sell fakes, put an end to false propaganda, resolutely resist counterfeiting, deceive consumers and other illegal and untrustworthy behaviors, and do not infringe on the legitimate rights and interests of other enterprises.
Three, strengthen the whole staff, the whole process, all-round quality management, the implementation of advanced quality management methods, improve the measurement assurance system, standardization system and quality assurance system. Strictly control the quality of raw materials, production process, products leaving the factory, storage, transportation and sales.
Four, the establishment of quality and safety accident active reporting system, strict implementation of quality and safety accountability system, improve the product quality traceability system, timely solve the quality complaints of consumers, and consciously fulfill product quality responsibilities and obligations such as product quality recall and "three guarantees".
This unit strictly fulfills the above commitments. If there is any violation, they are willing to bear corresponding legal responsibilities, accept illegal and untrustworthy behaviors into bad credit records and make them public.
Legal Representative of Commitment Unit (Seal) (Signature): XXX
Organization code: XXX
20xx year x month x day
As a member enterprise of China Veterinary Medicine Association and one of the top 50 veterinary drugs enterprises in China, we actively respond to the initiative of China Veterinary Medicine Association on industry integrity and self-discipline, resolutely ensure that qualified products leave the factory and veterinary drugs enter the home with confidence, and strive to promote the continuous improvement of aquaculture safety, livestock product safety and public health safety in China.
To this end, we solemnly promise as follows:
First, honesty, responsibility first. Adhere to the supremacy of honesty, take the initiative to assume social responsibility, constantly strengthen the subject consciousness of veterinary drug quality and safety responsibility, start from ourselves, and set an example in the construction of industry integrity system.
Second, according to the provisions of production, law-abiding business. Strictly abide by the relevant laws, regulations and policies of the state, and ensure that the production and business operations and production and sales records are true and complete.
Third, strict inspection to ensure quality. Further improve the internal management system and quality control system, strengthen staff training, strictly control the quality of raw materials, strictly control the production process, and conscientiously do a good job in the quality inspection of veterinary drugs to ensure that the ex-factory products are qualified.
Fourth, refuse to feel inferior and resist prohibition. Strictly control the process of product purchase and sale, establish a complete record of purchase and sale, and may not directly sell raw materials to livestock and poultry breeding enterprises, nor may they purchase and sell drugs for human use; We will not sell fake and shoddy products, and we will resolutely not engage in illegal and smuggled drugs.
Fifth, respect peers and civilized competition. Adhere to civilized management, do not vilify peer companies, do not engage in price alliance, and make more contributions to creating a healthy and orderly business environment. Advocate mutually beneficial and win-win cooperation.
Six, improve the service, scientific publicity. Establish a perfect after-sales service system, guide the safe and rational use of veterinary drugs, do not mislead users, do not exaggerate publicity, and do not arbitrarily increase or decrease the contents of label instructions.
7. Advocating science and technology and focusing on innovation. Respect other people's intellectual property rights, and do not infringe or steal other people's patented technology; Don't counterfeit or steal other people's trademarks or product logos. Ensure that the application materials for new veterinary drugs are true and accurate.
Eight, strengthen self-discipline and accept supervision. Strengthen self-discipline, carry out self-examination and self-correction, take the initiative to accept and actively cooperate with the supervision work of the competent departments of the industry, honestly confirm the sampling products, and bravely assume the responsibility for product quality.
Commitment: xxx
20xx year x month x day
In order to carry forward Pizhou's urban spirit of "harmony, tolerance, wisdom, honesty and pragmatic innovation", promote the healthy development of social credit system construction, create a unified, open, fair competition, standardized and orderly market environment, and establish an honest and law-abiding business image of enterprises. Corporate integrity is as follows:
1. Promise to operate legally in strict accordance with relevant national laws and regulations, ensure to operate legal, safe and effective products, and honor contracts and keep promises.
2 commitment to resolutely resist the operation and sales of fake and shoddy products, and report to the relevant departments in time after discovering fake and shoddy products.
3. Commitment to honest management, civilized service and safeguarding the legitimate rights and interests of consumers.
4 commitment to consciously accept the supervision and inspection of the society, the masses and the news media.
5. Commitment to actively participate in the construction of enterprise credit system in Pizhou, consciously abide by the rules and regulations of enterprise credit management, and establish the moral concept and industry fashion of credit self-discipline.
Name of enterprise (seal):
Signature of the person in charge of the enterprise:
Date: Year Month Day
Commitment letter of good faith enterprise 8 It is the obligation of every citizen to pay taxes in good faith according to law, and this enterprise hereby solemnly promises:
First, consciously abide by the competition rules under the socialist market economy system, adhere to law-abiding operations, and create a healthy and orderly development environment. Strictly abide by the financial accounting system and accounting standards, truly and accurately calculate the operating results, fulfill the tax payment obligations according to law, and ensure the integrity of tax payment according to law.
Second, seriously study and strictly abide by tax laws, regulations and policies, actively participate in various training meetings, take the initiative to understand tax dynamics and tax law knowledge through various channels provided by local tax authorities, file tax returns on time, pay taxes in full and on time, and do not evade taxes, cheat taxes or refuse to pay taxes, so as to be a leader in paying taxes in good faith according to law.
The third is to play the role of tax coordination and tax protection, actively participate in various tax law publicity activities, actively cooperate with tax authorities to maintain tax order, resolutely resist tax evasion, actively report tax violations, play the role of social supervision, and create a good tax environment.
4. Accept and actively assist the supervision and inspection of local tax authorities according to law, and take the initiative to accept the supervision of all sectors of society on our tax payment according to law.
Five, actively make suggestions and care about the construction of tax authorities. Put forward good suggestions on how to improve professional quality, cultivate fine style, improve service skills, and enforce the law in a clean and self-disciplined manner.
Finally, I hope that honest management will be popular all over the world! May honest tax payment be deeply rooted in people's hearts! Pay taxes in good faith according to law and build a beautiful garden, starting from me and starting now!
Commitment:
date month year
Commitment Letter of Honesty Enterprise 9 Our company (or myself, the same below) voluntarily joined the "Enterprise Integrity Information Database of Weifang Public Resource Trading Center" (hereinafter referred to as the Enterprise Integrity Database), and the relevant information registered in the Enterprise Integrity Database has been reviewed and confirmed by our company, and we solemnly promise as follows:
1. The relevant information submitted by our company and published in the enterprise credit database is true and valid. The submitted materials are not forged, modified or false, and the contents described in the materials are truly owned by our company.
2. This unit promises that the system account shall not be lent or transferred. This unit shall not collude with the tenderee (purchaser), intermediary agency or other bidders (suppliers) to damage the national interests, social interests and the legitimate rights and interests of other parties during the project transaction of Weifang Public Resources Trading Center, and shall not seek the bid (transaction) or illegal interests from the purchaser, procurement agency or members of the bid evaluation committee by other improper means.
Three, where in Weifang public * * * resources trading center to participate in the transaction project units, in the qualification examination and bid evaluation (review) stage need to submit enterprise and personnel performance information, awards, etc. , should be in accordance with the requirements of the transaction documents or relevant regulations in Weifang public * * * resources trading network publicity, without publicity information shall not be used as the basis for qualification examination and bid evaluation (review).
4. If our unit violates the Provisions of the Supreme People's Procuratorate Municipality on Inquiring about Criminal Files and the Provisions of the Supreme People's Court Municipality on Publishing Information on the List of People Being Executed in bad faith, or is restricted from bidding, prohibited from participating in government procurement activities or included in the list of bad faith enterprises, our unit shall make a statement in advance, otherwise all consequences will be borne by our unit.
5. System data is the key to ensure electronic transactions. Our company will seriously and timely input, maintain and update the relevant information in the enterprise credit database. If it fails to input, maintain and update in time, all the consequences arising therefrom shall be borne by our company.
Six, if the violation of this commitment is verified, the unit is willing to accept the publicity of the municipal public resources trading center, voluntarily withdraw from the bidding (negotiation, consultation) and enterprise credit library of the trading project, and accept the punishment of relevant laws and regulations.
Commitment (official seal):
Legal representative or entrusted agent (signature or seal):
Contact person:
Contact telephone number:
Fax:
Commitment letter of honest enterprise/10 xxxxxxxx company solemnly promises:
In the past two years, the enterprise has not been punished by the administrative department of housing and urban and rural construction at or above the county level for the following 12 acts:
(1) Having subordinate relations, cooperative business relations and other interests with the bidders of the project subject to tender;
(two) engaged in the same project bidding agency and bidding consulting activities;
(three) beyond the scope of qualification to undertake the project bidding agency business;
(four) knowing that the entrusted matters are illegal;
(five) accepting bribes, providing kickbacks or giving other illegitimate interests to undertake the project bidding agency business;
(6) Transferring the project bidding agency business without the written consent of the tenderer;
(seven) the disclosure of confidential information and materials related to the bidding activities;
(eight) colluding with the tenderer or bidder, harming the national interests, social public interests and the legitimate rights and interests of others;
(nine) refusing to implement the correction decision made by the relevant administrative supervision departments according to law or practicing fraud to conceal the truth;
(ten) to modify the performance documents of the project bidding agency approved by the tenderer and stamped with the official seal of the tenderer without authorization;
(eleven) alter, resell, lease, lend or illegally transfer the qualification certificate of the project bidding agency in other forms;
(twelve) other acts prohibited by laws, regulations and rules.
Xxxxxxxxxxxx company
date month year
Commitment letter of honest enterprise 1 1 to:
I took part in the bidding activities of Project No.1, and was fortunate to be a candidate for winning the bid. In order to ensure the smooth implementation of the bidding documents and our bidding documents, we solemnly promise as follows:
1. We declare that there are no acts such as lending (leasing) enterprise qualifications, colluding in bidding and practicing fraud in the bidding activities of this project, and offenders will bear corresponding legal and economic responsibilities.
2. Promise not to subcontract or illegally subcontract, and offenders will bear corresponding legal and economic responsibilities.
3. Promise to sign the construction contract on schedule, enter the site on schedule and start construction on schedule.
4. Promise that all members of the project team determined in the tender documents will be on duty and shall not be replaced without approval.
5. Promise to strictly perform the contract to ensure the construction period, quality and safety.
6. Commit to strictly enforce the laws and disciplines of building a clean government and fighting corruption, and there will be no violations of laws and disciplines.
7. Promise that our company will strengthen the management of this project in accordance with the regulations, and guarantee funds, equipment and technology according to the needs of the project.
8. Promise to obey the on-site management of the tenderee and supervision unit in the process of project implementation, and actively cooperate with the inspection and investigation work of relevant management departments.
Commitment letter of honest enterprise 12 In order to maintain fair competition in the market and create an honest and trustworthy market environment, our unit voluntarily registers and publishes the information of relevant members of the unit through XXX bidder's honest information database system. The above information has been confirmed by our company, and we voluntarily make the following commitments:
1, where our unit participates in the bidding project through XXX online bidding system, the information such as enterprise performance and awards submitted during qualification examination and bidding are made public in advance in the information system, and the undisclosed information cannot be used as the basis for our unit's qualification examination and bid evaluation.
2. Our company will take full responsibility for the authenticity of all materials in this statement. The submitted certification materials have no forged or false elements, and the performance and award-winning information described in the materials belong to our company. In case of violation of this commitment, once verified, our unit will voluntarily withdraw from all project bids in Nantong tangible building trading market, accept public notification, and bear all the adverse consequences brought to our unit.
I am here to convey
Salute!
Commitment: xxx
20xx year x month x day
Commitment letter of honest enterprise 13 Organizer (name): name of foreign transaction (draft contract):
The promisor solemnly promises:
First, consciously abide by national laws and regulations, abide by industry norms and business ethics, and conduct business cooperation and trading activities in good faith and compliance according to law.
Second, the promisor
The staff of the promisor and their relatives shall not engage in the following acts:
(a) Giving or accepting cash and cash equivalents, valuables, securities, etc. ;
(2) Asking or accepting the other party to provide financial assistance for building houses, weddings, funerals and going abroad;
(3) Introducing relatives and friends to engage in business activities related to cooperation between the two parties;
(4) Giving or accepting kickbacks;
(five) illegal organization or participation in high-end entertainment, banquets, fitness or tourism activities;
(6) Reimbursement of expenses that should be paid by individuals;
(seven) to engage in other activities that may affect the correct performance of the contract.
Three, the promisor shall not engage in the following acts of unfair competition:
(a) counterfeiting the registered trademark or logo of others;
(2) Making false propaganda by advertising or other methods;
(3) Infringement of business secrets;
(four) in violation of legal circumstances, selling goods below the cost price;
(five) illegal sales of prize-winning goods;
(6) Defaming the commercial reputation and commodity reputation of others;
(7) colluding in bidding;
(8) Other acts of unfair competition.
Four. If the promisor violates this promise to engage in commercial bribery, interest transfer and unfair competition related to this transaction, he is willing to unconditionally bear the liability for damages, compensate the actual economic losses of the Pipeline Bureau, and bear the punitive liquidated damages of 30% of the actual economic losses.
The verb (abbreviation of verb) promises that the following information filled in by the undertaker is true and valid, and agrees that if it exists,
If "Yes" is selected in item 1-4 of this declaration, please provide relevant information.
Legal representative or authorized person of the promisor (unit signature):
date month year
As the owner of a food business (individual industrial and commercial households), I know that the quality, safety and hygiene of the food we operate are directly related to the health and life safety of consumers. In order to effectively protect the food safety of the people and safeguard the legitimate rights and interests of consumers, the owner solemnly promises as follows:
First, consciously abide by the national food hygiene law, consumer rights protection law, product quality law and other relevant laws and regulations, obey the food safety supervision and management, and firmly establish the concept of safety first and honest management.
Two, in accordance with the requirements of the administrative department for Industry and commerce food safety supervision and management, establish and implement the following management system.
(a) incoming inspection and acceptance system. To verify the qualifications that food producers or suppliers must have by means of obtaining certificates and tickets.
(2) Purchase account system. Truthfully record the purchase time, source, name, specification, quantity, shelf life and other contents of each food; Engaged in wholesale business, commodity sales invoices and vouchers need to be kept for more than 2 years.
(3) Food quality commitment system. Take food quality as the first priority and implement the responsibility of food quality commitment.
(4) The delisting system of unqualified food. Stop selling food with quality problems detected by self-inspection, unqualified food beyond the shelf life and unqualified food announced by administrative supervision organs in time, or return it to suppliers or destroy it; For the unqualified food that has been sold, it is necessary to recycle it in time, and inform the supplier, the local industrial and commercial office and the food safety supervision workstation in the area.
Three, strictly control the quality of food, do not sell fake and shoddy, expired food.
Four, do a good job in the storage of food moisture, mildew and other work, keep the shelves and warehouses clean and tidy.
Five, the use of measuring instruments prescribed by the state, the legal unit of measurement as the basis for settlement, not short of two pounds, sales shall not refuse consumers to review the measuring instruments.
Six, do not publish false food advertisements, outdoor advertisements consciously reported to the industrial and commercial departments for approval and release.
Seven, the food business enterprise (store) boss (legal representative) as the first person responsible for food safety in circulation, take full responsibility for food safety in sales. If the rights and interests of consumers are damaged by the food sold, they shall voluntarily accept the treatment in accordance with the provisions of the Consumer Protection Law and other laws and regulations.
Please supervise the above commitments from all walks of life.
Name of Commitment Enterprise (Store): (Seal)
Commitment to enterprise (store) owners:
(Legal Representative)
Business license number:
Supervision unit: (seal)
Health license number:
Supervisor:
Date of Commitment: Year Month Day
Commitment Letter of Honest Enterprise 15 Jinan Urban and Rural Construction Committee:
In order to maintain the order of the construction market in Jinan and ensure the quality and safety of construction projects, this enterprise solemnly promises that it will strictly abide by the laws, regulations, rules and relevant provisions of the state, Shandong Province and Jinan City, fully perform its due obligations, consciously accept the supervision of the construction administrative departments at all levels in Jinan City, and put an end to the following illegal acts:
1. Exceeding the qualification level of this enterprise or undertaking projects in the name of other enterprises, or allowing other enterprises or individuals to undertake projects in the name of this enterprise;
Two, colluding with the construction unit or enterprise in bidding, or winning the bid by bribery or other improper means;
3. Unauthorized construction without obtaining a construction permit;
4. Subcontract the contracted project or subcontract it illegally;
Five, in violation of the national mandatory standards for engineering construction;
Six, the occurrence of major production safety accidents or more than two general production safety accidents;
Seven, malicious arrears of labor subcontracting enterprises or migrant workers wages;
Eight, concealing or lying, delaying the report of engineering quality and safety accidents or destroying the scene of the accident, hindering the investigation of the accident;
Nine, in accordance with the provisions of national laws, regulations and standards, workers who need certificates for technical jobs have not obtained certificates;
10. Failing to perform the warranty obligations of engineering quality according to law or delaying the performance of the warranty obligations, resulting in serious consequences;
Eleven, alter, copy, resell, lease, lend or otherwise illegally transfer.
Construction enterprise qualification certificate;
Twelve, other acts in violation of laws and regulations.
All the materials we provide are true, valid and legal. In case of fraud and the above twelve illegal acts, our company is willing to accept the punishment (treatment) given by the construction administrative departments at all levels in Jinan according to law, and promises not to participate in bidding and undertake engineering business in the construction market in Jinan within two years from the date of punishment (treatment), and agrees that the construction administrative departments at all levels in Jinan disclose relevant facts and bad behavior evaluation.
Requirements, strictly fulfill all due obligations, consciously accept the supervision of the construction administrative department, do a good job in safe and civilized production, do a good job in project quality, do a good job in the payment of wages for migrant workers, and ensure social stability. If there are violations of laws and regulations, enterprises will voluntarily withdraw from the Jinan construction market.
Commitment unit (official seal):
Legal Representative (signature and seal):
date month year