EXECUTED by the Parties on the last date hereinafter appearing: SIGNED for and on behalf of <Lead ) institution> (ABN XXX ) by its duly ) authorised representative in the ) presence of: ) ………….….……………………… Signature of authorised person ………….….……………………… ………………………………… Witness (Signature) Name of authorised person (print) ………….….……………………… ………………………………… Name of Witness (print) Position ………….….……………………… Date SIGNED for and on behalf of ) Austin Health in the presence of: ) ………….….……………………… Signature of authorised person ………….….……………………… ………….….……………………… Signature of Witness Office held ………….….……………………… ………….….……………………… Name of Witness (print) Name of authorised person (print) ………….….……………………… Date
EXECUTED by the Parties on the last date hereinafter appearing: SIGNED for and on behalf of <Lead institution> (ABN XXX ) by its duly authorised representative in the presence of: ………….….……………………… Witness (Signature) ………….….……………………… Name of Witness (print) ………….….……………………… Date ) ) ) ) ………….….……………………… Signature of authorised person ………………………………… Name of authorised person (print) ………………………………… Position SIGNED for and on behalf of Austin Health in the presence of: ………….….……………………… Signature of Witness ………….….……………………… Name of Witness (print) ………….….……………………… Date ) ) ………….….……………………… Signature of authorised person ………….….……………………… Office held ………….….……………………… Name of authorised person (print)
20131004%20AGREEMENT%20-%20AH%20collaborator%20Research%20Collaboration%20Agreement%20Template%20v1%20approved.docx