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Service Agreement with DHA Applicant

DATE
Effective Upon Payment

Services Performed By:
Apply Ready License Processing Inc.
www.applyready.com
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contact@applyready.com

Services Performed For:
DHA Applicant

    SERVICE AGREEMENT


    *Please sign your initials (for example jdm * ) before each paragraph below, thank you.
    This SERVICE AGREEMENT is issued pursuant to the DHA License Processing Service between DHA Applicant  (“Client”) and Apply Ready License Processing Inc (“Service Provider”), effective upon completion of payment (of  the “Processing Service”). This SERVICE AGREEMENT is subject to the terms and conditions contained in  APPLY READY DHA Processing Service Q&A between the parties and is made a part thereof. Any term not  otherwise defined herein shall have the meaning specified in the DHA Processing Service Q & A. In the event of  any conflict or inconsistency between the terms of this SERVICE AGREEMENT and the terms of the DHA
    Processing Service Q & A, the terms of this SERVICE AGREEMENT shall govern and prevail.

    This SERVICE AGREEMENT (hereinafter called the “Agreement”), effective upon completion of payment by the  Client, is entered into by and between Service Provider and Client, and is subject to the terms and conditions  specified above. Any issue(s) to this AGREEMENT, if any, shall be deemed to be a part hereof. In the event of any
    inconsistencies between the terms of the body of this AGREEMENT and any issue(s) hereto, the terms of the  body of this AGREEMENT shall prevail.
    DHA Applicant
    Max file size: 20MB
    Please attach your signature here

    RELEASE, AUTHORIZATION & WAIVER OF RIGHTS

    I,
    hereby authorize the following entities  and individuals to release all information in their
    possession concerning me, whether oral, in writing, documented or  other, to APPLY READY LICENSE PROCESSING INC. and/or its agents acting on my behalf.
    All professional licensure boards, verification and credential service agencies, legal background agencies and testing  authorities.

    All schools or universities which I have attended.

    All institutions at which I have ever received training and all facilities at which I have ever held professional work  privileges, whether full or limited, temporary or permanent.

    All professional institutions, specialty boards, and all other organizations with which I have ever been associated.

    All attorneys who have ever participated in criminal or civil actions, in which I was named party, that would pertain  to or directly affect my ability to obtain DHA License, practice my profession and/or have professional privileges.

    I hereby make this release and waiver of rights for the purpose of allowing APPLY READY LICENSE  PROCESSING INC. and its agents to execute its duties pursuant to my request for DHA Application processing  service.

    I further authorize APPLY READY LICENSE PROCESSING INC. or any of its duly authorized agents to submit  verification requests, professional inquiries and applications relevant to the requirements of DHA licensure.
    ​
    A photocopy of this Release, Authorization and Waiver of Rights shall be as effective as the original.
    DHA Applicant
    Max file size: 20MB
    Please attached your Signature here
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