Appedix to the DARIAH-PL Consortium Agreement made on 18 August 2014

Place, date 

Declaration on joining DARIAH-PL Consortium

Information on the entity joining DARIAH-PL Consortium
Name:
Registered office:

Represented by:

I hereby declare that I am willing to join DARIAH-PL Consortium as its member as of 30January 2015 and I declare that I accept all terms and conditions of the Agreement made on 18 August 2014 which formed the above-mentioned Consortium, thereby becoming a rightful Party to this Agreement – member of DARIAH-PL Consortium.

………………………….……, holding an ID card No. and series ……………………shall be delegated to the Board of Consortium as our representative. 

Signature and stamp of the authorised person