Authorised Signatory Sample Signature Form This form should only be used to supply a specimen signature. This is used to ensure that the ID pass or Vehicle application requests for the Gatwick Airport ID Scheme are genuine and that Authorised Signatories associated with forms have authorised the applications with the supplied signature. Please email the completed form to
[email protected]
or post to
ID Centre Ground floor, Ashdown House Gatwick Airport RH6 0NP
Authorised Signatory Details Authorised Signatory Name: Company Name:
Company Prefix:
Contact number:
Email Address:
Nominated Authorised Signatory Declaration I acknowledge receipt of the Security Information pack. I have read and understood the information provided to me and fully understand my responsibilities as an Authorised Signatory on the Gatwick ID Pass Scheme. In particular, I understand the rules regarding referencing, checking of Criminal records and security administration process associated with ID Pass authorisation. I have been made aware of, and understand, my obligations as an Authorised Signatory and certify that to the best of my knowledge and belief, the persons for whom I will authorise the issue of Identity Passes, will be of suitable character and integrity to be employed in the Critical areas of Gatwick Airport. I further confirm that I will only authorise the issue of identity passes for persons whose presence in the areas requested is required for their employment. I am aware that it is an offence under the Aviation Security Act 1982 as amended by the Aviation and Maritime Security Act 1990 to give false information, either for the purpose of, or in connection with an application for an Airport Identity pass.
Signature
Date ______/______/_______
Sample Signature Please provide a specimen signature below
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