Compliance Registration Form

COMPLIANCE REGISTRATION FORM

Recitals

WHEREAS, Registrant: is an entity organized under the laws of and seeks to register its compliance obligations for the services and activities described herein;

WHEREAS, Authority: is authorized to accept registrations, review compliance programs, and issue acknowledgments of registration under applicable standards and agreements between the parties;

WHEREAS, the parties intend to record the Registrant's compliance program scope, obligations, fees, and governing terms in this Registration Form to facilitate monitoring, reporting, and enforcement as specified below.

Registrant Information

Corporation    LLC    Partnership    Sole Proprietor    Other:

Registration Details

GDPR    SOX    ISO 27001    HIPAA    Other:

Scope of Work

The Registrant shall perform or maintain the compliance activities described in the Scope of Work below. The Registrant shall provide documentation, periodic reports, and access for verification as required by the Authority and applicable standards.

Payment Terms

The Registrant shall pay the fees set forth below in exchange for registration services, monitoring, and record-keeping. Fees are non-refundable except as stated in a separate written agreement signed by both parties.

Term and Termination

This Registration shall commence on the Start Date below and continue until the End Date below unless earlier terminated in accordance with this section.

Either party may terminate this Registration for material breach if the breaching party fails to cure the breach within the notice period above. Termination does not relieve the Registrant of obligations accrued prior to termination, including payment obligations and preservation of records.

Confidentiality

The parties acknowledge that, in connection with the Registration, each may receive Confidential Information. "Confidential Information" means non-public business, technical or financial information disclosed in oral, written or electronic form. Each party shall (i) maintain confidentiality of such information using at least the same degree of care it uses to protect its own confidential information, (ii) not disclose it to third parties except as permitted herein, and (iii) use it only for purposes of performing obligations under this Registration. Exclusions include information that is publicly available through no fault of the receiving party, independently developed, or rightfully received from a third party without confidentiality obligations.

The Registrant acknowledges a continuing obligation to protect personal data and regulated information in accordance with applicable law and the standards listed in this Registration.

The Registrant acknowledges and agrees to the confidentiality terms above.

Governing Law

This Registration shall be governed by and construed in accordance with the laws of without regard to its conflicts of laws provisions. Exclusive venue for disputes shall lie in the courts of that jurisdiction unless otherwise agreed in writing.

Entire Agreement

This Registration, together with any exhibits, schedules, and mutually executed written amendments, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements, understandings and negotiations, whether written or oral. No modification is effective unless in a writing signed by both parties.

Certification and Attestation

The undersigned certifies that the information provided in this Compliance Registration Form is true, accurate and complete to the best of their knowledge. The Registrant agrees to promptly notify the Authority of any material changes to the information provided and to cooperate with reasonable requests for documentation and verification.

I certify that the foregoing statements are true and that I am authorized to bind the Registrant to the terms of this Registration.

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