Philips - Defibrillator - Efficia DFM100

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Are you the authorized signatory?*

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Authorized signatory: Name*

Authorized signatory: Title*

Authorized signatory: Email*

Authorized signatory: Phone*

PIU: (name)*

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Language for Training Materials

OPTION 1: Use the Government’s / purchasing agency’s eSignature platform

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OPTION 2: Use the supplier’s eSignature platform

Yes

No

OPTION 3: Use the supplier’s eSignature platform to download the contract, sign the hard copy, then scan and upload into

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No

OPTION 4: Sign in counterparts, with email exchange of soft copies and/or a courier exchange of hard copies

Yes

No

OPTION 5: Sign in country

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