CareKonnect™ Pilot Partnership Agreement (MOU)

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Notes

1. Applications  will undergo routine verification.
2. Means of Identification Includes NIN, Int'l Passport or Driver's License
3. Utility bill should show name and address.
4. Incomplete or inaccurate submissions may not be processed  False Information will be reported.
5. By submitting this form, you confirm that the information provided is accurate and consent to LexMedical Ltd. processing it for the purpose of pilot participation and onboarding, in compliance with NDPR and applicable data protection laws.