| Declaration: | We agree to the above stipulations regarding use of materials from the NARAC repository and database. |
| Applicant: | __________________________ | |||
| Title: | __________________________ | |||
| Signature: | __________________________ | Date: | _________ | |
| Institutional Official: | __________________________ | |||
| Title: | __________________________ | |||
| Signature: | __________________________ | Date: | _________ |