Right To Represent Personal Information First Name Last Name Email Phone Number Job/Req ID Client/Company Name Date Exclusive Authorization I hereby authorize Reekruter to submit my resume to the above named client. I confirm that I have not been submitted by any other supplier to this position, nor have I signed or do I intend to sign another Consent Form giving authorization to any other supplier to submit me to the position listed above. If it is discovered that I signed another consent form with another supplier for this requisition, this consent and any other consent I have signed will be null and void and may result in being rejected from overall consideration by the above named Reekruter client.