MUTUAL NON-DISCLOSURE AGREEMENT (BILATERAL NDA) ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties to the Agreement --------------------------- This Agreement is entered into on ____________________ (____________________) by and between: First Party Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ Second Party Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Purpose of Disclosure: _________________________________________________ Survival Term: _________________________________________________________ Permitted Representatives: _____________________________________________ 3. EXECUTION & SIGNATURES ------------------------- First Party Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________ Second Party Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________