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ISTRATION, OUT OF STATE DRIVER S LICENSE OR I.D.) EYE Color: Color of eyes HAIR Color: Color of hair Home Address: Applicant s home address POB: State or Country of Birth SOC: Social Security Number (optional) 6. 7. 8. Facility Number: Preprinted Level of Service: Preprinted If resubmission, list original Applicant Tracking Information (ATI) No.: If your fingerprints were rejected and this is a resubmission of your prints, enter the original ATI number provided on the reject notice to.

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