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TEST EXAMINER 10. 3. RANK 4. DATE (YYYYMMDD) 6. NAME OF TEST OR BATTERY 8. TEST SITE LOCATION 9. TEST ACCOUNT ID I understand that I am not required to take the above named test, this date, provided that there are extenuating circumstances such as fatigue, illness, emotional distress, family, or financial problems, etc., which may interfere with my performance in the test; and that the test will be administered at another time acceptable to me, the Test Control Officer concerned, and my u.

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