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Get How To Complete Your Medical Form For Star Lake Camp

D more space to answer questions in this form, use a separate sheet. Identify each answer with the number of the corresponding question. SIGN AND DATE each sheet in original signature. APPLICATION FOR ALIEN EMPLOYMENT CERTIFICATION To knowingly furnish any false information in the preparation of this form and any supplement thereto or to aid, abet, or counsel another to do so is a felony punishable by $10,000 fine or 5 years in the penitentiary, or both (18 U.S.C. 1001) PART A. OFFER OF EMPLO.

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