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Get Form 61 Full Fill Form

Ll questions. Your answ ers w ill be considered together w it h other information in your record in determining your present fitness f or Federal employment. A f alse st at ement or dishonest answ er t o any quest ion may be grounds f or dismissal aft er appointment or conversion and is punishable by law . Type, print or w rit e legibly in ink. See Privacy Act St at ement on reverse. 1. Name (Last, First, Middle) 2. Present Address (Number, Street, City, State and ZIP Code) 3. Birthplace (Cit.

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