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CO YCO YCC NAME (LAST, FIRST, M.I.) DRIVERS LICENCE NUMBER SOCIAL SECURITY NUMBER STATE DATE BIRTHDATE (MM/DD/YY) EXAM ID NTC CTC STC CANDIDATE WAIVER: WHEREAS, the California Department of Corrections and Rehabilitation has regularly announced a competitive examination for which my application has been accepted and the conditions of the examination require me to demonstrate my strength, endurance, and /or other physical ability; and WHEREAS, the facilities and equipme.

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