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Get AL ASRB Personal License App

Trainer 1  Certified Trainer 2 1. PERSONAL INFORMATION Full Name (LAST, First, Middle) Date of Birth (MM/DD/YYYY) Social Security Number Race Sex Height Weight Eyes Hair Place of Birth (City, ST) Aliases (any other name you have been known by; e.g., Maiden Name, Married Name, etc… [DO NOT INCLUDE CASUAL NICKNAMES]) Home Phone Cell Phone E-Mail 2. RESIDENCES Current Residence (Street Address, City, ST, ZIP) A How Long? LIST ALL PRIOR RESIDENTIAL ADDRESSES FOR THE PAST 10 YEA.

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