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Get Request For Supplemental Certificate

E, Zip) Email: SECTION II -- SCHOOL DATA A. (1) The new school you are requesting to transfer to: (2) Date you expect to enroll: (3) If a technical course, give NAME and LENGTH of new course: (Signature of Student) Date SECTION III -- SCHOOL CERTIFICATION (This section must be completed by an official at the school reflected on the students last Certificate of Eligibility prior to submission to the Department of Veterans Affairs.) I certify that the following information includes the dates.

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