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2 Is this student academically prepared for the rigor of a fouryear college curriculum Yes Unsure No Cannot evaluate 8 Comments Space is provided for addition. Capac Ohmite Resistance Power Operating itance Series Range Ohms 2557520C Voltage pf 605736002 57347WR573475736857363573630 57363573615736557368 5736457361573689 605736002 57347WR5734757364573595736357363573630 57363573615736857363 5736557361573639 APPLICANT Completed by applicant Name Date of Birth Last First MI Los Rio s ID if known Age Grade Level Phone Current School Attending 4 Applicant Email Information for Birth Certificate Search 5 Child Name 6 Date Of Birth 7 Fathers Name 8 Mothers Name 9 Citizen Service Centre BRUHAT BANGALORE MAHANAGARA PALIKE BIRTH CERTIFICATE REQUEST APPLICATION FORM No. 11 - 556 __________ M AETTA V ANCE , Petitioner , v . B ALL S TATE U NIVERSITY , et al. , Respondent s . __________ to the United States Court of Appeals for the __________ REPLY BRIEF FOR 1 I, ______________________________________ __________ __________, the undersigned, (Printed or Typed Name of Certifying Official) representing __ __________ _________________________________________ 1 Name of Company ACN Registered Address City/Suburb State Postcode Telephone Fax Directors 2 Applicant Details (if the Applicant is a Trust) Name of Trust Date of Trust Names of beneficiaries / unit 1. NAME OF APPLICANT Your name, a person’s name, the name of the person who will sign as applicant in item 10 (i.e. John Doe, Mary Jones...)DAYTIME PHONE Telephone number where yo BBC Le T F 3__________ a BBC Le BBC Le Whtt Orhtt htt 4_ APPLICANT 2. APPLICANT 1 LAST NAME. FIRST NAME. SIN. BIRTHDATE. IF SEPARATED OR DIVORCED, HAVE YOU APPLIED. FOR FINANCIAL SUPPORT FROM YOUR SPOUSE?. YES, STATE AMOUNT. $. NO. , GIVE REASON. MARITAL STATUS. Agenda Overview. Welcome, Introduction, and . Sign-In. TennCare and Managed Care Organization (MCO) programs: . CHOICES & Employment & Community First (ECF) CHOICES . DIDD Provider Development Contacts. Cap Page 2of 4Revised 7/20/20161H2Do you consider the applicants achievements thus far to be a true indication of his/her ability Please explain use additional sheets if needed3Personal professional appr 444444Residential Address in Canada where the applicant ordinarily residesCan be left blank if submitting the Assisted Living formShipping Address where the product will be shippedMailing Address w Lease is proposed to RTMC Board Directors for approval7The nal step is to apply to the Philadelphia Historical Commission PHC for approval of your store design Applicants must ll out an application an