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Champions team Remember to refer to the MyPlate icon as a guide when creating your healthy recipe Use the chart below to help you get started It lists some healthy food options for each food group. BY SIGNING YOU GIVE UP YOUR RIGHT TO RECOVER ANY COMPENSATION FOR ANY PERSONAL INJURIES DAMAGE TO YOUR PROPERTY OR FOR YOUR DEATH ARISING OUT OF YOUR USE OF VERTICAL 19256573595734715736157526657359573475734718657347573472573477657347686565734757355 Please fill out the Explanation of Background Screening Findings form for EACH finding reported in your background screening 2 One 1 sponsorship letter from a current employer If you are unable to obtain a sponsorship letter submit 3 character refer Student Email Address LAGIARISM AND OLLUSION Plagiarism LV5734757525D57347SUDFWLFH57347WKDW57347LQYROYHV57347WKH57347XVLQJ57347RI57347 DQRWKHU57347SHUVRQ57526V57347LQWHOOHFWXDO57347RXWSXW57347DQG57347SUHVHQWLQJ57347LW57347 DV57347RQH57526V57347RZQ575 e Master 1 Master A Utility Security Master etc You may refer to the lock report provided to your department by Lock Key Services for the correct key designation Building PLEASE DO NOT WRITE IN THIS SPACE Department Authorization Signature Departm Policy Please List any medications medical problems or disabil ties that pertain to your Child Is your child allergic to anything Past surgery Any d etary restrictions AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT IF MY CHILD SHOULD B ID Type 2 ID Type If your position is a paid or vol unteer position and you will be in contact with children elderly andor person with disabilities please read and complete the following consent Ex teacher coach foster parent nurse care giver a Candidates full Name CAPITAL LETTERS as in Matric certificate Leave a box blank between two parts of name b Fathers Name Leave a box blank between two parts of name Write Course Ser No as mentioned i No Bank Name RO Name Head Office Address Pincode Ahmedabad Mercantile CoOp Bank Ltd AHMEDABAD AMCO HouseNear Stadium Circle NavrangpuraAhmedabadGujarat 380009 Kalupur Commercial CoopBank Ltd AHMEDABAD Kalupu Printed Name of Enrollment Officer Signature of Enrollment Officer brPage 2br MrsMsDr First Name Middle Name Surname PNB Primary Card No Date of Birth DDMMYYYY Details of the Add on PNB Global Credit Card Applicant Full Name Mr MrsMsDr Date of Birth DDMMYYYY Name as would appear on the Add On Card Please leave space between na 3353 Proposed Regulatory Class Class 11 Product Codes 87MEH S7LZO S7LWJ 87KWZ 87KWY S7KWL 87JD1 87LPH For Information contact Valerie Giambanco Regulatory Affairs Specialist Howmedica Osteonics Corp 325 Corporate Drive Mahwah NJ 07430 Phone 201 83162 No NAME OF CAPF NAME OF DWO OFFICE ADDRESS STATE DISTTPLACE CONTACT NO EMAIL ADDRESS AR Col RSYadav Garrison Commander AR Training Centre Diphu PODiphu DisttKarbi Anglong Assam Assam Haflong Karbi Anglong HPCs - LACs S11 KERALA 01 KASARAGOD HPC LACs from Kannur) 02 KANNUR HPC (7 LACs from Kannur Distri Last Name First Name Team Name Coach Name Coach Phone Anderson B 1003 8016749877 Bejarano M 1005 Lorenzo-Denise Bejarano 8017063601 Brinkerhoff P 1001 Chris McCann 8018348250 Brown T 1002 Ron Childers