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Green orwardedg tog Manitobag Studentg Aidxg POg Boxg 12000xg STNg MAINxg Winnipegxg MBxg R3Cg 5R3 White eptg byg theg Lender CONFIRMA TIONW OFW ENR OL MENT SignatureN ofN yuthor izedN Officer NameN ofN yuthor iz edN OfficerN WpleaseN pr intY Date D. 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 Partner Parents Other children Doula Other present before ANDOR during labor During labor Id like Music played I will provide The lights dimmed The room as quiet as possible As few interruptions as possible As few vaginal exams as possible Hospital 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 No SI No SI No 1 ADILABAD 1 NELLORE 1 WEST GODAVARI 2 ANANTAPUR 2 EAST GODAVARI 2 KRISHNA 3 CHITTOOR 3 SRIKAKULAM 3 VISAKHAPAATNAM 4 CUDDAPAH 4 KURNOOL 5 KARIMNAGAR 5 PRAKASAM 6 KHAMMAM 6 GUNTUR 7 MAHBUBNAGAR 8 MEDAK 9 NALGONDA 10 NIZAMABAD 11 RANGAR Note please only include accessories related to the problem you are having Please list all included accessories Accessories Included Yes 1 2 3 Please describe the problem you are having 57417574545745957460574585746157443574605744957455574545745957 REPAIR FORM Company Name If Applicable First Name Last Name Address street address preferred City City State Zip Code Country Telephone Email Address Items being repaired Item Item Descripti 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 Printed Name of Enrollment Officer Signature of Enrollment Officer brPage 2br S Department of Labor Office of Federal Contract Compliance Programs OFCCP has selected Name of Company for an equal employment opportunity EEO compliance evaluation Name of Company has been identified as having received American Recovery and Reinves 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 Last name First Name Home address City State Province Postal code Country Graduation year Gender President Vice president Secretary Treasurer Editor Member Member Member Member Member Member Member Member Member Member Key number for office use only HPCs - LACs S11 KERALA 01 KASARAGOD HPC LACs from Kannur) 02 KANNUR HPC (7 LACs from Kannur Distri