______________________________________________________________Р (2) Issuing Office _______________________________________________________________________РРPersonal file kept by : ____________________________________________________________________________________________РРРРDeclarationРI certify that the information provided is true and can be treated as part of any subsequent contract of employment I also understand that any untrue information given in this application will result in disqualification or termination of employment with the Company even if the application is successfulРРРРРРРSignature : Date :
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