DHSUD Region 3 Salesperson's Registration Form 2021
DHSUD Region 3 Salesperson's Registration Form 2021
DHSUD Region 3 Salesperson's Registration Form 2021
Region 3
Have you ever been convicted of any crime involving a penalty of more than six (6) months
imprisonment? If yes, state the nature:
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Printed Name and Signature
______________________, _______________________
Place Date
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T.I.N.