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INFORMATION IN THE WHITE BOXES USING. JBALLPEN, MARK THE SHADED LETTER OR NUNBER. USING LEAD PENCIL NO.2 THIS FORM IS MACHINE PROCCESSED, CAREFULLY FOLLOW ALL DIRECTIONS. PRINT THE REQUIRED ‘D0NOT FOLD OR MUTLATE. KEEP THIS CLEAN AND MEAT EXAMINE IDENTIFICATION SHEET MANILA #TEAMPADI imate Sopris wh i 38 ag Theorie neoevon Diaswu Cl revcnowons ‘n your usval handwriting, copy the following paragraphs on the space provided hereunder ATTESTATION ‘ON NON-DISCLOSURE DECLARATION 1 unduetand tar on my pate compy with th above undrtahing may ae in th insaaten of my rae, lequiaton rom tr rasan sndcr ay be suse criminal proseeon » Signature of Baminee ‘Administring OffceriChairman of (atant) Momber of the Board #TEAMPADI REPUBLICOF THE PHIUPPINES. PROFESSIONAL REGULATION COMMISSION SUBJECT ) se aunck eaurren fo on sete tet #TEAMPAD! MANILA REPUBLICOF THE PHILIPPINES PROFESSIONAL REGULATION COMMISSION [Seer = z = r * r #TEAMPADI MANILA REPUBLICOF THE PHILIPPINES PROFESSIONAL REGULATION COMMISSION. EXUMEN

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