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This is to certify that the details and photograph of Shri _________________________ S/o._________________________________________________ and resident of (R/O) ____________________________________________________________________ who has applied for the post of __________________________________________ is verified and certified as correct and genuine.
Please use this certification form to certify that the qualified patient listed below has hearing loss and requires the CaptionCall service to use the telephone in a manner that is functionally equivalent to a fully hearing person.
Emergency Contact Number _______________________ Medical Treatment Authorization I ____________________________, certify that I am the legal guardian of said child _____________________________ and herby authorize any and all medical care necessary to be rendered by any medical personnel qualified to do so in efforts to preserve life, limb or the general health and welfare of my child.
___________________________ Signature over Printed name (Parent/Legal Guardian) _________________ Date ACCEPTANCE OF NOMINEE This is to certify that I fully understand and accept the nomination for the Mga Bagong Rizal:
Dell Performance Analysis Collection Kit (DPACK) Environment Overview Project:
CERTIFY that the above information is complete and correct to the best of my knowledge and belief and I undertake that, as long as I continue to be a director or shareholder of the above company I will promptly notify the registered office provider of any material changes affecting the completeness of the answers to these questions.
According to the Division of Workers’ Compensation (DWC) in their Newsline published April 2, 2018, the requirements of who can certify interpreters remains UNCHANGED.
Public / Individual Training CERTIFIED COACHING &