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Elective Local Official'S Personal Data Sheet: Picture
Elective Local Official'S Personal Data Sheet: Picture
Instruction: Please print/type all answers in accomplishing this form. Any information will be treated confidentially. Put N/A for fields not applicable.
I. PERSONAL DATA
(E-Mail Address)*
Party Affiliation :
1. Newly Minted *
3. Returning*
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IV. TRAININGS, STUDY AND SCHOLARSHIP GRANTS (Please indicate the 3 most recent training, study and scholarship grant only)
V. SERVICE RECORD (Use separate sheet of paper if necessary and attached to this form during submission)
I declare that the information given above are true and correct.
*Mandatory Fields
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