SSFL - 003 - A Technical Staff Registration Form 2023

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Name

First

Last

Date of Birth:

Address

Address Line 1

City

State / Province / Region

School:

Position (Please state):

File Upload

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Phone

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Signature of Technical Staff Member

Clear Signature

Option 1

E-Signature File Upload

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Option 2

FOR THE PRINCIPAL:

I am satisfied that the above-named Technical Staff Member is attached to the above mention institution. I wish to indicate by affixing my signature to this registration form, that the information given above is true.

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Manager Signature

Clear Signature

Option 1

Date

Manager E-Signature File Upload

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Option 2

Upload School Stamp

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