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Effective dates: September 1, 2011, through September 1, 2012, NAME: First middle last YEAR IN SCHOOL male female ADDRESS CITY HOME PHONE # MOBILE PHONE # BIRTHDAY MEDICAL INSURANCE COMPANY POLICY

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Effective dates September 1 refers to the date on which a new policy, regulation, or agreement becomes effective or takes effect.

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The purpose of effective dates September 1 is to establish a clear start date for the implementation or enforcement of a new policy, regulation, or agreement. It helps ensure that all affected parties are aware of when the changes will take effect.

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