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20 Jun 2017 ... (Please read Privacy Act Statement on reverse before completing this form.) ..... AUTHORITY: 5 USC 552, 10 USC 655, 1475 to 1480 and 2771, ...RESPONSIBILITY to keep your Record of
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The principal purpose of this form is to provide information to the relevant authorities.
Entities specified by the authorities are required to file this form.
The form should be filled out accurately and completely according to the instructions provided by the authorities.
The purpose of this form is to report specific information as required by the authorities.
The form typically requires reporting of financial and operational information.
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