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If yes have you submitted a waiver request to exceed the 400 hour maximum Yes No 6. Declaration I have read and understand the requirements in Chancellor s Regulation C-175. I understand that I am bound by this regulation. I affirm that the information given above is to my knowledge accurate and complete and I understand that a willfully false answer to any question contained herein is a Class E felony which shall render this application null and void and may result in loss of retention...
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