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STUDENT MUST BE PRESENT TO SIGN FOR WORKING CARD. WE WILL NOT BE ABLE TO ISSUE YOUR WORKING CARD IF YOUR FORMS ARE NOT COMPLETE. AT-16 THE UNIVERSITY OF THE STATE OF NEW YORK THE STATE EDUCATION DEPARTMENT Albany New York 12224 SHAKER HIGH SCHOOL Name of Applicant 445 WATERVLIET-SHAKER ROAD LATHAM NY 12110 Address Male Date of Birth Female Complete Part A unless certificate is limited --in which case complete Part B A. I hereby certify that I have examined the above-named applicant and find...
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Individuals applying for various permits or licenses in New York, such as driver's license, marriage license, business permit, etc.
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