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Continuing Education Certificate of Attendance Meeting/Conference Title Name of Licensee Print NYSGC License Number Licensee s E-mail Address Date Location Provider Presentation Topic/Title Program Speaker s if any CE Hours I certify that I attended the CE session described above for a total of Date Signature of Licensee INSTRUCTIONS Use this record to help you meet Commission license renewal requirements. Email an electronic copy of this completed form to the NYS Gaming Commission at...
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Start by opening the form for the name of the licensee print.
02
Locate the field for the name of the licensee.
03
Carefully type or write the complete legal name of the licensee in the designated space.
04
Do not use any prefixes or suffixes unless specifically required.
05
Make sure to double-check the spelling of the name before proceeding.
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If the name is too long to fit in the given space, consider using abbreviations or contacting the relevant authority for guidance.
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Who needs name of licensee print?

01
Individuals applying for a license or permit that requires their name to be printed.
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Businesses or organizations registering with a licensing authority.
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License holders who need to update their printed name.
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Government agencies or departments responsible for issuing licenses.
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Auditors or regulatory bodies reviewing license documentation.
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Legal professionals or advisors handling license-related matters.
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The name of licensee print refers to the printed name of the person or company who holds the license.
The person or company who holds the license is required to file the name of licensee print.
To fill out the name of licensee print, simply write the name of the licensee as it appears on the license.
The purpose of the name of licensee print is to clearly identify who holds the license.
The only information required to be reported on the name of licensee print is the name of the licensee.
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