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Certification of this form enables the borrower to obtain additional student loans. Any person who knowingly makes a false statement or misrepresentation on this form shall be subject to penalties which may include fines or imprisonment under the United States Criminal Code and 20USC1097. Student s Signature Date Yes I am interested in receiving Federal loans and will be submitting my Physician Certification to verify my eligibility. Edu 2017 2018 VERIFY LOAN DISABILITY DISCHARGE FORM...
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