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Please print name Signature Date www. nj. gov/education New Jersey Is An Equal Opportunity Employer Printed on Recycled and Recyclable Paper. State of New Jersey DEPARTMENT OF EDUCATION PO Box 500 Trenton NJ 08625-0500 CHRIS CHRISTIE Harrington Governor Kimberley Acting Commissioner TASC Statement of Assurances Form Adult Education Test for State-Issued high school diploma I hereby certify that I have not received a high school diploma in this or any other State and I am not currently...

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