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OMB No. 11230010 (02/28/2011)REQUEST FOR REGISTRATION UNDER THE GAMBLING DEVICES ACT OF 1962 (Please type or print legibly responses to all items.) Date: US Department of Justice 950 Pennsylvania
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Request for registration under is a formal application or document submitted to register for a particular program or service.
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The purpose of request for registration under is to formally request participation in a program or service and provide all required information for consideration.
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