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PO Box 463, Garner NC 27529 9194246391 www.ncruff.org info×scruff.readoption APPLICATION Name:Date:Address:City:Home #:St:Work #:Cell #:Email:Driver's License # Cesare you a US resident? No EmployedPart
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To fill out your name, simply provide your full legal name as it appears on official documents.
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To fill out the date, enter the current date in the desired format (e.g. DD/MM/YYYY or MM/DD/YYYY).
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To fill out your address, provide your complete residential or mailing address including street name, house or apartment number, city, state/province, postal code, and country.
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To fill out the city, enter the name of the city or town where you currently live.

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Name date address city refers to the personal details of an individual such as their full name, date of birth, residential address, and city of residence.
Any individual or entity requesting personal information may require someone to provide their name date address city.
To fill out name date address city, simply provide your full name, date of birth, home address, and city where you live in the designated fields or sections.
The purpose of name date address city is to accurately identify and locate individuals for various reasons such as record-keeping, communication, or verification purposes.
Name date address city must include the individual's full legal name, accurate date of birth, current residential address, and the city where they live.
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