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LA5 2019 SCHOLARSHIP CERTIFICATION Last Name First Backstreet AddressUnitEmailBirthdate (MIDDAY)Select:Club of Los AngelesFemale City Zip Code Phone NumberMaleHigh SchoolCERTIFICATION OF ACCURACY By
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The birthdate mm-dd-yy is the date of birth in the format month-day-year.
Parents or legal guardians are typically required to file the birthdate mm-dd-yy for a child.
To fill out the birthdate mm-dd-yy, you simply need to enter the month, day, and year of birth.
The purpose of the birthdate mm-dd-yy is to accurately record and document an individual's date of birth.
The only information required to be reported on the birthdate mm-dd-yy is the date of birth.
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