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DHSCI2011Certification of Hearing Impairment for Cochlear Implant Program Applicants Name: Birth date: LastFirstMiddleName of Parent or Legal Guardian: Mailing Address: City: State: Zip: County Phone:
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To fill out an applicant's name and birth date, follow these steps:
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Start by opening the application form or document that requires the applicant's information.
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Locate the section where the name and birth date are to be filled in.
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Begin by writing the applicant's first and last name in the designated fields or boxes. Make sure to use the correct spelling and proper capitalization.
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Next, fill in the applicant's birth date in the specified format. Typically, it includes the day, month, and year of birth.
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Save or submit the form as per the instructions provided.

Who needs applicants name birth date?

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Various entities or organizations may require an applicant's name and birth date for different purposes. Some examples include:
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- Employers conducting background checks or personnel records
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- Educational institutions during admission processes
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- Government agencies for identification and verification purposes
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- Financial institutions when opening an account or issuing official documents
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These are just a few examples, and the specific requirements may vary depending on the context and the entity requesting the information.
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Applicant's name birth date refers to the date of birth of the individual applying for a certain purpose.
The individual themselves or someone filling out the form on their behalf may be required to provide the applicant's name birth date.
You can fill out the applicant's name birth date by writing the month, day, and year when they were born in the specified format.
The purpose of providing the applicant's name birth date is to verify their identity, age, or eligibility for a specific application or process.
The information that must be reported on the applicant's name birth date includes the full date of birth, including day, month, and year.
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