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Registration Date: Testing Date: Room #St. Francis de Sales School 917 S. 47 Street + Philadelphia, PA 19143 2153871749 the 8 REGISTRATION FOR 20212022 Please Print Legibly and Answer All Questions.

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Check na if not is a declaration indicating that a certain action has not been taken.

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Individuals or entities who are responsible for the action in question.

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Check the appropriate box indicating that the action has not been taken.

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The purpose is to provide transparency and accountability regarding actions that have not been completed.

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The specific action that has not been taken.

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