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NEW YORK UNIVERSITY SCHOOL OF MEDICINE 550 First Avenue, New York, NY 10016 ELECTIVE REGISTRATION FORM Academic Year 2013-2014 NAME: Last First M.I. MEDICAL SCHOOL: PERM. ADDRESS: LOCAL ADDRESS: PERM.
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To fill out a local address, one must provide the street address, city, state, and zip code of the location.
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The information reported on a local address typically includes the physical street address, city, state, and zip code.
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