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CS-1833. Rev 7/2016. ENROLLMENT APPLICATION & AFFIDAVIT ... Falsification of documents, including an application for EAI coverage, constitutes fraud ...
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How to fill out enrollment application amp affidavit

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How to Fill Out Enrollment Application & Affidavit
01
Gather the necessary documents: Before filling out the enrollment application and affidavit, make sure to gather all the required documents such as proof of identification, proof of residency, birth certificate, immunization records, and any other relevant paperwork.
02
Read the instructions: Start by carefully reading the instructions provided with the enrollment application and affidavit. This will give you a clear understanding of the information required and the format in which it should be provided.
03
Fill out personal information: Begin by filling out your personal information accurately. This may include your full name, date of birth, address, contact details, and any other details mentioned in the form.
04
Provide enrollment details: Fill in the enrollment details such as the name of the institution or organization you are enrolling in, desired start date, program or course details, and any additional information requested in regards to the enrollment.
05
Complete the affidavit section: The affidavit section typically requires you to sign and swear under oath that the information provided in the application is true and accurate to the best of your knowledge. Make sure to read the affidavit carefully and sign it in the presence of a notary or a designated individual, if required.
06
Attach supporting documents: Check if there are any specific supporting documents that need to be attached to the application and affidavit. These may include copies of identification, residency proofs, birth certificate, or any other documents mentioned.
07
Review the application: It is crucial to review the entire application and affidavit thoroughly before submitting it. Double-check that all the information provided is correct, and all required sections have been completed.
08
Submit the application: Once you are satisfied with the application and affidavit, submit it as per the designated submission method mentioned in the instructions. This may include mailing the filled-out form or submitting it in person to the concerned authority.

Who needs enrollment application & affidavit?

01
Students: Any individual seeking admission or enrollment in an educational institution, such as a school, college, university, or specialized program, may need to fill out an enrollment application and affidavit.
02
Professionals: In some cases, professionals may be required to complete an enrollment application and affidavit. This can be relevant when applying for specific programs, certifications, or memberships that require an official enrollment process.
03
Participants in special programs: Individuals applying for special programs or initiatives, such as exchange programs, apprenticeships, training courses, or government-sponsored initiatives, may be required to complete an enrollment application and affidavit.
04
Organizations or institutions: Educational institutions or organizations providing specialized programs or courses may ask applicants to fill out an enrollment application and affidavit as part of the admission or enrollment process. This helps maintain accurate records and ensure compliance with relevant regulations.
Note: The specific requirement for an enrollment application and affidavit may vary depending on the institution, program, or organization. It is always advisable to carefully read the instructions and inquire with the relevant authority to ensure compliance with their specific requirements.
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Enrollment application amp affidavit is a form used to officially enroll in a particular program or organization and to provide a sworn statement or declaration of information.
Individuals who wish to enroll in the program or organization are required to file enrollment application amp affidavit.
To fill out the enrollment application amp affidavit, applicants must provide accurate and complete information as requested on the form and sign the affidavit section.
The purpose of enrollment application amp affidavit is to verify the identity and eligibility of individuals seeking enrollment in the program or organization.
Information such as personal details, contact information, educational background, and any relevant qualifications or certifications must be reported on the enrollment application amp affidavit.
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