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Get the free Section 1 Name and address of member (Print in BLOCK letters)

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Proxy Form Section 1: Name and address of member (Print in BLOCK letters) Full name of Member: QC OSS Member No: Address: Suburb State: P/Code: Section 2: Appointment of proxy I, being an individual
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Start by clearly writing your full name in the provided space. Make sure to use your legal name as it appears on official documents.
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If there are multiple name fields, such as for a prefix or a suffix, fill them out accordingly. Examples of prefixes include Mr., Mrs., or Dr., while suffixes may include Jr., Sr., or III.
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Section 1 is for personal information such as name, address, date of birth, and social security number.
All employees are required to fill out section 1 of the form.
Employees must provide accurate and complete information in the designated fields.
The purpose of section 1 is to verify the identity and eligibility to work in the United States of the employee.
Employees must report their legal name, date of birth, address, and social security number.
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