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I certify that the information contained in this application is correct to the best of my knowledge and understanding that falsification of this information is grounds for refusal to hire or, if hired, dismissal. I authorize any of the persons or organisations referenced in this application to give you any and all information concerning my previous employment, educational, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application and release all such parties from all liability for damage that may result from furnishing such information to you. I authorise you to request and receive such information. I understand that this company does not discriminate in hiring or employment on the basis of color, race, religion creed, national origin, sex, age, handicap or veteran status.

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