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I certify that the answers which I have given to the foregoing questions and statements are true and complete to the best of my knowledge, and that I have withheld no information or other responses that would, if disclosed, affect this application unfavorably. I understand that any misleading or incorrect statements or responses may render this application void and, if employed, may result in my immediate termination regardless of the point in time at which the misleading or incorrect statement or responses was discovered.
By signing my name below I certify that I have read or have had read to me, the information above. I understand the contents and hereby acknowledge receipt of this information.