On Line Crew Application Form

On Line Crew Application Form

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I HEREBY AFFIRM THAT ALL THE INFORMATION PROVIDED BY ME IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF M Y KNOWLEDGE AND BELIEF, FURTHER, THAT NO CERTIFICATE OF COMPETENCY OR LICENSE ISSUED TO ME HAS EVER BEEN REVOKED OR SUSPENDED. I ALSO CERTIFY THAT MY MEDICAL HISTORY CONTAINED ABOVE IS TRUE AND ANY FALSE STATEMENT OR UNDISCLOED MATERIAL INFORMATION ABOUT PAST ILLNESS OR INJURY WILL DISQUALIFY ME FROM ANY EMPLOYMENT BENEFITS AND CLAIMS. *



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