SECTION I - OFFICIAL QUALIFICATIONS
SECTION I - OFFICIAL QUALIFICATIONSSpecial equipment, special operations or conditionsCity, rural, long haul, OF EQUIPMENTSIZEQUALIFIED ATNAME OF EXAMINERDATE QUALIFIEDSPECIAL QUALIFICATION1EQUIPMENT OPERATOR'S qualification RECORD (EXCEPT AIRCRAFT) (AR 600-55 and AR 385-55) DATECREDITSDEBITSTYPE OR NATUREACTION TAKENSECTION III - PERFORMANCE RECORD (List chronologically as "credits" - awards, training, retraining, testing, retesting, roadeos, permit renewal, relicensing, etc; and as "debits" - accidents, arrests, violations, warnings, revocations, suspensions, etc.) PERMIT (Initial) SECTION II - BACKGROUND AND EXPERIENCETYPE OF EQUIPMENTSIZETYPE OF DRIVINGOR OPERATIONADDITIONALDRIVER'S LICENSES (State or agency) NUMBER OF OTHERDRIVER'S LICENSESSATISFACTORY EXPERIENCEVERIFIED BYNAME (Last, first, initial) AND SERVICE NUMBERNUMBERDATE ISSUEDTYPELIMITATIONS (Physical or operational) SEXDATE OF BIRTHCOLOR HAIRCOLOR EYESHEIGHTWEIGHTPOSITION TITLE (If civilian) 212DA FORM 348, OCT 64REPLACES DA FORM 348, 1 AUG 60, WHICH WILL BE US
SECTION I - OFFICIAL QUALIFICATIONS Special equipment, special operations or conditions City, rural, long haul, etc. TYPE OF EQUIPMENT SIZE SPECIAL QUALIFICATION1 DATE QUALIFIED QUALIFIED AT NAME OF EXAMINER EQUIPMENT OPERATOR'S QUALIFICATION RECORD (EXCEPT AIRCRAFT) (AR 600-55 and AR 385-55)
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