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4. Date Available for Work (mm-dd-yyyy)

And/or 12b. Country Identification NumberMiddle Name14. If you are applying for a position that includes driving a Government vehicle, do you have a current and valid driver's license?If yes, Class/Type of License13. Are you legally eligible to work in this country?If yes, Mission HR may require verification of eligibility. Please attach copies of all documentation that confirms your legal eligibility to work in thiscountry ( , work permit, residency permit).12a. Social Security Number (for Citizens/Permanent Residents)If yes, provide Are you a Citizen?

From (mm-yyyy) Salary per Year in U.S. Dollars or Local Currency 20a. Job Title (If U.S. Government, include the series and grade) To (mm-yyyy) Hours per Week Employer's Name and Address Supervisor's Name and Contact Information Name Phone Number E-mail Address May HR contact your supervisor?

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