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APPLICATION FOR ELECTRICIAN EXAMINATION AND …

State of California DL State ____ Driver’s License # _____ DIR – Labor Standards and Enforcement ... Electrician Certification Program. Date of Birth (MM/DD/YYYY) _____ Phone (510) 286-3900 . Application for Electrician Examination and Certification . Please PRINT or TYPE all information in INK . Last Name: First Name: MI: Name must match U ...

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