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APPLICATION FOR REFRIGERATION EXAMINATIONS

STATE BOARD OF REFRIGERATION CONTRACTORS APPLICATION FOR REFRIGERATION EXAMINATIONS (Please print legibly or type all information) I hereby apply for examination to qualify for license to engage in the business of commercial or transport REFRIGERATION contracting in the State of North Carolina. I have read and understand the REFRIGERATION experience requirement. (21 NCAC ). 1. Personal (Applicants must include full name and not an initial) Name: First _____ Middle Initial _____ Last _____ Date of Birth _____ Social Security Number _____ County _____ Work Phone _____ Home Phone _____ Cell Phone _____ E-mail address _____ Work Fax _____ 2.

10. Record of refrigeration experience/education needed to qualify for a refrigeration contractor examination. (Complete if you do not hold a current

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