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Request for Validation of …

Revised April 2011 Please send this document and any attachments, in English, in an envelope with your seal or stamp over the flap after sealing. Send to: CGFNS International, 3600 Market Street, Suite 400, Philadelphia, PA 19104-2651 USAR equest for Validation of License/Registration/Diploma FOR LICENSING OR SCHOOL AUTHORITY TO COMPLETEFOR APPLICANT TO COMPLETE BEFORE SENDING TO LICENSING OR SCHOOL AUTHORITYSEALORSTAMPMy current nameFirst (given) name Middle name Last (family/surname) nameMy birth date My CGFNS ID number My order number Month Day Year (if known) (if known)

Revised April 2011 Please send this document and any attachments, in English, in an envelope with your seal or stamp over the flap after sealing.

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