Transcription of SECTION I - OFFICIAL QUALIFICATIONS
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SECTION I - OFFICIAL QUALIFICATIONS
SECTION I - OFFICIAL QUALIFICATIONSS pecial equipment, special operations or conditionsCity, rural, long haul, OF EQUIPMENTSIZEQUALIFIED ATNAME OF EXAMINERDATE QUALIFIEDSPECIAL QUALIFICATION1 EQUIPMENT 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
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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