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this form is true and complete.
Applicant Signature ____________________________________ Da
plication, I certify that the above
information is correct, accurate and complete to the best of my knowledge.
Applicant Name Title/Position Signature Date
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chnician $ 80.00 per category
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*Note: License fee is $40.00 and all licences will expire December 31, 2018.
Please make cheque payable to the Minister of Finance.
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