Intranet.tcsg.edu
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|State Law requires all selected male applicants between the ages of 18 and 26 to present proof of having registered with the Selective Service|
|System or to present proof of being exempt from registration prior to beginning State employment. |
|In accordance with State Law, I have verified that | |
| |[Name of Applicant] |
| |
|[ Check One ] |
| |
| |Has registered with the Selective Service System (attach a copy of the registration card or screen print from the Selective Service |
| |System Internet Web Site: ) |
|OR | |
| |Is exempt from registration with the Selective Service System (attach verifying documentation). |
| |
| | | |
|[ Name of Official - please print ] | |[ Title ] |
| |
| | | |
|[ Signature of Official ] | |[ Date ] |
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SELECTIVE SERVICE VERIFICATION
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