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frostbleed
#206837253Tuesday, January 10, 2017 9:32 AM GMT

UNITED STATES FEDERAL BUREAU OF INVESTIGATION FORM A REQUALIFICATIONS REGISTRATION VERSION ONE CORRECT AS OF 10 JANUARY 2017 TO BE COMPLETED BY AN EMPLOYEE TO BE SUBMITTED TO THE DIRECTOR ! IMPORTANT ! READ ALL SECTIONS PRIOR TO BOTH BEGINNING AND SUBMITTING THIS FORM. ENSURE ANY AND ALL APPLICABLE PREREQUISITES ARE MET. INCLUDE THE FULL FORM IN YOUR SUBMISSION. ___ --| ONE; Username --| TWO; Rank --| THREE; Date of Admission into the FBI or Approximate Date --| FOUR; Timezone --| FIVE; Current Subdivision (or Desired Subdivision if not applicable) BY SIGNING BELOW, YOU ACKNOWLEDGE THAT ALL INFORMATION ABOVE IS CORRECT TO THE BEST OF YOUR KNOWLEDGE. [ PLEASE SIGN HERE ] AUTHORIZER(S), [ NOT APPLICABLE FOR THIS DOCUMENT | DO NOT MODIFY ]

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