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Pre-Form One course is on progress You are not too late we are still accepting students to join our pre-Form One program which willend in the mid December 2014 This program is very important for students before they can startform One in January 2015Our team of experienced and caring teachers is working very hard to support these youngstudentsCostThe cost of the program is Tsh 300 000FOR MORE INFOR...

  • Size: 274 KB
  • Author:none
  • Creation time: Sat Sep 27 16:46:33 2014
  • Pages: 1
Oms Application Form

Microsoft Word - Getting To Know You Form - One Mission Society.doc OMS One Mission Society1 Sandileigh AvenueManchester M20 3LN OTel 0161 283 7992personnel onemissionsociety org ukGetting To Know You Form www onemissionsociety org ukNB Data Protection Act This Form is to allow us to help you find a placement with OMS for mission service overseas It is an initial enquiryform and is part of the ful...

  • Size: 277 KB
  • Author:none
  • Creation time: Wed Aug 25 13:07:54 2010
  • Pages: 3
Cashier Formone

Cashier Form One.PDF PrintCASHIER DEPOSIT ACCOUNT INVOICEResetMail to Cashier s Office MC 102-6Form One is used for a deposit applied only to a specific Customer s Account or an Invoice in OracleDay Month YearDate1Deposit Amount2Requestor Name3Phone or Extension4Requestor Department5Payment Method6Cash Check s Credit Card OtherNOTE Do not combine Cash Check or Credit Card on the same Form Please u...

  • Size: 131 KB
  • Author:none
  • Creation time: Wed Sep 6 11:26:54 2000
  • Pages: 2

Form 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL Washington D C 20549OMB Number 3235 0287Check this box if no longersubject to Section 16 Form 4 or STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Expires January 31 2008Form 5 obligations may continue Estimated average burdenSee Instruction 1 b Filed pursuant to Section 16 a of the Securities Exchange Act of 1934 Section 17 a of th...

  • Size: 33 KB
  • Author:none
  • Creation time: Tue Jan 16 07:34:37 2007
  • Pages: 3

G:\LEARN\Gloria\S.E.C\Form 5\CAPMACCO\SEC Form 5 MARK DISALVO CAPMACCO.wpd UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVALFORM 5 Washington DC 20549 OMB Number 3235-03629 Check box if no Expires January 31 2005longer subject to ANNUAL STATEMENT OF CHANGES BENEFICIAL OWNERSHIP Estimated average burdenSection 16 Form 4 or hours per response 1 0Form 5 obligations Filed pursuant to Secti...

  • Size: 14 KB
  • Author:none
  • Creation time: Tue Jan 7 11:14:30 2003
  • Pages: 3
11 Medfest Health Reservation Agency

Agency Reservation Form MedFest Agency Reservation FormDue to the SOWI Headquarters by Friday November 11 2011This Form may be faxed or emailedDate of Event Saturday December 3 2011Location Dale s Weston Lanes 5902 Schofield Ave Schofield WITime 10 00 a m 2 00 p mWhat A day of FREE SPORTS PHYSICALS lunch includedWho Athletes eligible to participate in Special Olympics and current SOWI athletes 125...

  • Size: 117 KB
  • Author:none
  • Creation time: Wed Sep 28 10:08:22 2011
  • Pages: 1

AUCTION SALES THIS OAT fc rou d be forced to toes up tb sporge Form One-third to on -beJf of Urn total In THE GOVERNOR S MESSAGE PETALUMA ycuv A oocvtipcinents Assessment Bf wbatbar be atem tb tide or float downu25a0aiatnucs DOKk m 00 w r a Mat B a- tb sttaam itla pretty osrtain that be will dotvATV nT w w from J o vtoiut toODo-Uurd of tba total population an colored A New u25a0v dff t fr D lavAJt...

  • Size: 5437 KB
  • Author:none
  • Creation time: none
  • Pages: 1
36161 Omncar Pdf Form Lo2 Pdf Docid 421

Registration Form This event will occur rain or shine We reserve the right to cancel in extreme circumstances In that event there will be no refunds rather your registration fee will be considered a donation to the Epilepsy FoundationNational Walk for Epilepsy Registration Form One Form per walker Visit WalkforEpilepsy org for more information or for online registrationMake checks payable to Natio...

  • Size: 59 KB
  • Author:none
  • Creation time: Mon Feb 9 09:27:03 2009
  • Pages: 1
2012 Registration Form

Microsoft Word - Registration Form.doc FOR COMMITTEE USE ONLYVCQ Celebration 2012 REGISTRATION please print clearlyA 50 Non-refundable Initial Conference Deposit must accompany formNAMESTREET MAILING ADDRESSCITY STATE ZIPHOME PHONE CELL PHONEEMAILCheck to receive Class Confirmation via emailEMERGENCY CONTACT NAME PHONECELEBRATION FEEIncludes lodging food and class registrationFOR COMMITTEE USE ONL...

  • Size: 18 KB
  • Author:none
  • Creation time: Thu Aug 11 21:56:05 2011
  • Pages: 1
Tt Reg 09

Microsoft Word - Toddler Time Registration Form 09 10.doc Monona Grove Nursery School 4200 Buckeye Road Madison WI 53716608-222-4633www mgns org or email at info mgns orgToddler Time Registration 09-10Child s Name Date of Application Date of Birth Male FemaleAddress City State Zip Phone Email Parent Guardian s name s Name of adult attending Toddler Time Relationship to child Emergency contact...

  • Size: 19 KB
  • Author:none
  • Creation time: Tue Jan 20 10:38:46 2009
  • Pages: 2
Feathercreekfarm Sept11hunterjumperschoolingshowentryform

ENTRY Form HUNTER JUMPER SCHOOLING SHOWRaise the Bar Judge TBD September 11 2010Junior 18 -2 Vertical Division 13 UnderWalk Trot Poles Senior Division 14 Over26 Equitation on the Flat1A Trot Poles Warm Up not judged - 527 Hunter Under Saddle2 Trot Poles I28A Warm Up Class not judged - 53 Trot Poles II28 Equitation Over Fences4 Hunter Under Saddle29 Hunter Over Fences I30 Hunter Over Fences IIWalk ...

  • Size: 289 KB
  • Author:none
  • Creation time: Mon Feb 8 18:13:29 2010
  • Pages: 1
2014 Springsure

Springsure Working Horse Association Cutting Show Nomination Form 2014 Entries close 13th August 5PM ENTRIES TO Anne Carpenter P O Box 175 Springsure QLD 4722 or annecarpenter bigpond comENTRIES WILL NOT BE ACCEPTED WITHOUT SIGNATURE PAYMENT - CHEQUE MADE PAYABLE TO SPRINGSURE WORKING HORSE ASSOCIATIONNAME PHONE EMAIL ADDRESS PLEASE NOTE THE FOLLOWING DECLARATION MUST BE COMPLETED I am registere...

  • Size: 441 KB
  • Author:none
  • Creation time: Tue Jun 24 12:54:06 2014
  • Pages: 2
ncha.com.au/files/uploaded/file/2014... Springsure.pdf
2014 Doubles Form

Microsoft Word - 2013 Doubles Form.doc 2014 Battle of the Schools Sport Stacking FinalsDOUBLES Registration Form One Form per Doubles team pleaseGive this to your Coach to turn in along with each team member s Individual Registration Forms and feesSTACKER A NAME Please PrintDate of Birth Age on 6 07 14GradeSTACKER B NAMEDate of Birth Age on 6 07 14Grade Doubles Division circle One Grade 1 2 3 ...

  • Size: 356 KB
  • Author:none
  • Creation time: Mon May 5 00:48:24 2014
  • Pages: 1
sportstackingcanada.ca/Site/Comp_schedule_2_3_files/201...oubles form.pdf
Registration Form

Microsoft Word - Registration Form Race Location Marist Catholic High School 1900 Kingsley Road EugeneREGISTRATION Form One Form per Person Photocopies AcceptableFIRST NAME LAST NAME ADDRESS CITY STATE ZIP DAY PHONE EMAIL ADDRESS GENDER Male Female AGE on May 31 DATE OF BIRTH EVENT I AM ENTERING 8K Run 2 Mile WalkENTRY FEE T SHIRT SIZE cotton t shirt included unless adult tech shirt upgrade i...

  • Size: 239 KB
  • Author:none
  • Creation time: Wed Apr 11 08:22:31 2012
  • Pages: 1
Gipa Role Description2

Green Impact Project Assistant Application Form Green Impact Project AssistantVoluntary Role DescriptionThe Green Impact scheme is nearly starting and we would like you to be involved in helping to ensure asustainable future by caring for the environmentThis year we want students like you to be a part of this programme from the startBy applying to the Green Impact Project Assistant role you can ma...

  • Size: 281 KB
  • Author:none
  • Creation time: Wed Nov 28 12:35:49 2012
  • Pages: 1

2013 Ole Uffda Loppet Entry Form 2013 Ole Uffda Loppet Entry Form One per personIn order to be eligible for medals and age specific results date of birth must be indicatedSurname First Name Age Gender circleFemale MaleAddress City Prov Postal CodeHome Phone Email ClubWaiver see next pageSignature DateREGISTRATION Early-Registration Deadline Jan 19th 2012Entry Fee Entry FeeCircle One of the Followi...

  • Size: 102 KB
  • Author:none
  • Creation time: Tue Jan 8 03:11:31 2013
  • Pages: 3
Vbs 2011 Registration Form

2011 Registration Form Hometown NazarethWhere Jesus was a KidJune 13 17 2011 9-11 30 AMRegistration Form One per familyStudent s Name Age Last Grade CompletedParents Vacation Bible School should be a safe and fun learning experience for all the participants Children should be at least 4years old to participate If your son or daughter is not comfortable being away from family members please be prep...

  • Size: 155 KB
  • Author:none
  • Creation time: Wed Apr 20 21:36:29 2011
  • Pages: 1
St Rose Registration Form


  • Size: 7 KB
  • Author:none
  • Creation time: Thu Jun 10 08:30:41 2010
  • Pages: 1
gulfcoastsafetycouncil.com/pdfs/St Rose Registration Fo...ration Form.pdf
2013 Registration

REGISTRATION Form FWOC Fall 2013 ConferenceCHANGE AND NEW CHALLENGES FOR CONSERVATIONSeptember 13 - 15th 2013Barn Beach Reserve Leavenworth WashingtonName M FClub or Organization PositionMember organization delegate votes at Sun Business Meeting and on Resolutions YesAddress City State Zip Phone Cell Email FEESFull Conference Includes conference registration for Fri Sat and SunFri Reception Sat...

  • Size: 110 KB
  • Author:none
  • Creation time: Tue Aug 20 13:38:29 2013
  • Pages: 1
Btr 2014 Web Form 3

2014 Beaufort Twilight Run Entry Form One PER PERSON - Please Print Neatly and Fill out Completely REGISTER BY MARCH 2nd FOR LOWER PRICE GUARANTEED T-SHIRT DISCOUNTED OYSTER ROAST TICKET FORPARTICIPANTS - PRICES GO UP MONDAY SEND IN Form OR REGISTER ONLINE AT BEAUFORTTWILIGHTRUN COMChoose your Race circle oneBeaufort Challenge 8K 5K 8K Run 5K Run 5K Walk Kids Run March 22 2014Circle your FeeEntry ...

  • Size: 232 KB
  • Author:none
  • Creation time: Mon Feb 24 21:38:45 2014
  • Pages: 1

2011 CAWC Institute Registration Form To register by mail please complete this Form One copy per registrant and mail it with a cheque or credit cardinformation to CAWC 642 King Street West Suite 200 Toronto ON M5V 1M7 You may also fax it with yourcredit card information to 416-485-22912011 CAWC Institute Locations - Choose a locationVancouver BC - 22-25 September Levels 1 2 3 no prerequisite for L...

  • Size: 107 KB
  • Author:none
  • Creation time: Wed Jul 20 11:56:52 2011
  • Pages: 1
Section 16 Filing Kern Form 3 Jllipt

Form 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSIONWashington D C 20549 OMB APPROVALOMB Number 3235 -0104INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF Expires December 31 2014FORM 3 SECURITIES Estimatedaverage burdenFiled pursuant to Section 16 a of the Securities Exchange Act of 1934 Section 17 a of hours perthe Public Utility Holding Company Act of 1935 or Section 30 h of the Investment respo...

  • Size: 19 KB
  • Author:none
  • Creation time: Fri Nov 8 14:47:25 2013
  • Pages: 1
Registration Package Spring 2013

Microsoft Word - Reg Form page 1 d1.doc Scottsdale Soccer Registration Instructions2013 Spring SeasonArcadia Scottsdale United Soccer Club 1 Please complete every portion of this Form One child per form2 Include a check see Fees section below One check can be writtenfor multiple players if all forms are returned togetherVOLUNTEER SUPPORT Box 5075PO 3 Write player s name and age on checkScottsdale ...

  • Size: 54 KB
  • Author:none
  • Creation time: Sun Jan 3 18:58:09 2010
  • Pages: 2
scottsdalesoccer.com/docs/Recreational/Spring/Registrat...Spring 2013.pdf
Registration Form Aapwa 2014

Method of Payment (please check One):  VISA  MasterCard  American Express  Check (personal/agency) 47TH ANNUAL NATIONAL TRAINING AND CONTINUING EDUCATION CONFERENCENovember 16 19 2014 Hyatt French Quarter Hotel New Orleans LAREGISTRATION FORMLast Name First Name Name on Badge Title Agency Name Mailing Address City State Zip Tel Fax E-mail Emergency Contact Relationsh...

  • Size: 654 KB
  • Author:none
  • Creation time: Thu May 29 13:27:58 2014
  • Pages: 1
napcwa.org/content/dam/aphsa/pdfs/Events/AAPWA 46th Ann... AAPWA 2014.pdf
Affiliation Form A

Microsoft Word - Affiliation Form A.doc School Affiliation Membership Application Form APlease complete the following Form One Form per registration pleaseI declare that the information mentioned above is true to the best of my knowledge On behalf of theSchool I the under signed shall facilitate the implementation of PMC s recommended standards andeffectively collaborate to elevate the School towa...

  • Size: 171 KB
  • Author:none
  • Creation time: Sat Sep 13 18:21:13 2008
  • Pages: 1
montessori.edu.pk/Affiliati...on form _A_.pdf
Reg Indiv Events Form 2013

Microsoft Word - Reg Indiv events Form 2013 BOLDFest 2013 Thursday-Sunday September 5-8 2013 Coast Plaza Hotel Comox Denman Streets VancouverContact Pat Hogan 604-253-7189 soundsfuries shaw caCan t make the entire BOLD Conference REGISTER 4 INDIVIDUAL EVENTS Pay online or complete Form and mail withcheque to BOLD POB 21510 1424 Commercial Dr Van V5L 5G2 One Form One PERSONNameEmail Address City Po...

  • Size: 22 KB
  • Author:none
  • Creation time: Thu Jul 18 17:23:47 2013
  • Pages: 2
boldfest.com/resources/Reg Indiv event...s form 2013.pdf
Bbs Camp Bkg Form 2012

BBS Camp Bkg Form 2012.dtp BRECON BIBLE SCHOOL 2012CHRIST COLLEGE BRECON20th - 25th August God willingBOOKING Form - CampingFAMILIES ONLY - One family group name address contact details per Form pleaseFurtherforms canbe photocopiedordownloadedfrom thewebsite www breconbibleschool org ukSurnameAddressPostcodeTel No E-mailIf any of the details above change please advise immediately so that you do no...

  • Size: 291 KB
  • Author:none
  • Creation time: Thu Oct 20 16:11:47 2011
  • Pages: 2
Form 3 A 2007 03 26 2

SEC Form 3/A SEC Form 3 ASEC Form 3FORM 3 UNITED STATES SECURITIES AND EXCHANGE OMB APPROVALCOMMISSION OMB 3235-Washington D C 20549 Number 0104FebruaryExpiresINITIAL STATEMENT OF BENEFICIAL OWNERSHIP 28 2011OF SECURITIES Estimated averageburdenFiled pursuant to Section 16 a of the Securities Exchange Act of 1934 hoursSection 17 a of the Public Utility Holding Company Act of 1935 or per 0 5Section...

  • Size: 58 KB
  • Author:none
  • Creation time: Thu Mar 20 15:42:52 2008
  • Pages: 5
novamerican.com/downloads/en/other_regulatory_filings/F...7-03-26 (2).pdf
Reverse 911

Microsoft Word - Reverse 911 Registration Form If you currently have a listed home phone number it may already be included in ourdatabaseIf your home phone number is unlisted you should complete this Form to be added tothe databaseIf you would prefer to be notified via a cell phone or alternate contact number youshould complete this formIf you would like to be notified by email you should complete...

  • Size: 366 KB
  • Author:none
  • Creation time: Wed Dec 1 16:27:16 2010
  • Pages: 1
rockfordil.gov/media/41401/...reverse 911.pdf