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expiration date. DOE Code 2 I certify that that the above named child has received the immunizations documented on complete the requi Physician or Clinic (Print or Stamp) Add ACES, FLORIDA 33401 days after next Immunization appointment) Physician or Authorized Slgnat ed a schedule to I t o Pe
rmed Forces Qualification Test) is the score used to determine your qualifications for entry into any branch of the United States Armed Forces or the Coast Guard. The Military Entrance Score predicts in a general way how wellyou might do in training and on the job in military occu- pations. Your score refle
call (for kindergarten effective with the 200//7002 school year) for school attendance as documented on the reverse side of this form. Physician or Clinic Physician or (Print or stamp) uthorized Signatur Ad Date: Certificate of Immunization Supplement for 7ib Grade Requirement PART A-2 (Immunizat
r, street address, and telephone number) and test scores will not be released to anpp a ency outside of Tr t:Z eni artment of (DoD), the Forces, the Coast Guard, and your school. Your school or local school system can determine any further re- lease of information. The DoD will use your scores for recruiti
call (for kindergarten effective with the 200//7002 school year) for school attendance as documented on the reverse side of this form. Physician or Clinic Physician or (Print or stamp) uthorized Signatur Ad Date: Certificate of Immunization Supplement for 7ib Grade Requirement PART A-2 (Immunizat
r, street address, and telephone number) and test scores will not be released to anpp a ency outside of Tr t:Z eni artment of (DoD), the Forces, the Coast Guard, and your school. Your school or local school system can determine any further re- lease of information. The DoD will use your scores for recruiti
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