GIVEN IS TRUE MID ACCURATE T3 THE REST Of MY KNOWLEDGE. SIGNATURE UI PARENT OR LEGAL GUARDIAN DATE FOR OFFICE USE ONLY: On 5 MLR NU. 1691 1541 SI VAN' NLAU31 N (SD) STUDENT LANGUAGE EN SD) CUR US iblI MITI LUCIE E01 (biT LATE, URft 08/16/99 MO) SM. LODE 1060 IDS) GLADE EMI. 07 (65) CAlt