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I hereby certify that the information provided is true and correct and I acknowledge that false information or omissions may result in rejection of my application. I hereby authorise Valoris Children and Adults of Prescott-Russell, in consideration of my application, to verify the accuracy of the information provided above. I hereby authorise the supervisor and/or the Valoris Human Resources representative to verify the existence of a file on my behalf and/or on behalf of my family members in the Valoris Children and Adults of Prescott-Russell database.
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