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Get Tx Apprentice/technician Verifiable Training Record Form 2007

SERVICE. # This record must be kept in the business/noncommercial entity files Name of Applicant Social Security Number: Date of Hire* Drivers License Number Date of Birth Name of Business or Noncommercial Entity TPCL No. Date of Training Or Subject/Category Hours Classroom Certified Noncommercial Applicator License No. Hours O.J.T. Hours Continuing Training (SEE DEFINITION OF TERMS ON BACK OF FORM) **Disclosure of Social Security Number is mandatory under Tex. Occ. Code Chapt. 19.

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