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Form E 78
Correction request is not for any fraudulent or wrongful purpose, is not detrimental to the rights or interest of any
other person, and is not prohibited by or violative of any judicial or administrative adjudication. I understand that it is unlawful to use a false or
fictitious name in my application for a registration, driver license or ID card, and that my registration, driver license or ID card may be canceled
if I fail to give the required or correct information in my application or this...
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