HQL Livescan Pre-Registration Application

HQL Livescan Pre-Registration Application

HQL - LIVESCAN PRE-REGISTRATION APPLICATION

First Name *

Middle Initial

Last Name *

Date of Birth *

Gender *

Male

Female

Height *

Example 5 Foot 6 Inches

Weight *

Weight in pounds.

Eye Color *

Hair Color *

Race *

Black

White

Asian/Pacific Islander

Native American

Other

Place of Birth *

Citizenship

Address *

Daytime Phone *

Evening Phone *

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