FuTech Application Center

[Raa'ta]

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APPLICATION FORM

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Personal Information

Name: Heather Marshall

Date of birth (DD/MM/YYY): 08.09.798 A.S

Current residence: Republic of Liberty, Planet Manhattan, Saltlake city, Heroes street, building two, room 236.

Contact details: Have been sent to you personally.

Gender: [] Male [X] Female

Suffix (Jr., Sr., other): Sr.

Education: Highest degree attained.

[] High School Diploma

[] Bachelor's degree (BS, BA, BCom etc.)

[] Master's degree (MS, MA, MBA, etc.)

[X] Doctorate

Ethical Standing: [X] Check here if you have ever been convicted of a felony.

If the answer is yes, provide details:

821 A.S - Stealing lab equipment. The penalty has been weaken due to confession of guilt and detection of cleptomania, as psychological disorder. One million credits have been paid within 2 weeks after the announcement.

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Background Experience

Prior Background: Check the institution or companies you were affiliated with.

[] Liberty Navy

Official institutions (leave blank if none): [] [LN] - Liberty Navy Primary Fleet; [] 5th| Fifth Liberty Navy Fleet

[X] Liberty Police Incorporated (As the part-time specialist to work with security drones.)

Official institutions (leave blank if none): [] LPI- Liberty Police Incorporated

[X] Deep Space Engineering (As the part-rime specialist to work with mining and ore processing drones.)

[] Ageira Technologies

Official institutions (leave blank if none): [] Ageira~ Ageira Technologies

[] Cryer Pharmaceuticals

[] Interspace Commerce

Official institutions (leave blank if none): [] IC| Interspace Commerce

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