EXHIBIT_05A__Contractor's_Certificate_of_Training_Final.pdf
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- TIRMS-16-R-00001
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EXHIBIT 5A - CONTRACTOR'S CERTIFICATE OF TRAINING
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EXHIBIT 5 a
CONTRACTOR’S CERTIFICATION OF TRAINING
Employee’s Name: ____________________________________________
Last 4 SSN: _____________________________
I hereby certify that the above named employee has successfully completed
_______hours of required _______________________ Training subjects including practical exercises and examinations as required by Contract number ___
Training was provided from ______________ to _______________
(DATE) (DATE)
The ________________________________as identified in the contract was presented by: ______________________ of ______________________________ (Name of Instructor) (Name of Company)
Comments:_________________________________________________________________
Contact Employee’s Score: ________
Contract Employee’s Signature: _____________________________
SQI and/or COR: ________ ___________ (Initial) (Date)
Information provided in this certification is subject investigation and verification under Title 18, Section 1001, United State Code. Any false or misleading information may be punishable by fine or imprisonment.
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