Form CRED17B template
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This document is a driver's license and voter registration renewal form from the State of Mississippi, Department of Public Safety. The form requests personal information including name, MS license/ID/permit number, residential and mailing addresses, contact information, and voter registration status. It also includes a voter declaration affirming citizenship, age, residency, and agreement to support the Constitution. Selective Service registration is mandatory for males between 18 and 26. Cancellation of licenses from other jurisdictions upon issuance in Mississippi is stated.
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