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Security Orientation Acknowledgement<br />

Office Security Orientation Memorandum<br />

By signing below, I acknowledge they have read, understand, and agree to follow the<br />

Individual Security Responsibilities as stated in the Office Security Orientation<br />

Memorandum.<br />

EMPLOYEES<br />

LAST, FIRST, MIDDLE<br />

INIITAL<br />

DOE, JOHN, A<br />

Signature Date EMPLOYMENT STATUS<br />

GS,FS,PSC,WAE,INTERN

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