| Client Code | ExamType (always C) | Exam (70 or 75) | EligibilityStartDate (leave blank) | EligibilityEndDate (leave blank) | Site(leave blank) | CandidateID(If using candidate ID also enter this number in the SSN field.) | SSN DO NOT USE (If using SSN leave CandidateID field blank.) | FirstName (required) | MiddleName(optional) | LastName (required) | Address1 (required no PO Box, add business name) | Address2 | City | State | Zip | Country | Maiden | DOB | Phone 1 | Phone 2 | Email(required) |
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