Name: [Applicant Name]
Date of Birth: [Date of Birth]
Address: [Applicant Address]
Phone Number: [Applicant Phone Number]
Email Address: [Applicant Email Address]
Educational Background:
Highest Education Level Attained: [Bachelor's Degree, Master's Degree, etc.]
Name of Institution: [Name of University or College]
Professional Experience:
Number of Years in Relevant Field: [5 years, 10 years, etc.]
Job Title/Position: [Current or Most Recent Job Title/Position]
Have you ever been convicted of a felony? [Yes/No]
If yes, provide details:
Have you completed a notary training course? [Yes/No]
If yes, provide details of the course:
Have you successfully passed the notary exam? [Yes/No]
If yes, provide details of the exam:
I, [Your Name], solemnly swear (or affirm) that I will support the Constitution of the United States and the Constitution of the State of [State], and that I will faithfully discharge the duties of the office of notary public to the best of my ability.
[APPLICANT'S NAME]
[DATE SIGNED]
Notary Public Name: [YOUR NAME]
[DATE SIGNED]
Notary Seal (if applicable): [SEAL]
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