identification card – cs155b. please fill in form below first name: ___________ gender:...

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Identification Card – CS155b

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Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Driver’s License Info:

State: __ ID#: _____________

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

1

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

2

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

3

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

4

Identification Card – CS155b

Please fill in form below

enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

5

Identification Card – CS155b

Please fill in form below

Driver’s License Info:

State: __ ID#: _____________

None [ ]

Withheld [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

1

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Driver’s License Info:

State: __ ID#: _____________

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htm

7

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htm

8

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htm

9

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htm

10

Identification Card – CS155b

Please fill in form below

enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

11

Identification Card – CS155b

Please fill in form below

Driver’s License Info:

State: __ ID#: _____________

None [ ]

Withheld [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htm

12

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Driver’s License Info:

State: __ ID#: _____________

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htm

13

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

14

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

15

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

16

Identification Card – CS155b

Please fill in form below

enrolled: Yes [ ] No [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

17

Identification Card – CS155b

Please fill in form below

Driver’s License Info:

State: __ ID#: _____________

None [ ]

Withheld [ ]

Privacy Notice: Use of information on this form will conform to the policy listed at:< http://www.areyoustillreading.nsd/privacy/policy.htmJust kidding, we really aren’t retaining any of this information – in fact feel free to lie about the data in any field. All forms will be destroyed at the end of class on 10 April 2003.

18

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Driver’s License Info:

State: __ ID#: _____________

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

19

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

Biometric info enrolled: Yes [ ] No [ ]

20

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

Major Credit Card # (digits 1-6): _ _ _ _ - _ _

21

Identification Card – CS155b

Please fill in form below

First Name: ___________

Gender: ___________

Yale Student ID # (digits 3-5): _ _ _

22

Identification Card – CS155b

Please fill in form below

enrolled: Yes [ ] No [ ]

23

Identification Card – CS155b

Please fill in form below

Driver’s License Info:

State: __ ID#: _____________

None [ ]

Withheld [ ]

24