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#20-004373-0001
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit.***


1

Do you possess a CPA or CIA?

Yes No
2

Please describe any regulatory experience you have as it relates to the gaming industry. If you do not possess this experience, please enter N/A.

3

Please describe your experience working as a financial analyst. If you do not possess this experience, please enter N/A.

4

Do you possess experience working in the area of Information Technology? If yes, please describe and include in your response employer, title and dates of employment? If you do not possess this experience, please indicate by using N/A.


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