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- [small][center]Nonstandard Religious Practice Certification Form[/center][hr][br]
- Facility: NSS Exodus[br]Date: [field][br]Index: [field]
- This form is for those who perform nonstandard religious pratices that may be considered occult or harmful to others, including but not limited to followers of 'Nar-Sie'. By signing this form, you are allowed the privilege to practice your religion in the Chapel under supervision.[br]
- [br]Religion or Deity:[field]
- [br]Practicing Crewmember:[field]
- [br]Practicing Crewmember's Signature:[field]
- [br]Overseeing Chaplain:[field]
- [br]Chaplain's Signature:[field]
- [br][hr][br]
- [logo]
- [/small]
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