A person applying for a Certificate of Exemption shall file with the Office of General Counsel, U.S. Parole Commission, 5550 Friendship Boulevard, Chevy Chase, Maryland 20815-7286, a signed application under oath, in seven copies, which shall set forth clearly and completely the following information:
- (a) The name and address of the applicant and any other names used by the applicant and dates of such use.
- (b) A statement of all convictions and imprisonments which prohibit the applicant's service under the provisions of the applicable Act.
- (c) Whether any citizenship rights were revoked as a result of conviction or imprisonment and if so the name of the court and date of judgment thereof and the extent to which such rights have been restored.
- (d) The name and location of the employer and a description of the office or paid position, including the duties thereof, for which a Certificate of Exemption is sought.
- (e) A full explanation of the reasons or grounds relied upon to establish that the applicant's service in the office or employment for which a Certificate of Exemption is sought would not be contrary to the purposes of the applicable Act.
(f) A statement that the applicant does not, for the purpose of the proceeding, contest the validity of any conviction.
(28 U.S.C. 509 and 510, 5 U.S.C. 301)
[44 FR 6890, Feb. 2, 1979, as amended at 46 FR 52354, Oct. 27, 1981]