Form 447-Sel - Supplement For Sc Credential Selective Service Requirements printable pdf download

South Carolina Department of Motor Vehicles

447-SEL

Supplement for SC Credential

(Rev. 9/04)

SELECTIVE SERVICE REQUIREMENTS

BEGINNER’S PERMIT/DRIVER’S LICENSE/IDENTIFICATION CARD NUMBER: _____________________________________

CUSTOMER NUMBER: ______________________________________

____________________________________

_______________________________ ____________________________

________

LAST NAME

FIRST NAME

MIDDLE NAME

SUFFIX

___________________________________

____________________________

SOCIAL SECURITY NUMBER* (SSN)

DATE OF BIRTH (MM/DD/YY)

Section 56-1-125 of the South Carolina Code of Laws requires a male citizen or immigrant who is less than 26 years of age to register for the

United States Selective Service when applying to the Department of Motor Vehicles for the issuance of a credential.

Section 1. MALE APPLICANTS 13-17 YEARS OLD:

PARENTAL NOTIFICATION FOR MINOR: (Must be completed for all applicants under 18)

(Please check all three to indicate that you have read each paragraph)

I understand that the Department of Motor Vehicles will transmit the applicant’s information to the United States Selective Service

upon his 18

birthday, UNLESS he surrenders all current, active or expired SC Beginner’s Permits, Driver’s Licenses or ID cards

to the Department BEFORE his 18

birthday.

I understand that the Department of Motor Vehicles WILL NOT transmit the applicant’s information upon his 18

birthday if he

has turned in all current, active and expired SC Beginner’s Permits, Driver’s Licenses or ID cards BEFORE his 18

birthday for

any reason (for example, for suspensions of driving privileges).

I have received a copy of DMV information sheet IS-DL-100 from the Department.

I am the parent or guardian of the applicant who is a minor.

______________________________________________________

________________________________________________

Parent of Guardian Printed Name

Signature

______________________________________________________

__________________

Relationship to Minor Applicant

Date

I have read and understood that my personal information will be forwarded to the United States Selective Service for my registration

as required by Federal law, if I have not surrendered my credential before my eighteenth birthday.

__________________________________________________

__________________________________________

_______________

Applicant’s Printed Name

Signature

Date

Section 2. MALE APPLICANTS 18-25 YEARS OLD:

Please select one: If “No” is selected, your application for credential will be denied.

Yes

I am 18-25 years old and I authorize and consent to the South Carolina Department of Motor Vehicles’

providing my necessary information to the United States Selective Service for any registration as required by Federal law.

I CERTIFY under penalty of perjury that all information and statements made in this supplement are true and correct.

__________________________________________________

__________________________________________

_______________

Applicant’s Printed Name

Applicant’s Signature

Date

Form 447-Sel - Supplement For Sc Credential Selective Service Requirements

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