In order to ensure a secure registration process, you are required to enter the requested information below, including the last four digits of you SSN or SIN. This information is being used solely for ID verification purposes.
Please provide your written consent to such use by checking the box below. If you do not consent, you are directed to contact your human resources representative.
By checking this box , I hereby provide my written consent to the use of the last four digits of my SSN or SIN for the sole and necessary purpose of identifying me during registration.
Last Four Digits of National Identifier (SSN or SIN)
Postal Code / ZIP Code
Date of Birth (MM-DD-YYYY)