HHRG-118-GO12-TTF-GallaudetPhDRearAdmiralUSNavyRetT-20241113.pdf

Truth in Testimony Disclosure Form
Witness Name: 
Position/Title: 
Witness Type:
Governmental 
Non-governmental 
Are you representing yourself or an organization?
Self  
     Organization
Committee: 
Subcommittee: 
Hearing Date: 
Hearing 
        :   
In accordance with Rule XI, clause 2(g)(5)* of the Rules of the House of Representatives, witnesses are asked  
the organization(s) or entities.

*Rule XI, clause 2(g)(5), of the U.S. House of Representatives provides:
(5)(A) Each committee shall, to the greatest extent practicable, require witnesses who appear before it to submit in advance 
written statements of proposed testimony and to limit their initial presentations to the committee to brief summaries thereof. 
(B) In the case of a witness appearing in a non-governmental capacity, a written statement of proposed testimony shall include—
a curriculum vitae; (ii) a disclosure of any Federal grants or contracts, or contracts, grants, or payments originating with a foreign
government…

Knowingly providing material false information to this committee/subcommittee, or knowingly concealing 
material information from this committee/subcommittee, is a crime (18 U.S.C. § 1001). This form will be 
made part of the hearing record.
Witness signature
Date