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Partment 184 Kennington Park Road, London, SE11 4BU 8 www.hpc-uk.org registration hpc-uk.org Before completing your application form you will need to read the guidance notes for UK applicants and the standards of proficiency for your profession. Please complete this form in BLOCK CAPITALS using a black pen. Your title Mr Mrs Miss Ms other (please specify) Your first name Your surname/family name Your profession Once you have completed this application form, please make a photocopy.

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