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R (e.g. ISO29299 or IEC, or SON ) 5 State whether industrial, medical, educational, research etc. 6 State whether the source is on fixed, temporary, mobile, permanent or detachable. State address of use for each source if different from that given in the form NNRA/AUTH/-020 2 SIGNATURE OF THE APPLICANT (The Legal Person)----------------------------------NAME (in bold capitals)----------------------------------------------------Date---------------- 2 RADIATION SAFETY PROGRAMME Provide the i.

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