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INTERN DUTY CERTIFICATE Form 25 MT-S LA -S ............................................. Please PRINT and return the ORIGINAL FORM duly completed together with Form 24 MT or Form 24 GT or Form 24 LA to: The Registrar, Health Professions Council of South Africa, PO Box 205, Pretoria 0001 553 Vermeulen Street, Arcadia, Pretoria 0083 NAME OF LABORATORY: POSTAL ADDRESS OF LABORATORY Code and Tel No.: NAME OF HEAD OF LABORATORY: DR/MR/MRS/MISS It is hereby certified that Mr/Mrs/Miss has s.

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