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Get NZ INZ 1007 2014-2024

D date of delivery? No Yes Give details Examining physician: I have discussed the applicant’s medical history with the applicant (or the applicant’s parent or guardian if they are under 18 years of age). Physician’s comments (if any) 6 – General Medical Certificate - November 2014 Name of applicant Section C Examining physician’s initials Declaration of person having the medical examination This declaration must be signed and dated by the person being examined in t.

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