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AM PLEASE, ARRANGE TO EXAMINE THE ABOVE MENTIONED CANDIDATE AS TO HIS/HER FITNESS FOR THE ABOVE MENTIONED POSITION. DATE ____/ ____ / _____ RECRUITMENT ATTACHE/OR DOCTOR: _____________________________________________________________________ HISTORY OF ANY SIGNIFICANT PAST ILLNESS INCLUDING: - PSYCHIATRIC AND NEUROLOGICAL DISORDERS (EPILEPSY, DEPRESSION…) - ALLERGY MEDICAL EXAMINATION TYPE OF MEDICAL EXAMINATION VISION LABORATORY INVESTIGATION NEGATIVE\ NORMAL POSITIVE\ ABNORMAL R. EYE .

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