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Please specify the specialty you are applying for. Part 1 #Name: Chan Yee Man Nationality: Chinese *HKID Card/Passport No.: Address: #Name in Chinese: Sex: *M / F Date of Birth: 1/1/1975 K123456(1) Room 123, Grand Tower, 505 Nathan Road, Kowloon Address for Correspondence (if different from above): ditto Tel No.: (Home) Mo.
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