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Appendix G: Physical Examination Record for Foreigners
Pages 196-197

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From page 196...
... APPENDIX G Physical Examination Record for Foreigners ) F ~ ~ It ~ ~ ~ it ~ PllYS1CAL EXAMINATION RECORD FOR FOREIGNER ah Blood type 47 ~~§ 0~ Stale I _ Nan~e Sex an Fcn~ale Birtll Day-Montl~-Year ilium I'~-csent Nailing address 1~ ~ d-~ Nationality Birtl1 Place ~~,~-~'I]
From page 197...
... APPENDIX G 197 -ff ~ . Spllle , E!

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