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  1. You must answer all the questions in this form below.
  2. If you have any objection to do a medical examination or for us to make sure of the information below, please do not complete this form.

 

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Professional Information

I certify that the information given by me by answering the questions above are true and complete to my knowledge, and I agree that you make sure of the validity of the answers I gave in this application, knowing that any wrong or incomplete information would cause my dismissal from service.


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