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Government Employees Medical Scheme Annual Report 2011 Proxy Form of Proxy for the Government Employees Medical Scheme (GEMS) Sixth Annual General Meeting to be held at 15:00 pm on 30 July 2012 I,

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The specific information that must be reported on Josiel Ndlovu form may vary depending on the tax authority and the specific form version. Generally, individuals or businesses are required to report their income, deductions, credits, and other relevant financial information.

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