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APPLICATION FOR SICKNESS ALLOWANCE To be completed by applicant Beneficiary no. Full name Peter Chan Address: Macau Street name Cologne 28123456 (Mobile) 61234567 Others RUA de Macau Name of building
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2014 Macau M12345 FSS Taipa SUB-5 Doorplate Rua Coloane gainful SAR HOSPITALIZATION DP entitlement photocopy Macao certify applicant practitioner Beneficiary Occupational Childbirth Entity

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