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ICC08 LU1267 (10/08) PART 2 Medical History 1701 Research Blvd., Rockville, Maryland 208503191 1. Name of Proposed Insured 2. Height ft. in. Date of Birth 3. Weight lbs. If your weight has changed
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icc08 lu-1267 1008 part is a specific section or part of a form related to ICC regulations.
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Information such as the value of goods traded, country of origin, and other relevant details must be reported on icc08 lu-1267 1008 part.
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