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Appendix H₁ Brandon RNA Medical Staff Office CS2102, 150 McDavis Avenue East Brandon, MB R7A 2B3 Phone: 5784215 Fax: 5784969 DIRECT DEPOSIT FORM Physician remuneration for on call, committee attendance,

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Appendix H1 - Direct is a form used to report direct financial interest and transactions with a foreign entity.

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Any individual or entity who has direct financial interest or transactions with a foreign entity is required to file appendix H1 - Direct.

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To fill out appendix H1 - Direct, one must provide accurate information regarding their direct financial interest and transactions with foreign entities in the specified form.

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One must report details of any direct financial interest, income, and transactions with foreign entities on appendix H1 - Direct.

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