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Please provide details of an adult who can be contacted in an emergency. Name: Telephone number: Do you consider yourself to have a disability or to have a long term Yes No health condition? Please

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Anyone who is requested to fill out the "Please provide details of" section may need to provide specific information, depending on the context. This could include individuals applying for a job and being asked to provide details of their work experience, qualifications, and references. It could also include individuals involved in a legal matter, being asked to provide details of their witness statements or any evidence they may have. In general, anyone who needs to provide specific information or support their claims with relevant details may be required to fill out this section.

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