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Diabetes thyroid disorders or any other endocrine disorders c. ear discharge nose bleeds double vision impaired sight hearing or speech or any other disorders of ear eye nose or throat d. Weight kilograms d. Name and Address of the Proposed Insured s doctor Give date reason and result of last consultation Have you ever used any habit forming drugs or narcotics or been treated for drug habits or consumed alcohol excessively or been treated for alcoholism Have you ever had or been told to have...
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