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Please complete the reverse side Please check if the patient has had any of the following conditions HIV Positive/AIDS Hepatitis Type Liver Disease/Jaundice Rheumatic Fever Rheumatic Heart Dis. Scarlet Fever Heart Murmur/Defects Heart Trouble/Surgery Heart Valve Defects Tuberculosis Allergies Stomach Ulcers Endocrine Problems High/Low BP Asthma/Lung Disease Gastric Reflux Nervous Disorders Diabetes Cancer Polio Bone Disorders Bleeding Problems Anemia Mononucleosis Facial Pain Lung Disease...

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How to fill out please assist us by

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2. Start by reading the instructions provided on the form carefully.
3. Begin by entering your personal details, such as your name, address, and contact information.
4. Provide a brief explanation of why you are seeking assistance. Be clear and concise in your description.
5. If there are specific tasks or areas where you require assistance, mention them in detail. Provide any relevant information that can help the reader understand your needs better.
6. If there is a deadline or specific timeframe for the assistance you require, clearly mention it.
7. Check the form for any additional sections or questions that need to be filled out. Make sure you complete all the necessary fields.
8. Double-check all the information provided before submitting the form to ensure accuracy and completeness.
9. If required, attach any supporting documents or evidence that can help support your request for assistance.
10. Finally, submit the filled-out form through the designated method, whether it is online submission, mailing, or hand-delivery.
11. Keep a copy of the filled-out form and any supporting documents for your records.
12. Remember to follow any specific instructions or guidelines provided by the organization or entity responsible for the form.

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2. It could be individuals or organizations facing challenges and seeking support.
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8. - Individuals or groups seeking volunteers or collaboration for a community project.
9. The 'Please assist us by' form is designed to gather necessary information from those in need of help, making it easier for others to understand their specific needs and provide the required assistance.

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Please assist us by is a form or document that requires assistance or support from someone.

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