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Name surname Born in city country On dd/mm/yyyy With office at complete address And phone number DECLARE being aware of the consequences for false declaration That Mr. /Mrs. /Ms name surname And resident at complete address ID document N According to medical check-ups results That have included the following tests Medical-sports check-up cardiac stress test with electrocardiogram urine test spirometry test in accordance with Italian law DM 18/02/82 e DM 24/04/2013 is healthy and fit for...
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