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Appendix Exhibit 13Varicose Vein Office Examination Questionnaire Patient Last Name Date of Birth:Patient First Name //Age: Sex’M/Date / / Primary Physician: Have you ever been hospitalized before?

How to fill out appendix-a personal data form

How to fill out appendix-a personal data form

1. To fill out Appendix-A Personal Data form, follow these steps:
2. Download Appendix-A Personal Data form from the official website or obtain it from the concerned department.
3. Start by providing your personal details such as full name, date of birth, gender, and nationality.
4. Fill in your contact information, including your current address, email address, and phone number.
5. Provide your educational background, including the degrees obtained, institutions attended, and years of study.
6. Fill out your employment history, including the names of employers, positions held, and dates of employment.
7. If applicable, provide details of any professional certifications or licenses you hold.
8. If you have any previous criminal convictions or pending charges, disclose them accurately as requested in the form.
9. Read the form carefully and answer all the questions truthfully and accurately.
10. Once you have filled out the form, review all the information for any errors or omissions.
11. Sign and date the form at the designated space.
12. Submit the completed Appendix-A Personal Data form as instructed, either in person or through the designated channels.
13. Note: It is important to provide all the required information accurately and honestly to avoid any complications or delays in processing your personal data form.

Who needs appendix-a personal data form?

1. Appendix-A Personal Data form is required by individuals who need to provide their personal information to a particular organization, institution, or government department.
2. Common examples of individuals who may need to fill out Appendix-A Personal Data form include:
3. - Job applicants applying for positions that require detailed personal information.
4. - Students applying for admission to educational institutions.
5. - Individuals seeking government benefits or services.
6. - Persons involved in legal proceedings or investigations that require personal data disclosure.
7. It is advisable to check with the specific organization or department to determine if they require Appendix-A Personal Data form to be filled out.

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