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PERSONAL MEDICAL HISTORY AND EXAMINATION (Please attach copy of both sides of medical aid card and copy of ID document)1 2 3 4 5 6 7 8Full Name: Date of Birth: Male / Female: PSA Affiliate Association:
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Complete the relevant form by providing accurate information and ensure all required documents are attached before submission.
The purpose is to provide evidence or supporting information that substantiates the claims or data presented in the primary document.
The information that must be reported generally includes identification details, relevant dates, and any specific data or statements required by the requesting authority.
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