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MedicalDoctorUnderAgedPlayerClearanceFORM
ProvincialRugbyUnion:___
RugbyClub(where applicable):___
MedicalDoctorsdetails:
___
(Full names)
MedicalDoctorsHealthProfessionsCouncilofSouthAfrica(orcs)Number:
MD___
PlayerDetails:
___
(Fullnamesofinvolvedplayer)
PlayersDateofBirthorIDnumber:___
Playersonfieldpositionappliedfor:___
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