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Health form for driving licence


Gaccha

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Has anyone got a copy (PDF) or even a photo of the "5 diseases" health form (apparently was introduced on March 1st)? The one I've got for my visa has 6 diseases listed so it must be some other form...

 

I can't rely on my clinic's doctor as he is in his late 70s and not up on these types of things...

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