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medical form

It is a legal requirement to fill in the medical form below to the best of your knowledge.

Please ensure that you have completed the Application Form first.


It would be wise to type all your answers in a document and paste and copy into the medical form in case there is an error in sending. That way you can simply paste and copy the answers with ease again if it goes wrong. It's also a record of what you have sent. 

Type in N/A where no info is needed.

Do you suffer from migraines

Thanks for submitting!

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