30910882 2025

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4.4 out of 5

47 votes

The document is a Medical Confidence Form for the transfer of medical records between medical sections of licensing authorities. It requires the applicant's consent for transferring their aeromedical records, along with personal details and medical history. The form outlines necessary documents for transfer and includes a verification section for the medical assessor to certify the accuracy of the information provided.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the applicant's consent section. Clearly print your name in block capitals and provide your signature and date.
In Item 1, specify the State of Transfer TO, including the address, telephone number, and email. Repeat this for Item 2 for the State of Transfer FROM.
Complete Items 3 to 8 with accurate details about the holder, including full name, address, date of birth, nationality, reference number, and any licenses held.
For Item 9, if applicable, indicate any previous States of Licence Issue and provide a summary of medical history as required.
Ensure all necessary documents are attached as specified in the form instructions before finalizing your submission.

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Versions	Form popularity	Fillable & printable
2022	4.6 Satisfied (21 Votes)
2015	4 Satisfied (29 Votes)
2013	4.4 Satisfied (47 Votes)

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