Inz 1096-2026

1. Click ‘Get Form’ to open the INZ 1096 in the editor.
2. Begin by completing Section A. Attach a recent passport-size photograph and ensure your full name is written on the back. The radiographer or radiologist must certify your identity by signing across the photograph.
3. Fill in your personal details, including family name, given name, gender, date of birth, and country of birth. Make sure to provide a valid contact address.
4. In Section B, declare your medical history in front of the radiographer or radiologist. Ensure you understand the implications of providing false information.
5. Complete Sections C through E as instructed. The radiologist will fill out results and provide necessary comments regarding any abnormalities found during the examination.

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