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Statement of Personal Health and Circumstances ( docx) 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Applicant Details' section. Enter your full name, date of birth, address, current occupation, previous occupations, sporting activities, and the name and address of your family doctor.
- Proceed to the 'Medical History' section. Answer each question regarding past accidents, illnesses, surgeries, and any medications you currently take. Use the checkboxes provided for 'YES' or 'NO' responses.
- In the 'Personal Social Information' section, provide details about your alcohol consumption and any drug use. Be thorough in your responses as this information is crucial.
- Complete the remaining sections related to various health systems (cardiovascular, respiratory, gastrointestinal, etc.) by answering all questions accurately.
- Finally, review your entries for accuracy before signing the declaration at the end of the document. Ensure that all fields are completed as required.
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