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Begin by filling out the Applicant Information section. Enter your last name, first name, middle initial, street address, date of birth, city, state, and zip code. Select your gender by checking either 'Male' or 'Female'.
In the Physical History section, indicate any past medical conditions by checking the appropriate boxes. Provide details for any conditions that require explanation.
Complete the Boxing / Unarmed Combat Record section by entering your wins, losses, and draws for professional boxing and MMA.
Fill out the Physical Examination section with details such as height, weight, blood pressure readings, and any remarks regarding your health status.
Proceed to the Eye History and Eye Examination sections. Answer all questions truthfully and provide vision measurements as required.
Finally, ensure that a licensed physician completes their examination remarks and signs off on the document before submission.
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