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- Click ‘Get Form’ to open the INZ 1096 chest X-ray certificate in the editor.
- Begin by filling out Section A, providing your full name as shown in your passport, gender, and date of birth. Ensure you attach a recent passport-size photograph.
- In Section B, complete your home address, telephone number, email, country of birth, and citizenship. Use capital letters for clarity.
- Proceed to Section C where you will declare the accuracy of the information provided. Sign this section in front of the radiographer or radiologist.
- Section D must be completed by the radiologist. They will assess and note any abnormalities found during the chest X-ray examination.
- Finally, ensure that Section E is signed by the radiologist certifying that all statements are true before submitting your completed form within three months.
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