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AIRPORT AUTHORITY

UNDERTAKING ON MEDICAL SHORTFALL

I understand that there may be outstanding medical shortfalls incurred during my


employment with the Authority and I am liable to repay all outstanding medical
shortfalls. I hereby agree and authorize the Authority to settle my outstanding
medical expenses through deduction from my monthly payroll. In the event that I am
unable to settle any outstanding medical shortfalls through deduction from my
monthly payroll, I understand and agree that the Authority shall be entitled to deduct
the outstanding shortfalls from any payment or benefits payable to me or any other
person as a consequence of my employment with the Authority.

Signed by :

Name (in block letter) :

Date :

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