Professional Documents
Culture Documents
Physician (Editable)
Physician (Editable)
NOTICE. - "This document is Bureau property. It is no security whatever for debt, and any
Person being in possession of it, either as a pledge or security for debt, or without lawful authority or
excuse, is liable under section 156 (9) of the Suppression Act to a fine of twenty pounds (£20) or
imprisonment for six months, or to both fine and imprisonment."
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CERTl·FICATE OF IDENTITY
("PHYSICIAN").
Artist's impression.
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Surname First Name(s)
( Block letters)
Date of Birth Place of Birth
Place of Residence
Description
Dexterity St' 1. 1.
Intelligence 7-t' * 2. 2.
Determination 4t' � 3. .I 3. I;
The above-named Physician is known to have the following skills.