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Height : …………………...
Weight : ……………………
Chest Normal : …………………...
Chest expanded : …………………...
Chest expansion : …………………...
Vision : …………………...
His/Her height ….………… , weight ..…….……… , chest ..….………… and vision …………….. …….
Signature :
Name :
Place : Reg. No. :
Date : Designation :
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