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Hepatitis?
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Typhoid or Paratyphoid?
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Persistent Cough?
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Bronchitis, Pleurisy, Asthma, Pneumonia?
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Diarrhoea or Vomiting lasting for more than 24 hours?
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Recurrent boils or septic fingers?
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Infected or discharging ears?
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Skin conditions e.g. dermatitis etc?
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Other septic infections, including recurrent infections of the mouth, nose, throat or eye?
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Have you visited you dentist within the last 12 months?
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I have answered each question, to the best of my knowledge and belief. I am aware that the Company reserves the right to have me examined by a Doctor or Specialist nominated by the Company.
I understand that deliberate omissions/false information will lead to the termination of any employment undertaken.
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