Declaration concerning a lost, stolen, inaccessible, damaged or foundcanadian travel document. information. protected. warning toapplicantany false or misleading statement on this form or relating to anydocument in support of your travel document...
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Td112 version 04/2011 home off ice trav el d ocument application form in addition to this application form, you need the following two documents: - td 112 guidance notes (version 04/2011) - ukba photograph guidance for travel document applications...
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Fillable form citizenship and immigration canada page 1 of 3 citoyennet et immigration canada date of receipt stamp at post application for a travel document (permanent resident abroad) all individuals, regardless of age, must complete their own...
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Balboa yacht club fall sabot racing class c3 practices: friday afternoons from 3:30pm6pm. dates: september 6, 13, 20, 27, october 4, 11, 18, 25 cost: $300 for byc members, $350 for nonmembers coaching: coaching will be provided to sailors during...
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Protected a (when completed) request for certified true copy of canadian travel document all personal information provided on this form is protected and used in accordance with the provisions of the privacy act (personal information bank no. dfait...
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For office use only empl. id is os staff initial date application for admission notice: in accordance with 23.2.2:1 of the code of virginia, your name, date of birth, gender, and student identification number will be submitted to the virginia...
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Senior secondary school class xi science stream the candidates shall be selected for admission to class xi (science) course according to their preference indicated by them in their application form and merit determined through an objective type...
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Page 1 of 1 public submission as of: " 11/20/15 1:00 pm received: november 19, 2015 status: pending post tracking no. ljz8mchs2a9 comments due: february 16, 2016 submission type: web docket: nrc20150020 nuclear request for sodium iodide 1131...
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Page 1 of 1 public submission as of: 1/21/ '16 4:15 pm received: jranuary 21, 2016 ding post sau:pn 1o. lk08nigfhea tracking n comments due: february 16, 2016 submission stype: web docket: nrc20150020 nuclear request for sodium iodide i131...
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12 high dose radioactive iodine (i-131) therapy for treatment of thyroid cancer for out-patients consent for out-patient treatment and precautions (care helper) i have read and understand the above information. these precautions have been...
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De-131 attorney or party without attorney (name, state bar number, and address) : telephone and fax nos.: for court use only to keep other people from seeing what you entered on your form, please press the clear this form button at the end of the...
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Document 009113 addendum #1 1.1 project information a. project name: historic lazaretto exterior and interior renovations. b. owner: tinicum township c. architect: vitetta. d. architect project number: 6294.00. e. date of addendum: march 23, 2016....
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Darren lackan, md chris bajaj, do anjanette tan, md christopher hudak, md i131 (radioactive iodine) treatment patient name: date: out of courtesy, our office expects 24 hour notice for the cancellation of any appointment. however, given the high...
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.overlakehospital.org /imaging phone: (425) 6880100 fax: (425) 4548911 please bring this form with you to your appointment last name: daytime phone: insurance carrier: appointment date: first name: evening phone: cpt code: appointment time: date...
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