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Should we have an international forum to resolve clinical trial mishaps?

How to minimize cross-border clinical trial mishaps? Conflicts of interest abound. Isn't an international forum the obvious answer? No, for the simple reason that international guidelines have existed for more than 50 years yet they haven't prevented clinical trial mishaps.In 1963 the World Medical Association (WMA) created and endorsed the Declaration of Helsinki (DoH). Purpose of the DoH is to guide the proper ethical conduct of human clinical trials, and to prevent clinical trial mishaps.Has the DoH prevented clinical trial mishaps? Obviously not if one goes by the high profile Phase 4* HPV (Human Papilloma Virus) Vaccine trial in India, a multinational endeavor stopped in 2010 by the Government of India, leading to an Indian Parliamentary inquiry as well as an ongoing PIL (Public Interest Litigation) at the Indian Supreme Court. Let's examine these issues in sequence and see where that leads us.First, let's examine the DoH, the WMA's explicitly drafted recommendations for the proper conduct of human clinical trials.Next, let's examine examine the history of informed consent, particularly how it came into existence. This history teaches us that informed consent can either promote or prevent clinical trial mishaps. Promote mishaps when trial administrators and funders pay lip service to it (tokenism) and aren't held accountable. Prevent them when used sincerely to promote and preserve patient autonomy.Since existing structures appear inadequate to the task, is there another way to prevent or minimize clinical trial mishaps? Yes, public pressure for stricter implementation of existing country-specific laws. Where existing country-specific laws prove inadequate, the citizenry need to push their government to enact clearer and more comprehensive laws. Two compelling reasons for this. For one, citizens of one country are unlikely to be as motivated in seeing justice done for clinical trial mishaps that happen in another country. For another, isn't it morale-boosting and integral to a citizen's identity to hold their government accountable rather than have some foreign entity step in and do so on their behalf? In fact, isn't the alternative shameful? Here, the history of the use of informed consent is a poignant guide, teaching us that the central problem is not absence of adequate laws but rather lack of accountability in the existing system.* A Phase 4 trial is a post-approval surveillance trial where effects are monitored on thousands of people to uncover unforeseen side-effects.The Declaration of Helsinki (DoH)The DoH was the WMA's declaration of ethical principles for medical research involving human subjects.From 1963 till 2013 it has undergone 7 revisions.The history of the DoH is pockmarked with controversy.For example, the 5th revision in 2000 was approved without consensus from national medical associations in the aftermath of the controversial sub-Saharan nevirapine studies on vertical HIV transmission. These studies revealed a blatant double standard in human clinical trial practice. A 1994 US study (1) showed that Zidovudine (AZT) given intravenously prenatally, during delivery and postpartum reduced perinatal (vertical) HIV transmission by ~2/3rds. It then became the standard of care in developed countries. However, when it came time to test whether the 2nd generation drug nevirapine could also minimize or prevent vertical transmission in the high-risk but much poorer sub-Saharan populations, the 1st world trial sponsors chose to give a single nevirapine dose to pregnant women during labor and once to their infants within 72 hours of birth (2). This when it was already known 'at the time that single-dose nevirapine would not be as effective as more comprehensive and much more expensive treatment regimens that also targeted transmission during pregnancy (3). Rationale of the trial sponsors? The needed infrastructure, comprehensive perinatal care and drug cost couldn't be adequately provisioned at the trial site. In other words, in a tussle between money and ethics, money won.The 7th revision of the DoH, adopted in October 2013 at the 64th WMA General Assembly in Fortaleza, Brazil, also has its share of controversy. In particular, it says 'placebos, no intervention or any intervention less effective than the best proven one may be used only when the patients who receive them will not be subject to additional risks of serious or irreversible harm as a result of not receiving the best proven intervention' (4). In response, the Latin American and Caribbean Medical Confederations refused to approve this wording of placebo use stating, 'the poor and vulnerable populations, discriminated by their lack of resources, cannot be subjected to biomedical research that have levels of safety less than those applied to more developed societies' (5, 6).Another ambiguity of the 7th DoH revision is 'risk of serious or irreversible harm'. Which is it, not treating a simple skin cut or not treating an HIV positive pregnant woman? After all, don't we live with a vast, unbridgeable chasm in health care access between the haves and have-nots so much so that even a simple skin cut could be construed as 'risk of serious or irreversible harm' in the 1st world even as an HIV positive pregnant woman is left untreated in the 3rd world?What is informed consent and why is it essential in human clinical trials?Informed consent stems from the need for patient autonomy.In a clinical trial, patient autonomy is the basic human right of a trial participant to not be subjected to medical research abuse.The egregious Nazi regime medical experiments on concentration camp inmates drove the need to prevent future outright medical research abuse so in 1947 the Nuremberg Code (Nuremberg Code) was created, i.e. research ethics guidelines for human experimentation.Article 1 of the Nuremberg Code explicitly identifies the need for consent, 'The duty and responsibility for ascertaining the quality of the consent rests upon each individual who initiates, directs or engages in the experiment. It is a personal duty and responsibility which may not be delegated to another with impunity' (See page 182 of 7).Did the 1947 Nuremberg Code prevent ongoing and future medical abuse?Obviously not since the Tuskegee syphilis experiment ran uninterrupted in the USA from 1932 until 1972. In this study, African-Americans diagnosed with syphilis were left untreated because the physicians wanted to follow the natural disease progression. This is a painfully compelling example that an international code alone is insufficient in and of itself in preventing future or ongoing outright medical practice abuse, let alone clinical trial mishap.Something more than an international agreement is needed to prevent medical research abuse of human trial participants. History teaches that this something more is lawsuits. In particular, today's informed consent is the legacy of two key US medical malpractice lawsuits.How did informed consent come into existence in human clinical trials? The two landmark US lawsuits that helped create it.The 1st lawsuitThe judge in the first case, Salgo v. Leland Stanford, Jr. University Board of Trustees (1957), coined the phrase 'informed consent' in his jury instruction.The plaintiff Mr. Salgo's now defunct treatment entailed 'puncturing the aorta through the back in order to inject a radio-opaque dye, and was left with permanent paralysis of the legs. According to the direction given to the jury: “The physician has . . . discretion [to withhold alarming information from the patient] consistent, of course, with the full disclosure of facts necessary to an informed consent” ([1957] 317 P.2d 170 (Cal. Ct. App.) at 181)' (8).'discretion to withhold alarming information' and 'full disclosure of facts necessary to an informed consent' are obviously contradictory in nature. Regardless, this was the first instance requiring that disclosure to patients needed to conform to 'professional practice standard', i.e. what is expected from a reasonable health-care practitioner (8).The 2nd lawsuitIn the second US case, Canterbury v. Spence ([1972] 464 F.2d 772 (D.C. Cir.), the patient fell out of his hospital bed after undergoing a spinal procedure and suffered major paralysis.Since the patient had not been warned about 'the possibility of this rare outcome', the 'professional practice standard' was deemed inadequate by failing to respect the patient's self-determination.Instead it gave way to the patient-centered 'reasonable person standard', i.e. what a reasonable patient considers necessary and sufficient to know rather than what health-care practitioners consider necessary to disclose (9).According to the philosopher Peter Singer and his colleague Helga Kuhse, 'this single move served to overcome three main weaknesses of the professional practice standard: first, that agreed professional standards of disclosure were typically set too low to satisfy patient demand for information; second, that there were no agreed standards for new procedures; and, third, that patients were put at a significant disadvantage in having to rely upon expert witnesses (usually other health-care practitioners) in disputes about standards of care' (8).With a 'reasonable person standard', health-care providers have to disclose to patients or clinical trial participants the four elements necessary for informed patient consent: the nature (therapeutic/not), risks, alternatives and benefits of the procedure and/or treatment. When the patients or clinical trial participants are below the age of consent, the disclosure is given to and consent sought from the parents or legal caregivers.A recent human clinical trial mishap: Phase 4 HPV (Human Papilloma Virus) Vaccine study in IndiaTo generate data to support inclusion of HPV vaccine in India's UIP (Universal Immunization Programme).Actual vaccinations started in 2009 in the Indian states of Andhra Pradesh and Gujarat.Girls aged 10 to 14 years of age, i.e. dependents so consent presumably sought and obtained from parents/caregivers.Two-component trial: Phase 4* HPV vaccine clinical trial and observational research on vaccine delivery.Designed and executed by PATH (Program for Appropriate Technology in Health), a US-based NGO, in collaboration with the ICMR (Indian Council of Medical Research) and the State Governments of Andhra Pradesh and Gujarat.The vaccines: Merck's Gardasil and GlaxoSmithKilne's Cervarix.Funded by the Bill and Melinda Gates Foundation.Trial suspended by the Government of India in April 2010.After the reported post-vaccination deaths of 7 girls in the two states, the Indian Parliament's Standing Committee on Health investigated this study, and released its report in August, 2013 (10).Salient problems identified by the Committee (page 11 of the Committee report, see reference 10):'6.14 The Inquiry Committee, while going through the above report, noticed the following irregularities and discrepancies in the study:The warden/teachers/headmasters were not given written permission by the parents/guardians to sign on behalf of their girls.On many forms witness had not signed and of the forms which are signed, it is not clear whether they are signed by full time government employees, as per rules.Neither the photograph nor the photo ID card of parents/guardians/wardens is pasted in consent form.On many forms investigator has not signed.On some forms signature of parents/guardians is not matching with their names.The date of vaccination is much earlier than the date of signature of parents/guardian in the consent forms. Apparently they were obtained post-facto.In some forms, the name is of the father but signature is of probably mother (lady’s name).'Salient conclusions of the report (pages 14-15 of the Committee report, see reference 10):'(i) Irregularities in obtaining consent forms and actual implementation of the consent process;(ii) Lack of monitoring and preparedness to deal with serious adverse events;(iii) Inclusion of vulnerable and tribal population groups;(iv) Blurring of distinction between Universal Immunization Programme and PATH study;(v) Absence of insurance coverage for the study participants; and(vi) Inclusion of the statement in the consent form that “you will not be charged for your daughter to receive the vaccine” that could be construed as covert inducement.'News reports (11, 12, 13, 14, 15, 16, 17, 18) and sponsor comments (19, 20) about this trial.So whether or not the girls' deaths were attributable to the HPV vaccine, the resulting investigation revealed a thoroughly messed up informed consent process and seriously inadequate process for reporting adverse events. But wait a minute? Isn't all this thoroughly covered by the overarching DoH? Let's examine the relevant DoH provisions to make sure.In any case, so far the government actions have resulted in predictable shake-ups, committees, new procedures, even though existing procedures appear to be adequate on paper.What about accountability? Who is responsible? When human clinical trials are outsourced and off-shored, who bears responsibility for adverse events, especially for seemingly unanticipated adverse events, as happened in this Phase 4 Indian HPV vaccine trial? Let's examine a relevant landmark and precedent-setting judgment (18).In 2012, a judge in Argentina upheld fines against GlaxoSmithKline, the sponsor of an Argentinian clinical trial testing the safety of the vaccine Synflorix against pneumococcal disease in children.Issues of informed consent?In some instances, consent was given by parents who were minors themselves.Grandparents who were not authorized to give consent for their grandchildren.A child vaccinated even after mother explicitly refused her consent.Signatures on consent forms not matching those of the individuals giving consent.GlaxoSmithKline appealed the fine using the defense that alleged errors and poor documentation in the informed consent process were a mere formality that didn't pose actual risks to trial participants.The judge rejected this defense and upheld the fine, against both the investigators and the sponsor.His rationale? Even minor deficiencies in trial procedure could later become relevant since adverse health effects might appear only in the future.This precedent-setting judgment bestows supervisory duty on the trial sponsor regarding informed consent. It also paves the way for hope. For example, the Indian Supreme Court is well-known to be highly responsive to PILs, using them as tools to demand improvements in state laws and regulations (Public interest litigation in India). Currently, it's considering one such PIL with respect to the Phase 4 HPV trial (18). In India, PILs arise when the State is perceived to have violated constitutional and/or statutory provisions, and they have served as indispensable bulwark protecting essential rights of Indian citizens.Further, since this case involved US and UK trial sponsors and manufacturing companies, this PIL includes an amicus brief (21) submitted by the European Center for Constitutional and Human Rights 'outlining the legal framework on clinical trials in the respective home countries' (18), in order to cover obvious gaps in judicial precedents.Finally, and more importantly, in our globalized age of cross-border, outsourced and off-shored clinical trials, an obvious and perhaps steep learning curve lies ahead for all entities involved in them, namely, government regulatory bodies, sponsors, investigators and other health-care staff. Especially these latter need to be rigorously trained in the ethical and legal aspects of human clinical trials. It then becomes a natural and necessary mandate for each and every national medical association and department of health to help ensure that such training becomes part and parcel of each country's health care practice (22), i.e. that it no longer remains the select purview of developed countries' health care infrastructure. Now, wouldn't that be leveling of a playing field that actually matters, one of autonomous life and death?BibliographyConnor, Edward M., et al. "Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment." New England Journal of Medicine 331.18 (1994): 1173-1180.Marseille, Elliot, et al. "Cost effectiveness of single-dose nevirapine regimen for mothers and babies to decrease vertical HIV-1 transmission in sub-Saharan Africa." The Lancet 354.9181 (1999): 803-809.Millum, Joseph, David Wendler, and Ezekiel J. Emanuel. "The 50th anniversary of the Declaration of Helsinki: progress but many remaining challenges." Jama 310.20 (2013): 2143-2144 Page on nih.govWorld Medical Association (WMA). Declaration of Helsinki. Amended by the 64th WMA General Assembly, Fortaleza, Brazil, October 2013. WMA Archives, Ferney-Voltaire, France. WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human SubjectsConfederacion Medica Latinoamericana y el Caribe (CONFEMEL). Declaracion de Pachuca Sobre la Revision de Helsinki. 22 and 23 November 2013. (Accessed May 5, 2014. Page on confemel.comHellmann, Fernando, et al. "50th Anniversary of the Declaration of Helsinki: The Double Standard Was Introduced." Archives of medical research 45.7 (2014): 600-601.http://www.loc.gov/rr/frd/Military_Law/pdf/NT_war-criminals_Vol-II.pdfA Companion to Bioethics, Second Edition. Helga Kuhse, Peter Singer, editors. A Companion to Bioethics; A Companion to Bioethics, Second EditionFaden, Ruth R., Tom L. Beauchamp, and Nancy M. King. "A history and theory of informed consent." (1986).Page on 100.47.5Mudur, Ganapati. "Human papillomavirus vaccine project stirs controversy in India." BMJ 340 (2010).Mudur, Ganapati. "Row erupts over study of HPV vaccine in 23 000 girls in India." BMJ 345 (2012).Sharma, Dinesh C. "Rights violation found in HPV vaccine studies in India." The Lancet Oncology 14.11 (2013): e443. Page on thelancet.comSuba, Eric J., and Stephen S. Raab. "Cervical cancer mortality in India." The Lancet 383.9931 (2014): 1804. Page on thelancet.comCalls in India for legal action against US charityClinical trials in India: ethical concernsIndia Outlines Plans for Upgrading Clinical Trial ProceduresTerwindt, Carolijn. "Health Rights Litigation Pushes for Accountability in Clinical Trials in India." Health and human rights 16 (2014): 2. Health Rights Litigation Pushes for Accountability in Clinical Trials in IndiaLaMontagne, D. Scott, and Jacqueline D. Sherris. "Addressing questions about the HPV vaccine project in India." The Lancet Oncology 14.12 (2013): e492. Page on thelancet.comStatement from PATH: cervical cancer demonstration project in IndiaAmicus curiae brief concerning non-state actor responsibility in clinical trials, November 22, 2013, submitted to the Supreme Court of India by the European Center for Constitutional and Human Rights and the Essex Business and Human Rights Project in Writ Petition (Civil) No. 558 of 2012, on file with ECCHR.Poongothai, Subramani, et al. "Why are clinical trials necessary in India?." Perspectives in clinical research 5.2 (2014): 55. Why are clinical trials necessary in India?Thanks for the A2A, Kritika Gupta.

Why is my daughter saying that she doesn’t want to come on the holiday to the UAE with us? She is claiming that she doesn’t feel safe and starts crying whenever we mention the holiday.

I purposely skipped this when I first saw it. There are so many reasons not to holiday in the UAE, that I wouldn’t even know where to begin. Then today, I read an article in Daily Mail about a recent event there.I know you have not done what this woman did to get arrested in Dubai, but I implore you to read this article in it’s entirety. The lesson is that you can be arrested in the UAE for a single Facebook Post you made 2 years ago when you were at home, NOT IN THE UAE. You just never know what will happen in a country whose culture is so far removed from your own.British mother faces jail in Dubai after calling ex-husband 'idiot'A British mum faces being jailed in Dubai over a disparaging Facebook post she made two years ago about her ex-husband's new wife.Her ordeal began on March 14 when Laleh and her daughter flew to Dubai's for her ex husband Pedro's funeral.He died aged 51 from a heart attack on March 3 and Laleh and her daughter, from Richmond upon Thames, Surrey, wanted to pay their final respects.Two years earlier after the Portugese banker had left her after 18 years of marriage for a younger woman she lashed out in anger on his Facebook page when she saw a photo of his new wife on their wedding day.Laleh said she wrote two comments in Farsi where she described 42-year-old Tunisian born Samah al Hammadi as a 'horse' and called her ex an 'idiot'.As she made the Facebook post while living in the UK she thought nothing more about the comments.She was unaware al Hammadi had complained to Dubai authorities where social media posts can be used in a prosecution.As soon as Laleh and her daughter landed in Dubai on March 10, intending to stay for five days, they were arrested at the airport.Immigration authorities had an outstanding arrest warrant following the complaint made in 2017 about the Facebook post.The two offending posts were: 'I hope you go under the ground you idiot. Damn you. You left me for this horse' and 'You married a horse you idiot'.Laleh said she was offered a statement to sign in Arabic and the translation of the Facebook post bore no relation to what she had written.The word 'bitch' had been substituted for the word 'horse.'Laleh was told she could not leave Dubai while she awaited a court hearing.‘The post would never be prosecuted as a criminal offence in England, and if the UAE intends to detain tourists for posts made from England, it will find itself rendered a no go zone to foreigners.'Sterling said the UAE have draconian cyber crime laws that can be enforced at any time.'The UAE is the most likely place for British nationals to be arrested abroad and the Cybercrime laws have potentially rendered almost every visitor a criminal.'The laws are enforced arbitrarily, which leads to even greater confusion over what is or isn't a crime.'I have warned the British Foreign and Commonwealth Office that their advice to tourists is insufficient.'When the UAE introduced Cybercrime laws, it rendered almost every visitor to the country a criminal.'Visitors to Dubai are rightfully unaware that they could be jailed for a Facebook or Twitter post made from outside the jurisdiction of the UAE, and made years ago.The UAE's cybercrime laws apply extraterritorially and retroactively. The Cybercrime laws prohibit sharing charities online such as Amnesty international, they prohibit fundraising, sharing photos taken in public, for example that includes a vehicle or other people.'The laws further forbid anything 'defamatory' against the UAE and this can even include the reporting of a news article and further prohibit the use of a VPN.'…………………………………..DO YOU KNOW WHAT YOUR DAUGHTER HAS POSTED ON FACEBOOK ABOUT THE UAE, OR DUBAI?DO YOU REALLY KNOW EVERY SINGLE POST SHE HAS MADE SINCE THE BEGINNING OF HER ACCOUNT?Maybe she started talking to her friends about the UAE or Dubai since you started talking about going on holiday there. Maybe she made disparaging posts about their laws and customs. It’s possible some Muslim saw a disparaging post and COMPLAINED about it and a WARRANT IS WAITING FOR HER. It’s possible!Sheesh. Get a grip and stay the hell away from countries that enforce Sharia Law.NEXT, READ THIS:Going To DUBAI - Know the 41 laws, Do and Don’ts of Dubai or you will end up in Jail1.Dubai is not a democratic country.2.Dubai is a Muslim country which follows strict Muslim laws.3.Dubai also follows Sharia law.4.Muslim laws and culture is very different from west or democratic nations.5.When on the beach and at Dubai's water-parks for example, swimwear can be considered appropriate and therefore will not a problem. But you may end up in jail. So better is using the swimwear which Local Muslim females use.6.Avoid attire such as mini skirts and any other overtly revealing clothing. It is not allowed as per laws.7.It is also not appropriate for men to go around without a top on away from the beach.8.Always dress in a more conservative manner.9.Avoid taking photographs of building that look to be of political and military importance.10.Do not take any photographs of any local residents without permission11.Kissing in public is not allowed you may end up in jail if not then you are lucky. Eg. A lesbian couple was sentenced to a month in jail, followed by deportation, for sharing a kiss on the public beach in Dubai.12.Don’t eat, drink, chew gum, or even smoke in public between sunset and sunrise, as it is illegal and not allowed as per law.13.Dancing and playing loud music in public is banned.14.Couples kissing, holding hands or hugging could face fines or detention or jail15.Females should not use tight or transparent clothing.16.Friday is the prayer day so it is holiday for everyone for everything in accordance with the Federal Penal Code of the United Arab Emirates, a public intake of food and beverages during daytime hours of the month of Ramadan is forbidden by Article 313. The article stipulates the punishment in the form of either a monetary penalty — up to 2,000 dirhems ($555) — or even a term of up to one month in prison.Ramadan in 2019 will start on Monday, the 6th of May(6/5/2019) and will continue for 30 days until Tuesday, the 4th of June.17.Females should remember that they are in Muslim state and behave like that, how local females behave like that Every female should behave.18.Don't expect businesses to close for Christian holidays, such as Christmas and Easter. Nothing is more important than Muslim Religion.19.You need license to drink liquor and always check that you are in a hotel which has license. Alcohol is served only in the restaurants, bars and nightclubs of hotels that have licenses20.The laws are not clear and you will understand the law when you are behind the bar in Dubai. So it is better copy the local females. And population.21.For fun there are many other nations where you can travel and enjoy unlimited without fear of law.22.Anything more than a "peck on the cheek” could offend those around you and even possibly lead to police involvement,23.Sex outside marriage is not allowed and you will end up in jail up to six years or more. Engaged with boyfriend this excuse is not allowed.24.If you have broken the law, then you will be arrested and taken to police station, questioned and instructed to make a statement. You will not be allowed to access to outside legal or consular help.25.Everything will be conducted in Arabic and you will be given translation so be intelligent and without understanding the content, do not sign the documents. Get involved someone who understands both languages.26.If you are found guilty of serious crime you will end up in an overcrowded prison, where treatment is harsh and you will see the flogging of other prisoners.27."The legal and judicial system in the United Arab Emirates makes no distinction between nationals and non-nationals,"28.If you are caught driving with any level of alcohol in your blood expect a jail sentence.29.Couples holding hands, it is still an offence, and it is also considered criminal to kiss in public or have sex outside marriage if you are found you will end up in jail who ever may come to your rescue you will end up in jail for few months.30.Drug laws are very strict, here is one example - British tourist Keith Brown was sentenced to four years in prison after Dubai customs officers found a 0.003g trace of cannabis stuck to his shoe. UK Radio 1 DJ Grooverider was sentenced to four years in Dubai for possession of cannabis. The DJ - real name Raymond Bingham - was arrested at the city's airport on November 23 after flying in for a nightclub gig. Customs officials found 2.16 grams of cannabis in his luggage.31.Possession of painkillers like codeine and some cold and flu medication could result in a mandatory four-year prison sentence, eg. Tracy Wilkinson was held in custody for eight weeks before customs officers accepted the codeine she was carrying had been prescribed by her doctor for back pains.32.As per Drug laws , "What many travelers may not realize is that they can be deemed to be in possession of such banned substances if they can be detected in their urine or bloodstream, or even in tiny, trace amounts on their person." Eg. A Swiss national is serving a four-year jail term after three poppy seeds from a bread roll he ate at Heathrow airport were found on his clothes.33.Prohibited items include: Drugs, firearms, and erotic material or pornographic material.34.Like any other nation ignorance of law can not be taken as a ground to get relief from simple or serious or any type of crime.35.As per Sharia law sharing an apartment with a friend of the opposite sex is crime and you may end up in jail.36.Any one can inform the police if they see male and female together, they may not call the police if someone is beating the wife, but if they see female is having freedom you should be sure they will inform to police. Eg. an unmarried Indian couple was sentenced to one year in prison just for hugging and kissing in the back seat of a taxi in the Emirate of Fujairah which is north of the UAE. When the taxi driver saw what they were doing, he drove them directly to the police station!37.More than 370 drugs are controlled in Dubai. Here is the link you can check the list of controlled drugs.38. http://www.uaeembassy.se/ENGLISH/List%20of%20Restricted%20Medication%20in%20the%20UAE.pdf39.Prescription and over-the-counter medications are often considered illegal or a controlled substance. Keep your meds in their original containers and bring a letter from your doctor as a well as a copy of your prescription with you.40.Be aware what ever country you belong uk or usa or European the embassy will not be able to help you, more than giving you contacts of lawyers. The laws are very strict.41.Last but best tip is visit Dubai to make money, Visit Dubai to understand Islam, do not visit Dubai for fun or entertainment which involves full freedom.UPDATES – Dubai Laws, Rules, Dos AND Don’ts42.A Dubai court last month sentenced an Indian couple to three months in jail for sending each other racy, sexual text messages using mobile43.A Dubai court sentenced the two, Ayman Najafi, 24, and Charlotte Adams, 25, to a month in prison, followed by deportation, for 'public indecency, kissing in a restaurantA Dubai court rejected a British couple's appeal against their jail sentence for kissing in a restaurant44.Update - Saturday, November 13, 2010A 34-year-old Briton, Paul Anthony working with the United Nations jailed for two months in the UAE for giving an airport worker "the finger" in Dubai He was arrested minutes after the woman lodged a complaint with the police. He was convicted of indecency and insulting the employee45.Updated on Friday, May 18, 2012 –Cops in the strict Islamic emirate claim recruitment consultant Rebecca Black, 27, romped with an Irishman while being driven from a bar.Rebecca — facing charges after being held in custody for five days — fiercely denies it.The taxi driver saw her being frisky with a fella in the rear view mirror of his taxi then taxi driver stopped and ran off to fetch police from a patrol car parked nearby.And when he returned with a cop naked beauty Rebecca was having sex on the back seat of the cab with Irishman Conor McRedmond, it was said.The pair were held in custody at a police station for five days before being bailed.The Sun reported that they saw the charge sheet.Rebecca faces up to three years in jail if the alleged sex offence is proven.46.Updated on Friday, November 23, 2012A British woman and Irish man accused of engaging in sexual activities in a Dubai taxi were sentenced to three months in prison and then deportationRebecca Blake and Conor McRedmond both denied charges of “breach of honour with consent” and committing “an indecent act in a taxi” when they appeared in court yin October.They also pleaded guilty to a third charge related to consumption of alcohol in public.“The court sentenced them to jail for three months and deportation in addition to a fine of 3 000 dirhams ($817) each47.Updated on Monday, April 29, 2013Grant Cameron, Karl Williams and Suneet Jeerh, all in their 20s, were arrested in July 2012 during a holiday in the UAE. Police said they had found a form of synthetic cannabis in their hire car.All three had pleaded not guilty to charges of possessing and intending to sell illegal drugs and said police had subjected them to beatings and threatened them with gunsUAE Judge Ali Attiyah Saad found the three Britons guilty in Dubai Criminal Court and sentenced them to four years in jail each.48.Updated on Saturday, July 20, 2013The 25-year-old a young Norwegian woman Marte Deborah Dalelv was on a business trip in Dubai when she was raped.In March she reported about Rape to the police but found herself charged with having extra-marital sex, drinking alcohol and perjury.Ms Dalelv had reportedly been on a night out with colleagues on 6 March when the rape took place.She reported it to the police, who proceeded to confiscate her passport and seize her money. She was charged four days later on three counts, including having sex outside marriage.As per Dubai law the rapist is only punished by law if there are four adult male witnesses to the crime of rape.For reporting crime of Rape Ms Dalelv now has received 16-month prison sentence49.Travel guide of banned items & Guidelines for bringing medicines & drugs to the UAEBanned items by Dubai Customs include:1. All kinds of Narcotic drugs (Hashish, Cocaine, Heroin, Poppy Seeds, Hallucination Pills, etc.).2. Goods intended to be imported from boycotted countries. (DO YOU KNOW WHAT THESE ARE?)3. Goods from Israeli origin or bearing Israeli trademarks or logos (BETTER BRUSH UP ON ISRAELI LOGOS)4. Crude Ivory and Rhinoceros horn.5. Gambling tools and machineries.6. Three layers fishing nets.7. Original engravings, prints, lithographs, sculpture and statues in any material.8. Used, reconditioned and inlaid tires.9. Radiation polluted substances.10. Printed publications, oil paintings, photographs, pictures, cards, books, magazines stony sculptures and mannequins which contradict Islamic teachings, decencies, or deliberately implying immorality or turmoil.11. Any other goods, the importation of which is prohibited under the authority of U.A.E. customs laws or any other laws in the country. (KIND OF LEAVES IT OPEN…)12. Forged and duplicate currency.13. Cooked and home-made foods.Source: Dubai Customs.50.Guidelines for bringing medicines & Drugs in UAE:1. As certain chemicals and drugs are banned in UAE, it is essential to check and ensure that the medicines which someone is carrying does not contain a banned or restricted substance. List of drugs and medicines banned in UAE are available on the website: http://www.uaeinteract.com/travel/drug.asp2. If for medical or emergency reasons one needs to carry any medicines, it should be ensured to have a medical prescription from a UAE licenced doctor. If treatment was undertaken outside UAE, one must carry both a doctor’s prescription as well as detailed medical report, both of which should be suitably attested.3. Residents and non-resident patients can bring into the UAE a maximum of 3 month supply of prescription medicine, for their personal use.4. Psychotropic medicines can be brought by non-residents to cover their personal consumption for a maximum of 3 month period.5. Psychotropic medicines can be brought in by resident in a quantity sufficient for 1 month consumption. However, residents can bring a maximum 3 month supply if the medicine is not available in the UAE provided that they obtain the prior approval of the Drug Control Department6. Resident and non-resident patients should not bring narcotic medicines into the country without the prior approval from the Ministry of Health. Each case will be studied and approved. A valid prescription and medical report from the concerned hospital or department will be required.7. Medicines that arrive in the country via postal courier cannot be released to the patient unless the above requirements are fulfilled.8. For more information related to restrictions on carrying of medicines, drugs and chemicals into UAE, one must check Dubai Customs website or البوابة الرسمية لحكومة دبي beforehand.9. be careful of carrying in poppy seeds which are banned, so avoid accidentally carrying bakery products that might contain such seeds. Also banned is qat leaf, betel leaf or nuts, niswar, gutkha, which while admissible in some countries is not permitted in the UAE.IN CLOSING - there are 196 countries on Earth. 195 besides the one where you reside. Maybe a few less if you subtract all the countries that strictly enforce Sharia Law.Don’t you think it would be SAFER to go to another country on holiday?Listen to your daughter!KEEPING TRACK OF ALL THE THINGS ONE CAN GET ARRESTED FOR THERE DOES NOT SOUND LIKE MUCH OF A HOLIDAY.

Based on his past, could Donald Trump have secured top secret clearance if he had not been elected president?

To call that “unlikely” would be an understatement. There’s no chance in hell.Let me give you a taste of the unbelievably long list of potentially disqualifying factors they could take issue with:Mob tiesLong history of shady dealings and mafia associations[1][2][3][4] (“Trump has willingly teamed up with a succession of mob-tied figures who had nothing to do with the construction industry.”[5])Trump’s bid to build a casino in Sydney, Australia was rejected due to his mob connections[6]Financial issues (credit/debt)His credit is so bad no American bank will loan him anything[7]Filed for bankruptcy for his companies 6 times[8]In serious debt, owing hundreds of millions to both U.S. and foreign lenders[9]Three different liens on his new Washington, D.C. hotel, including one for $5 million over failure to pay his contractors[10]Criminal associatesFelix Sater (convicted of violent and financial crimes)[11]Joseph Weichselbaum (convicted of grand theft auto, embezzlement, drug trafficking)[12][13][14]Tevfik Arif (allegedly ran a prostitution ring, technically acquitted)[15][16]Andrew Stein (lied about a ponzi scheme, convicted for tax evasion)[17]Michael Flynn (pleaded guilty of lying to FBI, getting leniency on other charges in exchange for cooperation)[18]Paul Manafort (under federal indictments with 30 charges, including conspiracy against the United States, conspiracy to launder money)[19][20][21][22]Rick Gates (also under federal indictments for 30 charges, including conspiracy against the United States, conspiracy to launder money, some of which he’s already pleaded guilty to)[23][24]George Papadopoulos (pleaded guilty of lying to FBI, awaiting sentencing)[25]Michael Cohen (even before current legal troubles with regard to money laundering and campaign finance violations, he was connected with various insurance fraud schemes)[26]The Kushners (related by marriage to a family with various legal troubles, including a conviction for serious financial crimes)[27]plus all the folks included in the aforementioned mob tiesMoney LaunderingHis casino was fined $10 million for violations of the Bank Secrecy Act, which they admitted to willfully violating[28][29]All sorts of credible allegations of money laundering for Russians through more than one of his properties and businesses, including activities in New York, Florida, and Panama[30][31][32][33][34][35][36][37][38]FraudPaid $25 million to settle Trump University fraud case[39][40]Investigated and sued for fraud by attorneys general of multiple states[41][42]Accused of tax fraud by a Mexican government official[43]Sued and criminally investigated for defrauding condo buyers, had to refund more than $3 million, plus pay an undisclosed settlement. Following the settlement, the people he paid refused to cooperate with the district attorney, so the criminal case was dropped[44]Foreign financial ties, especially with people connected to the Russian government[45][46][47][48]Suspicious political donations resembling bribery to escape prosecutionTo Florida Attorney General over Trump University fraud case[49][50]To California Attorney General over Trump U fraud case[51]To Manhattan District Attorney over his kids’ Trump SoHo fraud case[52][53][54]Vulnerability to blackmailPaid $130,000 hush money to porn star mistress[55][56]Long history of paying to keep people quiet[57]Allegations that foreign governments have compromising information on him[58][59][60]Serial adultery[61][62][63][64][65][66][67][68][69]Civil LitigationHabitually fails to honor contracts and has been involved in a staggering 3,500 lawsuits[70] — investigators are supposed to review every one!Sued by his own family members, not just his wives (and retaliated by cutting off medical treatment to critically ill infant)[71]Disgusting treatment of his tenants[72]Repeated run-ins with the lawFound guilty of hiring/mistreating undocumented immigrants[73] and had to pay $1 million[74]Fined $750,000 by Federal Trade Commission & Justice Department over antitrust violations and disclosure rules[75][76]Fined $15,000 by the Federal Election Commission for exceeding campaign contribution limits by $47,050, the largest violation in a single year.[77][78]Fined $250,000 by the New York State lobbying commission for “failing to disclose the full extent of his lobbying of state legislators.”[79]Skirted $50,000 campaign contribution limit by guaranteeing a $50,000 loan to New York politician and future convict Andrew Stein (which Trump later paid himself, even though, “or perhaps because he won”), in addition to another $50,000 he secretly split among 18 subsidiaries. When the New York State Commission on Government Integrity questioned him, he claimed he thought everyone knew the 18 companies were his, that he was just following lawyer advice, and that the loan was going to be paid back.[80][81][82][83]His foundation admitted to illegal “self-dealing” and is under investigation by the State of New York[84](and possibly the IRS, but they can’t say if they’re investigating)Apparently violated the Cuba embargo[85]Caught colluding in a tax evasion scam in 1986, testified against others so he wouldn’t be prosecuted[86]Paid a $250,000 fine after an investigation uncovered how he secretly ran an “ad campaign insinuating that an American Indian tribe threatening his casinos had ties to drugs and the Mafia.”[87]Violated the Fair Housing Act[88]Received an illegal loan worth millions of dollars, in violation of gaming laws[89]Violated anti-discrimination laws, fined $200,000 by the New Jersey Casino Control Commission. He tried to appeal but lost.[90]Possible violations of U.S. Foreign Corrupt Practices Act and/or other foreign corruption connectionsAzerbaijan and ties to Iran’s Revolutionary Guard[91][92]Brazil[93]India[94]Likes to brag, has difficulty keeping a secret, AND **HAS REVEALED CLASSIFIED INFORMATION BEFORE**[95][96][97][98][99][100][101][102]Technically this question is asking about before he was president, so that wouldn’t have happened yet, but the bragging and trouble keeping a secret would come out in a background check. Ego is one of the four main methods foreign intelligence agencies use to get information from people.Up to 22 sexual assault allegations and/or other sexual misconduct, spanning four decades[103][104][105][106] How many people with Top Secret clearance have their own Wikipedia page full of sexual misconduct allegations?[107] In addition to the nearly two dozen women who have made allegations against him, there are recordings of Trump essentially admitting this behavior, corroborating some of the allegations himself:In a 2005 recording, Trump bragged in a radio interview about his practice of walking in on women and girls undressing at beauty pageants he owned, under the guise of “inspecting” it. “No men are anywhere, and I’m allowed to go in, because I’m the owner of the pageant.” By “allowed,” he apparently meant no one stopped him. Reveling in what he could “get away with,” his bragging left no ambiguity about his purpose: “You know, they're standing there with no clothes… And you see these incredible looking women, and so, I sort of get away with things like that.” His admission corroborates allegations made by some of the women he did this to, including five then-teenaged girls who competed in the 1997 Miss Teen USA pageant, some as young as 15. [108][109][110][111][112][113][114][115]In a separate 2005 incident, Trump was recorded saying he feels his celebrity allows him to assault women, specifically to kiss them (“I just start kissing them...I don't even wait...") or “grab” their genitalia, without their consent.[116][117][118][119][120] While Trump tried to downplay the remarks, he did admit to saying them and offered a rare apology.[121] In sworn testimony before Congress, Trump’s own appointee for Attorney General confirmed that the actions Trump described would “clearly” constitute sexual assault.[122]Compulsive lying[123][124][125][126][127][128][129][130][131][132][133]One of the most common reasons for rejection is dishonesty in the application process, or a failure to accurately disclose relevant information on the 100+ page security clearance application form called the SF-86. Odds are Trump would fudge the truth somewhere.Believe it or not, this isn’t even everything, I just got bored with the project.Any one of these many issues would potentially be enough to sink his chances on their own, but all of them? Come on. Even if his application somehow weren’t rejected just based on the first 5% of this, the sheer volume of information is so overwhelming that the background check wouldn’t even be completed.Also, this is just based on open source information. An actual background check involves full field investigation— reviews of every database, interviews with friends, family, business associates, neighbors, litigants, ex-wives, etc.And remember, security clearances are not decided on the same standard as criminal law and incarceration. In other words, he doesn’t have to be convicted in a court of law, there’s no “innocent until proven guilty” or “beyond a reasonable doubt” standard; suspicion is more than enough reason to be denied a security clearance. Furthermore, not every valid reason to deny a clearance is a crime. In fact, most are not (affairs, debt, alcoholism, shady friends, foreign ties, etc.)Below are the ten most common reasons people get denied clearance.[134] I’ve put the ones he might have problems with in bold:Financial ConsiderationsPersonal ConductDrug Involvement (though he did vouch for a convicted drug trafficker)Foreign InfluenceCriminal ConductAlcohol ConsumptionForeign PreferenceHandling Protected InformationUse of IT Systems (perhaps I should bold this for his heavy social media use and refusal to use a secure phone?)Sexual BehaviorA writer is supposed to show, not tell, but I know some people have a bit of a blind spot when it comes to Donald Trump’s shortcomings, so I’ll spell it out for you… He’d be blown out of the water on almost every category.I mean, we don’t even have to get into the shady mob ties or financial issues or foreign entanglements or rampant sexual misconduct…does that long list of fines he paid for violations of criminal and civil law suggest he’s someone with the requisite moral character to be trusted with national secrets?Do you think the people who grant security clearances would roll the dice with someone like this?…would you want them to??Footnotes[1] Just What Were Donald Trump's Ties to the Mob? [2] Trump ties to mobster, racist casino policies alleged in new report - Philly[3] Yes, Donald Trump has been linked to the mob[4] The truth about Donald Trump and his links to the mob[5] A Brief History of Donald Trump and the Mafia[6] Trump's bid for Sydney casino 30 years ago rejected due to 'mafia connections’[7] American banks don't support Trump — voters soon won't either[8] Donald Trump's six bankruptcies, detailed[9] Trump's latest financial disclosure shows he owes lenders at least $315 million[10] Third lien on Trump hotel brings alleged unpaid bills to over $5 million[11] Donald Trump And The Felon: Inside His Business Dealings With A Mob-Connected Hustler[12] The Drug Trafficker Donald Trump Risked His Casino Empire to Protect[13] https://books.google.com/books?id=LCbpDAAAQBAJ&pg=PA3&lpg=PA3&dq=*+Joseph+Weichselbaum&source=bl&ots=QeKTrzp7X7&sig=n7U2261FrCk7Gxty6oXM8PGX2mw&hl=en&sa=X&ved=0ahUKEwjGrtj8hJ3ZAhWkdN8KHdKTBO4Q6AEIVjAN#v=onepage&q=*%20Joseph%20Weichselbaum&f=false[14] Trump Vouched For Cocaine Trafficker[15] Trump pal busted for allegedly running hooker ring on yacht[16] Trump’s Former Business Partner Tries to Erase his Prostitution Bust From Web[17] Ex-Council President, Andrew Stein, Avoids Prison on Tax Evasion[18] Michael Flynn Pleads Guilty to Lying to the F.B.I. and Will Cooperate With Russia Inquiry[19] Paul Manafort charged with conspiracy against the U.S.[20] https://www.washingtonpost.com/world/national-security/special-counsel-mueller-files-new-charges-in-manafort-gates-case/2018/02/22/7db99c9c-1716-11e8-8b08-027a6ccb38eb_story.html[21] Mueller files new charges against Manafort, Gates[22] Gates cuts a deal, and Manafort hit with new charges in Mueller probe[23] Read the FBI indictment against Paul Manafort and Rick Gates[24] Mueller files new charges against Manafort, Gates[25] Former Trump campaign aide George Papadopoulos pleads guilty to lying to the FBI agents in Mueller probe[26] The Company Michael Cohen Kept — “Trump, Inc.” Podcast — ProPublica[27] https://www.washingtonpost.com/politics/in-fathers-scandal-the-genesis-of-jared-kushners-unflinching-loyalty/2016/11/27/1e9497ba-b378-11e6-840f-e3ebab6bcdd3_story.html?utm_term=.1fefc07a0e69[28] FinCEN Fines Trump Taj Mahal Casino Resort $10 Million for Significant and Long Standing Anti-Money Laundering Violations[29] Trump Taj Mahal casino settles U.S. money laundering claims[30] Trump’s Russian Laundromat[31] Trump building in Panama tied to Russian mafia, international crime: report[32] Sales of Trump properties suggestive of money-laundering: researcher[33] Narco-a-lago: Money Laundering at the Trump Ocean Club, Panama | Global Witness[34] Speier alleges evidence of Trump Organization money laundering[35] Over 20 percent of Trump condos sold in America have the characteristics of possible money laundering[36] Donald Trump and the mansion that no one wanted. Then came a Russian fertilizer king[37] Why did a Russian pay $95M to buy Trump’s Palm Beach mansion?[38] Trump's Panama tower used for money laundering by condo owners, reports say[39] N.Y. attorney general on Trump University: 'This is straight up fraud'[40] Trump University Lawsuits May Not Be Closed After All[41] N.Y. attorney general on Trump University: 'This is straight up fraud'[42] Donald Trump sued for fraud in California and New York[43] Trump accused of tax fraud in Mexico[44] Donald Trump Settled a Real Estate Lawsuit, and a Criminal Case Was Closed[45] The Curious World of Donald Trump’s Private Russian Connections - The American Interest[46] Eric Trump Reportedly Bragged About Access to $100 Million in Russian Money[47] Trump's Been Talking About His Business Interests in Russia for 30 Years[48] There's a theme emerging in Mueller's Russia probe that could prove damning for Trump[49] How Donald Trump made it look like he was bribing the attorney general of Florida[50] New Records Shed Light on Donald Trump’s $25,000 Gift to Florida Official[51] Donald Trump Has Often Donated to Prosecutors Investigating His Business[52] How Ivanka Trump and Donald Trump, Jr., Avoided a Criminal Indictment[53] Manhattan DA Vance Took $10,000 From Head Of Law Firm On Trump Defense Team, Dropped Case[54] Ivanka and Donald Trump Jr. Were Close to Being Charged With Felony Fraud — ProPublica[55] Porn Star Was Reportedly Paid to Stay Quiet About Trump[56] Lawyer paid $130K to adult-film star to keep quiet about alleged Trump sexual encounter: report[57] Donald Trump's Long History With Hush Money[58] Dossier author feared 'Trump blackmail'[59] https://www.usnews.com/news/politics/articles/2018-01-09/senator-releases-text-of-interview-with-fusion-gps-official[60] Dossier author feared 'Trump blackmail'[61] How many times has Trump cheated on his wives? Here's what we know[62] Ivana Trump Recounts The Donald’s Public Affair With Marla Maples[63] Trump says cheating on Ivana with Marla was 'beautiful' in 1994[64] Donald Trump in 1990: Adultery is Not a Sin[65] Trump reportedly paid former porn star $130K for silence after alleged sexual encounter[66] Porn star Stormy Daniels described affair with Donald Trump in 2011 magazine interview[67] National Enquirer Paid to Suppress Story of Trump Cheating on Melania: Report[68] The National Enquirer Covered Up Story of Donald Trump's Extramarital Affair: Report[69] New Report: National Enquirer Paid $150K to Kill a Story About Donald Trump's Affair[70] Exclusive: Trump's 3,500 lawsuits unprecedented for a presidential nominee[71] Ross Cohen's answer to How vindictive is Donald Trump?[72] Trump was a nightmare landlord in the 1980s - a CNNMoney investigation[73] Judge Says Trump Tower Builders Cheated Union on Pension Funds[74] Trump Paid Over $1 Million in Labor Settlement, Documents Reveal[75] Trump Agrees To Pay $750,000 Penalty To Settle Antitrust Lawsuit[76] Trump to Pay $750,000 Fine[77] Donald Trump’s Donation Is His Latest Brush With Campaign Fund Rules[78] Prolific donor Trump, often skirted rules, paid fines[79] Donald Trump’s Donation Is His Latest Brush With Campaign Fund Rules[80] Donors Describe Raising Money For Campaigns[81] Donald Trump’s Donation Is His Latest Brush With Campaign Fund Rules[82] https://www.washingtonpost.com/investigations/trump-swam-in-mob-infested-waters-in-early-years-as-an-nyc-developer/2015/10/16/3c75b918-60a3-11e5-b38e-06883aacba64_story.html?utm_term=.a95075c8b9d7[83] Prolific donor Trump, often skirted rules, paid fines[84] https://www.washingtonpost.com/politics/trump-foundation-apparently-admits-to-violating-ban-on-self-dealing-new-filing-to-irs-shows/2016/11/22/893f6508-b0a9-11e6-8616-52b15787add0_story.html?tid=sm_tw[85] Donald Trump’s company violated the U.S. embargo against Cuba[86] Donald Trump's Tax Returns And The Empty Jewelry Box Scam[87] Trump was once so involved in trying to block an Indian casino that he secretly approved attack ads[88] Decades-Old Housing Discrimination Case Plagues Donald Trump[89] Trump Castle Admits Gaming Law Violation[90] Trump Plaza loses appeal of discrimination penalty[91] Donald Trump’s Worst Deal[92] Tale of Trump and partner in Azerbaijan real estate project[93] Trump Hotel Tied To Criminal Investigation In Brazil[94] https://www.washingtonpost.com/world/asia_pacific/trump-organizations-real-estate-partner-in-india-accused-of-147-million-fraud/2018/03/18/0d7ef1fa-1c0e-11e8-98f5-ceecfa8741b6_story.html?utm_term=.e9970982d338[95] https://www.washingtonpost.com/world/national-security/trump-revealed-highly-classified-information-to-russian-foreign-minister-and-ambassador/2017/05/15/530c172a-3960-11e7-9e48-c4f199710b69_story.html[96] https://www.usnews.com/news/world/articles/2017-05-15/trump-revealed-classified-information-to-lavrov-at-white-house-meeting-washington-post[97] https://www.washingtonpost.com/world/national-security/trump-revealed-highly-classified-information-to-russian-foreign-minister-and-ambassador/2017/05/15/530c172a-3960-11e7-9e48-c4f199710b69_story.html[98] Report: Trump revealed classified information to Russia[99] Trump defends sharing classified intel with Russians: Can he keep a secret? (part 1) - France 24[100] https://www.bloomberg.com/news/articles/2017-05-16/trump-s-disclosures-could-put-foreign-intelligence-ties-at-risk[101] Donald Trump's leak of classified information involved bombs and new batteries[102] Analysis | Trump sharing highly classified information with Russia shows his extreme hubris[103] What About the 19 Women Who Accused Trump of Sexual Misconduct?[104] Here's The List Of Women Who Accused Donald Trump Of Sexual Misconduct[105] These women have accused Trump of sexual harassment[106] The 22 women who have accused Trump of sexual misconduct[107] Donald Trump sexual misconduct allegations - Wikipedia[108] Former Miss Arizona says Donald Trump used to 'stroll in' to see naked women in dressing room[109] A Timeline of Donald Trump's Creepiness While He Owned Miss Universe[110] Former Miss Arizona: Trump ‘just came strolling right in’ on naked contestants[111] Teen Beauty Queens Say Trump Walked In On Them Changing[112] https://www.bostonglobe.com/news/politics/2016/10/12/donald-trump-just-came-strolling-into-dressing-rooms-pageant-contestants-allege/XygxJYhQZr3WeBHlEgGHUP/story.html[113] Donald Trump had a habit of walking into the dressing rooms of teen beauty queens[114] Trump accused of ‘waltzing in’ on naked pageant contestants, some as young as 15[115] Miss USA 2001 contestant: Trump barged into room when we were naked[116] https://www.washingtonpost.com/politics/trump-recorded-having-extremely-lewd-conversation-about-women-in-2005/2016/10/07/3b9ce776-8cb4-11e6-bf8a-3d26847eeed4_story.html[117] Trump lewd video on women: Transcript[118] Donald Trump Access Hollywood tape - Wikipedia[119] Donald Trump's 'P---y' Comment Is the Root of Sexual Violence[120] Billy Bush says there were 8 witnesses to Trump’s ‘Access Hollywood’ comments[121] Trump apologizes for video bragging about groping women[122] Sessions Says Trump Tape Comments Would 'Clearly' Be Sexual Assault[123] In 365 days, President Trump has made 2,140 false or misleading claims[124] Perspective | I study liars. I’ve never seen one like President Trump.[125] Fact check: Here are the biggest whoppers of 2017[126] Kimmel Made a 5-Minute Documentary About All of Trump’s Best Lies[127] Opinion | President Trump’s Lies, the Definitive List[128] Donald Trump's history of lying under oath[129] This Was President Trump's 2,000th Lie in Office[130] My Lawyers Got Trump to Admit 30 Lies Under Oath[131] Trump lies 9 times a day on average lately[132] Trump is on pace to lie 8,000 times by the end of his first term[133] Trump Lies More Than 5 Times a Day - Political Wire[134] The Top 10 Reasons People Are Denied a Security Clearance

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