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c) Have you remained absent from place of work on grounds
of health during the last 5 years?
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d) Are you suffering from or have you ever suffered lrom ailments pertaining
to Liver, Somach, Hearl LunSE, Kilney. Brain or Nervous systernl
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e) Are you suffering from or have you ever suffered lrom Diabetes,
Tuberculosis, High Blood Pressure, Low Blood Pressure, Cancer,
Epilepsy, Hernia, Hydrocele, Leprosy or any other disease?
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f) Did vou ever have anv bodilv defect or deforniitv?
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o) Did vou ever have anv accident or iniurv?
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h) Do you use orhaveyou ever used :