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Page 1: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

Scanned by CamScanner

Page 2: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 3: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 4: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 5: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 6: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 7: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 8: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 9: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 10: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 11: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 12: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 13: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 14: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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Page 15: Scanned by CamScannernccorissa.org/old/Downloads/ANOs/ANOs-FORMS.pdfwhose have examined (Name of ANO) signature are appended below, on (date) and consider him physically fit in all

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