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 Exam Form 2012-2025

Nj Physical Template 2012-2025 Form

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Video instructions and help with filling out and completing Exam Form

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Instructions and help about nj school physical form

welcome to the National Maritime centers instructional video on completing the US Coast Guard seven one nine series of applications form CG seven one nine K is the application for merchant mariner medical certificate the first three pages provide detailed instructions on filling out the form the table on page two provides details of the requirements for a demonstration of physical ability each section listed in the instruction corresponds with a specific section of the form also throughout the form there are instructions following each section heading which indicate whether the applicant or the medical practitioner should complete each section please read these instructions carefully prior to filling out the application in section 1 please fill in each block with appropriate contact information or write n/a if not applicable for section 2a you will need to mark all boxes with the appropriate yes or no response both of these sections should be reviewed by your medical practitioner also

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