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Form* Please answer all questions. Please use black ball point pen* Please use BLOCK LETTERS and place an X in the relevant boxes. applicant Fill in all Parts. Incomplete forms will be returned and this may delay your application* When the form is completed sign declaration in Part 1. If you need any help to complete this form please contact your local Citizens Information Centre your local Intreo Centre or your local Social Welfare Office. For more information log on to www. welfare. ie....
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