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Emergency Medical Care
Name and Surname:
Staff/Student Number:
Please provide your Email Address:
Please indicate the Country of which the FORKLIFT LICENCE was obtained from:
FORKLIFT LICENCE Validity (Please indicate until when will your licence be expired):
Please UPLOAD your FORKLIFT LICENCE below:
MEDICAL FITNESS CERTIFICATE Validity (Please indicate when your certificate which was obtained from NMU Occupation Center will expire):
Please UPLOAD your MEDICAL FITNESS CERTIFICATE below: