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medical certificate - Jakarta Marathon 2017
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medical certificate - Jakarta Marathon 2017
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Page 1. MANDIRI JAKARTA MARATHON 2016. RACE CATEGORY : MEDICAL CERTIFICATE. I, the undersigned, Doctor. ,. States that M
MANDIRI JAKARTA MARATHON 2016
RACE CATEGORY :
MEDICAL CERTIFICATE
I, the undersigned, Doctor
,
States that Mr/Mrs/Miss Date of Birth:
Age:
Is in healthy condition and is fit to participate in the running race. This medical certificate is issued in :
Date:
Doctor’s Signature & Stamp
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