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Practice intentions To be completed by doctors applying for a PC to return to work after an absence of three or more years APC2 April 2014 For office use only
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Document Date: 2014-04-06 23:51:27
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File Size: 464,86 KB
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Organization
Medical Council /
/
Position
general practitioner /
work Proposed supervisor /
Registrar /
signature Date Print name MCNZ number Supervisor /
Supervisor /
principal supervisor /
house officer /
/
SocialTag
General practice
General practitioner
Medical practice