:..FOREIGNSERVICEOFTHEPHILIPPINESMEDICALEXAMINATIONOFVISAAPPLICANTS菲律宾外交部赴菲签证申请人体格检查报告用英文及中文填写IMPORTANT:THISMUSTBEFILLEDOUTINENGLISHANDPLACE地点CHINESEDATE检查日期AttherequestoftheConsulatBeijing,China,IcertifythatontheabovedateIexamined,,,and(age)(sex)依照菲律宾驻北京领事馆的要求,我谨证明在上述,,(姓名)(年龄)(性别)UnderthePhilippineImmigrationregulations,theapplicantshouldbeclassifiedasfollows(checkappropriateclass):日期为上述申请人进行身体检查,按照菲律宾移民局规定,申请人可分为下列症状(在空格处打勾),insanepersons,personswhohadbeeninsane,epilepsy,personswithaloathsomediseasas:Tuberculosis,venerealdesease,trachoma,ringwormofscalp,nailorboard,actinomycosis,favos,blastomycosis,myceloma,leprosy,yaws,amoebiasis,trynosomiasis,fillarisis,、精神错乱者及患有癫痫症、精神错乱和染上危险传染病,如:结核病、花柳病、出瑞在头皮、指甲和鬓之金钱癣。:;其他身体疾病和缺陷导致无能力谋生,而成为他人负担。&B,Notphysicallyormentallydefectiveord
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