FORM 1 APPL IC ATI ON -CU M-DECL ARA TION A S TO PHYS IC …

metres in good day light (with glasse s, if worn) a motor ca r number plate? Yes/No (c) Ha ve you lo st either hand or foot or are you su ffering from any def ec t of muscular power of either arm or leg? Yes/No (d) Can yo u read ily dis tingui sh the pigment ary colours, red and gr ee n? Yes/No (e) Do you su ffer from night blindness? Yes/N o ................
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