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

No te: (1) An applicant who answers "Ye s" to any of the ques tions (a), (c), (e), (f) and (g) or "No" to either o f the ques tions (b) and ( s) sh ould amplify his answers with full p articul ars, and may be required to give further information rela ting thereto. ................
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