Please return the Form to your employer to complete Section A.
请阁下将表格交回雇主填写本表乙部.
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Please complete section 1 and 2 in both English and Chinese and the rest in English.
第1和2项内容需用中英填写,其它部分需英文填写.
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No te 1 : If the recovered patient is not the applicant, please also complete Section B.
注 一: 若申请人非康复者本人, 须另填写乙部.
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Note: complete section 1 and 2 in both English and Chinese and the rest in English.
请注意: 第1和2项内容需用中英填写,其它部分需英文填写.
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