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Do you have any health matters that may prevent you from carrying out the work responsibilities of this position?

Yes

Do you have any criminal convictions or charges pending?

Yes

The information provided by me is true and correct to the best of my knowledge and belief. I understand that any incorrect, inaccurate or misleading information may result in my disqualification from the recruitment process or dismissal if I have commenced employment with Healthvision. I authorise Healthvision to collect information and assess my suitability for employment.

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