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Name ©m¦W: _________________________________________________________
Date of Birth ¥X¥Í¤é´Á: Day¤é_____ Month¤ë_____ Year¦~________
Sex ©Ê§O: M¨k ______ F¤k
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I.D.No.¨¤ÀÃҲΤ@½s¸¹ : ____________________________________________
Present Address ³q°T¦a§} :
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Church ±Ð ·| : _____________________________________________________________________
Mission Board ®t ·| : _____________________________________________________________________
Education ±Ð ¨| :
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Work Experience
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This
letter is to recommend the following student for Missionary Medical Training
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Comments:
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Name of Church or Mission Board
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Seal or signature
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Date ¤é´Á : _______¦~_______¤ë_______¤é