PPT-NAME:

Artemisia Gentileschi AGE 63 BIRTHDATE 1871593 SPECIES Human GENDER F PROFESSION Artist KNOWN RELATIONSHIPS Husband Pierantonio Stiattesi estranged daughters Prudenzia. BY SIGNING YOU GIVE UP YOUR RIGHT TO RECOVER ANY COMPENSATION FOR ANY PERSONAL INJURIES DAMAGE TO YOUR PROPERTY OR FOR YOUR DEATH ARISING OUT OF YOUR USE OF VERTICAL 19256573595734715736157526657359573475734718657347573472573477657347686565734757355 Partner Parents Other children Doula Other present before ANDOR during labor During labor Id like Music played I will provide The lights dimmed The room as quiet as possible As few interruptions as possible As few vaginal exams as possible Hospital No SI No SI No 1 ADILABAD 1 NELLORE 1 WEST GODAVARI 2 ANANTAPUR 2 EAST GODAVARI 2 KRISHNA 3 CHITTOOR 3 SRIKAKULAM 3 VISAKHAPAATNAM 4 CUDDAPAH 4 KURNOOL 5 KARIMNAGAR 5 PRAKASAM 6 KHAMMAM 6 GUNTUR 7 MAHBUBNAGAR 8 MEDAK 9 NALGONDA 10 NIZAMABAD 11 RANGAR Note please only include accessories related to the problem you are having Please list all included accessories Accessories Included Yes 1 2 3 Please describe the problem you are having 57417574545745957460574585746157443574605744957455574545745957 Policy Please List any medications medical problems or disabil ties that pertain to your Child Is your child allergic to anything Past surgery Any d etary restrictions AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT IF MY CHILD SHOULD B a Candidates full Name CAPITAL LETTERS as in Matric certificate Leave a box blank between two parts of name b Fathers Name Leave a box blank between two parts of name Write Course Ser No as mentioned i Do you own rent your house rent an apartment Applicants Home Environment Information Do you presently have a dog or have you owned a dog before Name Breed MF Age Are there cats in your home no yes how many Are all of your pets spayedneutered If not ribbon centrepieces bonbonniere charger plates chair covers or tiffany chairs invitations etc Do you have a Cake flavour in mind If yes please advise Maximum Budget Des ert or coffee slice Approx of Guests Would you like to keep your top tier RIDAL Printed Name of Enrollment Officer Signature of Enrollment Officer brPage 2br MrsMsDr First Name Middle Name Surname PNB Primary Card No Date of Birth DDMMYYYY Details of the Add on PNB Global Credit Card Applicant Full Name Mr MrsMsDr Date of Birth DDMMYYYY Name as would appear on the Add On Card Please leave space between na Last name First name Middle initial Curre nt Address Permanent Address if different from the current address Message Phone Alternate Phone mail Social Security Number New Application Reapplication For training to begin Fall Semester indic ate year A No NAME OF CAPF NAME OF DWO OFFICE ADDRESS STATE DISTTPLACE CONTACT NO EMAIL ADDRESS AR Col RSYadav Garrison Commander AR Training Centre Diphu PODiphu DisttKarbi Anglong Assam Assam Haflong Karbi Anglong HPCs - LACs S11 KERALA 01 KASARAGOD HPC LACs from Kannur) 02 KANNUR HPC (7 LACs from Kannur Distri name="example.Team"las;&#xs-60;table="teams" name="id"column="team_id"type="long"&#xid-6;unsaved-value="null" &#xgene;&#xrato;&#xr-60;class="hilo"/ name="name"column="team_name"type="string" le