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The following parts of the Town of Kwinana Health By–Law 1963
20Do you suffer from any complaint or disease which
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20 Do you suffer from any complaint or disease which necessitates the taking of any drug? If so, give particulars 21. Have you any other physical or 'mental disability or infirmity which could effect your efficiency in driving a motor vehicle? , If so, give particulars .... 22. Why are you unable to obtain an ordinary license? I hereby certify that all the particulars contained in this application are true and correct. PENALTY FOR FALSE OR MISLEADING INFORMATION: £25