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THIS IS TO CERTIFY THAT

__________________________________________
Has met the eyesight requirements of PCN / GEN (Current Version) In both near vision acuity and colour vision (Ishihara Method 24 Plates)

UNCORRECTED / CORRECTED

Date of test: ___________________________

This test also meets the requirements for the CSWIP NDT and Welding Inspector Examinations.

Signed: ____________________________________________ Medically Recognized Person

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