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Student Name:
Student Phone No:
Student Email:
Certificate Type:
Counter Balance Forklift
Reach Truck
Truck Type:
Counter Balance Forklift
Reach Truck
Energy Source:
Lifting Height:
Control:
Date of Test:
Instructor:
Examiner:
Operator Reg No.:
Make/Model:
Attachment:
ABA Category:
Capacity:
Operator Reg Expire Date:
RTITB Reg No.:
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