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Medical
You should be fine with the medical, our youngest fell out of bed and broke her collarbone just before we had ours done. They just did her medical checks and made a note of it on the forms.
I don't know about lost certificates but I think that you will have to provide proof that you have passed the requirements either with the certificates or with statutory declarations from employers etc to confirm that they know that you have passed them or have had sight of them in the past. We haven't had to go down that road so I would get some professional advice before handing the forms in.
Good luck.
Nicky
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