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yukon said:
This letter is a very old format that ND VO uses for medical requests. They have not bothered to change it with the times! These days the DMP takes a digital image of yours at the time of X-ray & imprints it with the X-ray shot. So negatives are not required.

Speak with your DMP when taking the appointment for medicals, he/she will clarify it. Take only the 5 passport size photographs.

I tend to agree with Yukon here.. seems logical...

anyways who gets negatives these days?

Sapana