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5. In addition to the information required under rule 4, an application for restoration of an applicant’s registration as a student undertaking training as an optometrist or a dispensing optician shall also include—
(a)a contact address for the applicant;
(b)if he is proposing to receive education or training as an optometrist or a dispensing optician at an establishment where instruction is given, the name and address of that establishment; and
(c)if, as part of the education or training, he is proposing to undertake practical experience in the work of an optometrist or a dispensing optician–
(i)the full name of all persons who may act as his supervisors (if his application for restoration is granted and if the names are known),
(ii)a contact address for such supervisors,
(iii)if applicable, an indication of the trading name under which such supervisors practise or are employed, and
(iv)all practice addresses at which the applicant is proposing to obtain that experience.
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