Instant purchase is OK, except for the following: ⚠️ Those with zero ratings or negative ratings are not allowed to purchase instantly. Please be sure to comment before purchasing. ⚠️ Please read the profile. - Title: Statement of Purpose and Interview for Nursing and Medical Fields - Author: Fumihiko Kanzaki - Publisher: Bunyusha ⚠️ Creases and folds on the front, back, top, and bottom. *See photos* No writing. *May have missed some* I purchased this here and used it. If you have any other concerns, please let me know in the comments.