This is to certify that i have examined mr/ miss he/ she is suffering / not suffering from following diseases asthma diabetes hypertension fits / convulsions physical disability mental disability allergy & have undertaken all vaccination any other major disease (please specify) - i certify that mr / miss is physically. Medical certificate (to be filled in by a registered medical practitioner appointed for the purpose by the state government or person authorized in this behalf by the state government referred to under declaration made by the applicant in form i as to his physical fitness is attached [certificate of medical fitness. If you're looking for a certificate format for medical certificates, we can help you to create certificates, you need to use software medical fitness certificate template in ms word medical fitness certificates medical certificate of fitness to fly regionalexpresscom details file format pdf size: 58 kb download. (a) every applicant for a medical fitness certificate shall be examined by a registered medical practitioner and if the practitioner considers that the applicant is fit, having regard to the medical standards as specified in the annex, he shall issue the applicant with a medical fitness certificate in a format specified by the director. I also certify that before arriving at this decision, i have examined the original medical certificate and statement of the case (or certified copies thereof) on which leave was granted or extended and have taken these into consideration in arriving at my decision place: signature of government medical officer /civil surgeon. Medical fitness a candidate must be medically fit to undergo the professional course applied for the medical fitness must be certified by a registered medical practitioner in the prescribed proforma, as given below on a letterhead : certificate of medical fitness this is to certify that i have conducted clinical.
Mentioned food establishment name and signature with seal of registered medical practitioner / civil surgeon medical examination to be conducted: 1 physical examination 2 eye test 3 skin examination 4 compliance with schedule of vaccine to be inoculated against enteric group of diseases 5. Reap– 2017 rajasthan technical university, kota, rajasthan form of medical fitness certificate (to be produced at the time of reporting in the allotted institute) (kindly issue this certificate only when the candidate is fits according to the standards given below) i/dr (name & designation) posted in ( name of. Fitness certificate i dr(dr name) certify that i have carefully examined mr/ mrs, son/daughter of , address: whose signature is given below based on the examination, i certify that he is in a good mental and physical health.
The form can be submitted or retained via the following criteria: for the applicant original (yellow) certificate of medical fitness must be given to applicant if requested, copy of medical examination report may also be given for the shp seafarer administration team duplicate (green) of the certificate of. And whose signature is given above, and find that he/she has recovered form his/ her illness and is now fir to resume duties in government service i also certify that before arriving at this decision i have examined the original medical certificate(s) and statement(s) of the case (or certified copies thereof) on which leave was.
Please present your medical fitness certificate at the concerned nust college/ school at the time of joining medical standards for admission study at nust demands good physique and stamina an applicant must have sound health so as to bear the strain of the course signature of doctor with legible seal. Medical fitness certificate (reference article 49 csr read with navy order 9/68(civ)) 1 i hereby certify that i have examined shri/miss/ smt__________________________________ candidate for employment in the navy as. Certificate of medical fitness the certificate must be from the medical officer or any rank above it from any central/state government hospital/ dispensary/medical college must be brought by the candidate at the time of interview 1 application form no : 2 name of the candidate.
This medical report cannot be issued free of charge as part of the national health service the applicant must pay the medical practitioner's fee, unless other arrangements have been made the council accepts no liability to pay for it if you are in any doubt as to your fitness, talk to your doctor before the examination 2.
Certificate of physical fitness (to be filled by a registered medical practitioner in the applicant's country of domicile) name of applicant medical history (please give details of any past medical condition which may adversely impact the patient's health at the current time or in the near future) ia history of any. Certificate of physical fitness personal details name gender date of birth age (in years) blood grouping identification marks history of allergy if any history of medical illness if any history of hospitalization / previous surgery if any history of current medication for any illness vaccinate now for. Medical fitness certificate(to be signed by a registered medical practitioner holding a degree not below that of mbbs) (to be subm.
(the physical fitness certificate should be submitted by the concerned official/ authority in his/her own letter head) format of physical fitness certificate for appointment in project name of the doctor :-. Physical fitness certificate signature of candidate i, drâ ¦after careful personal examination of the case do hereby certify that sri/ kum whose signature is given above is found physically fit to undergo. He / she has not given any personal history of any disease incapacitating him/ her to undergo the professional course also, on clinical examination it has been found that he/she is medically fit to undergo the professional course certified further, that he / she has not shown any evidence of major defects of posture.