DOWNLOAD MOST POPULAR MEDICAL & FITNESS CERTIFICATE FORMAT
Download common Medical certificate format pdf, Medical certificate with fitness certificate form download. Only fitness certificate pdf format download. Keala state medical certificate print. And other certificates are available.
COMMON MEDICAL CERTIFICATE FORMAT
Medical Certificate
Signature of applicant ............................................................................................... I,
(Name)............................................................................................................................... after
a careful personal examination of the case hereby certify that(Name and official address)
...................................................................................................................... whose signature is
given above is suffering from...........................................................and that I consider that a
period of absence from duty of .................................days with effect
from........................................is absolutely necessary for the restoration of his/her health.
Signature of Medical Officer
Place..................................... Name
Date ..................................... Registration No
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Medical certificate download or print and fill your details
MEDICAL CERTIFICATE AND FITNESS CERTIFICATE TO RETURN TO DUTY
Medical Certificate
Signature of applicant
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .after careful personal
Examination of the case here by certify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . and there fore
I consider, that a period of absence from duty. . . . . . . . . . . . . . .. . . . . . . with effect
from. . . . . .. . . . . . . . . . is absolutely necessary for the restoration of his health.
Place: Signature of Medical Offier/Reg. Medical.Practitioner
Date: Reg.No.. . . . . . . . . . . . Part of Registration. . . . . . . . . . .
System of Medicine
Certificate of Fitness to Return to Duty.
Signature of applicant
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. a
Registered Medical Practitioner, do hereby certify that I have carefully examined . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Whose signature is given above and find that he has recovered from his illness and is
now fit to resume duties in Government Service, I also certify that before arriving at
this decision, I examined the Original Medical Certificate and statement of the case on
which leave was granted and have taken these into consideration in arriving at my
decision.
Station: Signature of the Registered Medical Practitioner
Date: Reg. No ... . . . .. . . . . . .Part of Registration. . . . . . . . . ..
System of Medicine
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Easy to print this medical fitness certificate copy the format and type your details and submit
MEDICAL CERTIFICATE & FITNESS CERTIFICATE COMMON
MEDICAL CERTIFICATE
Signature of Applicant …………………………….……..
I, Dr. ........................................................……............... after careful personal examination
of the case hereby certify that Dr. /Shri /Smt. /Ms. …………………………..…... (name
& designation of the applicant) of the Office of the …………………… whose signature is
given above is suffering from ……………………… ………………. and, therefore, I
consider, that a period of absence from duty from ………………to ……………... with
the effect from …………… is absolutely necessary for the restoration of his/her health.
Place: Signature of Government Medical Officer /Civil Surgeon /
Date: Staff Surgeon/Authorized Medical Attendant/Registered
Medical Practitioner along with official seal
Registration No. ______________
FITNESS CERTIFICATE
Signature of Applicant..................................................
I, Dr. ............................................................................. do hereby certify that I had
carefully examined Dr./Shri/Smt./Ms. ...........………………………………….………...
(name & designation of the applicant) of the Office of the ………………………….….
whose signature is given above, and find that he/she has recovered from his/her illness
and is now fit to resume duties in Government service. 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 /
Date: Staff Surgeon/Authorized Medical Attendant/Registered
Medical Practitioneralongwith official seal
Registration No. _____________
Medical & fitness certificate form download now
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PHYSICAL FITNESS CERTIFICATE FORM - RULE 13 PART 1KSR
PHYSICAL FITNESS CERTIFICATE
(Rule 13 Part 1KSR)
[G.O. (P) No. 20/2011/P&ARD dated 30/06/2011]
I do hereby certify that I have examined Shri/Smt……………………………....................
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
a candidate for employment in the …………………………………………………………………..
department and cannot discover that he/she has any disease, bodily or constitutional affection
except……………………………………………………………………………………..…………...
I do not consider this a disqualification for the post of…………………………………………..…
…………………………………....His/Her age is according to his/her own statement
is…………………years and by appearance ………………….years.
He/She has a normal distant vision (…………………………………………….…………….…..)
and he/she is free from color blindness.
He/She has been vaccinated/re-vaccinated or bears marks of successful vaccination.
Identification marks:
1.
2.
*Physical Measurement: Left-hand thumb impression
Height :
Weight :
Chest- Normal :
Expanded :
Signature of Medical Officer
*In the case of Posts such as Police Constable, Excise Guard, Forest Guard, Jail Warder etc.
Format of Physical fitness certificate download pdf
MEDICAL FITNESS CERTIFICATE
CERTIFICATE OF MEDICAL FITNESS
[To be obtained only from Gazetted Government Medical Officer / Medical Officer of a Government
Undertaking. (Please note that Medical Certificate issued by Private Practitioners will not be accepted) ]
Name (In Block Letters) ........................................................................................................................
Parent / Guardian Name ........................................................................................................................
Sex Male / Female Blood Group (Optional) ....................................
Height ...............................cm Weight .............................kg
Chest: Exp...........................cm Insp.. ...............................cm
Heart .................................. Lungs ............................
Vision ................................ Hearing .............. ...........
Hernia / Hydrocele / Varicocele/ Piles, etc: ...........................................................................................
Any Other Disease Diagnosed in the Past: ............................................................................................
Allergies, if any ......................................................................................................................................
Personal Marks of Identification:
1.
2.
I do hereby certify that I have examined Sri / Kum / Smt........................................................................,
Son / Daughter of............................................................................., who is an applicant for admission
to B.Tech/ MTech /Ph.D. Program and could not notice that he/she has any disease, constitutional
affection, bodily infirmity or mental unsoundness. His / Her age according to his/her statement is
....................................................... year and by appearance about ........................... years.
Signature of the Candidate
Place ........................................... Signature: of the Medical Officer
Date ........................................... Name: _________________________________
Office Seal Designation: _______________________________
Registration No. ____________________________
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Tag : Medical certificate, Fitness certificate, Both Medical & fitness certificate, Common medical certificate, pdf Medical certificate download
