MEDICAL CERTIFICATE OF GOOD HEALTH This certificate verifies that Mr/Ms........................................................................................................... Does not suffer from any disease that could cause serious repercussions to public health according to the specifications of the International Health Regulations of 2005. Medical centre stamp Doctor’s ...
MEDICAL CERTIFICATE MEDICAL CERTIFICATE OF NO CONTRAINDICATION OF NO CONTRAINDICATION TO THE PRACTICE OF RUNNING TO THE PRACTICE OF RUNNING IN COMPETITION Certificat medical de non contre-indication a la pratique de la course a pied en competition According to the ...
I Medical Certificate for Gazetted Officer (Sickness Certiflcate) Statement of the case of ...... """"" "" Name (to be filled by the applicant in the presence of the Authorised ...
Medical Certificate This medical certificate has to be filled in, dated and signed by a doctor, who usually stamps it or specifies their professional number. Participants are required to email scanned copy of this certificate to info@baliultratrail.com before 15 ...
This medical certificate has to be filled in, dated and signed by a doctor, who usually stamps it or specifies their professional number. This certificate must be returned completed BEFORE NOVEMBER 15 th 2021 by posting a scanned copy on ...
CERTIFICATE –9 ¼izek.ki=–9½ * FORMAT FOR MEDICAL CERTIFICATE (To be obtained from a Chief Medical Officer or Medical Officer of a participating U.P. State Funded Engg. Institute) This certificate has to be submitted at the ...
AGARTALA MUNICIPAL CORPORATION CITY CENTRE – PARADISE CHOWMUHANI, AGARTALA TRIPURA-799001 FORM OF APPLICATION FOR ISSUING OF BIRTH REGISTRATION CERTIFICATE (Downloaded from the official site of Agartala Municipal Corporation) 1. Name of the Child (in block letter) : 2. Sex : ...
PHYSICAL FITNESS CERTIFICATE (To be issued by a Registered Medical Practitioner) 1. Name________________________________________________________________ 2. Parent/Guardian’s Name________________________________________________ 3. Age _____________ _____Years __________________ Months_________________ 4. Gender________________ 5. Identification mark on the body, If any a) ______________________________________________________________ b) ...
MEDICAL FITNESS CERTIFICATE (To be filled in by Registered Medical Practitioner in BLOCK LETTERS) I certify that I have on this (date).day of (month) , 202... medically examined the following ...
ALL INDIA INSTITUTE OF MEDICAL SCIENCES, JODHPUR ******** Inquiry No.: Admn/General/04/2015-AIIMS.JDH Date: -07.08.2015 Invitation of quotation for Certificate for Blood Donation at AIIMS Jodhpur Sealed Quotations are hereby invited by the undersigned on behalf of the ...
EMPLOYEE LEAVE APPLICATION FORM A. TO BE FILLED IN BY EMPLOYEE Employment Number:___________ Surname:____________ First Name:___________ Section:_____________ Location:_____________ I would like to apply for ____ day(s) AL/SL/ML/Other. (Please circle appropriat e one). If other, please provide details. ____________________________ COMMENTS: Employee ...
F O R M : 3 MEDICAL CERTIFICATE FOR LEAVE GAZETTED OFFICER RECOMMENDED LEAVE OR EXTENSION OF LEAVE OR COMMUTATION OF LEAVE Signature of the Government servant ............................. I ....................................after careful personal examination of the case hereby certify that Shri/Smt./Kumari ...
MEDICAL CERTIFICATE in Case of Hospitalization (To be filled up by attending physician) NAME OF PATIENT: ______________________________________ PERIOD OF CONFINEMENT: ______________________________________ (Inclusive Dates) PHYSICIAN’S REMARKS: (Final Diagnosis / Surgical Operation or Any Medical Procedure Performed) I HEREBY CERTIFY that ...
FORM – IA Medical Certificate (To be filled in by a registered medical practitioner appointed for the purpose by the State Government or person authorised in this behalf by the State Government ...
Medical Certificate (to be filled in by a registered medical Practitioner only 1- Participant’ Name ------------------------------------------------------------------------------------------------------- 2- Date of birth --------------------------------------------------------------------------------------------------------------- 3- Address -------------------------------------------------------------------------------------------------------------------- Does the participant suffer from any chronic disease like? Diabetes Mellitus’ Bronchial Asthma, Epilepsy, Heart.. Problem ...
MEDICAL CERTIFICATE (Specimen) (To be filled by a Registered Medical Practitioner holding at least MBBS degree) Date: This is to certify that I have carefully examined Mr./Ms&hellip ...
Dr. R. S. Sharma, FAMS INDIAN COUNCIL OF MEDICAL RESEARCH Deputy Director General (SG) Ansari Nagar, New Delhi – 110029, India & Scientist-F Phone: (Off.) 26589647, 26589270 (Res.) 26266079 Division of Reproductive Fax: 91-11-26589647, & Child ...
SAMPLE New Medical Certificate If this form is used as supporting documentation for a petition, indicate your petition reference number here in the top right corner of the form. This section must be completed by the student at the time ...
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