FORM OF MEDICAL CERTIFICATE
(for the post of Work Assistant in Kerala Agro Machinery Corporation Limited)
I have this day medically examined Sri..................................................................................
(Name & Address) .............................................................................................................................
and found that he has not the disease or infirmity which would render him unsuitable for
government service.
Height :
Vision :
(Also indicate whether free from colour Blindness or not)
He is physically ...................................................................................... for arduous out door work.
(Please note whether 'fit' or 'unfit')
Place :
Date : (Office Seal)
Signature:
Name & Designation of the Medical Officer:
Note : Certificate should be one issued by a Medical Officer in government service not below the
rank of an Assistant Surgeon.
Click here to download the Medical Certificate form in PDF. format
(for the post of Work Assistant in Kerala Agro Machinery Corporation Limited)
I have this day medically examined Sri..................................................................................
(Name & Address) .............................................................................................................................
and found that he has not the disease or infirmity which would render him unsuitable for
government service.
Height :
Vision :
(Also indicate whether free from colour Blindness or not)
He is physically ...................................................................................... for arduous out door work.
(Please note whether 'fit' or 'unfit')
Place :
Date : (Office Seal)
Signature:
Name & Designation of the Medical Officer:
Note : Certificate should be one issued by a Medical Officer in government service not below the
rank of an Assistant Surgeon.
Click here to download the Medical Certificate form in PDF. format
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