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NATIONAL INSTITUTE OF SCIENCE EDUCATION AND RESEARCH BHUBANESWAR MEDICAL CERTIFICATE FOR LEAVE OR EXTENSION OF LEAVE OR COMMUTATION OF LEAVE (Rule 19 of CCS Leave Rules)Signature of the Government
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How to fill out medical fitness certificate form
How to fill out medical fitness certificate form
01
To fill out a medical fitness certificate form, follow the steps below:
02
Begin by entering your personal information, such as your name, address, and contact details.
03
Provide your date of birth and age.
04
Mention your gender.
05
Specify your current occupation and employer, if applicable.
06
Indicate any pre-existing medical conditions or illnesses you may have.
07
State any ongoing medications or treatments you are undergoing.
08
Declare any allergies or drug sensitivities.
09
Provide details about any surgeries or hospitalizations you have had in the past.
10
Mention your family medical history, if required.
11
Answer any additional questions related to your medical history or fitness.
12
Sign and date the form to certify that the information provided is accurate and complete.
13
Submit the filled-out form to the relevant authority or organization as per their instructions.
Who needs medical fitness certificate form?
01
Anyone who requires a medical fitness certificate needs to fill out this form.
02
This includes individuals who are:
03
- Applying for a job that requires physical fitness
04
- Joining a fitness or sports club
05
- Enrolling in certain educational programs or professional courses
06
- Participating in adventurous activities or sports events
07
- Applying for a driving license or pilot's license
08
- Traveling to certain countries that require a medical certificate
09
The specific requirements for a medical fitness certificate may vary depending on the purpose and requesting organization.
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What is medical fitness certificate form?
Medical fitness certificate form is a document that certifies an individual's physical health and ability to perform certain tasks or duties.
Who is required to file medical fitness certificate form?
Certain professions or activities may require individuals to file a medical fitness certificate form, such as pilots, drivers, or athletes.
How to fill out medical fitness certificate form?
The medical fitness certificate form typically requires personal information, medical history, physical examination results, and may need to be filled out by a licensed healthcare professional.
What is the purpose of medical fitness certificate form?
The purpose of the medical fitness certificate form is to ensure that individuals are physically capable of performing specific tasks or duties without posing a risk to themselves or others.
What information must be reported on medical fitness certificate form?
Information such as personal details, medical history, current physical condition, and any restrictions or recommendations from a healthcare professional may need to be reported on the medical fitness certificate form.
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