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DANISH MARITIME Authority Declaration and documentation record for Medical certificate To be used only for persons of 16 years of age or underparts A and B to be completed by the seafarer A SurnameFirst

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How to fill out medical certificate for examination

01

Fill in personal information including name, date of birth, and address

02

Specify the reason for the examination

03

Provide information about any medical history or current medications

04

Include the date of the examination and the issuing physician's signature

Who needs medical certificate for examination?

01

Individuals who require a medical examination for employment purposes

02

Students needing a medical certificate for school admissions

03

Athletes undergoing physical examinations for sports participation

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What is medical certificate for examination?

A medical certificate for examination is a document that confirms an individual's fitness to undergo a specific medical examination.

Who is required to file medical certificate for examination?

Individuals who are required to undergo a medical examination as part of a job requirement or for specific applications may be required to file a medical certificate for examination.

How to fill out medical certificate for examination?

To fill out a medical certificate for examination, individuals typically need to provide personal information, details regarding the examination, and any relevant medical history.

What is the purpose of medical certificate for examination?

The purpose of a medical certificate for examination is to ensure that individuals are physically able to undergo the necessary examination without any health risks.

What information must be reported on medical certificate for examination?

Information such as the individual's name, date of birth, relevant medical conditions, and the physician's assessment of their fitness for examination must be reported on a medical certificate for examination.

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