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FORM 4 MEDICAL CERTIFICATE FOR LEAVE OR EXTENSION OF LEAVE OR COMMUTATION OF LEAVESignature of the Govt. servant. I, Dr. ... after careful personal examination of the case, hereby certify that Sh.

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How to fill out form 4 medical certificate

01

Obtain form 4 medical certificate from the relevant authority or organization.

02

Fill out personal information such as name, date of birth, address, and contact details.

03

Provide detailed information about the medical condition or reason for the certificate.

04

Include any relevant medical history or documentation to support the request.

05

Sign and date the form to certify the accuracy of the information provided.

Who needs form 4 medical certificate?

01

Individuals who require a medical certificate for insurance claims.

02

Employees who need to provide proof of a medical issue for sick leave.

03

Students who are unable to attend school due to a medical condition.

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What is form 4 medical certificate?

Form 4 medical certificate is a document that certifies the medical condition of an individual.

Who is required to file form 4 medical certificate?

Form 4 medical certificate is required to be filed by individuals with specific medical conditions.

How to fill out form 4 medical certificate?

To fill out form 4 medical certificate, one must provide their personal information, medical history, and details of their current medical condition.

What is the purpose of form 4 medical certificate?

The purpose of form 4 medical certificate is to certify the medical condition of an individual for various purposes such as employment or insurance.

What information must be reported on form 4 medical certificate?

Information such as personal details, medical history, and current medical condition must be reported on form 4 medical certificate.

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