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COMPANY WORK FORMSeafarers PreEmployment Medical ExaminationForm No. Issue A Date Authorized by(confidential) First NameRankMiddle name Family name Height: (m)Vessel Trade: Worldwide Blood Pressure:

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How to fill out submission of medical certificate

01

Obtain the medical certificate form from the relevant authority.

02

Fill out your personal information such as name, address, contact details, etc.

03

Provide details of the medical condition or reason for requiring the certificate.

04

Get the certificate signed by a licensed medical professional.

05

Submit the completed form to the designated office or organization.

Who needs submission of medical certificate?

01

Employees who are on sick leave and need to provide proof of their medical condition to their employer.

02

Students who need to provide a medical excuse for missing classes or exams.

03

Athletes who need clearance to participate in sports events.

04

Individuals applying for certain benefits or insurance claims.

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What is submission of medical certificate?

Submission of a medical certificate is the process of providing a formal document from a licensed medical professional that verifies an individual's health status, often needed for legal, employment, or academic purposes.

Who is required to file submission of medical certificate?

Individuals who are seeking medical leave from work, applying for disability benefits, or need to provide proof of health status for educational or legal reasons are typically required to file a medical certificate.

How to fill out submission of medical certificate?

To fill out a submission of a medical certificate, you typically need to include the patient's name, date of birth, medical diagnosis, dates of treatment, and the physician's signature and contact information.

What is the purpose of submission of medical certificate?

The purpose of submitting a medical certificate is to provide official documentation of a person's health condition, which may be necessary for sick leave, insurance claims, or other official matters.

What information must be reported on submission of medical certificate?

The submission must report the patient's identification details, nature of the illness or injury, treatment dates, any work limitations, and the medical professional's credentials.

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