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MEDICAL LEAVE CERTIFICATE

This is to certify that Sri/ Smt / Kum ______________________________________


S/O, D/O

aged about ( ) years is working

as

in the office

____ is

in good health , besides that she / he has avail / not avail medical leave
from

is in good health, besides that she

/ he has avail medical leave from

to __________________

for the past three years.

Signature of the Drawing officer


Office Seal

GOOD HEALTH CERTIFICATE


This is to certify that Sri/ Smt / Kum __________________________________
S/O, D/O ____________________________________________________________ Working as
_______________________________________ in the office of the _________________________
_______________________________________________________________ aged ( ) years, is
found in good health without any ailments

Date :
Place :

Signature of the Civil Surgeon / Civil Asst. Surgeon


Office seal

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