Professional Documents
Culture Documents
Request For Examination
Request For Examination
Officer
From (Designation)
*Mr./Mrs./Miss
Please examine the above named as to *his/her fitness for appointment as
a on * Operational Service/
Permanent and Pensionable terms.
Date..20..
Signature
PART B
MEDICAL CERTIFICATE
(To be completed by a Medical Officer)
I have examined the above named and consider that *he/she is/is not
physically fit for appointment.
Date.20 Signature
Station.. Designation..