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Medical Certificate for Admission

This medical certificate is to be submitted at the time of counseling or admission to Guru Gobind Singh Indraprastha University. It certifies that the student, [name], son/daughter of [name], has been examined by a registered medical practitioner and found to be in good mental and physical health, without any defects that could interfere with their studies or duties required of their program. It includes the student's signature, date, place, and details of the examining medical officer for verification purposes.

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Shaurya Kapoor
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120 views1 page

Medical Certificate for Admission

This medical certificate is to be submitted at the time of counseling or admission to Guru Gobind Singh Indraprastha University. It certifies that the student, [name], son/daughter of [name], has been examined by a registered medical practitioner and found to be in good mental and physical health, without any defects that could interfere with their studies or duties required of their program. It includes the student's signature, date, place, and details of the examining medical officer for verification purposes.

Uploaded by

Shaurya Kapoor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Appendix 6

Guru Gobind Singh Indraprastha University


Sector 16 C, Dwarka, New Delhi - 110078

MEDICAL CERTIFICATE**
(TO BE SUBMITTED AT THE TIME OF COUNSELLING/ADMISSION)

I certify that I have carefully examined Shri/Km/Smt.*_______________________________________ son/


daughter/wife of Shri/Smt.* __________________________________________________whose signature is given
below. Based on the examination, I certify that he/she is in good mental and physical health and is free from any
physical defects which may interfere with his/her studies including the active outdoor duties required of a
professional. Visible Mark of Identification _____________________________________________
___________________________________________

Signature of the Candidate__________________________________________

Place :

Date :

Name & Signature of the


Medical Officer with Seal and
Registration Number

* Strike whichever is not applicable.

** To be signed by a Registered Medical Practitioner holding a Medical degree.

Note : Use photocopy of this Form

13

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