Certificate of Medical & Mental Fitness

TO WHOM IT MAY CONCERN

This is to certify that Md. Riyajul Islam son of Faruk Howlader aged 28 years of village:
Padrishibpur, Post: Padrishibpur District: Barisal is free from any illness or disabilities that can
affect his work efficiency. I have examined today Md. Riyajul Islam and he does not require any
medical treatment and to my knowledge he is not undergoing any medical treatment. During my
examination of Md. Riyajul Islam I have witnessed clarity of thoughts and communication:
verbal as well as emotional communication. He is mentally and emotionally fit to execute his
will. This candidate is in a good health condition and is able to perform duties without any
hindrance with full capacity.

I certify that in my opinion his general physical and mental condition is such as to enable him to
perform efficiently any official work.

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…………………………. Signature of the Candidate
Signature of the Doctor

Name of Doctor:

Registration number:

Designation:

Place:

Date: