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CSC FORM NO. 211 (Revised August 1998) Medical Certificate: Instructions
CSC FORM NO. 211 (Revised August 1998) Medical Certificate: Instructions
ADDRESS
I hereby certify that I have personally examined the Affix Documentary Stamp
abovementioned individual and found her/him, to be physically Here
and medically fit/unfit for employment.
Here
PRINTED NAME/SIGNATURE OF PHYSICIAN CERTIFICATE OTHER INFORMATION ABOUT
NUMBER THE PROPOSED APPOINTEE
OFFICIAL DESIGNATION