BHARAT COKING COALFIELDS LIMITED

MOONIDIH PROJECT

Ref. No. Date :

MEDICAL FITNESS CERTIFICATE

This is to certify that Mr.______________________, son of Shri _____________

_______, Management Trainee ( Mining) posted in Moonidih Project, BCCL,
whose signature is given below. Based on the examination, I certify that he is in
good mental and physical health and is free from any physical defects which may
interfere with his duties.

This certificate is being issued to him for the purpose of Gas Testing examination.

Signature of Candidate ___________________________

Place :

Date :

Name and Signature of Medical Officer

MOONIDIH PROJECT,BCCL