Scribd Logo
Upload

Welcome to Scribd!

  • 477medical Certificate

    Uploaded by

    jatinder
    47 views1 page
    This medical certificate document contains a form to be filled out by a registered medical practitioner to certify that a student is in good mental and physical health and free from any defects that could interfere with their studies or duties as a professional. The practitioner must examine the student and sign, date and include their seal, registration number, and the student's visible identification marks on the form.

    Original Description:

    Original Title

    477Medical Certificate

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This medical certificate document contains a form to be filled out by a registered medical practitioner to certify that a student is in good mental and physical health and free from any defects that could interfere with their studies or duties as a professional. The practitioner must examine the student and sign, date and include their seal, registration number, and the student's visible identification marks on the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    47 views1 page

    477medical Certificate

    Uploaded by

    jatinder
    This medical certificate document contains a form to be filled out by a registered medical practitioner to certify that a student is in good mental and physical health and free from any defects that could interfere with their studies or duties as a professional. The practitioner must examine the student and sign, date and include their seal, registration number, and the student's visible identification marks on the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    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 1 have carefully examined Shri!Krn!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 ofldentification - - - - - - - - - - - - - - - - - - - -

    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

    You might also like