Declaration (For Medical Fitness) TANITA... WARMA.som / daugter wife of Residing at FLA LOTR: £8 joined NAV BackOffice on JOINING. 5 : do hereby declare that, to the best of my knowledge there is nothing on grounds of health which would preclude me from meeting the conditions of employment and performing my duties in a consistent and satisfactory manner. | also declare that I am fully competent, fully capable and available to undertake the duties of the post. \~ Lhave never been diagnosed for any prolonged medical problem for which I am required to take medication / undergo a treatment on regular basis. OR (i) Though I have a prolonged medical problem, but it has been diagnosed and with continuous medication / treatment, the same is under control and does not cause any hindrance in discharging my duties. The details of the same are as follows:: Medical Problem: __A~ = Medication / Treatment _-\V A-Besides, I also understand that during the period of my employment, if my health situation changes and I were to become impaired in my fitness or ability to perform my duties then I will inform the organization immediately. Finally, I accept that if I make a false declaration, I will be liable for separation from the employment and / or termination of my appointment from the position. Signature of the Employee: Cx hd Name:___ANKITA SHARMA Date:_orN ING DATE