MEDICAL CERTIFICATE

I hereby certify that I have examined MD SAIFUDDIN and found him to be in good mental and physical health. He does
not have any physical impairments such as deafness, color blindness or any chronic diseases. The following is a
comprehensive summary of his medical test results.

Full name of the applicant (as it appears on passport): MD SAIFUDDIN

Date of birth: 10/06/2002

TYPE OF MEDICAL TEST OR VACCINATION EXAMINATION / RESULT

VACCINATION DATE

Tuberculosis (TB) 23/09/2023 negative

SEROLOGICAL TESTS

HIV 23/09/2023 negative

Hepatitis B 23/09/2023 negative

Hepatitis C 23/09/2023 negative

VACCINATIONS

Has the patient been vaccinated against (diphtheria, tetanus 25/08/2012 Yes
and pertussis)?

Has the patient been vaccinated against (measles, mumps, 22/02/2005 Yes
rubella)?

Has the patient been vaccinated against poliomyelitis? 18/03/2004 Yes

Has the patient been vaccinated against Coronavirus)? 16/08/2021 Yes

Has the patient been vaccinated against Hepatitis B? 28/04/2008 Yes

Has the patient been vaccinated against typhoid? 12/06/2015 Yes

With my signature I hereby declare that the information provided in this form is correct.

Date of issue:

signature and stamp of examining physician