Aundl kuti rugnalaya
Date 26-06 2e90
CERTIZICATE
hiss. o certify that Ninvtes_Gouted fin ang
Bye Chins
AGE: a3 Residing at wed Pune.
At that inte and date of examination , The jersen doesnot give any history off like
symptoms. During His/Ffer examinations finding were as fallow,
Temperature- 35-9 &,
¢
S08 ‘
is Wo
it Rl
H0-DMMTN- YES; No~
Above patients dogs na exhib sigs of nelly a theta da of
‘saminstion but the incubation period cen ot be ruled out
COVED. 38 test or anyother investigation have wot been done.
Adinrslo. Steooa2ss0 (Yby Tp)
Mobile No. 3831470504
Dale 26 165-990 s
Tie" 1m
Hepat
uA &
‘Seibedteat Officer)
Sm worse
Self «declaration by the applicant
1 Mens ints Bareslng, Nowglg wit ide by te standard belt roel decided by
the , stateMaharosrtni trict Le, cise | am aware that I may be penalised as per
Drovisions of the law including seeon 10, 1: ant all ather provisions
Date 46-05 -goa0 Botton lio
tine ra fee
pie: (pe awe 0 ra ri‘Aundh kuti tugnalaya
Date = 24/08/30
CERTIFICATE.
Minis. coity tac Nientes_Eatkial Suvong
Residing a Shires Macht wale
and date of examination . The yerson doesnot give any history of fu ike
Daring HisfBler examinations (icing were as follows,
Reporting, BET C
bauer i BO
Above patients does nor exhibitsigns of fu clinically a the tne and date of
‘exanvinaton bat the incubation period can ot be ruled out.
COVID:19 Test ov any other Investigation have not been done.
r p07 6) 62
_Nebien 8001741 96
Bae 20o5/20
ime W501
Place - Pune. f.
mal ETE
22a Ofte.
winter
Self declaration by the applicant
v
trae mes Erelal Suroody wit aie bythe standard heath prota deced by
the , sate matsaullen ng. he { am aware that E may be peraised a8 per
Provisions of thew ineludling section i, 1PC at all ter province
Date. mifeiea
tine NSD
piace flrte! Nome & sign applicant
Evikial trong,
ayAundh kati rugnalaya
Date ~H [08 fh
CERTIFICATE
‘Thisic. (@ certily that MriMtrs, De alex DiKhet
tank
AGE. 93 Residing at Souter lose? ihe
‘AUibac time and date of examination , The persen does not give any history of fy like
symptoms, During His/Her examinations Giding were as fellows.
Bae sec
" we f:
RR fe
Hopwonn- val / 5
Above patients does not exhibit signs of fu
‘examination but the incubation period can
VID-19 Test oF any other investigation have mot been done.
pad caste Cenificate
ically atthe time and date of,
Benne gesrocrs
ile 96 SL.
Pins. free:
aio
Medical Officer
rere
by the applicane
Self -decaratia
Eleni mss Beever vil abe by he standard hea prtia decided by
‘at Swate that Tay be peaed pet
he state befor ister Peoue
Drove Show Tange i sea nee
wate ae fe
rac Pune Gate Sen 6 applicanttis
Aundh kati ugnalaya
Date-26= Pray — Woe
CERTIFICATE |
Bis wenly damian SGrrm Krodah :
Ace 2y Resins Taig Pe Megas, — Pane
Attbat tie and date of examiaald, Ti pers docs ot give any hisory of fa ike
symptoms. Dating Hitter examinations fading were as fellows.
Bop 31 8C
svoe
PR: 437
Rw
tomar. es xo
Abort et iis a tla he ine nd nt
cuore sound ce
Oba teary sisi
Adler No-D(53 F.20 | On
ie Ne Heo Use aee
Bate 2o-hmy- 2026 e
Are a 48 a
mae | He
Medical Officer
¥ am
Self -dectaration bythe applicant
3 Mente 4s Livers A ghbh il abit by he standard beaks proicl decided by
the , state MalescbbadistriceUp lee, else i am aware that 1 may be penalised as per
Drv of the lay fncleding etn iPad all aes pov
t 26-May — Ro2s pe ees
Kime 9° 20 dyn,
place" Pie Nome: applicantammmmecers. =
ae
Aundh kuti rugnalaya
Date" 991 6720
CERTIFICATE
Tiss. cocy dat mre, —Latiaaa Syngas
AGE- 19 Residing at. i ‘Pune.
Atta time and dite examfonttn Tie jesdh docs no gv ny hitory of ike
‘symptoms, During IfsHfer examinations filing were as follows.
‘Temperature -2.Ge§ °C
gore Gea
PR. oe
be
Woman. és / No
Above pacionts does not exhibit signs off clinically atthe time and dats of
exattintion bat the incubation peried caw aot be ruled out.
‘COVID-19 Testor any other Investigation have not been dane.
AdhorNe USb1104 O56 3+
Mobile No 300514309 9
Dale- 26. 05+ 2090 =
‘Time 10240 A
Place- Pury
Medical Officer
See ort
Self declaration by the applicant
4 Mens nis ‘will able by the standard health prate:ol decided by
the ated net 2 | an aware that may Be pelibed as pet
rons o they inhi ses 140, 10a all ater iy
Dare. 25-08-9020 Iutiena Lyngelch
time. 1926 ad
lace- Pane Name & sign of applicAundh kuti rugnalaya
Date- 26] 5/20
CERTIFICATE
Z
Thidis to certity wartinin Dizaaiead Llarhersos a
AGE Je~ nesidingat_eficer Aeonil wrpyty Merch
Atha ian nt atest “Toeeso ec any gory ou te
sympton .
Tenpetature. 32 BG
HDDMHTN - 7-No
‘Above paticats does not exhibit signs of fu
examination but the incubation period can
COVID-19 Pest or any other investigation
Adin Ne: 42.20 Js 3735
BIRNS: e126 4
Date 26 flag Ja20
Time- “to de al
Place Pane
Self -dectaraci
1 Mente ils _Agacond _tflarborgeh bi
the , state Muarawira district Pune, else
Drv of ew facing aes it
dae 36 Moy Jodo
te ocean
Ha Rane
During HisiHfer examinations Gung were a fellows,
clinically at the time and date of
ot be ruled out.
ive not been done,
‘an by the applicant
de by the standard heal protéol decided by
{am aware that 1 may Be penalised os per
ad all oer provisions.
Dignod Holeser
Nain 8 sign af