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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, ay Aundh 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 applicant tis 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: applicant ammmmecers. = 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 applic Aundh 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

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