Certificate of Medical Fitness

This is to certify that I have carefully examined Mr ___________________________________________

son/daughter of _______________________________-whose signature is given below, is both
physically and mentally for practicing sports activities. I further certify that before arriving this decision I
carefully reviewed his previous medical status.

Signature of the athlete:_______________________________

ID Number of parent: __________________________

Signature of parent:__________________________

Date: Signature of Medical Officer:

Certificate of Medical Fitness

This is to certify that I have carefully examined Mr ___________________________________________
whose signature is given below, is both physically and mentally for practicing sports activities. I further
certify that before arriving this decision I carefully reviewed his previous medical status.

Signature of the athlete:_______________________________

ID Number of athlete:__________________________

Date: Signature of Medical Officer:

Certificate of Medical Fitness

This is to certify that I have carefully examined Mr ___________________________________________
whose signature is given below, is both physically and mentally for practicing sports activities. I further
certify that before arriving this decision I carefully reviewed his previous medical status.

Signature of the athlete:_______________________________

ID Number of athlete:__________________________

Date: Signature of Medical Officer: