MINISTRY OF LABOUR AND HOME AFFAIRS

DIRECTORATE OF APPRENTICESHIP AND INDUSTRIAL TRAINING

MTTC Form 3-4-12/87
CONFIDENTIAL

REPUBLIC OF BOTSWANA

MEDICAL CERTIFICATE
Issued in terms of Apprenticeship and Industrial Training Act, No. 34 of 1983, section 19.
Medical
Examination
19. (1) Before entering into a contract to be employed as an apprentice in an apprenticeable vocation, every of
person shall be medically examined by a medical officer at the expense of the approved employer of the prospective
apprentices. apprentice in
apprenticeabl
e trade
(2) At the conclusion of a medical examination in terms of this section, the medical officer shall, if satisfied
that the apprentice is medically fit, certify that in writing addressed to the approved employer of
apprentices.

To: ………………………………………………………………………………………………………………
(Name of employer)

Address: ……………………………………………………..

……………………………………………………..

……………………………………………………..

Name of Apprentice: ………………………………………………………………………

Name of Company: ………………………………………………………………………

Box No. …………………………. Place: …………………………...………….………..Tel No. ……………………..

1. I have examined the above person and state that he/she IS/IS NOT
-physically fit
-mentally fit
for employment as an apprentice in the vocation of ………………………………............................................

2. The apparent age/age of the person is …………… years.

………………………… ……………………………………...
(Date) (Signature of Medical Officer)

*(Delete whatever is not applicable)

cc. Director of Apprenticeship and

Industrial Training
Private Bag 00267
Gaborone
Official Stamp
Original (White) - Employer
Copy (Yellow) – MTTC
Copy(Rose) – Medical Officer