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  • Medical Certificate Rule1171a

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    jhayrald silang
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    This medical certificate verifies that an applicant named [Name] is suffering from a medical condition and requires a period of absence from duty of [time period] starting on [date] for the restoration of their health. The certificate is signed by the examining medical officer, including their registration number, registration body, and system of medicine.

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    This medical certificate verifies that an applicant named [Name] is suffering from a medical condition and requires a period of absence from duty of [time period] starting on [date] for the restoration of their health. The certificate is signed by the examining medical officer, including their registration number, registration body, and system of medicine.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    418 views1 page

    Medical Certificate Rule1171a

    Uploaded by

    jhayrald silang
    This medical certificate verifies that an applicant named [Name] is suffering from a medical condition and requires a period of absence from duty of [time period] starting on [date] for the restoration of their health. The certificate is signed by the examining medical officer, including their registration number, registration body, and system of medicine.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Medical Certificate

    (Rule 117, Part I, KSRs)

    ……………………….
    (Signature of the applicant)
    I (Name) …………………………………… ………………..after careful personal examination of
    the case hereby certify that (Name and official address) …………………………….………………….
    …………………………………………………………………………………………………………………………
    ……………………………………………………………………………………whose signature is given above,
    is suffering from …………………….. …………………………………………………………………….and that
    I consider that a period of absence from duty of ………………………… with effect from
    ……………………. is absolutely necessary for the restoration of his/her health.

    Signature of Medical Officer…………………..

    Registration No. ……………………………….

    Part of Registration ……….…………………...

    System of Medicine ….………………………..

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