MEDICAL FITNESS DECLARATION

Date: _______________

I, Mr/Miss ______________________ Son/Daughter of ________________________ with

my residential address as ________________________________________ hereby declare to
the best of my knowledge that I am not suffering with any medical, physical and/or mental
illness/injury/infirmity as on date, and/or any other likewise aspect which would preclude me
from meeting the conditions of employment or performing my duties in a manner consistent
and satisfactory to the Company.

I hereby declare that the above statement is true and correct, to the best of my knowledge. I
fully understand that I am responsible for anything which happens to me during the
employment with the Company, and that the Company shall not be responsible for the same
unless otherwise specified in the applicable laws.

This declaration shall form is an integral part of my Appointment Letter, and the Company
reserves the right to deal with the matters specified herein as per the terms of the
Appointment Letter, Company’s code of conduct and/or the Company’s policy.

Employee’s Name:
Date:

_______________
(Signature)