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  • Medical Form

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    Synninn Medical Services
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    This medical certificate certifies that Mr./Mrs. [Name] with passport number [Number] and nationality of [Nationality], aged [Age] years, from [Town/Village], [Country] is in good health without any vision, hearing, or other issues that could interfere with participating in an exchange program. The medical officer confirms [Name] is able to perform to their full capacity and provides this certificate for the purpose of [Purpose]. The certificate is signed by [Name] and the medical officer with their registration number and dated with the location and seal of the medical institution.

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    Medical form for clinical history of Patients

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    This medical certificate certifies that Mr./Mrs. [Name] with passport number [Number] and nationality of [Nationality], aged [Age] years, from [Town/Village], [Country] is in good health without any vision, hearing, or other issues that could interfere with participating in an exchange program. The medical officer confirms [Name] is able to perform to their full capacity and provides this certificate for the purpose of [Purpose]. The certificate is signed by [Name] and the medical officer with their registration number and dated with the location and seal of the medical institution.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    3 views1 page

    Medical Form

    Uploaded by

    Synninn Medical Services
    This medical certificate certifies that Mr./Mrs. [Name] with passport number [Number] and nationality of [Nationality], aged [Age] years, from [Town/Village], [Country] is in good health without any vision, hearing, or other issues that could interfere with participating in an exchange program. The medical officer confirms [Name] is able to perform to their full capacity and provides this certificate for the purpose of [Purpose]. The certificate is signed by [Name] and the medical officer with their registration number and dated with the location and seal of the medical institution.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
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    MEDICAL CERTIFICATE (TO BE WRITTEN ON MEDICAL INSTITUTION/

    CLINIC/ HOSPITAL LETTERHEAD)

    To Whomsoever Concerned,

    This is to certify that Mr/ Mrs __________________________________________ , passport number


    ______________, national of ______________, aged __________ years, of village/ town
    ___________, country _____________ is free from defective vision, deafness and other health issues
    that are likely to interfere with the effectiveness of their aspiration to exchange as a bilingual person..

    S/he is in good health and is able to perform to their full capacity without any hindrances.

    This certificate is provided to him/ her for the purpose of _______________________

    Signature of the Applicant ________________(to be signed in the presence of the medical officer)

    Signature of the Medical officer _________________

    Name of the medical officer _______________

    Registration number _________________

    Date: _____________
    Location: _____________

    Seal of the medical institution

    The candidate is reminded that a medical check-up will also be held once in Colombia.

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