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    PAINDIS INDIS 2022 Medical Certificate

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    julieannvedeo
    This 3 sentence medical certificate summarizes the key information for an athlete participating in an event. It includes the athlete's name, age, contact information, physical measurements, and blood type. The physician certifies that the athlete is physically fit to participate in the ASU New Washington PAINDIS-INDIS 2022 event from November 21-25, 2022 being held at Aklan State University, Poblacion, New Washington, Aklan and includes the date of examination and physician information.

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    PAINDIS INDIS 2022 Medical Certificate

    Uploaded by

    julieannvedeo
    11 views1 page
    This 3 sentence medical certificate summarizes the key information for an athlete participating in an event. It includes the athlete's name, age, contact information, physical measurements, and blood type. The physician certifies that the athlete is physically fit to participate in the ASU New Washington PAINDIS-INDIS 2022 event from November 21-25, 2022 being held at Aklan State University, Poblacion, New Washington, Aklan and includes the date of examination and physician information.

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    This 3 sentence medical certificate summarizes the key information for an athlete participating in an event. It includes the athlete's name, age, contact information, physical measurements, and blood type. The physician certifies that the athlete is physically fit to participate in the ASU New Washington PAINDIS-INDIS 2022 event from November 21-25, 2022 being held at Aklan State University, Poblacion, New Washington, Aklan and includes the date of examination and physician information.

    Copyright:

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

    PAINDIS INDIS 2022 Medical Certificate

    Uploaded by

    julieannvedeo
    This 3 sentence medical certificate summarizes the key information for an athlete participating in an event. It includes the athlete's name, age, contact information, physical measurements, and blood type. The physician certifies that the athlete is physically fit to participate in the ASU New Washington PAINDIS-INDIS 2022 event from November 21-25, 2022 being held at Aklan State University, Poblacion, New Washington, Aklan and includes the date of examination and physician information.

    Copyright:

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

    AKLAN STATE UNIVERSITY


    New Washington Campus
    New Washington, Aklan

    MEDICAL CERTIFICATE
    PARTICIPANTS PERSONAL INFORMATION
    NAME OF ATHLETE:

    AGE: DATE OF BIRTH: CONTACT #:

    ADDRESS:

    WEIGHT: HEIGHT:

    BLOOD TYPE: ALLERGIES: Medications (if any):

    This is to certify that:

    is Physically Fit to participate in the;

    [ ] : ASU New Washington PAINDIS-INDIS 2022 on

    (date) November 21-25, 2022 at

    (venue) Aklan State University, Poblacion, New Washington, Aklan


    Blood Pressure:

    Name and Signature of Physician

    Date of Examination:

    License Number Validity Date

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