Medical Cert 2 - 2017

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Date:

Medical Certificate.

This is to certify that Shri ~_~~_~ ~ _ residing at

....,
Dist.--------------examined by me on dated ------------------ and found physically and mentally

Fit / Unfit for carrying out the job of Boiler Attendant / Boiler Operation Engineer.

Name and Signature


Designation­
Reg-No-
Office Seal

NOTE:

1- Medical Examination of candidate should be carried out at Government Primary Health

Centre / Dist. Health Centre/Rural Health ~)ntre OR by Registered Medical Pr~~titionel

as per the Boiler Attendant rules 2011 Rule NO.18 where in it is stated that candidate

appearing for Boiler Attendant / Boiler Operation Engineer should not be too QLd _Qr

physicc:illYJ,mfit through deformity, constitutional weaknes-s,_~defective~~y-e~ght, deafness

or JQ~of _a limb to perform efficiently the duties of a Boiler Attendant / Boiler

Operation Engineer.

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