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Medcert Educ Travel
Medcert Educ Travel
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MEDICAL CERTIFICATE
FOR EDUCATIONAL TOUR
DISTRICT: __________________
SCHOOL: __________________
GRADE & SECTION: __________
DATE: _____________________
THIS IS TO CERTIFY THAT THE FOLLOWING LEARNERS HAVE BEEN FOUND TO BE:
NAME
1.
2.
3.
4.
B. PHYSICALLY FIT TO TRAVEL BUT WITH MEDICAL OR HEALTH RESERVATION (e.g. allergy, bronchial
asthma, fainting, dizziness during travel, heart problems, etc.)
NOTE: Learner with FEVER is discouraged from joining the tour.
NAME AILMENTS
1.
2.
3.
4
5.