Format of Certificate of Physical Fitness

CERTIFICATE OF PHYSICAL FITNESS BY

A single Medical Board / the Civil Medical Board         

            I/we do hereby certify that I/we have examined Mr. / Ms.  ………………. a candidate for employment in the …………………………………………………Department and cannot discover that he has any disease constitutional affection or bodily infirmity except.

            I/we do not consider this disqualification for employment in the Office of ……………………………………………………………………………………

            His/her age is according to his/her own statement …………years and by appearance about ……………. years. He/she has a mark of small pox/vaccination.

Personal marks of Identification*

……………………………………………………………………………………

Name                                                                                                             President

Reg. No.   

Rank

Designation                                                                                                  Member

Station

Date

-------------------------------------------------------------------------------------

* This should be filled in with great care after examination