Joined a company that wanted me to go to a registered medical practitioner and get a fit to work note from the Doctor. They did not have a template so I decided to upload this one, that I got on the recommendation of the doctor I went to, from a stationary store.
If I had this text/image would have printed it out and gone straight to him.
Edited the grammar from original. Ready to print : PDF and source open office format
Edited text:
PHYSICAL FITNESS CERTIFICATE
1. I, do hereby certify that I have examined candidate for
and that I cannot detect that he/she has any disease,constitutional affection or bodily infirmity except ___
I do not consider this as disqualification for employment in office of
2. I'm also satisfied (after personal examination) that he/she was vaccinated/re-vaccinated within a week prior to the date of this examination
3. is age is according to his/her own statement year and by appearance about .. years.
4. Height
5. Weight
6. Chest measurement on (full inspiration )
7. Vision
a) Right Eye
b) Left Eye ..:
Wears spectacles Yes/no
City / Place :
Date :
Image:
If I had this text/image would have printed it out and gone straight to him.
Edited the grammar from original. Ready to print : PDF and source open office format
Edited text:
1. I, do hereby certify that I have examined candidate for
and that I cannot detect that he/she has any disease,constitutional affection or bodily infirmity except ___
I do not consider this as disqualification for employment in office of
2. I'm also satisfied (after personal examination) that he/she was vaccinated/re-vaccinated within a week prior to the date of this examination
3. is age is according to his/her own statement year and by appearance about .. years.
4. Height
5. Weight
6. Chest measurement on (full inspiration )
7. Vision
a) Right Eye
b) Left Eye ..:
Wears spectacles Yes/no
City / Place :
Date :
Image:
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