PHYSICAL FITNESS and HEALTH CERTIFICATE

GOVERNMENT OF TELANGANA

OFFICE OF MEDICAL OFFICER

GOVT.CIVIL HOSPITAL ___________

                                                                                Date:

PHYSICAL FITNESS and HEALTH CERTIFICATE

 

I do here by certify that I have examined (full name) …..…………………………….  Son/Daughter of Sri …………………… Candidate for admission/ employment  in …………………….… …………….. ……… ……………………….……… and cannot discover that he/she have any disease constitutional affection bodily infirmity expect ……………………….

I do not consider this is a disqualification for the admission/ employment in the ………..… ……… ……… ……… ……………………… ……… His/her age is according to his/her own statement (…...…) years and by appearance …………Years.

         I have further to certify the following findings on my medical examination:

1.Height : …… feet ….. inch

2.Weight : ……. kgs

3.Chest measurement : ……..cm (On full inspiration); ……cm (On full expiration)

4. Acute of vision :

5. Identification Marks : 

1) …………………………

2) …………………………

Signature:___________________

Rank:______________________

Designation:_______________

(not below the rank of Asst Civil Surgeon)

Signature of the Applicant                                                                      

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Note:

There is no fixed proforma for this physical fitness certificate

It must be obtained from a govt doctor, not below rank of Asst Civil Surgeon 

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