PHYSICAL FITNESS and HEALTH CERTIFICATE

 

GOVERNMENT OF TELANGANA

OFFICE OF MEDICAL OFFICER

GOVT.CIVIL HOSPITAL _____________________

 

Receipt No.                                                                  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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