Nothing Special   »   [go: up one dir, main page]
Scribd Logo
Upload

Welcome to Scribd!

  • 32 views

    Medical Certificate Form For Non Immigrant O A Long Stay Only

    Uploaded by

    Firoz Khan
    This medical certificate summarizes the health of an individual. It states that the person was examined by a doctor and found to be free of specific diseases like leprosy, tuberculosis, elephantiasis, and drug addiction. The doctor confirms that the individual is in good physical and mental health without any defects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Medical Certificate Form For Non Immigrant O A Long Stay Only

    Uploaded by

    Firoz Khan
    32 views1 page
    This medical certificate summarizes the health of an individual. It states that the person was examined by a doctor and found to be free of specific diseases like leprosy, tuberculosis, elephantiasis, and drug addiction. The doctor confirms that the individual is in good physical and mental health without any defects.

    Original Description:

    Original Title

    Medical Certificate Form for Non Immigrant O a Long Stay Only

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This medical certificate summarizes the health of an individual. It states that the person was examined by a doctor and found to be free of specific diseases like leprosy, tuberculosis, elephantiasis, and drug addiction. The doctor confirms that the individual is in good physical and mental health without any defects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views1 page

    Medical Certificate Form For Non Immigrant O A Long Stay Only

    Uploaded by

    Firoz Khan
    This medical certificate summarizes the health of an individual. It states that the person was examined by a doctor and found to be free of specific diseases like leprosy, tuberculosis, elephantiasis, and drug addiction. The doctor confirms that the individual is in good physical and mental health without any defects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    

    Medical Certificate
     ................................................................
    Date

     .........................................................................................
    Name a medical doctor
    ()*+,-ก)/ก,,0 1 . ......................))ก( 2 . .............34)...............5.6...............
    Holding medical license No. issued on date month A.D.
    >3?ก,+,,@ก..............................................................................04). ............................................
    have examined (name) on date
    1,กE@..............................................................................................................,6กF,5 3+@)>
    and have found (name) free of the following diseases
    1. F,5,4) LEPROSY
    2. 2F,5,--)+, TUBERCULOSIS (T.B.)
    3. F,5 ELEPHANTIASIS
    4. F,5Y+/3(FZ DRUG ADDICTION
    5. F,5]/^_1/Y(,-- 3 THIRD STEP OF SYPHILIS

    aaaaaaaaaaaaaaaaaaaaa..bc0,@ก d, Y0c,2 >0@bc0/+^e^f)


    (name) is in good physical and mental health
    ,4)>0@Y0,-ก) ,4)>0@bc0,@ก1i ,4)bF,53ก1@ +
    free from any defect

    14)..........................................................c+,
    Signature M.D.
    (aaaaaaaaaaaaaaa)
    Name (in print)
    Addressaaaaaaaaaaaaaa.aaaaaa.
    aaaaaaaaaaaaTel (aaa)a.aaaaa

    You might also like