DTU Admissions 2014 Medical Certificate Format

DTU Admissions 2014 Medical Certificate Format

MEDICAL FITNESS CERTIFICATE

(To be signed by a registered medical practitioner holding a degree not below that of M.B.B.S.)

(TO BE SUBMITTED AT THE TIME OF ADMISSION)

I certify that I have carefully examined Mr./Ms.* ___________________________________ son/daughter of Shri _______________________________________________________ whose signature is given below. Based on the examination, I certify that he/she is in good mental and physical health and is free from any physical defects which may interfere with his/her studies including the active outdoor duties required of a professional.

 

Marks of Identification ____________________________________________

 

Signature of the Candidate _________________________________________

 

Place:

Date:

Name & signature of the Medical Officer
with seal and registration number

* Strike whichever is not applicable.

 

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