Format of Medical Certificate

(Format of Medical Certificate)

CERTIFICATE (To be completed and signed by a registered MBBS Doctor and presented by the candidate at the time of admission)

Certified that I have in general and also in regard to following infectious diseases examined Mr./M Mr./Ms._ s.___ ____ ____ ____ ____ ____ ____ ____ _____ _____ _____ _____ ____ ____ ____ ____ ____ __ Son/D Son/Dau augh ghter ter

of

(who (whose se

signa signatu ture re

is

Sh.__ Sh.____ ____ ____ ____ _____ _____ _____ _____ ____ _____ _____ _____ _____ ____ _____ _____ _____ _____ __

give given n

below below), ),

Resid Residen entt

of 

 ___________  __________________ _____________ _____________ ______________ _____________ _____________ ______________ ______________ ______________ ____________  _____ 

Disease

a)

Infectious sk skin di diseases

b)

Psoriasis Foliate

c)

Tuberculosis

d)

Trachoma

e)

Venereal disease

f)

HIV

Finding

and find that he/she is not suffering from any of the above diseases.

I also certify that after examination, I find that Mr./Ms.________________________________ is fit to undergo course of study in Hospitality and Hotel Administration.

 ___________  __________________ _____________ _______ _ (Signature of Candidate)

___________ __________________ ______________ ____________  _____  (Signature of Medical Practitioner)

Seal ___________________________ 

Regn. No._______________________