This is to certify that Mr./Mrs./Shri/Miss
s/o /spouse
Aged
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has been examined by me thoroughly and he/she is
found to be free from deafness
defective vision or other infirmity physical or mental likely to not interfere with the efficiency of
his/her work.
He/she is not suffering from any contagious disease and I have found
him/her to be in all respect.
* This certificate is being issued to him for
Purpose