A Certificate of Medical Fitness Form, often called a CME form, is used to certify that a person is physically fit for specific job duties or other activities. The purpose of the certificate is to document that an individual has been examined and found to be free from any medical condition or restriction that would prevent them from safely performing the relevant activity. In some cases, a physical may also be required in order to maintain or receive certification. The Certificate of Medical Fitness Form can be used for a variety of purposes, such as when applying for a driver's license, working with children, or joining the military. It is important to understand what is required on the form so that you can accurately complete it and ensure your fitness status is properly documented.
| Question | Answer |
|---|---|
| Form Name | Certificate Of Medical Fitness Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | medical fitness certificate pdf download, fitness certificate format, medical fitness certificate format for new employee, medical fitness certificate pdf |
CERTIFICATE OF MEDICAL FITNESS
(TO BE DEPOSITED A T THE TIME OF JOINING)
To be obtained only from Gazetted Government Medical officer/Medical Officer of a Government Undertaking. (Please note that in no other form this certificate will be accepted. Medical Certificates issued by private medical practitioners will not be accepted.)
Name.........................................................................................................................................................
(in Block Letters)
Father’s Name : ........................................................................................................................................
Blood group/Anemic (Blood Count) …………………………………………………………………………..
Height : |
Weight |
Chest: |
|
Heart and Lungs : |
|
Vision : L : |
R : |
Colour Vision : |
|
Hearing : |
|
Hernia/Hydrocele/Piles : ............................................................................................................................
Any other disease diagnosed in past: ………………………………………………………………………..
Allergies, if any……………………………………………………………………………………………..
List of prescribed medication, If any……
1.…………………………………………………
2.…………………………………………………
3.………………………………………………….
Any other Remarks : ………………………………………………………………………………………..
I certify that I have carefully examined Mr./Ms |
.............................................................son/daughter of Mr. |
............................................................................. |
who has signed in my presence. He/she has no mental |
and physical disease and is FIT. |
|
Signature of the candidate |
|
Station : |
Signature of the Medical Officer |
Date : |
with legible seal. |