FORM I See Rule 5 2 APPLICATION-CUM-DECLARATION AS TO PHYSICAL FITNESS 1. Name of the applicant 2. Son/wife/daughter of 3. Permanent address 4. Temporary address Official address if any 5. a Date of Birth b Age on the date of application 6. Identification marks Declaration a Do you suffer from epilepsy or from Sudden attacks of loss of consciousness or Giddiness from any cause b Are you able to distinguish with each eye or if you have held a driving license to drive a motor vehicle for a period of not less than five years and if you have lost the sight of one eye after the said period of five years and if the applicant is for driving a light motor vehicle other than a transport vehicle fitted with an outside mirror on the steering wheel side or with side or with one eye at distance of 25 meters in good day light with glasses if warn motor car number plate c Have you lost either hand or foot or are you suffering from any defect of muscular power of either arm or leg d Can you readily di....
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How to fill out the Application For Physical Fitness Form online
Filling out the Application For Physical Fitness Form online can streamline your application process. This guide provides clear, step-by-step instructions to help you complete each section accurately and effectively.
Follow the steps to successfully complete the form.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
- Begin by entering your name in the designated field, ensuring that it matches your legal documents.
- Next, indicate your relationship as son, partner, or daughter of the person to whom you are applying, filling in their name as required.
- Provide your permanent address in the specified section, followed by your temporary address if applicable. If you have an official address, include that information as well.
- Fill in your date of birth and calculate your age as of the application date, ensuring accuracy to avoid any processing issues.
- List any identification marks in the provided fields. You may use multiple fields if necessary to describe distinct marks.
- Answer the medical declaration questions honestly. Each question is vital to ensure your fitness for the responsibilities you may undertake. Mark 'Yes' or 'No' as appropriate.
- If you answered 'Yes' to any of the health-related questions (a, c, e, f, g) or 'No' to questions (b) and (d), provide further details as requested.
- Finally, sign the form using your signature or thumb impression in the space provided.
- Once all sections are filled out, review your entries for accuracy. You may then save the changes, download the completed form, and print or share it as necessary.
Complete your Application For Physical Fitness Form online today and take the first step towards your fitness assessment.
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How do I get a physical fitness certificate for KEAM?
Fitness Certificate is needed while seeking admission in the professional engineering courses. Certificates regarding the physical standards/fitness prescribed may be obtained from a Medical Officer in service not below the rank of an Assistant Surgeon in the concerned.
How do you fill out a physical fitness certificate?
Format / Template of a Physical Fitness Certificate I, _____, with medical registration number ____, have examined Shri/ Smt ___ and certify that my client is free from any disease. I have conducted the medical examination on _______ with the consent of my client.
What is physical certificate?
Physical Certificate means any certificate (other than an Electronic Certificate) evidencing any share(s) of Convertible Preferred Stock, which certificate is substantially in the form set forth in Exhibit A, registered in the name of the Holder of such share(s) and duly executed by the Company and countersigned by the ...
How do I write an application for medical fitness certificate?
Sir, for an official purpose I need a medical fitness certificate as I have to apply for a training session in abroad. (Explain the actual cause and situation). The receipt number of the medical report which I had obtained was (Mark). (Cordially describe your requirements).
How do you write a physical fitness certificate?
State the title of the certificate at the top of the document in bold. State to whom the certificate is addressed (example: the client's insurer, employer etc.) Mention the date when the medical examination was conducted. Mention the name, address and contact details of the medical practitioner.
How do I get a physical standard certificate?
Visit your nearest primary health Centre or any government hospital. You can consult the medical officer there and he will help you get the certificate. If it is for any government job it's better you get it through government hospital as authenticity matters.
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