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Work Pass Division 18 Havelock Road Singapore 059764 w w w .mom.gov.sg Full Medical Examination Form For Foreign Workers All parts in this form are to be completed by a Singapore registered doctor.

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How to fill out the Singapore 059764 online

The Singapore 059764 form is a Full Medical Examination Form for foreign workers, which must be completed by a registered doctor in Singapore. This guide provides user-friendly instructions on how to navigate the form effectively and ensure all necessary information is accurately filled out.

Follow the steps to fill out the Singapore 059764 online.

  1. Press the ‘Get Form’ button to access the form and open it in the editor.
  2. In Part I, provide the personal particulars of the foreign worker. Fill in the name and occupation in the designated fields.
  3. Proceed to Part II to indicate the sex, height, date of birth, citizenship, and weight of the foreign worker. Make sure to complete all fields accurately.
  4. Declare the medical history by answering 'Yes' or 'No' to the provided conditions. For any 'Yes' responses, give brief details as required.
  5. Ensure the foreign worker provides their passport number. After filling out Part II, the foreign worker must read and sign the declaration of truthfulness.
  6. In Part III, the doctor will conduct various clinical examinations. Ensure that any abnormal findings are ticked and briefly detailed.
  7. The doctor will also perform required tests listed in Part III and record findings. Ensure laboratory tests required by the Ministry of Health are completed.
  8. In Part IV, the doctor will certify the foreign worker's fitness for the stated occupation by marking 'Fit' or 'Unfit.' This section requires the doctor's name, signature, clinic address, date, and telephone number.
  9. Once all sections are filled out by both the foreign worker and the doctor, review the form for completeness and accuracy before finalizing.
  10. Save your changes, download a copy, and if necessary, print or share the completed form as required.

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