Get Medical Certificate Form 4

Filling out the Medical Certificate Form 4 online can ensure a smooth and efficient process for applying for leave or an extension of leave. This guide will walk you through each section of the form, providing detailed instructions to assist users of all backgrounds.

Follow the steps to successfully complete the Medical Certificate Form 4 online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the name of the applicant in the designated field. This should be the full legal name as it appears on official documents.
3. Next, fill in the post held by the applicant. This refers to the current position or title held within the organization.
4. Indicate the department, office, and section where the applicant works. Accurate details ensure the leave request reaches the appropriate personnel.
5. Enter the pay details in the relevant section, including any allowances drawn in the present post. This may include house rent and other compensatory allowances.
6. Clearly specify the nature and period of leave applied for, along with the starting date. If there are any Sundays or holidays to be prefixed or suffixed to the leave, indicate them in the specified area.
7. Provide the grounds on which leave is being applied for. This should be a concise but clear explanation of the reason for the leave.
8. Detail the date of return from any last leave taken, along with the nature and duration of that leave.
9. Indicate whether the applicant proposes to avail themselves of the leave travel concession during the upcoming leave block years.
10. Complete the address where the applicant will be during the leave period. This ensures contact can be maintained if necessary.
11. The applicant should then sign the form and include the date of signing.
12. The Controlling Officer must fill out their remarks and recommendation, followed by their signature and designation, including the date.
13. A certificate regarding the admissibility of leave must be completed by confirming the nature and period of leave, along with the relevant rules from the Central Civil Services (Leave) Rules 1972.
14. Finally, orders from the authority competent to grant leave should be noted, along with the signature and designation of the authority with the date.
15. Once all sections are completed, users can save changes, download, print, or share the completed form as needed.

Start filling out your Medical Certificate Form 4 online today.