Get Form Of Medical Certificate For A Conductor - Old Kerala Gov

Filling out the Form Of Medical Certificate For A Conductor is essential for individuals seeking to verify their fitness for the role. This guide will provide you with a clear, step-by-step approach to completing the form online, ensuring you understand each component.

Follow the steps to complete your medical certificate form accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the person being examined in the space provided. Ensure that the spelling is correct and clearly legible.
3. Next, fill in the father’s name of the person being examined. Again, accuracy is crucial.
4. Indicate the apparent age of the individual. This can be done by stating the age in full years.
5. In this section, assess and answer whether the person is fit both physically and mentally to perform the duties of a conductor of a stage carriage. Provide a clear and honest evaluation.
6. Answer whether there is any evidence of addiction to the excessive use of alcohol or drugs. This should also be an honest assessment based on your medical judgment.
7. In the section for marks of identification, include any relevant identification marks that can help in recognizing the individual.
8. After completing the above information, the individual being examined must affix their signature in your presence, confirming the accuracy of the details provided.
9. Attach a recent photograph of the person examined in the designated space on the form.
10. Finally, sign the form as the registered medical practitioner, including your name, designation, and registration number, confirming the authenticity of the information provided.
11. Once the form has been filled out completely, save your changes, and download or print the document for submission.

Complete your medical certificate form online today!