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Medical Declaration (confidential after being filled out) Section A: Medical Questionnaire for Security Forces Applicants (to be filled out by the applicant) Personal details: I.D. No. Last name First.

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Page 1 Declaration of Good Health Form. IRDA REGN. NO. 142. ... I. DETAILS OF THE LIFE ASSURED: Name of the Life Assured/Life to be Assured: First Name. Middle Name. Surname. Occupation: Name of Employer / Business: Duration of Service (in years): Landline No.: Mobile No.: Are you a resident of jurisdiction outside India.

When buying travel insurance, either online or over the telephone, you will be asked about your medical history, this is usually called a medical declaration, and helps the insurer assess the risks and provide a policy with the appropriate cover for your needs.

I do hereby certify that, I have not submitted any claims for Rs………………………../- as medical reimbursement for the ailment …………………………………………………………. of myself/Sri/Mrs./Smt. ………………………………………….

A crucial document that needs to be supplied while making a driver's licence application is Form 1 Self Declaration. It serves as a physical fitness declaration form and essentially determines if the applicant is physically capable of operating a motor vehicle.

I declare that I am of good health and I do not have any physical defect, deformity or disability.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232