Get Certificate Of Medical Examination Form 11 2020-2025

Filling out the Certificate Of Medical Examination Form 11 online is a crucial step for individuals seeking employment in building and construction work. This guide will provide you with a clear and systematic approach to complete the form correctly and efficiently.

Follow the steps to complete your form online with ease.

1. Click ‘Get Form’ button to access the Certificate Of Medical Examination Form 11 and open it in your preferred document management tool.
2. In the first section, fill in the certificate serial number and the date of examination. Ensure the details are accurate and legible.
3. Next, provide the full name of the person being examined, along with any identification marks. List up to three marks if applicable.
4. Enter the name of the individual's father in the designated field. This is an important identification step.
5. Indicate the sex of the individual by selecting the appropriate option.
6. Complete the residence address of the individual, as well as their relationship to the individual named (father, mother, etc.).
7. If available, provide the date of birth; otherwise, estimate their age as instructed.
8. In the physical fitness section, detail the results of the examination, confirming the individual’s fitness for work in building and construction.
9. Confirm that you have personally examined the individual by stating their name and their relationship to the individual listed in the form.
10. If the certificate is being refused or revoked, provide clear reasons in the specified sections.
11. At the end of the form, ensure the medical inspector signs and adds their seal for verification.
12. Once you have filled out the form completely, save the changes. You may also choose to download, print, or share the completed form as required.

Complete your documents online today for a smooth and efficient submission process.