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20 March 2014

APGLI GOOD HEALTH CERTIFICATE

                             MEDICAL LEAVE CERTIFICATE
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This is to certify that Sri/ Smt / Kum ______________________________________ S/O, D/O page1image1152aged about ( ) years is working as page1image1460in the office ____.                                             is
in good health , besides that she / he has avail / not avail medical leave from is in good health, besides that she / he has avail medical leave from to __________________
for the past three years.
                                                                              

                                                                               Signature of the Drawing officer Office Seal



                                             


                                        GOOD HEALTH CERTIFICATE
This is to certify that Sri/ Smt / Kum __________________________________


S/O, D/O ____________________________________________________________ Working as _______________________________________ in the office of the _________________________ _______________________________________________________________   aged ( ) years, is found in good health without any ailments



Date :                                                               


                                                                         Signature of the Civil Surgeon / Civil Asst. Surgeon Place : Office seal
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