Application For Medical Certificate of teacher from District Medical Board

TEACHER'S OWN MEDICAL CERTIFICATE 

Write and edit this model application and submit in the District Office of the Joint director of Health Services with your medical records

1. Direct Application to District Medical Board

To,                                                                                               

The Chairman

Medical Board, Civil Hospital _____________

Dist_______________ , Assam

                                                                      Date-                                         

Sub- Application for Medical Certificate

 

Sir,

          With due respect, I am writing this to inform you that I am suffering from ________________________ since_______. I have _________________ problem in daily life. Now I have to take care of myself on daily basis and need regular medical support. Now I need a medical certificate to submit in our Teacher Transfer Portal for my Single job Transfer.

          I, therefore pray you to issue a medical certificate , which’ll be helpful for me. Expecting your kind Cooperation.

 

 

Yours faithfully

(Name)

(Designation, School Name)

(Phone No)

(Address)

2. Through the BEEO/SI/DEEO/IS etc

To,                                                                                               

The Chairman

Medical Board, Civil Hospital _____________

Dist_______________ , Assam

Through the BEEO/SI/DEEO

                                                                      Date-                                         

Sub- Application for Medical Certificate

Sir,

          With due respect, I am writing this to inform you that I am suffering from ________________________ since_______. I have _________________ problem in daily life. Now I have to take care of myself on daily basis and need regular medical support. Now I need a medical certificate to submit in our Teacher Transfer Portal for my Single job Transfer.

          I, therefore pray you to issue a medical certificate , which’ll be helpful for me. Expecting your kind Cooperation.

 

 

Yours faithfully

(Name)

(Designation, School Name)

(Phone No)

(Address)