Directorate General Central Industrial Security Force ( Ministry of ...

MEDICAL FITNESS CERTIFICATE
Appendix – ‘I’
(To be furnished by the candidate alongwith appeal for Review Medical Examination)
Certified that Mr.________________________ Age_____ years, a candidate of ________________
was examined by me in Hospital __________________ on date _____________ .
a. I, the undersigned, have the knowledge that Shri._________________________ has been
declared Medically Unfit by the Medical Officer for the post of ________________ in CISF due to
_____________________.
b. In my opinion this is an error of judgement.
Date : Signature & Name
With seal of Medical Practitioner
Registration No._____________
(MCI/State Medical Council)
Address ___________________
___________________
___________________