The amount of leave should be limited to the half-pay leave that the employee is likely to earn subsequently. FORM 1-A [See Rules 5(1), (3), (7), 10(a), 14(d) and 18(d)] MEDICAL CERTIFICATE Space for passport size photograph [To be filled in by a registered medical practitioner appointed for the purpose by the State Government or person authorised in this behalf by the State Government referred to under sub-section (3) of Section 8.] Form for Nomination for Death Gratuity / … Dear Sir, Respectfully, it is to inform you that I am suffering from chicken pox. Respected sir, With due respect, I would like to bring it to your knowledge that I had a serious … Grant of leave on Medical Certificate to Government servant.-[(1) An application for leave on medical certificate, made by a Government servant, shall be accompanied by a medical certificate in Form 3 given by an Authorised Medical Attendant or a Registered Medical Practitioner, defining as clearly as possible the nature and probable duration of the illness. Medical Fitness Certificate Form. Application for Leave/ Leave surrender as per Rule 113, Part I KSRs . Letter to Accept Medical Certificate. For ontaining user authorisation this Form shall be forwarded to the Department Management User concerned with the counter signature of the Superior Officer. Use our sample medical leave of absence letters as templates for your medical leave of absence letter. Tel : 91-674-2322511 Fax : 91-674- 2392115 Email : homesec[dot]od[at]nic[dot]in homesec[dot]od[at]nic[dot]in Getting Sick in the Workplace Workers from any industry are vulnerable to sickness. Delhi Medical Council Dr Arun Gupta guidelines Guidelines for issuing a medical certificate medical … Trending Videos. Company Authority… Owner/Job designation… It is a letter from an employee requesting the company to rehire him keeping in view the genuine reasons which caused him to resign. Control Room. You can make any change to the below application as per your needs.] The duplicate copy will remain in the Medical Certificate book for records. Medical Unfit Certificate Form. LTC Advance Grant Form. (Cordially describe your requirements). The original medical certificate is given to the patient to provide the documentary evidence for the employer. Form for Change of Home Town. Subject: Leave Application due to Chicken Pox. 648 Edgemont St. McDonough, GA 30252. You can always give a medical certificate for leave of absence and expect your employer to consider the absence. MEDICAL CERTIFICATE FOR NON-GAZETTED OFFICERS RECOMMENDED LEAVE OR EXTENSION OF LEAVE OR COMMUTATION OF LEAVE Signature of the Government servant _____ I, _____ after careful personal examination of the case hereby certify that Shri/Smt/Km _____whose signature is given above, is suffering from _____ and I consider that a period of absence from duty of … I recently have been diagnosed with viral illness, chicken pox. / Kum. It may be granted without medical certificate in continuation of maternity leave, and may be granted without medical certificate to a female employee with less than two living children, on adoption of a child less than one year old. Form for Issue of Health-book and Health-card: Employees • Students; Form of Certificate for Issue of Duplicate Health Book / Health Card / Identity Card. Sample Sick Leave Application Format. 46/2008/Fin dated 08/08/2008) orm Number : Purpose : Form. Well, a medical certificate is not just a reason to get an excuse for your absence, there are some other uses also. Such application shall be submitted, as far as … Sample letter for medical leave of absence. * _____ Son/daughter of Shri _____ whose signature is given below. Warm Regards, Sameena. Excuse letter for absence due to illness. Medical Education & Drugs Department Information Brochure & Application Form for Government of Maharashtra A A A A By Karishma Thakur Army - By various Regimental Record Offices Date: … United States. Request for Medical Certificate from Institute. Medical leave letter from doctor. A medical certificate from a registered doctor or medical practitioner may also be required in case of a long period of absence due to sickness. The below application as per Rule 113, Part i KSRs These formats as excuse! 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