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CSC Form 211 Medical Certificate Guide

CSC Form 211 Medical Certificate Philippines. CSC Form No. 211 (Revised August 1998) - Medical Certificate Downloadable form for free

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Catherine Ann L. Herrera-Atay
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488 views1 page

CSC Form 211 Medical Certificate Guide

CSC Form 211 Medical Certificate Philippines. CSC Form No. 211 (Revised August 1998) - Medical Certificate Downloadable form for free

Uploaded by

Catherine Ann L. Herrera-Atay
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
  • Medical Certificate Form

CSC FORM NO.

211 (Revised August 1998)


MEDICAL CERTIFICATE
For Employment
PHILIPPINE CIVIL SERVICE
1. This medical certificate should be accomplished by a government physician.
2. Attach this certificate to original appointments and reinstatements.
Pre - Employment Medical - Physical Tests
1 Blood Test
2 Urinalysis
3 Chest X-Ray
4 Drug Test
5 Neuro - Psychiatric Examination (if necessary)
HEIGHT WEIGHT BLOOD
(Bare feet) (Stripped) Type
AGENCY
DATE EXAMINED
for employment.
individual and found her/him to be physically and medically fit / unfit
I hereby certify that I personally examined the abovenamed
PRINTED NAME/ SIGNATURE OF PHYSICIAN CERTIFICATE NUMBER OTHER INFORMATION ABOUT THE
PROPOSED APPOINTEE
Here
FOR THE PHYSICIAN
OFFICIAL DESIGNATION
INSTRUCTIONS
FOR THE PROPOSED APPOINTEE
AGENCY/ADDRESS
AFFIX
Documentary Stamp
NOTE: ALL RESULTS OF EXAMINATION MUST BE ATTACHED TO THIS FORM.
ADDRESS
NAME (Last, First, Middle, or if married woman, Maiden Name)
PROPOSED POSITION CIVIL STATUS SEX AGE

CSC FORM NO. 211 (Revised August 1998) MEDICAL CERTIFICATE For Employment PHILIPPINE CIVIL SERVICE 1. This medical certificat

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