अराजपऽत कमचारय को छु ट" दे ने अथवा बढ़ाने अथव छु ट" परवतन करने संबंधी िसफार"श करने वाला डा/टर" ूमाण पऽ Medical Certificate for non-gazetted officers recommended for leave or extension or commutation of leave (भारत सरकार, व4 वभाग, सं6या 173 एस. आर., तार"ख 16 माच 1931)
(Govt. of India, Finance Department, No. 173-S.R. dated 16 March, 1931) म> ______________________________?य@गत Aप से सावधानीपूवक एस मामले कC जांच करने के बाद यह ूमाDणत कराता हूँ Fक Dजस कमचार" के हःतार ऊपर िलए गए है , वह ________________________नामक रोग से मःत है और मK समझता हूं Fक ःवाःथ लाभ के िलए ___________________________________तार"ख से __________________________ Fदनो कC अविध तक MयूFट पर न जान उनके िलए िनताOत अनाँयक है ।
I,_____________________________after careful examination of the case hereby certify that ____________________________________whose signature is given above is suffering from _________________and is considered that a period of absence from duty of ___________________with effect from __________________is absolutely necessary for the restoration of his health. सरकार" िचFकRसक तार"ख ______________________
Date
अथवा अOय पंजीकृ त ?यावसाियक िचFकRसक (सं.____)
Govt. Medical Attendant of Registered Medical Practitioner (No._____)
ूमाण--पऽ रोग से मु@ होने पर MयूFट पर वापस जाने के िलए डा/टर" ूमाण Medical Certificate of Fitness to return to duty आवेदक के हःतार ___________________
Signature of Applicant मK _________________________का िसवल सजन/पंजीकृ त डा/टर (_____________)यह ूमाDणत करता हूं कC Dजनके हःतार ऊपर Fदये गए हK , डा/टर" पर"ा सावधानीपूवक कC है तथा इस िनंकष पर पहुंचा हू Ð Fक वह अब रोग से मु@ है तथा इस यो[य है Fक सरकार" MयूFट पर चले जाए । मK यह भी ूमाDणत करता हू Fक इस िनंकष पर पहुँचने के पहले मKने मु@ डा/टर" ूमाण-पऽ और उन वचरणीयो (अथवा उनकC ूमाणीत ूितय) कC जांच कर ली है Dजसके आधार पर छु ट" मंजूर कर ली गई थी/अथवा बढ़ाई गई थी, तथा इन सब को ]यान म> रखने के बाद ह" अपने उ@ िनंकष पर पहुंचा ।
I,___________________________ ________Civil Surgeon of _______________do hereby certify Registered Medical Practitioner of that I have carefully examined ________________________of the Department _______________whose signature is given above and find that he has recovered from his illness and is now fit to resume his duties in Government Service. I also certify that before arriving of the decision I have examined the original Medical Certificate and statements of the case (or certified copies thereof) on which leave was granted or extended and have taken these into consideration in arriving at my decision. सरकार" िचFकRसक तार"ख ______________________
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अथवा अOय पंजीकृ त ?यावसाियक िचFकRसक (सं.____)
Govt. Medical Attendant of Registered Medical Practitioner (No._____)
essential for the recovery / prevention of serious deterioration in the ... that the necessary approval of Director , Medical Service as required under the rules.
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Feb 23, 2011 - Under the provisions of Rule 195 of the Indian Post Office Rules , 1933 ... kindly be brought to the notice of all concerned for strict compliance.
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Sign in. Page. 1. /. 7. Loading⦠Page 1 of 7. My Documents\Kapse Page 1. FORMAT. Claim application form for settlement of Savings Certificates of the ...
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