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Medical Certificate Form

This medical certificate certifies that a licensed physician examined an applicant and found them to be physically and mentally fit to undergo graduate studies. The certificate was issued to support the applicant's application for a scholarship under a master's or doctoral program sponsored by the Engineering Research and Development for Technology organization. The certificate includes the physician's name, signature, address, and professional license number.

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Rolando Melendres
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159 views1 page

Medical Certificate Form

This medical certificate certifies that a licensed physician examined an applicant and found them to be physically and mentally fit to undergo graduate studies. The certificate was issued to support the applicant's application for a scholarship under a master's or doctoral program sponsored by the Engineering Research and Development for Technology organization. The certificate includes the physician's name, signature, address, and professional license number.

Uploaded by

Rolando Melendres
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MEDICAL CERTIFICATE

___________________
Date

TO WHOM IT MAY CONCERN:

This is to certify that I have examined ______ (Name of Applicant) _____ and found
him/her to be physically and mentally fit to undergo graduate studies.

This certification is issued in connection with his/her application for scholarship under
master’s/doctoral program of the Engineering Research and Development for Technology
(ERDT).

_____________________________ ______________________________________
Health Agency Name (Print) and Signature of Licensed
Physician
_____________________________ __________________________
Address PRC License No.

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