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SOUTH EASTERN COALFIELDS LIMITED

OFFICE OF THE S2 MEDICAL OFFICIER,RAJGAMAR COLLIERY


P.O. RAJGMAR COLLIERY, DISTT. KORBA(C.G.)

No. SECL/Raj/Med./Cert./

Date :

CERTIFICATE
This to certify that I have examined Sri./Smt ./Ku
.... son of Sri. .
working as ... at Rajgamar Colliery today on ...
and found him free from deafness defective vision and / any other infirmity mental
or physical likely to interfere with the efficiency of his work.
This certificate is being issued to him on his own request so as to enable
him to appear in this .examination conducted by D.G.M.S.

Signature of the
Candidate attested

Sr. Medical Officier


Rajgamar, Colliery