'A *. a%--rg"/.

/ aTrrl*;t;
M.B.B.S., R.H.S. (Cardio), P.G.D.H.R.D.,
P.G.D.H. & H.M. (Gold Medal), F. MED. (S.A.S.M.S'),
A.F.l.H.(C.L.l.), UHMS (USA), ROM (Edin Burgh, UK)
Approved Med, Examiner of Divers - DMAC / EDTC Med.
IMCA/ADCI Recognised

mm OeT z0x8
DIVER MEDICAT FITNESS CERTIFICATE Date :-

This is to cffit I have clinically exarnind Mr KRISHAN KUMAR YADAV

,holding Indian Passport Bearing noL-7452597

All his Laboratory investigations, ECG Report, Chest X-Ray report, Audiometry report
Spirometry & Exercise test report are within normal limits.

On the basis of the Examinee's Medical history, Clinical Examination and Diagnostic
tests rmults He does not suffer from Neurological, Cardiovascular, Respiratory,
Gastrointestinal, ENT or any other Systemic disorder/ illness.
:

He is Medically fit for SAT DIVING.

This certificate is ralid for p @ripd of One year only, from the date of issug and Expires
't'

ffi
w
i,r'
J:1

Dr. Harigopal Subudhi.

Approved Medical Examiner of Divers ({nilv{S)

F^ae@
DMACEDTCmed App.ONGC India App
IMCA/ADCI Recognised

DR. HARIGOPAL SUBU.DHI

Consultant in Diving & 0ccupalional Medicirre
, 47, VAJLJ KOTAK MARG,
FORT, MUMBAI - 4OO OO1, IilIDIA

SUN CLINIG'
1147, VAJU KOTAK MARG, FORT, MUMBAT - 400 001, tNDtA. 2IANDHERI 3l NAV| MUMBAI
Tel.: 91-22-6634 0226 / 6500 6307 Telefax :91-22-6634 0226 Email : dr_hari@sunclinicindia.com URL : www.sunclinicindia.com
 .*$rrxs-e J

The".ge$$cm*,,Hx*m,,Imxti** f Ass*ss$ft *r*t sf ffi,$v*r*

B*xer'e Feracsftel ffets,lis

YADAV feeftfiffi*{$i: KRISI+AN KUMAR

08Jul-1980 sml dl+*m $*t:lst*

VP PO.M UN DAN WARAKALAN,ALWAR, RAJAS HTHAN, P P NO, L.7 452597

}+=e+e*Et}: INDI,AN *r&ni* er{gilr; South Asia

Ex*mimiag Sectcrk **tei**

DR HARIGOPAL SUBUDHI A$dr**e: SUN CLINIC,47, VAJU KOTAK
MARG, FORT,MUMBAI4OOOOl

Tsk+Ls** I I -22-66340226/65006307 Fae:

<:ar,-.A.
UgI*:

{}\t
DR. HARIGOPAL SIJSiJfrH
*,Consultant in Diving & 0ccupational,h{edici

FoRT, MUMBAT _ 4oo oolqtr.rorn

Typ* *f ilff*dic*,I

Tp**f,m*a$i**:-: Fr*!**ti:raqu.ex*r:::nau'm C er:a?Eag r$*6sErrt*{tl

E=le.*f fik{s s{eHF'lrY€f

29.Oct-20{9
€xaH*n#ifi{}: 304ct-2018 mrt*ffiq*f &*n*r*
,
{$f,*F$@klcl

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"oltr*rss 3
 I tlistory

Delailq of ,any iilness,

or contact,te,ii.h,doctors
in lastiyeair

NIL

NO OCCASIONJ\L

NOT KNOWN

Oiving,1.1;s1*r.i
E*talts aF the diver's work history to sel again$tthe rnedical assessrfiBflt; foba iomplef+d:frhrannaaf essessnrantonly.

Diving certificate
cAHt069/1 2-ffiA DT 27 fiAt2012
nurnber- qualifi cations
and dates:

stNcE 2012
Coftme?ie€merrt date oi
cornrnercial diving:
*J ':\

,.. :,

. {t&
.;,:
- SAT D]VING :;
Type ol$ring urork
,ttj,
undertakein:
:"1 "

Wha breathing
equipment is used:

Divlng activity in last Number of air dives: 50 Nurnber of days in saturation:

t,'\.

'NlL
Details of any diving
abroad:

NIL
Any diving-related t
r*edjcal problem* and
number of working days
loai sinse iasi medicai:

The Medical EtrrtinafionlAssessr*en! cf Divers PaEe 2 of4

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**d *m* h er**tr**e$**s.sss.*a*r*t *rxfues *6ee;?f*e sf.*f,e#

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$$e,1.ghr {rtl,p; 1.73 !q,*I*ht {,1{*'} 66.00 &fi.$h 22-05

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;'
mxia.€-r*'r$S{i*=+i *i,6f'*st" i5'Aflr",S*$ta - x"e+sq gi",'t $ei*-:':i

*,i***u:
"{ B/L VESICU!.AR BREATH SOUNDS
&.*:"+exl=:+E

F:*$i-et*S,; +1;!",=i=il

s's\fr 3.83 3.34

s'qs* 3-24

S#3+iii#g* 79.6 97.2

*ar*i'* *l&s*:*rlxtr $yste.r:e

ffix#f,ti{rstreft *4r.6,i.*.&iesc+{eE *}isl$"R.{r, f*#x*}r+g treer+. Esur"-*s. }f ",*,*t,"*rr+*j-, pi**5* gi** d*r,*ii*;
t' r,t*rrx*x Sf S2,Normalc NO ADDED SOUNDS
,+*is*fi-E#.

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122S0 S,s,r:;+* #..},I=' w$tt S,*er.+resi** WNL
***";
Exercis*Tasting ,,' ..'i',ir '. @

TF:*s *f {s$t EF$$$l HARVARD $TEP TEST

.tr ''

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Sx**'ie*ti#.x t* "*ib,*r"ss$s{*, Fieess, gi'*+ **e,*+}s:

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t

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i.:r.t'acr:n;1i.*t.rlA rii*{ re#
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*erlerat,

tf **=="s
DV RT.6/6,LT.6/6, NV RT.N6,LT.N6,COLOUR VISION.NORMAL 1
_es-*sfiF.+#i

*e*t*t
s*:a:t$le,it.r:, l" -'ikr, "rr si' *rbaas. ,+il!a r{F.r? :i

f i=*r.;-==#,
NO DENTAL CARIES, GUMS HEALTHY
.S&e*r.r,rs*,i

,tlrsfo*y
{t*,r-+f e.qi*,it"g1gerj&r.rii.n:igt1*.+ lt'eb*.ai'1556;', *,.**+e €r=,:+:,g+.i+r:&i

C r$.*ur,s,*r

,&*s{.1*:+:'

fu1r$*. *lr$rii*:.i*;
EI**'u* lfl*i's*' EIu,**

d i**,r.*,*l
.: a-r 1.

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,.-i1r+*tr,F;.€.-!.el:ig.:.*S:*
SsSgSe*5.s iine:9

l*s4r *+nx - "r*tx,t** .NA

*H:etrfilrl*'!*is;'
-EE.r!.H+v+trlFi.
@ ee

Total WBC:8200'
N:62, L:34
*+s*+s$+sh.r!.- 15.3 S*as &;**qi *x*rt: E:02, ii:02 *t+shMr i*$*.r NA
PCV:45.9
BSR:84.0

Please note any additional findings overleaf for future reference

Fit for SAT DIVING
a

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