Form 16 – Certificate of Fitness

PDF · 1 pages · English · Acts & Rules

Form 16 is a statutory Certificate of Fitness issued by a Certifying Surgeon after medical examination of a person seeking employment. The certificate confirms the individual's physical fitness for a specified job, records age assessment, identification marks, and certifies suitability for employment in accordance with occupational health and labour regulations.

By Labour Department / Occupational Safety & Health Authority · Published 2026-11-02 · Updated 2026-11-02

From the document

FORM – 16 Certificate of Fitness Serial No. Date: I Hereby certify that I have personally examined _________________ son of _______________ residing at ___________________ who is desirous of being employed as __________________ in the ____________________ and that his age, as nearly as can be ascertained from my examination, is _____________ year and that he is, in my opinion fit for employment in _______________________________________________________ His Descriptive Marks are: ________________________________________ ________________________________________ Signature or Left hand thump impression of person employee Signature of Certifying Surgeon I certify that I examined the person mentioned above I extend this certificate until Signature of Certifying surgeons Notice of symptoms

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