Tamil Nadu Hostels and Homes for Women and Children (Regulation) Rules, 2015

Form VII

[See rule 5 (1)]

Certificate of Fitness

Signature of the Applicant:_________________

This is to certify that We / I _________________ the undersigned have examined Thiru / Tmt/ Selvi / _______________ whose signatu is given above and who has applied to the post of _________________ at _________________ hostel or lodging house or home for women and children and come to the conclusion that he / she is physically fit to perform the duty of the above mentioned post with effect from ___________.

Medical Officer
(not below the rank of Civil Surgeon)

Station:
Date: