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 I extend this Signature of Certifying Notice of examined the certificate surgeons symptoms person mentioned until above
