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Form Medical Certificate of Unfitness for further service

1. A medical certificate of unfitness for further service producted by a non-teaching employee shall be accompanied, if possible, by a succinct statement of the medical case and of the treatement adopted and, except as provided in sub-rule.

2. shall be in the following form namely-
"Certified that I/We have carefully examined Shri/Smt./Kum. ________________ of the _________________ University/College. His/Her age is by his/her own statement _________ year and by appearance about _________ years. I/We consider Shri/Smt./Kum. ___________________ to be completely and permanently incapacitated for further service of any kind in the University he/she belongs in consequence of _____________. His/Her incapacity appears to me/us to have been -
a) directly caused, or
b) accelerated or aggravated though not directly caused, or
c) neither directly caused, not accelerated or aggravated by irregular or intemperate habits."

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