FIT TO TRAVEL CERTIFICATE. Doctor Signature and Stamp
FIT TO TRAVEL CERTIFICATE
Date of Issue:
Name
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| Date of Birth
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| Nationality
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| Sex
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| Passport Number
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| Medical Examination (As per ILO147, MLC 2006 as Amended) valid till
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| Home Address
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Above person underwent evaluation by me. He was found asymptomatic for cough, shortness of breath, sore throat or any of the respiratory symptoms. We confirm that the patient’s specimen tested NEGATIVE/POSITIVE for COVID-19 by RT-PCR assay.
Date of Sample Collection for Covid RT-PCR:
Date of Reporting of Covid RT-PCR:
He is Physically fit for travel/work/ Sea Service.
Doctor Signature and Stamp
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