Medical Certificate: Department of Education
Medical Certificate: Department of Education
Medical Certificate: Department of Education
DEPARTMENT OF EDUCATION
________________________
(Region)
______________________________
(Division)
______________________________
(School)
______________________________
(School Address)
M E D I CAL C E R T I FI CAT E
__________________
(Date)
age ______ sex _____ born on ______________________ and have found that he/she is
physically fit, during the time of examination, to join and compete in the lower meets and
Palarong Pambansa.
Event: ___________________________
Physical Examination
____________________________
Physician/Medical Officer
(Signature over printed name)