Rules and Regulations of India

Law Library of Rules and Regulations of India


FORM 10: Intermediate Certificate


[ Regulations 59 and 89B]

50[Signature/thumb impression of insured person ____________

53[Deposit this certificate within 3 days with local office to avoid possible loss of benefit under regulation 64]

Book No ______

Serial No ______                                                               

Stamp of the dispensary

To __________________                                                                        

Insurance No _________

Date of first certificate of spell of sickness or disablement ____________

    I certify that I have examined you today and that in my opinion you have continued to need medical treatment and attendance and abstention from work on medical grounds, up to and including this day by reason of ____________

Date ___________     

Signature ________________

Insurance Medical Officer

(Rubber stamp or name in block letters)

Any other remarks by the Medical Officer ____________________________

Main Index

Rules and Regulations of India


Leave a Reply

Your email address will not be published. Required fields are marked *

Copyright © 2021 Rules and Regulations of India

Free Legal Help, Just WhatsApp Away

MyNation HELP line

We are Not Lawyers, but No Lawyer will give you Advice like We do

Please read Group Rules – CLICK HERE, If You agree then Please Register CLICK HERE and after registration  JOIN WELCOME GROUP HERE

We handle Women Centric biased laws like False Section 498A IPC, Domestic Violence(DV ACT), Divorce, Maintenance, Alimony, Child Custody, HMA 24, 125 CrPc, 307, 312, 313, 323, 354, 376, 377, 406, 420, 497, 506, 509; TEP, RTI and many more…

MyNation FoundationMyNation FoundationMyNation Foundation