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Periodic Medical Fitness Certificate Format

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Periodic Medical Fitness Certificate Format

Title: Periodic Medical Fitness Certificate Format Author: Ajay Kumar Last modified by: Cherry B. Kabiling Created Date: 1/25/2011 6:01:00 AM Company

http://www.almansoori.biz/uploads/HSEQ/Forms/F1111%20Lost%20Time%20Form%20Rev01%2025012011.doc

Date added: May 5, 2013 - Views: 227

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Periodic Medical Fitness Certificate Format

Title: Periodic Medical Fitness Certificate Format Author: Ajay Kumar Last modified by: huda Created Date: 12/10/2003 5:41:00 AM Company: Almansoori Specialized Engg

http://www.almansoori.biz/uploads/HSEQ/Forms/F593%20Vehicle%20Monitoring%20Device%20Analysis%20Report%2010122003.doc

Date added: May 5, 2013 - Views: 224

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Sample Fitness for Duty Certification - State of Oregon ...

DATE: TO: FROM: SUBJECT: Fitness for Duty Certification. Family and Medical Leave for your own serious health condition ends on (date) _____. Prior to returning to work you must provide a Fitness for Duty Certification verifying whether you are able to return to work, if you have any job-related ...

http://www.oregon.gov/DAS/CHRO/docs/advice/fmla/sample_fitness_cert.doc

Date added: January 22, 2013 - Views: 296

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DECK & ENGINEERING OFFICERS (STCW 95): - TIRM : THE ...

Medical Fitness Certificate -Panama format only * All Deck officers, Engineers and Gmdss Operator need to have their COC authenticated by the home-country. * Tanker Endorsement requirements: 1. Valid Panamanian License . 2. Copy valid Passport. 3.

http://www.tirm.me/Application-forms/Seafarer-Endorsement-General-Requirements.doc

Date added: December 31, 2013 - Views: 9

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FORM-I - Welcome to Rak Training Ship Sindbad

Medical Fitness Certificate for Sea Service( in original) in the prescribed format issued by DGS approved Medical Examiners. D. D. M M Y Y. Place of Issue Date of Issue Name of the Doctor No: 18. Category in which applied ...

http://merchantnavyeducation.com/uploadimage/4_Indian_CDC_Application_Form.doc

Date added: April 4, 2014 - Views: 4

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TERNA MEDICAL COLLEGE & HOSPITAL

Medical Fitness Certificate ( As per Asso. Brochure format page no.32 Annexure. J ) 6. Gap Certificate. 7. Caste Certificate ,Caste Validity Certificate ,Non-Creamy Layer (Applicable for reserved category students) 8. Migration Certificate . 9.

http://ternamedical.org/admission-2012-13.docx

Date added: January 4, 2014 - Views: 13

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MEDICAL CERTIFICATE FOR LEAVE OR EXTENSION OF LEAVE OR ...

MEDICAL CERTIFICATE OF FITNESS TO RETURN TO DUTY. I, Dr. ……………………………………, ... MEDICAL CERTIFICATE FOR LEAVE OR EXTENSION OF LEAVE OR COMMUTATION OF LEAVE Author: ashok Last modified by: gurubramha Created Date:

http://www.whatvwant.com/wp-content/uploads/2014/06/medical_and_fittness_format.doc

Date added: June 28, 2014 - Views: 1

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Application performa for Director Ext. & Teachers

Accordingly, provide Medical Fitness Certificate as per format (Annexure 1) or Certificate of Physical Handicap issued by competent Authority 20. If selected, minimum initial pay acceptable 21. If selected, please state when you can join 22 ...

http://mskjuat.edu.in/docs/application-performa-for-direcor-ext.doc

Date added: March 11, 2014 - Views: 3

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ME Application Form - St. Francis Institute of Technology

Physical / Medical Fitness Certificate from a registered Medical Practitioner . 15. Certificate of Experience. 16. Transfer Certificate and Migration Certificate or Eligibility Certificate as applicable. 17. Copies of Papers published. 18.

http://www.sfitengg.org/ME%20Application%20form%20format.docx

Date added: June 6, 2013 - Views: 25

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Download

1 Medical Fitness Certificate in prescribe format (Annexure I) 2 Undertaking for Anti-ragging (Annexure II) ... 1 Medical Fitness Certificate in prescribe format (Annexure I) 2 Undertaking for Anti-ragging (Annexure II)

http://www.nift.ac.in/downloads/documents_UGProgrammes_NRI.doc

Date added: November 5, 2013 - Views: 8

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LIST OF TECHNICAL STANDARDS: - SourceForge

Format for personal medical fitness certificate FCL 62-7. 2. Format for Medical Practioner’s declaration FCL 62-8. 3. ... A medical fitness certificate to be submitted by the applicant for or the holder of a recreational pilot licence in terms of sub-regulation 62.01.10 (2) ...

http://stpxml.sourceforge.net/skygod/Airlaw/Part62-2006/SA-CATS-FCL-62CAA.doc

Date added: May 2, 2013 - Views: 20

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Requirement for Revalidation of Masters & Deck Officers of ...

Medical fitness certificate as per M.S. (Medical Examination ) Rules, 2000. 3. 10 days Revalidation course certificate for Master & Deck Officers in prescribed format as per M.S. Notice No. 13 of 2003 4. Approved sea going service, performing functions appropriate to the ...

http://www.mmd.gov.in/requirement_revalidation.doc

Date added: April 19, 2012 - Views: 14

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dgshipping.gov.in

Medical Fitness Certificate for Sea Service (in original) in the prescribed format issued . by DGS approved Medical Examiners. Name of the Doctor. DGS approval No. Place of Issue Date of ...

http://dgshipping.gov.in/WriteReadData/News/201309031133207319250dgsorder8_2013.doc

Date added: March 1, 2014 - Views: 1

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RECRUITMENT POLICY - HR Expert Help

Medical Fitness Certificate (in specified format) signed by a Medical Practitioner registered under IMA. Completed Mediclaim Insurance Form (In case of employees claiming to be covered under a different Insurance policy already, ...

http://hrhelp.files.wordpress.com/2007/07/recruitment_policy1_1541.doc

Date added: October 10, 2011 - Views: 88

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1) - Welcome To Institute of Information Technology ...

I am not suffering from any chronic disease and I have attached the medical fitness certificate from aqualified chief medical officer. The particulars given above are true to the best of my knowledge and nothing has been concealed.

http://iitmedu.in/pdf/IITM%20Admission%20Form.doc

Date added: August 3, 2013 - Views: 5

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Download - National Institute of Fashion Technology

Medical Fitness Certificate in the prescribed format. .Annexure- I . An undertaking in the prescribed format Annexure- II. In case any Certificate submitted by you is found to be of false or not conforming to the stipulated standards mentioned in the Admission Guidelines, ...

http://www.nift.ac.in/downloads/form_and_undertaking_for_NRI_&_ward_of_NRI.doc

Date added: July 4, 2013 - Views: 6

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APPLICATION FORM - Euro Tech Maritime

Medical Fitness Certificate for Sea Service( in original) as prescribed in Annexure “E” & “F” of Merchant Shipping (Medical Examination) Rules ... All individual applications must be sent in the above format. Applications sent in any other

http://eurotechmaritime.org/images/mainimages//CDCForm.doc

Date added: November 9, 2013 - Views: 3

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ACHARYA SHRI CHANDER COLLEGE OF MEDICAL SCIENCES & HOSPITAL

FORMAT OF UNDERTAKING LETTER FOR NRI PARENT/GUARDIAN (MBBS) (Attested by legal authority) ... Medical fitness certificate (at the time of joining college) Transcript from abroad student. Provisional certificate (If applicable) Migration certificate .

http://ascomscollege.com/Notices/NRI_MBBS_Forms_2011_Aug.doc

Date added: April 8, 2012 - Views: 49

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www.ipu.ac.in

The officer/official after he/she joins, will submit the application on the prescribed form-I alongwith the Medical Fitness Certificate, and get the leave due verification done from the Establishment Branch, ... (Estt.) about the admissibility of leave on the format.

http://www.ipu.ac.in/establish/sop.DOC

Date added: February 29, 2012 - Views: 17

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Safe Manning Proposal Format - AMSA :: Australian Maritime ...

• Marine Order 9 (Health – medical fitness) 2010, details requirements for medical fitness and certificate requirements for seafarers. 3. Qualifications of seafarers (Regulation 1.3) ... Safe Manning Proposal Format ...

http://www.amsa.gov.au/forms-and-publications/AMSA423.dot

Date added: July 4, 2013 - Views: 6

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SUBPART 2 - SourceForge

The medical fitness certificate to be submitted by the applicant for or the holder of a recreational pilot licence in terms of sub-regulation 62.01.10 (2) ... The Medical Practitioner’s Declaration shall be in the following format: “ Medical Practitioner’s Declaration of Medical Fitness

http://stpxml.sourceforge.net/skygod/Airlaw/Part62-2004/Part62draftTSv6.doc

Date added: April 9, 2013 - Views: 9

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STANDARD FORMAT OF APPOINTMENT LETTER for Management Staff

Copy Of Birth Certificate. Medical Fitness Certificate. Copies of all Educational Certificates – Attested. Copies of all Experience Certificates ... STANDARD FORMAT OF APPOINTMENT LETTER for Management Staff Author: Main Last modified by: praVina Created Date: 8/3/2012 3:36:00 PM

http://www.ewlci.org/file_1.php/538/moddata/assignment/699/7473/TA_assignment_A.doc

Date added: January 26, 2013 - Views: 300

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Laurin Maritime AB - NAUTA

Expiry Date Medical fitness certificate Drug and Alcohol test Vaccination for yellow fever 5. Other data. English Language Skills Other Foreign Languages Skills 6. Sea Service (Please use European date format DD.MM.YY.) Vessel Company Flag Type DWT. Main engine/HP ...

http://nauta.com.ua/uploads/user/Nauta%20application%20form.doc

Date added: November 5, 2013 - Views: 3

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Merchant shipping (Medical Examination) Rules,1986

Schedule IX- Format for Medical Certificate to the Person; Schedule X – Minimum in service eyesight standards; ... A proof for medical fitness issued by any Government Hospital or by the approved medical examiner whose approval and registration is valid;

http://www.dgshipping.gov.in/WriteReadData/News/201309030603052526116draft_medicalexam_rules2013_030913.doc

Date added: October 11, 2013 - Views: 4

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www.dgshipping.gov.in

A medical certificate shall be issued by the approved medical examiner to the seafarer who meets all requirements ... The medical examiner in assessing the medical fitness of seafarers including new entrant shall take into ... Half Yearly Returns Format. SUMMARY OF MEDICAL EXAMINATION ...

http://www.dgshipping.gov.in/WriteReadData/News/201307200436316074218M8.doc

Date added: August 17, 2013 - Views: 6

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Download - St. Vincent & the Grenadines - St Vincent Flag

For STCW Endorsement and Seaman’s Book: Recent scanned photo (JPG format) of the applicant, passport size (3.5 cm x 4.5 cm). ... a valid medical fitness certificate, a valid passport, new application form and a recent scanned photo (JPG format) of the applicant, passport size ...

http://www.svg-marad.com/Downloads/Forms/STCW%2095%20Application/Application%20for%20Seaman%27s%20Documents.doc

Date added: May 24, 2013 - Views: 6

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ANNEXURE- I - Paschim Kshetra Vitaran

The candidate will be required to produce medical fitness certificate from District Medical Board. ... Bio data in prescribed format V. Undertaking in Annexure-VI. In case of handicapped person, certificate of disability issued by District Medical Officer.

http://www.mpwz.co.in/ShowProperty/UCMRepository/Contribution%20Folders/Indore/PDF/Careers/Annexure-I_II_III_IV_V_VI-OAGr-III_2013_06072013.doc

Date added: July 27, 2013 - Views: 10

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2. Physical Fitness Verification -- Proforma for Health Check-Up

Annexure-I . CERTIFICATE OF PHYSICAL FITNESS (To be filled by a Registered Medical Practitioner . in the applicant’s country of domicile) Name of Applicant _____

http://www.iccrindia.net/students/physicalfitnessverification-format-2014-15.doc

Date added: December 13, 2013 - Views: 5

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ODISHA GRAMYA BANK

as per enclosed format. Certificate of Medical fitness from Public Sector Hospital / Government Doctor not below the rank of Medical Officer as per enclosed format.

http://www.odishabank.in/pdf/OJM_I_Notification_220114.docx

Date added: March 11, 2014 - Views: 1

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Sub- Aqua Expedition Organization and Conduct – Outcome of ...

Service personnel must hold a valid Certificate of Medical Fitness to Dive issued by a Service Medical Officer or MOD Civilian Medical Practitioner. b. ... No other diving medical in whatever format is valid – no Annex 8C, no dive. c.

http://www.raf.mod.uk/rafsubaqua/rafcms/mediafiles/BD812C72_5056_A30A_091163A8827C384E.doc

Date added: August 3, 2013 - Views: 2

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Safe Manning Proposal Format - AMSA :: Australian Maritime ...

Medical certification (Regulation 1.2) • Marine Order 9 – Health – Medical fitness, 2013 details requirements fitness and certificate requirements for seafarers. 3. Qualifications of Seafarers ... Safe Manning Proposal Format ...

http://www.amsa.gov.au/forms-and-publications/AMSA420.dot

Date added: July 4, 2013 - Views: 5

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odishabank.in

as per enclosed format. Certificate of Medical fitness from Public Sector Hospital / Government Doctor not below the rank of Medical Officer as per enclosed format.

http://odishabank.in/pdf/Notification_WaitingList_200314.docx

Date added: April 4, 2014 - Views: 2

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Weather conditions from May to September in Tibet, can be ...

Fitness : Planning & preparation. ... It is mandatory to provide a medical certificate. ... Medical Certificate Format can be downloaded from our Website. Altitude Sickness & Emergency. At high terrains, symptoms of altitude sickness (headache, ...

http://www.kailashyatra.in/Guidelines.docx

Date added: February 6, 2014 - Views: 3

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www.annauniv.edu

FORMAT FOR THE EMPLOYER CERTIFICATE (In the letter head of the Company / Organization) ... Candidates have to submit a medical fitness certificate at the time of counseling as per Annexure - II. GENERAL INFORMATION. 2.1. Reporting to the University:

http://www.annauniv.edu/cia/forms/ugciwgc.doc

Date added: April 22, 2013 - Views: 3

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Draft proposal for equating fishing vessel certificates of ...

when in possession of a valid STCW Certificate of Competency. ... All candidates must be in possession of a Medical Fitness Certificate. ... Appendix 14A lays out in table format the transferability of mercantile marine and fishing vessel certificates of competency.

http://www.transport.ie/upload/general/13248-CHAPTER_14-0.DOC

Date added: May 7, 2013 - Views: 5

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APPLICATION FORM I (Personal Data, Cre - Scandinavian Ship ...

No Certificate Name Rank Validity Number Grade. Issue Place Issue Date. Exp.Date ... Medical Fitness . All Crew 2 years 6. Proficiency in Survival Craft. ... (Please use the European date format DD.MM.YY.) From (S/On Date) To (S/Off Date) ...

http://www.scandinavianship.lv/application_form.doc

Date added: February 22, 2012 - Views: 19

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Circular IT 02/05 - Arrangement for partial resumption of ...

At the end of this period it is to be expected that the lecturer shall have reached a state of medical fitness ... 3.2 A medical certificate from the medical ... Arrangement for partial resumption of duty by a lecturer in Cases of Serious illness/major surgery (file Format Word ...

http://www.education.ie/en/Circulars-and-Forms/Active-Circulars/it02_05.doc

Date added: May 2, 2013 - Views: 7

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INSTRUCTIONS FOR CANDIDATES, BATCH – 2010-2011 - .:NTS™:.

For All Sindh Rural Candidates : Undertaking on judicial stamp paper is required, format is given on Appendix V, ... Medical Fitness Certificate in original on the proforma prescribed on page No. 123, Appendix-III in the prospectus – 2010-2011.

http://www.nts.org.pk/NTSWEB/STEVTA_24Oct2010_2ndMerit/instructions.doc

Date added: January 27, 2012 - Views: 4

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THE REPUBLIC OF - International Registries

annex 9 certificate of medical fitness 108. annex 10 medical chest information excerpted from marshall islands marine notice 7-042-1 110. annex 11 private yacht certificate of registry 127. annex 12 private yacht declaration of private use 128.

http://www.register-iri.com/forms/upload/MI-103.doc

Date added: August 7, 2011 - Views: 60

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ascomscollege.com

8.5 Candidates selected for admission in the College will be required to produce a Medical Fitness Certificate issued by a qualified Doctor ... FORMAT OF UNDERTAKING LETTER FOR NRI/NRI’s WARD MBBS COURSE (Attested by legal authority) To. The Director Principal.

http://ascomscollege.com/MeritLists/PG/2014/INFORMATION_BROCHURE_APPLICATIONFORM_MBBS_NRI_2014.doc

Date added: June 28, 2014 - Views: 1

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kimsuniversity.in

FORMAT FOR CERTIFICATE OF MEDICAL FITNESS. On Doctor's Letter Head. This is to certify that I have conducted clinical examination of . Mr./Ms_____who is desirous of admission to course in Health Science. He/She has not given any ...

http://kimsuniversity.in/data/pdf/sample_letters.doc

Date added: April 21, 2014 - Views: 1

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www.git-india.edu.in

Medical Fitness Certificate from MBBS, MD, MS doctor (As per format available in Prospectus) Parent’s Income Certificate from Tahsildar. Provisional Statement of Eligibility Certificate & Migration Certificate (For OMS student)

http://www.git-india.edu.in/Docs/Admission%20form%20FE.doc

Date added: August 12, 2013 - Views: 9

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Certificate IV in Fitness - Salamanca TC

Certificate III and IV in Fitness Course. Hobart . February 2013 Course. Certificate IV in Fitness. This is the Personal Trainer qualification for those interested in developing higher skills and a career in the fitness industry.

http://salamancatc.com.au/wp-content/documents/fitness/Cert%20III%20and%20IV%20in%20Fitness%20Hobart%20Course%20February%202013.doc

Date added: September 10, 2013 - Views: 4

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OPs and Proc - Wadi Rum

A Medical Fitness certificate shall be completed by a prospective student prior to commencing training, ... Certain mandatory regulations regarding format, safety, etc, are stipulated in Addendum R to this section, and must be adhered to.

http://www.wadirum.net/sahpa/members/SAHPA%20MOP-%202.4.doc

Date added: June 28, 2012 - Views: 9

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¸ÿˆÅ ‚¸ÁûÅ Ÿ¸­¸£¸«’ï - Vijaya Bank

... valid for two years from the date of discharge and thereafter his medical fitness will be considered as per fresh medical fitness certificate from Registered Medical practitioner with qualification not less than M.B.B.S. as produced for ... FORMAT AS PER DIRECORATE GENERAL OF ...

http://vijayabank.com/Userfiles/Tender/Tender%20Document%20-%20Empanelment%20of%20Security%20Agency%20Bangalore%20south.doc

Date added: July 3, 2013 - Views: 3

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Procedure to obtain Operation Fitness Certificate (OFC) & EHS ...

2. EHS - Medical Basic First Aid Training. 3. Fire Fighting Training. 4. Installation, Design, ... 5.0 Resume Format. ... Procedure to obtain Operation Fitness Certificate (OFC) & EHS-NOC for Operation Author: Roel.Dolendo Last modified by:

http://www.ehss.ae/forms/05.17iof-06astandardpre-qualificationformforconsultantsrev.02,03.11a.doc

Date added: May 8, 2012 - Views: 9

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kvbkt.org

All participants must bring eligibility certificate in quadruplicate duly signed by the Principal in SGFI format ... All participants have to bring medical . fitness . certificate. Participants have to bring their own complete playing kit. The team without proper kit will not be allowed to ...

http://kvbkt.org/admin/downloads/1461184891letter_for_regional_sport_meet_kabaddi_2013.docx

Date added: February 24, 2014 - Views: 1

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Certificate IV in Fitness - Salamanca TC

Certificate IV in Fitness. Course 2008. Certificate IV in Fitness. This is the Personal Trainer qualification for those interested in developing higher skills and a career in the fitness industry.

http://www.salamancatc.com.au/media/Cert%20IV%20in%20Fitness%20Hobart%20Course%20February%202008.doc

Date added: August 3, 2013 - Views: 2

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SOUTHERN POWER DISTRIBUTION COMPANY OF A - Manabadi

Medical Fitness certificate should be furnished at the time of joining ... Proof of relevant work experience certificate by concerned DE in the prescribed format. Permanent Community Certificate issued by MRO or Caste Certificate issued by Revenue Officer not less than the rank of MRO issued ...

http://manabadi.co.in/Notification/Southern-Power-Distribution-Company-of-A.P-Limited-1316-Junior-Linemen-posts-Recruitment-Notification16122011.doc

Date added: August 16, 2013 - Views: 7

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7A/1

Medical practitioners to be provided with the approved medical fitness certificate from the flag State (when available). ... REQUIRED ACTION: Tables based on ILO Model format for shipboard working arrangements at least in English language to be posted on the bridge, ...

http://etc-odessa.com/docs/2013/BV_Ukraine/Annex%203%20Gap%20Analysis%20MLC%20Documentation.doc

Date added: June 25, 2013 - Views: 1