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SERVICES LTD.
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Rb¨ c«‡qvRbxq cix¶vi Ab–‡gvwZ c«`vb Kwijvg |
_______
ˉŸv¶i
FINDINGS
1. q Height: …….
Feet …….. Inch
q Weight: ……..…
KG
q Sex: q Male q Female.
¤ As per conversion chart, estimated age is Below 18 / Above 18 years.
2. Eruption
of Teeth
q
7/7 & 7/7 (18 yrs or Below)
q
8/7 & 8/7 (19 yrs & above)
q Others : _________________________________________________________
_________________________________________________________
¤ As per dental history,
estimated age is Below 18 / Above 18 Years.
3. Hair
on Chin and Upper Lip
q
Fully Grown (18 yrs & above)
q
Not Fully Grown (17 yrs or Below)
¤
As per secondary symptoms, estimated age
is _________ Years.
DOCTOR’S COMMENTS
This person is examined by me on __________________Based
on above findings, apparently:
m
Estimated Age : Below 18 / Above 18 Years.
m Fit to carry out normal trade duty in this
factory.
m
UNFIT to carry out normal duty.
m
Does not suffer from any contagious disease.
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___________ c«v_x©i ˉŸv¶i |
_________________ Nurse Regd. No.:
……..……… |
_________________ Doctor Regd. No.:
…………….. |
Doctor’s Seal
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ARMANA FASHIONS LTD.
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Avwg mÁv‡b, ‡R‡b, e–‡R, Avgvi eqm I m¶gZv wba©vi‡bi
Rb¨ c«‡qvRbxq cix¶vi Ab–‡gvwZ c«`vb Kwijvg |
_______
ˉŸv¶i
FINDINGS
1. q Height: …….
Feet …….. Inch
q Weight: ……..…
KG
q Sex: q Male q Female.
¤ As per conversion chart, estimated age is Below 18 / Above 18 years.
2. Eruption
of Teeth
q
7/7 & 7/7 (18 yrs or Below)
q
8/7 & 8/7 (19 yrs & above)
q Others : _________________________________________________________
_________________________________________________________
¤ As per dental
history, estimated age is Below 18 /
Above 18 Years.
3. Hair
on Chin and Upper Lip
q
Fully Grown (18 yrs & above)
q
Not Fully Grown (17 yrs or Below)
¤
As per secondary symptoms, estimated age
is _________ Years.
DOCTOR’S COMMENTS
This person is examined by me on __________________Based
on above findings, apparently:
m
Estimated Age : Below 18 / Above 18 Years.
m Fit to carry out normal trade duty in this
factory.
m
UNFIT to carry out normal duty.
m
Does not suffer from any contagious disease.
|
___________ c«v_x©i ˉŸv¶i |
_________________ Nurse Regd. No.:
……..……… |
_________________ Doctor Regd. No.:
…………….. |
Doctor’s Seal
|
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DENIMACH LIMITED
|
eqm I
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KvW© bs
................................
|
Avwg mÁv‡b, ‡R‡b, e–‡R, Avgvi eqm I m¶gZv wba©vi‡bi
Rb¨ c«‡qvRbxq cix¶vi Ab–‡gvwZ c«`vb Kwijvg |
_______
ˉŸv¶i
FINDINGS
1. q Height: …….
Feet …….. Inch
q Weight: ……..…
KG
q Sex: q Male q Female.
¤ As per conversion chart, estimated age is Below 18 / Above 18 years.
2. Eruption
of Teeth
q
7/7 & 7/7 (18 yrs or Below)
q
8/7 & 8/7 (19 yrs & above)
q Others : _________________________________________________________
_________________________________________________________
¤ As per dental
history, estimated age is Below 18 /
Above 18 Years.
3. Hair
on Chin and Upper Lip
q
Fully Grown (18 yrs & above)
q
Not Fully Grown (17 yrs or Below)
¤
As per secondary symptoms, estimated age
is _________ Years.
DOCTOR’S COMMENTS
This person is examined by me on __________________Based
on above findings, apparently:
m
Estimated Age : Below 18 / Above 18 Years.
m Fit to carry out normal trade duty in this
factory.
m
UNFIT to carry out normal duty.
m
Does not suffer from any contagious disease.
|
___________ c«v_x©i ˉŸv¶i |
_________________ Nurse Regd. No.:
……..……… |
_________________ Doctor Regd. No.:
…………….. |
Doctor’s Seal
|
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