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Union of India - Section
Section 16 in Rationalisation of Forms and Reports under Certain Labour Laws Rules, 2017
16. Designation:
Seal and Signature of Contractor* Please strike off whichever is not applicable.Form IX[Under rule 223(C) of the Building and Other Construction Workers' (Regulation of Employment and Conditions of Service) Central Rules, 1998]Certificate of Medical Examination| 1. | Certificate Serial No. ................. | Date..................... | |
| 2. | Name | :.................................................................... | |
| Identification marks | :(1) ........................ | (2) ........................ | |
| (i) | UAN/Aadhaar No. | : ....................................... | |
| (ii) | Mobile no. | : ....................................... | |
| 3. | Name of father/husband. | : ....................................... | |
| 4. | Sex | :....................................... | |
| 5. | Date of birth | : ....................... or age :............................. | |
| 6. | Physical Fitness | : ............................................... |