The Occupational Safety, Health and Working Conditions (Lakshadweep) Rules, 2025
Form 22
Official text
Open in the official PDF (p. 245)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(See rule 59)
Certificate of Fitness
Certificate Number: Date:
1. Name of Adolescent :
2. Father’s Name :
3. Address :
4. Gender :
5. Age :
6. Descriptive marks :
7. Remarks :
Name and Signature of Medical Officer