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How to Apply for Issuance of a Medical Certificate in Punjab

This guide provides a step-by-step process for applying for a medical certificate in Punjab. Follow these instructions to complete the application form, gather necessary documents, and submit them correctly.

Step 1: Obtain the Application Form

You can download the application form from the official Punjab government website or access it directly here.

Step 2: Fill Out the Application Form

For Official Use Only Section

• Application Number: (Leave this blank; it will be filled by the office)
• Date of Application: (Leave this blank; it will be filled by the office)
• Name of Block & Tehsil: (Leave this blank; it will be filled by the office)

Part 1: Personal Details

Details of Person Filling the Application Form

• Self-Attested Photo of Beneficiary
• Name
• Address
• Relation with Beneficiary

Personal Data of Beneficiary

• Name
• Gender: Male, Female
• Date of Birth
• Age (if Date of Birth not known)
• Place of Birth
• Father’s Name
• Mother’s Name
• Address
• PIN Code
• District
• Marital Status
• Spouse Name
• Email ID
• Contact Phone Number
• Voter ID Card Number
• Aadhaar Number (UID)
• Aadhaar Enrollment Number (if Aadhaar not issued)

Part 2: Service Details

Application Details

• Mode of Delivery of Service:
  • Sewa Kendra
  • By Post
• Application Processing Office

Beneficiary Details (if not the applicant)

• Name of Beneficiary (Aadhaar No. of Beneficiary, Attach Copy)
• Relationship with Applicant

Part 3: List of Required Documents

Please tick (√) the document attached:

1. Request letter from competent authority (if applicable)
2. Two recent passport size photographs (if applicable)

Declaration

You must declare that you have been residing in India for at least 182 days in the preceding 12 months and that all the information provided by you is true and accurate.

Feedback Form

The form includes a feedback section where you can provide suggestions or indicate if any unnecessary or vague information is being asked.

Is there any unnecessary information being asked in the Form?

• Yes
• No
• If Yes, Please specify the detail.

Is any vague information being asked in the form?

• Yes
• No
• If Yes, Please specify the details.

Is the space provided in the form sufficient for filling up the required information?

• Yes
• No
• If No, Please specify the details.

Any other suggestion you may like to make, Please specify.

Step 3: Submit the Application

Once you have filled out the application form and gathered all the required documents, submit the form to the relevant authority. You can submit it through a Sewa Kendra or by post, depending on your preference.