Disability Certificate Format[CD1] 

 

 

To,

The C. M. O/P.M.O

__________

Sub: Application for issuing Disability Certificate of the ____

Sir,

The applicant submits as under:-

1-   That applicant ____ S/o ____ met with accident on ____ Near ____ and he sustained injuries over his body. The applicant was remained under the treatment of ____ and the MLR no. ____ dated ____ was prepared.

2-   That the applicant has filed a claim petition under section ___ of the ____ in the court of ____ and the same is pending.

3-   That the applicant requires the permanent disability certificate for proving his permanent disability.

4-    

You are therefore, requested that the permanent disability Certificate of the applicant _______ may kindly be released to the applicant as per rules and regulations.

 

 

Dated _____                                                                                                                   Applicant Share this:

 

 [CD1]Disability Certificate Format