Beijing Municipal Commission of Science and Technology:
Comrade xxx in my unit is currently working in xx, and plans to visit (country, region and name) on xx and stay abroad for X days. After understanding and verification, the comrade is healthy and competent for this visit. This is to prove and ensure health.
Certification unit (official seal)
date month year
Note: People over the age of 60 in the group are required to submit the physical health certificate or guarantee issued by the hospital or affiliated unit (this requirement is also applicable to the declaration of participating in the double-cross-group mission)
Fan health status certificate
This is to certify that Comrade xxx is in good health, with normal corrected vision, no color blindness, no diseases and physical defects that hinder his work.
This is to certify that.
Name of unit (official seal):
Date:
Health status certificate Fan Wensan
Kouzidong Coal Mine Training Office of SDIC Xinji Energy Co., Ltd.:
My comrades (list attached) are now engaged in coal mine excavation and roadway repair, and plan to attend pre-job safety training in Kouzidong Mine Training Office from February 20XX to February 20 14.
After understanding and verification, all trainees are healthy and competent for this job.
This is to prove and ensure health.
20xx year x month x day
Fan health status certificate
Tourism health certificate
1. I have made clear the itinerary, reception standard, insurance content, climate and geography of the destination of the purchased tourism products.
I am in good health and can take part in this trip. I am sure I can finish this trip.
3. The travel agency has advised me to buy a personal travel accident insurance (10 yuan/person), and I will handle additional insurance if necessary.
4. In order to prevent accidents during the trip, and to better ensure my smooth trip, I want to give my current physical condition a true feedback to the travel agency.
Verb (abbreviation of verb) At present, my physical health is as follows:
(Note: Please select the existing diseases from the following options, and record the detailed names of the diseases on the back horizontal line; If there are any diseases not included in the following options, please record the acute and chronic diseases treated in the hospital within 180 days on the horizontal line.
□ Digestive system diseases □ Diabetes VI. I guarantee that the information provided above is true.
7. The travel agency has explained to me the possible accidents in my physical condition during this trip, and I have fully understood and accepted the accidents caused by my own health.
Eight, tourism information
Name: ID number:
Contact information:
Contact address:
Fan health status certificate
According to the health examination of our unit, he was excluded from the diseases listed in Article 34 of the Food Safety Law and Article 23 of the Regulations for the Implementation of the Food Safety Law.
This is to certify that.
The validity period of the certificate: from the date of the year to the date of the year.
Certification unit: xxxx
Xx year xx month xx day
Fan health status certificate
Comrade xxx, gender, nationality, ID number: xxxxxxxxxxxxxx. At present, I am physically and mentally healthy, and I am competent for the education and teaching work of the school. This is to certify that.
(official seal)