EJ0530635

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MALAYSIA

Medical Report For Foreign Worker


MC Ref. No : ML-24-1793 MEDICAL APPROVAL DATE : 20/04/2024 , VALID UNTIL : 19/07/2024

PHOTO
1. FULL NAME ULLAH RAHIM

2. REGISTRATION NO BGD/315/EJ0/20230711163651/113344

3. FATHER'S NAME NORUL ISLAM

4. MALE / FEMALE MALE 5. AGE : 39 YEARS

6. PASSPORT NO EJ0530635

7. TYPE OF WORKER FOREIGN WORKER

8. RESIDENCE IN COUNTRY OF ORIGIN


EJ0530635
ADDRESS COXS BAZAR

COUNTRY BANGLADESH

9. NAME OF RECRUITING AGENCY THE GMG ASSOCIATES LTD

10. ADDRESS OF RECRUITING AGENCY HOUSE#79, ROAD-06, BLOCK#C, BANANI, DHAKA.

I HAVE EXAMINED THE FOLLOWING DETAILS AND FOUND THAT :

1. HE IS FREE FROM THE FOLLOWING DISEASES/CONDITIONS :


YES NO YES NO
HIV/AIDS SYPHILIS
TB HEPATITIS B
MALARIA UNACCEPTABLE CLINICAL FINDINGS IN CHEST X-RAY
LEPROSY TUMOR/CANCER
FREE FROM OTHER CHRONIC DISEASES EPILEPSY

PHYSICAL EXAMINATION MENTAL ILLNESS


HEPATITIS C FILARIASIS
LEISHMANIASIS

2. HIS URINE IS FOUND NOT TO CONTAIN OPIATE/CANNABIS/METHAMPHETAMINE

3. HE IS FIT TO WORK

4. I THEREFORE RECOMMEND THAT HE BE CONSIDERED FOR EMPLOYMENT


ADDITIONAL INFORMATION:

HE IS FIT

DOCTOR SIGNATURE AND NAME DOCTOR ADDRESS

RAINBOW HEARTS MEDICAL C


ENTRE

DOCTOR SEAL

DR FAKIR SHEKH MUNTASIR AHM


ED

DOCTOR QUALIFICATIONS
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