Malaysia: Medical Report For Foreign Worker

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MALAYSIA

Medical Report For Foreign Worker


MC Ref. No : MYS240449 MEDICAL APPROVAL DATE : 17/04/2024 , VALID UNTIL : 16/07/2024

PHOTO
1. FULL NAME MONDOL JOY CHANDRA

2. REGISTRATION NO BGD/289/A05/20230214163621/112899

3. FATHER'S NAME CHITTARANJAN MONDAL

4. MALE / FEMALE MALE 5. AGE : 21 YEARS

6. PASSPORT NO A05196636

7. TYPE OF WORKER FOREIGN WORKER

8. RESIDENCE IN COUNTRY OF ORIGIN


A05196636
ADDRESS NARAYANGANJ

COUNTRY BANGLADESH

9. NAME OF RECRUITING AGENCY BINIMOY INTERNATIONAL

10. ADDRESS OF RECRUITING AGENCY 82, SHANTINAGAR (40/3 NAYAPALTAN), DHAKA-1217

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/AMPHETAMINE

3. HE IS FIT TO WORK

4. I THEREFORE RECOMMEND THAT HE BE CONSIDERED FOR EMPLOYMENT


ADDITIONAL INFORMATION:

FIT

DOCTOR SIGNATURE AND NAME DOCTOR ADDRESS

AL GHOFILY MEDICAL CENTRE


LIMITED

DOCTOR SEAL

DR C M GIAS UDDIN

DOCTOR QUALIFICATIONS
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