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PASSPORT

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o

il
u

fi SAINI

I"IANDEEP

KALAt.'AR,HARYANA

^,,4*iS' J
T7'142911
NOU.VAU3SSO,' Uahre4

l3rAUf s snolNv-]'t3csryr .. rEe rlgQ,

/ Name ol Faihs / L€gal Guardian


ilt lt[llililllllililIlil
T7r4?St 1

RAM SHARN

SABRNA DEVI

VPO KALAT^JAR

TEH JAGADHRI/YAMUNANAGAR

PIN: 1 331 05/HARYANA,INDIA

R380733 5 29/08/2017 CHANDIGARH

CH1073857304019 - OLD PASSPORT REPORTED LOST


MALAYSIA
Medical Report For Foreign Worker
REG. DATE : ?1tagng1g, VALID UNTIL : 21111t?019

,1. PHOTO
FULL NAME SAIiII MANDEEP

2. REGISTRATION NO rND/1 07/T71120190821 19500211 1 6690

3- FATHER'S NAME RAM SHARN

4. MALE / FEMALE 5. AGE :


Fs lveans
6, PASSPORT NO 't7142911

7. TYPE OF WOBKER FOREIGN IAi3RKER

8. RESIDENCE tN COUNTRY O- ORIGIN

ADDRESS
Tr#2911
VFO KALAWAB

TEH JAGADHRI,YAMUNANAGAR
HffiffiH
PiN :1331 05,HARYANA,IN DIA
#&-H
9. NAME OF RECRUITING AGENCY
COUNTRY IND'C

SUN TOUAS TRAVELS


i5E
10. ADDRESS OF RECRUITING AGENCY 18/63 GANGAI AMMANKOiL STREET VADAPALANI, CHENNAI€O
0026

I HAVE EX.AMINED THE FOLLOWING DETAILS AND FOUND THAT:

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

YES NO YES NO
urvraios ffil il SYPHILIS ffin
TBEI f, HEPATITIS B eil
uer-anra ffil n UNACCEPTABLE CLINICAL FINDINGS IN CHEST X-RAY Ef,
reenosv ffi il TUMORICANCER mn
mn
FREEFRoMorHERcHRoNrcorseeses ffi il EPILEPSY

PHY$IcAL exaunarou ffi il (sEffiilrABrpouRFFECTNEorsoRDEB,MJoRoEpREssre,DErusroNALNDonERpffiolrc


MAJoR psycHlArntc otsonoens [Xl il
2, HIS URINE IS FOUND NO'T TO CONTAIN OPIATEJCANNABIS

3. HE IS FIT TO \AORK

4. I THEREFORE RECOMMENB THAT HE BE CONSIDERED FOR EMPLOYTIEHT


ADDITIONAL INFORMATION:

ITY DETECTED

DOCTOR SIGNATURE AND NAME DOCTOE ADDRES$

M.2,2ND FLOOR, ABOVE SBI B


ANK, SOUTH EXTfNSION PAR

'VVt's T-it. NEW DELHT - 1 10 0049

DOCTOR SEAL

DR QAA JAMAL AT{\,!ED

DOCTOR GUALIFICATIONS
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