Philippine Government Forms All in One Location
211 Medical Certificate
DFA medical form for oral exam
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: CSC FORM NO. 211 (Revised August 1988)
PHILIPPINE CIVIL SERVICE
1. This medical certificate should be accomplished by a government physician.
2. Attach this certificate to original appointments and reinstatement.
FOR THE PROPOSED APPOINTEE
NAME (Last, First, Middle, or if married woman, Maiden Name)
Pre-Employment Medical – Physical Tests
NOTE: ALL RESULTS OF EXAMINATIONS MUST BE ATTACHED TO THIS FORM.
FOR THE PHYSICIAN
I hereby certify that I have personally examined the above named individual and
found her/him to be physically fit /unfit for employment.
PRINTED NAME/SIGNATURE OF PHYSICIAN
OTHER INFORMATION ABOUT THE