Submit this form to your academic institution either in person, via email, or through their online submission portal. Ensure all fields are accurately filled out and signed by the respective medical practitioner. If sending via email, attach the completed form in PDF format. For in-person submissions, deliver the printed form to the designated office or administrative staff. Confirm the receipt of your submission to avoid any delays or discrepancies.

For the 2024-2025 academic year, ensure submissions of the Medical Certificate and Fitness Certificate before the start of each semester. Check with your respective academic institution for specific deadlines.

The purpose of this form is to provide a standardized template for students to submit medical certifications related to illness or fitness. Academic institutions often require these forms to verify the authenticity of a student's medical condition and their ability to resume academic responsibilities. It helps in maintaining proper records and ensures that students receive appropriate accommodations during their period of recovery.

• 1. Student's Name: The full name of the student for whom the certificate is being issued.
• 2. Medical Practitioner's Name: The name of the doctor who is issuing the certificate.
• 3. Diagnosis: Details of the medical condition that the student is suffering from.
• 4. Period of Illness: The duration for which the student was unfit to attend classes.
• 5. Signature: The signature of the medical practitioner after a careful examination.
• 6. Seal: The official seal of the medical practitioner or the hospital.
• 7. Date: The date on which the certificate was issued.

Failure to submit this form can lead to various academic and administrative issues. It may affect the student's attendance record and the ability to receive necessary accommodations.

• Attendance Record: Inability to officially record the period of illness in the student's attendance.
• Academic Accommodations: Failure to receive extensions or make-up tests due to lack of proper medical documentation.
• Administrative Processing: Delays in administrative processes which require medical certification.

• 1. Extended Illness: When a student is unable to attend classes for an extended period due to medical reasons.
• 2. Resuming Academic Activities: To certify that a student is fit to resume academic responsibilities after recovering from an illness.
• 3. Medical Verification: When submitting official medical documents to an academic institution.