Physical examination certificate 2026

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  1. Click ‘Get Form’ to open the physical examination certificate in the editor.
  2. Begin by entering the applicant's last name, first name, and middle initial in the designated fields.
  3. Fill in the date of birth and place of birth, ensuring accuracy for identification purposes.
  4. Select the sex of the applicant by checking either 'Male' or 'Female'.
  5. Provide the mailing address of the applicant in the specified section.
  6. Indicate the examination type by selecting from options such as Master, Mate, Engineer, etc.
  7. Complete the medical examination details including height, weight, blood pressure, and vision tests. Ensure to check if color vision meets standards.
  8. The examining physician should fill out their details and sign where indicated to validate the certificate.

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Versions Form popularity Fillable & printable
2015 4 Satisfied (55 Votes)
1996 4 Satisfied (25 Votes)
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