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    Medical Certificate

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    Gobin
    Govinda Subedi was issued a medical certificate by Dr. Edward Pepperell stating that he has a medical condition and should refrain from work commitments from October 14th to the 16th, 2022. The certificate details Govinda's personal information, the dates he is excused from work, Dr. Pepperell's signature and contact information, and notes for both Govinda and his employer regarding the use and verification of the medical certificate.

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    Medical Certificate

    Uploaded by

    Gobin
    35 views1 page
    Govinda Subedi was issued a medical certificate by Dr. Edward Pepperell stating that he has a medical condition and should refrain from work commitments from October 14th to the 16th, 2022. The certificate details Govinda's personal information, the dates he is excused from work, Dr. Pepperell's signature and contact information, and notes for both Govinda and his employer regarding the use and verification of the medical certificate.

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    Govinda Subedi was issued a medical certificate by Dr. Edward Pepperell stating that he has a medical condition and should refrain from work commitments from October 14th to the 16th, 2022. The certificate details Govinda's personal information, the dates he is excused from work, Dr. Pepperell's signature and contact information, and notes for both Govinda and his employer regarding the use and verification of the medical certificate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views1 page

    Medical Certificate

    Uploaded by

    Gobin
    Govinda Subedi was issued a medical certificate by Dr. Edward Pepperell stating that he has a medical condition and should refrain from work commitments from October 14th to the 16th, 2022. The certificate details Govinda's personal information, the dates he is excused from work, Dr. Pepperell's signature and contact information, and notes for both Govinda and his employer regarding the use and verification of the medical certificate.

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    Form qmed44 Medical Certificate

    Doctor’s Statement

    In confidence to Govinda Subedi


    17.10.1988
    This patient has reported a medical condition and should refrain from work or scheduled

    commitments from 14.10.2022


    To 16.10.2022 inclusive

    Doctor’s additional comments

    Doctor’s signature

    Date of issue 14.10.2022

    Reference Number 293759

    Dr Edward Pepperell
    Address Suite 1, Level 8 99 Queen Street, Melbourne VIC 3000
    Provider No 5744574H
    AHPRA Registration No MED0002306836

    Notes to patient about using this certificate


    Give this note to your employer
    This is a legal document - you should keep a copy of it for your own file
    For comprehensive information about employment law go to www.fairwork.gov.au

    Notes to employer about using this certificate


    To verify this certificate’s authenticity, refer to the “For
    Employers” section at www.qoctor.com.au

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