Malaysia: Medical Report For Foreign Worker

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MALAYSIA

Medical Report For Foreign Worker


MC Ref. No : C-130139 MEDICAL APPROVAL DATE : 18/05/2023 , VALID UNTIL : 16/08/2023

1. FULL NAME PHOTO


MOLLIK MD DULAL

2. REGISTRATION NO BGD/224/A05/20221220183145/115755

3. FATHER'S NAME MD SOLAIMAN ALI MOLLIK

4. MALE / FEMALE MALE 5. AGE : 34 YEARS

6. PASSPORT NO A05243597

7. TYPE OF WORKER FOREIGN WORKER

8. RESIDENCE IN COUNTRY OF ORIGIN

ADDRESS
A05243597
KATHALBARIA, SALANGA, BOALIA CHAR - 6700,

SIRAJGANJ

COUNTRY BANGLADESH

9. NAME OF RECRUITING AGENCY M.E.F. GLOBAL BANGLADESH LTD.

10. ADDRESS OF RECRUITING AGENCY EASTERN MANSION 1ST FLOOR 67/9 , PIONEER ROAD , KAKRAI
L , DHAKA-1000

I HAVE EXAMINED THE FOLLOWING DETAILS AND FOUND THAT :

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


YES NO YES NO
HIV/AIDS SYPHILIS
TB HEPATITIS B
MALARIA UNACCEPTABLE CLINICAL FINDINGS IN CHEST X-RAY
LEPROSY TUMOR/CANCER
FREE FROM OTHER CHRONIC DISEASES EPILEPSY

PHYSICAL EXAMINATION MENTAL ILLNESS


HEPATITIS C FILARIASIS
LEISHMANIASIS

2. HIS URINE IS FOUND NOT TO CONTAIN OPIATE/CANNABIS/AMPHETAMINE

3. HE IS FIT TO WORK

4. I THEREFORE RECOMMEND THAT HE BE CONSIDERED FOR EMPLOYMENT


ADDITIONAL INFORMATION:

WORKER IS FIT

DOCTOR SIGNATURE AND NAME DOCTOR ADDRESS

CATHARSIS MEDICAL

DOCTOR SEAL

DR MD PIAS HOSSAIN

DOCTOR QUALIFICATIONS
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