NDC Diagnostic Centre

TYPE OF MEDICAL *

Complete Medical for PreSea Courses

Complete Medical for CDC

Complete Medical for Ship joining

Medical for Watch keeping/COC/COP

Other

CURRENT OR PAST HISTORY OF HOSPITALIZATION: IF YES MENTION REASON OF HOSPITALIZATION *

Yes

ANY CURRENT OR PAST HISTORY OF SURGERY /OPERATION IF YES MENTION DETAIL

No Any

Major / Minor Operation

Hernia / Hydrocele / Appendices

Fracture / Dislocation / Injury / Amputation

Piles /Fissure /Fistula/Anal Abscess/Varicose Veins

Gall Stones / Renal Stone

Other:

I hereby certify that the personal declaration & medical history given above is true & accurate to the best of my knowledge & I am aware that this will form the basis of further medical examination & final conclusion on my health status. In the event of any misrepresentation either by statements or by omission, can lead to termination of service or loss of sickness benefits. I also give consent for conducting an HIV test.

Agreed

Disagree

NDC DIAGNOSTIC LLP is responsible only for the medical examination of candidates and not for recruitment or placement.

How to Book Your Appointment:

How to Book Your Appointment