Latest Josaa Medical Certificate Format Download

Joint Seat Allocation Authority (JOSAA) Certificate Format and Download 

Joint Seat Allocation Authority (JOSAA) Certificate Format and Download


Joint Seat Allocation Authority is conducting Admission and eCounselling Services and as part of the preparation and requirements,  students need to produce a medical certificate for the counseling. We present you with the latest template of medical certificates which should be used by the students. Wish you all the best and good luck with your JOSAA counseling sessions.




FORM-PWD (Il)
Form-Il
Disability Certificate
(In cases of amputation or complete permanent paralysis oflimbs and in cases ofblindness)
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE
CERTIFICATE)
(See rule4)

Recent PP size attested
photograph
(showing face
only) ofthe person
with disability


                                                                                                                     Date:

Certificate No.

This is to certify that I have carefully examined Shri/Smt./Kum...............................

son/wife/daughter of Shri............................... Date of Birth (DD/MM/YY)........................ 

Age................. years, male/female......................Registration No....................

permanent resident of House No...............Ward/Village/ Street...................Post Office............. 

District..............State..................whose photograph is affixed above, and am satisfied that:


l. he/she is a case of:

 a. locomotor disability

 b. blindness

(Please tick as applicable)

2. the diagnosis in his/her case is................................

3. He/ She has...................... % (in figure)................... percent..............(in words) permanent physical impairment/blindness in relation to his/her .....................(part of the body) as per guidelines (to be specified).

4. The applicant has submitted the following document as proof of residence:=

Nature of Document| Date of Issue |Details of authority issuing certificate


(Signature and Seal of Authorised Signatory of notified Medical Authority)

Signature/Thumb impression of the person in whose favor the disability certificate is issued.

Disability Certificate



Form-III
Disability Certificate
(In cases of multiple disabilities)
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE
CERTIFICATE)
(See rule 4


Disability Certificate (In cases of multiple disabilities)





FORM-PWD (IV
Form-IV
Disability Certificate
(In cases other than those mentioned in Forms II and
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE
CERTIFICATE)
(See rule 4)

Disability Certificate (In cases other than those mentioned in Forms II and





FORM-DYSLEXIC-1
FORMAT OF MEDICAL CERTIFICATE REPORT TOBE PRODUCED BY DYSLEXIC
CANDIDATE
To be obtained from any Government or Government approved Learning Disability
Clinic/Neurodevelopmental Centre/Dyslexia Association
Date:
PSYCHO-EDUCATION EVALUATION REPORT

FORMAT OF MEDICAL CERTIFICATE REPORT TO BE PRODUCED BY DYSLEXIC CANDIDATE



FORM-DYSLEXIC-2
* CERTIFICATE TO BE PRODUCED BY DYSLEXIC CANDIDATE
FROM THE PRINCIPAL OF THE SCHOOL/COLLEGE LAST
ATTENDED
Testimonial

* CERTIFICATE TO BE PRODUCED BY DYSLEXIC CANDIDATE FROM THE PRINCIPAL OF THE SCHOOL/COLLEGE LAST ATTENDED

FORM-DS 
PROFORMA EDUCATION SCHOLARSHIP-ENTITLEMENT CARD 
(To children of Armed Forces personnel killed/disabled/missing in wars/CI operations)

PROFORMA EDUCATION SCHOLARSHIP-ENTITLEMENT CARD




Download the JOSAA Certificates - Click Here

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