THIS FORM SHOULD BE COMPLETED BEFORE THE EMPLOYEE SIGNS

MANAGEENGINE OPMANAGER TRAINING COURSE OBJECTIVES WHO SHOULD
(DELETE THIS SECTION YOUR ABSTRACT SHOULD NOT EXCEED 2
(SHOULD BE SUBMITTED BY THE COMPANY ON THE COMPANY’S

(THIS AFFIDAVIT SHOULD CONTAIN THE FOLLOWING INFORMATION PRINTED ON
(TRANSLATION) 10 READERS SHOULD BE AWARE THAT ONLY THE
(TRANSLATION) 4 READERS SHOULD BE AWARE THAT ONLY THE

This form should be completed before the employee signs their consent

This form should be completed before the employee signs their consent

 

Doctor’s name:

Date:

 

Address:

 

 

 

Employee’s name:

 

Address:

 

His/her work as a ………………………………….has the following major features:

 

Management responsibility for:

 

 

 

 

Working condition/category:

 

Seated / standing / mobile

 

Light / medium / heavy effort required

 

Day shift / night work

 

Clerical / secretarial duties

 

Licence necessary yes/no: Group I (private) Group II (professional) driver

 

Other considerations:

 

 

 

The absence record for the last twelve months is summarised as:

 

Total days lost: Days lost this month:  

 

I, the undersigned give consent to my GP to release relevant information to my employer and understand that all information provided is treated in accordance with the Data Protection Law in force.

Signed…………………………………………. Date……………………………..

Name

(BLOCK LETTERS).....................................................................................


0 RECORD OF GROUP STANDARD ASSIGNMENT THIS RECORD SHOULD
1 COLT CALL ANALYSER THIS DOCUMENT SHOULD BE READ
1 SHOULD WE WRITE PRICES IN WORDS ALL


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