Beruflich Dokumente
Kultur Dokumente
E S S E N T I A L I T Y C E R T I F I C A T E
(To be filled in Capital Letters)
Name of Claimant _____________________________period of treatment
Designation ___________________From ______________To_____________
Department ___________________Outdoor No. _____________Dt._______
Pay _________________Indoor No. __________________Dt.____________