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Notice Under The Employee’s State Insurance Act, 1948 271 Legal Draft Template

Category Notices
Format Rich Text
File name Notice under the Employee’s State Insurance Act, 1948-271.rtf

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Notice under the Employee’s State Insurance Act, 1948

Certificate of Pregnancy
Maternity Benefit
Certified of Pregnancy

Book No.
Serial No.
To

Insurance No.

I Certify that I have examined you today and that in my opinion you are pregnant and your pregnancy appears to be ……………….. weeks old.

(Signature of Midwife, if any)

(Signature or counter-signature)
of Insurance Medical officer.)
Dated …………….20…………

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