Certificate, to Whom It May Concern - DOC

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Certificate, to Whom It May Concern document sample

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posted:
12/9/2010
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							                              TO WHOM IT MAY CONCERN



Re:    Patient name:                   _________________________

       DOB:                                   _____________(DD/MM/YY)

       Estimated Date of Delivery:            _____________(DD/MM/YY)

       Proposed dates of air travel:

                             Date        Flight No.    From      To         Status




       Additional Remarks:                    _________________________

                                              _________________________

                                              _________________________


In my opinion this lady has:
       √/X
        An uncomplicated single pregnancy of ____weeks gestation or
        A multiple / Complicated pregnancy of ____weeks gestation and


is “Fit to Travel” for the time covering the entire journey with no intended/voluntary
stopover at the transit point with Qatar your airline.


Yours sincerely,


__________________ Signature of Doctor

___________________Name & Contact of Doctor



__________________Doctor’s and/or Clinic’s stamp



Date: _____________

						
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