Gp69 Form

To certify a candidate's medical fitness (fit/unfit) for public service, including teaching (TSC), contract, or temporary employment.

[ Patient History ] ──> [ Physical Vitals ] ──> [ Systemic Checks ] ──> [ Laboratory/Diagnostics ] GP69 Medical Examination Form Kenya | PDF - Scribd gp69 form

+--------------------------------------------------------------+ | GP69 FORM STRUCTURE | +--------------------------------------------------------------+ | PART 1: Administrative Referral | | - Completed by the hiring Ministry / Department (e.g., TSC) | | - States candidate details and nature of deployment | +--------------------------------------------------------------+ | REVERSE SIDE: Candidate Self-Disclosure | | - Completed and signed directly by the applicant | | - Details history of surgeries, chronic illness, or trauma | +--------------------------------------------------------------+ | PART 2: Medical Assessment & Certificate | | - Completed exclusively by an authorized Medical Officer | | - Records physical vitals, labs, and final fitness verdict | +--------------------------------------------------------------+ Part 1: The Request for Examination To certify a candidate's medical fitness (fit/unfit) for

: A certified medical practitioner will sign and stamp the "Medical Certificate of Fitness" section upon completion. including teaching (TSC)