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Annexure IX

Medical Certificate for Administration of Hepatitis-B Vaccination

I, Dr………………………………………………………….… Registration No…………………. certify that I have this ………………….. day of ………………. 2026 administered the Hepatitis-B Vaccine to the MBBS candidate whose particulars are given below.

1. Name of the Candidate:
2. Father’s Name:
3. Gender (Male/Female):
4. Age:
5. Identification marks:
6. Dose I/II/III:
Signature of the ApplicantSignature of Medical Officer
 Name and Designation:
PLACE:Office Seal:
DATE: 

This page shows the exact text of Annexure IX from the Selection Committee Prospectus. Please download the original document above and have it filled and signed by the Medical Officer who administers the vaccine, as required in the certificates checklist.