The Medical Officer i/c, [Name of Public Hospital, e.g., Mbagathi County Hospital] Candidate Name: JANE DOE Employment Type: Permanent Designation: Secondary School Teacher (Graduate)
"I hereby certify that I have this day examined the above-named candidate and that in my opinion she is fit for permanent service." Station: Nairobi Date: 10th May 2026 example of a filled gp69 form
(Signed by TSC Official or authorized representative) Part 2: Certificate of Medical Examination The Medical Officer i/c, [Name of Public Hospital, e