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Hajj Form

The document is a medical certificate for Hajj 2026, certifying the applicant's fitness for the journey or need for assistance. It includes sections for allergies, chronic diseases, and options for the applicant's ability to perform Hajj. The certificate emphasizes the consequences of mis-declaration regarding medical conditions.

Uploaded by

shahab ali
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© © All Rights Reserved
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5K views1 page

Hajj Form

The document is a medical certificate for Hajj 2026, certifying the applicant's fitness for the journey or need for assistance. It includes sections for allergies, chronic diseases, and options for the applicant's ability to perform Hajj. The certificate emphasizes the consequences of mis-declaration regarding medical conditions.

Uploaded by

shahab ali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MEDICAL CERTIFICATE - HAJJ 2026

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o bearing CNIC____________________________ & Passport No____________

and my opinion is given below.

Allergy to following medicines Controlled chronic diseases requiring regular medication

I hereby certify that:(Select only one) Yes Photo with white


No
Background
1. Applicant is fit for the journey: of size 4 x 3 cm
2. Applicant requires helper to performed Hajj: uploaded

3. Applicant can perform Hajj with wheel chair (should be arranged by applicant):
(Hajj applicant)
In case of mis-declaration or concealment of any medical condition,
the Ministry reserves the right to initiate proceeding against the applicant/certifying doctor.
Such concealment may culminate in his deportation on his expense and no financial assistance
what so ever, shall be extended by Office of Pilgrims Affairs Pakistan (OPAP), KSA.

Signature and Seal of Doctor

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