Eco-Tourism Volunteer Health Certificate
Certification of Health Status for Program Participation
Volunteer Name:
Date of Birth:
Passport/ID Number:
Contact Number:
Program/Project Name:
Destination (Country/Region):
Assessment Date:
Health Assessment & Findings:
Immunizations / Vaccines:
Chronic Illnesses or Allergies:
This is to certify that the above-mentioned individual has been medically examined and is deemed fit to participate in the eco-tourism volunteer program specified above.
Physician's Signature & Stamp
Date