Serial NO. 32457

Narok County Government

The land of Diversity

Certificate Of Medical Examination

Form D

I hereby certify that I have examined ALEX KIEMA MUTHENGI of ID No. 31443947 and that in my opinion (s)he is fit under the Food, Drugs and Chemical Substances (Food Hygiene Regulations) to work at:

Company Name

The Big Plate

Business ID.

14568978859

Sub-County

Narok North Constituency

Ward

Narok Town

This licence is not transferable to any other premises.

Examined At West side Hospital

Document No. 210330306823412844

Lab Ref No. WHC1315

Sign:

jane Doe
Medical Officer Of Health

Date: 12/12/18

NB: This Certificate is valid for one calender year

Expiry Date 31 Dec 2021

Granting of this certificate does not exempt the above named person from adhering and complying to the current established public health guidelines and restrictions by the Government of Kenya.

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