Download This is a good document and very good one be sh and more Thesis Computer Vision in PDF only on Docsity! Medical Examiner's Certificate 7
I certify that have examined Last Name: fh { Vi at aa First Name: Ax FT OVAY Cr acer wth ee cctoy oe
}€ the Federal Motor Carrier Safety Regulations (49 CFR 391.41-391.49) and, with knowledge of the driving duties, find this person is qualified, and, If applicable, only when (check all that apply) OR
O the Federal Motor Carrier Safety Regulations (49 CFR 391.41-391.49) with any applicable State variances (which will only be valid for intrastate operations), and, with knowledge of the driving duties,
Ifind this person is qualified, and, if applicable, onty when (check all that apply}:
Cl Wearing corrective lenses [_] Accompanied by a vasivesfexemption C0 Driving within an exempt intracity zone (49 CFR 391.62) (Federal)
C1 Wearing hearing aid CL Accompanied by a Skill Performance Evaluation (SPE) Cestifcaie [7] Qualified by operation of 49 CFR 391.64 (Federal)
(1 Grandfathered from State requirements (State)
Medical Examiner's Certificate Expiration Date
The information | have provided regarding this physical examination is tus and come! cormpiets Medical Examination Report Form,
MCSA-5875, with any attachments embodies my findings completely and ress wud bon Be nny cifee.
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Medical Examiner's State License, Certificate, or Registration Number Issuing State _
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