FORM M
See rule 29D (1)
 
Notice of initial/periodical medical examination under rule 29B.
No. Date.
Shri/Shrimati .................... Nature of employment ** .......................... Serial number from Form B Register ** son/daughter/wife of* ............................., is hereby notified that he/she* should present himself/herself* for an initial periodical* medical examination, under rule 29B of the Mines Rules, 1955, before ......................... (give name of the examining authority) at .............. (give exact description of place) on .................... (give date) at ............................. (give time).
Shri/Shrimati * ..................... may note that if he/she* fails, without reasonable cause, to submit himself/herself* for the medical examination aforesaid he/she shall not be eligible for appointment/continuance in employment in the mine from ..................................
Shri/Shrimati * .................................... may further note that he/she* should bring with him/her* three unattested photographs of himself/herself* and the previous medical certificates in Form O if any, issued to him/her* under rule 29F.
Signature of Manager 
......................... Mine.
* Delete whatever is not applicable.
** Necessary only in case of a person already employed in the mine.
In respect of the initial medical examination of a person already employed in a mine and in respect of every periodical medical examination, at least twenty days, prior notice is to be given. In respect of the initial medical examination of a person seeking employment at a mine the period of notice may be shorter.
Note.— A copy of the notice shall be sent to the examining authority concerned. In the case of periodical medical examination the copy of medical certificate in Form O shall also be sent.