FORM N
See rule 29D (S)

Second and final 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...............................failed to present himself/herself*for an initial periodical*medical examination on..................in respect of which he/she*had been given a notice on ................................
He/She*is hereby again 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 date) at ..................................(give time).
Shri/Shrimati*...............................,may note that if he/she*fails to submit himself/herself* for the medical examination aforesaid he/she*shall not be employed/retained in employment in the mine from ...................................
Shri/Shrimati*..................................may further note that he/she*should bring with him/her*three unmounted photographs of himself/herself*and the previous medical certificate in Form O if any, issued to him/her* under rule 29F.
Signature of Manager