1. The original of this certificate must be given to the parent or guardian of the child and a Notification of Unfitness for Vaccination against Diphtheria or Measles in the approved form available from the Health Promotion Board should be transmitted by the medical practitioner within 7 days to the Chief Executive, Health Promotion Board, c/o Central Immunisation Registry, 3 Second Hospital Avenue, #06-00, Singapore 168937.
NOTICE TO PARENTS OR GUARDIAN
Your child must again be presented for vaccination not later than the expiry date shown above. If the child is then unfit, a further certificate will be given.