Page 499 - The Central Motor Vehicles Rules, 1989

FORM 1A THE CENTRAL MOTOR VEHICLES RULES, 1989 471

(b) RH factor of the applicant (if the applicant so
desires that the information may be noted in his
driving licence)
1
[xxx]
2
[Certificate of Medical Fitness
I certify that :—
(i) I have personally examined the applicant Shri/Smt./Kum. .........................;
(ii) that while examining the applicant I have directed special attention to
his/her distant vision;
(iii) while examining the applicant, I have directed special attention to his/her
hearing ability the condition of the arms, legs, hands and joints of both
extremities of the applicant; and
(iv) I have personally examined the applicant for reaction time, side vision and
glare recovery, (applicable in case of persons applying for a licence to drive
goods carriage carrying goods of dangerous or hazardous nature to human
life).
3
[(v) Applicant’s colour vision has been tested using standard ishihara chart and
the applicant has not been found suffering from severe or total colour
blindness.]
And, therefore, I certify that, to the best of my judgement, he is medically fit/not
4
fit to hold a driving licence [to drive a vehicle other than an adapted vehicle].
The applicant is not medically fit to hold a licence for the following reasons :—
Signature :
1. Name and designation of the medical
officer/practitioner
(Seal)

2. Registration number of medical officer
Date :................. Signature or thumb impression of the candidate

5
[Notes 1 ]: The medical officer shall affix his signature over the photograph affixed in
such a manner that part of his signature is upon the photograph and part on the
certificate.
6
[2. Dumb persons without deafness may be granted a valid certificate of driving
licence for non-transport vehicle.]

1 Words “Declaration made by the applicant in Form I as to his physical fitness is attached.” omitted vide
GSR 240(E), dt. 31-3-2021, w.e.f. 1-4-2021.
2 Substituted by GSR 338(E), dt. 26-3-1993.
3 Inserted vide GSR 401(E), dt. 24-6-2020, w.e.f. 24-6-2020.
4 Inserted vide GSR 240(E), dt. 31-3-2021, w.e.f. 1-4-2021.
5 Existing Note renumbered as ‘Note 1’ by CMV (Amdt.) Rules, 2004, vide GSR 111(E), dt. 10-2-2004, w.e.f.
10-8-2004.
6 Inserted, ibid.