EYE FITNESS CERTIFICATE

Name of the Candidate Address :P.RAJARATHINAM :

Date of Birth Organization

: :

Near Vision Corrected Natural Left Eye : J1 J2 Right Eye : J1 J2 Colour Vision : Remarks of the Vision Test Administrator whether the candidate meets the requirements of the standards. Please see extract of the standards below. Signature of Eye Test Ophthalmologist: Address Seal Place Date : : : :

Extract from ASNT (SNT-TC-1A-2006) STANDARD VISION REQUIREMENTS The candidate shall provide documented evidence of satisfactory vision, in accordance with the following requirements. NEAR VISION ACUITY: The examiner should assure natural or corrected near-distance acuity in at least one eye such that the applicant is capable of reading a minimum of Jaeger Number 2 or equivalent type and size letter at a distance of not less than 12 inches (30.5cm) on a standard Jaeger test chart. The ability to perceive an Ortho-Rater minimum of 8 or similar test pattern is also acceptable. COLOUR CONTRAST DIFFERENTIATION: The examination should demonstrate the capability of distinguishing and differentiating contrast among colours or shades or shades of gray used in the method as determined by the employer. This should be conducted upon initial certification and at three year intervals thereafter.