MEDICAL CERTIFICATE

Certified that I, Dr.________________________________________________has examined

Sri_________________________________________ son of __________________________

____________________ resident of ______________________________________________

_________________________________________ and found him medically fit and fulfilling

The following physical requirement.

A. Physical standards*: height__________cms.

Weight__________kg

Chest____________cms

B.Acuity of vision :i) visual acuity not less than 6/12 each eye or right eye and left eye
6/24.

ii) in a left handed individual who shoots from the left shoulder,the visual standards for
the two eyes will be rserved.

B. He is not suffering from any of the following disabilities:

i) Colour blindness.

ii) Hearing problems(Ear to be de-waxed/cleaned before testing)

iii) Low/high blood pressure(normal blood pressure 120/80)

iv) Knocking knee

v) Flat foot

vi) Parrot chest

vii) SDT

viii) Piles

Place:
Date: Signature of government medical officer

Designation stamp
Office
seal