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    10 views2 pages

    Drivin Compressed PDF

    Uploaded by

    fahaddar_88

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 2
    FORM 1A. Refer Rules 5(1), (3), 7. 10(a), 14(@) and 18(d)} MEDICAL CERTIFICATE (To be filled in by a registered medical practitioner appointed for the purpose by the State Government or person authorised in this behalf by the State Government referred to under sub-section (3) of section 8) 1 1A 1B, Ic. 2. Name ofthe appliant, GUULAM RAgool bare Son/wife/daughterop ABUL REAMAN DPR. Permanent Address Sarwar NOG ais SREVAG AL, kACH OTE» Dateof Birth} = 1A { 04] 144g Identification marks: (@) Does the applicant, to the best of your judgment, suffer from any defect of vision? If so, has it been corrected by suitable spectacles? (0) In your opinion, is he able (o distinguish with his eyesight ata distance of 25 metres in good day light a motor car number plate? (d)_In your opinion, does the applicant suffer from a degree of deafness which would prevent his hearing the ordinary sound signals? (©) In your opinion, does the applicant suffer from night blindness? (® Has the applicant any defect or deformity or loss of member which would interfere with the efficient performance of his duties asa driver? If so. give your Teasons in details, © Optional (@) Blood group of the applicant (ifthe applicant so desires thal the information may be noted in his

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