without bony deformities of individual case.

nasal septum (ii) If deviated nasal septum is

present with Symptoms-
Temporarily Unfit
7 Chronic Inflammatory conditions (i) Chronic Inflammatory
of tonsils and/ or Larynx. conditions of tonsils and/
or Larynx- Fit
(ii) Hoarseness of voice of
severe degree if present
then Temporarily unfit.
8 Benign or locally /malignant (i) Benign Tumours-Fit
tumours of the E.N.T. (ii) Malignant Tumour-unfit.
9 Otosclerosis If the hearing is within 30 Decibels
after operation or with the help of
hearing aid-fit
10 Congenital defect of ear, nose or (i) If not interfering with
throat function-Fit.
(ii) Stuttering of severe degree-
Unfit.
11 Nasal/polyp Fit

That his teeth are in good order and that he is provided with dentures
where necessary for effective mastication (Well filled teeth will be
considered as sound)
That the chest is well formed and his chest expansion sufficient and that he
heart and lungs are sound;
That there is no evidence of any abdominal disease:
That his limbs, hands and feet are well formed and developed and the
there is free and perfect motion of all joints;
That there is no congenital malformation or defect;
That he does not bear traces of acute or chronic disease pointing to an
impaired constitution.
That he bears marks of efficient vaccination;
That he is free from communicable disease.
Grade-I Haemorrhoids should be declared ‘Fit’
Absence of one Testis in the scrotum should be declared ‘Fit’ However
possibility of undescended testis is to be ruled out.
Candidates with Varicose Veins not requiring prolonged standing as part of
their job profile should be declared ‘Fit’
(M)Diseases as Hernia, Hydrocele, Varicose Veins, Haemorrhoids etc. Which
can be cured by surgical means should be declared only ‘Temporarily Unfit’
and should be declared ‘Fit’ after successful surgery.
All candidates with malignancies detected at the time of entry into service
should be declared ‘Unfit’
All candidates having transplanted organs should be declared ‘Unfit’ except
corneal Transplant.

Screening of the chest should be done as a routine in all cases for detecting any
abnormality of the heart and lungs, which may not be apparent to

150
ordinary physical examination. Where it is considered necessary a skiagram
should be taken.

When any defect is found it must be noted in the certificate and the
medical examiner should state his/her opinion whether or not it is likely to interfere
with the efficient performance of the duties which will be required of the candidate.

NOTE: Candidates are warned that there is no right of appeal from a Medical
Board, special or standing, appointed to determine their fitness for the
above services. If however, Government is satisfied on the evidence
produced before them of the possibility of an error of judgement in the
decision of the first Board, it is open to Government to allow an appeal to
second Board. Such evidence should be submitted within one month of
the date of the communication in which the decision of the first Medical
Board is communicated to the candidate, otherwise no request for an
appeal to second Medical Board will be considered.

It any medical certificate is produced by a candidate as a piece of evidence about

the possibility of an error judgement in the decision of the first Board, the
certificate will not be taken into consideration unless it contains a note by the
medical practitioner concerned to the effect that it has been given in full
knowledge of the fact that the candidate has already been rejected as unfit for
service by the Medical Board.

The procedure regarding filing an appeal, described in NOTE below para

11 is not applicable so far as the candidates for the Combined Competitive
Examination are concerned. The candidates for this examination will be required
to deposit an appeal fee of Rs. 50 in such manner as may be prescribed by the
Government of India in this behalf by the Department of Personnel &Training. This
fee will be refundable only to those candidates who are declared fit by the
Appellate Medical Board whereas in the case of others, it will be forfeited. The
candidates, may if they like, enclose medical certificates in support of their claim
of being fit. The appeals should be submitted within 21 days of the date of
communication in which the decision of the first Medical Board is conveyed to the
candidate; otherwise, requests for second medical examination by an Appellate
Medical Board will not be entertained. The second medical examination by the
Appellate Board will be arranged at New Delhi only at candidate's own cost. No
travelling allowance or daily allowance will be admissible for the journeys
performed in connection with the said medical examination. Necessary action to
arrange medical examination by the Appellate Medical Board will be taken by the
Department of Personnel & Trg on receipt of appeals accompanied by the
prescribed fee.

Medical Board's Report

The following intimation is made for the guidance of the Medical Examiner:

151
 The standard of physical fitness to be adopted should make due allowance
for the age and length of service if any, of the candidate concerned.

No person will be deemed qualified for admission to the Public Service who
shall not satisfy Government, or the appointing authority, as the case may be that
he/she has no disease, constitutional affliction, or bodily infirmity unfitting him/her.
or likely to unfit him/her for that service.

It should be understood that the question of fitness involves the future as

well as the present and that one of the main objects of medical examination is to
secure continuous effective service and in the case of candidates for permanent
appointment to prevent early pension or payments in case of premature death. It
is at the same time to be noted that the question is one of the likelihood of
continuous effective eservice and the rejection of a candidate need not be advised
on account of the presence of a defect which in only a small proportion of cases is
found to interfere with continuous effective service.

The Board should normally consist of three members, (1) a Physician (ii) a
Surgeon and (iii an Ophthalmologist, all of whom should as far as practicable be
of equal status. A lady doctor will be co-opted as a member of the Medical Board
whenever woman candidate is to be examined.

Candidates appointed to the Indian Defence Accounts Service are liable for
field service in or foul: of India. In the case of such a candidate, the Medical Board
should specifically record their opinion as to his fitness or otherwise for field
service.

The report of the medical board should be treated as confidential.

In cases where a candidate is declared unfit for appointment in the

Government service the grounds for rejection may be communicated to the
candidate in broad terms without giving minute details regarding the defects
pointed out by the Medical Board.

In cases where a Medical Board considers that a minor disability

disqualifying a candidate for Government service can be cured by treatment
(medical or surgical) a statement to that effect should be recorded by medical
board. There is no objection to candidate being informed of the Board's opinion to
this effect by the appointing authority and when a cure has been effected it will be
open to the authority concerned to ask for another medical board.

In the case of candidates who are to be declared ‘Temporarily Unfit’ the

period specified for re-examination should not ordinarily exceed six months at the
maximum. On re-examination after the specified period these candidates should
not be declared temporarily unfit for a further period but a final decision in regard
to their fitness for appointment or otherwise should be given.

NOTE: All the investigations will be charged by the respective hospital as

per existing policy for general public.

152
 (A) Candidate’s statement and declaration:

The candidate must make the statement required below prior to this
Medical Examination and must sign the Declaration appended thereto. His
attention is specially directed to the warning contained in the note below:-

State your name in full (in block letter)..........................

(a) State your age and birth place...........................

Do you belong to races such a Gorkhas. Garhwali’s, Assamese,

Nagaland Tribes etc whose average height is distinctly lower. Answer
‘Yes’ or ‘No’, and if the answer is ‘Yes’ state the name of the race?

Have you ever undergone any Refractive/Ocular surgery? Yes/No

If answer to the above is ‘’yes’’ what type of surgery and when?

Have you ever had any prolonged illness or accident requiring hospitalization?

When you were last vaccinated?

Have you ever suffered from Hypertension, diabetes Mellitus, Tuberculosis, HIV,
any form of convulsions/seizures (fits) or prolonged breathlessness?

Furnish the following particulars concerning your family:-

Father age if Father age at No of brothers No. of brothers

living and state death and living and their dead their age
of health cause of death age and state of and causes of
health death
1 2 3 4
1.
2.
3.
Mother’s age Mother’s age at No of Sisters No. of Sisters
if living and death and cause living and their dead their age
state of health of death age and state of and causes of
health death
1 2 3 4
1.
2.
3.

Have you been examined by a Medical Board before?

If answer the above is ‘’Yes’’ Please state what service/services you were
examined for?
Who was the examining authority?

153
When and where was the Medical Board held?

Result of the Medical Board’s examination if communicated to you or if known

All the above answers are to the best of my knowledge and belief, true and
correct and I shall be liable for action under law for any material infirmity in the
information furnished y suppression of relevant material information. The
furnishing of false information or unfit for employment under the government. If
the fact that false information has been furnished or that there has been
suppression of any factual information comes to notice at any time during my
service, my services would be liable to the terminated.

Candidate’s signature

Signed in my presence

Signature of Chairman of the Board

Note: - The candidate will be held responsible for the accuracy of the
above statement. By will fully suppressing any information he/she will
incur the risk of losing the appointment and, if appointed, of forfeiting all
claim to superannuation allowance or gratuity.

(B)Report of the Medical Board on (Name of Candidate).........................

Physical Examination:

1. General development Good............ Fair.........Poor..............

Nutrition: Thin ..............Average............ Obese...................

Height: (Without Shoes)
Weight................ Best Weight...................... When................ any recent
changes in weight..........................
BMI :.............................. ( BMI>30Temporaily unfit)

Temperature.......................
Girth of chest: (1) After full inspiration.......................
(2) After full Expiration.......................

2. Skin: Any obvious disease

3. Eyes:
Any disease
Night blindness
Defect in colour vision
Field of vision
Visual acuity
Fundus examination

154
(7) Any refractive surgery done and when ..................................

Acuity of vision Naked eye With glasses Strength of glass

Sph. Cyl.
Axix
1 2 3 4
Distant vision RE
LE
Near vision RE
LE
Hypermetropia RE
(Manifest) LE
4. Ears- Inspection.............
Hearing:
Right Ear..............
Left Ear..............
5. Glands ........................ Thyroid.............................

Condition of teeth..................................

Respiratory system: Does physical examination reveal anything

abnormal in the respiratory organs.............................

If yes explain fully........................

Circulatory system:
(a)Heart : any Organic Lesions...........................
Heart Rates:
Standing..........................
After hopping 25 times..............................
2 Minutes after hopping.....................................
(b)Blood Pressure:
Systolic................................Diastolic.........................................

9. Abdomen:
Girth...........................Tenderness.........................................
Hernia.......................................................
(a) Palpable : liver..................................Spleen..........................................
Kidneys.................................Mass.........................................
Hemorrhoids..........................Fistula...........................................
Nervous System: Indication of nervous or mental
disabilities................................

Loco motor System: Any abnormality...............................................

Genitourinary System:
Any evidence of Hydrocele, Varicocele etc (for males)..............................

155
 Date of LMP (for females).......................................
Pelvic Examination (for married females)...................................................

Is there anything in the health of the candidate likely to render him unfit for
the efficient discharge of his duties in the service for which he is a
candidate?
Note- All candidate with pregnancy will be ‘Fit’ for all types of services
except the services which require physical training. Those requiring
physical training will be decaled ‘Fit’ after confinement.
14.(i)State the service for which the candidate has been examined:-

Indian Administration Service & Indian Foreign Services.

IPS & Delhi- Himachal Pradesh Police Service

Central Services, Class I & II.

Indian Forest Services

Has he/ she been found qualified in all respects for efficient and continuous
discharge of his/her duties in
-
Indian Administrative Service& Indian Foreign Service
.
IPS & Delhi- Himachal Pradesh Police Service

………………………………………………………………………….

(see specially height, chest, eye-sight,colour blindness and locomotor

system)
(c)Transportation, Traffic & Commercial Departments Of the Indian
Railways...................
(see specially height, chest, eye-sight,colour blindness)

(d)Other Central Services. Class I/II

(e) Indian Forest Service.

Is the candidate fit for FIELD SERVICES

156
 Investigations:

Blood Sugar- Fasting.......................

Hb count .............................
Chest X-Ray Examination.
Urine Analysis:
(a) Physical appearance.......................
(b)Sp.Gr...........................................
(c)Albumin........................................
(d)Sugar...........................................
(e)Casts...............................................
(f)Cells......................................................
(g)Pregnancy test(for married females).............................................

Note: The Board should record their finding under one of the following three
categories:-
(i)Fit...........................................................................................
(ii)Unfit on account of..................................................................
(iii)Temporarily unfit on account of...................................................
(iv)Fit only for specified vacancy reserved for physically
impaired.................................

Signature Chairman
Member
Member
Place, Date
Seal of the Medical Board

157
 ANNEXURE II
Standards of Visual Acuity for Employment in non-gazetted posts
Class of service Distant Vision Near Vision
Better Worse Better Worse
Eye Eye Eye Eye
*All non-gazetted posts 6/6 Nil N6 N8
other than Class IV posts Or
and also excluding the 6/12 6/12
Operations, Fire Foreman Or
and Fire Operations in the 6/9 6/18
Civil Aviation Department.
Class IV 6/9 Nil N6 N8
Or
6/18 6/18
Or
6/12 6/24

When the age of the time of first appointment is 35 years or more the correct
visual acuity will be reduced by one step as under:

*All non-gazetted posts 6/9 Nil

other than Class IV posts Or
and also excluding the 6/18 6/18
Operations, Fire Foreman Or
and Fire Operations in the 6/12 6/24
Civil Aviation Department.
Class IV 6/12 Nil
Or
6/24 6/24
Or
6/18 6/36
*The posts which involve security and safety issues like Drivers, Security
Guards etc. Should have following criteria:

Aerodrome Operators Grade I, Aerodrome

Operators Grade II , Fire Foreman, Fire
Operators
Better eye Worse eye
(Best corrected vision) (Best corrected vision)
1 Distant vision 6/6 or 6/9 6/12 or 6/9
2 Near vision N6 N8
3 Types of corrections Spectacles, CL and Refractive Surgery like Lasik ,
permitted ICL,IOL etc.
4 Limit of refractive No limit.. However the candidate who has myopia of
more than 6.00 D including spherical& cylindrical error
should be referred to special myopia board. The board
will examine the candidate for degenerative changes
in retina (indirect ophthalmoscopy as well as direct

158
 ophthalmoscopy) and if the macular area is healthy
then the candidate should be declared fit. If the
candidate is having only peripheral degenerative
change which can be treated then the candidate
should be declared temporarily unfit till the candidate
gets treated. However if degenerative change are only
in periphery and require no treatment then the
candidate should be declared fit.
The candidate who have myopia up.6.00 D without
any involvement of macular area if retina are fir those
who have macular degenerative changes will be
declared unfit.
5 Color vision High Grade
requirements
6 Binocular vision Yes
needed
7 Squint Unfit (due to absence of binocular vision)

(a)
No limit for the amount of refractive error in respect of non-gazetted
services is prescribed provided their visual acuity is in accordance with
the standards mentioned above.
In respect of non-gazetted services under the Ministry of Railways the
existing practice of testing colour vision followed by that Ministry is to be
continued. In respect of other non-gazetted services as test for colour
perceptions to be carried out only when specifically asked by the
department concerned.
In respect of Aerodrome Operators and Fire Foremen. Fire Operators in the
Civil Aviation Department the visual standard as indicated in Appendix
III would apply.
The presence of squint is not to be considered as a disqualification if the
visual acuity is of the prescribed standards except for the posts which
involve security and safety issues like Drivers, Security Guards etc.
The loss of one eye is not a disqualification for non-gazetted services
provided the prognosis about the functioning eye is good and its vision
is not likely to be endangered by the condition of the worse eye and the
visual acuity standards mentioned above are fully satisfied, except for
the posts which involve security and safety issues like Drivers, Security
Guards etc.
The above standards for not apply in the case of candidates for the posts of
inspector. Sub-Inspector and Sepoy in the Central Excise Department.
If the duties of non-gazetted posts other than Class IV include field worked and
such posts as those of Air Survey Draftsmen and Photogrammetric Operators
who are required to have binocular vision the standards of visual acuity will be
the same as are prescribed for Class I and Class II Technical posts (of
appendix) Squint, even if the visual acuity is of prescribed standard is to be
considered as disqualification. One-eyed persons are also not to be accepted
for such posts.
(Note:-Government may relax any one of the conditions in favour of any
candidate for special reason)

159