रे लवे भर्ती बोर्ड

RAILWAY RECRUITMENT BOARD

भारर्त सरकार, रे ल मंत्रालय
Government of India, Ministry of Railways
18, Millers road, BENGALURU
_________________________________________________________________________________
CEN 01/2019

Intimation about the Medical Unfitness of the Candidates of LEVEL-2

1. The candidate who is Fit in Lower Medical Standards in prescribed medical categories in Level-2 is
given below.
2. The candidate has the option to prefer an appeal to the Principal Chief Medical Director (PCMD),
South Western Railway, Hubli.
3. Candidate desirous to appeal against the decision of the Railway Medical Authority may submit the
same, with relevant documents mentioned below, to the Chairman, Railway Recruitment Board,
Bengaluru before 18.00 hours of 13/05/2024 by Registered post/Speed Post only.

LEVEL-2
CANDIDATE UNFIT IN A3, B1 & B2, FIT IN C1 AND BELOW
141195250127387

Procedure for Appeal

The appeal will be entertained only if:-

1. The candidate produces a certificate in the attached prescribed format (Proforma A) from a
Government/Private Doctor of the specialty/specialties in which the candidate has been found unfit.
2. Such certificate should contain a note that the Government / private specialist is fully aware of the
physical and visual standards set by the Railways for the particular medical category, and that he is
aware of the fact that the candidate has already been declared unfit according to these standards
during medical examination conducted by an appropriate medical board.
3. The certificate should bear the photograph and mark of identification of the candidates duly attested
by such a Government /private medical issuing authority duly mentioning its MCI/State registration
number.
4. Candidate will be required to pay Rs.1000/- (Rupees One thousand only) through Demand Draft
payable in favor of Chairman / RRB/ Bengaluru.
5. Where PCMD is of the opinion that there should be re-examination of the case of appeal, he may
nominate a medical board to re-examine the candidate. The decision of PCMD, South Western Railway
on the appeal preferred by the candidates will be communicated to them through RRB/Bengaluru.
6. In case, the decision changes from unfit to fit, the amount of R.1000/- submitted through DD will be
returned to the candidate. In all other cases, the DD amount will be forfeited and the candidates will
not have any claim on the same.
7. After this appeal no further chance will be given for medical examination.

NOTE: 1) Appeal against the medical unfit should be sent in his / her own handwriting with signature. 2) The
proforma ‘A’ should contain detail diagnose particulars (both with glasses and without glasses for visual
standards). 3) The appeal will be entertained only with the appeal letter as given at Proforma B, Original
Medical Certificate as given at Proforma A & DD for Rs.1000/-

Date: 12/04/2024 Chairman

Railway Recruitment Board, Bengaluru
 MEDICAL CERTIFICATE Proforma ‘A’

(This should be sent to Chairman, Railway Recruitment Board, No: 18, Millers Road, Bangalore-46 through
Registered post/Speed Post only)
Proforma for Medical Certificate to be obtained from specialist by candidate for appeal to PCMD/SWR against
the decision of the Medical Committee.
(Authority: Railway Board’s letter no: 2014/H/5/8 (Policy) dated 07/07/2017)
__________________________________________________________________________________________

I have checked up Shri ………………………………………………………………………………………………………………….

S/O or D/O …………………………………………………………………………………………………………………………………..

Address ……………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

……………………………………………………………………who bears following marks of identification

(i) ………………………………………………………………………………………………………………………….

(ii) ………………………………………………………………………………………………………………………….

Who has applied for the post of …………………………………………………………………………………………………. in Railways. The candidate is having
following medical standard required for appointment in the Railways.

At present, his / her physical / visual medical examination findings are as follows;

(The medical examination findings by the concerned specialist should be relevant to the medical conditions for which the candidate was
declared unfit viz. physical/visual/both conditions.

Post Class Standard required by Railway for the above post Examination finding of the Remarks
candidate

(i)……………………………………………………………………..

(ii)…………………………………………………………………….

(iii)……………………………………………………………………

I …………………………………………………………………………………………….Specialist is fully aware of Physical & Visual Standards set by the Railways
for the particular medical category and that I am aware of the fact that the candidate has already been declared unfit according to these
standards during medical examination conducted by appropriate Medical Board comprising the three Senior Railway Doctors appointed
by Government in this regard.

Signature of Doctor / Specialist……………………………………………………………

Name of Doctor / Specialist…………………………………………………………………

MCI Registration No……………………………………………………………………………

Designation…………………………………………………………………………………………

Mobile No…………………………………………………………………………………………..

Email ID……………………………………………………………………………………………….

Address……………………………………………………………………………………………….

(This should be sent to Chairman, Railway Recruitment Board, No: 18, Millers Road, Bangalore-46 through
Registered post/Speed Post only)
 Proforma-B

Date……………………….
From
Name………………………………………………………

Roll no…………………………………………………….

Mobile No……………………………………………….

Email ID………………………………………………….

To
The Principal Chief Medical Director
South Western Railway
Hubli – 580 020.

(Through Chairman, RRB, Bengalure)

Subject: Appeal for Re-Medical Examinaiton

1. My name is ………………………………………………… and my Roll No. is ………………………………………………………

M
2. I attended the Document Verification on ………………………………………. For the post of
…………………………………………………………… CEN No. 01/2019.

3. I attended the Medical Examination at ………………………………………………………………(hospital) on

……………………………….. for ……………………………………..Medical Standard.

4. The hospital authorities have declared me unfit in ………………………………….medical standard. Hence, I

wish to go for an appeal and I am enclosing herewith the certificate from the specialist in Proforma-
A along with the Demand Draft No…………………………. Date………………………………………. Issued by
………………………………………………………………………….(Bank Name) for Rs.1000/- (Rupees One thousand
only) in favor of Chairman, RRB, Bengaluru.

Kindly consider my appeal and do the needful.

Thank you
Enclosure: 1. Proforma-A
2. DD No……………………………………………dated……………………………

Yours faithfully

(Signature of candidate)