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picture1_Pdf Certificate Online 225799 | Form1a


 101x       Filetype PDF       File size 0.06 MB       Source: megtransport.gov.in


File: Pdf Certificate Online 225799 | Form1a
  FORM – IA     Medical Certificate         (To be filled in by a registered medical practitioner appointed for the purpose by the State  Government  ...

icon picture PDF Filetype PDF | Posted on 28 Feb 2023 | 2 years ago
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...Form ia medical certificate to be filled in by a registered practitioner appointed for the purpose state government or person authorised this behalf referred under sub section of name applicant son wife daughter permanent address temporary date birth identification marks is best your judgement subject epilepsy vertigo any mental ailment likely effect his driving efficiency yes no b does suffer from heart lung disorder which might interfere with performance duties as driver c there defect vision if so has it been corrected suitable spectacle d can readily distinguish pigmentary colours red and green e degree deafness prevent hearing ordinary sound signal f night blindness g deformity loss member would efficient give reasons details h he show evidence being addicted excessive use alcohol tobacco drug i attacks consciousness cause j able each eye at distance metres good daylight motor plate k suffering movement control muscular power either arm limb l what height do you consider that will...
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