Form 1-A: Medical certificate
Central Motor Vehicles Rules, 1989
Applicant: S. RAVI, age 46
| (a) Any defect of vision? If so, corrected by spectacles? | Yes, corrected |
|---|---|
| (b) Can read a car number plate at 25 metres in good daylight? | Yes |
| (c) Deafness that would stop them hearing ordinary sound signals? | No |
| (d) Night blindness? | No |
| (e) Defect, deformity or loss of a limb that would affect driving? | No |
To the best of my judgment, he is medically fit to hold a driving licence.
Dr. A. Specimen, MBBS
Registered medical practitioner
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