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Sample Filled Form 1A: Reference Walkthrough

  • If you've never seen a completed Form 1A before, it can be hard to know whether the version your doctor handed back is correctly filled. This page walks through what each section should look like in a properly-completed Form 1A so you can verify before submitting it to the RTO.

  • We deliberately do not publish a copy of someone else's filled Form 1A, that would risk identity exposure. Instead, this is a section-by-section description of what should be present.

Open Form 1A Hub

Quick facts

  • Section 1 (applicant): full name, parent's name, address, age, occupation, ID number. All in your handwriting (or printed if from an online platform).
  • Section 2 (self-declaration): a series of yes/no statements about driving-relevant conditions, signed by you.
  • Section 3 (medical examination): height, weight, vision (with values like 6/6 or 6/9), hearing, BP, urine examination, and the doctor's general examination notes.
  • Section 4 (certification): a clear 'fit to drive' statement, the doctor's full name, qualification (MBBS / MD), signature, registration number, clinic stamp, and date.
  • Photographs: two passport-size photos pasted in the designated boxes, one for the applicant copy, one for the RTO copy.

Get a correctly-filled Form 1A

Open the Form 1A hub for verified doctor options that issue clean, RTO-ready certificates.

Open Form 1A Hub

Prefer clarity before you pay?

Read the steps + FAQs below. Written for patients, not policy documents.

Types we support

Choose the closest match so the certificate format and wording fit your use case.

If a section is left blank or partially filled, the RTO can reject the upload at verification, so the most important check is completeness.

Clear guidance and an application flow designed for real-world acceptance.

A common error is an unsigned or unstamped Section 4. The doctor must sign with their full name and add their clinic / hospital stamp showing their registration number.

Clear guidance and an application flow designed for real-world acceptance.

Names must match exactly across Form 1A and the Sarathi application. Even minor spelling differences (Anil vs Aneel) can cause RTO rejection.

Clear guidance and an application flow designed for real-world acceptance.

How it works

A simple flow that feels like a modern healthcare app, not a confusing form.

1

When you receive your filled Form 1A, scan it visually before leaving the doctor's office.

Pick the right option so the certificate matches what your HR/college expects.

2

Confirm: your name spelling, your address, the date, the doctor's signature, the doctor's printed name, the registration number, and the stamp.

Follow the next step and submit complete details to avoid delays.

3

Confirm Section 3 has actual values for vision (e.g., '6/6' or '6/9'), BP (e.g., '120/80'), and the doctor's fitness statement in Section 4.

Follow the next step and submit complete details to avoid delays.

4

If anything is missing or unclear, ask for it to be completed before you accept the form.

Follow the next step and submit complete details to avoid delays.

Trust, legitimacy & privacy

Clear answers to the questions people have before paying.

Verify before you leave

Catching a missing field at the doctor's office takes 30 seconds. Catching it at RTO upload takes a fresh examination.

Privacy matters

Don't share your filled Form 1A on social media or messaging apps, it contains your full address, ID, and medical findings.

Digital and paper Form 1A look the same

An online-issued PDF should have all the same sections filled. The signature is digital but the rest is identical to a paper original.

Frequently Asked Questions

Written in plain language to reduce doubts.

Can I find a sample filled Form 1A online?
Be cautious. Any 'sample filled Form 1A' you find online either has someone's real personal data (which they shouldn't have published) or is a generic template. Use this walkthrough to verify your own form rather than copying from a sample.
What's the most common error in a filled Form 1A?
Missing doctor's signature, missing stamp, missing registration number, or a name mismatch with the Sarathi application. These are also the top reasons for RTO rejection at upload.
Should the doctor write their MCI number or state council number?
Either is acceptable, but it must be a valid registration number from a recognised state medical council or the National Medical Commission (formerly MCI). The number should be legible.
Is a hand-stamped clinic seal required, or is a printed letterhead enough?
Most RTOs expect both: a clinic stamp/seal and the doctor's signature. A printed letterhead alone is usually not sufficient as it does not carry the doctor's certification weight.
What if my Form 1A has a correction with whitener or strikethrough?
Strikethrough corrections initialled by the doctor are usually accepted. Whitener is risky. It can be interpreted as tampering. If a section needs significant correction, ask for a fresh Form 1A.

Explore PingMeDoc

Discover related services and resources.

Form 1A guidance hubHow to fill Form 1A (step by step)Documents required for Form 1ADownload official Form 1A PDF

Get a correctly-filled Form 1A

Open the Form 1A hub for verified doctor options that issue clean, RTO-ready certificates.

Open Form 1A Hub