I have, this day, medically examined shri ……………………………………………………………………….. …………. ………………………………………………………………………….. (Name & Address) and found that he has no disease or infirmity which would render him unsuitable for Government Service. His age according to his own statement, is ………………….. and by appearance, is …………………………… years. His standards of vision (without glasses) are as follows.

Details regarding standards of vision should be clearly stated in the certificate, as given above and vague statements such as vision ‘Normal’ ‘average’ etc. will not be accepted. Specification of each eye should be stated separately against each item If the Specifications are not as indicated above, the officer issuing the certificate should notify whether the candidate has got better standards of vision or worse standards of vision, as the case may be, otherwise the certificate will not be accepted.  Must be certified to possess the visual standards specified above without glasses. Candidates should produce a Medical Certificate issued by a medical officer not below the rank of Civil Surgeon Grade II as to the candidates physique, fitness and capacity for rough outdoor work and also of the visual standards at the time of physical efficiency test.

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