[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-296815-105":59,"doc-detail-296815-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","form-1a-medical-certificate-for-driving-licence","FORM 1A - Medical Certificate for Driving Licence","","Medical Certificate Form 1A for assessing an applicant’s physical fitness for driving. Includes fields for applicant identity, passport-size photograph, and designation of applicant relationship and personal details. Contains practitioner judgment questions covering vision (including correction and distance recognition), hearing ability, night blindness, and physical defects affecting driving performance, plus optional details like blood group and RH factor. The registered medical practitioner certifies examination results, colour vision using Ishihara chart, and provides reasons for being medically fit or not fit, with signature, seal, registration number, and date, plus certificate attachment notes.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/form-1a-medical-certificate-for-driving-licence/296815/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/form-1a-medical-certificate-for-driving-licence/296815.png","ImageObject",300,407,{"name":92,"@type":93},"Melati","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-18",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What medical checks does Form 1A require the practitioner to confirm?","Question",{"text":113,"@type":114},"It requires attention to distant vision, hearing ability, the condition of arms, legs, hands, joints, and also reaction time, side vision, and glare recovery where applicable.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which eyesight and colour vision tests are referenced in the form?",{"text":118,"@type":114},"It asks whether the applicant can distinguish a motor car number plate at 25 metres in good daylight, and it states colour vision is tested using a standard Ishihara chart.",{"name":120,"@type":111,"acceptedAnswer":121},"What information is included with the final medical fitness certification?",{"text":122,"@type":114},"The practitioner records personal examination details, provides a medical fit/not fit statement and reasons if not fit, and includes signature, name/designation with seal, registration number, and the date.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},296815,1789737374,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":24},962085570644,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","FORM 1A  \n[Refer Rules 5(1),(3), 7, 10(a), 14(d) and 18(d)]  \nSpace for Passport size  \nPhotograph  \nMEDICAL CERTIFICATE  \n(To be filled in by a registered medical practitioner appointed for the purpose by the State Government or person authorised in this behalf by the State Government referred to under sub-section (3) of section 8)  \n1.  \n1A  \n1B.  \n1C.  \n2.  \n3.  \nName of the applicant Son/wife/daughter of Permanent Address Date ofBirth] Identification marks  \n(a) Does the applicant, to the best of your judgment, suffer from any defect of vision? If so, has it been corrected by suitable spectacles?  \n(c) In your opinion, is he able to distinguish with his eyesight at a distance of 25 metres in good day light a motor car number plate?  \n(d) In your opinion, does the applicant suffer from a degree of deafness which would prevent his hearing the ordinary sound signals?  \n(e) In your opinion, does the applicant suffer from night blindness?  \n(f) Has the applicant any defect or deformity or loss of member which would interfere with the efficient performance of his duties as a driver? If so, give your reasons in details.  \n(g) Optional  \n(a) Blood group of the applicant (if the applicant so desires that the information maybe noted in his  \ndriving licence)  \n(b) RH factor of the applicant (if the applicant so desires that the information may be noted in his driving licence)  \n(1)    \n(2)    \nYes/No  \nYes/No  \nYes/No  \nYes/No  \nYes/No  \nDeclaration made by the applicant in Form I as to his physical fitness is attached.] Certificate of Medical Fitness  \nI certify that :—  \n(i) I have personally examined the applicant Shri/Smt./Kum. .........................;  \n(ii) that while examining the applicant I have directed special attention to his/her distant vision;  \n(iii) while examining the applicant, I have directed special attention to his/her hearing ability the condition of the arms, legs, hands and joints of both extremities of the applicant; and  \n(iv) I have personally examined the applicant for reaction time, side vision and glare recovery,(applicable in case of persons applying for a licence to drive goods carriage carrying goods of dangerous or hazardous nature to human life) .  \n(v) Applicant’scolour vision has been tested using standard ishihara chart and the applicant has not been found suffering from severe or total colour blindness.  \nAnd, therefore, I certify that, to the best of my judgement, he is medically fit/not fit to hold a driving licence to drive a vehicle other than an adapted vehicle.  \nThe applicant is not medically fit to hold a licence for the following reasons :—  \nSignature :  \n1. Name and designation of the medical  \nofficer/practitioner (Seal)  \n2. Registration number of medical officer  \nDate:................. Signature or thumb impression of the candidate  \nNotes 1 : The medical officer shall affix his signature over the photograph affixed in such a manner that part of his signature is upon the photograph and part on the certificate.  \n2. Dumb persons without deafness may be granted a valid certificate of driving licence for non-transport vehicle.","cbCaiaW9Ob3XduwY","https://ap.wps.com/l/cbCaiaW9Ob3XduwY","pdf",14337,"English","# MEDICAL CERTIFICATE\n## Applicant details and photograph\n## Practitioner assessment questions\n## Declaration and medical fitness certification\n## Signature, seal, and notes","[{\"question\":\"What medical checks does Form 1A require the practitioner to confirm?\",\"answer\":\"It requires attention to distant vision, hearing ability, the condition of arms, legs, hands, joints, and also reaction time, side vision, and glare recovery where applicable.\"},{\"question\":\"Which eyesight and colour vision tests are referenced in the form?\",\"answer\":\"It asks whether the applicant can distinguish a motor car number plate at 25 metres in good daylight, and it states colour vision is tested using a standard Ishihara chart.\"},{\"question\":\"What information is included with the final medical fitness certification?\",\"answer\":\"The practitioner records personal examination details, provides a medical fit/not fit statement and reasons if not fit, and includes signature, name/designation with seal, registration number, and the date.\"}]","FORM 1A - Medical Certificate for Driving Licence | PDF"]