Medical Certificate Form - Summary
Medical Certificate Form (Form 1-A) is the official medical fitness certificate issued under the Motor Vehicles Rules for applying or renewing a driving licence in India. Registered medical practitioners use this form to verify an applicant’s vision, hearing, and physical fitness before transport authorities grant a licence.
This PDF contains a 1-page form in English issued by transport departments. It includes sections for personal identification marks, vision and hearing tests, physical deformity checks, optional blood group records, and the final fitness declaration signed by a medical officer. Applicants can also refer to the Form 1A Medical Certificate for standard licensing requirements.
Sections included in Form 1-A medical certificate
The form covers the medical examination points required by the licensing authority:
- Applicant details and two visible identification marks
- Vision test results for distant vision, colour blindness, and night blindness
- Hearing capability and limb movement checks
- Applicant blood group and Rh factor
- Medical practitioner signature, registration number, and clinic seal
How to fill and submit the medical certificate form
STEP 1 – Print the form on A4 paper and paste a recent passport-size photograph in the space provided.
STEP 2 – Fill your full name, identification marks, and blood group in capital letters.
STEP 3 – Visit a registered government medical officer or MBBS doctor for the physical and eye checkup.
STEP 4 – Get the medical officer’s signature, official stamp, and medical council registration number across your photograph and declaration section.
STEP 5 – Upload the signed certificate on the official portal at parivahan.gov.in or submit it at your local RTO counter with your driving licence application.