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  1. Date : ___________. Signature of thumbs impression of the candidate. Note : The Medical Officer shall affix his signature over the photograph in such a manner that part of the signature is upon the photograph affixed and part on the certificate. * This certificate is not required if the application is for licence to drive private (non-transport ...

  2. C.M.V Form 1: Medical Certificate: English: Department: 88.7 KB. C.M.V Form 1 A: Application for the Grant of Learner's License or. Driving License or Addition of new class of vehicle or. Renewal of Driving license or Change of Address or Change of Name. English: Department: 351 KB. C.M.V Form 2: Learner's Licence. English: Department: 92.85 KB ...

  3. fit/not fit to hold a driving licence. * The applicant is not medically fit to hold a licence for the following reasons : _____ * Strike out which is inapplicable Signature 1. Name and designation of the Medical Officer/Practitioner (Seal) 2. Registration Number of Medical Officer Date : _____ Signature of thumbs impression of the candidate

  4. (b) Are you abl e to disti ng uish with each eye (or if you ha ve held a driving licenc e to drive a moto r vehicl e for a period of not le ss than fi ve ye ars and if you ha ve lost the sight of o ne eye after the sai d period of fi ve ye ars and if the applica tion is for driving a light motor vehicle other than a t ransp or t

  5. 1: Driving License: Form 1A ( 14.00 KB ) Medical Certificate : 2: Driving License: Form 2 ( 23.61 KB ) Form of Application for Learner’s License /Driving License / Addition of a New Class of Vehicle/Renewal of Driving License/Change of Address Or Name 3: Driving License: Form 3

  6. FORM lA [See rules 5(1), (3), 7, 10(a), 14(d) and 18(d)] MEDICAL CERTIFICATE [ To be filled in by a registered medical practitioner appointed for the purpose by. the State Government or person authorized in this behalf by the State Government referred to under sub-section (3) of section 8.] 1.

  7. (b) Are you abl e to disti ng uish with each eye (or if you ha ve held a driving licenc e to drive a moto r vehicl e for a period of not le ss than fi ve ye ars and if you ha ve lost the sight of o ne eye after the sai d period of fi ve ye ars and if the applica tion is for driving a light motor vehicle other than a t ransp or t