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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 vehicle fitted with an outside mi rror on the steering wh ee l side) or with one eye, at a distance of 25
persons applying for a licence to drive goods carriage carrying goods of dangerous or hazardous nature to human life). And, therefore, I certify that, to the best of my judgment, he is medically fit/not fit to hold a driving licence. The applicant is not medically fit to hold a licence for the following reasons:- Signature: 1.
Medical Certificate. Form 1A. Application for the Grant of Learner's License. Form 2. Application for Licence to Drive. Form 4. Application for the addition of new class of vehicles to a Driving Licence. Form 8. Application for the Renewal of Driving Licence.
Form 1 Self-Declaration. A key document required when applying for a driver's license is Form 1 Self Declaration. This form acts as a declaration of physical fitness and assesses whether the applicant is physically capable of driving a motor vehicle. Get free, quick, and accurate credit score now!
Note :(1) Applicant who answers `Yes' to any of the questions (a), (c), (e), (f) and (g) or `No' to either of the questions (b) and (d) should amplify his answers with full particulars, and may be required to give further information relating thereto. (2) This declaration is to be submitted invariably certificate in Form 1-A. Title. FORM 1.PDF.
Form 1: Use when applying for Driving Licence & Learner Licence. The form states the physical fitness of the applicant. Learn how to fill & download online.
FORM 1-A MEDICAL CERTIFICATE. [See Rule 5 (1), (3), 7, 10 (a) 14 (d) and 18 (d)] (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) 1. Name of applicant :
