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Form 1A medical certificate for a driving licence. The current form, ready to fill and print.
Form 1A medical certificate for a driving licence, as amended in 2020 and 2021: vision, hearing, colour vision, fit or not fit. A4, nothing pre-ticked.
Applicant
3. Your findings
Nothing is pre-selected. Item (b) on red and green was omitted from the form in 2020; colour vision is now certified in entry (v) below.
Certificate of medical fitness
Clinic
Logo
Clinic logo only; a photograph of yourself on a letterhead is barred by clause 6.1.2. PNG or JPG, stays in this browser.
Doctor
Layout
Add the doctor's name and registration number to print.
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Clinic name
FORM 1A
[Refer 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 authorised in this behalf by the State Government referred to under sub-section (3) of section 8)
- 1.Name of the applicant
- 1A.Son/wife/daughter of
- 1B.Permanent Address
- 1C.Date of Birth
- 2.Identification marks(1) (2)
- 3.
(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?
Yes/No
(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?
Yes/No
(d) In your opinion, does the applicant suffer from a degree of deafness which would prevent his hearing the ordinary sound signals?
Yes/No
(e) In your opinion, does the applicant suffer from night blindness?
Yes/No
(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.
Yes/No
Reasons:
(g) Optional
(a) Blood group of the applicant (if the applicant so desires that the information may be noted in his driving licence)
(b) RH factor of the applicant (if the applicant so desires that the information may be noted in his driving licence)
Certificate of Medical Fitness
I certify that :—
(i) I have personally examined the applicant Shri/Smt./Kum. ;
(ii) that while examining the applicant I have directed special attention to his/her distant vision;
(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
(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).
(v) Applicant’s colour vision has been tested using standard ishihara chart and the applicant has not been found suffering from severe or total colour blindness.
And, therefore, I certify that, to the best of my judgment, he is medically fit/not fit to hold a driving licence to drive a vehicle other than an adapted vehicle.
The applicant is not medically fit to hold a licence for the following reasons :—
Date :
Signature :
1. Name and designation of the medical officer/practitioner
(Seal)
2. Registration number of medical officer
Notes 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.
2. Dumb persons without deafness may be granted a valid certificate of driving licence for non-transport vehicle.
Form 1A, Central Motor Vehicles Rules, 1989, as amended by G.S.R. 401(E) of 24 June 2020 and G.S.R. 240(E) of 31 March 2021. Rule 5(4): a Form 1A certificate shall only be issued electronically on the Portal.
Preview at reduced size. Prints at full A4.
What the Central Motor Vehicles Rules say about Form 1A
Form 1A is the medical certificate under the Central Motor Vehicles Rules, 1989. Two amendments changed it: G.S.R. 401(E) in June 2020 and G.S.R. 240(E) from 1 April 2021.
- CMV Rules 1989, rule 5(1) and proviso, as amended by G.S.R. 240(E)
Transport vehicles, and renewals at forty
An application for a licence to drive a transport vehicle must include a medical certificate in Form 1A. The 2021 proviso adds: every renewal of a licence for a vehicle other than a transport vehicle "shall be accompanied by a medical certificate in Form 1A ... in case the applicant has attained the age of forty years."
- CMV Rules 1989, rule 5(1); G.S.R. 240(E), items 3, 48 to 50
Everyone else signs a self-declaration
Other applicants include "a self-declaration as to the physical fitness as appended to Form 2". Form 1, the old separate declaration, was omitted from 1 April 2021, and the line in Form 1A saying the Form 1 declaration is attached was deleted with it.
- CMV Rules 1989, rule 5(3) and 5(4), from 1 April 2021
Issued on the Portal, valid six months
"Every medical certificate issued by a registered medical practitioner referred to in sub-section (3) of section 8 of the Act in Form 1A, shall only be issued electronically on the Portal." Its validity was cut from one year to six months, with the applicant's photograph submitted on the Portal.
- G.S.R. 401(E), 24 June 2020
Colour vision by Ishihara chart
Item 3(b) on red and green was omitted in 2020, and entry (v) was added to the certificate: the applicant's colour vision "has been tested using standard ishihara chart and the applicant has not been found suffering from severe or total colour blindness."
- CMV Rules 1989, Form 1A, heading
Who may sign
The form is "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". Check whether your state has appointed or authorised you before you issue one.
- CMV Rules 1989, rule 7 and Form 1A note 1; 2002 Regulations, Appendix 4(q)
Sign across the photograph
The practitioner shall affix signature and seal to the applicant's photograph so that they "appear partly on the photograph and partly on the form of the medical certificate". Appendix 4 of the 2002 ethics regulations lists certificates for procuring a driving licence among those clause 7.7 covers.
Before you sign a Form 1A
The form as it stands after the 2020 and 2021 amendments, in the order it prints.
Check that your state has appointed or authorised you to issue Form 1A
Paste the applicant's passport size photograph in the box
Fill items 1 to 1C: name, son/wife/daughter of, permanent address, date of birth
Record two identification marks in item 2
Answer every question in item 3 yourself after examining the applicant; give reasons if (f) is yes
Note blood group and RH factor only if the applicant asks for them on the licence
Test colour vision with an Ishihara chart before certifying entry (v)
Mark fit or not fit, and write the reasons if not fit
Sign, add your name, designation, seal and registration number, and date it
Take the applicant's signature or thumb impression
Sign across the photograph so part of the signature is on the form
Issue it electronically on the Portal, as rule 5(4) requires
Every visit on record
In Vitels each patient's visits and prescriptions are kept in one record, with your registration number on every print, so the day you examined an applicant is on file. Vitels does not issue Form 1A; the Portal does.
Straight answers
Who needs a Form 1A medical certificate for a driving licence?
Under rule 5(1) of the Central Motor Vehicles Rules, 1989, as amended from 1 April 2021: anyone applying for a licence to drive a transport vehicle, and anyone aged forty or more renewing a licence for a vehicle other than a transport vehicle. Rules 10, 14, 17 and 18 repeat it for learner's licences, driving licences, additions and renewals involving transport vehicles.
What happened to Form 1?
G.S.R. 240(E) of 31 March 2021 omitted Form 1 from the rules from 1 April 2021. The self-declaration of physical fitness now sits in Form 2, the licence application, under the heading "Self-Declaration as to Physical Fitness". Applicants who do not need Form 1A answer those questions themselves and sign.
Can any MBBS doctor sign Form 1A?
The form says it is to be filled in by a registered medical practitioner appointed for the purpose by the State Government, or by a person the State Government has authorised, under section 8(3) of the Motor Vehicles Act, 1988. Ask your RTO or state transport department how your state appoints or authorises practitioners before you issue one.
How long is a Form 1A certificate valid?
Six months from the date of issue. Rule 5(3) said one year until G.S.R. 240(E) substituted six months from 1 April 2021. The same amendment requires the applicant's passport size photograph to be submitted with it electronically on the Portal.
Is a printed Form 1A still accepted?
Rule 5(4) says a Form 1A certificate "shall only be issued electronically on the Portal". Use this printed sheet to examine the applicant and record your findings, then enter them online. Ask your RTO whether it also wants the signed paper copy with the photograph.
Can a person with colour blindness get a driving licence?
Since G.S.R. 401(E) of 24 June 2020, Form 1A no longer asks whether the applicant can distinguish red and green. Instead the practitioner certifies that colour vision was tested with a standard Ishihara chart and the applicant was not found to have severe or total colour blindness. The Ministry's press release says mild to medium colour blindness is no longer a bar.
This tool reproduces Form 1A of the Central Motor Vehicles Rules, 1989 as amended by G.S.R. 401(E) of 24 June 2020 and G.S.R. 240(E) of 31 March 2021, and pre-selects nothing. It is not the Portal and does not issue a certificate. Only a practitioner appointed or authorised under section 8(3) of the Motor Vehicles Act who has examined the applicant may sign it. General information, not legal advice. Sources read and checked on 26 Oct 2026; later amendments, if any, prevail.