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FOR DRIVING
CERTIFICATE FOR VISUAL STANDARDS
(seeinstructionsoverleafbeforefillingUpthecertificate)
MOHAMMED.E aged ..q+.y.-e.qls.
I have examined Shri

and his/her visual standards are as follows:

PhotograPh of the candidate

(To be signed upon by the Ophthalmologist)

q K.K
-9. No: 41443
rthalmologist
1. Visual AcuitY
L
MANJERI
B. Sph cvl Axis C. Binocular
, rSuBl
Acuity Unaided Corrected Conected

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ll Night blindness )t-[

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lV Field(Degrees)Horizontal
Vertical . F"U
v Fundus: RE "" NtL .................1E..... ".. ........h.1..11..-.....

Any other significant ocular morbidity'''""'"''lJt'l

Candidate is Fit/H to drive a Category l/ll vehicle'
^-: :-e ..: :.1..t.? .'.......mentioned above'
-
:- - :< : ,:: .,,t1:. 3,. -;les *,tcit'Cars etc sce:lfled as such in Central
_l_ .l-u-.,"-,'-.--:-
.,: S -'L:-: -.ra:31 5-i-t irovenioer 2004 aS non-transport
contract carriages'
r caregory-ll means Transport
vehicles which include Autorickshaws, Taxis, stage carriages'
as such in the said Notification')
Goods carriages, Private iervice Vehicles etc. specified

Signature
Signature of the candidate:
* IUJ Seal
Place: RTO,hIALAPPURAM
Dr. DILNAK.K
Date: M-A6-2021 * MBBS, DNB. Reg. No:41443
i(r) l- oConsultant Ophthalmolog ist
ctieeG
o EyE cARE HosptrAL
q@ MANJERI
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