Category I: Worse eye corrected visual acuity of 6/60 or better Category II: Worse eye corrected visual acuity of 6/12 or better IC. Binocular Corrected Category I: Binocularly, with glass correction, the candidate should be able to read 6/12 or better

Vision examination shall be administered by an ophthalmologist. The visual examination date must be within 12 months of the date that this form is signed. The form below may be used to …

This document is a vision certificate that requires an initial eye examination to test (1) near vision acuity of 20/40 or better, (2) far vision acuity of 20/40 or better, and (3) color perception for red/green and blue/yellow differentiation. Annual re-certification requires testing near vision acuity.

Complete Eye Certificate Format Pdf online with US Legal Forms. Easily fill out PDF blank, edit, and sign them. Save or instantly send your ready documents.

FORM OF MEDICAL CERTIFICATE STANDARD OF VISION (To be filled by an Ophthalmologist in Government Service) 1) Is there any defect of vision? If so, has it been corrected by suitable spectacles so that the distant vision is 6/6 snellen and near vision is 0.5 snellen 2) Can the applicant readily distinguish the pigmentary colours red and green?

View, download and print Vision Certificate pdf template or form online. 16 Eye Examination Form Templates are collected for any of your needs.

Find a variety of eye test forms and templates for vision screening and eye examinations. Complete screening forms, visual acuity testing, and more.

This document is an eye fitness certificate for a candidate named P. Rajarathinam. It includes their name, address, date of birth, and organization. It records the candidate's near vision, corrected and natural vision for both eyes, as well as the results of their color vision test.

is FIT / UNFIT for skill test for the post of Driver in the Subordinate Judiciary in the State of Tamil Nadu. Signature of the Name, Designation Candidate and Signature of the Medical Officer (with seal) Station : Date : Photo of the Candidate with Signature of the Medical Officer (3.5 cm …

Certificate proving the fitness to drive a vehicle (Category I and II) based on the visual acuity will be provided by the Medical Officers of the department who are post-graduates in Shalakya Tantra (Eye and ENT).