1. Aim.

idates onmedical r enro rmy as Junior

& Other Ranks. re als e purpose of
public domain as icy of Commission

2. Introduction.

territorial integrity
prepared for war.
n"liort"ffi"TT3
ired whenever the n""o
s Armed Forces requires candidates with
uch candidates should also be capable of
of service condjtions to perform their military
nial climate including sea and air in remote
ical facilities. A medically unfit individual due
to disease/disability can not only drain precious rlsources
but can also jeopardize
lives of other members of the team during operations.
Therefore only medically fit
candidates are selected who emerge fit to 5e ti-ained
for war.
(b) The Armed Forces Medical Services are responsible
for ensuring selection of
'Medically Fit' individuals into the Arme
I Forces.

(c) All Armed Forces personnel regardless of occupational specialty, unit

assignment,age or gender should nave-a basic level of general
,Medical
fitness,
when inducted into service. This basic level of fitness can then
benchmark to train personnel. for further physically demanding
be used as a
occupational
specialties or unit assignments. This will enhance oeptoy-aue
combatieady troops.
(d) Medical examinations are carried out meticulously by Armed Forces Medical
Services Medical Officers. These are well oriented to specific
working conditions of Armed Force basic military training. Medical
examinations are finalized by the Officers. The decision of the
Medical Board is finir. case of any doubt about any
disease/disability/injury/genetic disorder during enrolment
the benefit of doubt will be
given to State.

prescribed form (AFMSF-2A).

 2

4' The board ol M9: will only declare candidates

Flr/uNFlr after the medicat exam.
The senior Reviewing Medical oric", (sRMoyPr"i,oing
candidates about their medical status including'oisaoiriiies Medicat ofricei wi1 apprise the
and also inform then about the
for review medical exam at the o.isignateJ Mititary
3:?lj:tt il#i;i'within stiputated
5' The concerned specialists at designated Military
Hospital examine candidates in
detail and endorse finding and opinion r"g"riJind
t" diil;
and dectare him Ftr/uNFtr. There
be any more medical review an! deci-sion of review
;Hii medicat procedure shal be

6' To be declared medically Flr, a candidates must

be in good physical and mental
health and free from any disease/ syndrome
I Jir"oiriiv-likery to interface with the efficient
performance of military duti.er in any
terrain, climate condition including sea and air, in
remote area, in austere condit n witfr no
medical aid. candidates should be free of medical
condition which require frequent visit to medical
facilities and use of any aid/ drugs.
7 ' standard for weight. weight for height chart wilr be standard for a1 categories
of personal. The cnart is naseO on gVit.

Age Minimum Age 17 to Age 20+01

(yrs) weight for 20 yrs
Age 30+ 0t Age : above
day-30 yrs day-40 yrs 40 yrs
all aqes
Height Weight (Kg) Weight Weight (Kg) Weight (Kg) Weight (Kg)
(cm) (Kq)
140 35.3 43.1 45.1 47.0 49.0
141 35.8 43.7 45.7 47.7 49.7
142 36.3 44.4 46.4 48.4 50.4
143 36.8 45.0 47.0 49.1 51.1
144 37.3 45.6 47.7 49.8 51.8
145 37.8 46.3 48.4 50.5 52.6
146 38.4 .46.9
49.0 51.2 s3.3
147 38.9 47.5
148
49.7 51.9 u.0
39.4 48.2 50.4 52.6 54.8
149 40.0 48.8 51.1 53.3 55.5
150 40.5 49.5 51.8 54.0 56.3
151 41.O 50.2 52.4 54.7 57.0
152 41.6 50.8 53.1 55.4 57.8
153 42.1 51.5 538 56.2 58.5
154 42.7 52.2 54.5 56.9 59.3
155 43.2 52.9 55.3 57.7 60.1
156 43.8 53.5 56.0 58.4 60.8
157 44.4 54.2 56.7 59.2 61.6
158 44.9 54.9 57.4 59.9 62.4
159 45.5 55.6 58.1 60.7 63.2
160 46.1 56.3 58.9 61.4 64.0
 3

Age Minimum Age 17 to Age 20+01

(yrs) weight for 20 yrs day-30 yrs
Age 30+ 01 Age : above
day-40 yrs 40 yrs
all aoes
Height Weight (Kg) Weight Weight (Kg)
(cm) Weight (Kg) Weight (Kg)
(Kg)
161 46.7 57.0 59.6 62.2 64.8
162 47.2 57.7 60.4 63.0 65.6
163 47.8 58.5 61.1 63.8 66.4
164 48.4 59.2 01.9 64.6 67.2
165 49.0 59.9 62.6 65.3 68.1
166 49.6 ou.o 63.4 66.1 68.9
167 50.2 61.4 64.1 66.9 69.7
168 50.8 62.1 64.9 67.7 70.6
169 51.4 62.8 65.7 68.5 71.4
170 52.0 63.6 66.5 69.4 72.3
171 52.6 64.3 67.3 70.2 73.1
172 53.3 65.1 68.0 71.0 74.0
173 53.9 65.8 68.8 71.8 74.8
174 54.5 66.6 69.6 72.7 75.7
175 55.1 67.4 70.4 73.5 76.6
176 55.8 68.1 71.2 74.3 77.4
weights higher than the acceptable limit will be
acceptabre only in the case of
candidate with documented evidence,of body
orirJNg,' boxing, wresfling. ln such
cases the following criteria will have to be met
i
(a) Body Mass Index should be below 23.

(b) Waist Hip ratio should be below 0.9 for males and
0.g for females.
(c) Waist Circumference should be less than g0 cm for
males and g0 cm
for females.

(d) All biochemical metabolic parameters should be within

normal limits.
8. Following disabilities are subjected to rejection
:_

ndidates having continuous BP greater than

14otgo mm Hg, persistent
ia (>100 bpm), persistent braOy-carOii
f:OO bpm), presence of paltor,
icterus, abnormal condition of irterial *ril -o,
any other cardiovascular

nairs, Xanthomata, Xantherasmas, rymphadenop'athy

I3l
(- | nodes, presence of more than one caf6_ju_rait sfot,
more
than

(c) Lipoma causing significant functional impair

palms and soles, p.resence of any oral growth,'ulc allosities on
stomatitis, tongue tie, large tongue, oral l6ukoplakia. res, angular
 4

llowing diseases like infective & chronic skin

hirsutism, alopecia, psoriasis, vitiligo, bullous
edema, contact dermatitis, palmo planter
y form of TB.

(e) Any disorder of the Gastro-intestinal system and genito urinary including
abnormal testis, abnormal scrotum, hydrocele, hLrnia, varico6ete,
Lpididymitis.

intellect, lack of coordination cause rej

(g) History of
tiredness, bility, lassitude, general weakness,
haemorrhages, epistaxis, .
bleed s, hlemoptysis, haematemisis, malena,
menorrhagia, etc is a cause for

(h) Any evidence of pleural d.i9ease, air way disease, COPD :i

any SOL, thrombosis, calcificatio r, hepatomegaly, Gall& Asthma, fatty liver,
bladder Oisease,
splenomeg!!V,_ asPlenia, splenoectomy, pancreatitis, Ascites, Endocrine
disease
particularly DM, thyroid, pituitary, adrenil gland.

(j) Scabies, Scrotal dermatitis, Tinea infection, Intertrigo, Urticaria, Angioedema,

Symptomatic Dermographism, Vitiligo.

StqndafC,forhearinq.
IConversational Any free field hearing standards less than 610 cm in
Voice or Forced Whisper for each r"-p.r"tely is not acceptable.
"rt
10. Male Genetila. Entrants with following features will be UNFIr :-

(a) Tests - as per surgical standard of fitness.

(b) History of major abnormalities or defects of the genitalia, hypogonadism.

11. These are the following

diseas
(a) History of psychiatric disorders (Psychosis, Neurosis, Emotional instability,
and other condition).

(b) History of seizures, syncope, Epirepsy, severe head injury.

(c) Any bony deformity, facial haemangiomas, subcutaneous nodules, dirnple or

tufts of hair at spine, tremors of hands, tongue and eyelids.

(d) Any abnormalities found 'in cognitive, emotional and behavioral trait,
psychosomatic d isorder.

1?... Haemopo.etig SYstem. Current or past history of itary blood disorder

will be a cause of rejection.
 5

13 Fitness after Surqery.

e period post surgery is not mentioned in

uld have elapsed after the surgery, before
consideration for fitness.
(b) Fractures of upper limbs not involving articular surfaces and without
without mal-union and impairment of
six months of injury provided there is not
deformity. A candidate shall however be

(c) Fractures of lowerlimbs not involving articular surface and without

neuro/vascular deficit which have united with no-mat-union
or loss of function shall
be considered for fitness after six months of injury :i
frovided there is no residual
functional defect and there is no deformity. n cairJi'iJte
shall however be declared
unfit by the MO.

14 Abdomen

(a) Gastrointestinal Tract. Operat

over abdomen, lump/s, and sinus are
Officer. Specialist Otficer after clinical e
relevant documents will make FIT after el
surgery& after one year of all open abdomi

.,,,"I..1]3? #g'ii3l.,,il#l *"lill' o'll#i?

(c) Hernia. Any abdominal wall hernia will render candidate UNFIT.
(d) Incisional Hernia. All current and operated cases are UNFlr.
I"l- Gall Bl.a.dder. All disease related to gall bladder will be declared
UNFTT
by Recruiting Medical Officer.

(0 Spleen. History of splenectomy due to any cause is UNFrr.

(g)
hypos penile
Renal cyst, ambiguous genitalia and un

I
,4/
l-t
,

I t''
 6

(h) Head. Neck and Chest- Unfit. Any cranio-facial anomalies which prevent
the individual from wearing protective mask or military headgear, Any history head
injury require surgery, CNS shunts, Cleft lip with defects, cleft palate even after
surgery, Branchial cyst, thyroglossal cyst, chest wall deformity likely to interfere
performance to military duties/ bearing, Lung Surgery, Cardiac Surgery/ intervention,
Amazia, Polymazia, Polythelia, Lump breast (in female candidate), Gynecomastia.

15. Musculoskeletal Svstem- Unfit Any abnormalities on curvature or skin

overlying the over spine, Spina bifida, vertebral body anomalies, Spondylolysis and its
complication, spinal canal stenosis, disc prolapse, kyphosis, lordosis, scoliosis, hallux
valgus with or without bunion/corn/callocity, hammer toe, flat foot, genu varum, genu
valgum, Genu recurvatum, Loss of toes, Club foot, History of ACL tear, any knee joinUankle
surgery, amputation of limb, loss of finger (except terminal phalanx of litter finger), loss of
hand, cubitus valgus, cubitus varus, Cervical Rib, recurrent dislocation of shoulder,
torticollis, any limb length discrepancy, mal-united fractures, fracture with metallic implants,
healed fracture with cosmetic deformity, any joint laxity, unstable joint, ligament injury, joint
surgery, malformation/ deformity, cysts, arthritis, prolapsed intra vertebral disc(PIVD),
restriction of movement, tenderness and deformity of spine, abnormal gait.

16. Ear Nose and Throat

(i) UNFIT. History or current otorrhoea , hearing loss, vertigo, tinnitus,

nasal polyps, recurrent epistaxis, dysphonia, dyspnoea, dysphagia, stridor,
symptomatic deviated nasal septum, atrophic rhinitis, nasal
polyps/groMh/ulceration/perforations, oral submucous fibrosis/oral cancer/,
leukoplakia, erythroplakia, signs of chronic inflammation of tonsils, any presence of
wax/exostosis/atresia/growth/otomycosis or discharge from ear,
perforation/scars/tympno-sclerosis/retraction of tympanic membrane,gross deformity
of pinna which hamper wearing of uniform/protective equipment / adversely impacts
military bearing, Allergic/ Vasomotor rhinitis, any ulcerative / mass lesion of the
pharynx, persistent hoarseness/stroider//dysphonia/chronic laryngitis/vocal cord
palsy/polyps and growth over larynx, chronic tonsillitis.
(ii) Any free field hearing standards less then 610 cm in conversational voice or
forced whisper for each ear separately is not accepted.

17. Visual Standards.

(i) All candidates reporting for medical examination will give the following
undertaking :-

(aa) No kerato-refractive procedure has been carried out.

(ab) Neither the individual nor his parents suffer from nigh blindness.

(ii) Lasik or Equivalent. Lasik is not permitted for any category for
enrolment as soldiers.
 7

(iii) Colour vision shall be CP-ll for all category of enrolment as soldiers.

S Grade Standards
No
(aa) SOL GD/GNRiDVR Uncorrected VA 6/6 & 6/6
& EQUIVALENT BCVA 6/6 & 6/6
Myopia - Nil
Hypermetropia < + 1.0 DS, including max
Astigmatism < +/-0.5 D Cyl
LASIK and equivalent not permitted
Golour Vision CP ll

(ab) SOL Uncorrected VA 6/36 & 6/36

TECH/CLK/SKT/NA/ BCVA 6/6 & 6/6
AEC/DSC/TDN/RT/A Myopia < - 2.5 D Sph, including astigmatism<
PS& EQUIVALENT +l-2.0 D Cyl

Hypermetropia < +2.5 D Sph, including max

astigmatism < +l-2.0 D Cyl

LASIK and equivalent not permitted

Colour vision CP ll

(iu) Ptosis. All types of Ptosis to made UNFIT by Recruiting Medical Officer.
Mild Plosis may be considered FIT by specialist provided it is noi affecting vision/
visual field in day & night.

lul 9orneal Opacitv. All grades of corneal opacities to be made UNFIT by

Recruiting MO. Small nebular corneal opacity in the periphery not affecting the vision
or visual field may be considered FIT by Specialist.

(ui) Ptervqium. All'cases of progressive pterygium to be made unfit by MO and

Specialist. Regressive non vascularized pterygium likely to be stationary occupying
less than or equal to 1.Smm of cornea may be made fit.

(vii) Lenticular opacitv. All types/ grades of lenticular opacities to be made UNFIT
by Recruiting MO. Small stationary lenticular opacities in the periphery like
congenital Blue Dot cataract, not affecting the visual axis/ visual field may be
considered FIT by Specialist. (Should be less than ten in number and central area of
four mm to be clear).

(viii) Nvstaqmus. cases of nystagmus to be made uNFlr except for

physiologic nystagmus

(ix) Entropion / Ectropion. Cases of ectropion and entropion to made Unfit.

Mild ectropion and entropion which. in the opinion of ophthalmologist will not hamper
day to day functioning in any way, may be made FlT.

(x) Squint. All cases of squint to be made UNFIT by Recruiting MO and by

Specialist. However, small horizontal latent squinU phoria i.e. Exophoria/Esophorii
may be considered FIT by the specialist along with the Grade lll BSV. Hyperphoria/
Hypophoria or Cyclophoria are to be made UNFIT.
 8

(xi) Niqht Blindness. uNFrr. certificate to be signed.

(xii) Retinal lesions. A small heated

nol affecting the vision and not associated
FIT by Specialist. Similar y a smalt lattice
can be made FlT. Any lesion in the cen
specialist.

(xiii) rf the individuar has

despit Epiphora/Mucocere
lT R-ecruit *iin-rvrptom free period of at least
three months after surgery, ade FIT OV Sp".i'.firt.
(xiv) All types of y-Yg.tf, objective convergence, accommodation
than 12 cm wilt be UNFIT. should be more

18

(a) General methods and principles of medical

examination of female candidates
will be the same as for male candidates. However
special points pertaining to
medical examination of femare candidates gr"n-ii ::
succeeding paragraphs.
"r"
(b) A detailed,menstrual and gynecological history,
detail physical and systemic
examination shourd be done by rady medical office,.
or't"oy gvr,6"olog;t;;ry.

xternal genitalia, Hernia, perineum, any

I prolapse. All married candidate will be
prolapsed or growth on ceryix or vagina.
or vaginal examination will not be carried

(d) USG scan of.abdomen and pelvis is mandatory for

all female candidate during
initial medical examination.

pressure over ureter, single fibroid uterus

n
in number if more than 1-5 mm in diameter, fibroids
causing distortion of endometrial
cavity, congenital uterine anomalies except arcuate
uterus, any type of plD, disorder
of sexual differentiation, any other condilion will be considered
case by the gynaecologist.
on merits or each

(f)
ranati
I vyvt tl
. Carididates
ll be svvv}/tgw
accepted qD
rr vv as fit if she
f^:y:g:T1tj.:-illl?9ou1d,petvis is normat, histopathotosy of tissues removed is
::::gl^?:g f.:1, ?!"'"tive rindinss are noi ;GG;IJ5

;;il
i

;? l5 l"i:g 19 Y :,,Y: : F'

ft
9|
i|p
? l9:.o
p i. ; *s ; "i'"ro".ir",,i5JJi,ii::"r',To':
; ;; t il :' n i' ;;; ;, i;:l :;
I,,3llllii:" J i
*,
.^""i:,!:,:g
one year of the surgical procedure.
l1]
r I i
a rte r ca ;#"; ";
ffi ; ;il ffi;
ffi v=ffi;
 I
19. DentalExamination.

(a) All FIT candidates will be disposed by the Recruiting Medical Officer.
All UNFIT cases, on appeal, will be referred for dental officer-review.

(b) Award o! Dental points. A total of minimum 14 points wilt be required

for fitness provided the following teeth are present in the upper jaw in good
functional apposition to the corresponding teeth in the lower.iiiv._

(i) Any 4 of the 6 anterior.

(ii) Any 6 of the 10 posterior.

(c) Each incisor, canine, 1't and 2nd premolar will have a value of one point
provided their corresponding opposite teeth are present.

(d) Each 1't and 2nd molar and well developed 3'd molar will have value of
two point provided in good opposition to corresponding teeth.

(e) In case of 3'o molar is not well developed it will be having value of one i!
point only.

(f) All removable dental prostheses wiil be removed during intra oral
examination and not be awarded any dental point except in cise of Ex-
Servicemen applying for re-enrolment.

maxillofacial surgery/trauma will be UNFIT for at least 24 weeks from the date
of surgery/injury, whichever is later.

(i) uNFlr. Gross facial asymmetry, sofuhard tissue defect

/scars, pathological condition of the jaws, candidates with remporo
mandibular Joint (TMJ) clicking/tenderness/dislocation, dislocation of
TMJ on wide opening, mouth opening less than 30 mm, defective teeth
compromise mastication, candidate with generalised dental
calculus/extensive swollen and red gum, malocclusion affecting
mastication, open bite, candidate wearing orthodontic appliances, all
potential malignant lesions will be declared UNFIT.

Note: 1. These are the general guidelines for medical fitness. However,
decision taken by specialist at the designated Military Hospital while
conducting review medical will be final for all purposes.

2. Recruitment Medical standards & procedures sribject to change by

DGMS (Army), as per service requirements.

(Army)' No 76054/Policy/DGMS-5A dt 2019.