Annexure-6 RAILWAY RECRUITMENT BOARD/CHENNAI Medical ...

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Medical Certificate from an Eye Specialist for the candidates applying for the post of ASM. (TO BE SUBMITTED DURING APTITUDE TEST WITHOUT FAIL).
Annexure-6 RAILWAY RECRUITMENT BOARD/CHENNAI Medical Certificate from an Eye Specialist for the candidates applying for the post of ASM (TO BE SUBMITTED DURING APTITUDE TEST WITHOUT FAIL)

I have checked up

Paste here your recent colour passport size photograph of size 4 cm x 5 cm (The colour photograph should not be more than 3 months old) The photograph should be attested by the Eye Specialist

Smt./Shri/Kumari*......................................................................... ......................................................................................... who has applied for post of Assistant Station Master in Railways. Acuity of vision / colour vision of Smt./Shri/Kumari*.........................................................................

Candidate Signature

. .....................................has been tested in view of the following standards required for appointment on the Railways.

Post

Class

Assistant Station Master

A-2

Distant Vision 6/9, 6/9 without glasses (No fogging test)

Near Vision Sn 0.6/0.6 without glasses

Colour Vision on Ishihara Normal

Smt./Shri/Kumari*......................................................................................................................... fully conforms to the above vision standards. Name of the Eye Specialist ............................................................................ Registration No. of the Eye Specialist............................................................... Place :

(Signature of the Eye Specialist)

Date : (Seal of the Eye Specialist)