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CDS MEDICAL STANDARDS

 Physical Standards for Candidates for Combined Defence Services Examination.

NOTE :CANDIDATES MUST BE PHYSICALLY FIT ACCORDING TO THE PRESCRIBED PHYSICAL STANDARDS. THE STANDARDS OF MEDICAL FITNESS AND THE GUIDELINES FOR THE SAME ARE
GIVEN BELOW. A NUMBER OF QUALIFIED CANDIDATESARE REJECTED SUBSEQUENTLY ON
MEDICAL GROUNDS. CANDIDATES ARE THEREFORE ADVISED IN THEIR OWN INTEREST TO GET THEMSELVES MEDICALLY EXAMINED BEFORE SUBMITTING THEIR APPLICATIONS TO AVOID
DISAPPOINTMENT AT THE FINAL STAGE.

1. A Candidate recommended by the  Services Selection Board will undergo a medical examination by a Board of Service Medical Officers. Women candidates will undergo Medical Examination by a Medical
Board comprising male/female doctors/ specialists/Gynaecologist. There will be a Lady Medical Officer as member of Board. Only those candidates will be admitted to the Academy who are declared fit by the Medical Board. However, the candidates declared unfit will be intimated by the President of the Medical Board and procedure for request for an Appeal Medical Board (AMB) will also be intimated to the candidate. Candidates who are unfit may apply for Appeal Medical Board (AMB) to be completed within 42 days of SMB and may request for Review Medical Board (RMB) within one day of completion of Appeal Medical Board. Candidates declared unfit by AMB will be intimated by the President AMB about procedure
of challenging the findings of AMB. The candidates will also be intimated that holding Review Medical Board (RMB) will be granted at the discretion of DGAFMS based on the merit of the case and that RMB is not a matter of right. The candidate should address the request for RMB if he/she so desires to ADG Rtg. (CDSE) Army HQ, West Block-III, R.K. Puram, New Delhi-110066 and DMS (MB)/AFCME/IAM/DGMS (Air), Air HQ, R.K. Puram in case of AF candidates and a copy of the same is handed over to the President of AMB. The O/o the DGAFMS will inform the date and place (Delhi and Pune only) where the candidate will appear for a RMB.

The candidate must be physically fit according to the prescribed physical standards which are summarized below :

(a) The candidate must be in good physical and mental health and free from any disease/ disability which is likely to interfere with the efficient performance of duties.

(b) There should be no evidence of weak constitution, bodily defects or over weight.

(c) The minimum acceptable height for male candidates is 157.5 cms. (157 cms for Navy and 162.5 cms for Air Force). For Women candidates minimum acceptable height is 152 cms. For Gorkhas and individuals belonging to hills of North Eastern region of India, Garhwali and Kumaon, the Minimum acceptable height will be 5 cms less. In case of candidates from Lakshadweep, the minimum acceptable height can be reduced by 2 cms. These concessions are not applicable for Navy and Air Force. Height and weight standards are given below for Army and Navy only. Interpolation for weights against height not mentioned may be done. Height and Weight Standards (Males) Height in Weight in Kgs.

Centimetres (Without shoes) 18 20 22 years.

152.................. 44   46   47
155.................. 46   48   49
157.................. 47   49   50
160.................. 48   50   51
162.................. 50   52   52
165.................. 52   53   55
168.................. 53   55   57
170.................. 55   57   58
173.................. 57   59   60
175.................. 59   61   62
178.................. 60   62   63
180.................. 63   64   65
183.................. 65   67   67
185.................. 67   69   70
188.................. 70   71   72
190.................. 72   73   74
193.................. 74   76   77
195.................. 77   78   78

*45 for Navy @ 47 for Navy A + 10% (for Navy) departure from the average weight given in the Table above is to be considered within normal limit. However, in individuals with heavy bones and broad built as well as individuals with thin built but otherwise healthy this may be relaxed to some extent on merit.Height and Weight Standards (Females) Height in Weight in Kgs.

Centimetres (Withoutshoes) 20 25 30  years

148 .................. 39  41  43
150 .................. 40  42  43.5
153 .................. 42  43. 5 45
155 .................. 43  44  46
158 .................. 45  46  48
160 .................. 46  47  49
163 .................. 47  49  51
165 .................. 49  51  53
168 .................. 50  52  54

The acceptable weight for Air Force candidates will be + 10% of the average weight given below:-
MALE IDEAL WEIGHTS IN KG FOR DIFFERENT AGE GROUPS AND HEIGHTS FOR FAT% (<20) OF NORMAL INDIVIDUALS FOR AIR FORCE HIGHT IN AGE RANGE mm 15- 18- 23- 28- 33- 38- 43- >48 17 22 27 32 37 42 47.

1520  46  47  50  54  54  54  55  54
1530  47  47  51  55  55  54  56  54
1540  47  48  51  56  55  55  57  55
1550  48  49  52  56  56  56  57  56
1560  48  49  53  57  57  56  58  56
1570  49  50  54  58  58  57  58  57
1580  49  50  54  58  58  58  59  58
1590  50  51  55  59  59  59  60  58
1600  51  52  56  59  60  59  60  59
1610  51  52  56  60  60  60  61  60
1620  52  53  57  61  61  61  62  60
1630  52  54  58  61  62  61  62  61
1640  53  54  59  62  63  62  63  62
1650  53  55  59  63  63  63  64  62
1660  54  56  60  63  64  64  64  63
1670  54  56  61  64  65  64  65  64
1680  55  57  61  65  65  65  65  65
1690  55  57  62  65  66  66  66  65
1700  56  58  63  66  67  67  67  66
1710  56  59  64  66  68  67  67  67
1720  57  59  64  67  68  66  68  67
1730  58  60  65  68  69  69  69  68
1740  58  61  66  68  70  69  69  69
1750  59  61  66  69  71  70  70  69
1760  59  62  67  70  71  71  71  70
1770  60  62  68  70  72  72  71  71
1780  60  63  69  71  73  72  72  71
1790  61  64  69  72  73  73  73  72
1800  61  64  70  72  74  74  73  73
1810  62  65  71  73  75  75  74  73
1820  62  66  72  74  76  75  74  74
1830  63  66  72  74  76  76  75  75
1840  64  67  73  75  77  77  76  75
1850  64  68  74  75  78  77  76  76
1860  65  68  74  76  78  78  77  77
1870  65  69  75  77  79  79  78  77
1880  66  69  76  77  80  80  78  78
1890  66  70  77  78  81  80  79  79
1900  67  71  77  79  81  81  80  79
1910  67  71  78  79  82  82  80  80
1920  68  72  79  80  83  82  81  81
1930  68  73  79  81  83  83  81  82
 
SD 6.0 6.3 7.1 6.6 6.9 6.8 5.8 7.26

(d) In your own interest you are advised to undergo a preliminary medical check up  for wax in ears, refractory error of eyes,  fungal infection of skin etc. before reporting for the SSB interview.

(e) Chest should be well developed. The minimum range of expansion after full inspiration should be 5 cms. The measurement will be taken with a tape so adjusted that its lower edge should touch the nipple in front and the upper part of the tape should touch the lower angle of the shoulder blades behind. X-Ray of the chest is compulsory and will be taken to rule out any disease of the chest.

(f) There should be no disease of bones and joints of the body.

(g) A candidate should have no past history of mental breakdown or fits.

(h) The hearing should be normal. A candidate should be able to hear a forced whisper with each ear at a distance of 610 cms. in a quiet room. There should be no evidence of present or past disease of the
ear, nose and throat.

(i) There should be no sign of functional or organic disease of the heart and blood vessel. Blood pressure should be normal and candidates be free from AIDS.

(j) The muscles of abdomen should be well developed and there should be no enlargement of liver or spleen. Any evidence of disease of internal organs of the abdomen will be a cause for rejection.

(k) Un-operated hernias will make a candidate unfit. If operated, this should have been done at least 1 year prior to the present examination and healing is completed.

(l) There should be no hydrocele, varicocele or piles.

(m) Urine examination will be done and any abnormality, if detected will be a cause for rejection.

(n) Any disease of the skin which is likely to cause disability or disfigurement will also be a cause for rejection.

(o) A male candidate should be able to read 6/6 in a distant vision chart with each eye with or without glasses (For Air Force without glasses only). Myopia should not be more than 3.5D and hypermetropia not more than 3.5D including Astigmatism. For women candidates the minimum acceptable visual acuity are Distant Vision (corrected) better eye 6/6, worse 6/18, Myopia of not more than minus 5.5 including
Astogination. Internal examination of the eye will be done by means of ophthalmoscope to rule out any disease of the eye. A candidate must have good binocular vision. The colour vision standard will
be CP-III for Army. A candidate should be able to recognise red and green colours.

(p) Visual Standards for Navy.

            1. Uncorrected without glass 6/12
            2. Corrected with glass 6/6
            3. Limits of Myopia -1.5
            4. Limits of Hypermetropia +1.5
            5. Binocular vision III
            6.Limits of Colour Perception I
 
For women candidates if pregnancy is detected at any stage after selection at SSB or during training will debar the candidates from grant of commission and cost recovered from the date of joining OTA till the date of debar on confirmation of pregancy from Military Hospital Authrorities.

RADIAL KERATOTOMY AND LASER SURGERY : Candidates who have undergone or have the evidence of having undergone Radial Keratotomy, to improve the visual acuity, will be permanently rejected for all the three services. In order to detect PRK/LASIK all the candidates at SMB will be subjected to the
measurement of Axial length by A-Scan biometer. Candidates who have undergone LASER Surgery for correction of refractive error will be considered for commission in Army if they fulfil following criteria :-

(i) Age more than 20 years.

(ii) Uncomplicated stable LASIK/Excimer (PRK) laser procedure done for Myopia or Hypermetropia, with stable refraction for a period of six months after the procedure.

(iii) A healthy retina.

(iv) Corrected vision should be 6/6 in better eye and 6/9 in worse eye, with maximum residual refraction of + 1.50 in any meridian for myopia or hypermetropia.

(v) Axial length within permissible limits.

NOTES : The candidates will be asked to declare at the time of medical examination that he/she has undergone LASER procedure as above. He/she will be subjected to a thorough corneal and retinal
evaluation by the ophthalmologist. However, he/she will be declared unfit at the SMB and those found to be within the acceptable limits for approval as above will be advised to undergo an Appeal
Med. Board. During AMB he/she will be subjected to a thorough corneal and retinal evaluation as also scrutiny of the records by a Senior Adviser in Ophthalmology.

(r) The candidates should have sufficient number of natural and sound teeth. A minimum of 14 dental points will be acceptable. When 32 teeth are present, the total dental points are 22. A candidate should
not be suffering from severe pyorrhoea.

(s) X-Ray examination of the chest will include the lower part of cervical spine for presence of cervical ribs. X-Ray examination of other parts of spine will be taken if the SMB considers it necessary.

(t) Carrying angle of elbow should not be more than 150 and 180 among males and females respectively.

2. In addition to the above, the following medical standards will be applicable in respect of Air Force candidates only :

(a) Anthropometric measurements acceptable for Air Force are as follows:
Height 162.5 cms Leg Length Min. 99 cms. & Max. 120 cms. Thigh Length Max. 64 cms. Sitting Height Min. 81.5 cms. & Max 96 cms.

(b) X-Ray of Chest is compulsory.

(c) Visual Standards for Air Force

Candidates who habitually wear spectacles are not eligible for Air Force. Minimum distant vision 6/6 in one eye and 6/9 in other, correctable to 6/6 only for Hypermetropia. Colour vision CP-1

Hypermetropia : +2.0 D Sph Manifest Myopia : Nil
Retinoscopic Myopia:- 0.5 in any meridian permitted
Astigmatism : +0.75 D Cyl (with+2.0 D- Max)

Maddox Rod Test

(i) at 6 meters - Exo -6 prism D
     Eso -6 prism D
     Hyper -1 prism D
     Hypo -1 prism D

(ii) at 33 cms - Exo -16 prism D
     Eso -6 prism D
     Hyper -1 prism D
     Hypo -1 prism D
     Hand held Stereoscope -All of BSV grades

Convergence
- Up to 10 cm Cover test for distant and near - Lateral divergence/convergence recovery    rapid and complete Radial Keratotomy Photo Refractive Keratotomy/laser in Situ Keratomileusis (PRK/LASIK) surgeries forcorrection of refractive errors are not permitted for any Air Force duties.

Candidates having undergone cataract surgery with or without IOL implants will also be declared unfit.

Binocular vision - must possess good binocular vision (fusion and stereopsis with good amplitude and depth.) Candidates who have undergone LASIK surgery are not considered fit for permanent commission in flying branch in IAF.

(d) Hearing Standards

(i) Speech test : W h i s p e r e d hearing 610 cms. each ear.
(ii) Audiometric Test : Audiometric loss should not exceed + 20 db in frequencies between 250 Hz and 4000 Hz.

(e) Routine ECG and EEG should be within normal limits.

3. The following conditions detected on X-ray examination will be disqualifying for entry to Army and Navy.

(a) Granulomatous disease of spine.
(b) Arthritis/spondylosis
(c) Scoliosis more than 15 degree as measured by Cobb's Method (10 degree for Army).
(d) More than mild Kyphosis/Lordosis.
(e) Spondylolisthesis/Spondylosis.
(f)  Herniated nucleus pulposes.
(g) Compression fracture of Vertebra.
(h) Sacaralisation Disease
(i)  Cervical ribs with demonstrable neurological or  Circulatory deficit.
(j)  Presence of Schmorl's node at more than one level.
(k) Atlanto-occipital and atlanto-axial anomalies.
(l) Incomplete Sacaralisation Unilateral or Bilateral.
(m) Spinabifida other than SV 1 and LV 5.
(n) Any other abnormality, if so considered by specialist.

Spinal Conditions for Air Force Past medical history of diseases or injury of the spine or sacro iliac joints, either with or without objective signs which have prevented the candidate from successfully following a physically active life, is a case for rejection for commissioning in IAF. History of spinal fracture/prolapsed intervertebral disc and surgical treatment for these conditions will entail rejection. The following conditions detected during medical exam will disqualify a candidate for Air Force service.

(a) Granulomatous disease of spine

(b) Arthritidies/spondylosis

         (i) Rheumatoid arthritis and allied disorders
         (ii) Ankylosing spondylitis
         (iii) Osteoarthrosis spondylosis and degerative joint diseases
         (iv) Non articular rheumatism. (e.g. lesions of the rotator cuff, tennis elbow, recurrent umbago etc)
         (v) Miscellaneous disorders incuding SLE, dermatomyositis, polymyositis, vasculitis

(c) Spondylolisthesis/spondylolysis/spondylosis

(d) Compression fracture of vertrabrae

(e) Scheurman’s disease (Adolescent kyphosis)

(f) Loss of cervical lordosis when associated with clinically restricted movements of cervical spine.

(g) Unilateral/bilateral cervical ribs with demonstrable neurological or circulatory deficit.

(h) Scoliosis more than 15 degree as measured by Cobb’s method

(i) Herniated nucleus pulposus

(j) Presence of schmorl’s nodes at more than one level

(k) Atlanto - occipital and atlanto- axial anomalies

(l) Hemi vertebrae and/or incomplete block (fused) vertebrae at any level in cervical, dorsal or lumbar spine and complete block (fused) vertebrae at more than one level in cervical or dorsal spine.

(m) Unilateral Sacralisation or lumbarisation (Complete or incomplete) at all levels and bilateral incomplete sacralisation or lumbarisation.

(n) Any other abnormality if so considered by the specialist.

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