Medical Standards and Physical Standards

Medical Standards:

All candidates recommended by SSB will have to undergo medicals as per extant regulation. There is no relaxation in medical standard on any ground.

Procedure on conduct of medical Boards:
 
1. A candidate recommended by the Services Selection Board (SSB) will undergo a medical examination (Special Medical Board) by a Board of Service Medical Officers. Only those candidates, who are declared fit by the Medical Board, will be admitted to the Academy. However, the President of the Medical Board will intimate the candidates declared unfit of their results and the procedure for an Appeal Medical Board (AMB) to be completed in a Command Hospital or equivalent within 42 days of Special Medical Board.
 
2. Candidates who are declared unfit by the Appeal Medical Board (AMB) may request for Review Medical board (RMB) within one day of completion of Appeal Medical Board. The President AMB will intimate about the procedure of challenging the findings of AMB. The candidates will also be intimated that sanction for holding of 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 DMPR, Integrated Headquarters Ministry of Defence (Navy), Sena Bhawan, Rajaji Marg, New Delhi – 110011 and a copy of the same is handed over to the President of AMB. O/o DGAFMS will inform the date and place (Delhi and Pune only) where the candidate will appear for a RMB.
 
3. The following investigations will be carried out mandatorily during Special Medical Board. However, Medical Officer / Medical Board examining a candidate may ask for any other investigation as required or indicated:
             (a)       Complete Haemogram
             (b)       Urine RE/ME
             (c)        X Ray chest PA view
             (d)       USG abdomen & pelvis
 
 

Physical Standards for officers (Male/ Female) on Entry:
 
4. The candidate must be physically fit according to the prescribed physical standards.
 
    (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 both ashore and afloat, under peace as well as war conditions in any part of the world.
    (b) There should be no evidence of weak constitution, bodily defects or underweight. The candidate should not be overweight or obese.
 
5.   Weight
 
                                             TABLE - I
                HEIGHT / WEIGHT STANDARDS FOR NAVY (MALE)

                                              TABLE - II
           HEIGHT / WEIGHT STANDARDS FOR NAVY (FEMALE)

Notes:
a. The principle of "Average" will be utilized for calculating body weight for in between height.
b. “Individual’s weight is considered normal if it is within +10 % departure from average weight given in the table I and II”. However, in individuals with heavy bones and broad build as well as individuals with thin build, but otherwise healthy this may be relaxed to some extent on merit.
 c. The charts are under revision.

6. During the medical examination of candidates, the following principal points will be ensured:-
 
           (a) The candidate is sufficiently intelligent.
           (b) The hearing is good and that there is no sign of any disease of ear, nose or throat.
           (c) Vision in either eye is up to the required standard. His/ her eyes are bright, clear and with no obvious squint or abnormality. Movements of eye balls should be full and free in all directions.
            (d) Speech is without impediment.
            (e) There is no glandular swelling.
            (f)  Chest is well formed and that his/her heart and lungs are sound.
            (g) Limbs of the candidates are well formed and fully developed.
            (h) There is no evidence of hernia of any degree or form.
            (j) There is free and perfect action of all the joints.
            (k) Feet and toes are well formed.
            (l)  Absence of any congenital malformation or defects.
            (m) He/she does not bear traces of previous acute or chronic disease pointing to an impaired constitution.
            (n) Presence of sufficient number of sound teeth for efficient mastication.
            (p) Absence of any disease of the Genito-Urinary tract.
 
7. Major defects for rejection are as under:-
 
           (a) Weak constitution, imperfect development, congenital malformation, muscular wasting.
           (b) Malformation of the head including deformity from fracture or depression of the bones of the skull.
           (c) Disease or abnormal curvature of the spine, Scoliosis more than 10 degree by Cobb’s method till less than 25 years of age and 15 degree in more than 25 years of age.
 
Note: X-Ray of the spine will not be carried out as a routine. It will however be done on the advice of the Surgical Specialist wherever indicated.
 
           (d) Skeletal deformity either hereditary or acquired and disease or impairment of function of bones or joints.
 
Note:  Rudimentary cervical rib causing no signs or symptoms is acceptable.
 
           (e) Asymmetry of torso or limbs, abnormality of locomotion including amputation.
           (f) Deformity of feet and toes.
 
8.  Eye:
 
            (a) Deformity or morbid condition of the eye or eyelids that is liable for aggravation or recurrence.
            (b) Manifest squint of any degree.
            (c) Active trachoma or its complication or sequelae.
            (d) Visual acuity below prescribed standards.
 
Notes:
 
1. Visual standards for Officers’ Entry into Executive Branch will be as follows:

 
2. Visual Standards for Officers’ Entry into Technical Branches will be as follows:         

 
3. Keratorefractory Surgery (LASIK) maybe allowed for Short Service Commission intake of officers in the following categories:-

1. Observer Entry
2. ATC Entry
3. NAI
4. Law
5. Logistics
6. Education
7. Graduate Entry Technical
8. Naval Constructor/ Architect

4. LASIK may be allowed subject to the following conditions:

1. Surgery should not have been carried out before 20 years of age.
2. Uncomplicated surgery at least 12 months before examination.
3. Axial length equal to or less than 25.0 mm by IOL Master or A scan
4. Post LASIK corneal thickness measured by Pachymeter should not be less than 450 microns.
5. Individuals with high refractive errors (> 6D) prior to LASIK are to be excluded.
6. Normal retinal examination.

5. LASIK is not permitted for candidates of NDA [10+2 (B Tech)]; CDSE [GS (X) / Hydrography] and Pilot entries.
 
9.  Ear, Nose and Throat.

1. Ear: History or recurrent ear ache, tinnitus or vertigo, impairment of hearing, disease of the external meatus including atresia, exostosis or neoplasm which prevent a thorough examination of the drum, unhealed perforation of the tympanic membrane, aural discharge or sign of acute or chronic suppurative otitis media, evidence of radical or modified radical mastoid operation.

Notes:
 
1. A candidate should be able to hear forced whisper at a distance of 610 cms with each ear separately with back to the examiner.
 
2. The operation of tympanoplasty with or without cortical mastoidectomy for a dry central perforation of tympanic membrane is considered curative once the graft has taken up provided tympanic membrane is intact, mobile with free field hearing of 610 cms in each ear separately and a normal hearing threshold on pure tone audiometry. A gap of three months is considered adequate after operation of complete healing and graft stabilization. For fitness, the candidate should also show a normal compliance on Tympanometry.
 
          (b) Nose: Disease of the bones or cartilages of the nose, marked nasal allergy, nasal polyps, atrophic rhinitis, disease of the accessory sinuses and nasopharynx.
 
Note:  Simple nasal deformity not causing disfigurement, minor septal deviation not interfering with nasal airway and small traumatic septal perforation which are asymptomatic are acceptable.
 
          (c) Throat: Disease of throat palate, tongue, tonsils, gums and disease or injury affecting the normal function of either mandibular joints.
          (d) Disease of the larynx and impediment of speech: Voice should be normal. Candidates with pronounced stammer will not be accepted.
 
10. Dental Condition. It should be ensured that a sufficient number of natural and sound teeth are present for efficient mastication.
 
        (a) A candidate must have a minimum of 14 dental points to be acceptable in order to assess the dental condition of an individual. Dental points less than 14 are a cause of rejection. The dental points are allotted as under for teeth in good opposition with corresponding teeth in the other jaw:-
           
                  (i) Central incisor, lateral incisor, canine, 1^st Premolar, 2^nd Premolar and under development third molar with 1 point each.
                  (ii) 1^st molar and 2^nd molar and fully developed 3^rd molar with 2 points each.
                  (iii) When all 32 teeth are present, there will be a total count of 22 or 20 pints according to whether the third molars are well developed or not.
        (b) The following teeth in good functional apposition must be present in each jaw:-    
                  (i) Any 4 of the 6 anteriors.               
                  (ii) Any 6 of the 10 posteriors.
           
            All these teeth must be sound/ repairable.
      (c) Candidates suffering from severe pyorrhea will be rejected. Where the state of pyorrhea is such that in the opinion of the Dental Officer, it can be cured without extraction of teeth, the candidates may be accepted. A note about the affected teeth is to be inserted by the Medical/ Dental Officer in the medical documents.
      (d) Artificial dentures are not to be included while counting the dental points.
 
11. Neck.

1. Enlarged glands, tubercular or due to other diseases in the neck or other parts of the body.
   Note: Scars of operations for the removal of tubercular glands are not a cause for rejection provided there has been no active disease within the preceding five years and the chest is clinically and radiologically clear.
2. Disease of the thyroid gland.

12. Skin and Sexually Transmitted Infection (STI).

1. Skin disease unless temporary or trivial.
2. Scars which by their extent or position cause or are likely to cause disability/ or marked disfigurement.
3. Hyperhydrosis - Palmar, plantar or axillary.
4. Congenital, active or latent sexually transmitted diseases.

Note:  In cases with old healed scar over the groin or penis/ vagina suggestive of past STI, blood will be tested for STI (Including HIV) to exclude latent Sexually Transmitted Disease.
 
13. Respiratory System.

1. History of chronic cough or Bronchial Asthma.
2. Evidence of pulmonary Tuberculosis.     
3. Evidence of diseases of bronchi, lungs or pleurae detected on radiological examination of the chest will disqualify the candidate.

Note: An X-Ray examination of the chest will be carried out.
 
14. Cardio-Vascular System.
           
            (a)  Functional or organic disease of the heart or blood vessels, presence of murmurs or clicks on auscultation.
 
            (b) Tachycardia (Pulse Rate persistently over 96/min at rest), bradycardia (Pulse Rate persistently below 40/ min at rest), any abnormality of peripheral pulse.

4. Blood pressure exceeding 140 mm Hg systolic or 90 mm Hg diastolic.

15. Abdomen.
 
           (a) Evidence of any disease of the gastro-intestinal tract, enlargement of liver, gall bladder or spleen, tenderness on abdominal palpation, evidence/ history of peptic ulcer or previous history of extensive abdominal surgery. All officer entry candidates are to be subjected to the Ultra Sound Examination of the abdominal and pelvic organs for detecting any abnormalities of the internal organs.
 
            (b) Inguinal or any other hernia or tendency thereto.
 
Note: Those who have been operated for hernia/ hydrocele, varicose veins, varicocele may be declared fit provided:                   

1. Six months have elapsed since the operation for hernia and six weeks for other minor operations. Documentary proof to this effect is to be produced by the candidate.
2. General tone of the abdominal musculature is good.
3. There has been no recurrence of hernia or any complication connected with the operation.
3. Fistula-in-Ano, Anal Fissure and Hemorrhoids unless satisfactory treatment has been carried out.

16. Genito-Urinary System.

1. Any evidence of disease of genital organs.
2. Bilateral undescended testis, unilateral undescended testis retained in the inguinal canal or at the external abdominal ring unless corrected by operation.

•   Absence of one testis is not a cause for rejection unless the testis has been removed on account of disease or its absence has affected the physical or mental health of the candidate.

3. Disease or malformation of the kidneys or urethra.

(d) Incontinence of urine and nocturnal enuresis.
 
(e) Any abnormality on examination of urine including albuminuria or glycosuria.
 
17. Central Nervous System.

1. Organic disease of Central Nervous System.
2. Tremors.
3. Candidates with history of fits and recurrent attacks of headache/ migraine will not be accepted.

18. Psychiatric Disorders. History or evidence of mental disease or nervous instability in the candidate or his family.
 
19. Women Candidates. They should not be pregnant and should also be free from gynaecological disorders such as primary or secondary Amenorrhea/ Dysmenorrhoea/ Menorrhagia etc. All women candidates will be subjected to ultra Sound Examination of the abdominal and pelvic organs for detecting any abnormalities of the internal organs.