This document contains two medical certificates. The first certificate is for any known disabilities that would prevent someone from performing the normal functions of an aircraft maintenance engineer. It states that Mr./Ms. [name] has been examined and either has physical disabilities/disorders or does not. The second certificate is for color vision, stating that Dr. [name] examined Mr./Ms. [name] and found their color vision to be either normal, defective but safe, or defective and unsafe as tested by pseudo-isochromatic plates, an approved lantern test, or other applicable test. Both certificates require the signature of the examining doctor and applicant.

1. CAR-66
CA Form 19-06
MEDICAL CERTIFICATE
(To be provided by a Registered Medical
Practitioner holding at least MBBS)

2. MEDICAL CERTIFICATE
(To be provided by a Registered Medical Practitioner holding at least MBBS)
DGCA INDIA
CA Form 19-06
Mr. / Ms _____________________ whose signature is appended below, has been medically examined
for any known disability or disorder which may become an hindrance to perform the normal functions of an
Aircraft Maintenance Engineer.
He/She has……………………………………………………………………………………
physical disabilities or disorder / no physical disabilities or disorder.
He/She has been assessed medically fit / unfit to function as an Aircraft Maintenance Engineer.
( Strikeout whichever is not applicable)
Signature of the Doctor……………
Registration No.
Designation
Signature of the Applicant with date Date
MEDICAL CERTIFICATE FOR COLOUR VISION
I, Dr. ___________________hereby certify that I have examined Mr. /Ms ___________________ whose
signature is appended below, and certify that his colour vision is Normal/Defective safe/Defective unsafe.
The colour vision has been tested with,
(1) Pseudo – Isochromatic plates
(2) Approved Lantern test
(3) Any other test applicable
( Strikeout whichever is not applicable)
Signature of the Doctor……………………………….
Registration No.
Designation
Signature of the Applicant with date Date Date