MEDICAL STANDARDS AND PROCEDURE OF MEDICAL EXAMINATION FOR OFFICER ENTRIES INTO NAVY

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 at designated SMB Centres. Only those candidates, who are declared fit by the Medical Board, will be consider for Merit list. The President of the Medical Board will intimate the candidates declared unfit of their results and the procedure for an Appeal Medical Board (AMB). The candidate is to report to the designated AMB Centre within 42 days of SMB.

2. Candidates who are declared unfit by AMB may request for Review Medical Board (RMB) within one day of completion of AMB. The President AMB will intimate the candidate about the procedure for applying for RMB. The candidates will also be intimated that approval for holding 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 – 110 011 and a copy of the same be 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 RMB.

3. The following investigations will be carried out mandatorily during SMB. However, Medical Officer/ Medical Board examining a candidate may ask for any other investigation as required or indicated: -

(a)       Complete Hemogram

(b)       Urine RE/ME

(c)        X Ray chest PA view

(d)       USG abdomen & pelvis

(e)       Liver Function Tests

(f)        Renal Function Tests

(g)       X Ray Lumbosacral spine, Anterior-Posterior and Lateral views

(h)       Electrocardiogram (ECG)

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. Height and Weight Standards. Please Click here for Height / Weight standards.

6. During the Medical examination of candidates, the following principal points will be ensured: -

(a)       The candidate is sufficiently intelligent, although the responsibility on this point rests with the Enrolling Officer.  The Medical Officer will bring to the Enrolling Officer’s notice any deficiency he/she may observe during the examination.

(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. The candidates very often do not give family history of disease because of ignorance. At times deliberate attempt is made for concealment of disease for fear of rejection.  In all these cases Recruiting Medical Officer should state in concerned Para of AFMSF-2A, if there is any relevant history of Fits, Leprosy, Epilepsy or Tuberculosis.  It is, however, essential to make a thorough clinical examination of candidates for any signs of organic disease/physical deformity.  Recruiting Medical Officer should either reject the candidate or endorse the disease in respective column, if it is of acceptable nature.

8. Major defects for rejection are as under: -

(a)        Weak constitution, imperfect development, congenital malformation, muscular wasting.

Note: - Muscular wasting is to be judged entirely by its effect on function.

(b)       Malformation of the head including deformity from fracture or depression of the bones of the skull.

(c)        Scoliosis. Idiopathic Scoliosis upto 10 degrees for Lumbar Spine and 15 degrees of Dorsal Spine will be acceptable provided.

            (i)         Individual is asymptomatic.

            (ii)        No history of trauma to spine.

            (iii)       No chest asymmetry/ shoulder imbalance or pelvic obliquity in the lumbar spine.

            (iv)       There is no neurological deficit.

            (v)        No congenital anomaly of the spine.

            (vi)       There is absence of syndromic features.

            (vii)      ECG is normal.

            (viii)     No deformity exists on full flexion of the spine.

            (ix)       No restriction of range of movements.

            (x)        No organic defect causing structural abnormality.

(d)       Skeletal deformity either hereditary or acquired and disease or impairment of function of bones or joints.

(e)       Rudimentary cervical rib causing no signs or symptoms is acceptable.

(f)        Asymmetry of torso or limbs, abnormality of locomotion including amputation.

(g)       Deformity of feet and toes.

(i)         Hyperextensible Finger Joints. All candidates shall be thoroughly examined for hyper-extensible finger joints. Any extension of fingers bending backwards beyond 90 degrees shall be considered hyper-extensible and considered unfit. Other joints like Knee, Elbow, Spine and Thumb shall also be examined carefully for features of hyper laxity/ hypermobility. Although the individual may not show features of hyper laxity in other joints, isolated presentation of hyper extensibility of finger joints shall be considered unfit because of the various ailments that may manifest later if such candidates are subjected to strenuous physical training as mentioned above.

(ii)        Mallet Finger. Loss of extensor mechanism at the distal inter-phalangeal joint leads to Mallet finger. Chronic mallet deformity can lead to secondary changes in the PIP and MCP joint which can result in compromised hand function. Normal range of movement at DIP joints is 0-80 degree and PIP joint is 0-90 degrees in both flexion and extension. In Mallet finger, candidate is unable to extend/ straighten distal phalanx of fingers completely.

(aa)     Candidates with mild condition i.e., less than 10 degrees of extension lag without any evidence of trauma, pressure symptoms and any functional deficit should be declared Fit

(ab)     Candidates with fixed deformity of fingers will be declared Unfit.

(iii)       Polydactyly. Can be assessed for fitness 12 weeks post-op. Can be declared fit if there is no bony abnormality (X-Ray), wound is well healed, scar is supple and there is no evidence of neuroma or clinical examination.

(iv)       Simple Syndactyly.  Can be assessed for fitness 12 weeks post op. Can be declared fit if there is no bony abnormality (X-Ray), wound is well healed, scar is supple and webspace is satisfactory.

(v)      Complex Syndactyly. Unfit

(vi)       Polymazia. Candidates to be considered fit after 12 weeks of post operative period if there is no post operative complication with a well healed surgical wound and no residual disease.

(vii)      Hyperostosis Frontalis Interna. Will be considered fit in the absence of any other metabolic abnormality.

(h)       Healed Fractures.

(i)         All intra-articular fractures especially of major joints (Shoulder, elbow, wrist, hip, knee and ankle) with or without surgery, with or without implant shall be considered unfit.

(ii)        All extra-articular with post-operative implant insitu shall be considered unfit and will be considered for fitness after minimum of 12 weeks of implant removal.

(iii)       Nine (09) months will be the minimum duration for considering evaluation following extra-articular injuries of all long bones (both upper and lower limbs) post injury which have been managed conservatively. Individual will be considered fit if there is:-

(aa)            No evidence of mal-alignment/mal-union.

(ab)            No neuro-vascular deficit.

(ac)            No soft tissue loss.

(ad)            No functional deficit.

(ae)            No evidence of osteomyelitis/sequestra formation.

(j)         Cubitus Recurvatum. >10 degrees is Unfit

(k)        Cubitus Valgus.

(i)         Measurement of Carrying Angle. The carrying angle at the elbow is assessed conventionally with the elbow in full extension using a protractor goniometer to measure the axes from the surface margin of the arm and forearm. However, variations in the development of the soft tissues in the arm and forearm generally lead to inconsistencies in the measured results. So far, there is no uniform method to measure the carrying angle of the elbow. However, measuring the carrying angle of the elbow through identification of bony landmarks on the acromion, medial and lateral epicondyles of the humerus, and the distal radial and ulnar styloid processes is recommended. Carrying angle is measured by a manual goniometer with two drawing axes of the arm and forearm. The axis of the arm is defined by the lateral border of the cranial surface of the acromion to the midpoint of the lateral and medial epicondyles of the humerus. The axis of the forearm is defined by the midpoint of the lateral and medial epicondyles of the humerus to the midpoint of the distal radial and ulnar styloid processes.

(ii)        Cubitus valgus should be primarily a clinical diagnosis. The suggested indications to perform a radiographic evaluation include: -

(aa)     History of trauma

(ab)     Scar around elbow

(ac)     Asymmetry of angles

(ad)     Distal neurovascular deficit

(ae)     Restricted range of motion

(af)      If deemed necessary by Orthopaedic Surgeon

(l)        Hyperextension at Elbow Joint. Individuals can have naturally hyperextended elbow. This condition is not a Medical problem, but can be a cause of fracture or chronic pain especially considering the stress and strains military population is involved in. Also, the inability to return the elbow to within 10 degrees of the neutral position is impairment in the activities of daily living.

(i)         Measurement modality. Measured using a Goniometer

(ii)        Normal elbow extension is 0 degrees. Up to 10 degrees of hyperextension is within normal limits if the patient has no history of trauma to the joint. Anyone with hyperextension more than 10 degree should be unfit.

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.

(e)       Visual standards (V1 TO V4) for Officers (Male and Female)

* CP defect will be assessed by only Ishihara test during SMB. However, Anomaloscope to be used during AMB/RMB for confirmation, as application.

(f)        Kerato Refractive Surgery. Keratometry will be performed for candidates at SMB for detecting undeclared refracto-corrective procedures like PRK/ LASIK/ SMILE, etc. Values for the same will be endorsed in SMB. Candidates who have undergone any Refractory Surgery (PRK/ LASIK/ SMILE) can be considered fit in all branches (except submarine, diving and MARCO cadre) subject to the following conditions: -

(i)       Surgery should not have been carried out before 20 yrs of age.

(ii)      Uncomplicated surgery at least 12 months before examination (Certificate mentioning the type of refractive surgery, date of surgery and pre-operative refractive error from concerned eye centre is to be produced by the candidate at the time of recruitment Medical examination).

(iii)     Post LASIK Standards. Candidate will be considered Fit if Axial Length by IOL Master is equal to or less than 26 mm by IOL Master or A Scan and Central Corneal Thickness by Pachymeter equal to or more than 450 microns.

(iv)     Residual refraction less than or equal to +1.0 D Sph or Cyl, provided within the permissible limit for the category applied for. However, for Pilot and Observer entries, the residual refraction should be nil.

(v)      Pre-operative refractive error not more than +/- 6.0 D

(vi)     Normal retinal examination.

(g)        Kerato-Refractory Surgery (PRK, LASIK, SMILE) is not acceptable for special cadres such as submarine, diving and MARCO. Candidates who have undergone Radial Keratotomy are permanently unfit for all branches.

(h)       Ptosis.  Candidate will be considered fit post-operative provided there is no recurrence one year after surgery, visual axis is clear with normal visual fields and upper eyelid is 02 mm below the superior limbus. Candidates, who have not undergone surgery for the condition, would be considered fit if they meet any of the following criteria: -

(a)       Mild ptosis

(b)       Clear visual axis

(c)       Normal visual field

(d)       No sign of aberrant degeneration/ head tilt

(j)         Exotropia. Unfit

(k)        Anisocoria. If size difference between the pupils is >01mm, candidate will be considered unfit.

(l)         Heterochromia Iridum. Unfit

(m)      Sphincter Tears. Can be considered fit is size difference between pupils is <01mm, pupillary reflexes are brisk with no observed pathology in cornea, lens or retina.

(n)       Pseudophakia. Unfit

(o)       Lenticular Opacities. Any lenticular opacity causing visual deterioration, or is in the visual axis or is present in an area of 07 mm around the pupils, which may cause glare phenomenon, should be considered Unfit. The propensity of the opacities not to increase in size or number should also be a consideration when deciding fitness. Small stationery lenticular opacities in the periphery like congenital blue dot cataract, not affecting the visual axis/ visual field may be considered by specialist (Should be less than 10 in number and central area of 04 mm to be clear).

(p)       Optic Nerve Drusen. Unfit

(q)        High Cup Disc Ratio. Candidates will be declared unfit if any of the following conditions exist: -

(i)        Inner eye symmetry in cup disc ratio is >0.2.

(ii)       Retinal Nerve Fibre Layer defect seen by RNFL analysis on OCT.

(iii)      Visual field defect by Visual Field Analyser.

(r)        Keratoconus.  Unfit

(s)        Lattice.

(i)         The following lattice degenerations will render a candidate Unfit:-

(aa)      Single circumferential lattice extending more than two clock hours in either or both eyes.

(ab)      Two circumferential lattices each more than one clock hour in extent in either or both eyes.

(ac)      Radial lattices.

(ad)      Any lattice with atrophic hole/ flap tears (Unlasered).

(ae)      Lattice degenerations posterior to equator.

(ii)        Candidates with lattice degeneration will be considered Fit under the following conditions: -

(aa)      Single circumferential lattice without holes of less than two clock hours in either or both eyes.

(ab)      Two circumferential lattices without holes each being less than one clock hour in extent in either or both eyes.

(ac)      Post Laser delimitation single circumferential lattice, without holes/ flap tear, less than two clock hours extent in either or both eyes.

(ad)      Post Laser delimitation two circumferential lattices, without holes/flap tear, each being less than one clock hour extent in either or both eyes.

9. Ear, Nose and Throat.

(a)       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.

(i)         A candidate should be able to hear forced whisper at a distance of 610 cms with each ear separately with back to the examiner.

(ii)        Otitis Media. Current Otitis Media of any type will entail rejection. Evidence of healed chronic otitis media in the form of tympanosclerosis/ scarred tympanic membrane affecting less than 50% of Pars Tensa of tympanic membrane will be assessed by ENT Specialist and will be acceptable if Pure Tone Audiometry (PTA) and Tympanometry are normal. All cases of Tympanoplasty and Myringoplasty/Myringotomy for choronic Otitis Media will entail permanent rejection.

(iii)      The fwg conditions would render a candidate Unfit:-

(aa)      Residual perforation.

(ab)      Residual hearing loss on Free Field Hearing and/or PTA.

(ac)      Any other type of tympanoplasty (other than Type 1 Tympanoplasty) or middle ear surgery (including ossiculoplasty, stapedotomy, canal wall down mastoidectomy, atticotomy, attico-antrostomy, etc).

(ad)      Any implanted hearing device (eg. cochlear implant, bone conduction implant, middle ear implants etc).

(iv)       Bony Growth of External Auditory Canal. Any candidate with clinically evident bony growth of external auditory canal like exostosis, osteoma, fibrous dysplasia etc. will be declared Unfit. Assessment of operated cases will be done after minimum period of 4 weeks. Post-surgery histopathology report and HRCT temporal bone will be mandatory. If the histo-pathological report is suggestive of a neoplasia or HRCT temporal bone is suggestive of partial removal or deep extension it would entail rejection.

(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.

(i)         Septal Perforation. Nasal septal perforation can be anterior cartilaginous or posterior bony perforation. Any septal perforation greater than 01 cm in the greatest dimension is a ground for rejection. A septal perforation which is associated with nasal deformity, nasal crusting, epistaxis and granulation irrespective of the size is a ground for rejection.

(ii)        Nasal Polyposis. It is also known as Chronic Rhinosinusitis with polyposis (CRSwNP). Nasal polyposis is mostly associated with allergy, asthma, sensitivity to NSAIDs and infection i.e. bacterial and fungal. Most of these patients have high chances of recurrence and require long term management with nasal/ oral steroids and are unfit for extremes of climate and temperature conditions. Any individual detected to have nasal polyposis on examination or with history of having undergone surgery for nasal polyposis will be rejected.

(c)        Throat. Disease of throat palate, tongue, tonsils, gums and disease or injury affecting the normal function of either mandibular joints.

(i)  Simple hypertrophy of the tonsils without associated history of attacks of tonsillitis is acceptable.

(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 developed 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 points 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.

(iii)       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.

 (a) Enlarged glands, tubercular or due to other diseases in the neck or other parts of the body.

(b)  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.

(c)        Disease of the thyroid gland will entail rejection.

12. Chest. The following are criteria for rejection: -

(a)        Deformity of chest, congenital or acquired.

(b)        Expansion less than 5 cms.

(c)        Significant bilateral/ unilateral Gynaecomastia in males. Can be evaluated for fitness 12 weeks post-op. Candidates to be considered fit after 12 weeks op post-operative period if:-

(i)         There is a well healed surgical wound with no residual disease.

(ii)        No post-operative complication.

(iii)       Surgical scar should be sufficiently matured and unlikely to cause any problems during military training.

(iv)       Normal general physical examination.

(v)        Endocrine workup is normal.

13. Skin and Sexually Transmitted Infection (STI).

(a)      Skin disease unless temporary or trivial.

(b)      Scars which by their extent or position cause or are likely to cause disability/ or marked disfigurement.

(c)      Hyperhydrosis - Palmar, plantar or axillary.

(d)      Congenital, active or latent sexually transmitted diseases.

(e)       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.

14. Respiratory System.

(a)        History of chronic cough or Bronchial Asthma.

(b)       Evidence of Pulmonary Tuberculosis.    

(c)        Evidence of diseases of bronchi, lungs or pleurae detected on radiological examination of the chest will disqualify the candidate.

(d)       An X-Ray examination of the chest will be carried out under following circumstances: -

(i)         On entry into the service as a cadet or direct entry.

(ii)        At the time of grant of permanent commission in case of short service commissioned officer.

15. 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 pulses.

(c)        Blood Pressure. Candidate with Blood Pressure consistently greater than 140/90mm Hg will be rejected. All such candidates shall undergo a 24 hour Ambulatory Blood Pressure Monitoring (24h ABPM) to differentiate between white coat hypertension and persistent hypertension. Wherever feasible, candidates will be evaluated by a Cardiologist at AMB. Those with normal 24h ABPM and without any target organ damage can be considered fit after evaluation by a cardiologist.

(d)       Electrocardiogram (ECG). Any ECG abnormality detected at SMB will be a ground for rejection. Such candidates will be evaluated by a cardiologist during AMB with echocardiography for structural abnormality and stress test if deemed necessary. Benign ECG abnormalities like incomplete RBBB, T wave inversion in inferior leads, T inversion in V1-V3 (persistent juvenile pattern), LVH by voltage criteria (due to thin chest wall) may exist without any structural heart disease. Echocardiography should be performed in all such cases to rule out an underlying structural heart disease and opinion of Senior Adviser (Medicine)/ Cardiologist should be obtained. If echocardiography and stress tests (if indicated) are normal, the individual can be considered fit.

16. 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)       Hyperbilirubinemia of any nature is Unfit except for Unconjugated Hyperbilirubinemia where genetic studies confirm Gilbert’s Syndrome as the etiological factor meeting criteria fulfilled below: -

(i)         Unconjugated Hyperbilirubinemia with Total Serum Bili rubin < 3mg/dl, normal transaminases, PT/INR and albumin.

(ii)        HBs Ag and Anti HCA should be negative.

(iii)       No abnormality on PBS, Reticulocyte count, lactate dehydrogenenase levels, (LDH), Vit B12 and Hb electrophoresis.

(iv)       Normal Ultrasonogram of the lover and FIBROSCAN.

(v)        Diagnosis of Gilbert’s Syndrome by genetic analysis of UGT1A1 gene.

(c)        Post-op Assessment. Post-op duration for assessment of fitness in common conditions: -

(i)         Hernia. Those who have been operated for hernia may be declared fit provided: -

(aa)      24 weeks have elapsed since the operation for Anterior Abdominal Wall hernia. Documentary proof to this effect is to be produced by the candidate.

(ab)      General tone of the abdominal musculature is good.

(ac)      There has been no recurrence of hernia or any complication connected with the operation.

(ii)        Other Conditions. Those who have been operated for below mentioned conditions may be declared fit provided: -

(aa)      Open Cholecystectomy. 24 weeks (In the absence of Incisional Hernia)

(ab)      Laparoscopic Cholecystectomy. 08 weeks (Normal LFT, Normal histopathology)

(ac)     Laparoscopic Appendectomy. Will be assessed for post operative fitness after a minimum period of 04 weeks. Candidates will be considered fit if:-

Post site scars have healed well.

Scars are supple.

Histo-pathological report of acute appendicitis is available.

USG confirmation of absence of port site incisional hernia.

(ad)    Open Appendectomy with muscle split approach will be assessed for post op fitness after a minimum period 12 weeks. Candidates will be considered fit if: -

Wound has healed well.

Scar is supple and non-tender.

Histo-pathological report of acute appendicitis is available.

USG confirmation of absence of surgical site incisional hernia.

(ae)    Open Appendectomy with muscle cut approach will be assessed for post op fitness after a minimum period 06 months. Candidates will be considered fit if: -

Wound has healed well.

Scar is supple and non-tender.

Appendicitis is available.

USG confirmation of absence of surgical site incisional.

Histo-pathological report is WNL.

17. Genito-Urinary System.

 (a)     Any evidence of disease of genital organs.

 (b)     Bilateral undescended testis, unilateral undescended testis retained in the inguinal canal or at the external abdominal ring unless corrected by operation.

(c)        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.

(e)      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.

(f)         The following are criteria for rejection: -

(i)         Renal Calculi. Irrespective of size, numbers, obstructive or non-obstructive.  History of renal calculi (History or radiological evidence) will render a candidate Unfit.

(ii)        Calyecdasis.

(iii)       Bladder Diverticulum.

(iv)       Simple Renal Cyst. > 1.5 Cm.

18. Central Nervous System.

    (a)      Organic disease of Central Nervous System.

    (b)       Tremors.

    (c)       Candidates with history of fits and recurrent attacks of headache/ migraine will not be accepted.

19. Psychiatric Disorders. History or evidence of mental disease or nervous instability in the candidate or his family.

20. Laboratory Investigation (Hematology).

(a)        Polycythemia. Hemoglobin more than 16.5g/dL in males and more than 16g/dL in females will be considered as Polycythemia and deemed Unfit.

(b)        Monocytosis. Absolute monocyte counts greater than 1000/cu mm or more than or equal to 10% of total WBC counts is to be deemed Unfit.

(c)        Eosinophilia. Absolute eosinophil counts greater than or equal to 500/ cu mm is deemed Unfit.

21. Women Candidates. They should not be pregnant and should also be free from gynaecological disorders such as primary or secondary Amenorrhea/ Dysmenorhoea/ Menorrhagia etc. All women candidates are to be subjected to Ultra Sound Examination of the abdominal and pelvic organs for detecting any abnormalities of the internal organs.

22. Acceptable Defects on Entry. Candidates for the Navy with the following minor defects may be accepted. These defects are however to be noted in the Medical forms on entry.

(a)        Knock Knees with a separation of less than 5 cm at the internal malleoli.

(b)        Mild curvature of legs not affecting walking or running.  Intercondylar distance should not be over 7 cm.

(c)        Mild stammering not affecting expression.

(d)        Mild degree of varicocele.

(e)        Mild degree of varicose veins.

23. Tattoo. Click here for policy.

24. Remedial operations wherever required are to be performed prior to entry. No guarantee is given about ultimate acceptance and it should be clearly understood by a candidate that the decision whether an operation is desirable or necessary is one to be made by their private Medical advisor. The Government will accept no liability regarding the result of operation or any expenses incurred.

25. Any other slight defect which produces no functional disability and which in the opinion of Medical officer/ Medical board will not interfere with the individual’s efficiency as an officer.