GOVERNMENT OF INDIA

DIRECTORATE GENERAL OF CIVIL AVIATION

PROCEDURE & TRAINING MANUAL

Medical Directorate
Issue - II (Revision 3)
Revised on 20th October 2022

This Manual contains various procedures and functions involved of

the Medical Directorate and Training Program
 Intentionally left Blank

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 Procedure & Training Manual

Medical Directorate

DGCA Headquarters

Aurobindo Marg, New Delhi – 110 003

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Sl. Page
Para TABLE OF CONTENTS
No No.

1 Introduction 8

1.1 Command & Control of Medical Directorate 9

1.2 Functions of Medical Directorate 10-11

1.3 Duties & Responsibilities 11-17

1.4 Work Force Evaluation 17

(with detailed description of methodology as Annexure ‘C’)

2 Medical Assessment

2.1 Class 2 Medical Examination 18-20

2.2 Class 1 Medical Examination 20

2.3 Class 3 Medical Examination 21

(with procedure for Class 3 Medical Assessment for Air Traffic
Controller Officers (ATCOs) as ‘Annexure L’)

3 Medical Unfitness

3.1 Temporary Unfitness 22-23

3.2 Permanent Unfitness 23-24

3.3 Appeal against Decision of Unfitness 24-25

4 Selection procedure for Medical Examiners

4.1 Class 2 Medical Examiners 26-33

4.2 Class 1 Medical Examiners 33-36

4.3 Class 3 Medical Examiners 36

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5 Miscellaneous Issues

5.1 False Declaration on CA 34/34A 37-38

5.2 No Objection Certificate 38-39

(with Annexure ‘D’)

5.3 Pilot Medical Record 39-41

5.4 Medical Examination of Serving Armed Forces Aircrew 41

5.5 Medical Examination of Foreign Aircrew 41

5.6 Procedure for issuance of Medical Assessment 42

5.7 Surveillance of Medical Examiners/ Medical 42-44

Examination Centre (with ‘Annexure E & J’)

5.8 Enforcement Policy 44-45

6 Training Program

Objectives 46

6.1 Medical Assessor 47-49

6.2 Class 2 Medical Examiners 49-50

6.3 Class 1 Medical Examiners 51-52

Contents of Workshop for Class 1, 2 & Class 3 52-53

Medical Examiners (with ‘Annexure H’)

6.4 Training of Support/Administrative Staff 53-54

DMS (CA) 55-58

JDMS (CA) 59-61

Medical Assessors 62-64

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 Medical Assistants 65-68

Section Officers 69-70

DEOs & MTS 71-72

7 Procedure for Granting Exemptions from Aircraft

Rule (S) and Civil Aviation Requirements (S)

7.1 General 73

7.2 Definitions 73

7.3 Procedure for submission of applications for exemption 74-75

(s)

7.4 Procedure for processing of applications for exemption 75-77

(s)

7.5 Follow up Actions 77

7.6 System for recording and publishing exemption (s) 78

granted

8 Practical Knowledge and workplace experience of

DGCA Empanelled Medical Examiners

8.1 General 79

8.2 Inflight experience and familiarization with ATC Unit 79

8.3 Procedure for requisition of Air Tickets for DGCA 79-81

Empanelled Medical Examiners/ Medical Assessors to
fly as ‘Observer’

8.4 Procedure for seeking permission for visiting a DGCA 81-82

Approved Training Organization (ATO) by Medical
Examiners as ‘Observer’

8.5 Procedure for seeking permission for visiting ATC Unit 82-84
of AAI by Medical Examiners as ‘Observer’

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 Appendices 85-96

9 Aviation Safety & Health Promotion

9.1 Background 97

9.2 Routine Periodic Medical Examination 97-98

9.3 Application of Safety Management Principles to Medical 98

Assessments

9.4 Collection and Analysis of Aeromedical Data 98-99

9.5 Health promotion activities 99

9.6 Re-evaluation of medical assessments process 99

All References 100

All Annexures 101-132

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 RECORD OF REVISIONS
The revisions are carried out as and when required to accommodate the
amendments made in Aircraft Rules, Civil Aviation Requirements and to enhance the
efficiency for issue of Medical Assessment to aircrew.

The space below is provided to keep a record of such revisions.

RECORD OF REVISIONS

No. Date of Revision Remarks

Issue I 14 Nov 2008

Issue II 22 Oct 2018

Revision 1 31 Oct 2018 Page No. 2

Annexures A, B & C

Revision 2 10 Sep 2021 Procedure for Class 3

Medical Assessment for
ATCOs

Revision 3 20 Oct 2022 Para 6, 7, 8 and 9

Annexure ‘C and L’

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1. INTRODUCTION

Medical Assessment of the flight crew and ATCOs is issued in

accordance with the provisions contained in Rule 39 B and 103 of the Aircraft
Rule, 1937 respectively. The flight crew medical assessment issued or
renewed are enlisted in Rule 39 C of The Aircraft Rules and Rule 104 of The
Aircraft Rules for personnel of Air Traffic Services. Director General Medical
Services (Air) of the Indian Air Force (IAF) is the advisor to the DGCA on all
medical matters. Medical Assessors working in Medical Directorate of DGCA
are the representative of DGMS (Air). The Medical Assessors are either
Aerospace Medicine Specialists or are trained in Aviation Medicine aspects
and are on active service of IAF. The Medical Assessment for the Medical
examination conducted by the Medical Examiner is issued by the Director/
Joint Director Medical Services (Civil Aviation) (DMS / JDMS).

The initial and recurrent training of all categories of personnel involved

in the medical examination and assessment has been mandated by the
ICAO in Annex 1. This function of the Medical Section is accomplished with
technical assistance from the IAF medical centres.

The present manual lays down all procedures & training aspects that
are followed in Medical Directorate of DGCA. In the execution of the training,
besides the DGCA, assistance shall be sought from the office of DGMS (Air),
premier medical establishments of IAF, Airline Medical Departments and
Airline Industry.

All the procedures with respect to training, medical examination and

issue of medical assessments have been documented in the manual.

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Command & Control of Medical Directorate

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1.2 Functions of Medical Directorate

(a) Issue of Medical Assessments for initial, renewal, re‐initial,

special, temporary/permanent unfit and appeal medical examination of
civil aircrew.

(b) Updating and safekeeping of Pilot Medical Record (PMR) of civil

aircrew.

(c) Review of empanelment/ Re-empanelment process of Class 1

and 2 Medical Examiners and civil hospitals.

(d) Conduct of periodic updates/workshop for Class 1 & 2 Medical

Examiners, Armed Forces and Airline doctors who are involved with
medical examination of civil aircrew.

(e) Ensuring smooth conduct of DGCA Licensing Medical

examination of civil aircrew at Air Force Medical Centres, Civil Hospitals
and by DGCA empanelled Class 1 & 2 Medical Examiners.

(f) To associate with Aircraft Accidents Investigation Bureau (AAIB)

team as medical member for aircraft accidents/serious incident
investigations, whenever required

(g) Reply to RTI, Parliament questions and handling of Court cases

pertaining to Medical issues.

(h) Updating of medical policies and their promulgation on DGCA

website from time to time.

(j) Issue of NOC for conduct of delayed/early/special/post

temporary unfit medical examination.

(k) Change of personal details viz. name, date of birth, place of birth
and correspondence address in medical records.

(l) Conduct of False Declaration Committee Board Meeting and

disposal of cases.

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 (m) Conduct of Class 2 medical examination of cabin crew at Air
Force Medical Boarding Centres (contentious and appeal cases only).

1.3 Duties and Responsibilities

(a) DMS/JDMS. DMS/JDMS performs the duties of ‘Medical

Assessor’ who peruses and approves (on behalf of DGCA) the medical
examinations conducted by ‘Medical Examiners’. These include the
following-

(i) Class 1 medical examination at Air Force Medical Centres,

designated Civil Hospitals and Class 1 Medical Examiners.

(ii) Class 2 and Class 3 medical examinations conducted by a

panel of Class 2 and 3 Medical Examiners respectively.

(iii) Issue of medical assessment on the fitness/ unfitness/

follow up of review/special medical examination in respect of
licence /rating holders with disabilities/ diseases/ temporary
unfitness of aircrew.

(iv) Decide on permanent unfitness/ appeal medical

examination cases in conjunction with the office of DGMS (Air)
who is the advisor to DGCA on all medical matters.

(v) Address issues and take a decision on cases of False

Declaration made by licence /rating holders on CA‐34/34A.

(vi) Granting No Objection Certificate (NOC) for conduct of

delayed/ early/ special (after disease/disability) medicals and on
completion of temporary unfit period.

(vii) Updating and maintaining a panel of Class 1 and Class 2

Medical Examiners including periodic training of examiners on
policy matters related to civil aircrew medical examination.

(viii) Conducting periodic updates to keep the Class 1 & 2

Medical Examiners, Armed Forces and Airline doctors current in

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 their knowledge with respect to civil aircrew medical
examination.

(ix) Advise civil airline doctors on medical matters and to

oversee the implementation of medical policies of DGCA in the
civil airlines medical department. The task also entails providing
assistance and inputs on medical matters to other directorates
of DGCA in formulating policies relevant to their area of concern.

(x) Reply to RTI questions and handling of court cases

pertaining to Medical Directorate.

(xi) Perform the duties of medical member of Aircraft

Accident/Incident Investigation team formed by DGCA in civil
aircraft accident/serious incidents.

(xii) Other tasks/duties as assigned by Director General at

DGCA and Director General Medical Services (Air).

(b) Assistant Director (AD)/Operations Officer

(i) Updating and safekeeping of PMR of all civil aircrew.

(ii) Monitoring and keeping a record of receipt of medical

examination documents from Air Force Medical Centres as well
as from Medical Examiners, followed by merger of medical
documents into respective PMR.

(iii) Signing of Medical Assessments based on assessment

carried out by the Medical Assessor.

(iv) Change of Personal details i.e. name/date of birth/place of

birth and correspondence address.

(v) Ensure that E-payment of DGCA medical examination fee

is remitted correctly.

(vi) Administration and Supervision of DGCA Staff posted to

Medical Directorate.

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 (vii) Monitoring of receipt and dispatch of all official mail within
a given time frame.

(viii) Regular updating and maintenance of PMR and other

official documents.

(ix) Any other duty assigned by Medical Assessor.

Support Staff

(c) Duties of Section Officer

(i) Supervision of duties allocated to the DGCA staff.

(ii) Look after building, electrical, telephone, IT requirements

of section and their periodic maintenance.

(iii) Procure stationery, IT equipment/accessories and ensure

its proper distribution.

(iv) Interact with individuals reporting to Medical Directorate

/PMR section and address their issues. Issue of duplicate
medical assessment on request, after scrutiny of documents.

(v) Process cases for amendment in personal details such as

‘name/date of birth/place of birth/correspondence address
change etc.

(vi) Address grievances/requests received by post/ e-mail or

telephonically and their timely disposal.

(vii) Maintain office files and office correspondence.

Ensure correct remittance of DGCA medical examination fee.

(viii) Ensure confidentiality of medical/office documents.

(ix) Any other duty, assigned by Medical Assessor & Assistant

Director/ Operation Officer.

(d) Duties of MTS staff

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 (i) Maintenance & safe custody of PMR.

(ii) Merger of medical documents received from Air force/Civil

medical centres, Class 1 & Class 2 Medical Examiners in
respective PMR correctly.

(iii) Maintain record of movement of PMR/Merger documents

in compactor.

(iv) Place PMR in compactor (after issue of medical

assessment) at their respective places correctly.

(v) Retrieve/locate PMR for timely dispatch to Air Force

Medical Centres.

(vi) Ensure that unauthorized persons do not handle PMR.

(vii) Ensure confidentiality of medical/office documents.

(viii) Any other duty assigned by Medical Assessors & Assistant

Director/ Operations Officer/ Section Officer.

(e) Data Entry Operator (DEO)

(i) To prepare Medical Assessments and observation letters.

(ii) Provide file number to newly received Class 1/Class 2

medical documents (including documents received from
Banasthali Vidyapeeth).

(iii) Ensure confidentiality of medical/office documents.

(iv) Any other duty assigned by Medical Assessors & Assistant

Director/Operations Officer/Section Officer.

(f) Receipt & Dispatch (General)

(i) Receipt and dispatch of daily mail pertaining to

PMR/medical Directorate.

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 (ii) Timely dispatch of PMR to Air Force Medical centres by
speed post/official transport & to maintain their record in the
computer.

(iii) Receipt and Diary of medical reports from individual/air

crew and merger documents from Medical Examiners & Air
force/Civil medical centres

(iv) Receipt & Dispatch of office correspondence.

(v) Handover the documents to concerned officer after

entering in the dispatch/file movement register.

(vi) Dispatch of Medical Assessment, all observation letters to

civil aircrew.

(vii) Ensure confidentiality of medical/office documents.

(viii) Any other duty assigned by Medical Assessors & Assistant

Director/ Operations Officer/ Section Officer.

(g) Centralized Medical Appointment

(i) Receive application from individual by hand/e-

mail/courier/fax and accord appointment at Air Force Medical
Centres on first-come-first serve basis by filling a form placed at
Annexure ‘A’.

(ii) Inform individuals about allotted date and Medical Centre

along with all relevant instructions by e-mail.

(iii) If the individual on being accorded a confirmed

appointment wants to cancel it, then he has to intimate medical
Directorate by filling a form placed at Annexure ‘B’.

(iv) Prepare Centralized appointment list and dispatch it to

respect Air Force Medical Centres on fortnightly basis.

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 (v) Ensure submission of appointment list to Receipt &
Dispatch section (PMR) for medical examination at Air Force
Medical Centre, at-least 15 days in advance of appointment date.

(vi) Ensure confidentiality regarding centralized appointment

and medical documents.

(vii) Any other duty assigned by Medical Assessor.

(*for Appointment through eGCA {e-Governance in Civil Aviation} – Please
refer Annexure ‘K’)

(h) Medical Assistant

(i) Issue of letter for temporary/permanent unfitness, appeal

& special medical examination.

(ii) Initiate office correspondence with DGCA & office of

DGMS (Air) and maintain correspondence files.

(iii) Reply to RTI/ Court cases under supervision of

DMS/JDMS.

(iv) Initiate correspondence with Air HQ (VB), New Delhi for

obtaining security clearance of aircrew with foreign nationality for
conduct of medical examination at IAF boarding centres.

(v) Issue NOC for delayed/early/special medical examination

after a period of temporary unfitness.

(vi) Re-imbursement of Buy Now Pay Later (BNPL) speed post

& telephone bills of Air Force Medical Centre.

(vii) Conduct of workshop/update for Medical Examiners &

Airline doctors.

(viii) Conduct of false declaration medical board and redressal

of complaints & grievances.

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 (ix) To ensure confidentiality of official mail and medical
documents.

(x) Any other duty assigned by Medical Assessor.

1.4 Work Force Evaluation

This Methodology has been prepared to determine the number of

Medical Assessors required at medical Directorate in DGCA. Each function
at medical Directorate has been considered separately for calculating the
number of Medical Assessors required at Medical Directorate. This
Methodology will be re‐visited periodically to account for aviation growth in
aviation sector. A detailed description of methodology is placed at Annexure
‘C’.

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2. MEDICAL ASSESSMENT

The steps involved prior to the issue of provisional medical assessment

(CA-35) after conduct of medical examination of licence/rating holder by
Class 1, 2 & 3 MEDICAL Examiners are discussed below-

2.1 Class 2 Medical Examination.

(a) Conduct of Class 2 medical examination (Initial/ Renewal) by

DGCA empanelled Class 2 Medical Examiners. The updated list of
Class 2 Medical Examiners is available in the medical section of
DGCA website https://www.dgca.gov.in/digigov-
portal/?page=jsp/dgca/InventoryList/personal/medical/class2/class2.pdf

(b) Filling of CA-34/34A & 35 by a candidate (Part 1) & Class 2

Medical Examiner (Part 2) as per the guidelines mentioned in
handbook for DGCA empanelled Medical Examiner.

(c) Forwarding of completed CA-34/34A & 35 by Class 2/3 Medical

Examiner by post to Medical Directorate, DGCA.

(d) Receipt of document at DGCA Reception which is further

forwarded to Medical Directorate.

(e) Receipt of CA-34/34A & 35 at Medical Directorate and

(i) In case of Initial medical examination, PMR Number will be

allotted and a new PMR will be created

or

(ii) In case of Renewal/Re-initial medical examination merging

of received CA-34/34A & 35 will be done in the already existing
PMR at Medical Section.

(f) On receipt of medical examination documents at DGCA, the

same will be perused/ approved by Medical Assessors within 08-12
weeks from the date of receipt of documents at DGCA.

(g) Perusal of the PMR by Medical Assessor.

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 (h) Approval of current medical examination by Medical Assessor on
Part 3 of CA-34/34A which is as per the guidelines mentioned in-

(i) ICAO Manual of Civil Aviation Medicine–2012 (Doc 8984).

(ii) Annex 1 Chapter 6 of ‘Medical Provisions for Licensing’.

(iii) Civil Aviation Requirements (CAR) Section 7 Series C

Part I Issue II – ‘Medical Requirements and Examination for
Flight Crew Licenses and Ratings’.

(iv) Existing Aeronautical Information Circulars (AIC) on medical

matters available on DGCA website.

Note: The Medical Assessors of the DGCA Medical Directorate

review and audit all (100%) of the medical assessments. The
DGCA Medical Assessors make all final decisions regarding the
outcome of these medical assessments for Class 1, 2 and 3.

(j) The decision could be one of the following-

(i) Fit (with or without limitations)

(ii) Temporary unfit
(iii) Permanent unfit

(k) Approval of current medical examination by Medical Assessor.

(l) Auditing of medical examination forms (CA 34/34A) conducted

by DGCA empanelled Medical Examiners is elaborated in Sl. No. 5.6
under heading miscellaneous issues.

(m) Printing of Medical Assessment (in 2 copies) manually by Data

Entry Operator (DEO) staff in Medical Directorate.

(n) Verification of dates and other details by staff at Medical

Directorate.

(o) Signature on Medical Assessment by authorized representative

of Medical Directorate, DGGA.

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 (p) One copy of Medical Assessment is filed in PMR and other copy
posted to licence /rating holder on his/her present postal address as
mentioned in CA 34/34A.

2.2 Class 1 Medical Examination. The steps involved in the Medical

Assessment of Class 1 medical examination are similar to Class 2 medical
examination except for the following:-

(a) The Class 1 Initial medical examination can be conducted at IAF

or civil boarding centres. The Class 1 renewal medical examination can
be conducted at DGCA authorized IAF medical evaluation centres or
by any DGCA empanelled Class 1 Medical Examiner. The updated list
of Class 1 medical examination centres and Medical Examiners are
available on DGCA website.

(b) For DGCA authorized IAF boarding centres, the PMRs of the
licence /rating holders are forwarded by speed post to the designated
centre where the medical examination is scheduled. PMRs are not
forwarded to other IAF centres, civil centres and Medical Examiners.
PMR are returned to DGCA by the respective centre by speed post on
completion of medical examination.

(c) Filling of CA-34/34A & 35 by Candidate (Part 1) & Class 1

Medical Examiner (Part 2). Security and Confidentiality of Medical
Forms and Records of licence holders should be maintained at all time
by DGCA Empanelled Class 1 Medical Examiners.

(d) Remaining procedure as described in para 2.1 (d) to (p) are

similar as prescribed for Class 2 medical examination.

Note: The Medical Assessors of the DGCA Medical Directorate review

and audit all (100%) of the medical assessments. The DGCA Medical
Assessors make all final decisions regarding the outcome of these
medical assessments for both Class 1, 2 and 3.

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2.3 Class 3 Medical Examination. Please refer the procedure for
Class 3 Medical Assessment for Air Traffic Controller Officers (ATCOs);
Issue No. 1, Dated 10 September 2021 (Approved vide DGCA-
12023/3/2021-Medical dated 10 Sep 21) placed at Annexure ‘L’ to this PTM.

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3. MEDICAL UNFITNESS

This could be of the following types-

(a) Temporary Unfitness

(b) Permanent Unfitness

3.1 Temporary Unfitness.

(a) Temporary unfitness is granted when, during medical examination,

a licence /rating holder is detected to have a medical condition which
is considered incompatible with flying duties. However, based on the
clinical appreciation of the medical condition and provisions of ICAO
Manual of Civil Aviation Medicine, it is likely to improve, with or without
treatment, to a level which can be considered compatible with flying
duties.

(b) Temporary unfitness may be granted by-

(i) Medical Examiner (IAF centre/Civil centre/ Medical

Examiner) who may advise a review after an investigation/
treatment/opinion or after a brief period of unfitness.

(ii) Medical Assessor who may advise a review after an

investigation/treatment/opinion either at DGCA or at one of the
IAF Boarding Centres.

(c) Period of unfitness is specified in weeks along with advice on

investigation to be done/ treatment to be undertaken and specialist
opinion to be sought before re-evaluation.

(d) After specified period of unfitness, review is conducted only for

that medical condition(s) for which the licence /rating holder has been
declared temporary unfit by the Medical Examiner. The completed CA-
34/34A & 35 is then forwarded to DGCA for evaluation and issue of
Medical Assessment by the Medical Examiner.

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 (e) In case there is a delay of more than six months in conducting
the review, a complete medical examination is conducted.

(f) After the medical examination, the candidate or licence /rating

holders may be assessed as one of the following-

(i) Fit

(ii) Fit with limitations

(iii) Temporary unfit for a further specified period depending on

his/her medical condition.

(iv) Permanent unfit.

(g) Entry in the PMR is endorsed and a Medical Assessment is issued

accordingly.

(h) No licence /rating holder shall carry out any flying or ATCO duties
on the basis of medical examination and issue of fitness on CA-35
alone if he/she has been declared fit after a period of
grounding/temporary unfitness during previous medical examination.
Flying can only be commenced once a final Medical Assessment of
fitness with a validity date from Medical Directorate, DGCA is issued.

(j) The licence /rating holder has a right to appeal when he/she is
being declared temporary medically unfit for more than 03 months at a
stretch or in aggregate.

3.2 Permanent Unfitness.

(a) Permanent unfitness is granted when a licence /rating holder,

during medical examination is detected to have a medical condition
which is considered incompatible with flying duties. Also, based on the
clinical appreciation of the disability and provisions of ICAO Manual of
Civil Aviation Medicine, it is unlikely to improve, with or without
treatment, to a level which can be considered compatible with flying
duties.

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 (b) Permanent unfitness may be recommended by Medical
Examiner or by the Medical Assessor. The facts of the case are
deliberated by a Board held at the office of DGMS (Air) comprising of
Principal Director Medical Services (Specialists), Director Medical
Services (Aerospace Medicine) and Director Medical Services (Civil
Aviation)/Joint Director Medical Services (Civil Aviation) on behalf of
the DGMS (Air). Cases where Medical Assessor differs from the
opinion of Medical Examiner are also referred to this Committee/
Board.

(c) The decision with respect to permanent unfitness is taken based

on facts of the case, concerned specialist opinion, ICAO guidelines,
DGCA policies and procedures based on CAR/AIC’s. Copy of the
board proceedings is placed in the PMR of the aircrew. A Medical
Assessment is finally prepared and posted by mail to the aircrew.

(d) The candidate or licence /rating holder has a right to appeal

against the decision of the permanent unfitness.

3.3 Appeal against Decision of Unfitness

Appeal procedure

(a) The candidate or licence /rating holder declared permanent unfit

may appeal to the DGCA for a review of the Medical Assessment within
a period of 90 days from the date of applicant having been declared
unfit.

(b) The appeal application has to be accompanied with the opinion

of two senior/eminent specialists of the concerned speciality. The
specialists may comment on the severity and presence or absence of
disability, however fitness for flying duties will only be decided based
on the recommendation of medical board at Office of DGMS (Air).

(c) The appeal request shall be addressed to the Director Medical

Services (Civil Aviation), Directorate General of Civil Aviation, Medical
Directorate, Opposite Safdarjung Airport, New Delhi-110003. The
appeal shall be sent by registered post with acknowledgement due or

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 may be delivered in person to the Receipt & Despatch Section in the
O/o DGCA and individual may obtain a receipt for the same.

(d) In case the opinion of senior specialists confirms the presence of

the disability, DMS/JDMS may deny another review to avoid
infructuous expense and paper work.

(e) The appeal must be accompanied by all documents in original

obtained by the applicant from reputed medical institutions/ specialists
clearly certifying the presence or absence of the disability, with specific
reference to the cause of unfitness stated in the Medical Assessment
issued by the Office of the DGCA. The medical practitioner/ specialist
certifying the fitness in such a case should give sound reasons
justifying his/her opinion. Reports of the medical examination and
results of investigations, in original, must be attached with the
documents. For a particular disability, the personal opinion of a senior
specialist does not change the disposal/fitness status of licence /rating
holder during perusal of documents at DGCA. The presence or
absence of a disability is the only finding the specialist is expected to
opine upon and not the fitness for duties.

(f) Once perused at DGCA, the appeal shall be referred to office of

DGMS (Air). DGMS (Air) may recommend an appeal/review medical
examination at a designated Air Force boarding centre and may also
ask for any such investigation/report or opinion of any specialist to
determine the fitness of the applicant. If the medical review (appeal
medical) is accepted, it shall be carried out at the centre specified for
the purpose. The fresh medical examination reports will be considered
to assess the medical fitness of the candidate. The result thereof shall
be intimated to the office of the DGCA and the final assessment shall
be issued accordingly by DGCA.

(g) Cases of False Declaration on CA-34/34A can also be declared

permanently unfit if recommended by the false declaration board after
interviewing the candidate or licence /rating holder. Their disposal is
discussed in para 5.

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4. SELECTION PROCEDURE FOR MEDICAL EXAMINERS

4.1 Class 2 Medical Examiners.

(a) Class 2 medical examination can be carried out by the following:-

(i) All authorized Class 1 Medical Examiners & Examination

Centres (except Dr Balabhai Nanavati Hospital, Mumbai & Apollo
Heart Centre, Chennai).

(ii) All DGCA approved Class 2 Medical Examiners, who are

practitioners of modern medicine and having a minimum of
MBBS qualification and registered with the Medical Council of
India and who have received the approved training in the subject
of Aviation Medicine at IAM, Bangalore.

(b) Selection Process

(i) Information regarding empanelment shall be made

available in the ‘Public Notice’ section of the DGCA website. (The
notification would be published every year, based on the
requirement)

(ii) In response to the notification, persons desirous of being

empanelled as Class 2 Medical Examiners by DGCA for
conducting Class 2 Initial and Renewal medical examination
shall apply on plain paper to Director Medical Services (Civil
Aviation), Directorate General of Civil Aviation, Medical
Directorate, Opposite Safdarjung Airport, New Delhi-110003.

(iii) The envelope shall be super scribed ‘Application for Class

2 Examiner’. Application by e-mail/Fax shall not be accepted.
Candidates should ensure that all requirements mentioned have
been fulfilled.

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 (c) Professional Interview

(i) Applicants fulfilling qualifications and experience

requirements specified above shall be called for a professional
interview for empanelment as Class 2 Medical Examiner by
DGCA. A selection board at DGCA will be constituted which will
comprise of representatives of DGCA, DGMS (Air) and DMS
(CA).

(ii) Applicants shall be expected to have adequate awareness

of provisions regulating the Class 2 Initial & Renewal medical
examination including knowledge of relevant CARs, AIC’s and
ICAO Standards and Recommended practices.

(iii) Applicants are expected to make their own travel

arrangements for attending the interview.

(d) Approval

(i) On completion of successful interview, Class 2 Medical

Examiners will be empanelled for a period of 3 years which may
be extended for a further period of three years at a time, subject
to re-assessment.

(ii) The decision in this regard will be taken by DGCA.

(e) Medical Facility

(i) The medical facility shall have an office for the Medical
Examiner with a telephone, internet and FAX connection (for the
purpose of according appointments /interactions with candidate
and DGCA).

(ii) The medical facility shall have place for conduct of medical
examination and filling up of necessary forms by the candidate.

(iii) The medical facility may be either owned or taken on rent

by Medical Examiner.

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 Note- In case Medical Examiner is using the medical facility of a
renowned hospital then NOC from the hospital permitting to use
their facility for conduct of medical examination during the period
of empanelment shall be submitted to DGCA.

(iv) Class 2 Medical Examiner may choose to conduct the

entire medical examination him/herself or co-opt other
specialists/hospitals/institutes for conduct of ENT or
Ophthalmology examination, ECG, Laboratory tests etc.

(v) The responsibility for conduct of entire medical

examination shall be on the Class 2 Medical Examiner who is to
ensure that the medical examination is conducted
comprehensively complying with ethical practices.
Simultaneously, the Medical Examiner should make the co-opted
specialists aware of the significance of aviation medical
examination and its implications. Names of co-opted specialists
shall have to be disclosed by the Medical Examiner.

(vi) The medical facility should have availability of a female

attendant who should be present during conduct of medical
examination of all female candidates.

(f) Extension of approval

(i) Class 2 Medical Examiners may apply for extension to

DGCA after completion of two and half years.

(ii) For extension, the Class 2 Medical Examiner should have

attended at-least one physical & two e-workshops conducted by
DGCA in the previous 3 years. This would also help them in
updating their knowledge regarding Aviation Medicine and recent
policies/guidelines of DGCA on medical matters. There should
be no case of proficiency related matter or professional
misconduct against the Medical Examiner during the period of
empanelment.

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 (iii) The application for extension shall be assessed by a Board
of Officers consisting of representative from DGCA, PDMS(S) &
DMS(CA) which shall be approved by DGCA based on the
recommendations of DGMS (Air).

(iv) Experience of 01 week training in Aviation Medicine will be

considered for extension of Empanelment of Class 2 Medical
Examiners who were empanelled before September 2018.

(g) Conduct of Medical examination

The following steps will be followed by the Class 2 Medical

Examiners for conduct of Class 2 Initial/Renewal medical
examination-

(i) Accord of appointment. Based on the contact details of the

examiner on the DGCA website, prospective aircrew shall
contact the examiner telephonically or by e-mail. In case of Class
2 Re-initial/Renewal medical examination, the Medical Examiner
shall grant an appointment after verifying that the medical is not
due at IAF Boarding Centre by virtue of specific annotation on
Medical Assessment issued by DGCA/age related
medical/history related medical examination.

(ii) PMR from DGCA. The PMR shall not be dispatched for Re-
initial/Renewal medical examination conducted by Class 2
Medical Examiners. The candidate must carry a copy of the last
medical assessment issued by DGCA, if applicable.

(iii) Documentation. The filling up of form CA-35/34/34A by the

candidate shall be in the presence of Class 2 Medical Examiner
with a specific reference to history and consequences of
withholding relevant information. The identity of the candidate
must be positively established at all times, specifically during
conduct of investigations. The name and age of the candidate
can be confirmed with Class X certificate which is required to be
produced prior to medical examination.

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 (iv) Fee. The Class 2 Medical Examiner may collect
reasonable charges for specialist consultation(s), administrative
and postage/ handling charges.

(v) Investigations. The mandatory investigations required for

initial Class 2 medical examination are specified as follows-

(aa) Blood – Hb, TLC, DLC

(ab) Urine - RE/ME

(ac) X-Ray Chest (PA View)

(ad) Pure Tone Audiometry (PTA)

(ae) ECG (R)

Additional test may be advised by Medical Examiner based

on findings during clinical examination. Investigations will be
done at any NABL/NABH accredited laboratory and at DGCA
approved Air Force Medical Centre. The laboratory will always
establish the identity of the candidate and endorse the same on
CA–34/34A. The Class 2 Medical Examiner shall give a request
for investigation to the candidate. The candidate would carry the
investigation reports and handover the same to Class 2 Medical
Examiner. These reports will then be duly authenticated by
Medical Examiner.

(vi) Eye & ENT examination. The Class 2 Medical Examiner

may conduct the medical examination themselves or can get it
done by a co-opted specialist in Eye/ENT.

(vii) General Medical examination & filling of necessary forms

CA-34/34A/35. This has to be done by the Class 2 Medical
Examiner. A copy of CA-35 is to be handed over to the candidate
with disposal of fitness/unfitness after conduct of medical
examination. The CA-35 should be duly signed by the candidate
in presence of Medical Examiner.

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 (viii) Dispatch of CA-34/34A/35 to DGCA. The completed CA-
34/34A & 35 along with all investigation reports, in original,
should be dispatched by post to medical Directorate. The
documents should be arranged in the following order-

(aa) CA form 35

(ab) CA form 34/34A

(ac) Self attested copy of Class X Certificate as proof of

name and date of birth. If date of birth is not mentioned on
Class X certificate then self-attested copy of date of birth
certificate issued by Municipal Corporation may be
accepted (for Initial/Re-initial medical examination only).

(ad) All Investigations mentioned in para 4.1 (g) (v) in the

same order

(ae) Any other investigations reports, if applicable.

(ix) The documents are to be dispatched to Medical

Directorate, DGCA and a record of the same should be
maintained by Class 2 Medical Examiner. The envelope shall not
be folded and shall be superscribed ‘Class 2 medical
examination report (Initial/Renewal)’.

(x) Records. A copy of the CA-34/34A & 35 and investigation

reports shall be maintained by the Class 2 Medical Examiner in
hard and/or soft copy for a period of minimum three years. Class
2 Medical Examiners must ensure confidentiality of medical
documents.

(xi) Reports and Returns. A month wise summary of medical

examination conducted shall be forwarded to DMS(CA) in the
format provided by Medical Directorate, DGCA on a quarterly
basis.

(xii) Unfit cases & Incomplete Medicals. CA-34/34A and 35 of

cases which are declared unfit or where the medical examination

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 is not completed are also to be forwarded to DGCA with
recommendations. Cases of unfitness shall be intimated
to/discussed with DMS(CA) at DGCA. Review medical
examination after a recommended period of unfitness shall be
conducted at IAF Baording Centre only.

(h) General Instructions.

(i) Medical Examiners should ensure that candidates holding

a Class 1 medical assessment cannot undergo a Class 2 medical
examination.

(ii) CA 34/34A/35 forms required by Medical Examiners and

other reference material for the conduct of medical examination
other than the ones prescribed in handbook are uploaded on
DGCA website.

(iii) Professional disputes arising during the conduct of medical

examination by Class 1 Medical Examiners shall be resolved by
DGMS (Air), who may take up the matter with DGCA.

(iv) Medical Examiners are required to attend one physical

workshop and two E-workshops organized by DGCA in a period
of three years to update their knowledge regarding Aviation
Medicine and Policies/ Guidelines of DGCA on medical matters.

(v) DGCA may carry out audit of all Medical Examiners

including record maintenance.

(vi) Class 2 Medical Examiner empanelment may be

withdrawn by DGCA temporarily or permanently depending on
nature of professional misconduct/proficiency related issues.
Such decisions would be vetted at DGMS (Air) and DGCA.

(vii) Class 2 Medical Examiner who joins Air Force, Army, Navy
or any airlines as an airline doctor will be disempanelled from
approved panel of Class 1 Medical Examiners.

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 (viii) Class 2 Medical Examiner may carry out tele-consultation
on administrative/professional aspects with DMS/JDMS(CA)
between 1100h and 1730h, at +91-11-24610629 at DGCA or
through e-mail at doctor.dgca@nic.in.

4.2 Class 1 Medical Examiners.

(a) The professional, experience and facility requirements for

selection as Class 1 Medical Examiners are specified in CAR Section
7 Series C Part III Issue I – ‘Empanelment of Medical Examiner for
Conduct of Class 1 Medical Examination’ dated 23 Jun 17.

(b) Selection Process.

(i) Information regarding empanelment shall be made

available in the ‘Public Notices’ section of the DGCA website.
The notification would be published every year based on the
requirement.

(ii) In response to the notification, doctors desirous of being

empanelled as Class 1 Medical Examiners by DGCA for
conducting Class 1 renewal and Class 2 initial and renewal
medical examination shall apply on plain paper to Director
Medical Services (Civil Aviation), Directorate General of Civil
Aviation, Medical Directorate, Opposite Safdarjung Airport, New
Delhi-110003.

(iii) The envelope shall be superscribed ‘Application for Class

1 Medical Examiner’. Application by e-mail/Fax shall not be
accepted. Applicants should ensure that all requirements
mentioned have been fulfilled.

(c) Professional Interview

(i) Applicants fulfilling qualifications and experience

requirements as specified above, shall be called for a
professional interview for empanelment as Class 1 Medical
Examiners by DGCA. A Board of Officers will be constituted

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 comprising of a DGCA officer, two representatives of DGMS (Air)
and DMS(CA).

(ii) Applicants shall be expected to have adequate awareness

of provisions regulating the Class 1 & 2 medical examination as
per Standard and Recommended practices of ICAO including
knowledge of relevant Civil Aviation Requirements (CARs) and
Aeronautical Information Circulars (AICs).

(iii) Applicants are expected to make their own travel

arrangements for attending the interview.

(iv) Applicants recommended by the Board of Officers shall be

required to make their medical facility available for inspection
within one month of interview.

(d) Assessment of Medical facility

(i) Class 1 Medical Examiner shall be permitted to operate

from one medical facility only.

(ii) The medical facility shall have an office for the Medical
Examiner with a telephone connection, internet facility and Fax
(for the purpose of according appointments/interactions with
aircrew/DGCA).

(iii) The facility shall have place for conduct of medical

examination and filling up of necessary forms by the candidate.

(iv) The medical facility may be either owned or taken on rent

by Medical Examiner.

Note: In case Medical Examiner is using the medical facility of a

renowned hospital then No Objection Certificate (NOC) from the
hospital permitting to use their facility for conduct of medical
examination during the period of empanelment shall be
submitted to DGCA.

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 (v) Class 1 Medical Examiner may choose to conduct the
entire medical examination by him/herself or co-opt other
specialists/hospitals/Institutes for consultation, laboratory tests
and other relevant investigations.

(vi) The medical facility should have availability of a female

attendant who should be present during conduct of medical
examination of all female aircrew/candidates.

(vii) The responsibility for conduct of entire medical

examination shall be on the Class 1 Medical Examiner who is to
ensure that the medical examination is conducted
comprehensively complying with ethical practices.
Simultaneously, the Medical Examiner should make the co-opted
specialists aware of the significance of aviation medical
examination and its implications. Names of co-opted specialists
shall have to be disclosed by the Medical Examiner.

(viii) The initial inspection of the facility shall be conducted as

per Checklist mentioned in CAR Section 7 Series C Part III Issue
1 – Empanelment of Medical Examiner for conduct of Class 1
Medical examination dated 23 Jun 17 by DMS (CA) or Senior
Medical Officer/ Aviation Medicine Specialist nominated by
DGMS (Air). The inspection shall include inspection of co-opted
facilities also.

(e) Approval. On completion of successful interview and

inspection, Class 1 Medical Examiners are empanelled for a
period of 3 years which may be extended for a further period of
three years at a time, subject to re-assessment.

(f) Extension of approval

(i) Class 1 Medical Examiners may apply for extension to

DGCA after completion of two and half years.

(ii) For extension, the Class 1 Medical Examiner should have

attended at-least one physical workshop and two E-workshops

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 conducted by DGCA in the previous 3 years. There should not
be any case of proficiency related matter or professional
misconduct against the Medical Examiner during the period of
empanelment.

(iii) Inspection of medical facility shall be done prior to grant of

extension of Class 1 Medical Examiner status and as and when
felt necessary by DMS (CA).

(iv) The application for extension shall be assessed by a Board

of Officers comprising of representative from DGCA, PDMS (S)
& DMS (CA). Based on the recommendations of DGMS (Air), the
same shall be approved by DGCA.

4.3 Class 3 Medical Examiner.

(Refer Civil Aviation Requirements, Section 7 – Flight Crew Standards,

Training and Licensing Series C Part I, Issue II Dated 12th October 2017

Class 3 renewal medical examination will be carried out by DGCA

empanelled Class 3 medical examiners. There will be no separate
empanelment procedure for Class 3 medical examiners. The existing DGCA
empanelled Class 1 medical examiners and Class 2 medical examiners (who
have more than 3 years of experience as DGCA medical examiner) shall be
nominated as Class 3 medical examiners and their list will be published on
the website.

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5. MISCELLANEOUS ISSUES

5.1 False Declaration on CA34/34A

(a) Certain candidates or licence /rating holders may be declared

permanently unfit on account of false declaration in Part I of the CA-
34/34A. Providing false information/deliberately hiding information with
a malicious intent may result in a candidate or licence /rating holder
being declared permanently unfit. Further legal/disciplinary action, as
defined in Rule 39A, Para 1(e) of the Aircraft Rule 1937 and Rule 109,
Para 1(d) and 1(e) of the Aircraft Rule 1937 which are described as
under, may be initiated-

Rule 39A, Para 1(e) “Disqualification from holding or obtaining a

licence – (1) Where licensing authority is satisfied, after giving him an
opportunity of being heard, that any person who… (e) has obtained the
licence, rating, aircraft type rating or extension of aircraft type rating,
or renewal of any of them, by suppression of material information or on
the basis of wrong information

Rule 109. Disqualification from holding or obtaining a licence.(1)

Where the licensing authority is satisfied, after giving him an
opportunity of being heard, that any person (d) has obtained the
licence or rating, by suppression of material information or on basis of
wrong information, or (e) has unauthorisedly varied or tampered with
the particulars entered in a licence or rating or any other relevant
document,

(b) Candidates and licence /rating holders are advised to carefully

read the declaration in CA-34/34A, prior to signing it, during medical
examinations.

(c) On appeal in case of being declared permanently unfit under

Rule 39 A or 109 as above, such candidates are referred to a
Committee/Board of Officers at DGCA which has representative from
DGMS (Air) and DG CA apart from DMS (CA).

(d) The constituted Committee/Board of Officers meets at Medical

Directorate and hears the plea of candidate or licence /rating holder.

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 (e) Based on the merits of each case, a decision is taken by the
Committee/Board of Officers whether to accept or deny the individual’s
plea. Administrative action is then taken accordingly.

(f) In all such cases where appeals are filed, speaking order shall
be passed by DMS(CA) based on the recommendations of the
Committee/Board of Officers set up for such purposes. The same is
then conveyed in writing to the candidate or licence /rating holder.

5.2 No Objection Certificate (NOC)

As per Rule 39(C) and Rule 104 of Aircraft Rule 1937, renewal
of Medical Assessments shall be conducted within a period of
not more than thirty days preceding the date of expiry of the
previous validity. The candidate or licence /rating holder who
fails to renew his/her medicals within the stipulated period or
wants to undergo renewal medical examination early, shall send
a request as per relevant performa (Annexure ‘D’ or Appendix
‘B’ to Annexure ‘L’) for the approval of DMS/JDMS (CA)
(*For eGovernance in Civil Aviation – Please refer Annexure ‘K’).

As per Rule 42 of Aircraft Rules 1937, candidate/aircrew who is sick or

have sustained injury involving incapacity for a continuous period of fifteen
days or more, and as per Rule 106 of Aircraft Rules 1937, ATCO licence or
rating holder who is sick or have sustained injury involving incapacity for a
continuous period of twenty days or more, then he/she shall undergo special
medical examination at IAF Boarding Centres or DGCA empanelled Medical
Examiner. Request for NOC for conduct of special medical examination
describing the disability/cause is to be forwarded to Medical Dte at DGCA.
In case licence /rating holder is employed with an airline or company, the
airline/company doctor should submit a brief history commenting upon
disability, treatment, period of sickness, cure certificate from concerned
treating specialist and fitness for flying duties.

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 (a) NOC application in the format prescribed shall be sent by the
individual through e-mail, post or by hand.

(b) On receipt of the NOC application, it will verified for the following-

(i) Confirmation of medical appointment date mentioned by

the licence /rating holder.

(ii) Validity of Medical Assessment.

(iii) Reason for issue of NOC.

(c) After verification, NOC shall be approved. NOC application,

which does not meet the criteria mentioned above shall be rejected
and the licence /rating holder will be intimated accordingly.

(d) The medical NOC, once approved is not transferable. NOC is

valid for a particular day and for single appointment only.

5.3 Previous Medical Record (PMR)

The PMRs of licence /rating holders are kept in safe custody in the
PMR Section of DGCA. Their upkeep and maintenance is the responsibility
of staff from Medical Directorate. The following step wise actions are
undertaken at DGCA with respect to PMR-

(a) Creation of PMR and allocation of PMR number.

(i) On receipt of the documents of medical examination

(usually a Class 2 or 3 Initial medical examination for fresh
candidates or Class 1 Initial medical examination for serving
officers of Armed Forces), PMR is created at DGCA Medical
Directorate.

(ii) A verification is done to rule out whether there is another

PMR generated on individual’s name. In case another PMR
exists, then CA-34/35 is merged with the old PMR.

(iii) A record of newly allotted PMR number is maintained at

Medical Directorate.

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 (iv) All PMRs are allotted specific numbers, for example 1-
1234/2018-L-2, where 1234 is the PMR number for the current
year i.e. 2018. Here, 2018 denotes the year when PMR number
was allotted. Thus, it helps in quick identification of records of a
particular licence /rating holder. The other numbers and figures
are constant for all. Foreign aircrew holding a temporary
authorization to fly in India with Foreign Aircrew Temporary
Authorization (FATA) license, the year in PMR is replaced by
0000 for example 1-1234/0000-L-2.

(v) Thus, for all future correspondence, same PMR number is

used by all directorates at DGCA.

(b) Forwarding of PMR to IAF Medical Boarding Centres.

Based on written request from the licence /rating holder, PMR’s

are dispatched to IAF Medical Boarding Centres only. The following
steps are involved-

(i) PMRs are retrieved from the compactor room and

verification of each PMR is carried out to ensure correct number
and its completeness in all respect.

(ii) PMRs are then segregated based on boarding centre

where the appointment for medical examination of candidate or
licence /rating holder is accorded.

(iii) They are then placed in special bags along with a list of
the PMR. The bags are then dispatched to the respective IAF
Boarding Centres by speed post.

(iv) Tracking of speed post is done to ensure that the PMR bag
is received by the IAF Boarding Centre as per schedule.

(v) A record of dispatch of PMR is maintained at medical

Directorate. Licence /rating holders are also advised to cross
check receipt of PMR by IAF Boarding Centre at-least a week
prior to date of their medical appointment.

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 (c) Receipt of PMR from IAF Boarding Centres.

Once medical examination is completed at IAF Boarding Centre,

PMR is then dispatched back to DGCA. On receipt of PMR at DGCA,
following actions are undertaken-

(i) PMR bags are checked for any external damage/opening.

(ii) PMR is tallied from the accompanying list in the bag. If any
discrepancies are observed, then it is immediately intimated to
concerned IAF Boarding Centres.

(iii) PMR handling staff ensures that receipt of PMR is

recorded. These are then put up to DMS/JDMS for approval

(d) Processing at Medical Directorate

The processing and approval of medical documents is done as

per laid down procedure for fit/unfit cases.

(e) Re-submission to PMR Directorate (Compactor Room)

PMR with latest Medical Assessment are handed over by MTS

staff of Medical Directorate to PMR Directorate for preserving them at
a designated place in the compactor room.

5.4 Medical examination of Serving Armed Forces Aircrew.

Medical examination in respect of serving Armed Forces aircrew is

governed vide Flight Crew Licensing Circular (FCL) 01 of 2017 titled ‘General
Instructions for Conduct of Class 1 Medical Examination’ available on DGCA
website.

5.5 Medical Examination of Foreign Aircrew.

Foreign Aircrew who wish to fly in India under Foreign Aircrew

Temporary Authorization (FATA) license will be governed as per the
regulations issued from time to time.

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5.6 Procedure for Issuance of Medical Assessment.

All medical examination forms (CA 34/34A & 35) received from DGCA
empanelled Medical Examiners/Examination Centres shall be evaluated by
the Medical Assessor, before issuing a Medical Assessment. The procedure
is as detailed below-

(a) The Medical examination forms received from various DGCA

Empanelled Air Force Centres/ Medical Examiners will be scrutinized
by DMS/JDMS.

(b) If any discrepancy is observed in the CA 34/34A examination

forms, then the forms will be returned to the concerned examination
centres/Medical Examiners with an observation letter for reconciliation.

(c) In case of requirement of any additional investigations, the

licence /rating holder shall be intimated through a letter/e-mail or
telephonically for submission of the documents at the earliest to the
Medical Directorate, DGCA.

(d) Once the evaluation is satisfactory, Medical Assessment shall be

issued.

5.7 Surveillance of Medical Examiners/Medical Examination Centres.

(a) The initial inspection of the medical facility where the Medical
Examiner conducts medical examination is carried out as per the check
list (Annexure ‘E’)

(b) To ensure that the medical examinations are conducted in the

prescribed manner, unannounced inspections of the Medical
Examiners, their medical facilities and their record-keeping practices
will be conducted annually utilizing Annexure ‘E’ in addition to the
inspections required during the initial and recurrent empanelment
periods. The Chief Medical Assessors of the DGCA Medical
Directorate will create a yearly, risk-based surveillance plan for Class
1, Class 2 and Class 3 Medical Examiners following the format set out
in Annexure ‘J’. The format in Annexure ‘J’ allows the Chief Medical

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 Assessor to plan for unannounced inspections of Medical Examiners
by year, month and region. As a part of the surveillance process, at
least 15% of Class 1 and Class 2 Medical Examiners will be inspected
annually. This inspection will include surveillance of the Medical
examination facilities, a Medical Examiner carrying out his/her duties
and the method of record-keeping that is carried out by the Medical
Examiner. In order to ensure that the DGCA Medical Directorate aligns
with the DGCA wide process of conducting risk-based surveillance, the
DGCA Medical Directorate will follow a risk-based approach in order to
prioritize which 15% of the Medical Examiners will undergo
surveillance each year. Because the DGCA Medical Assessors
complete final sign-off of all medical assessments conducted by
empanelled Medical Examiners, the DGCA Medical Assessors will
take into account the following risk factors in prioritizing Medical
Examiners for scheduling-

(i) Incomplete or improperly completed medical

documentation.

(ii) Past or noted discrepancies concerning the Medical

Examiner.

(iii) Past or noted complaints or comments concerning the

Medical Examiner or relevant facilities.

(iv) Past or noted discrepancies concerning the Medical

Examiner’s record keeping practices.

(v) Number of assessments carried-out per year, relative to

colleagues in the region.

(c) In addition to using the above risk factors to prioritize audits of

Medical Examiners with whom deficiencies have been noted, the
DGCA Medical Directorate will randomly select Class 1 and 2 Medical
Examiners for surveillance in order to meet the 15% annual evaluation
requirement.

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 (d) Based on these factors, the DGCA Medical Assessor will
prioritize, which empanelled Medical Examiners will be audited in a
given year and fill out Annexure ‘J’ accordingly.

(e) The DGCA Medical Assessor will continue to note deficiencies

and track any risk factor noted throughout the year in order to
determine the schedule for all subsequent surveillance of empanelled
Class 1 and 2 Medical Examiners. The annual surveillance plan is
prepared by the DGCA Medical Assessor prior to the start of the
following calendar year which is approved by DGCA.

Note: In accordance with the DGCA Enforcement Policy,

administrative action will be taken against those Medical Examiners
who do not follow established procedures or whose medical facilities
or record keeping practices are found to be deficient.

5.8 Enforcement Policy

(a) With Enforcement Policy & Procedure Manual of DGCA, the

Medical Directorate plays a vital role in the discharge of its
responsibility for safety oversight of the operators functioning under its
jurisdiction and promotes the goal of improved aviation safety by
encouraging voluntary compliance with the provisions of the Aircraft
Act, the Aircraft Rules and the directions issued under these statues.
It encompasses that DGCA may initiate investigation of alleged
violations of these legislations / directions, as and when necessary.

(b) For implementation of safety management system, DGCA shall

have an equitable and discretionary enforcement approach in order to
support SSP-SMS framework.

(c) A procedure is laid down to record the enforcement action taken

in respect of DGCA Empanelled Medical Examiners/ Examination
Centres by DGCA. Such actions are taken by Medical Directorate,
DGCA under following circumstances:-

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 (i) When the DGCA Medical Examiner/Examination Centre does
not follow proper procedures during conduct of medical
examination as per the laid down guidelines.

(ii) Any professional misconduct or proficiency related issue.

(iii) During unannounced surveillance of Medical Examiner/

Examination centre by Medical Assessor, when a discrepancy
noted and brought to notice of Medical Examiner/Examination
Centre is not corrected within a reasonable period of time, as
determined by the DGCA Medical Directorate.

(d) The procedure to be followed is as under-

(i) If there is any discrepancy observed in the form (CA–

34/34A/35) on which medical examination is conducted by
DGCA Empanelled Medical Examiners, the Medical Examiners
will be notified by Medical Directorate, DGCA through a letter.

(ii) If any Medical Examiner in spite of observation raised

against him is not taking corrective action, then he/she may be
issued with Caution/Warning Letter by DMS (CA).

(iii) In case the compliance to instructions is still wanting or

unsatisfactory in spite of issue of Caution Letter or if there is any
lapse of a serious nature that may affect flight safety or any other
disciplinary issue, then he/she shall be served with Show Cause
Notice by DGCA, seeking explanation for such lapse.

(iv) An administrative action, as deemed appropriate, will be

taken by Director General, CA in exercise of the power under rule
19 of Aircraft Rule 1937.

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6. TRAINING PROGRAM

In the training curriculum, subjects of regulatory functions and

specialised areas have been dovetailed in order to provide overall
knowledge to an officer to meet the intent of the following objective:-.

(a) Instil knowledge and ethics regarding overall functioning of

DGCA and regulatory framework.

(b) Familiarise with authenticated knowledge, procedure and

practices required at various level of functioning.

(c) Bring the knowledge and understanding of officers into

common standard.

(d) Orient the officers towards their functioning in specific area

of work.

(e) Enable the officers to take various decisions in their area

of work.

(f) Make the officers to be aware with best international

practices followed by other regulatory authorities in dealing with
medical related matters.

(g) Provide guidance for documentations and record keeping.

(h) Optimize resources and management of work.

(j) Apply theoretical knowledge into practices through Hands-

on training and case study.

(k) Develop skill and confidence through structured “On Job

Training” (OJT) so as to enable the officers to work
independently.

(l) Create a sense of empowerment within officers.

(m) Improve the overall personality of officers.

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6.1 Medical Assessor

The Medical Assessors are medical doctors normally trained by

Indian Air Force. These Medical Assessors have received specialised
training in aerospace medicine. The medical assessors are aerospace
medicine specialist with a MD in Aerospace Medicine and which is
recognised by Medical Council of India. Besides this, medical officers
from Indian Air Force can also be posted as Medical Assessors who
have undergone training courses organized by Institute of Aerospace
Medicine, Indian Air Force.

In order to ensure that the Medical Assessors in DGCA are able

to meet the requirements of Civil Aviation Industry with respect to
Medical Standards and Practices, an internal training shall be provided
as per training requirements detailed in DGCA Training Policy.

(a) The training program for Medical Assessors shall contain-

(i) Induction Training

(ii) On-job training

(i) Induction Training. The newly posted Medical Assessors

shall be provided an induction training to enable him/her to get a
general understanding about the organization, its vision and
mission and acquire necessary competencies required for
performing their job. This training will be provided by the medical
assessor who has the experience of working in medical
Directorate of DGCA and holds the appointment of DMS/JDMS.

(ii) On Job Training (OJT). The newly posted Medical

Assessors will be provided on the job training by DMS/ JDMS at
Medical Directorate, DGCA which will enable them to handle the
responsibilities independently. A Medical Assessor is required to
satisfactorily complete the OJT which would enable him/her to
function independently. OJT is planned training conducted at a
work site by DMS/JDMS as mentioned above. This type of
training provides direct experience in the work environment in

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 which the Medical Assessor is performing or will be performing
on the job. As a part of the skill development process, Medical
Assessors are required to undergo OJT before they are assigned
with independent work. An OJT record (Annexure ‘F’) duly
signed by the OJT trainer shall be placed in the individual
dossier/ record folder.

For the purpose of OJT, a trainee Medical Assessor should

be attached with a senior experienced Medical Assessor (trainer)
who will help him/her to learn skills and process through
providing instructions or demonstration (or both). The trainer acts
as a guide and explains the task/procedure to the trainee
assessor followed by demonstrating it. The trainee then carries
out the task, while the trainer observes him/her. Once the trainer
is convinced that the trainee is competent, he/she may allow the
trainee to carry it out independently under his/her supervision.
After such successive exercise the trainee should be issued with
the certificate enabling him/her to carry out the task
independently without supervision. Certificate issued in respect
of OJT completion of each task should be kept in the training
dossier of medical assessor. In the process of OJT the trainee
medical assessor should undergo job rotation so as to ensure
that he/she gains complete overview of activities of the office
he/she is attached to.

Once the induction training and on-the-job training is

completed, a letter will be issued by office of DGCA signed by
competent authority of DGCA, authorizing the newly posted
Medical Assessor to work in Medical Directorate, DGCA
independently.

(b) Nomination of Medical Assessors for training.

DMS/JDMS shall be responsible for nomination of Medical

Assessors for the training which is conducted by DGCA and should

Page | 48
 also provide all necessary assistance to the participating medical
assessors as required, for smooth completion of training.

(c) Implementation of OJT program.

DMS (CA)/ JDMS (CA) shall function as principal on Job Training

Program Coordinator for individuals working in medical Directorate of
DGCA.

(d) Training files and records.

All training completed by a Medical Assessor will be

documented in his/her training file. Assessors who complete a formal
external or in-house training course will receive a ‘Certificate of
Completion’ which will be attached to their training file (Physical File).
A sample format Master list of Medical Assessor is attached as
(Annexure ‘G’) to DGCA training policy.

6.2 Class 2 Medical Examiners

(a) Initial Training.

(i) The initial training of civil doctors who are willing to get
empanelled as Class 2 Medical Examiners is conducted by a
premiere institute of Indian Air Force namely, Institute of
Aerospace Medicine (IAM), Bangalore. This is a mandatory
course of two weeks duration which is held only at IAM,
Bangalore. The course curriculum, admission, fee,
administrative arrangements for the course are
maintained/updated by IAM, Bangalore.

(ii) Doctors who have undergone other recognized Aviation

Medicine courses at IAM, Bangalore of greater duration than the
above courses (like the Introductory Aviation Medicine Course,
Primary Aviation Medicine Course, Advance Course in Aviation
Medicine, Diploma Aviation Medicine, MD Aviation/ Aerospace
Medicine) shall also be considered as qualifying for the purpose

Page | 49
 of empanelment of Class 2 Medical Examiners (subject to
meeting other requirements).

(b) Recurrent Training. Regular recurrent training of Class 2 Medical

Examiners is being conducted by DGCA in the following format-

(i) E-workshop. The E-workshop is held twice a year.

Information about the conduct of workshop is forwarded to all
Class 2 Medical Examiners through DGCA website and
individually by e-mail. The Medical Examiners are advised to
register for the workshop. Power Point presentations are e-
mailed to the participants a week prior to the workshop. On the
day of workshop, an evaluation is carried out based on MCQ’s
related to civil aircrew medical examination through e-mail.
Clarifications, if any, are provided telephonically and by e-mail. A
feedback is also sought from participants. A participation
certificate is later dispatched to all successful participants. No fee
is charged to participants.

(ii) Physical Workshop. Physical workshop is organized every

year either at Delhi or Bangalore. The workshop comprises of
lectures by concerned specialists from IAF Medical Boarding
Centres and Medical Assessors from DGCA HQs. On completion
of workshop, a participation certificate is handed over to all
participants.

Note:

(a) CAR Section 7 Series C Part 1 mandates the requirement for

Class 2 Medical Examiners to attend the workshop. A record of
workshop attended by Medical Examiners is maintained at medical
Directorate, DGCA (Annexure ‘H’).

(b) Class 2 Medical Examiners are also permitted to conduct Cabin

Crew medical examination.

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6.3 Class 1 Medical Examiners

(a) The conduct of initial and renewal Class 1 medical examination

is necessary for holders of commercial licenses and ratings and is
conducted as per provisions of CAR Section 7 Series C Part 1.

(b) Class 1 medical examination is carried out by-

(i) IAF Class 1 Boarding Centres. IAF has identified its

medical establishments across the country which conducts the
Class 1 medical examination for holders of licenses and ratings.
Few of these centres conduct initial medical examination in
addition to renewal medical examination while the remaining
centres carry out renewal medical examination only for holders
of commercial licenses.

(ii) Civil Class 1 Initial Medical Boarding Centres. Among Civil

hospitals, Dr Balabhai Nanavati Hospital, Mumbai and Apollo
Heart Centre, Chennai ere empanelled by DGCA to conduct
Class 1 Initial Medical examination.

(iii) Class 1 Medical Examiners. Doctors with essential

qualification, competence and facility have been empanelled to
conduct Class 1 renewal medical examination (CAR Section 7
Series C Part 1 Issue III).

(c) Initial Training. The initial training of Medical Examiners at

Class 1 Medical examination Centers is carried out as follows:-

(i) IAF Class 1 Medical Examination Centres. The IAF centres

have been conducting Class 1 medical examination since
several years. The knowhow is transferred to new incumbent
medical officers in these medical examination centres by
interpersonal interaction and also by way of experience gained
over a period of time in conduct of medical examination during
active service in IAF. These Medical Examiners also attend
various Continuing Medical Programs (CME) organized by IAF
and workshops conducted by DGCA from time to time.

Page | 51
 (ii) Civil Class 1 Initial Medical Examination Centres.
President, Medical Board who is also a DGCA empanelled Class
1 Medical Examiner is trained in conducting the initial medical
examination. He in turn ensures proper conduct of medical
examination at medical examination centres.

(iii) Class 1 Medical Examiners. The initial training for Class 1

Medical Examiners would be conducted as a one day training at
Class 1 Medical Examiners medical facility on as and when
required basis.

(d) Recurrent Training

Recurrent Training for Class 1 Medical Examiners, IAF medical

officers and Civil Class 1 medical examination centres, is held regularly
in form of physical workshop and a record of the same is maintained
at medical Directorate, DGCA.

Contents of Workshop for Class 1, Class 2 & Class 3 Medical

Examiners.

Topics that are covered in the workshop, generally include the

following-

(a) Procedure of conduct of Medical examination.

(b) Administrative aspects and update on policy

changes/modifications pertaining to medical fitness.

(c) Presentations on salient aspects of

Ophthalmology/ENT/Medicine/Surgery & allied specialties.

(d) Recent advances in aviation industry and challenges faced

with respect to health of aircrew and on passenger safety.

(e) Any other topic of concern with respect to civil aircrew

medical examination and flight safety.

Page | 52
 Note.

(i) Technical assistance would be sought from DGMS (Air) and

Indian Society of Aerospace Medicine (ISAM) for holding these
workshops. In addition, policies governing conduct of medical
examination and changes thereto are regularly shared with all the
Medical Examiners through e-mails.

(ii) DGCA Medical Examiners are also encouraged to participate in

the Annual Conference of Indian Society of Aerospace Medicine
(ISAM).

6.4 Training of support/Administrative staff of Medical Directorate

(a) In order to ensure that staff posted to medical Directorate are

able to carry out their duties efficiently and towards expeditious
processing of medical assessments of Aircrew/ Individual, it is
essential that the administrative staff are trained towards all aspects of
processing of medical Directorate. To carry out day to day functions of
Medical Directorate as mentioned in Para 1.2 of Chapter 1 above, the
administrative staff working in the Medical Directorate will be required
to undergo following training programme-

(i) Initial Training

(ii) On the Job Training

(b) The training should primarily cover aspects related to procedures

and documentation for issue and renewal of medical assessments,
receipt and dispatch of PMR, docketing of Medical documents received
at medical Directorate, and issue of NOC etc.

(c) The training of support staff who are medical and admin
assistants from IAF, are already trained and have sufficient knowledge
of handling the medical and other related documents. On attachment
to DGCA, an OJT is also provided to them by DMS/ JDMS. On

Page | 53
 successful completion of the training, they are assigned requisite jobs
in medical Directorate, DGCA by DMS/ JDMS.

(d) The training for administrative staff may be conducted by any

officer posted in medical Directorate and who possesses a valid
training certificate issued by office of DGCA. The staff is also briefed
from time to time about the changes in procedures and regulations,
with respect to civil aircrew requirements.

(e) Record of training conducted should be maintained (Attendance

sheet, OJT details) in the medical Directorate by the officer assigned
with the responsibility for conducting training of Administrative Staff.
On completion of training, a certificate to this effect will be issued to
the administrative staff by DMS/JDMS.

Page | 54
 Medical Directorate DGCA HQ Training Program

INDUCTION TRAINING: DMS (CA)

DAY ONE

1. Structure and function of DGCA HQ and Medical 01 session JDMS (CA)

Directorate

2. Introduction to ICAO, Annex 1 01 session JDMS (CA)

3. Introduction of DGCA Rule 39 (B & C) 02 sessions JDMS (CA)

4. Introduction to CAR, Sec-7, Series C 01 session JDMS (CA)

5. Introduction to AICs (medical related) 01 session JDMS (CA)

DAY TWO

6. Introduction to DGCA Rule 41,42 01 session JDMS (CA)

7. Introduction to DGCA Rule 103,104 02 sessions JDMS (CA)

8. Type of Medical Examination (Initial, Renewal, 01 session JDMS (CA)

Special, Re-initial, Post TU etc.)

9. Forms used in Medical Examination (CA 34, CA 02 sessions JDMS (CA)

34 A, CA 35)

10. Laboratory investigations to be carried out for 01 session JDMS (CA)

Medical Examination

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 DAY THREE

11. Medical Assessment (General introduction)

12. Medical Assessment (Class 1, 2 & 3) and its 01 session JDMS (CA)
validity

13. Medical Unfitness (Temporary, Permanent) 01 session JDMS (CA)

14. Appeal Medical Examination (Permanent Unfit) 02 sessions JDMS (CA)

15. General training on eGCA portal 02 sessions JDMS (CA)

DAY FOUR

16. Approval of appointments & ‘NOC’ on eGCA 01 session JDMS (CA)

17. Issue of Medical Assessment on eGCA 02 session JDMS (CA)

18. General training of Official Correspondence 01 session JDMS (CA)

19. Monitoring of RTI and Disposal 02 session JDMS (CA)

DAY FIVE

20. General training : E- Office Correspondence 01 session JDMS (CA)

21. Training on FATA Security Clearance 01 session JDMS (CA)

22. Disposal of Court cases and Parliament 02 sessions JDMS (CA)

questions

23. Brief on all Surveillance visit and Surveillance 01 session JDMS (CA)
audit

24. Brief on Aircraft accident and investigations 01 sessions JDMS (CA)

* Each session is of one hour duration

Page | 56
 Medical Directorate DGCA HQ Training Program

OJT TRAINING: DMS (CA)

DAY ONE

1. Perusal of PMR Files 01 session JDMS (CA)

2. Scrutiny of attachments and CA 34, 34A for its 01 session JDMS (CA)
completeness and compliance with CAR

3. Training on how to issue Medical assessment 02 sessions JDMS (CA)

Physically or on eGCA

4. Brief on Fitness of Civil Aircrew with 01 session JDMS (CA)

Medications

DAY TWO

5. Empanelment of Civil Medical Examiners 01 session JDMS (CA)

6. Brief on how to audit Civil Medical Examination 02 sessions JDMS (CA)

Centres

7. Brief on False declaration Committee 01 session JDMS (CA)

8. Brief on Sow Cause Notice and Suspension 02 sessions JDMS (CA)

Orders

Page | 57
 DAY THREE

9. Revision of CAR and issue of AIC 02 session JDMS (CA)

10. Periodical review of MoM and MoU 01 session JDMS (CA)

11. Representation in ICAO, ICASM, FAA and ISAM 01 session JDMS (CA)
meetings

12. Arrangement of eWorkshops, Physical 02 sessions JDMS (CA)

Workshops for Civil Medical examiners and IAF
Centres.

13. Brief on familiarization in flight experience of IAF 02 sessions JDMS (CA)

Medical Examiners and Medical Assessors

Page | 58
 Medical Directorate DGCA HQ Training Program

INDUCTION TRAINING: JDMS (CA)

DAY ONE

1. Structure and function of DGCA HQ and Medical 01 session DMS (CA)

Directorate

2. Introduction about CAR, Sec-7, Series C 01 session DMS (CA)

3. Introduction about ICAO, Annex 1 02 sessions DMS (CA)

4. Introduction about AIC 01 session DMS (CA)

5. Introduction of DGCA Rule 39 (B & C) 01 session DMS (CA)

DAY TWO

6. Introduction of DGCA Rule 41,42, 01 session DMS (CA)

7. Introduction of DGCA Rule 103,104 02 sessions DMS (CA)

8. Type of Medical Examination (Initial, Renewal, 01 session DMS (CA)

Re - initial)

9. Forms Used in Medical Examination (CA 34, CA 02 sessions DMS (CA)

34 A, CA 35)

DAY THREE

Page | 59
10. Laboratory investigations to be carried out for 01 session DMS (CA)
Medical Examination

11. Medical Assessment (General introduction) 01 session DMS (CA)

12. Medical Assessment (Class 1, 2 & 3) and its 01 session DMS (CA)
validity

13. Medical Unfitness (Temporary, Permanent) 02 sessions DMS (CA)

DAY FOUR

14. Appeal Medical Examination (Permanent Unfit) 01 session DMS (CA)

15. Issue of Duplicate Medical Assessment 01 session DMS (CA)

16. General training of eGCA portal 02 sessions DMS (CA)

17. Issue of Medical examination appointment on 01 session DMS (CA)

eGCA

DAY FIVE

18. Issue of ‘NOC’ on eGCA 01 session DMS (CA)

19. Issue of Medical Assessment on eGCA 01 session DMS (CA)

20. General training of Email (Correspondence) 02 sessions DMS (CA)

21. Monitoring of RTI and Disposal 01 session DMS (CA)

22. General training of E- Office Correspondence 02 sessions DMS (CA)

23. Training on FATA Security Clearance 01 session DMS (CA)

Page | 60
 Medical Directorate DGCA HQ Training Program

OJT TRAINING: JDMS (CA)

1. Perusal of PMR Files 01 session DMS (CA)

2. Scrutiny of attachments and CA 34, 34A for its 01 session DMS (CA)
completeness and compliance with CAR

3. Training on how to issue Medical assessment 02 sessions DMS (CA)

Physically or on eGCA

4. Brief on Fitness of Civil Aircrew with 01 session DMS (CA)

Medications

5. Empanelment of Civil Medical Examiners 01 session DMS (CA)

6. Brief on how to audit Civil Medical Examination 02 sessions DMS (CA)

Centres

7. Brief on False declaration Committee 01 session DMS (CA)

8. Brief on Sow Cause Notice and Suspension 02 sessions DMS (CA)

Orders

9. Revision of CAR and issue of AIC 02 session DMS (CA)

10. Periodical review of MoM 01 session DMS (CA)

11. Representation in ICAO, ICASM, FAA and ISAM 01 session DMS (CA)
meetings

12. Arrangement of eWorkshops, Physical 02 sessions DMS (CA)

Workshops for Civil Medical examiners and IAF
Centres.

13. Brief on familiarization in flight experience of IAF 02 sessions DMS (CA)

Medical Examiners and Medical Assessors

Page | 61
 Medical Directorate DGCA HQ Training Program

INDUCTION TRAINING: MEDICAL ASSESSOR

Sl Name of Course Duration Trainer

No

DAY ONE

1. Structure and function of DGCA HQ and Medical 01 session JDMS (CA)

Directorate

2. Introduction about CAR, Sec-7, Series C 01 session JDMS (CA)

3. Introduction about ICAO, Annex 1 02 sessions JDMS (CA)

4. Introduction about AIC 01 session JDMS (CA)

DAY TWO

5. Introduction of DGCA Rule 39 (B & C) 01 session JDMS (CA)

6. Introduction of DGCA Rule 41,42, 01 session JDMS (CA)

7. Introduction of DGCA Rule 103,104 02 sessions JDMS (CA)

8. Type of Medical Examination (Initial, Renewal, 01 session JDMS (CA)

Special, Re – initial, Post- TU e.t.c)

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 DAY THREE

9. Forms Used in Medical Examination (CA 34, 02 sessions JDMS (CA)

CA 34 A, CA 35)

10. Laboratory investigations to be carried out for 01 session JDMS (CA)

Medical Examination

11. Medical Assessment (General introduction) 01 session JDMS (CA)

12. Medical Assessment (Class 1, 2 & 3) and its 01 session JDMS (CA)
validity

DAY FOUR

13. Medical Unfitness (Temporary, Permanent) 02 sessions JDMS (CA)

14. Appeal Medical Examination (Permanent Unfit) 01 session JDMS (CA)

15. Issue of Duplicate Medical Assessment 01 session JDMS (CA)

DAY FIVE

16. General training of eGCA portal 02 sessions JDMS (CA)

17. Approval of Medical appointments on eGCA 01 session JDMS (CA)

18. Issue of ‘NOC’ on eGCA 01 session JDMS (CA)

19. Issue of Medical Assessment on eGCA 01 session JDMS (CA)

OJT TRAINING: MEDCAL ASSESSOR

Page | 63
 Medical Directorate DGCA HQ Training Program

1. Perusal of PMR Files 01 session JDMS (CA)

2. Scrutiny of attachments and CA 34, 34A for its 01 session JDMS (CA)
completeness and compliance with CAR

3. Training on how to issue Medical assessment 02 sessions JDMS (CA)

Physically or on eGCA

4. Brief on Fitness of Civil Aircrew with 01 session JDMS (CA)

Medications

5. Empanelment of Civil Medical Examiners 01 session JDMS (CA)

6. Brief on how to audit Civil Medical Examination 02 sessions JDMS (CA)

Centres

7. Brief on False declaration Committee 01 session JDMS (CA)

8. Brief on Sow Cause Notice and Suspension 02 sessions JDMS (CA)

Orders

9. Revision of CAR and issue of AIC 02 session JDMS (CA)

10. Periodical review of MoM 01 session JDMS (CA)

11. Representation in ICAO, ICASM, FAA and ISAM 01 session JDMS (CA)
meetings

12. Arrangement of eWorkshops, Physical 02 sessions JDMS (CA)

Workshops for Civil Medical examiners and IAF
Centres.

13. Brief on familiarization in flight experience of 02 sessions JDMS (CA)

IAF Medical Examiners and Medical Assessors

Page | 64
 Medical Directorate DGCA HQ Training Program

INDUCTION TRAINING: MEDICAL ASSISTANT

Sl Name of Course Duration Trainer

No

DAY ONE

1. Structure and function of DGCA HQ and Medical 01 session JDMS (CA)

Directorate

2. Introduction about CAR, Sec-7, Series C 01 session JDMS (CA)

3. Introduction about ICAO, Annex 1 02 sessions JDMS (CA)

4. Introduction about AIC 01 session JDMS (CA)

5. Introduction of DGCA Rule 39 (B & C) 01 session JDMS (CA)

DAY TWO

6. Introduction of DGCA Rule 41,42, 01 session JDMS (CA)

7. Introduction of DGCA Rule 103,104 02 sessions JDMS (CA)

8. Type of Medical Examination (Initial, Renewal, 01 session JDMS (CA)

Special, Re – initial, Post- TU e.t.c)

9. Forms Used in Medical Examination (CA 34, CA 02 sessions JDMS (CA)

34 A, CA 35)

Page | 65
 DAY THREE

10. Laboratory investigations to be carried out for 01 session JDMS (CA)

Medical Examination

11. Medical Assessment (General introduction) 01 session JDMS (CA)

12. Medical Assessment (Class 1, 2 & 3) and its 01 session JDMS (CA)
validity

13. Medical Unfitness (Temporary, Permanent) 02 sessions JDMS (CA)

14. Preparation of Temporary Unfit, Permanent Unfit 02 sessions JDMS (CA)

assessments and shortfalls (observations)

DAY FOUR

15. Appeal Medical Examination (Permanent Unfit) 01 session JDMS (CA)

16. Issue of Duplicate Medical Assessment 01 session JDMS (CA)

17. General training of eGCA portal 02 sessions JDMS (CA)

18. Issue of Medical examination appointment, 01 session JDMS (CA)

‘NOC’ on eGCA

19. General training of Email (Correspondence) 01 session JDMS (CA)

20. Recording of minutes of meeting and medical 01 session JDMS (CA)

board committee.

Page | 66
 DAY FIVE

21. Monitoring of RTI and Disposal 01 session JDMS (CA)

22. General training of E- Office Correspondence 01 session JDMS (CA)

23. Training on FATA Security Clearance 02 sessions JDMS (CA)

24. General training of various correspondence with 01 session JDMS (CA)

AHQ RK Puram.

25. Training of preparation and submition of all 02 sessions JDMS (CA)

returns

26. Proper handling and safe keeping of Files and 01 session JDMS (CA)
folders

Page | 67
 Medical Directorate DGCA HQ Training Program

OJT TRAINING: MEDCAL ASSISTANT

1. Training on how to maintain records on Files, 01 session JDMS (CA)

Folders and Registers kept at Medical
Directorate, DGCA HQ

2. Brief on how to monitor Emails and process of 01 session JDMS (CA)

their disposal

3. Training on how to prepare note on files for 02 sessions JDMS (CA)

permanent unfit cases and their level of
approval

4. Training on preparation of FATA security 01 session JDMS (CA)

clearance from AHQ Vayu Bhawan and
intimation of authority to respective Boarding
Centres

5. Process of empanelment of Civil Medical 01 session JDMS (CA)

Examiners

6. Brief on how to record minutes of meeting and 02 sessions JDMS (CA)

other details during Medical Board Committee

7. Brief on Show Cause Notice, Caution letter and 01 session JDMS (CA)
Suspension Orders of Civil Air Crew and Civil
Medical Examiners

8. Liaise with Air HQ RK Puram for various 02 sessions JDMS (CA)

correspondence

9. Training for preparation of various returns and 02 session JDMS (CA)

work load data

10. Brief on all visits and programs to be held at 01 session JDMS (CA)
Medical Dte DGCA HQ.

Page | 68
 Medical Directorate DGCA HQ Training Program

INDUCTION TRAINING: SECTION OFFICER

Sl. Name of Course Duration Trainer

No.

DAY ONE

1. Structure and function of Medical Directorate 01 session JDMS (CA)

2. Introduction about Section work 01 session JDMS (CA)

3. General introduction of PMR Files 01 session JDMS (CA)

4. Introduction about CAR, Sec-7, Series C 01 session JDMS (CA)

5. Introduction about ICAO, Annex 1 02 sessions JDMS (CA)

DAY TWO

6. Introduction about AIC 01 session JDMS (CA)

7. Introduction of DGCA Rule 39 (B & C) 01 session JDMS (CA)

8. Introduction of DGCA Rule 41,42, 01 session JDMS (CA)

9. Introduction of DGCA Rule 103,104 02 sessions JDMS (CA)

10. Type of Medical Examination (Initial, Renewal 01 session JDMS (CA)

and Re-initial)

Page | 69
 DAY THREE

11. Forms Used in Medical Examination (CA 34, CA 02 sessions JDMS (CA)
34A and CA 35)

12. Medical Assessment (General Introduction) 01 session JDMS (CA)

13. Medical Assessment(Class 1,2 and 3) 01 session JDMS (CA)

14. Validity of Medical Assessment 01 session JDMS (CA)

15. Medical Unfitness(Temporary, Permanent) 02 sessions JDMS (CA)

DAY FOUR

16. Issue of Duplicate Medical Assessment 01 session JDMS (CA)

17. Matter related to Change/Correction of Name and 02 sessions JDMS (CA)

Personal details

18. General training of Email (Correspondence) 01 session JDMS (CA)

19. Record keeping of Medical Assessment 01 session JDMS (CA)

( Hard copy/ eGCA assessments)

DAY FIVE

20. Safe keeping and proper handling of PMR files 01 session JDMS (CA)

21. Monitoring PG Portal 01 session JDMS (CA)

22. General training of E-office correspondence 02 sessions JDMS (CA)

23. Preparation & Submission of monthly pendency 01 session JDMC (CA)

return

Page | 70
 Medical Directorate DGCA HQ Training Program

INDUCTION TRAINING: DEO’S AND MTS

S.NO. Name of Course Duration Trainer

DAY ONE

1. Structure and function of Medical 01 session Section Officer

Directorate

2. Introduction about Section work 02 sessions Section Officer

3. General introduction of PMR Files 01 session Section Officer

4. Receipt and dispatch of PMR Files 02 sessions Section Officer

DAY TWO

5. Type of Medical Examination (Initial, 02 sessions Section Officer

Renewal and Re-initial)

6. Forms Used in Medical Examination (CA 02 sessions Section Officer

34, CA 34A and CA 35)

7. Medical Assessment (General Introduction) 01 session Section Officer

8. Medical Assessment(Class 1,2 and 3) 01 session Section Officer

Page | 71
 DAY THREE

9. Validity of Medical Assessment 01 session Section Officer

10. Mailing of soft copy of Medical Assessment 02 sessions Section Officer

11. Issue of Duplicate Medical Assessment 02 sessions Section Officer

12. Medical Unfitness (Temporary, Permanent) 01 session Section Officer

DAY FOUR

13. Matter related to Change/Correction of 02 sessions Section Officer

Name and Personal details

14. General training of Email (Correspondence) 02 sessions Section Officer

15. Safe keeping and proper handling of PMR 01 session Section Officer
files

16. Record keeping of Medical Assessment 01 session Section Officer

(Hard copy/ eGCA assessments)

Page | 72
7. PROCEDURE FOR GRANTING EXEMPTION FROM AIRCRAFT
RULE(S) AND CIVIL AVIATION REQUIREMENT(S)

7.1 General

7.1.1 Compliance with The Aircraft Rules, 1937 and Civil Aviation
Requirements (CAR) is mandatory. Occasionally, there may be situations
where it may not be possible to comply with the provisions of The Aircraft
Rules, 1937 and directions given in the CARs, because of exceptional
circumstances, physical constraints, non-availability of specified equipment
etc. which may warrant exemptions from the provisions of Rules and
directions of CARs.

7.1.2 Both, the Central Government and the Director-General are vested
with the power to issue exemptions from operations/ application of rule(s) of
The Aircraft Rules, 1937.

7.1.3 General procedure for exemption from CAR & the Aircraft Rules 1937
is laid down in CAR Section 1, Series B, Part III and AIC 02 of 2022 dated
17 Feb 22 respectively. Procedure Manual for Granting Exemption from
Aircraft Rule(s) and Civil Aviation Requirements dated 05 Apr 2022 also lays
down detailed procedure and guidelines for processing of applications for
grant of exemption(s).

7.1.4 This chapter lays down the procedures to be followed at Medical

Directorate DGCA HQ for processing the applications for grant of
exemptions from the provisions of The Aircraft Rules, 1937 and the directions
under Civil Aviation Requirements connected to this Dte.

7.2 Definitions

7.2.1 Temporary Exemptions. Where the non-compliance is expected to

be removed and inter-operability is the predominant aspect of the
requirement.

7.2.2 Permanent Exemptions. Where non-compliance is not expected to

be removed within a reasonable time.

Page | 73
7.3 Procedure for the Submission of Application for Exemption(s)

7.3.1 The person or an organization seeking exemption shall submit

application for exemption in the prescribed proforma to Director Medical
Services, DGCA Headquarters. (Please refer Appendix to CAR Section 1
Series B III & AIC 02 of 2022, as applicable).

7.3.2 The application for exemption shall clearly state the reasons for
seeking exemption and be supported with the reasons for non-compliance,
safety assessment reports, along with means of mitigation and indication as
to when compliance can be expected.

7.3.3 An application for an exemption shall include:-

(a) The applicant’s name and current mailing address.

(b) The relevant provisions of rule(s) for which the exemption(s) is

sought.

(c) The category under which exemption sought (temporary or

permanent) and justifiable reason(s) as to why the applicant needs the
exemption(s). The reason(s) provided should be detailed, tangible and
self-explanatory.

(d) The period for which the exemption(s) is required.

(e) Whether the exemption(s) will affect a particular kind of

operation, the details thereof.

(f) The action plan for rectification and review of non-compliance for
temporary exemption, including the mitigation measures adopted for
ensuring the safety during the exemption period.

(g) If a permanent exemption is sought, the applicant has to indicate

the mitigation measures adopted to reduce the risk arising due to non-
compliance after carrying out a ‘safety assessment’.

(h) Undertaking by the applicant that he shall annually review the

conditions or mitigation measures and any other resultant non-

Page | 74
 compliance (in particular when any significant changes in the activity
are proposed).

(j) Failure to provide adequate information may delay processing/

refusal of the application.

7.4 Procedure for Processing of Application for Exemption

7.4.1 On receipt of application for exemption in the O/o Director Medical

Services, the Section Officer (SO) shall ensure that the application along with
relevant documents received are as per the list at para 7.3.3 and are
arranged as per the filing system in vogue. The Section Officer shall then put
up the arranged file to Ops Officer/JDMS along with his/her remarks and
observations.

7.4.2 The Ops Officer/JDMS shall technically evaluate the application for the
following aspects: -

(a) The reason(s) for the required exemption(s).

(b) Period of exemption sought.

(c) The medical condition(s), flying experience, competency and

skills of the applicant.

(d) The requirements of any additional medical

documents/laboratory investigations/certifications (if any) and
proposed limitations on flying while utilising the privileges of the
applicant’s licence.

(e) Applicants previous medical record and record of

incident/accident history (if any).

(f) Any risk of decrement in the flying performance of the applicant

due to disease process or medications prescribed for the disease
process or risk of acute in-flight incapacitation.

(g) References of any previous precedence(s).

Page | 75
 (h) After technical evaluation of the application, he/she shall put up
the file to Director Medical Services [DMS (CA)] along with his/her
comments and recommendations.

(j) The application for exemption may be refused which do not have
adequate justification for non-compliance or adequate action plan for
mitigation of the identified safety risk. The applicant concerned will be
intimated accordingly

7.4.3 DMS (CA) will examine the application and ascertain the level of risk
and forward the application to Joint Director General with his
recommendations.

7.4.4 On being satisfied, JDG will forward the file to Directorate of

Regulations and Information (DRI) in accordance with ‘Procedure Manual for
Granting Exemption from Aircraft Rule(s) and Civil Aviation Requirements’
dated 05 Apr 2022.

7.4.5 Based on the recommendations of DRI, the application will be

submitted to the next higher authority for approval of Competent Authority
(MoCA /DGCA, as applicable). In case of exemptions for non-compliance of
the Aircraft Rules 1937, the file will be forwarded to MoCA with the approval
of Director General for final decision on the application for the exemption
requested against non-compliance of the Aircraft Rules.

7.4.6 Exemptions so granted, may be recorded in the relevant manual(s)/

license/ certificate/ approval, as applicable and may also be subject to
surveillance to ensure compliance with the mitigation measures adopted

7.4.7 If an exemption so granted leads to non-compliance with ICAO Annex

Standard and Recommended Practices (SARPs), then the exemption holder
should normally be permitted for domestic operations only. In case,
international operations can be permitted, the exemption holder would be
required to take prior permission of the State or States, whose territory
is/being entered. The exemption letter so issued shall include either of the
following conditions: -

Page | 76
 (a) The exemption granted herein is not valid for international
operations.
Or

(b) International operations under this exemption can only be

undertaken with prior permission of the State or States whose territory
the operation is proposed.

7.4.8 The Directorate will ensure that the exemption holder reviews the
exemption(s) to the extent possible with a view to assess the need for
continuation or removal of such exemption(s). During such review, the
exemption holder shall check the validity and efficacy of mitigation measures
in place. After every such review, the exemption holder shall submit a report
to the concerned.

7.4.9 The exemption should not exceed a maximum period of one year. The
recommendation for allowing exemptions may contain conditions/ limitations
for the person/ organization to follow while operating under the exemption.
In all cases, before recommending exemption, it should be ascertained that
an equivalent level of safety is maintained.

7.5 Follow up Actions

Medical Directorate [DMS (CA)] shall ensure that: -

(a) The exemption, once approved, shall be included in the relevant

manuals or any other document, as applicable.

(b) The exemption(s) so granted shall be reviewed periodically by

the DMS (CA).

(c) On receipt of request for removal of the exemption(s), the same

shall be reviewed, compliance confirmed. On being satisfied, the
exemption(s) shall be deleted from the relevant manual(s)/ licence/
approval/ certificate.

Page | 77
7.6 System for Recording and Publishing Exemptions Granted

(a) All records pertaining to exemptions granted shall be maintained

by the Medical Directorate (on file).

(b) The Medical Directorate [DMS (CA)] shall ensure that the
permanent exemptions and temporary exemptions of duration
exceeding six months are published on DGCA website.

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8. PRACTICAL KNOWLEDGE AND WORKPLACE EXPERIENCE OF
DGCA EMPANELLED MEDICAL EXAMINERS

8.1 General. ICAO Annex 1, para 1.2.4.5.2 states that “Medical

examiners shall have practical knowledge and experience of the conditions
in which the holders of licences and ratings carry out their duties”. It also
states that “Examples of practical knowledge and experience are flight
experience, simulator experience, on-site observation or any other hands-on
experience deemed by the Licensing Authority to meet this requirement”.
ICAO Doc 8984 ‘Manual of Civil Aviation Medicine’ also states that “such
practical knowledge and experience should include, whenever possible,
actual flight deck experience in aircraft engaged in commercial operation as
well as experience in the operational working conditions of air traffic
controllers”.

The DGCA empanelled medical examiners and the medical examiners

at the Indian Air Force boarding and renewal centres are involved in
aeromedical assessment of flight crew as well as Air Traffic Controllers. In
order to gain practical knowledge of the conditions in which the holders of
various licences and ratings carry out their duties, the medical examiners
have to undertake actual flight deck experience in aircraft engaged in
commercial air operation or flight simulator as well as experience in the
operational working conditions of air traffic controllers

8.2 In-Flight Experience and Familiarization with ATC Unit. The

DGCA medical assessors and DGCA empanelled Class 1 & 2 medical
examiners shall gain experience in a flight simulator or flight deck, as
‘observer’, once in every 02 (two) years. The actual flight experience shall
be at least once in 04 (four) years. The ATC unit experience for DGCA
empanelled Class 3 medical examiners shall be at least once in two years.
The Medical Dte shall monitor this activity and ensure that all medical
examiners undertake this experience.

8.3 Procedure for requisition of air tickets for DGCA empanelled

medical examiners/medical assessors to fly as observers (Reference:
AIC 07/2012)

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8.3.1 The DGCA empanelled medical examiners shall place the request for
tentative dates for undertaking the observation flight/s to DGCA (Medical
Directorate) through a formal request letter as per the format placed as
Appendix ‘A’.

8.3.2 The IAF medical examiners shall forward their requests to the O/o
DGMS (Air), who will then forward the recommended requests to DGCA
(Medical Directorate) as per the format placed as Appendix ‘A’.

8.3.3 On receipt of the application from medical examiner seeking observer’s

ticket, the Ops Offr/SO shall scrutinize and process the application on file for
its completeness as per the prescribed format and verify that the examiner’s
eligibility for the flight tickets as per the following: -

(a) Check DGCA panel for medical examiners and verify the
applicant’s name and current validity period.

(b) The applicant should not have availed the actual flight
experience in the last four years.

(c) The applicant has provided details of the proposed onward and
return flights.

(d) Update the flight experience monitoring sheet for the DGCA
empanelled medical examiners as per the application.

8.3.4 DMS (CA)/JDMS (CA) shall recommend these applications for

approval after ascertaining the correctness of the application recommended
by the Ops Offr/SO and forward the same to DDG/JDG on file.

8.3.5 The requests shall be forwarded for approval of competent authority at

DGCA who is authorized to issue letters to the airline/scheduled operators in
exercise of powers under Section 5A of The Aircraft Act 1934, read in
conjunction with AIC 07/2012.

8.3.6 On completion of the observation flight, the medical examiner detailed

for the flight shall render a report to DGCA (Medical Dte), within 10 days of
the flight, covering salient aeromedical issues like cockpit workload (physical
and mental), human-machine interface issues e.g. ergonomics, instruments

Page | 80
and controls readability etc., the cockpit environment control, other Human
Factors like CRM, communication, fatigue etc. The broad format for this
report is placed as Appendix ‘B’. This report shall be placed for vetting by
DMS (CA) by the SO. Major observations will be shared with the concerned
Directorate on file. File to be initiated by SO.

8.3.7 A record of this familiarization/practical experience flight shall be

placed in the folder of each medical examiner at DGCA. In addition, the
examiners shall produce this report during the surveillance visits of their
facility as well as while applying for extension of their empanelment as DGCA
examiners.

8.4 Procedure for seeking permission for visiting a DGCA Approved

Training Organization (ATO) by medical examiners as observers

8.4.1 The DGCA empanelled medical examiners shall place the request for
tentative dates for undertaking the visit to the flight simulator (ATO) to DGCA
(Medical Directorate) through a formal request letter as per the format placed
at Appendix ‘C’.

8.4.2 The IAF Medical examiners shall forward their request to the O/o
DGMS (Air), who will then forward the recommended requests to DGCA
(Medical Directorate) as per the format placed at Appendix ‘C’.

8.4.3 On receipt of the application from medical examiner seeking

permission to visit a flight simulator, the Ops Offr/SO shall scrutinize and
process the application on file for its completeness as per the prescribed
format and verify the examiner’s eligibility for the experience of flight
simulator as per following: -

(a) Check DGCA panel for medical examiners and verify the
applicant’s name and current validity period.

(b) The applicant should not have visited a flight simulator in the last
two years.

(c) The applicant has provided details of the proposed place and
date of visit.

Page | 81
 (d) Update the flight experience monitoring sheet for the DGCA
empanelled medical examiners as per the application.

8.4.4 DMS (CA)/JDMS (CA) shall recommend these applications for

approval after ascertaining the correctness of the application recommended
by the Ops Offr/SO and forward the same to DDG/JDG on file.

8.4.5 The requests shall be forwarded for approval of competent authority

(through Flight Standards Dte) at DGCA who is authorized to issue letters to
the ATO. On approval, particulars of the medical examiner/assessor shall be
forwarded to the Flight Standards Dte for onward information to the ATO.

8.4.6 On completion of the visit, the medical examiner detailed shall render
a report to DGCA, within 10 days of the visit, covering salient aeromedical
issues like cockpit workload (physical and mental), human-machine interface
issues e.g. ergonomics, instruments and controls readability etc., the cockpit
environment control, other Human Factors like CRM, communication, fatigue
etc. The broad format for this report is placed as Appendix ‘D’. Major
observations will be shared with concerned Directorate on file. File to be
initiated by SO.

8.4.7 A record of this familiarization/practical experience shall be placed in

the folder of each medical examiner at DGCA. In addition, the examiners
shall produce this report during the surveillance visits of their facility as well
as while applying for extension of their empanelment as DGCA examiners.

8.5 Procedure for seeking permission for visiting Air Traffic Control
unit of Airports Authority of India by medical examiners as observers

8.5.1 The DGCA empanelled medical examiners shall place the request for
tentative dates for undertaking the visit to the ATC unit to DGCA (Medical
Directorate) through a formal request letter as per the format placed at
Appendix ‘E’.

8.5.2 The IAF Medical examiners shall forward their request to the O/o
DGMS (Air), who will then forward the recommended requests to DGCA
(Medical Directorate) as per the format placed at Appendix ‘E’.

Page | 82
8.5.3 On receipt of the application from medical examiner seeking
permission to visit an ATC unit, the Ops Offr/SO shall scrutinize and process
the application on file for its completeness as per the prescribed format and
verify that the examiner’s eligibility for the experience as per following: -

(a) Check DGCA panel for medical examiners and verify the
applicant’s name and current validity period.

(b) The applicant should not have visited any ATC unit in the last two
years.

(c) The applicant has provided details of the proposed ATC unit and
date for the visit.

(d) Update the flight experience monitoring sheet for the DGCA
empanelled medical examiners as per the application.

8.5.4 DMS (CA)/JDMS (CA) shall recommend these applications for

approval after ascertaining the correctness of the application recommended
by the Ops Offr/SO and forward the same to DDG/JDG on file.

8.5.5 The requests shall be forwarded for approval of the competent

authority (through Dte of ANS) at DGCA who is authorized to issue requisite
letters to the Airports Authority of India (AAI). On approval, particulars of the
medical examiner/assessor shall be forwarded to the Dte of ANS for onward
information to AAI ATC Unit.

8.5.6 On completion of the visit, the medical examiner detailed shall render
a report to DGCA, within 10 days of the visit, covering salient aeromedical
issues like ATCO’s workload (physical and mental), human-machine
interface issues e.g. ergonomics, instruments and controls readability etc.,
the ATC Unit (as applicable) environmental control, other Human Factors
like CRM, communication, fatigue etc. The broad format for this report is
placed as Appendix ‘F’. Major observations will be shared with Dte of ANS
on file. File to be initiated by SO.

8.5.7 A record of this familiarization/practical experience shall be placed in

the folder of each medical examiner at DGCA. In addition, the examiners

Page | 83
shall produce this report during the surveillance visits of their facility as well
as while applying for extension of their empanelment as DGCA examiners.

Page | 84
 Appendix ‘A’

REQUEST FOR AVAILING FAMILIARIZATION FLIGHT FROM DGCA

Personal Particulars

Name: _________________________ Designation: ______________________

Address:_______________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

DGCA Empanelment Serial No. ____________________________________________

Speciality: ______________________________

Details of previous Familiarization Flight undertaken:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Out-bound Travel

From: ___________________________ To: ________________________________

Date of Travel: _________________________________________________________

Airline and Flight No.____________________________________________________

Page | 85
 In-bound Travel

(As far as possible, on the same flight sector to and fro)

From: ___________________________ To: ________________________________

Date of Travel: _________________________________________________________

Airline and Flight No._____________________________________________________

□ I confirm that I will undergo Alcohol Breathalyser (BA) test before the
observation flight at the flight operator’s facility.

Date: Signatures (with stamp)

Page | 86
 Appendix ‘B’

REPORT ON FAMILIARIZATION FLIGHT BY MEDICAL EXAMINER

Particulars of the Medical Examiner

Name:________________________________________________________________

Address:_______________________________________________________________
______________________________________________________________________

DGCA Empanelment No.: ________________________________________________

BA Test Report: ___________________________ Date/ Time:____________________

Flight Information

Operator:__________________________ Flight No. ________________________

Date/Time: _______________________ Sector: _______________________________

Aircraft Type: __________________________________________________________

Actual time of Departure: _____________ Duration of Flight: _____________________

Details of Crew

Name Age Flg Experience

(on type)
PIC (Captain)

FO (Co-pilot)

Any Medical limitations/ Recommendations

(Check DGCA Medical Assessment)
PIC (Captain)

FO (Co-pilot)

Page | 87
Crew Workload

Physical/Mental Workload: P/M; Nil/Minimal/Moderate/Heavy/Very Heavy: 0/1/2/3/4

Eg: Approach: P1/M3

Phases of Flight PIC FO

Pre-Flight
Pre-Departure
Taxi
Take off
Climb
Cruise
Descend
Approach
Landing
Arrival
Post Arrival

Cockpit Ergonomics/Human Machine Interface/Human Factors/Environment

control

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

ATC Observation: During cockpit en route observation, the examiner has the opportunity to observe
ATC operations and airspace procedures from the vantage point of the aircraft cockpit. Medical Examiners
may observe the following areas from the cockpit and record any relevant finding: -

 Radio frequency congestion, overlap, or blackout areas.

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
 Controller communication, clarity, and transmission rate.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Page | 88
 Departure and approach instructions.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
 Controller situational awareness - traffic flow, conflicts, aircraft flight characteristics,
priorities, etc.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Safety Risk Assessment?

The safety risk assessment is a process to identify actual and potential safety hazards and assess the
associated risks; Safety risk management is identification, analysis and elimination (and/or mitigation to an
acceptable or tolerable level) of the hazards, as well as the subsequent risks, that threaten the viability of
an organization. (Ref ICAO Doc. 9859)

 Any issue or area identified after the observation flight by the examiner that could
qualify as risks to flight safety?
 If Yes, Please elaborate the types of safety hazards that may threaten the safety of
passengers, employees or contractors.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
 Rank and assess the severity of the safety hazards (Factors to consider are the likelihood;
how often the hazard might result in a safety occurrence and the severity; how bad the outcome would
be of any consequences)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

 Identify the controls/defences in place to manage the hazards (hazard controls)

against them.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Page | 89
 __________________________________________________________________
__________________________________________________________________
 Assess the effectiveness of the current controls/defences
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
 Identify further controls/ defenses required
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Aerodrome Medical Services (Airport MI Room)

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Any other observation:

Date: Signatures with stamp

Page | 90
 Appendix ‘C’

REQUEST FOR PERMISSION TO VISIT DGCA APPROVED TRAINING

ORGANISATION (ATO)

Personal Particulars

Name: __________________________ Designation: ______________________

Address:_______________________________________________________________
______________________________________________________________________
______________________________________________________________________

DGCA Empanelment Serial No. ____________________________________________

Speciality: ______________________________

Details of previous Familiarization Flight/ATO visits undertaken:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Details of the ATO: ______________________________________________________

Type of Simulator (Aeroplane/Helicopter): ___________________________________

Proposed Date of visit: _____________________________

(The observation by medical examiner in the simulator shall be only during ‘Training
sessions’)

Date: Signatures (with stamp)

Page | 91
 Appendix ‘D’

REPORT ON SIMULATOR FLIGHT AT DGCA APPROVED TRAINING

ORGANISATION (ATO)

Particulars of the Medical Examiner

Name:________________________________________________________________

Address:_______________________________________________________________
______________________________________________________________________

DGCA Empanelment No.: _________________________________________________

Details of ATO

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Date/Time: ___________________________________________________________

Simulator Type: _________________________________________________________

Crew Workload

Physical/Mental Workload: P/M; Nil/Minimal/Moderate/Heavy/Very Heavy: 0/1/2/3/4

Eg: Approach: P1/M3

Phases of Flight PIC FO

(As applicable)
Pre-Flight
Pre-Departure
Taxi
Take off
Climb
Cruise
Descend
Approach
Landing
Arrival
Post Arrival

Page | 92
Simulator Cockpit Ergonomics/ Human Machine Interface/ Human Factors/
Environment control

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Safety Risk Assessment?

The safety risk assessment is a process to identify actual and potential safety hazards and assess the
associated risks; Safety risk management is identification, analysis and elimination (and/or mitigation to an
acceptable or tolerable level) of the hazards, as well as the subsequent risks, that threaten the viability of
an organization. (Ref ICAO Doc. 9859)

 Any issue or area identified after the observation flight by the examiner that could
qualify as risks to flight safety?
 If Yes, Please elaborate the types of safety hazards that may threaten the safety of
passengers, employees or contractors.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Any other observation:

Date: Signatures with stamp

Page | 93
 Appendix ‘E’

REQUEST FOR PERMISSION TO VISIT AIR TRAFFIC CONTROL UNIT

Personal Particulars

Name: ________________________________ Designation: ___________________

Address:_______________________________________________________________
______________________________________________________________________
______________________________________________________________________

DGCA Empanelment Serial No. ____________________________________________

Speciality: ______________________________

Details of previous ATC Unit Familiarization visits undertaken:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Details of the ATC Unit/Aerodrome: _________________________________________

Proposed Date of visit: _____________________________

Date: Signatures (with stamp)

Page | 94
 Appendix ‘F’

REPORT ON VISIT BY DGCA MEDICAL EXAMINER TO AIR TRAFFIC CONTROL

UNIT

Particulars of the Medical Examiner

Name:________________________________________________________________

Address:_______________________________________________________________
______________________________________________________________________

DGCA Empanelment No.: _________________________________________________

Details of ATC Unit (Tower/ Approach/ Area)

______________________________________________________________________
______________________________________________________________________

Date/Time of visit: ____________________________________________________

ATCOs’ Workload

Physical/Mental Workload: P/M; Nil/Minimal/Moderate/Heavy/Very Heavy: 0/1/2/3/4

Eg: Approach: P1/M3

ATC Unit ATCO

A. Tower Control

B. Approach Control

C. Area Control

ATCO’s Workstation Ergonomics/ Human Machine Interface/ Human Factors/

Environment control of ATC Unit (as applicable)

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Page | 95
______________________________________________________________________
______________________________________________________________________

Any other observation:

Date: Signatures with stamp

Page | 96
9. AVIATION SAFETY AND HEALTH PROMOTION

9.1 Background. The basis for regulatory aeromedical decision

making is largely based on the following: -

(a) Expert Opinion. Aeromedical policies and individual decisions

for medical conditions evaluated on ‘case to case’ basis at DGCA are
always based on expert opinion or concerned clinical specialist
opinion. It is the easiest, quickest and least costly to implement. But,
often, opinions vary greatly between specialists presented with similar
cases.

(b) Acceptable Aeromedical Risk. Another area accepted by

DGCA is the level of aeromedical risk that is acceptable. For flight
crew, a maximum risk of 1% is acceptable per annum. A pilot
incapacitation risk of ‘1% per annum’ infers that if there were 100 pilots
with an identical condition, 1 of them is likely to become incapacitated
at some time during the next 12 months and 99 would not. While the
data for predicting incapacitation in the next one year for a condition is
not always robust, there are some common medical conditions (e.g.,
ischemic heart disease) where high quality epidemiological data exist
and can be used in assessing the aeromedical risk.

Without any objective risk criteria, it can be unclear on what basis an

aeromedical decision is being made and the specialist opinion that seems
‘reasonable’, often based on similar precedents, may not always hold good.
Therefore, the Medical Dte shall acquire relevant data of medical conditions
that resulted in some serious incident/accident or had potential risk for flight
safety and continually analyse them to identify these conditions & implement
mitigating measures.

Contribution of Medical Examinations to Aviation Safety

9.2 Routine Periodic Medical Examination. The aeromedical

examiners, during medical examination of the licence holders, shall not only
concentrate on detection of physical diseases but also make additional

Page | 97
efforts to identify behavioral factors such as anxiety or depression, illicit drug
use or alcohol consumption etc.

9.3 Application of Safety Management Principles to Medical

Assessments. ICAO has mandated the incorporation of a safety
management system into the management processes for aircraft operators,
for which, an ‘accountable executive/manager’ is appointed. However, it is
difficult for the accountable manager/executive to take responsibility for
aeromedical safety because of the confidential and personal nature of the
information involved. It is, therefore, the responsibility of the DMS (CA) at
DGCA HQ to function like the ‘accountable executive’ and shall be
responsible for ‘Aeromedical Safety’.

In order to implement ‘aeromedical safety’, DMS (CA) shall monitor

and measure safety-related medical events and then revisit and (if
necessary) revise, the aeromedical standards or evaluation procedure for
the licence holders to ensure safety.

9.4 Collection and Analysis of Aeromedical Data. Medical

Directorate, which is responsible for national aeromedical safety, requires
sound data on which aeromedical policies are based. Such data shall be
obtained from the following three sources: -

(a) In-flight Incapacitation Incidents. Dte of Air Safety DGCA

shall inform about all the inflight incapacitation events involving the
flight crew to DMS (CA). One of the Medical Assessors shall be part of
the investigation of these events conducted by the Dte of Air Safety
DGCA or Aircraft Accident Investigation Bureau (AAIB).

(b) Notification after period of Medical Unfitness. Medical

conditions that the licence holders suffer from, which would have been
of importance had they occurred in flight or during ATC duties; have to
be informed to DGCA Medical Dte. The updated list of these conditions
shall be communicated to the licence holders through Medical
Circulars and periodically updated (Refer Med Circular 02 & 03/ 2022).

Page | 98
 (c) Medical Assessment Data. The data of medical conditions
(diagnosis) discovered during medical examination of licence holders
conducted on eGCA is readily available on eGCA (on Medical
Assessors’ login) under Management Info System > Medical
Directorate Reports > Analysis of Medical Data Report. In addition,
DMS (CA) will carry out the data analysis of the commonly occurring
disabilities amongst the licence holder and institute remedial measures
like health education of the licence holders through medical circulars
and health promotion activities through their employers.

9.5 Health Promotion Activities. Medical Directorate DGCA shall

implement appropriate aviation-related health promotion strategies for the
licence holders to reduce future medical risks to flight safety. The areas of
health concern shall be identified by the data analysis as mentioned in para
4 above; from which the appropriate topics for health promotion activities
have to be determined. DMS (CA) shall communicate these topics to the
employer of the licence holder and monitor progress through periodic
feedback from them.

9.6 Re-evaluation of Medical Assessment Processes. Based on

the results of the data analysis, continuous re-evaluation of the medical
assessment process shall be undertaken by the Medical Dte to concentrate
on identified areas of increased medical risk. The relevant guidelines for the
aeromedical examiners shall be revised to include limitations and/or
specialist (expert) opinion and/or specialized investigations in order to
mitigate the likely risk to flight safety because of the medical area identified
through data analysis.

Page | 99
 References

1. ICAO Annex 1 Personnel Licensing.

2. ICAO Manual of Civil Aviation Medicine – 2012 (Document 8984).

3. Aeronautical Information Circulars on medical matters available on

DGCA website under https://www.dgca.gov.in/digigov-
portal/?dynamicPage=aeronauticalInformationCirculars/119/0/viewDynamicRulesReq.

4. Civil Aviation Requirements Section 7 Series C, Part-I (Issue II) on

‘Medical Requirements and Examination for Flight Crew Licenses and
Ratings’ available on DGCA website under https://www.dgca.gov.in/digigov-
portal/?dynamicPage=civilAviationRequirements/6/0/viewDynamicRulesReq

5. Civil Aviation Requirements Section 7 Series C, Part-III (Issue I) on

‘Empanelment of Medical Examiners for conduct of Class 1 Medical
Examination’ dated 23 June 2017 available on DGCA website under
https://www.dgca.gov.in/digigov-
portal/?dynamicPage=civilAviationRequirements/6/0/viewDynamicRulesReq

6. Civil Aviation Requirements Section 7 Series C, Part-IV on

‘Empanelment of Medical Examiners for conduct of Class 2 Medical
Examination’ dated 25 Jan 19 available on DGCA website under
https://www.dgca.gov.in/digigov-
portal/?dynamicPage=civilAviationRequirements/6/0/viewDynamicRulesReq

7. Civil Aviation Requirements Section 7 Series C, Part-II on ‘Medical

Requirements and Examination for Cabin Crew’ dated 05 May 14 available
on DGCA website under https://www.dgca.gov.in/digigov-
portal/?dynamicPage=civilAviationRequirements/6/0/viewDynamicRulesReq

8. DGCA Enforcement Policy and Procedure Manual.

9. Flight Crew Licensing (FCL) Circular – 01/2017 – General Instructions

for conduct of Class 1 Medical examination available on dgca website under
https://www.dgca.gov.in/digigov-
portal/?dynamicPage=dynamicPdf/150890518&maincircularsRulesFlightCrewLic/7/3324
/viewDynamicRuleContLvl2

Page | 100
 Annexure – ‘A’

FORM FOR SEEKING MEDICAL APPOINTMENT

AT IAF CIVIL AIRCREW MEDICAL EVALUATION CENTRE

1 Name (Capital Letters only)

2 PMR File No. DOB

1-________/________-L-2
Age
(As on intended date) Yrs.
3 Personnel from Military / Paramilitary Services Yes / No / Not Applicable
4 If Yes, whether Serving (on the intended date of Medical) Yes / No
5 Contact No.
6 E-Mail ID (Capital letters only)
7 Details of Last medicals examination Medical Centre
Date of Medical (Class 1 or 2)
8 Last Medical Valid upto (As per Medical Assessment
issued by DGCA Medical Dte)
9 Forthcoming Medical:
(a) Medical Type (Tick (i) Initial / Re-initial
One Option) (ii) Renewal
(iii) Review after Temporary Unfit
(iv) Special Medical (Kindly attach necessary relevant medical documents)
(b) Intended Dates (i)
(ii)

(c) Intended Centres (i)

(If all the options are
filled, then earliest date (ii)
will be allotted in either (iii)
of the given options)
10 I have read the provision of Centralized Appointment and PMR file forwarding System. I certify that (Tick one of
the following applicable option)
(a) My forthcoming medicals is not due at AFCME / IAM / MEC (E).
(b) My forthcoming medical is due at AFCME / IAM / MEC (E).
11 Give reason, if applying for AFCME / IAM / MEC (E) ……………………………………………………..…
………………………………………………………………………………………………………………………
Place
Date (Signature of Individual)
P.T.O

Page | 101
NOTE:

1. The form is to be filled by applicant ensuring all columns are filled legibly.

2. Incomplete/unclear applications would not be processed.

3. Appointments will be given as per availability of slots.

4. Individual may apply as early as 90 days before intended date of medical

appointment.

5. Kindly ensure the availability of last medical assessment issued by DGCA

medical Directorate and not CA-35 when applying for Medical appointment.

6. Approximate 10 working days are required to process your application.

7. After getting confirmation e-mail of medical appointment, apply for NOC, if

applicable.

8. For more information visit http://dgca.gov.in/medical/Procedure for DGCA

Centralised Appointment & PMR Forward System.pdf

Page | 102
 Annexure - ‘B’
FORM FOR CANCELLING APPOINTMENT
AT IAF CIVIL AIRCREW MEDICAL EVALUATION CENTRE
1 Name (Capital Letters only)

2 PMR File No.

1 -___________/___________-L-2
3 Contact Number
4 Email ID
5 Contact No.
6 E-Mail id (Capital letters only)

7 Details of Appointment allotted Medical Centre

Date of Medical

8 Reason for
Cancellation
(In brief)

9 Further action (a) I do not intend to get the medical done now. Kindly
(Select one) retrieve my PMR File back to DGCA.
(b) I intend to get the medical examination at different centre.
Kindly retrieve my PMR back to DGCA.

Place
Date
(Signature of Individual)

Note:

1. The form is to be filled by applicant only.

2. All columns are to be filled legibly.
3. Incomplete/ unclear applications would not be processed.
4. For obtaining a fresh appointment, fresh Annexure ‘A’ to be filled and sent along with
Annexure ‘B’.

Page | 103
 Annexure - ‘C’

Step 1: Calculate total Medical Assessors required

1. It is essential to collect three types of Information to calculate the total

requirement of Medical Assessors. This includes:

(a) Identification of each work function-

(i) Issue of Medical Assessments to Class 1
(ii) Issue of Medical Assessments to Class 2
(iii) Issue of Medical Assessments to TU/PU/Appeal cases
(iv) Special Medical cases correspondence
(v) Training of Medical Examiners
(vi) Enforcement actions, Administrative work, Legal
proceedings etc.
(b) Annual frequency of each work function as described above.
(c) Total number of Medical Assessor hours required to complete
each work function.

2. This information is then entered into an Excel spreadsheet. The total

number of annual hours required for each work function can be calculated
by “Multiplying the number of times the work function is carried out each year
by the number of Medical Assessor hours required to complete the same
work function”

3. Calculate the total Medical Assessor hours required by medical

Directorate separately, then find the sum of the total number of hours
required for each work function performed by the medical Directorate.

Step 2: Calculate total Medical Assessors hours available

1. There are two important components to calculating total Medical

Assessors hours available:

(a) Number of hours that each Medical Assessors is available to

conduct work functions.

(b) Total number of Medical Assessors.

Page | 104
2. For determining the number of work hours, assumptions must be made
regarding: -

(a) Number of hours each day each Medical Assessor is expected to

work (8 hours per day)

(b) Number of hours Medical Assessor will work annually

(c) Number of work days the Medical Assessor will be on training,

vacation or is unavailable to work for other reasons annually.

For example, each Medical Assessor who is available for working in

medical Directorate in a calendar year is calculated as under-

Available Weekdays (52 x 5) 260

Unavailable weekdays
Holidays 18
Leave Days 30
Casual leave 8
Training 10
Total Unavailable workdays 66
Remaining Available days 194 (260-66)
Work Hours per day 8 hrs

Thus, the Medical Assessor’s available work hours in a calendar year

will be 8 hours x 194 work days = 1552 hrs

3. This analysis is conducted separately for each Medical Assessor of

Medical Directorate. Therefore, the total number of Medical Assessor refers
to the total number of current, qualified and available Medical Assessors.

4. Once the above two parameters are determined, total office hours put
in by Medical Assessors can be calculated as mentioned in the example
below:-

If a medical Directorate has 1,552 hours available, and there are 05

Medical Assessors then the total hours available of medical Directorate are
15,520 (1,552 x 05).

Page | 105
Step 3: Compare total hours required and total hours available

1. Compare the total Medical Assessor hours required calculated in Step 1

to the total hours calculated in Step 2 above. If the total hours required is
less than the total hours available, then the medical Directorate has sufficient
staffing.

Table 1: Sample Workforce Evaluation Worksheet

Step 1: Calculate total hours required

Work Function Annual Hours per Hours

Frequency Function Required

Function 1 36 24 864
Function 2 48 6 288
Function 3 24 4 96
Function 4 108 2 216
Function 5 12 24 288
Function 6 18 36 648
Total Hours Required 2400

Step 2: Calculate total hours available

Annual hours available per Medical

Assessor 1760

Current number of Medical Assessor 2

Total hours available 3520

Page | 106
Step 3: Compare total hours required to total hours available

Total Officer Hours Available 3520

Total Officer Hours Required 2400

Difference 1120

Step 4: Ensure medical Directorate workforce is properly qualified and

trained

This step involves taking the number of Medical Assessors

required and determining the necessary training and qualification
requirements for the inspectors to meet the demands of the civil
aviation system. These training requirements include the necessary
Medical Assessor training (Initial training & On-job-training). The
training requirements are detailed in Procedure & Training Manual.

Note

Workforce issues related to administrative staff supporting Medical

Assessors in medical Directorate is required to be assessed separately. The
Medical Directorate should have sufficient administrative staff, appropriate
to the size and complexity of the office, to effectively discharge their
responsibilities.

Page | 107
 Annexure ‘D’

MEDICAL NOC APPLICATION

Medical Dte, DGCA
(Opp Safdarjung Airport), Aurobindo Marg
New Delhi – 110 003 Date:

ISSUE OF NOC FOR CONDUCT OF

CIVIL AIRCREW MEDICAL EXAMINATION

1. I, ……………………………………………….. (Name), PMR No 1-.…..….../………...-L-2 request for

an NOC since (state reason(s) why NOC is required)…………………………………..………………………
………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
2. My particulars are as follows

(a) Email id …………………………………………………………………………(In Capital letters)

(b) Contact Number ………………………………………………………………………………………
(c) Postal Address ……………………………………………………………………………………….
………………………………………………………………………………………………………………
(d) Date of Birth with Age: ………………………………………………………………………………
(e) Details of last medical
(i) Date ……………………………………..…Valid up to: ……………………………………..
(ii) Place of Medical ……………………………………………………………………………….
(iii) Type of Medical Class-1/ Class-2 …………………………………………………………….
(iv) Status Fit/ Temporary Unfit/ Permanent Unfit ……………………………………………….
(f) Forthcoming Medical
Date ……………………………………………………………………………………………..
Medical Centre/ Examiner …………………………………………………………………….

3. I have not exercised the privileges of my license when my medical was not valid.
4. NOC may be (select 1 option) posted to me/ sent along with PMR/ held at DGCA for collection by
Me.
Yours faithfully,

Enclosures:
(i) Copy of Last Medical Assessment issued by DGCA.
(ii) Documents supporting reason for delay/ early/ special e.g.
medical certificates if reason was medical
REMARKS BY DMS/JDMS

Page | 108
 Annexure ‘E’

CHECKLIST FOR AUDITING MEDICAL EXAMINERS, FACILITIES

AND RECORD-KEEPING METHODS

Name of Medical Examiner: Date:

Name of Medical Assessor: Place/Region:

Facility Information

Type of activity authorized

(Class 1 or 2, 3):
(Address)

Phone Number:
No. of
authorization/empanelment

Email:

Details: Depending on how it applies, determine if the status is:

S- Satisfactory, P.S - Partially Satisfactory, U-Unsatisfactory, or N/A- Not
Applicable. Use the “Remarks” Section for any further explanations of
U-Unsatisfactory/ P.S - Partially Satisfactory statuses.

Sl Provision EVALUATION Notes

No
SAT (S) P.SAT (P.S) UNSAT (U) N/A
Administrative
Facilities
1 Facilities (with necessary equipment,
charts, space, availability of minimum
list of medical equipment for medical
exam) Pl See Appendix A

Page | 109
2. Whether medical examination facility is
owned or rented (With NOC)

3. Scope of Services prominently

displayed

4. Staff orientation about scope of services

5. Availability of Lady Attendant

6. Display of Information for Female

Aircrew
7. Handwashing facilities / Disinfectants
availability
Airecrew re
8. Aircrew friendly environment –
Adequate waiting area, drinking water
etc, i.e. amenities as per prevailing
environmental conditions
9. Means of Communication and IT
Infrastructure
10. Documented plan of evaluation of
Aircrew
5.
11 Any Feedback Performa kept,
suggestions received from pilots
Documentation

12. Is Correct information regarding

facility available for aircrew? (Is
address, hours of operation, telephone,
email, etc. up-to-date?)
13. Procedure of registration of Aircrew
Are the IDs of the aircrew checked

Page | 110
14. Are the IDs of the aircrew checked
before starting of medicals
15 Medical Recommendation in
CA34/34A are clear, legible,
Record-keeping
16. dated, (safe,
timed, signed secure,
with name
organized) with adequate space
available

17 Classification of Medical files and

Forms
18. Security and Confidentiality of Medical
Forms and Records maintained?
19 Record of monthly workload

20. Data and evaluation of completed

medicals examinations? (Including
observation points)

21. Record of Unfit / Incomplete /

Controversial cases whether
maintained
22. Record/ register of dispatch of
documents with their proper
identification number.

23. Whether aircrew are informed of their

next follow up medical examination

Lab Facilities
24. Whether the investigations reports are
from NABH certified Hospital/ NABL
certified laboratories

25. Are there lab facilities attached to the

medical facility. If yes whether it is
NABL Accredited.

26. Is the intergity of the samples ensured,

if samples collected at the Centre

Page | 111
27. Are trained personnel interpreting the
investigation reports?.

Co-opted specialists
28. Are co-opted specialist for Medicine ,
Eye, ENT & Cardiology available

29. Ease of availability of co-opted

specialist

Professional Activities
30.. Workshop / Updates attended during
period of empanelment
31. Is the Examiner also conducting
Medicals for other regulators? If Yes
any updates attended for same

32. Any observations from DGCA in the

last one year

33. Other (Please Specify)

Health Promotion Activities

34 Is the Examiner carrying out Health
Promotion activities for the Aircrew at
time of the examination

Reference Materials
35. Current version of DGCA CAR and
DME manuals available?

35. Most up-to-date copy of ICAO Doc

8984

Page | 112
 36. Most up-to-date copy of ICAO Doc
9654

37. Latest digital copy of Annex 1

Medical Examination Conducted by Medical Examiner

(To be observed by assessor after consent from Pilot)

38. Communication with aircrew during

examination

39. Thoroughness of Examination

40. Efforts to make the aircrew

comfortable

Observations during Medical examination of Aircrew

Final Remarks:

Name of Medical Assessor carrying out the Audit:

Date: Signature of Assessor

Name of Approving Authority

Date: Signature of Approving Authority

Page | 113
 Annexure ‘F’
Commented [LM1]: Inserted to follow the DGCA Training
Policy

EMPLOYEE’S ON-THE-JOB TRAINING RECORD

1. IDENTIFYING INFORMATION
Last Name: First Name: Initials:
Position: Section / Division:

2. OJT ACTIVITY DOCUMENTATION

Date Level Completed *Name(s) and

Level I Level II Level III Signature of OJT
Job Task or Subject Matter (Understanding) (Demonstration) (Performance) Trainer

3. CERTIFICATION

(a) * By appending my signature in this column, I certify that the trainee has completed the OJT
documented above
and is competent to perform the task without supervision.

(b) I hereby confirm that I have completed the OJT documented above with the qualified OJT Trainer(s).

Signature: Date:

Page | 114
 Annexure ‘G’

MASTER LIST – MEDICAL ASSESSOR

Name:

Completion Date:

Sl. No Subject Remarks

Section – 1 Employment Documents
1. Air HQ Vacancy letter
2. Appointment Note
3. Contract
4. Job Description
5. Any Previous Employment (prior to DGCA)
Section 2 Credentials
1. DGCA Identification Card
2. Airport Entry Pass
3. Passport
Section 3 – Qualification
1. Academy Qualification
2. Professional Qualifications
3. Licenses (if available)
Section 4 – DGCA Initial Training
1. DGCA Indoctrination training course (if applicable)
Section 5 – DGCA on-the-Job Training
1. DGCA on-the-Job Training
Section 6 – DGCA Sponsored Continuation and Recurrent Training
1. Any Specialized Training
Section 7 All other Industry Training
1.
2.
3.
Section 8 – Miscellaneous (Additional Qualification)
1.

Page | 115
 Annexure ‘H’

RECORD OF WORKSHOP ATTENDED BY MEDICAL EXAMINERS

Sl. Name Designated E-Workshop Physical Workshop Remarks

No. Medical
Examiner

Class Class 2016 2017 2018 2016 2017 2018

1 2

Page | 116
 Annexure ‘J’

SAMPLE SURVEILLANCE PLAN FOR CLASS 1, 2 AND 3

MEDICAL EXAMINERS

The following sample surveillance plan for Class 1 and 2 Medical Examiners shall be used
to create a schedule by which the DGCA Medical Directorate and Medical Assessor
surveils Designated Medical Examiners (DMEs). The Medical Assessors of the DGCA
Medical Directorate must create a yearly surveillance plan for Class 1 and Class 1I
Medical Examiners that allows the Medical Assessor to plan for unannounced inspections
of Medical Examiners by year, month, and region. The Medical Assessor will take a risk-
based approach to ensure 20% of Medical Examiners are surveilled annually. If the risk-
based approach does not trigger the 20% to be surveilled within a given year, the Medical
Examiner will randomly choose Medical Examiners to reach the required 20%.

[YEAR] DGCA Medical Examiners’ Annual Surveillance/Empanelment Plan

September

November

December
February

October
Region

January
Name

August
March

SI No.
April

June
May

July
Region

Page | 117
 Annexure ‘K’

e-GOVERNANCE IN CIVIL AVIATION (eGCA)

With the launch of eGCA, certain medical procedures have been shifted to on-line
mode through various medical services as listed below. The user manuals are available
on the DGCA website and their links are tabulated below for easy accessibility.

Medical Service URL Link for Procedure Manual*

1. Medical Records Updation Process https://www.dgca.gov.in/digigov-

portal/jsp/dgca/homePage/viewPDF.jsp?page=top
Header/eGCA%20User%20Manual_License%20an
d%20Medical%20Records%20Updation%20Proces
s.pdf

2. Process for Pilot to Apply for https://www.dgca.gov.in/digigov-

Issuance of Class 2 Medical portal/jsp/dgca/homePage/viewPDF.jsp?page=top
Assessment Header/eGCA%20User%20Manual_Process%20fo
r%20Pilot%20to%20Apply%20for%20Issuance%20
of%20Class%202%20Medical%20Assessment.pdf

3. Process for Pilot to Apply for https://www.dgca.gov.in/digigov-

Renewal of Class 2 Medical portal/jsp/dgca/topHeader/eGCA%20User%20Man
Assessment ual_Process%20for%20Pilot%20to%20Apply%20fo
r%20Renewal%20of%20Class%202%20Medical%
20Assessment.pdf

4. Process for Pilot to Apply for Class https://www.dgca.gov.in/digigov-

1 Medical Assessment portal/jsp/dgca/homePage/viewPDF.jsp?page=top
Header/eGCA%20User%20Manual_Process%20fo
r%20Pilot%20to%20Apply%20for%20Class%201%
20Medical%20Assessment%20.pdf

5. Process for Conduct of Medical https://www.dgca.gov.in/digigov-

Examination by DGCA Empaneled portal/jsp/dgca/topHeader/eGCA%20User%20Man
Examiner ual_Process%20for%20Conduct%20of%20Medical

Page | 118
 %20Examination%20by%20DGCA%20Empaneled
%20Examiners.pdf

6. Process for Pilot to Apply for https://www.dgca.gov.in/digigov-

Issuance Medical for FATA portal/jsp/dgca/topHeader/eGCA%20User%20Man
ual_Process%20for%20Pilot%20to%20Apply%20fo
r%20Issuance%20Medical%20for%20FATA.pdf

7. Process for Pilot to Apply for https://www.dgca.gov.in/digigov-

Renewal Medical for FATA portal/jsp/dgca/topHeader/eGCA%20User%20Man
ual_Process%20for%20Pilot%20to%20Apply%20fo
r%20Renewal%20Medical%20for%20FATA.pdf

8. Process to request for Medical NOC https://www.dgca.gov.in/digigov-

- No Objection Certificate portal/jsp/dgca/homePage/viewPDF.jsp?page=top
Header/eGCA%20User%20Manual_Process%20to
%20Apply%20Medical%20NOC.pdf

9. Process for Aspirant Medical https://www.dgca.gov.in/digigov-

Examiner Registration portal/jsp/dgca/topHeader/eGCA%20User%20Man
ual_Aspirant%20Medical%20Examiner%20Registr
ation%20Process.pdf

10. Process for Examiner to Apply for https://www.dgca.gov.in/digigov-

Empanelment portal/jsp/dgca/homePage/viewPDF.jsp?page=top
Header/eGCA%20User%20Manual_Process%20fo
r%20Examiner%20to%20Apply%20for%20Empane
lment.pdf

11. Process for Examiner to Apply for https://www.dgca.gov.in/digigov-

Workshop (organized by DGCA) portal/jsp/dgca/topHeader/eGCA%20User%20Man
ual_Process%20for%20Examiner%20to%20Apply
%20for%20Workshop.pdf

Page | 119
 12. Process to Verify Digital Signature https://www.dgca.gov.in/digigov-
portal/jsp/dgca/topHeader/eGCA%20User%20Man
ual_Process%20to%20Verify%20Digital%20Signat
ure.pdf

13. Process to apply for Amendment of https://www.dgca.gov.in/digigov-

Pilot Personal Details portal/jsp/dgca/topHeader/Process%20to%20Apply
%20for%20Amendment%20of%20Pilot%20Person
al%20Details.pdf

* Copy the link and paste it in the address bar of any internet browser

Page | 120
 Annexure ‘L’

PROCEDURE FOR CLASS 3 MEDICAL ASSESSMENT FOR AIR

TRAFFIC CONTROLLER OFFICERS (ATCOs)

1. An applicant for grant/renewal of a Student Air Traffic Controller’s

licence or Air Traffic Controller’s licence/rating shall hold a valid Class 3
Medical Assessment issued in accordance with the Civil Aviation
Requirement CAR Section 7 Series C Part I Issue II dated 12 Oct 17 on
‘Medical Requirements and Examination for Flight Crew/Air Traffic
Controllers Licences and Ratings’ (Revised on 05 Apr 21).

2. No ATCO shall exercise the privileges of his/her licence/ rating, unless

he/she holds a valid Class 3 Medical Assessment.

3. It is therefore important to ensure that ATCOs are examined

periodically and if any disability/disease occurs or is detected, a suitable
aeromedical decision is taken for the fitness to perform their job.

4. The medical examination shall be carried out as per relevant DGCA

procedures and ICAO guidelines on the subject.

5. An Air Traffic Controller, for a Medical Assessment, shall undergo a

medical examination based on the following requirements (as per Para 6.5
of Chapter 6 of Annex 1- Personnel Licensing): -

(a) Physical and Mental Requirements

(b) Visual and Colour Perception

(c) Hearing Requirements

6. Class 3 Medical Assessment shall be valid from the date of medical

examination for a period, not greater than: -

Page | 121
 (a) 04 (four) years – For age up to 40 years

(b) 02 (two) years – For age above 40 years but up to 50 years

(c) 01 (one) year – For age above 50 years

(However, the remainder period of validity after the licence/rating holder

attains the age of 40 years or 50 years shall be reduced to half)

Initial Medical Examinations

7. Initial Class 3 medical examination shall be carried out by DGCA

empanelled Class 1 medical examiners only.

8. ATSTO/ATS-in-charge(s) shall seek appointment with the nearest

available DGCA empanelled Class 1 Medical Examiner for medical
examination. Applicants shall undergo medical investigations (as specified
in Appendix ‘A’ to this procedure) within a period of 30 days from the
examination date. On the date of appointment, the ATCO shall report to the
Class 1 Medical Examiner with his/her identity proof and a recent passport
size photograph (with name and date annotated on the front). The medical
examination shall be conducted on GoI Form CA 34 (Re-revised). On
completion of the medical examination, the medical examiner will hand over
a copy of CA 35 (‘Medical Certificate’) to the applicant ATCO. The medical
examiner will forward the signed medical reports (completed Form CA 34 &
CA 35 along with all original investigation reports and opinions), by registered
post/speed-post/courier, to Gp Capt Medical Service (Civil Aviation), at
DGCA for approval and issuance of ‘Medical Assessment’, at the following
address: -

Kind Attn: Gp Capt Medical Service (CA), Medical Directorate, Directorate

General of Civil Aviation, Headquarters, Opposite Safdarjung Airport,
Aurobindo Marg New Delhi – 110 003

“The following should be annotated on top of envelop and CA 34

‘Class 3 Medical Examination Report”.

Page | 122
Renewal Medical Examinations

9. All applicants for Class 3 medical examination shall undergo medical

investigations for the Renewal Medical Examination (as per their age) as
specified in Appendix ‘A’.

10. Renewal of Class 3 medical examination will be carried out by DGCA

empanelled Class 3 medical examiners. List of medical examiners is
available on DGCA website at https://www.dgca.gov.in/digigov-
portal/?page=jsp/dgca/inventorylist/personal/medical/class3/class%203%2
0medical%20examiners.pdf

11. Only the GoI Medical Examination Forms (CA 34/34A and CA 35) to
be used by the DGCA empanelled Medical Examiners and these forms are
to be filled by ‘hand’ only. After completion of medical examination, these
forms shall be submitted by the Medical Examiner to DGCA for approval and
issuance of Medical Assessment by the medical assessors at DGCA.

12. Applicants for Class 3 renewal medical examination shall indicate to

the medical examiner whether a Medical Assessment has previously been
refused, revoked or suspended and, if so, the reason for such refusal,
revocation or suspension. They shall submit a copy of their last medical
assessment and same shall be annotated at relevant Paras of CA-34 A.

13. While the Medical Assessment issued from DGCA is awaited, the
ATCO shall be in possession of ‘Medical Certificate’ (CA 35) issued by the
medical examiner for exercising the privileges of his/ her licence/ratings.
However, Post Temporary Unfitness (TU) & Special Medical Examination,
the ATCO can exercise the privileges of his/her license/ rating only after
issuance of Medical Assessment by the DGCA.

14. The Medical Assessors at DGCA may supersede the aeromedical

disposition given by the DGCA empanelled Medical Examiners. And, where
necessary, the Medical Assessors at DGCA may declare the licence/rating
holder ‘Temporary Unfit or ‘Permanent Unfit’. In such a scenario, the ATCO

Page | 123
shall cease to perform his/her ATC duties immediately on receipt of
information from DGCA or AMA, AAI.

15. The period of validity of the medical assessment shall commence from
the date following the date of validity of the previous medical assessment,
provided that the renewal medical examination has been conducted not
earlier than a period of forty five days (45 days) prior to the ‘date of expiry’ of
the validity of previous medical assessment.

16. The final recommendations for ATCO’s medical assessment could be

any one of the following: -

(a) Medically Fit

(b) Temporary Unfit

(c) Permanently Unfit

17. ATCO shall not exercise the privileges of his/her licence/rating unless
declared fit after a fresh medical examination in the event of his/her having
suffered from a sickness or injury which: -

(a) Renders him/her incapable of discharging his/her duties for a

continuous period of more than 20 days.

(b) Or is likely to cause unfitness or impair his/her efficiency in the

discharge of duties.

18. In the above scenario, the licence holder shall immediately notify all
the relevant details of the sickness or injury to AMA, AAI.

19. In case of sickness or injury involving unfitness for the work for which
ATCO is licensed for a period of less than or equal to 20 days, the AMA, AAI
can declare the ATCO medically fit after evaluating the medical documents.
However, in certain cases the AMA, depending on the merits of such cases,
issue final disposition for fitness after consultation with Med Directorate,
DGCA.

Page | 124
20. In case of absence from the duty for medical reasons (due to any
surgery or illness) for a continuous period of more than 20 days or when due
for review after ‘Temporary Unfitness’ period is over, the licence/rating holder
shall undergo a Special Medical Examination. The procedure for this special
medical examination is as under: -

(a) After the licence/rating holder has clinically recovered, he/she

will forward all relevant medical documents (by email) to the AMA, AAI.

(b) AMA of AAI and DGCA Medical Directorate shall jointly take a
decision on where to conduct the Special Medical Examination; at an
IAF Boarding Centre or by DGCA empanelled Examiner.

(c) The concerned licence/rating holder shall be conveyed to report

to any IAF Boarding Centre (based on the availability of appointment)
or Class 1/Class 3 Medical Examiner for Special Medical Examination.
Thereafter, the licence/ rating holder has to apply for permission on the
prescribed application format (placed as Appendix ‘B’) and apply for
medical appointment at IAF Boarding Centre on the prescribed format
placed at Appendix ‘C’.

(d) The special medical examination shall be conducted for the

relevant system only (Medical/Surgical/Ophthalmology/ENT) on form
CA 34 A/35. The envelope shall be annotated as ‘Special Medical
Examination for Class 3 Assessment’ in bold letters and forwarded to
DGCA by the fastest means for issuance of Medical Assessment.

(e) Once the licence/rating holder is accorded an appointment with

DGCA empanelled Medical Examiner or at IAF Boarding Centre on
prescribed format as per Appendix ‘C’. The same shall be intimated to
ATS-in-charge. And, once the Special Medical Examination is
completed, the date and details of the special medical examination
shall be intimated to AMA, AAI for upkeep of records.

(f) Once Medical Assessment is issued by DGCA to the

licence/rating holder, a copy of the same shall be submitted to ATS-in-

Page | 125
 charge by the licence/ rating holder, who shall communicate the same
to AMA AAI through e-mail.

Note:- Security and Confidentiality of Medical Forms and Records of ATCO’s

should be maintained at all time by DGCA Empanelled Class 3 Medical
Examiners.

Procedure for Medical Assessment during Pregnancy

21. On confirmation of pregnancy, an ATCO, shall not exercise the

privileges of her ratings/ licence and inform ATS in-charge. She shall consult
the AMA, AAI for her fitness to exercise privileges of her rating/ licence.

22. The ATCO shall submit the medical fitness report from her treating
specialist in Obstetrics/Gynaecology and relevant investigation reports to
AMA, AAI at the earliest to enable him/her to make the assessment on her
medical fitness.

23. In case of ‘low-risk’ and ‘uncomplicated’ pregnancy, the fitness

assessment shall be limited to the period until the end of the 34th week of
gestation.

24. Post-pregnancy, in case of ‘normal vaginal delivery’, fitness shall be

granted by AMA, AAI after reviewing her hospital discharge summary,
relevant investigation reports and ‘medical certificate’ from her treating
specialist in Obstetrics/Gynaecology.

25. Under following conditions, the concerned ATCO shall undergo a

‘Special Medical Examination’ by a DGCA empaneled Class 3 Medical
Examiner:

(a) Following termination of pregnancy; Spontaneous/ induced

abortion (without any sequele)

(b) Delivery by a Caesarean Section

(c) Complication following a vaginal delivery

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26. For the Special Medical Examination mentioned in para 25, the
licence/rating holder shall follow the following procedure: -

(a) Obtain a suitable medical appointment from any DGCA

empanelled Class 3 Medical Examiner for Special Medical
Examination.

(b) Apply for permission for special medical examination on format

as per Appendix ‘B’.

(c) Carry this permission along with all relevant medical documents
including certificate from her treating Specialist in
Obstetrics/Gynaecology, Hospital discharge summary and relevant
investigation reports for Special Medical Examination.

(d) The DGCA empanelled Class 3 Medical Examiner shall forward

this ‘Special Medical Examination’ documents to Medical Dte (DGCA)
as per the procedure given at Para 20, above.

(e) Medical Assessment shall be issued by DGCA.

(f) The licence/ rating holder shall exercise the privileges of

licences/ rating only on receipt of medical assessment by Medical
Assessor (DGCA).

Early Renewal Medical Examination

28. The licence/rating holder can undergo an early renewal medical

examination provided he/she has completed half the validity period of
previous medical assessment and not within 45 days of the expiry of validity
of previous medical assessment. However, the licence/rating holder has to
apply for early renewal medical examinations to DGCA Medical Directorate,
on the prescribed form (placed as Appendix ‘B’) through AMA, AAI with
tenable reasons. The licence/rating holder can undergo early renewal only
after the approval of his/her application by Medical Directorate, DGCA.

Licence /rating holder can undergo an early renewal medical examination

provided he/she has completed half the validity period of previous medical
assessment.

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Lapse of Medical Assessment Validity

29. The Medical Assessment is considered ‘invalid’ after the validity date.
In order to undergo renewal medical examination after the expiry of validity
of medical assessment, the licence/rating holder has to apply to the Medical
Directorate DGCA through AMA, AAI, on the prescribed format (placed as
Appendix ‘B’) stating a tenable reason for the delay or the lapsed period.
However, if the lapsed period (as calculated from the date of last medical
examination) is four (04) years or more, a fresh Re- Initial Medical
Examination shall be conducted. In case the ATCO is posted to the Regional/
Corporate HQs, AAI or on foreign course etc. where Class 3 Medical
requirements is not necessitated, he/she should submit the official document
to that effect to DGCA along with the application.

Appeal Procedure

30. In case an ATCO is awarded a Permanent or Temporary Medical

Unfitness, the procedure for appeal against the decision of Medical
Directorate, DGCA is laid down in Para 7 of CAR Section 7 Series C Part I
Issue II dated 12 Oct 2017 on ‘Medical Requirements and Examination for
Flight Crew/Air Traffic Controllers Licences and Ratings’ (Revised on 05 Apr
21).

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 Appendix ‘A’

MEDICAL INVESTIGATIONS (TO BE CARRIED OUT FOR ATCOs)

S.No Occasion Investigation to be Carried out

1. Initial Medical (a) Blood Hb %, TLC & DLC

Examination
(b) Urine RE, ME & Specific Gravity
(c) ECG Resting
(d) Blood Urea
(e) Serum Creatinine
(f) Blood Sugar (F&PP)
(g) Lipid Profile
(h) Liver Function Test
(j) CXR
(k) USG Abdomen and Pelvis
(l) Ophthalmic Examination by Eye Specialist
(m) Pure Tone Audiometry with ENT Splt
Opinion
2. Every Renewal (a) Blood Hb %, TLC & DLC
Medical
(b) Urine RE, ME & Specific Gravity
Examination
(c) ECG Resting (To be opined by Medical /
Aviation Medical Specialist)
(d) Blood Urea
(e) Serum Creatinine

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 (f) Blood Sugar (F & PP) from the age of 25 yrs
and above
(g) Ophthalmic Examination by Eye Specialist
(h) Pure Tone Audiometry with ENT Splt
Opinion (upto the age of 50 years)
3. Medical (a) All investigations mentioned at S.No. 2
Examination at
(b) Lipid Profile
40 yrs and 50
yrs of age (c) Liver Function Test
(d) USG Abdomen and Pelvis

4. Once in 2 yrs (a) All investigations mentioned at S.No. 2

after 50 yrs of
(b) Lipid Profile
age.
(c) Liver Function Test
(d) USG Abdomen and Pelvis
(e) Pure Tone Audiometry

Note: - “For Female ATCOs, Gynaecologist opinion with every Medical

Examination”.

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 Appendix ‘B’
APPLICATION FOR PERMISSION FOR EARLY/DELAYED/SPECIAL
/POST TEMP UNFIT/RENEWAL/RE-INITIAL MEDICAL EXAMINATION

Medical Dte,
DGCA HQ
Opposite Safdarjung Airport, Aurobindo Marg
New Delhi – 110 003
Date:

1. I, ……………………………… (Name), PMR No 1-.…..….../………...-L-2 (AAI Employee Id

No:……………………………………….) request permission for undergoing early/delayed/special Class-III
medical examination since (state reason(s) for delay or early medical
examination)…………………………………………..…………………………………..………………………
………………………………………..……………………………………………………………………………
…….……………………………………………………………………………………………………………….
.…………………………………………………………………………………………………………………….
..……………………………………………………………..

2. My particulars are as follows: -

(a) Email Id ………………………………………………………………………..………… (In Capital letters)

(b) Contact Number………………………………………………………………………………………………

(c) Postal Address………………………………………………………….…………………………………….

……………………………………………………………………………………………………………………
(d) Date of Birth (with Age on the date of this application):………….…………………………………………

(e) Details of last medical

(i) Date ……………………………………..…Valid up to: ……………………………………..
(ii) Place of Medical ……………………………………………………………………………….
(iii) Status Fit/ Temporary Unfit/ Permanent Unfit……………………………………….

(f) Forthcoming Medical Date……………………………at Medical Centre/ Examiner…………….

……………………………………………………………………………………………………………………..

3. I hereby declare that I have not exercised the privileges of my license when my medical was not valid.

Yours faithfully,

Enclosures:
1. Copy of Last Medical Assessment issued by DGCA.
2. Documents supporting reason for delay/ early/ special e.g. medical certificates if reason is related to
medical illness

REMARKS BY MED DTE DGCA

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 Appendix ‘C’
APPLICATION FOR SEEKING MEDICAL APPOINTMENT AT IAF BOARDING CENTRE
FOR SPECIAL/ POST TEMPORARY UNFITNESS REVIEW MEDICAL EXAMINATION

Medical Dte,
DGCA HQ,
Opposite Safdarjung Airport,
Aurobindo Marg, New Delhi – 110 003
1. Name (Capital Letters Only) _________________________________________
2. PMR File No _________________________________________
3. DOB__________________ Age (As on date) __________________________
4. AAI Employee ID _________________________________________
5. Contact No. _________________________________________
6. E-Mail ID (Capital Letters only) _________________________________________
7. Details of Last Medicals Examination (a) Medical Centre/Examiner _______________
(b) Date of Medical ________________________
8 Last Medical Valid up to (As per Medical Assessment______________________________
issued by DGCA Medical Cell/AMA, AAI)
Attach copy of last medical Assessment
9. Forthcoming Medical: -
(a) Medical Type (Tick one option) a) Review after Temporary Unfit
b) Special Medical
(Kindly attach necessary relevant medical documents like
Cure Certificate, Hospitalization Documents,
Investigations etc.)
(b) Intended Dates of Appointment (for a) _________________________________
IAF Boarding Centre Only) b) _________________________________
(c) Intended Centres a) __________________________________
(If all the options are filled, then b) __________________________________
earliest date will be allotted in either c) __________________________________
of the given options)

Place
Date
Signature of Individual
Remarks by AMA AAI

Remarks of Med Dte DGCA HQ Permitted Review/Special Medical Examination combined with
Re-Initial/Early/Delayed at
i. Class 3 Medical Examiner
ii. Class 1 Medical Examiner
iii. IAF Boarding Centre (on _____________________________at__________________________)

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