Full Text
REGD. No. D. L.-33004/99
The Gazette of India
CG-DL-E-12032026-270893
EXTRAORDINARY
PART I—Section 1
PUBLISHED BY AUTHORITY
No. 51]
NEW DELHI, WEDNESDAY, MARCH 11, 2026/PHALGUNA 20, 1947
1790 GI/2026
MINISTRY OF HEALTH AND FAMILY WELFARE
(Department of Health & Family Welfare)
NOTIFICATION
New Delhi, the 11th March, 2026
RULES
F. No. A.12011/01/2026-CHS-I.—The rules for the Competitive Examination for the Combined
Medical Services to be held by the Union Public Service Commission in 2026 for the purpose of filling
vacancies in the following services/posts, are with the concurrence of Ministries/Departments concerned,
Municipal Corporation of Delhi and New Delhi Municipal Council, published for general information:-
Category-I
Medical Officers Grade in General Duty Medical Officers Sub-Cadre of Central Health Service
Category-II
(a) Assistant Divisional Medical Officer in the Railways.
(b) General Duty Medical Officer in New Delhi Municipal Council.
(c) General Duty Medical Officer Grade-II in Municipal Corporation of Delhi.
All candidates are requested to carefully read these Rules and the examination notice of the UPSC
derived from these Rules.
The examination will be conducted by the Union Public Service Commission in the manner
prescribed in Appendix I to these Rules.
The date(s) on which and the place(s) at which the examination will be held shall be fixed by the
Commission.
2. A candidate may compete in respect of anyone or more of the services/posts mentioned above. A
candidate will be required to indicate clearly in the Examination Specific Module, the services/posts for
which he/she wishes to be considered in the order of preferences. The candidate is advised to indicate
his/her preferences as he/she wishes so that having regard to his/her rank in order of merit due
consideration can be given to his/her preferences while making appointments. While indicating preference
a candidate shall have to indicate choice between Category-I and Category-II first duly keeping in view the
eligibility for the two categories of posts/services in terms of Rule 5(a) & (b) below. Subsequently the
candidate will also indicate preferences among services/ posts of Category-II. In case preference for none
of the Services is indicated, the candidate will not be considered for Service Allocation. Candidates will be
recommended by the Commission based on the preference of categories given by them in the Exam
Specific Module in order of merit and number of vacancies.
(i) Candidates are advised to examine their eligibility for both categories carefully while exercising
preferences of categories and services in terms of Rules 5(a) & (b).
(ii) Once cadre has been allocated to a candidate, no request for change of cadre shall be entertained by
the Commission/Ministry of Health & Family Welfare.
3. The number of vacancies to be filled on the basis of results of the examination will be specified in
the Notice issued by the Commission.
Reservation will be made for candidates belonging to the Scheduled Castes, the Scheduled Tribes,
the Other Backward Classes, Economically Weaker Sections and Persons with Benchmark Disability in
respect of vacancies as may be fixed by the Government.
4. A candidate must be either:
(i) a citizen of India, or
(ii) a subject of Nepal, or
(iii) a subject of Bhutan, or
(iv) a Tibetan refugee who came over to India before the 1st January, 1962 with the intention of
permanently settling in India; or
(v) a person of Indian origin who has migrated from Pakistan, Burma, Sri Lanka or East African
Countries of Kenya, Uganda, The United Republic of Tanzania, Zambia, Malawi, Zaire and
Ethiopia or from Vietnam with the intention of permanently settling in India:
Provided that a candidate belonging to categories (ii), (iii), (iv) and (v) above shall be a person in
whose favour a certificate of eligibility has been issued by the Government of India.
A candidate in whose case a certificate of eligibility is necessary, may be admitted to the
examination but the offer of appointment may be given only after the necessary eligibility certificate has
been issued to him/her by the Government of India.
5. (a) A candidate for this examination must not have attained the age of thirty two (32) years as on
1st August, 2026 i.e. the candidate must have been born not earlier than 2nd August, 1994. However, for
Medical Officers Grade in General Duty Medical Officers Sub-cadre of Central Health Service, the upper
age limit must not exceed thirty five (35) years as on 1st August, 2026.
(b) The upper age- limit is relaxable as follows:
(i) Up to a maximum of five (05) years if a candidate belongs to a Scheduled Caste or a
Scheduled Tribe.
(ii) Up to a maximum of three (03) years in the case of candidate belonging to Other Backward
Classes who are eligible for reservation applicable to such candidates.
(iii) Up to a maximum of three (03) years in the case of Defence Services Personnel, disabled in
operations during hostilities with any foreign country or in a disturbed area and released as a
consequence thereof.
(iv) Up to a maximum of five (05) years in the case of Ex-servicemen including Commissioned
Officers and ECOs/SSCOs who have rendered at least five (05) years Military Service as on
1st August, 2026 and have been released (i) on completion of assignment (including those
whose assignment is due to be completed within one year from 1st August, 2026 otherwise
than by way of dismissal or discharge on account of misconduct or inefficiency), or (ii) on
account of physical disability attributable to Military Service or (iii) on invalidment.
(v) Up to a maximum of five (05) years in the case of ECOs/SSCOs who have completed an
initial period of assignment of five (05) years of Military Service as on 1st August, 2026 and
whose assignment has been extended beyond five (05) years and in whose case the Ministry
of Defence issues a certificate that they can apply for Civil Employment and that they will be
released on three months' notice on selection from the date of receipt of offer of appointment.
(vi) Up to a maximum of ten (10) years in the case of Persons with Benchmark Disability viz. (a)
blindness and low vision, (b) deaf and hard of hearing, (c) Locomotor disability including
cerebral palsy, leprosy cured, dwarfism, acid attack victims and muscular dystrophy, (d)
autism, intellectual disability, specific learning disability and mental illness; (e) multiple
disabilities from amongst person under clauses (a) to (d) of Section 34 of the Rights of
Persons with Disabilities Act, 2016 including deaf-blindness.
Note I- Candidates belonging to the Scheduled Castes, the Scheduled Tribes and the Other Backward
Classes who are also covered under any other clauses of Rule 5 (b) above, viz. those coming under the
category of Ex-servicemen, and Persons with Benchmark Disability will be eligible for grant of cumulative
age-relaxation under both the categories.
Note II- The details of Functional Classification (FC) and Physical Requirements (PR) of each service are
indicated in Appendix IV of these Rules which are identified and prescribed by the respective Cadre
Controlling Authorities (CCAs) as per the provisions of Section 33 and 34 of the Rights of Persons with
Disabilities Act, 2016.
Note III- The term Ex-servicemen will apply to the persons who are defined as Ex-servicemen in the Ex-
servicemen (Re-employment in Civil Services and Posts) Rules, 1979, as amended from time to time.
Note IV- The age concession under Rule 5(b)(iv) and 5(b)(v) will be admissible to Ex-servicemen i.e. a
person who has served in any rank whether as combatant or non-combatant in the Regular Army, Navy and
Air Force of the Indian Union and who either has been retired or relieved or discharged from such service
whether at his/her own request or being relieved by the employer after earning his or her pension.
Note V- Notwithstanding the provision of age-relaxation under Rule 5(b)(vi) above, a Person with
Benchmark Disability will be considered to be eligible for appointment only if he/she after such physical
examination as the Government or appointing authority, as the case may be, may prescribe is found to
satisfy the requirements of physical and medical standards for the concerned Services/Posts to be allocated
to the Persons with Benchmark Disability (PwBD) by the Government.
SAVE AS PROVIDED ABOVE THE AGE LIMITS PRESCRIBED CAN IN NO CASE BE
RELAXED
(c) The date of birth accepted by the Commission is that entered in the Matriculation or Secondary
School Leaving Certificate or in a certificate recognised by an Indian University as equivalent to
Matriculation or in an extract from a Register of Matriculates maintained by a University which must be
certified by the proper authority of the University or in the Higher Secondary or an equivalent examination
certificate.
No other document relating to age like horoscopes, affidavits, birth extracts from Municipal
Corporation, Service records and the like will be accepted.
The Expression Matriculation/Higher Secondary Examination Certificate in this Part of the
instructions includes the alternative certificates mentioned above.
Note 1:- Candidates should note that only the date of birth as recorded in the Matriculation/ Secondary
Examination Certificate or an equivalent certificate on the date of submission of application will be
accepted by the Commission and no subsequent request for its change will be considered or granted.
Note 2:- Candidates should also note that once a date of birth has been submitted by them in the Online
Application Form and entered in the records of the Commission for the purpose of admission to an
Examination, no change will be allowed subsequently or at any other Examination of the Commission on
any ground whatsoever.
6. A candidate must have passed the written and practical part of the final M.B.B.S. Examination.
Note 1: A candidate who has appeared/or is yet to appear at the final M.B.B.S. Examination may also
apply. Such candidates will be admitted to the examination if otherwise eligible but the admission would be
deemed to be provisional subject to cancellation, if they do not produce proof of having passed the written
and practical parts of the final M.B.B.S. Examination within the time limit prescribed in Rule 9(a)(ii)
below.
Only valid proof of passing the qualifying examination viz. Degree Certificate/Final
Marksheet/Provisional Degree Certificate etc. as are normally issued to the candidates by the competent
authority will be accepted.
Note 2: A candidate who has yet to complete the compulsory rotating internship is educationally eligible
for admission to the examination but on selection he/she will be appointed only after he/she has completed
the compulsory rotating internship.
7. Candidates must pay the fee prescribed in the Commission's Notice.
8. All the candidates in Government service, whether in permanent or temporary capacity or as work
charged employees other than casual or daily rated employees or those serving under the Public Enterprises
are however, required to submit an undertaking that they have informed in writing to their Head of
Office/Department that they have applied for the examination.
Candidates should note that in case a communication is received from their employer by the
Commission withholding permission to the candidates applying for/ appearing at the examination, their
application shall be rejected/candidature shall be cancelled.
9. The decision of the Commission with regard to the acceptance of the application of a candidate and
his/her eligibility or otherwise for admission to the examination shall be final.
The candidates applying for the examination should ensure that they fulfil all the eligibility
conditions for admission to the Examination. Their admission at all the stages of examination for which
they are admitted by the Commission viz. Written Examination and Interview Test will be purely
provisional subject to their satisfying the prescribed eligibility conditions. If on verification at any time
before or after the Written Examination or Interview Test, it is found that they do not fulfil any of the
eligibility conditions, their candidature for the examination will be cancelled by the Commission.
9(a) REGISTRATION AND ONLINE APPLICATION FORM:
9(a)(i) A candidate who is willing to apply for Combined Medical Services Examination shall be required
to apply online and submit the requisite information and supporting documents towards various
claims, such as date of birth, category [viz. SC/ST/OBC/ EWS/PwBD/Ex-Servicemen], educational
qualification, etc. as may be sought by the Commission along with the Common Application Form
(CAF). For detailed instructions for filling up the form, the Notice for Combined Medical Services
Examination, 2026 may be referred. The failure to provide the required information/documents
along with the Universal Registration Number (URN) Profile, Common Application Form (CAF)
and Examination Specific Form will entail cancellation of candidature for the examination.
Note: The candidates should also note that no addition/deletion/ changes are allowed in the
Online Application Form in any circumstances once it is submitted. However, the Commission
provides a one-time facility for candidates to update or modify their Universal
Registration Number (URN) profile. Please note that any changes made to the URN
Profile will not be reflected in applications already submitted. The updated information
will apply only to applications submitted after the candidate has made the necessary
changes and successfully re-locked the URN Profile.
9(a)(ii) The Commission shall provide a window of 15 (Fifteen) days after the date of declaration of
result of written part of Combined Medical Services Examination, 2026. All the candidates
qualified for the Personality Test/Interview, shall be required to mandatorily login to the portal
(https://upsconline.nic.in) during this period and shall be required to update their
details/educational qualification status (whether appearing/appeared) along with proof of passing
the requisite qualifying Examination, and upload the relevant document as proof of their claim,
failing which, such candidates will not be allowed to participate in the further stages of this
examination and no correspondence will be entertained by the Commission in this regard.
NOTE-1: In addition to the above para, the candidates (wherever applicable) are required to
update the Correspondence/Permanent Postal Address, Higher Educational Qualification,
Achievement in different fields (if any), Employment Details/Service Experience, Details of the
Service allocated on the basis of earlier/previous Combined Medical Services Examinations (if
any), Marital Status, PwBD Recommendation details in past, Parental Details, Debarment
information, earlier Examination details, OBC/EWS Annexure (wherever applicable) and submit
their Online Application Form.
NOTE-2: Candidates who have uploaded the required documents/information earlier and have no
information to update/fill in, are also required to login and finally submit after verifying the
details so as to generate the e-Summon letter for the Personality Test/Interview.
NOTE-3: The candidates are advised to regularly visit the Commission's website with regard to
further updates.
10. No candidate shall be admitted to the examination unless he/she holds a certificate of admission
from the Commission.
11(1). A candidate who is or has been declared by the Commission to be guilty of:-
(a) obtaining support for candidature by the following means, namely:-
(i) offering illegal gratification to; or
(ii) applying pressure on; or
(iii) blackmailing or threatening to blackmail any person connected with the conduct of the
examination; or
(b) impersonation; or
(c) procuring impersonation by any person; or
(d) submitting fabricated / incorrect documents or documents which have been tampered with; or
(e) uploading irrelevant or incorrect photo/ signature in the application form in place of actual
photo/signature; or
(f) making statements which are incorrect or false or suppressing material information; or
(g) resorting to the following means in connection with the candidature for the examination,
namely :-
(i) obtaining copy of question paper through improper means; or
(ii) finding out the particulars of the persons connected with secret work relating to the
examination; or
(iii) influencing the examiners; or
(h) being in possession of or using unfair means during the examination; or
(i) writing obscene matter or drawing obscene sketches or irrelevant matter in the scripts; or
(j) misbehaving in the examination hall including tearing of the scripts, provoking fellow examinees
to boycott examination, creating a disorderly scene and the like; or
(k) harassing, threatening or doing bodily harm to the staff employed by the Commission for the
conduct of the examination; or
(l) being in possession of or using any mobile phone (even in switched-off mode) pager or any
electronic equipment or programmable device or storage media like pen drive, smart watches etc.
or camera or Bluetooth devices or any other equipment or related accessories (either in working
or switched-off mode) capable of being used as a communication device during the examination;
or
(m) violating any of the instructions issued to candidates along with their admission certificates
permitting them to take the examination; or
(n) attempting to commit or, as the case may be, abetting the commission of all or any of the acts
specified in the foregoing clauses;
In addition to being liable to appropriate legal action as deemed fit under the Public Examinations
(Prevention of Unfair Means) Act, 2024, as amended from time to time, the candidate shall be disqualified
by the Commission from the Examination held under these Rules; and/or shall be liable to be debarred
either permanently or for a specified period:-
(i) by the Commission, from any examination or selection held by them;
(ii) by the Central Government from any employment under them;
and shall be liable to face disciplinary action under the appropriate rules if already in service under
Government;
Provided that no penalty under this rule shall be imposed except after:-
(i) giving the candidate an opportunity of making such representation in writing as the candidate may
wish to make in that behalf; and
(ii) taking the representation, if any, submitted by the candidate within the period allowed for this
purpose, into consideration.
(2) Any person who is found by the Commission to be guilty of colluding with a candidate(s) in
committing or abetting the commission of any of the misdeeds listed at the clauses (a) to (m) above will
be liable to appropriate legal action in terms of the clause (n) above as deemed fit under the Public
Examinations (Prevention of Unfair Means) Act, 2024, as amended from time to time.
12. Candidates who obtain such minimum qualifying marks in the written examination as may be fixed by
the Commission in their discretion shall be summoned by them for Interview/Personality Test.
Provided that candidates belonging to the Scheduled Castes or the Scheduled Tribes or the Other
Backward Classes or Economically Weaker Sections or Persons with Benchmark Disability may be
summoned for Interview/Personality Test by the Commission by applying relaxed standards if the
Commission are of the opinion that sufficient number of candidates from these communities are not likely
to be summoned for Interview/Personality Test on the basis of the general standard in order to fill up the
vacancies reserved for them.
13. (1) After interview, the Commission will prepare two separate merit lists one for Category I i.e.
the Medical Officers Grade in General Duty Medical Officers Sub-cadre of Central Health Service and the
other for Category II i.e. Non-CHS (viz. Ministry of Railways, New Delhi Municipal Council, Municipal
Corporation of Delhi) on the basis of the ranks/preferences of the candidates and vacancies. For preparation
of result, the candidates shall be arranged by the Commission in the order of merit on the basis of aggregate
marks finally awarded to each candidate in the Examination. Thereafter, the Commission, based on the
preference exercised by the candidates, shall recommend candidates to both Categories in order of
respective merit for each category. The Commission shall for the purpose of recommending candidates
against unreserved vacancies, fix separate qualifying marks (hereinafter referred to as general qualifying
standards) with reference to the number of unreserved vacancies to be filled up in CHS and other remaining
Services/Posts on the basis of the Examination. For the purpose of recommending reserved category
candidates belonging to the Scheduled Castes, the Scheduled Tribes, the Other Backward Classes, the
Economically Weaker Sections and Persons with Benchmark Disability against reserved vacancies the
Commission may relax the qualifying standards with reference to number of reserved vacancies to be filled
up in each of these categories on the basis of the examination.
Provided that the candidates belonging to the Scheduled Castes, the Scheduled Tribes, the Other
Backward Classes, the Economically Weaker Sections and Persons with Benchmark Disability who have
not availed themselves of any of the concessions or relaxations in the eligibility or selection criteria, at any
stage of the Examination and who after taking into account the general qualifying standards are found fit
for recommendation by the Commission shall not be recommended against the vacancies reserved for the
Scheduled Castes, the Scheduled Tribes, the Other Backward Classes, Economically Weaker Sections and
Persons with Benchmark Disability but shall in the first instance be recommended by the Commission
against the unreserved vacancies.
NOTE-1: The facility of scribe along with compensatory time which is available for eligible candidates
belonging to PwBD category and the disability of such candidates which he/she is suffering from in respect
of Medical Fitness, shall not be treated as relaxation/concession.
(2) While making service allocation for the Services/posts in Category II the candidates belonging to
the Scheduled Castes, the Scheduled Tribes, the Other Backward Classes, Economically Weaker Sections
and Persons with Benchmark Disability recommended against unreserved vacancies may be adjusted
against reserved vacancies by the Government if by this process they get a service of higher choice in the
order of their preference.
(3) For preparation of the merit list for the services/posts in Category II, the Commission may
further lower the general qualifying standards to take care of any shortfall of candidates for appointment
against resultant unreserved vacancies and any surplus of candidates against reserved vacancies arising out
of the process as per provisions of this rule, the Commission may make the recommendations in the manner
prescribed in sub-rules (4) and (5).
(4)(a)(1) While recommending the candidates for the services/posts in Category-II the Commission
shall in the first instance, take into account the total number of vacancies of Category-II only. This total
number of recommended candidates shall be reduced by the number of candidates belonging to the
Scheduled Castes, the Scheduled Tribes, the Other Backward Classes, Economically Weaker Sections and
Persons with Benchmark Disability who acquire the merit at or above the fixed general qualifying
standards for these services/posts without availing themselves of any concession or relaxation in the
eligibility or selection criteria in terms of the proviso to sub-rule (1).
(4)(a)(2) While exercising the method defined in sub-rule (4)(a)(1), due consideration may be taken
to secure the vacancy(ies) for PwBD candidates expected to be recommended from Reserve List and if
required, the total number of recommended candidates shall be reduced appropriately in addition to
reduction as per sub-rule (4)(a)(1).
(4)(b) Along with this list of recommended candidates for the services/posts in Category-II only, the
Commission shall also maintain a consolidated reserve list of candidates which will include candidates
from unreserved, reserved categories and PwBD category, ranking in order of merit below the last
recommended candidate under each category. The consolidated reserve list so maintained shall be treated
as confidential till the process of recommendation(s) in term of sub-rule (5) is finally concluded by the
Commission. The number of candidates in each of these categories will be equal to the number of reserved
category candidates who were included in the first list without availing of any relaxation or concession in
eligibility or selection criteria as per proviso to sub-rule (1) and reduction in recommendation against
unreserved vacancy(ies), if any, in light of sub-rule (4)(a)(2).
(4)(c)The number of reserved category in the Consolidated Reserve List, from each category of
Schedule Caste, Schedule Tribe, Other Backward Class, Economically Weaker Section and Persons with
Benchmark Disability will be equal to the Respective number of candidates reduced in each category while
recommending candidates in the first instance as per sub-rule 4(a)(1) and 4(a)(2).
(5) The candidates recommended in terms of the provisions of sub-rule (4), shall be allocated by the
Government to the services/posts in Category-II and where certain vacancies still remain to be filled up, the
Government may forward a requisition to the Commission requiring it to recommend, in order of merit
from the reserve list, the same number of candidates as requisitioned for the purpose of the unfilled
vacancies in each category.
NOTE: Reserve list is not a waiting list to cater to vacancies arising out of other reasons such as candidates
not turning up to join, being found medically unfit, left out on account of medical fitness for limited
services, resignation or any other reasons. Commission will not take into account such vacancies for release
of Reserve list.
(6) No consolidated reserve list will be maintained by the Commission for Category-I as the
provisions of sub-rule (2), (3), (4) and (5) above are not applicable for allocation of candidates to
Category-I.
14. The minimum qualifying marks as specified under rules 11 and 12 may be relaxable at the
discretion of the Commission in favour of Persons with Benchmark Disability in order to fill up the
vacancies reserved for them.
15. The form and manner of communication of the result of the examination to individual candidates
shall be decided by the Commission in their discretion and the Commission will not enter into
correspondence with them regarding the results.
16. Subject to other provisions contained in these rules, successful candidates will be considered for
appointment on the basis of the order of merit assigned to them by the Commission and preference
expressed by them for various posts.
17. Success in the examination confers no right to appointment unless Government are satisfied after
such enquiry as may be considered necessary that the candidate with regard to his/her character and
antecedents is suitable in all respects for appointment to the service. The appointment will be further
subject to the candidate satisfying the appointing authority of his/her having satisfactorily completed the
compulsory rotating internship.
18. A candidate must be in good mental and bodily health and free from any physical defects likely to
interfere with the discharge of his/her duties as an officer of the Service. A candidate who after such
physical examination, as Government or the appointing authority, as the case may be prescribe is found not
to satisfy these requirements will not be appointed. The Regulations relating to Physical/Medical
Examination of candidates are given in Appendix-III to these Rules. A Medical Board Report Format for
medical examination is given at Appendix – VIII.
All the candidates who qualify for interview/personality test on the basis of written part of the
examination shall be required to undergo the medical examination normally on the next working day
immediately after the day of interview/ personality test of the concerned candidate (there shall be no
medical examination on Saturdays, Sundays and closed holidays). Arrangements for the complete medical
examination including X-Ray of chest of candidates will be made by the Ministry of Health and Family
Welfare, Kartavya Bhavan-1, New Delhi and intimation in this regard shall be given by the Ministry to the
concerned candidates. In case a candidate does not receive any intimation about the arrangements made for
his/her Medical Examination before he/she leaves for his/her interview/personality test he/she should
contact personally to the concerned authority in Ministry of Health and Family Welfare immediately after
his/her interview/personality test is over. The concerned candidate may have to stay in Delhi until his/her
Medical Examination is over, therefore the candidate should take this fact in consideration and make
his/her own arrangements for stay in Delhi for the purpose of completion of Medical Examination
formality. No extension or postponement of the date fixed for the Medical Examination shall be allowed
under any circumstances. Also no TA/DA shall be admissible for the purpose of completion of the
formality of Medical Examination of the concerned candidate.
To be passed as fit for appointment, a candidate must be in good mental and bodily health and free
from any physical defect likely to interfere with the discharge of his/her duties as an officer of the service.
A candidate, who after such medical examination as Government or the appointing authority, as the case
may be, may prescribe, is found not to satisfy these requirements will not be appointed. A candidate who
has been left out on account of medical fitness for limited services and no vacancy being available at
his/her turn cannot be allocated to any service for which he/she is not fit and where vacancies exists.
Candidates declared medically unfit as per medical standards specified in Appendix – III will be left out
from the allocation process.
19. For being considered against the vacancies reserved for them the Persons with Benchmark
Disability should have disability of forty per cent (40%) or more. However, such candidates shall be
required to meet one or more of the physical requirements/abilities indicated in Appendix – IV which may
be necessary for performing the duties in the concerned Services/Posts.
20. The eligibility for availing reservation against the vacancies reserved for the Persons with
Benchmark Disability shall be the same as prescribed in "The Rights of Persons with Disabilities Act,
2016". The candidates of Multiple Disabilities will be eligible for reservation under category (e) - Multiple
Disabilities only of Section 34(1) of RPwD Act, 2016 and shall not be eligible for reservation under any
other categories of disabilities i.e. (a) to (d) of Section 34(1) of RPwD Act, 2016 on account of having 40%
and above impairment in any of these categories of PwBD.
Provided further that the Persons with Benchmark Disability shall also be required to meet special
eligibility criteria in terms of Functional Classification and Physical Requirements (abilities/disabilities)
(FC&PR) consistent with requirements of the identified service/post as may be prescribed by its Cadre
Controlling Authority. A list of services identified suitable for Persons with Benchmark Disability along
with the Functional Classification and Physical Requirements is at Appendix IV.
21. A candidate will be eligible to get the benefit of community reservation only in case the particular
caste to which the candidates belongs is included in the list of reserved communities issued by the Central
Government. The candidates will be eligible to get the benefit of the Economically Weaker Section
reservation only in case the candidate meets the criteria issued by the Central Government and in
possession of such eligibility certification.
The OBC candidates applying for Combined Medical Services Examination, 2026 must produce
OBC (Non-Creamy Layer) certificate based on the Income for the Financial Year (FY) 2022-2023, 2023-
2024 and 2024-2025 and issued on/after 01.04.2025 (after the completion of FY 2024-25) but not later than
the closing date of the application for Combined Medical Services Examination-2026 i.e. 31.03.2026.
If a candidate indicates in his/her Online Application Form for Combined Medical Services
Examination that he/she belongs to Unreserved Category but subsequently writes to the Commission to
change his/her category, to a reserved one, such request shall not be entertained by the Commission.
Further, once a candidate has chosen a reserved category, no request shall be entertained for change to
other reserved category viz. SC to ST, ST to SC, OBC to SC/ST or SC/ST to OBC, SC to EWS, EWS to
SC, ST to EWS, EWS to ST, OBC to EWS, EWS to OBC. No reserved category candidates other than
those who qualified each stage of the Examination on General standard shall be allowed to change (on their
request or as decided by the Commission/Government based on the documents submitted by them) their
category from reserved to unreserved or claim the vacancies (Service/Cadre) for unreserved category after
the declaration of final result by UPSC. In cases where such candidates do not qualify on General
Standard, their candidature shall be cancelled.
Further, no Person with Benchmark Disabilities (PwBD) of any sub-category thereunder shall be
allowed to change his/her sub-category of disability.
While the above principle will be followed in general, there may be a few cases where there was a
gap not more than 3 months between the issuance of a Government Notification enlisting a particular
community in the list of any of the reserved communities and the date of submission of the application by
the candidate. In such cases the request of change of community from general to reserved may be
considered by the Commission on merit. In case of a candidate unfortunately becoming persons with
benchmark disability during the course of the examination process, the candidate should produce valid
document showing him/her acquiring a disability to the extent of 40% or more as defined under the RPwD
Act, 2016 to enable him/her to get the benefits of PwBD reservation.
22. Candidates seeking reservation/relaxation benefits available for SC/ST/OBC/EWS/PwBD/Ex-
servicemen must ensure that they are entitled to such reservation/relaxation as per eligibility prescribed in
the Rules/Notice. They should be in possession of all the requisite valid certificates in the prescribed
format in support of their claims as stipulated in the Rules/Notice for such benefits, by the closing date of
the application for Combined Medical Services Examination, 2026. (Prescribed Format of Disability
Certificate should be submitted by Persons with Benchmark Disability candidates as per Form V to Form
VII (as applicable) of Ministry of Social Justice and Empowerment Notification dated 15th June, 2017 as at
Annexure-III).
A candidate of Combined Medical Services Examination, 2026 will be eligible to get the benefit of
the Economically Weaker Section reservation only in case the candidate meets the criteria issued by the
Central Government and is in possession of requisite Income & Asset Certificate based on the income for
Financial Year (FY) 2024-2025 and issued on/after 01.04.2025 (after the completion of FY 2024-25) but
not later than the closing date of the application for Combined Medical Services Examination-2026 i.e.
31.03.2026.
23. NO PERSON -
(a) Who has entered into or contracted a marriage with a person having a spouse living; or
(b) Who having a spouse living has entered into or contracted a marriage with any person; shall be
eligible for appointment to service:
Provided that the Central Government may, if satisfied that such marriage is permissible under the
personal law applicable to such person and the other party to the marriage and there are other grounds for
so doing, exempt any person from the operation of this rule.
24. Brief particulars relating to the Services/Posts to which recruitment is being made through this
examination are given in Appendix II.
25. 'ROUNDING OFF MARKS' AND 'TIE-BREAKING PRINCIPLE':
The provisions relating to the rounding off of marks, wherever applicable, and the principles for
resolving cases of tie in scores shall be as prescribed below:-
(A) Rounding off marks:
Marks obtained by the candidates shall be rounded off up to two decimal digits, at all stage(s) of
the examination, by applying the standard rounding off principle, wherever applicable. Accordingly, while
applying the tie-breaking principles, the rounded-off marks upto two decimal digits shall be considered for
resolving all tie cases.
(B) Tie-Breaking Principle:
(i) If the marks in aggregate (Final Marks) are equal, the candidate securing more marks in
the written total will be ranked higher;
(ii) If the marks at (i) above are equal, the candidate senior in age will be ranked higher;
(iii) If the date of birth is also same, the candidate whose date of completion of the Internship
is earlier, will be ranked higher; and
(iv) In cases where a tie persists even after applying the above Tie Breaking Principles, it will
be resolved at the discretion of the Commission.
APPENDIX-I
SCHEME OF EXAMINATION
The examination shall be conducted according to the following plan:-
Part-I
WRITTEN EXAMINATION: (500 marks)
The candidates will take the written examination in two Papers, each Paper carrying a maximum of
250 marks. Each Paper will be of two hours duration.
Part-II
PERSONALITY TEST: (100 Marks):
Personality test carrying 100 marks of such of the candidates who qualify on the results of the written
examination.
(A) WRITTEN EXAMINATION:
1. The components and syllabi of two Papers and the weightage to different components in the two
papers are given below:
PAPER I
(Code No. 1)
Maximum Marks: 250
GENERAL MEDICINE AND PAEDIATRICS:
Total questions in Paper I = 120 (96 from General Medicine and 24 from Paediatrics);
SYLLABUS OF PAPER-I
(a) General Medicine including the following:
(i) Cardiology
(ii) Respiratory diseases
(iii) Gastro-intestinal
(iv) Genito-Urinary
(v) Neurology
(vi) Hematology
(vii) Endocrinology
(viii) Metabolic disorders
(ix) Infections/Communicable Diseases
a) Virus
b) Rickets
c) Bacterial
d) Spirochetal
e) Protozoan
f) Metazoan
g) Fungus
(x) Nutrition/Growth
(xi) Diseases of the skin (Dermatology)
(xii) Musculoskeletal System
(xiii) Psychiatry
(xiv) General
(xv) Emergency Medicine
(xvi) Common Poisoning
(xvii) Snake bite
(xviii) Tropical Medicine
(xix) Critical Care Medicine
(xx) Emphasis on medical procedures
(xxi) Patho physiological basis of diseases
(xxii) Vaccines preventable diseases and Non vaccines preventable diseases
(xxiii) Vitamin deficiency diseases
(xxiv) In psychiatry include – Depression, psychosis, anxiety, bipolar diseases and Schizophrenia.
(b) Paediatrics including the following –
(i) Common childhood emergencies,
(ii) Basic new born care,
(iii) Normal developmental milestones,
(iv) Accidents and poisonings in children,
(v) Birth defects and counselling including autism,
(vi) Immunization in children,
(vii) Recognizing children with special needs and management, and
(viii) National programmes related to child health.
PAPER II
(Code No. 2)
Maximum Marks: 250
(a) Surgery
(b) Gynaecology & Obstetrics
(c) Preventive & Social Medicine
Total questions in Paper II = 120 (40 questions from each part.)
SYLLABUS OF PAPER – II
(a) SURGERY
(Surgery including ENT, Ophthalmology, Traumatology and Orthopaedics)
(I) General Surgery
i) Wounds
ii) Infections
iii) Tumours
iv) Lymphatic
v) Blood vessels
vi) Cysts/sinuses
vii) Head and neck
viii) Breast
ix) Alimentary tract
a) Oesophagus
b) Stomach
c) Intestines
d) Anus
e) Developmental
x) Liver, Bile, Pancreas
xi) Spleen
xii) Peritoneum
xiii) Abdominal wall
xiv) Abdominal injuries
(II) Urological Surgery
(III) Neuro Surgery
(IV) Otorhinolaryngology E.N.T.
(V) Thoracic surgery
(VI) Orthopaedic surgery
(VII) Ophthalmology
(VIII) Anesthesiology
(IX) Traumatology
(X) Diagnosis and management of common surgical ailments
(XI) Pre-operative and post-operative care of surgical patients
(XII) Medicolegal and ethical issues of surgery
(XIII) Wound healing
(XIV) Fluid and electrolyte management in surgery
(XV) Shock patho-physiology and management.
(b) GYNAECOLOGY & OBSTETRICS
(I) OBSTETRICS
i) Ante-natal conditions
ii) Intra-natal conditions
iii) Post-natal conditions
iv) Management of normal labours or complicated labour
(II) GYNAECOLOGY
i) Questions on applied anatomy
ii) Questions on applied physiology of menstruation and fertilization
iii) Questions on infections in genital tract
iv) Questions on neoplasma in the genital tract
v) Questions on displacement of the uterus
vi) Normal delivery and safe delivery practices
vii) High risk pregnancy and management
viii) Abortions
ix) Intra Uterine growth retardation
x) Medicolegal examination in obgy and Gynae including Rape.
(III) FAMILY PLANNING
i) Conventional contraceptives
ii) U.D. and oral pills
iii) Operative procedure, sterilization and organization of programmes in the urban and rural
surroundings
iv) Medical Termination of Pregnancy
(c) PREVENTIVE SOCIAL AND COMMUNITY MEDICINE
I Social and Community Medicine
II Concept of Health, Disease and Preventive Medicine
III Health Administration and Planning
IV General Epidemiology
V Demography and Health Statistics
VI Communicable Diseases
VII Environmental Health
VIII Nutrition and Health
IX Non-communicable diseases
X Occupational Health
XI Genetics and Health
XII International Health
XIII Medical Sociology and Health Education
XIV Maternal and Child Health
XV National Programmes
XVI Management of common health problems
XVII Ability to monitor national health programmes
XVIII Knowledge of maternal and child wellness
XIX Ability to recognize, investigate, report, plan and manage community health problems
including malnutrition and emergencies.
2. The written examination in both the papers will be completely of objective (Multiple choice
answers) type. The question Papers (Test Booklets) will be set in English only.
3. General Instructions for Examination:
3.1 Candidates must write the papers in their own hand. In no circumstances will they be allowed the
help of a scribe to mark the answers for them. However, the Persons with Benchmark Disabilities in the
categories of blindness locomotor disability (both arm affected-BA) and cerebral palsy will be eligible for
the facility of scribe. In case of other category of Persons with Benchmark Disabilities as defined under
section 2(r) of the RPwD Act, 2016, such candidates will be eligible for the facility of scribe on production
of a certificate to the effect that the person concerned has physical limitation to write, and scribe is essential
to write the examination on his/her behalf, from the Chief Medical Officer/Civil Surgeon/ Medical
Superintendent of a Government Healthcare institution as per proforma at Appendix-V.
Further, for persons with specified disabilities covered under the definition of Section2(s) of the RPwD
Act, 2016 but not covered under the definition of Section 2 (r) of the said Act, i.e. persons having less than
40% disability and having difficulty in writing will be provided the facility of scribe subject to production
of a certificate to the effect that person concerned has limitation to write and that scribe is essential to write
examination on his/her behalf from the competent medical authority of a Government healthcare institution
as per proforma at Appendix – VII.
3.2 The candidates have discretion of opting for his/her own scribe or request the Commission for the
same. The details of scribe i.e. whether own or the Commission's and the details of scribe in case
candidates are bringing their own scribe, will be sought at the time of filling up the Online Application
Form as per proforma at Appendix – VI (for Candidate having 40% disability or more) and Appendix -IX
(for Candidate having less than 40% disability and having difficulty in writing).
3.3 The qualification of the Commission's scribe as well as own scribe will not be more than the
minimum qualification criteria of the examination. However, the qualification of the scribe should always
be matriculate or above.
3.4 The Persons with Benchmark Disabilities in the category of blindness locomotor disability (both
arm affected-BA) and cerebral palsy will be eligible for Compensatory Time of twenty minutes per hour of
the examination. In case of other categories of Person with Benchmark Disabilities, such candidates will be
eligible for this facility on production of a certificate to the effect that the person concerned has physical
limitation to write from the Chief Medical Officer/Civil Surgeon/ Medical Superintendent of a Government
Healthcare institution as per proforma at Appendix – V.
Further, for persons with specified disabilities covered under the definition of Section 2(s) of the RPwD
Act, 2016 but not covered under the definition of Section 2(r) of the said Act, i.e. persons having less than
40% disability and having difficulty in writing will be provided compensatory time subject to production of
a certificate to the effect that person concerned has limitation to write from the competent medical authority
of a Government healthcare institution as per proforma at Appendix-VII.
3.5 Facility of Scribe and/or Compensatory time to eligible candidate will be provided, if desired by
them.
NOTE (1) : The eligibility conditions of a scribe, his/her conduct inside the examination hall and the
manner in which and extent to which he/she can help the eligible candidate (as defined above) in writing
the Combined Medical Services Examination shall be governed by the instructions issued by the UPSC in
this regard. Violation of all or any of the said instructions shall entail the cancellation of the candidature of
candidate in addition to any other action that the UPSC may take against the scribe.
NOTE (2) : The criteria for determining the percentage of visual impairment shall be as follows :—
+-----------------------+-----------------------+-------------------+-------------------+
| Better eye | Worse eye | Per Cent | Disability category |
| Best Corrected | Best Corrected | Impairment | |
+=======================+=======================+===================+===================+
| 6/6 to 6/18 | 6/6 to 6/18 | 0% | 0 |
+-----------------------+-----------------------+-------------------+-------------------+
| 6/6 to 6/18 | 6/24 to 6/60 | 10% | 0 |
| | Less than 6/60 to 3/60| 20% | I |
| | Less than 3/60 to No | 30% | II (One eyed person)|
| | Light Perception | | |
+-----------------------+-----------------------+-------------------+-------------------+
| 6/24 to 6/60 | 6/24 to 6/60 | 40% | III a (low vision)|
| Or | | | |
| Visual field less than| Less than 6/60 to 3/60| 50% | III b (low vision)|
| 40 up to 20 degree | | | |
| around centre of | Less than 3/60 to No | 60% | III c (low vision)|
| fixation or heminaopia| Light Perception | | |
| involving macula | | | |
+-----------------------+-----------------------+-------------------+-------------------+
| Less than 6/60 to 3/60| Less than 6/60 to 3/60| 70% | III d (low vision)|
| Or | | | |
| Visual field less than| Less than 3/60 to No | 80% | III e (low vision)|
| 20 up to 10 degree | Light Perception | | |
| around centre of | | | |
| fixation | | | |
+-----------------------+-----------------------+-------------------+-------------------+
| Less than 3/60 to 1/60| Less than 3/60 to No | 90% | IV a (Blindness) |
| Or | Light Perception | | |
+-----------------------+-----------------------+-------------------+-------------------+
| Visual field less than| Only HMCF | 100% | IV b (Blindness) |
| 10 degree around | Only Light Perception | | |
| centre of fixation | No Light Perception | | |
| Only HMCF | | | |
| Only Light Perception | | | |
| No Light Perception | | | |
+-----------------------+-----------------------+-------------------+-------------------+
Note (3): The concession admissible to blind/low vision candidates shall not be admissible to those
suffering from Myopia.
4. The Commission have discretion to fix qualifying marks in any or both the papers of the
examination.
5. PENALTY FOR WRONG ANSWERS :
There will be penalty (Negative Marking) for wrong answers marked by a candidate in the
objective type question papers.
(i) There are four alternatives for the answers to every question. For each question for which a
wrong answer has been given by the candidate, one third of the marks assigned to that question
will be deducted as penalty.
(ii) If a candidate gives more than one answer, it will be treated as a wrong answer even if one of
the given answers happens to be correct and there will be same penalty as above for that
question.
(iii) If a question is left blank i.e. no answer is given by the candidate, there will be no penalty for
that question.
6. Candidates are not permitted to use calculators for answering objective type papers. They should,
therefore not bring the same inside the Examination Hall.
7. Both the Papers of the CMSE will be of MBBS standard.
(B) PERSONALITY TEST – (100 marks):
Candidates who qualify in the written examination will be called for Interview/ Personality Test to
be conducted by the Union Public Service Commission. The Interview/ Personality Test will carry 100
marks.
The Interview/Personality Test will be intended to serve as a supplement to the written examination
for testing the General Knowledge and ability of the candidates in the fields of their academic study and
also in the nature of a personality test to assess the candidate's intellectual curiosity, critical powers of
assimilation, balance of judgement and alertness of mind, ability for social cohesion, integrity of character,
initiative and capability for leadership.
APPENDIX-II
Brief particulars relating to the services/posts to which recruitment is being made through this
examination are given below:-
I. ASSISTANT DIVISIONAL MEDICAL OFFICER IN THE RAILWAYS:
(a) The post of Assistant Divisional Medical Officer in the Indian Railway Health Service is in Group
'A" Junior Scale in level 10 of Pay Matrix Rs. 56100-177500/- and it carries Non-Practising
Allowance as per rules/orders in force from time to time. Private practice is prohibited. The
candidate will be bound to observe the orders which the Ministry of Railways or any other
competent authority may issue from time to time restricting or prohibiting private practice by
him/her.
(b) A candidate will be appointed on probation for a period of one year which may be extended by the
Government if considered necessary. On satisfactory completion of the probation candidates will
be eligible for confirmation in the junior scale of the Indian Railway Health Service.
(c) The appointment of probationers can be terminated by one month's notice in writing on either side
during the period of probation in terms of Rule 301 (3) of the Indian Railway Establishment Code,
Volume-I.
Such notice is however, not required in cases of dismissal or removal as a disciplinary measure
after compliance with the provisions of Clause (2) of Article 311 of the Constitution and
compulsory retirement due to mental or physical incapacity.
(d) A candidate will have to undergo training as prescribed by the Ministry of Railways and pass all
the Departmental Examinations.
(e) A candidate will be governed by the “Contributory Pension System" effective from 01-01-2004 as
per orders of the Government.
(f) A candidate will be eligible for leave in accordance with the leave rules as in force from time to
time and applicable to officers of his/her status.
(g) A candidate will be eligible for free Railway Passes and Privilege Ticket Orders in accordance
with, the rules in force from time to time.
(h) A candidate will be required to pass the examination in Hindi of an approved standard within the
period of probation and failure to do so shall involve liability to termination of service.
(i) Under the rules every person appointed to the above post shall, if so required be liable to serve in
any Defence Service or post connected with the Defence of India for a period of not less than four
years including the period spent on training, if any:
Provided that such person:
(a) Shall not be required to serve as aforesaid after the expiry of ten years from the date of such
appointment.
(b) Shall not ordinarily be required to serve as aforesaid after attaining the age of 45 years.
(j) A candidate will be governed in respect of matters specifically referred to above as well as other
matter by the provisions of the Indian Railway Establishment Code and the extant orders as
amended/issued from time to time.
(k) A candidate will undergo Foundation Course training initially and after completion of Foundation
Course, the candidate may also be posted to the Railway Health Units/Dispensaries at way side
stations, ADMOs are also liable to transfer to any Railway.
(l) Prospects of promotion including pay scale and allowances attached to the higher grades will be as
per the provisions of Railway Medical Service Recruitment Rules, 2000 and the orders and
instructions issued by the Ministry of Railways from time to time.
(m) Duties and Responsibilities:
Assistant Divisional Medical Officers:
(i) He/She will attend the indoor wards, and out-patient department daily and as required.
(ii) He/She will carry out physical examination of candidates and of employees in service in
accordance with the regulations in force.
(iii) He/She will look after family welfare, public health and sanitation in his/her jurisdiction.
(iv) He/She will carry out examination of vendors.
(v) He/She will be responsible for discipline and proper discharge of duties of the Hospital
Health Unit Staff.
(vi) He/She will carry out duties assigned to him/her specially if any and will prepare returns
and indents connected with his/her speciality.
(vii) He/She will maintain and ensure upkeep of equipments in his/her charge.
NOTE 1:- When an ADMOs is posted at the Headquarter of a division under the charge of
CMS/Addl.CMS/MS Incharge he/she will assist the CMS/Addl.CMS/MS Incharge in all his/her duties but
may be specially assigned with certain duties and responsibilities.
NOTE 2:- ADMOs will also be required to perform such other duties as may be assigned to them from
time to time.
II. MEDICAL OFFICERS GRADE IN GENERAL DUTY MEDICAL OFFICERS SUB-CADRE OF
CENTRAL HEALTH SERVICE:
(a) The posts are temporary but likely to continue indefinitely. Candidates will be appointed to Junior
Group `A` scale and they will be on probation for a period of 2 years from the date of appointment
which may be curtailed or extended at the discretion of the Competent Authority. They will be
confirmed after the satisfactory completion of probation.
(b) The candidates can be posted anywhere in India in any dispensary or hospital under any
organisation participating in the Central Health Service across India. Private Practice of any kind
whatsoever including Lab. and consultant practice is prohibited.
(c) The scale of pay admissible to the Medical Officer of CHS is in the Level-10 (Rs. 56,100 to
Rs.1,77,500/-) of the pay matrix and NPA as per orders issued by the Government from time to
time, and the promotional avenues will be available as per the provision of CHS Rules, 2014 and
the orders and instructions issued by the Government from time to time.
III. General Duty Medical Officer in the New Delhi Municipal Council:
(a) Pay Matrix Level-10 Rs.56,100-1,77,500/- + restricted Non-practicing allowance (NPA).
(b) Ordinary rules regarding pensions, gratuity, confirmation etc. as enforced in the Council from time
to time will be applicable.
(c) The candidate will be on probation for a period of two years from the date of appointment which
may be extended at the discretion of the competent authority. On satisfactory completion of the
probation period will continue in the temporary capacity till confirmed against the permanent
vacancy.
(d) The candidate can be posted anywhere within the jurisdiction of the N.D.M.C. in any of the
hospital/dispensaries/M & C family welfare Centres/Primary Health Centres etc.
(e) Private practice of any kind whatsoever is prohibited.
(f) The appointment can be terminated on one month's notice on either side during the period of
probation and thereafter, while employed in temporary capacity, NDMC reserves the right to one
month's pay in lieu of notice.
(g) GDMO shall be entitled for promotion as Senior Medical Officer in the Pay Matrix Level-11
Rs.67700-208700/- and from Senior Medical Officer to Chief Medical Officer in the Pay Matrix
Level-12 Rs.78800-209200/- and from Chief Medical Officer to Chief Medical Officer (Non-
functional Selection Grade) in the Pay Matrix Level-13 Rs. 118500-214100/- and Senior
Administrative Grade in the Pay Matrix Level-14 Rs.144200-218200/-.
IV. GENERAL DUTY MEDICAL OFFICER GRADE-II IN MUNICIPAL CORPORATION OF
DELHI:
(i) Salary at the minimum of first cell of Rs.56,100/- in the level 10 of the Pay Matrix under 7th CPC
(corresponding to pre-revised scale in PB-3 Rs.15600-39100+GP Rs.5400/-) plus NPA and other
admissible allowances as per rules.
(ii) The candidates will be on probation for a period of two year from the date of appointment which
may be curtailed or extended at the discretion of the Competent Authority. On satisfactory
completion of the probation period, he/she will continue in the temporary post till confirmed
against the permanent vacancy.
(iii) The candidate can be posted anywhere within the jurisdiction of the Municipal Corporation of
Delhi in anyone of the Hospital/Dispensaries/M&CW and Family Welfare Centres/Primary Health
Centres etc.
(iv) Private practice of any kind whatsoever is prohibited.
(v) The appointment can be terminated on one month's notice on either side during the period of
probation and thereafter while employed in temporary capacity. The Municipal Corporation of
Delhi reserves the right to pay one month's pay in lieu of notice. Prospects of promotion including
pay scale and allowances attached to the higher grades shall be according to the provisions of
Recruitment Regulations.
APPENDIX –III
REGULATIONS RELATING TO THE PHYSICAL/MEDICAL EXAMINATION OF
CANDIDATES:
(A) FOR GENERAL/SC/ST/OBC/EWS CANDIDATES :
The regulations are published for the convenience of candidates and to enable them to ascertain the
probability of their possessing the required physical standards. The regulations are also intended to provide
guidelines to the medical examiners. All posts to be filled on the basis of Combined Medical Services
Examination are Group ‘A' “Technical" posts. All kinds of notices and information relating to the medical
examination of the Transgender candidates including the medical parameters for Transgender candidates
for various service(s) would be posted on the dedicated web page of the Ministry of Health & Family
Welfare before the commencement of the medical examination of Combined Medical Services
Examination, 2026 after due consultation with all the concerned nodal authorities and all the Cadre
Controlling Authorities of the participating service (s) in Combined Medical Services Examination, 2026.
2. (a) The Government of India reserve to themselves absolute discretion to reject or accept any
candidate after considering the report of the Medical Board.
(b) To be passed as “fit” for appointment, a candidate must be in good mental and bodily health and
free from any physical defect likely to interfere with the efficient performance of the duties of his/her
appointment.
(c) In the matter of co-relation of age-limit, height, weight and chest girth of candidates of India
(including Anglo-Indian race), it is left to the Medical Board to use whatever co-relation of figure is
considered most suitable as a guide in the examination of the candidates. Trunk and limbs should be
proportionate, no minimum height be insisted upon, if found fit otherwise. If there be any disproportion
with regard to height, weight and chest girth, the candidates should be hospitalized for investigation and
X-Ray of the chest taken before the candidate is declared fit or unfit by the Board.
3. The candidate's height will be measured as follows:-
He/She will remove his/her shoes and be placed against the standard with his/her feet together and
the weight thrown on the heels and not on the toe or other sides of the feet. He/She will stand erect without
rigidity and with heels, calves, buttocks and shoulders touching the standard, the chin will be depressed to
bring the vertex of the head level under the horizontal bar and the height will be recorded in centimeters
and parts of a centimeter to halves.
4. The candidate's chest will be measured as follows :-
He/She will be made to stand erect with his/her feet together and to raise arms over his/her head. The
tape will be so adjusted round the chest that its upper edge touches the inferior angles of the shoulder
blades behind and lies in the same horizontal plane when the tape is taken round the chest. The arms will
then be lowered to hang loosely by the side and care will be taken that the shoulders are not thrown
upwards or backwards so as to displace the tape the candidate will then be directed to take a deep
respiration several times and the maximum expansion of the chest will be carefully noted and the minimum
and maximum will then be recorded in centimeters 84-89, 86-93.5 etc. in recording the measurement
fractions of less than half a centimeter should not be noted.
N.B.- The height and chest of the candidates should be measured twice before coming to a final decision.
The candidates will also be weighed and his/her weight recorded in kilograms; fractions of half a
kilogram should not be noted.
5. (a) The candidate's eye-sight will be tested in accordance with the following rules. The result of each test
will be recorded:
(i) General- The candidate will be directed to a general examination to the detection of any disease
or abnormality of his/her eyes. The candidate will be rejected if he/she suffers from any morbid
conditions of eye(s), eyelids or contiguous structure of such a short as to render or are likely to
render him/her unfit for service on a future date.
(ii) Visual Acuity- The examination for determining the acuteness of visions includes two tests- one
for distant and the other for near vision. Each eye will be examined separately.
(b) There shall be no limit for maximum naked eye vision but the naked eye vision of the candidates
shall however be recorded by the Medical Board or other medical authority in every case, as it will
furnish the basic information in regard to the condition of the eye.
(c) The following standards are prescribed for distant and near vision with or without glasses for
different types of services:
+-----------------------------------+-----------------------------------+-----------------------------------+
| Class of Service | Indian Railway Health Service | Service other than |
| | (Technical) | IRHS(Technical) |
| +------------+--------------------+------------+--------------------+
| | Better eye | Worse eye | Better eye | Worse eye |
| | | | | (corrected vision) |
+=====+=============================+============+====================+============+====================+
| 1. | Distant Vision | 6/6 or 6/9 | 6/9 or 6/12 | 6/6 or 6/9 | 6/12, 6/18 or Nil |
+-----+-----------------------------+------------+--------------------+------------+--------------------+
| 2. | Near Vision | J1 | J2 | J1 | J2, J3 or Nil |
+-----+-----------------------------+------------+--------------------+------------+--------------------+
| 3. | Type of Correction Permitted| Spectacles, IOL/corneal surgeries viz. (LASIK, excimer surgeries | Spectacles, IOL LASIK laser|
| | | etc.) may be permitted. Vision should be stable and should come | surgery |
| | | up to the required standard. Ophthalmic Board to clear fitness. | |
| | | The Surgery should have been done at least one year previously. | |
+-----+-----------------------------+-------------------------------------------------------------------+----------------------------+
| 4. | Limits pf refractive error | ±4.00D. In case where power of lens is >-4D, a special ophthalmic | Fundus is normal and |
| | permitted | Medical Board to clear the case ruling out Pathological Myopia | without pathological Myopia|
+-----+-----------------------------+-------------------------------------------------------------------+----------------------------+
| 5. | Colour vision Requirements | Higher grade colour perception (Ishihara test EGL-1.3 mm aperture)| Low Grade Colour vision is |
| | | | acceptable. |
+-----+-----------------------------+-------------------------------------------------------------------+----------------------------+
| 6. | Whether binocular vision | Binocular vision is necessary in case of squint. In deserving | No |
| | needed? | cases, a special Ophthalmic Medical Board to clear cases on | |
| | | case-to-case basis. | |
+-----+-----------------------------+-------------------------------------------------------------------+----------------------------+
(d)(i) In respect of the Technical Services mentioned above and any other service concerned with the safety
of public the total amount of Myopia(including the cylinder) shall not exceed -4.00 D total amount of
Hypermetropia (including the cylinder) shall not exceed +4.00 D:
Provided that in case a candidate in respect of the “Technical” services is found unfit on ground of
high myopia, the matter shall be referred to a Special Board of three ophthalmologists to declare whether
this myopia is pathological or not in case it is not pathological, the candidate shall be declared fit provided
he/she fulfils the visual requirements otherwise.
(ii) In every case of myopia, fundus examination should be carried out and the results recorded. In the
event of pathological condition being present which is likely to be progressive and affect the efficiency of
the candidate, he/she should be declared unfit.
(e) Field of Vision: The field of vision shall be tested in respect of all services by the confrontation
method. When such test gives unsatisfactory or doubtful result the field of vision should be determined on
the perimeter.
(f) Night Blindness: Broadly there are two types of night blindness: (i) as a result of Vitamin A deficiency
and (ii) as a result of Organic disease of Retina-common cause being Retinitis Pigmentosa. In (i) the fundus
is normal, generally seen in younger age group and ill-nourished persons and improves by large doses of
Vitamin A. In (ii) the fundus is often involved and mere fundus examination will reveal the condition in
majority of cases. The Patient in this category is an adult and may not suffer from malnutrition. For both (i)
and (ii) dark adaptation test will reveal the condition. The patient in this category is an adult and may not
suffer from malnutrition. For both (i) and (ii) dark adaptation test will reveal the condition.
(g) Colour Vision: The testing of colour vision shall be essential in respect of the Technical Services
mentioned above.
Colour perception should be graded into higher and lower grade depending upon the size of
aperture in the lantern as described in the table below: -
+-----------------------------------+-----------------------------------+-----------------------------------+
| Grade | Higher Grade Colour | Lower Grade Colour |
| | Perception | Perception |
+===================================+===================================+===================================+
| 1. Distance between the lamp | 16 ft | 16 ft |
| and the candidate. | | |
+-----------------------------------+-----------------------------------+-----------------------------------+
| 2. Size of aperture | 1.3 mm | 13 mm |
+-----------------------------------+-----------------------------------+-----------------------------------+
| 3. Time of exposure | 5 seconds | 5 seconds |
+-----------------------------------+-----------------------------------+-----------------------------------+
For Indian Railway Health Service Higher Grade colour vision is essential but for other services lower
grade colour vision will be considered sufficient.
Satisfactory colour vision constitutes recognition with ease and without hesitation of Signal red,
Signal Green and White Colours. The use of Ishihara's plates, shown in good light and a suitable Edrige
Green's Lantern shall be considered quite dependable for testing colour vision. While either of the two
tests may ordinarily be considered sufficient in respect of the services other than IRHS, it is essential to
carry out the lantern test for IRHS. In doubtful cases where a candidate fails to qualify when tested by only
one of the two tests, both the tests should be employed. However, both the Ishihara's plates and Edrige
Green's Lantern shall be used for testing colour vision of the candidates for appointment to the Indian
Railway Health Service.
(h) Ocular condition other than visual acuity:
(i) Any organic disease or a progressive refractive error, which is likely to result in lowering visual
acuity, should be considered a disqualification.
(ii) Squint: For Indian Railway Health Service where the presence of binocular vision is essential,
squint, even if the vision acuity in each eye is of the prescribed standard, should be considered a
disqualification. For other services, the presence of squint should not be considered as a
disqualification, if the visual acuity is of the prescribed standard.
(iii) If a person has one eye or if he/she has one eye which has normal vision and the other eye is
amblyopic or has subnormal vision the usual effect is that the person is lacking stereoscopic vision
for perception of depth. Such vision is not a disqualification for services other than IRHS. The
Medical Board may recommend as fit, such persons:-
Provided the normal eye has 6/6 distant vision. J1 near vision with or without glasses
provided the error in any meridian is not more than 4 dioptres for distant vision.
full field of vision.
normal colour vision wherever required:
provided the board is satisfied that the candidate can perform all functions for the particular
job in question.
(iv) Contact Lenses: During the Medical Examination of the candidates, the use of contact lenses is
not to be allowed. It is necessary that when conducting eye tests the illumination of the typed
letters for distant vision should have an illumination of 15 foot candles.
GUIDELINES FOR SPECIAL OPHTHALMIC BOARD
Special Ophthalmic Board for eye examination shall consist of 3 ophthalmologists:
(a) Cases where the Medical Board has recorded visual function within normal prescribed limits
but suspects a disease of progressive and organic nature which is likely to cause damage to the
visual function should refer the candidates to a Special Ophthalmic Board for opinion as part of
the first Medical Board.
(b) All cases of any type of surgery on eyes, IOL, refractive corneal surgery, doubtful cases of
colour defect should be referred to special ophthalmic board.
(c) In such cases where a candidate is found to be having high myopia or high hypermetropia the
Central Standing Medical Board/State Medical Board should immediately refer the candidates
for a Special Board of three Ophthalmologists constituted by the Medical Superintendent of the
hospital with the Head of the Department of Ophthalmology of the Hospital or the Senior most
Ophthalmologist as the Chairman of the Special Ophthalmic Board. The
Ophthalmologist/Medical Officer who has conducted the preliminary ophthalmic examination
cannot be a part of the Special Board.
The examination by the Special Board should preferably be done on the same day. Whenever
it is not possible to convene the Special Board of three Ophthalmologists on the day of the
medical examination by the Central Standing Medical Board/State Medical Board, the Special
Board may be convened at an earliest possible date.
The Special Ophthalmic Board may carry out detailed investigations before arriving at
their decision.
The Medical Board's report may not be deemed as complete unless it includes the report of
the Special Medical Board for all such cases which are referred to it.
GUIDELINE FOR REPORTING ON BORDER LINE UNFIT CASES
In border line cases of substandard visual acuity, subnormal colour vision, the test will be
repeated after 15 minutes by the Board before declaring a person unfit.
6. Blood Pressure: The Board will use its discretion regarding Blood Pressure. A rough method of
calculating normal maximum systolic pressure is as follows :
(i) with young subjects of 15-25 years of age, the average is about 100 plus the age.
(ii) with subjects over 25 years of age, the general rule of 110 plus half the age seems quite
satisfactory.
N.B--As a general rule any systolic pressure over 140 mm and diastolic over 90 mm should be
regarded as suspicious and the candidate should be hospitalized by the Board before giving their
final opinion regarding the candidate's fitness or otherwise. The hospitalization report should
indicate whether the rise in blood pressure is of a transient nature due to excitement etc. or whether
it is due to any organic disease. In all such cases X-ray and electrocardiographic examination of
heart and blood urea clearance test should also be done as routine. The final decision as to fitness
or otherwise of a candidate will, however, rest with the medical board only.
Method of taking Blood Pressure: - The mercury manometer type of instrument should be used
as a rule. The measurement should not be taken within fifteen minutes of any exercise or
excitement. Provided the patient and particularly his/her arm is relaxed, he/she may be either lying
or sitting and the arm is supported comfortably at the patient's side in a more or less horizontal
position. The arm should be freed from the cloth to the shoulder. The cuff completely deflated
should be applied with the middle of the rubber over the inner side of the arm and its lower edge an
inch or two above the bend of the elbow. The following returns of cloth bandage should spread
evenly over the bag to avoid bulging during inflation.
The brachial artery is located by palpitation at the bend of the elbow and the stethoscope is then
applied lightly and centrally over it below but not in contact with the cuff. The cuff is inflated to
about 200 mm. Hg. and then slowly deflated. The level at which the column stands when soft
successive sounds are heard represents the Systolic Pressure. When more air is allowed to escape
the sound will be heard to increase in intensity. The level at which the well heard clear sounds
change to soft muffed fading sounds represents the diastolic pressure. The measurements should
be taken in a fairly brief period of time as prolonged pressure of the cuff is irritating to the patient
and will vitiate the reading. Rechecking if necessary should be done only a few minutes after
complete deflation of the cuff. Sometimes as the cuff is deflated sounds heard at a certain level
may disappear as pressure falls and reappear at a still lower level. This silent gap may cause error
in readings.
7. The urine (passed in the presence of the examiner) should be examined and the results recorded.
Where a Medical Board finds sugar present in candidate's urine by the usual chemical tests, the
Board will proceed with the examination with all its other aspects and will also specially note down
any signs or symptoms suggestive of diabetes. If except for the glycosuria the Board finds the
candidate conforms to the standard of medical fitness required they may pass the candidates as fit,
subject to the glycosuria being non-diabetic and the Board will refer the case to a specified
Specialist in Medicine who has hospital and laboratory facilities at his/her disposal. The Medical
Specialist will carry out whatever examinations, clinical and/or laboratory, he/she considers
necessary including a standard blood sugar tolerance test, and will submit his/her opinion to the
Medical Board upon which the Medical Board will base its final opinion “fit” or “unfit”. For this
purpose the candidates will not be required to appear in person before the Board on the second
occasion. To exclude the effect of medication it may be necessary to retain a candidate for several
days in hospital under strict supervision.
8. For appointment against posts which do not prescribe any elaborate training : It shall no longer be
necessary to declare a woman candidate as “Temporarily Unfit if she is found to be pregnant during
medical examination before appointment against posts which do not prescribe any elaborate
training, i.e., she can be appointed straightaway on the job.
For production of a medical certificate of fitness from registered medical posts/services that
prescribe a training prior to joining working post a women candidate who as a result of test is found
to be pregnant should be declared temporary unfit until the confinement is over. She should be re-
examined for a fitness certificate six weeks after the date of confinement subject to the practitioner.
7. Radiographic examination of the Chest should be done as a routine in all cases for detecting any
abnormality of the heart and lungs, which may not be apparent by ordinary physical examination in
respect of such candidates who are declared finally successful in Combined Medical Services
Examination.
The decision of the Chairman of the Central Standing Medical Board (conducting the medical
examination of the candidate concerned) about the fitness of the candidate shall be final.
8. In case of doubt regarding health of a candidate the Chairman of the Medical Board may consult a
suitable Hospital Specialist to decide the issue of fitness or unfitness of the candidate for
Government Service, e.g. if a candidate is suspected to be suffering from any mental defect or
aberration, the Chairman of the Board may consult a Hospital Psychiatrist/Psychologist, etc.
9. When any defect is found it must be noted in the certificate and the medical examiner should state
his/her opinion whether or not it is likely to interfere with the efficient performance of the duties,
which will be required of the candidate.
In case where a Medical Board considers that a minor disability disqualifying a candidate for
Government service can be cured by treatment (medical or surgical) a statement to that effect
should be recorded by the Medical Board. There is no objection to a candidate being informed of
the Board's opinion to this effect by appointing authority and when a cure has been effected it will
be open to the authority concerned to ask for another Medical Board.
In the case of candidates who are to be declared “Temporarily Unfit" the period specified for re-
examination should not ordinarily exceed six months at the maximum. On re-examination after the
specified period these candidates should not be declared temporarily unfit for a further period but a
final decision in regard to their fitness for appointment or otherwise should be given. It may be
noted that a Candidate when suffering from a curable disease can be declared temporarily unfit by
the first Medical Board only. The Medical re-examination shall be deemed to be part of the 1st
Medical Examination and candidates may, if they desire, appeal against its decision. The appellate
Medical Board has to come to a final decision and state clearly whether a candidate is fit or unfit, a
candidate cannot be declared temporarily unfit on the basis of the appellate medical examination.
10. The candidates filing an appeal against the decision of the Medical Board have to deposit an appeal
fee of Rs.100.00 in such manner as may be prescribed by the Government of India in this behalf.
Appeals should be submitted within 21 days of the date of the communication in which the
decision of the Medical Board is communicated to the candidates; otherwise request for second
Medical Examination by an Appellate Medical Board will not be entertained. The Medical
Examination by the Appellate Medical Board would be arranged in New Delhi only and no
travelling allowance or daily allowance will be admissible for the journeys performed in
connection with the Medical Examination. The decision of the Appellate Medical Board will be
final and no appeal shall be against the same.
SAURABH JAIN, Jt. Secy.
APPENDIX-IV
A list of Services Identified suitable for Persons with Benchmark Disability along with the Functional
Classifications and Physical Requirements
+-----+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| Sl. | Name of the | Category(ies) for | Functional | Physical Requirements |
| No. | Service | which Identified | Classification | |
+=====+===================================+===================================+===================================+===================================+
| (1) | (2) | (3) | (4) | (5) |
+-----+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| 1. | Assistant Divisional Medical | Locomotor Disability | (i) OA-One arm affected | S, ST, BN, W, SE, MF, C, RW, H |
| | Officer (ADMO) in Indian Railway | | (ii) OL-One leg affected | S-Sitting, ST–Standing, |
| | Health Service (IRHS) | | (iii) BL-Both legs affected | BN- Bending, W- Walking, |
| | | | but not arms. | SE-Seeing, |
| | | | (iv) LC-Leprosy cured | MF-Manipulation by Fingers, |
| | | | (v) AAV-Acid Attack | C-Communication, |
| | | | Victim, without joint | RW-Reading and Writing, H- |
| | | | involvement | Hearing. |
+-----+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| 2. | General Duty Medical Officers | (a) Locomotor Disability | (i) OA-One arm affected | S, ST, W, RW, SE, H, C |
| | of Central Health Service | (b) SLD | (ii) OL-One leg affected | S=Sitting, ST=Standing, |
| | | (c) MD involving (a) to (b) above | (iii) BL-Both legs affected | W=Walking, RW=Reading & |
| | | | but not arms. | Writing, SE=Seeing, |
| | | | (iv) OAL-One Arm & | H=Hearing, C=Communication |
| | | | One Leg | Incumbent should be |
| | | | (v) CP - Cerebral Palsy | considered with aids & |
| | | | (vi) LC-Leprosy cured | appliances, Bilateral hand |
| | | | (vii) AAV-Acid Attack | activities should be adequate. |
| | | | Victim (non-surgical jobs) | |
| | | | (viii) DW – Dwarfism | |
| | | | (ix) Specific Learning | |
| | | | Disability | |
+-----+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| 3. | General Duty Medical Officer | (a) Locomotor Disability | a) OA (one arm), OL (one | S, ST, W, BN, MF, RW, SE, H, C |
| | Grade-II in MCD | (b) SLD | leg), BL (both leg), LC | S=Sitting, ST=Standing, |
| | | (c) MD involving (a) to (b) above | (Leprosy cured), DW | W=Walking, BN- Bending, |
| | | | (Dwarfism), AAV | MF- Manipulation by fingers, |
| | | | (Acid Attack Victim) | RW=Reading & Writing, |
| | | | b) SLD (Specific Learning | SE=Seeing, H=Hearing, |
| | | | Disability) | C=Communication |
| | | | c) MD involving (a) to (b) | Incumbent should be |
| | | | above | considered with aids & |
| | | | | appliances. Bilateral hand |
| | | | | activities should be adequate. |
+-----+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| 4. | General Duty Medical Officer | Locomotor Disability | (i) OA-One arm affected. | S, ST, BN, W, SE, MF, C, RW, H |
| | in NDMC | | (ii) OL-One leg affected | S-Sitting, ST-Standing, |
| | | | | BN- Bending, W– Walking, |
| | | | | SE-Seeing, MF-Manipulation |
| | | | | by Fingers, C-Communication, |
| | | | | RW-Reading and Writing, H- |
| | | | | Hearing. |
+-----+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
APPENDIX – V
Certificate regarding physical limitation in an examinee to write
This is to certify that, I have examined Mr./Ms./Mrs.. (name of the
candidate with benchmark disability), a person with
disability as mentioned in the certificate (nature and percentage of
disability), S/o /D/o..... a resident of
(Village/District/State) and to state that he/she has
physical limitation which hampers his/her writing capabilities owing to his/her disability.
Signature
Chief Medical Officer/Civil Surgeon /
Medical Superintendent of a Government Healthcare Institution.
Note: Certificate should be given by a specialist of the relevant stream/disability (e.g. Visual Impairment –
Ophthalmologist, Locomotor disability – Orthopaedic specialist/PMR).
APPENDIX – VI
Letter of Undertaking for Using Own Scribe
(To be filled by the candidates online to the Commission)
I... a candidate with. (name of the
disability) appearing for the (name of the examination). bearing
Roll No.... at (name of the centre) in the District
(name of the State). My qualification is .
(name of the scribe) will provide the service of
scribe/reader/lab assistant for the undersigned for taking the aforesaid examination.
I do hereby undertake that his/her qualification is In case, subsequently it is
found that his/her qualification is not as declared by the undersigned and is beyond my qualification, I shall
forfeit my right to the post and claims thereto.
(Signature of the candidate with Disability)
Place:
Date:
APPENDIX-VII
Certificate for person with specified disability covered under the definition of Section 2(s) of the RPwD
Act, 2016 but not covered under the definition of Section 2(r) of the said Act, i.e. persons having less
than 40% disability and having difficulty in writing
This is to certify that, we have examined
Mr./Ms./Mrs.. (name of the candidate), S/o / D/o
(Vill/PO/PS/District/State), aged. years, a person with (nature
of disability/condition), and to state that he/she has limitation which hampers his/her writing capability
owing to his/her above condition. He/she requires support of scribe for writing the examination.
2. The above candidate uses aids and assistive device such as prosthetics & orthotics, hearing aid (name
to be specified) which is /are essential for the candidate to appear at the examination, with the
assistance of scribe.
3. This certificate is issued only for the purpose of appearing in written examinations conducted by
recruitment agencies as well as academic institutions and is valid upto (it is valid for
maximum period of six months or less as may be certified by the medical authority)
Signature of medical authority
+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| (Signature & Name) | (Signature & | (Signature & | (Signature & | (Signature & |
| | Name) | Name) | Name) | Name) |
+===================================+===================================+===================================+===================================+===================================+
| Orthopaedic/PMR Specialist | Clinical psychologist/ | Neurologist | Occupational therapist | Other Expert, as nominated by |
| | Rehabilitation | (if available) | (if available) | the Chairperson |
| | Psychologist/ | | | (if any) |
| | Psychiatrist/ | | | |
| | Special Educator | | | |
+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| (Signature & Name) |
+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+
| Chief Medical Officer / Civil Surgeon / Chief District Medical Officer ................................................................................... Chairperson |
+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+
Name of Government Hospital / Healthcare Centre with seal
Place:
Date:
APPENDIX – VIII
MEDICAL BOARD REPORT FORMAT
(To be filled in Triplicate)
For CMSE-2026
Photograph with
Roll No. & Discp.
written on the
back
Name of Hospital
Place
(a) Candidate's statement and declaration.
Candidate must make the statement required below in his/her own hand writing prior to his/her Medical
Examination and must sign the declaration ‘appended thereto'. Their attention is specially directed to the
warning contained in the Para 08 below:-
1. Name in full (in block letters) :
3(c). Whether underwent any eye surgery (including
Radial Keratotomy / Lasik/ Excimer etc.) at any time.
If yes, details thereof :
2(a). Age: Date of Birth: Place of
Birth:
3(d) (i) whether PwBD candidate - Yes/No
(ii) Mention Sub-category of Disability
(e.g. OL, OA, BL, etc.)
2(b). Do you belong to races such as Gorkhas,
Garhwalis, Assamese, Nagaland Tribals etc., whose
average height is distinctly lower? Answer 'Yes' or
'No' and if the answer is 'Yes' state the name of the
tribe race :
4. Have you suffered any form of nervousness
due to overwork or any other causes
3(a). Have you ever had small-pox intermittent or any
fever, enlargement or suppuration of glands, spitting
of Blood, asthma, heart diseases, lung disease,
fainting attacks, rheumatism, appendicitis :
5. Have you been allotted to any service/post on the
basis of previous years exams? If yes, give details
thereof
Or
3(b). Any other disease or accident requiring
confinement to bed and medical or surgical treatment
:
Have you joined the said service/post
5.1 Are you enrolled for the PG course? If yes, give
details thereof.
6. Furnish the following particulars concerning your family:-
+-----------------------+-----------------------+-----------------------+-----------------------+-----------------------+-----------------------+-----------------------+-----------------------+
| | Father's age, | Father's age | No. of | No. of | Mother's | Mother's | No. of |
| | if living & | at death & | brothers | brothers | age, if | age at death | sisters |
| | state of | cause of | living, their | dead, their | living & | & cause of | living, their |
| | health | death | ages & state | ages & | state of | death | ages & state |
| | | | of health | cause of | health | | of health |
| | | | | death | | | |
+=====+=================+=======================+=======================+=======================+=======================+=======================+=======================+=======================+
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | No. of sisters dead, |
| | | | | | | | | their ages & cause of |
| | | | | | | | | death |
+-----+-----------------+-----------------------+-----------------------+-----------------------+-----------------------+-----------------------+-----------------------+-----------------------+
Present Address..
Mobile No..................................................... Email ID ....................................................
Mobile No. of Father/Guardian........................................................................................................................
Identification marks............................................................................................................................................
7. Details of medical examination conducted before, if any:-
(a) Place & Date of Medical Board
(b) Service(s)/Post(s) for which examined and year
of Examination
(c) Result of Medical Board Examination if
communicated or known.
8. All the above answers are to the best of my knowledge & belief, true and correct and I shall be
liable for action under law for any material infirmity in the information furnished by me or suppression of
relevant material information. The furnishing of false information or suppression of any factual
information would be a disqualification and is likely to render me unfit for employment under the
Government. I am fully aware of the provisions of Combined Medical Services Examination-2026 Rules. If
the fact that false information has been furnished or that there has been suppression of any factual
information comes to notice at any time during my service, my services would be liable to be terminated.
Candidate's Signature
Signed in my presence
Signature of the Chairperson of the Board
with date and stamp of the Board
(b) Report of the Medical Board on (name of candidate)..........................................................................................
(Examiner to write and not merely Tick the correct choice)
Physical examination
1. General development: (Good/Fair/Poor)
3. Eyes
i. Any disease
Nutrition (Thin/Average/Obese)
ii. Night Blindness
Height (without shoes) ............................Cms.
Weight ................................................kg
iii. Colour vision (Higher Grade/Lower Grade)
Temperature ..........................................°C
iv. Field of vision
Girth of chest :-
Method................................................................
(i) (After full inspiration) ....................Cms
v. Binocular vision
(ii) (After full expiration) ......................Cms
2. Skin - Any obvious disease
vi. Fundus Examination
vii. Visual Acuity
+-----------------------------------+------------+------------+-----------------------+-----------------------+-----------------------+
| Acuity of vision | Naked eye | With glasses | Strength of glasses | | |
| | | +-----------------------+-----------------------+-----------------------+
| | | | Spherical | Cylindrical | Axis |
+=====+=============================+============+============+=======================+=======================+=======================+
| | Distant Vision | | | | | |
| | R.E. | | | | | |
| | L.E. | | | | | |
+-----+-----------------------------+------------+------------+-----------------------+-----------------------+-----------------------+
| | Near Vision | | | | | |
| | R.E. | | | | | |
| | L.E. | | | | | |
+-----+-----------------------------+------------+------------+-----------------------+-----------------------+-----------------------+
| | Hypermetropia | | | | | |
| | (Manifest) | | | | | |
| | R.E. | | | | | |
| | L.E. | | | | | |
+-----+-----------------------------+------------+------------+-----------------------+-----------------------+-----------------------+
4. Ears: Inspection
9.(b) Haemorrhoids
Hearing ..................................................... Right
Fistula.
Ear ...................................................................
10. Nervous System: Indications of nervous or mental
Left Ear ...........................................................
disabilities
5. Glands ..................................................... Thyroid
6. Condition of teeth & gums..................................................................
7. Respiratory System: Does physical examination reveal anything abnormal in the respiratory organs?
(a) Motor
(b) Sensory.
11. Loco-Motor System: Any abnormality
If yes, explain fully ...................................................................................................................
12(A) Genito Urinary System : Any evidence of Hydrocele, Varicocele etc.
Urine analysis (Lab. No.....................................................)
(a) Physical Appearance ..................................................
8. Circulatory system:
(a) Heart: Any organic lesions?
Rate/Minutes
Standing ......................................./Minutes
(b) Sp. Gravity
After hopping 25 times .................../Minutes
(c) Albumin
Two minutes after hopping .............../Minutes
(d) Sugar
(e) Casts..
(f) Cells..
(b) Blood Pressure:
Systolic ..........................................mm of Hg
Diastolic .........................................mm of Hg
12(B) *Gynae Examination (for female candidates
only).
9. Abdomen: Girth ................................Cms
(explain if any finding)............................................................................................................"
Hernia ..................................................................................................................................."
(a) Palpable:
Liver ..........................................................................
Spleen ..........................................................................
Sign. of Doctor
Kidneys ..........................................................................
Any Mass ..........................................................................
13. Report of X-ray examination of chest (X-ray
No.....................)
(explain)...........................................................................................................................
14. Is there anything in the health of the candidate likely to render him/her unfit for the efficient discharge
of his/her duties in the service for which he/she is a candidate?
NOTE: *In the case of a female candidate, if it is found that she is pregnant, she should be declared
temporarily unfit, vide Regulation as per notification.
15. Services for which the candidate has been found qualified for the efficient and continuous discharge of
duties may please be indicated clearly by √ and services/posts for which he /she is considered unfit if any
may also please be indicated clearly by × :-
i) Indian Railway Health Service (ADMO)
ii) Central Health Service (Medical Officers Grade in General Duty Medical Officers)
iii) New Delhi Municipal Council (GDMO)
iv) Municipal Corporation of Delhi (GDMO Grade-II)
Is the candidate fit for field service?......................................................................................................
NOTE: The Board should record their findings strictly in the following certificate
CERTIFICATE
Mr./Ms./Mrs. .......................................................................................................... Roll No. ........................ a
candidate of CMSE-2026 who has appeared for his/her first medical examination/re-examination on
(date) is found to be
(i) Fit
(ii) Unfit on account of .................................................................................................................................
(please ensure this
matches with findings
of Column 14 at
page 3)
(iii) Temporarily unfit on account of ....................................................................................................................
(iv) In case of PwBD please mention the category/sub-category of disability i.e. OA, OL, BL, etc. (please refer
Appendix-IV of CMSE Rules and ensure PwBD candidates meet with Functional Classification and Physical
Requirements for identified services)
Date :
Place:
+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| Sign. of Member | Sign. of Member | Sign. of Member |
| with stamp | with stamp | with stamp |
| (containing name) | (containing name) | (containing name) |
| If co-opted | | |
+-----------------------------------+-----------------------------------+-----------------------------------+
| Sign. of Chairperson | | |
| with stamp | | |
| (containing name) | | |
+-----------------------------------+-----------------------------------+-----------------------------------+
ANNEXURE I
I. Technical Services or posts requiring Higher Grade Colour Perception:-
i) Indian Railway Health Service (ADMO)
II. Technical Services or posts requiring Lower Grade Colour Perception:-
(or Defective Higher Grade Colour Perception – DHGCP)
i) Central Health Service (Medical Officers Grade in General Duty Medical Officers)
ii) New Delhi Municipal Council (GDMO)
iii) Municipal Corporation of Delhi (GDMO Grade-II)
+-----------------------------------+-----------------------------------+-----------------------------------+-----------------------------------+
| Sign. of Member | Sign. of Member | Sign. of Member |
| with stamp | with stamp | with stamp |
| (containing name) | (containing name) | (containing name) |
| If co-opted | | |
+-----------------------------------+-----------------------------------+-----------------------------------+
| Sign. of Chairperson | | |
| with stamp | | |
| (containing name) | | |
+-----------------------------------+-----------------------------------+-----------------------------------+
APPENDIX-IX
Letter of Undertaking by the person with specified disability covered under the definition of Section
2(s) of the RPwD Act, 2016 but not covered under the definition of Section 2(r) of the said Act, i.e.
persons having less than 40% disability and having difficulty in writing
I..... a candidate with (nature of
disability/condition) appearing for the (name of the
examination) bearing Roll No. at (name of the centre) in the District
(name of the state). My educational qualification is .
2. I do hereby state that (name of the scribe) will provide the service of
scribe/reader/lab assistant for the undersigned for taking the aforementioned examination.
3. I do hereby undertake that his/her qualification is In case, subsequently it is
found that his/her qualification is not as declared by the undersigned and is beyond my qualification. I shall
forfeit my right to the post or certificate/diploma/degree and claims relating thereto.
(Signature of the candidate)
Place:
Date:
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