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    Annexure A - Class 1 Medical Appointment

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    vpro
    He provides his name, flying license number, PMR file number, contact details, and details of his last medical examination. He indicates that his forthcoming medical is not due at the evaluation centre and requests that if an appointment is granted, his PMR may be forwarded.

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    Annexure A - Class 1 Medical Appointment

    Uploaded by

    vpro
    302 views1 page
    He provides his name, flying license number, PMR file number, contact details, and details of his last medical examination. He indicates that his forthcoming medical is not due at the evaluation centre and requests that if an appointment is granted, his PMR may be forwarded.

    Original Title

    Annexure a - Class 1 Medical Appointment

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    He provides his name, flying license number, PMR file number, contact details, and details of his last medical examination. He indicates that his forthcoming medical is not due at the evaluation centre and requests that if an appointment is granted, his PMR may be forwarded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    302 views1 page

    Annexure A - Class 1 Medical Appointment

    Uploaded by

    vpro
    He provides his name, flying license number, PMR file number, contact details, and details of his last medical examination. He indicates that his forthcoming medical is not due at the evaluation centre and requests that if an appointment is granted, his PMR may be forwarded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Annexure A

    FORM FOR SEEKING APPOINTMENT AT AND


    FORWARDING PMR TO IAF CIVIL AIRCREW MEDICAL EVALUATION CENTRE
    1. Name
    (CAPITAL LETTERS ONLY)
    VISHAL MANOHAR BOOLCHANDANI
    2. Flying License 3. License Type ALTP/ 
    CPL/ SPL/ CHPL/ Nil
    Number (if held)
    3. PMR File Number 1- ..
    1053 2020 .... - L-2

    4. Contact Number +91 7900127351


    5. Email id [email protected]
    (CAPITAL LETTERS ONLY)
    6. Details of Last Centre DR HARISH MALIK,DELHI
    Medical Examination Date 14/07/2020
    7. Forthcoming Medical

    (a) Type (Tick one 


    (i) Initial/ Reinitial
    option) (ii) Renewal
    (iii) Review after Temp Unfitness
    (iv) Special (after disease/ disability/ condition)
    (b) Intended Date (i) EARLIEST AVAILABLE DATE
    (Note: All centres do
    not conduct medical on (ii)
    all days of week)
    (c) Intended Centre (i) AFCME, New Delhi
    (Mention Centre
    Name, not city (ii) 11 Air Force Hospital,Hindon, Ghaziabad,UP
    alone)
    (iii)

    (iv)

    (v)

    8. I have read the provisions of Centralised Appointment & PMR forwarding System. I certify that (tick

    one of the applicable option)


    (a) My forthcoming medical IS NOT DUE at AFCME/ IAM/ MEC (E).

    (b) My forthcoming medical IS DUE at AFCME/ IAM/ MEC (E).

    9. If the requested appointment is granted, my PMR may be forwarded to the IAF Medical Centre.

    Place :
    NEW DELHI
    Date : 6/8/2020 (Signature)

    Note:

    1. The form is to be filled by applicant only. 2. All columns are to be filled legibly. 3.
    Incomplete/ unclear applications would not be processed.

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