**Executive Summary**
This document, Civil Aviation Requirements (CAR) Section 7, Series C, Part IV, Issue I, dated January 25th, 2019, outlines the requirements for the empanelment of medical examiners for conducting Class 2 medical examinations. It details the qualifications, facility requirements, application process, and the process for conducting the medical examinations. The document was revised in August 2025.
**Key Points / Main Content**
* **Requirements for Medical Examiners:**
* Must possess an MBBS degree.
* Must have completed a Primary Aviation Medicine Course or two weeks' training in Aviation Medicine at IAM, IAF Bengaluru.
* Must be registered with the Medical Council of India/State Medical Council.
* Must have the infrastructure and facility to conduct medical exams.
* Must submit a NOC from their employer.
* Responsible for facilitating the medical exam with minimum inconvenience.
* **Medical Facility Requirements:**
* Must have an office with telephone, internet, and fax.
* Must have a place for conducting medical examinations and filling forms.
* Facility can be owned or rented by the medical examiner. If using a hospital facility, a NOC from the hospital is required.
* Must have a female attendant present during examinations of female candidates.
* **Empanelment Process:**
* Information on empanelment is available in the "Public Notices" section of the DGCA website.
* Applications must be submitted on plain paper to the Director Medical Services (Civil Aviation) at DGCA, New Delhi. Email/Fax applications are not accepted.
* Applicants who meet the qualifications will be called for a professional interview.
* **Approval and Extension:**
* Empanelment is for 3 years, extendable by another 3 years subject to re-assessment.
* Application for extension can be made after 2.5 years.
* For extension, attendance of at least one physical and two e-workshops conducted by DGCA in the last 3 years is required.
* **Conduct of Class 2 Medical Examination:**
* Examiners should be briefed about the guidance material.
* Appointments should be granted after verifying medical exams are not due at IAM/AFCME/MEC.
* Applicants must bring a copy of the previous medical assessment.
* Forms CA-34/34A/35 must be filled by the applicant in the presence of the examiner.
* Examiners may collect reasonable charges.
* Mandatory investigations are specified; additional tests may be requested.
* Eye and ENT checks may be conducted by the examiner or a co-opted specialist.
* Completed forms and investigation reports must be dispatched to the Medical Cell, DGCA.
* Medical records must be maintained for three years.
* Unfit or incomplete cases must be forwarded to DGCA.
* **General Guidelines:**
* Examiners should ensure that an applicant holding a Class 1 Medical Assessment doesn't undergo a Class 2 medical examination unless approved by DGCA.
* DGCA may audit medical examiners.
* Penalties may be levied for non-compliance with rules. Empanelment may be withdrawn.
* A Class II Medical Examiner can conduct a maximum of 15 Medical Examinations per day.
* Examiners must maintain details of dependent labs, specialists, and submitt to DMS DGCA.
* Examiners should check that all the investigation reports submitted by applicants are ID verified.
* **List of Investigations:**
* Lists the investigations required for Initial and Renewal Class 2 medical examinations.
**Impact Analysis**
**Stakeholder: Medical Examiners (Existing and Aspiring)**
* **Impact:** Defines the qualification, operational, and procedural requirements for empanelment and conduct of Class 2 medical examinations. Dictates how they can conduct examinations, maintain records, and interact with DGCA.
* **Action Required:** Comply with all requirements for empanelment; adhere to procedures for conducting examinations and reporting to DGCA; ensure that facilities meet the specified standards; maintain required records; and stay updated with Aviation Medicine policies/guidelines by attending workshops.
**Stakeholder: DGCA**
* **Impact:** This document is authored by DGCA and used for monitoring and controlling the medical empanelment and assesment processes related to Civil Aviation.
* **Action Required:** Disseminate this document to examiners. Monitor compliance. Conduct audits and inspections. Update guidance material.
**Stakeholder: Flight Crew (Existing and Aspiring)**
* **Impact:** Informs them that their medical examination will be conducted by the medical examiner in accordance with a documented and DGCA-authorised process.
* **Action Required:** Provide details, documentation and test results as required in this document, in order to facilitate the required reporting by medical examiners.
Key Entities Referenced
Directorate General of Civil Aviation (DGCA): The regulatory body responsible for empanelment of medical examiners.
Civil Aviation Requirements (CAR): Referenced policy document specifying regulations related to empanelment.
Aircraft Rules, 1937: Law mandating medical standards for flight crew.
Class 2 Medical Examiner: Medical professionals qualified to conduct Class 2 medical examinations.
GOVERNMENT OF INDIA
OFFICE OF DIRECTOR GENERAL OF CIVIL AVIATION
TECHNICAL CENTRE, OPP SAFDARJANG AIRPORT, NEW DELHI
CIVIL AVIATION REQUIREMENTS
SECTION 7 - FLIGHT CREW STANDARDS
TRAINING AND LICENSING
SERIES C PART IV
ISSUE I, 25TH JANUARY 2019 EFFECTIVE: FORTHWITH
F. No. AV/22025/30/DMS/Med Vol. II
Subject: Empanelment of Medical Examiner for Conduct of Class 2 Medical
Examination.
1. INTRODUCTION
1.1 Rule 39B of the Aircraft Rules, 1937 regarding medical standards of flight crew
stipulates that no license or rating required for any of the personnel of the
aircraft shall be issued or renewed unless the applicant undergoes a medical
examination with an approved medical authority and satisfies the medical
standards as notified by Director General. Further, CAR Section 7 Series C
Part I specifies the approved medical authorities who can conduct the medical
examinations.
1.2 This CAR deals with requirements for empanelment of medical examiners by
DGCA for conducting Class 2 Initial & Renewal medical examination.
1.3 This CAR is issued under the provisions of Rules 133A of the Aircraft
Rules,1937.
2. REQUIREMENTS FOR MEDICAL EXAMINERS
2.1 The medical examiner shall meet the following qualification requirements:-
(i) MBBS
(ii) Should have completed Primary Aviation Medicine Course or two
weeks training in Aviation Medicine at IAM, IAF Bengaluru.
(iii) Shall be registered with Medical Council of India/State Medical
Council.
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SERIES C PART I 25TH JANUARY 2019
(iv) Shall have the requisite infrastructure and facility to conduct the
medical exam (location, place, timings, IT, medical eqpt). Certain
reputed consultants in ENT, Ophthalmology, Cardiology, Psychiatry
may be co-opted by the examiner. Similarly, diagnostic facilities may
also be co-opted. In case of Labs, they must be NABL accredited.
(v) He/ She must submit NOC from his/her Employer.
(vi) It will be the responsibility of the examiner to facilitate the medical
exam in the least possible time and with minimum inconvenience to
the aircrew.
3. MEDICAL FACILITY
3.1 The medical facility shall have an office for the medical examiner having a
telephone connection with internet and fax (for the purpose of according
appointments/interactions with aircrew/DGCA).
3.2 The facility shall have place for conduct of medical examination and filling up
of necessary forms.
3.3 The medical facility may be either owned or taken on rent by medical
examiner.
Note: In case the medical examiner is using the medical facility of a renowned
hospital then NOC from the hospital permitting to use of their facility for
conduct of medical examination during the period of empanelment shall be
submitted to DGCA.
3.4 Class 2 medical examiner may choose to conduct the entire medical
examination by him/herself or co-opt other specialists/ hospitals/institutes for
ENT/Ophthalmology/ECG/Laboratory tests.
3.5 The responsibility of all medical examination conducted shall be on the Class
2 medical examiner who is required to ensure that the medical examinations
are done comprehensively and comply with ethical standards. Hence he/she
should make the co-opted specialists aware of the significance of aviation
medical examination and its implications. Details of the co-opted specialists
shall have to be disclosed by the medical examiner.
3.6 The medical facility should have availability of a female attendant who needs
to be present during medical examination of all female candidates.
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4. EMPANELMENT PROCESS
4.1 Information regarding empanelment shall be made available in the ‘Public
Notices’ section of the DGCA website (http://dgca.nic.in). The notification
would be published every year based on the requirement.
4.2 In response to the notification , persons desirous of being empanelled as
Class 2 medical examiners by DGCA for conducting Class 2 Initial and
Renewal medical examination shall apply on plain paper to ‘Director Medical
Services (Civil Aviation), Directorate General of Civil Aviation, Medical cell,
Opposite Safdarjung Airport, New Delhi-110003’.
4.3 The envelope shall be superscribed ‘Application for Class 2 Medical
Examiner’. Application by Email/Fax shall not be accepted. Applicants should
ensure that all requirements mentioned in para 2 have been fulfilled.
5 PROFESSIONAL INTERVIEW
5.1 Applicants fulfilling qualifications and experience requirements specified in
paragraph 2 above, shall be called for a professional interview for
empanelment as Class 2 medical examiners by a DGCA Board consisting of
a DGCA officer, one representative from O/o DGMS (Air) and DMS (CA).
5.2 Applicants shall be expected to have adequate awareness of provisions
regulating the Class 2 Initial & Renewal medicals including knowledge of
relevant CARs, AIC including ICAO Standards and Recommended Practices.
5.3 Applicants are expected to make their own travel arrangements for attending
the interview.
6. APPROVAL
6.1 On completion of successful interview. Class 2 medical examiners are
empanelled for a period of 3 years which may be extended for a further period
of three years at a time, subject to re-assessment.
7. EXTENSION OF APPROVAL
7.1 Class 2 medical examiners may apply for extension to DGCA after completion
of two and half years.
7.2 For extension, the Class 2 medical examiner should have attended atleast
one physical & two e-workshops conducted by DGCA in the last 3 years to
update their knowledge regarding Aviation Medicine and policies/guidelines
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of DGCA on medical matters. There should be no case of proficiency related
matter or professional misconduct against the medical examiner.
7.3 The application for extension shall be assessed by DMS (CA). Based on the
fulfilment of criteria as mentioned in para 7.2 and recommendations of DMS
(CA), approval for extension of empanelment will be accorded by DGCA.
8. CONDUCT OF CLASS 2 MEDICAL EXAMINATION
8.1 Guidance material. The Class 2 medical examiner shall be briefed about
availability of guidance and reference material along with forms CA 34/34A/35
on DGCA website. A copy of forms CA 34/34A/35 is placed as Appendix A, B
& C respectively.
8.2 The following steps will be followed by the Class 2 medical examiners for
conduct of Class 2 Initial/Renewal medical examination:-
8.2.1 Accord of appointment. Based on the contact details of the medical examiner
on the DGCA website, the applicant shall contact the medical examiner by
phone/email. The medical examiner shall grant an appointment after verifying
that the medical examination is not due at IAM/AFCME/MEC (E) by virtue of
a specific annotation on CA-35/Medical Assessment issued by DGCA.
8.2.2 Pilot Medical Record (PMR) from DGCA. The PMR shall not be dispatched
for medical examination conducted by Class 2 medical examiners. The
applicant must carry a copy of the previous medical assessment issued by
DGCA.
8.2.3 Documentation. The filling up of forms CA-34/34A/35 by the applicant shall be
in presence of the Class 2 medical examiner with a specific reference to
history and consequences of withholding relevant information. The identity of
the flight crew must be positively established at all points including during
conduct of investigations.
8.2.4 Fee. The Class 2 medical examiner may collect reasonable charges for
specialist consultation(s), administrative and postage/handling charges.
8.2.5 Investigations. The mandatory investigations required for renewal of medical
are already specified. Additional test may be requested based on finding at
clinical examination. Tests will be done at any NABL/NABH accredited
laboratory/institution and at DGCA approved Air Force Medical Centres. The
laboratory/centre will always establish the identity of the applicants and
endorse the same. The Class 2 medical examiner shall give a request for
Revision 1 dated Aug 2025CIVIL AVIATION REQUIREMENTS SECTION 7
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investigation to the applicant. The applicant in turn would get the
investigations done at the laboratory/centre after paying fee for the same to
the laboratory/centre. The reports would be sent to the Class 2 medical
examiner which will be duly endorsed on forms CA 34/34A by him/her.
8.2.6 Eye & ENT check. The Class 2 medical examiner may conduct the medical
examination themselves or get it done by a co-opted referral service by a
reputed specialist.
8.2.7 General Medical Examination & filling of necessary forms CA-34/34A/35. This
has to be by the Class 2 medical examiner. A copy of CA-35 is to be handed
over to the applicant. The applicant should be clearly apprised that the form
CA 35 issued by him is only provisional. The final medical assessment will be
issued by DGCA only.
8.2.8 Dispatch of CA-34/34A/35 to DGCA. If medical examination is conducted in
offline mode, the completed form CA 34/34A & 35 along with all investigation
reports and opinion in original are to be dispatched to Medical Cell, DGCA by
fastest means and records maintained. The envelope shall not be folded and
shall be super scribed ‘Class 2 Medical Examination Report’.
8.2.9 Medical Record. A copy of the forms CA 34/34A & 35 and investigation
reports shall be maintained by the Class 2 medical examiner in hard and/or
soft copy for a period of three years. Class 2 medical examiners must ensure
confidentiality of medical documents.
8.2.10 Unfit cases & and incomplete medical examination. The form CA 34/34A and
35 of cases who are declared unfit or where the medical examination is not
completed are also to be forwarded to DGCA with recommendations. Cases
of unfitness shall be intimated to/discussed with Medical Cell at DGCA on
priority. Review for fitness after a recommended period of unfitness shall be
done at AFCME/IAM/MEC (East)/DGCA only.
9. GENERAL
9.1 Medical Examiners should ensure that applicant holding a Class 1 Medical
Assessment cannot undergo a Class 2 medical examination, unless approved
by DGCA.
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9.2 Reference material for the conduct of medical examination are Handbook for
DGCA Empanelled Medical Examiners/Examination Centres, Procedure &
Training Manual, Civil Aviation Requirements (CAR) Section 7 Series C Part
I, Aeronautical Information Circulars and ICAO handbook (latest edition) of
Civil Aviation Medicine. These are available on DGCA website
(http://dgca.nic.in).
9.3 Class 2 examiners may carry out tele-consultation on
administrative/professional aspects with DMS/JDMS between 1100 and
1730h, on 011-24610629 or through e-mail doctor.dgca@nic.in / dms-
ca.dgca@gov.in.
9.4 DGCA may carry out audit of medical examiners including record
maintenance and inspection of medical facility.
9.5 A Class 2 Examiner may face penalty if he/she fails to comply with
rule/regulations under aircraft rule 133A and DGCA guidelines/CARs. Level
of penalties are as under:
Sl. Levels Type of non-compliance Type of Penalties
No.
1. Level 3 Unintentional errors or small Show cause notice,
(Minor mistakes letter of caution and
Infractions) warning letter
2. Level-2 Repeated minor infractions or Temporary
(Moderate significant errors, issue of two suspension* for a
offenses) show cause notices or two period as per
warning letters. significance of
errors/non-
compliance.
3. Level 1 Intentional malpractices, Permanent suspension*
(Major violations, two temporary
offenses) suspensions in three year
cycle
* Temporary suspension and permanent suspension will be decided by
Committee of officers and vetted by DG (CA). Above are broad guidelines.
The intention, impact, repetition of offences and mitigating circumstances will
be taken into consideration before deciding level and penalty.
9.6 A Class 2 medical examiner empanelment may be withdrawn by DGCA
temporarily or permanently depending on nature of professional
misconduct/proficiency related issues. Such decisions would be vetted at
DGCA.
10. MISCELLANEOUS
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10.1 Class II Medical Examiner can conduct a maximum of 15 Medical
Examinations per day which will include all types of medicals.
10.2 The mandatory investigations required for various Class 2 medical
examinations are as per Annexure-I:
10.3 DGCA Medical Assessment of Class 2 Medical Examination is not mandatory
to undergo Class 1 Initial Medical Examination. DGCA Assessment will be
issued for Licensing purpose, Class 2 Renewals, re-initial, special and in
cases of Temporary Unfit or Permanent Unfit. All investigations during Class
1 Medical Examination to be repeated at the examination centre conducting
Class 1 Medicals as per Class 1 requirement irrespective of availability of
investigation reports of Class 2 Medical Examinations.
10.4 Time duration between initial Class 2 and Class 1 Medical Examination should
be of minimum 01 month (30 days).
10.5 Print out of CA-35 form to be ink signed in person by both - candidate and
Medical Examiner at the time of issue of CA-35.
10.6 All empanelled Medical examiners, clinics/centers to maintain details of
dependent laboratories, specialists, super specialists if any. They should
submit details like address, contact details, Email etc. to DMS DGCA. They
should coordinate surveillance/ inspection of these entities whenever DGCA
authority visits them.
10.7 Medical examiners should check that all the investigation reports submitted
by applicants are with ID verified endorsement (details such as Aadhar Card
numbers are mentioned in the report). They should also check that these
reports are signed by concerned specialist.
10.8 All empanelled medical examiners, clinics/centers to mention working hours
of their establishment, which will be published along with Medical Examiners
list on DGCA website. Medical examination and issue of CA-35 should
preferably be done within these working hours.
Director General Civil Aviation
Revision 1 dated Aug 2025CIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART I 25TH JANUARY 2019
Annexure- I
LIST OF INVESTIGATIONS FOR CLASS 2 MEDICAL EXAMINATION
(a) Initial Medical Blood Hb%, TLC, DLC,
Urine RE/ME
ECG (R)
X-Ray Chest PA View,
Pure Tone Audiometry
(PTA)
(b) Renewal before 40 years of age Blood Hb%, TLC, DLC
Urine RE/ME
(c) Renewal between 40-49 years of age (i) Blood Hb%, TLC, DLC
Urine RE/ME.
(ii) ECG (R) and
PTA every 5 yearly
(d) Renewal between 50- 59 years of age (i) Blood Hb%, TLC, DLC
Urine RE/ME
(ii) ECG (R) and
PTA every two yearly
(e) At 40,45,50,55 years (i) Blood Hb%, TLC, DLC
Urine RE/ME
Blood Sugar F & PP*
Lipid Profile
ECG (R)
PTA
(ii) Any other tests if
clinically indicated.
(f) Renewal at and after 60 years of age (i) Blood Hb%, TLC, DLC
Urine RE/ME
Blood Sugar F & PP *
HbA1C
Lipid Profile
ECG (R)
PTA
(ii) PSA
USG Abdomen
Chest X-Ray PA View,
TMT once at 60 years
and then at 5 yearly
interval.
(iii) Any other tests if
clinically indicated.
Revision 1 dated Aug 2025