Form 1A

I agree to CertifyMyHealth's terms and conditions. I understand that they facilitate the process but are not liable for a doctor's decision to issue or deny a medical certificate or any subsequent consequences. I agree to a Rs 200 convenience fee for non-issued certificates with refundable document formats. Non-refundable formats are not refundable. Refunds are processed online within 8-10 business days. I agree to the Refund and Cancellation Policy and other terms. This online consultation doesn't replace an in-person doctor's appointment. I've read and agreed to the terms of service, including using my application number to access Form 1A from the Parivahan site as per their privacy policy.
I accept the Terms and Conditions.
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Form 1A for learner's license cannot be issued online
Share your application no as outlined on the Parivahan website. If you don't have an application no yet, please write NA
When you submit documents to the RTO online on the Parivahan site, they may request certain cases to visit the RTO for physical document verification. You will need to submit a physically attested copy of your Form 1A for your appointment.
In case you are opting for Certificate without Test, You're required to submit your Eye & Ear Report
Single-line Date Name Email Phone upload Description