Examination of Ears

• Deafness
• Persistent ear discharge
• Perforation of Tympanic Membrane
• Other conditions such as Atresia of the meatus, exostosis or neoplasm, Mastoiditis, 
• Polyps

Examination of Nose, Larynx and Sinuses

• Atrophic rhinitis
• Nasal polyps.
• Perforation of nasal septum
• Marked DNS with nasal airway obstruction
• Deformities, or conditions or anomalies of the upper alimentary tract viz., mouth , tongue, palate, throat, pharynx. larynx. mandible and. nose that interfere with chewing, swallowing, speech, or breathing.

Dental Examination

• Loss or decay of teeth resulting on the reduction of dental points
• Severe Pyorrhea

Examination on Standing

• Uncorrected deformities of the skull, face, or mandible of a degree that would prevent the individual from wearing a protective mask or combatised headgear.
• Loss or absence of the bony substance of the skull, not successfully corrected by reconstructive materials and leaving residual defect

Head Injury Examination

• Post-traumatic seizure(s) occurring more than 30 minutes after injury
• Persistent motor or sensory deficits.
• Impairment of intellectual function
• Alteration of personality.
• Unconsciousness, amnesia, or disorientation of person, place. or time
• of 24-hours duration or longer post-injury.
• Multiple fractures involving skull or face.
• Cerebral laceration or contusion
• History of epidural, subdural, subarachnoid, or intracerebral hematoma.
• Associated abscess or meningitis
• Cerebrospinal fluid rhinorrhea or otorrhea persisting more than 7 days.
• Focal neurologic signs.
• Radiographic evidence of retained fo reign body or bony fragments secondary to the trauma and/or operative procedure in the brain

Neck Examination

• Symptomatic cervical ribs.
• Congenital cysts of branchial cleft origin or those developing from remnants of the thyroglossal duct, with or without fistulous tracts.
• Contraction of the muscles of the neck, spastic or non-spastic, or cicatricial contracture of the neck, to the extent thai it interferes with the proper wearing of a uniform or combatised equipment or is so disfiguring as to interfere with or prevent satisfactory performance of combatised duty
• Goiter
• Cervical lymphadenopathy
• Any spinal deformity including restricted movements
• Any cystic swelling or sinuses

Chest Wall Examination

• Pectus Excavatum
• Pectusarcuatum
• Pectuscarinatum
• Poland syndrome
• Absent Right Pectoris Major Muscle

Examination of Upper Extremities

• Cubitus Valgus, which leads to elbow instability and pain during exercise or throwing activities of sports and reduced elbow flexion
• Cubitus Varus or Gunstock deformity
• Polydactyly/syndactyly is disqualifying
• Scars and deformities of the fingers or hand that impair normal function|ng/free movement of the fingers/hand to such a degree as to interfere with the satisfactory performance of the combatised duties
• Presence of paralysis or weakness of upper limbs, including nerve paralysis, carpal tunnel and cubital syndromes, lesion of ulnar and radial nerve, sufficient to produce physical findings in the hand, such as muscle atrophy and weakness
• Presence of disease, injury, or congenital condition with residual weakness or symptoms such as to prevent satisfactory performance of duty, including, but not limited to chronic joint pain: shoulder, upper arm, forearm, and hand, late effect of fracture, of the upper extremities, late effect of sprains without mention of injury and late effects of tendon injury

Abdominal Examination

• Presence of any hernia
• Cases of operative scar mark anywhere at abdominal wall
• Artificial openings including, but not limited to ostorny

Examination of Lower Extremities

• Knock Knees, if a separation of internal malleolus of over 5 cms
• Bow Knees, if separation of more than 7 cm between medial condyles
• If the feet everted. tarsal joints are stiff or tender points are detected.
• The candidate with hammer toes should be rejected if there are painful corns or bursae on the dorsum of toes
• Hallux Valgus
• Hallux Rigidus
• Genu Recurvatum
• Limitation of Joint Motion
• Absence of a foot or any portion thereof
• Presence of deformities of the toes (acquired or congenital, including, but not limited to conditions such as hallux valgus, hallux varus, hallux rigidus, claw loe(s), overriding toe(s), that prevents the proper wearing of combatised footwear or impairs walking, marching, running or jumping,
• Clubfoot (talipes or high-arched foot (pescavus) that prevents the proper wearing of combatised footwear or impairs walking, marching, running, or jumping
• Presence of flat foot
• Presence of ingrown toenails
• Evidence of uncorrected anterior or posterior cruciate ligament injury
• Evidence of surgical correction of knee ligaments
• Evidence of medial and lateral collateral ligament injury
• Evidence of symptomatic medial and lateral meniscal injury.
• Evidence of unspecified internal derangement of the knee.
• Evidence of hip dislocation
• Presence of deformities, disease, or chronic joint pain of pelvic re gl on, thigh, lower leg, ani‹Ie and/ or foot that have interfered with function to such a degree as to prevent the individual from following physically active vocation in civilian life, or that would interfere with wal king, running, weight bearing, or the satisfactory completion of training or combatised duty
• Presence of joint dislocation if unreduced or history of recurrent dislocation of any major joint such as shoulder, hip, elbow, knee. ankle, or instability of any major joint (shoulder. elbow, hip, ankle and foot or multiple sites) is disqualifying.
• History of recurrent instability of the knee or shoulder.
• Presence or history of chronic osteoarthritis or traumatic arthritis of isolated joints of more than a mínimal degree that interfered with the following of a physically active vocation, or that prevents the satisfactory performance of combatised duty
• Presence or history of any fracture associated with malunion or non-union 
• History of joint replacement of any site 
• Presence or history of muscular paralysis, contracture, or atrophy, if progressive or of sufficient degree to interfered with or prevent a satisfactory performance of combatised duty or if it will require frequent or prolonged treatment
• Presence of osteomyelitis or history of recurrent osteomyelitis
• Presence or history of ankylosing spondylitis or other inflammatory sponòylopathiesis
• Presence or history of any condition, including but not limited to the spine or sacroiliac joints
• Presence of deviation or curvature of spine from normal alignment, structure, or function
• History of congenital fusion, involving more than two vertebral bodies
• Any surgical fusion of spinal vertebrae
• Presence or history of fractures or dislocation of the vertebrae
• Presence of herniated nucleus pulposus or history of surgery to correct this condition
• Presence or history of spina bifida, if there is more than one vertebra level involved or withdimping of the overlying skin 
• History of surgical repair of spina bifida
• Presence or history of spondylolysis (congenital or acquired and spondylolisthesis (congenital or acquired

Skin Examination

• Leprosy
• Severe acne
• Atomic dermatitis or infected ex!ensive eczema
• Contact dermatitis
• Cysts
• Bulbous dermatoses
• Chronic lymphedema
• Localized types of Fungus infections
• Congenital or acquired anomalies of the skin
• Keloid formation
• Lichen planus
• Neurofibromatosis (von Recklinghausen's disease)
• Psoriasis
• Scars, or any other chronic skin disorder of a degree or nature that requires frequent outpatient treat went or hospitalization
• Prior burn injury involving less than 40 percent total body surface area, which results in a loss or degradation of Ihermoegulatory function
• Prior burn injury susceptible to trauma or resulting in functional impairment
• Extensive scleroderma

Examination of Inguinal Region/Genitals 

• Sexually Transmitted Diseases
• Eczema, Scabies or Boils in the scrotal region
• Phimosis
• Anal Fistula
• Anal or rectal polyp, prolapse, stricture, or fecal incontinence
• Anal warts
• Amputation of penis
• Operated cases of hydrocele
• History of major abnormalities or defects of the genitalia

Examination of Heart and Vascular System

• persistent tachycardia (more than 100 pulse rate per minute) or bradycardia (less than 50 per minute)
• Elevated blood pressure
• Cardiac murmurs

Examination of Lungs

• Evidence of Asthma, including reactive airway disease, exercises-induced bronchospasm or asthmatic bronchitis, reliably diagnosed (Reliable diagnostic criteria may include any of the following elements: substantiated history of cough, wheeze etc.
• Evidence of bronchitis, acute or chronic.
• Evidence of bronchiectasis.
• Evidence of pleurisy with eñusion within the last 2 years.
• TubercuÏosis

Examination of Abdomen

• Meckel's diverticulum, if surgically corrected within 6 months.
• Cholecystectomy is not disqualifying if performed more than 6 months back
• Enlargement of the liver from any cause.
• Evidence of splenomegaly.
• Evidence of splenectomy.

Other Reasons for Rejection

• More than 18% gm in haemoglobin
• Haemoglobin below 12 gm% for male and below 10 gm% for female
• Presence of sugar, protein above trace limit, or presence variation in specific gravity from the range 1.000 - 1.030
• Evidence of chronic inflammation, e.g., fibrotic/nodular opacity, cavities, dilated bronchi, puckering/blunting of diaphragm
• Any non-homogeneous lung opacity
• Evidence of damage or shifting of mediastinal organs
• Evidence of foreign body or medical device
• Collapse of any mediastinal organ
• Blunting of cardio- and/or costophrenic angle
• Cervical rib, if symptomatic
• Damage/degeneration of cervicodorsal spine
• Evidence of fracture, with features of malunion, non-union or functional disability
• Presence of any space occupying lesion
• Evidence of pericardial effusion
• Any opacity in the lung field more than 1 cm in diameter
• Signs of eventration of diaphragm
• Bilateral 13th rib
• Evidence of cardiomega ty with cardiac-thoracic ratio more than 50%
• Dilated right descending pulmonary artery more than 15 mm dia in female and more than 6 mnJ di a in male
• Any tumour of the bone of RBC will lead to rejection in male.