Common Medical Reasons for CAPF AC Rejection and How to Avoid Them

Clearing the UPSC CAPF Assistant Commandant exam is a long journey, and many aspirants breathe a sigh of relief after passing the written test and the Physical Efficiency Test (PET). But the real challenge often comes during the medical examination.

Every year, a significant number of candidates are declared “unfit” not because they lack ability, but due to medical issues they never considered.

From eye defects and weight imbalance to structural problems like flat foot or knock knees, the reasons vary. The good news is that most of these rejections are avoidable with the right preparation.

The Medical Examination Process in CAPF

Once candidates clear the Written Test and the Physical Efficiency Test (PET), they are called for the Detailed Medical Examination (DME). This stage is conducted by medical boards under the Central Armed Police Forces (CAPFs) following the uniform guidelines issued by the Ministry of Home Affairs (MHA).

The purpose is to ensure that every Assistant Commandant is physically and medically capable of handling the demands of service, which often involves tough terrains, long hours, and stressful conditions.

During the medical test, doctors carefully assess the candidate’s height, weight, chest measurement, eyesight, hearing, dental health, and overall body condition. They also check for structural deformities such as flat foot, knock knees, varicose veins, or mal-united fractures.

In addition, common lifestyle and chronic diseases like asthma, hypertension, diabetes, tuberculosis, and skin disorders are examined. Even minor conditions such as sinusitis, pyorrhea, or ear infections can lead to temporary rejection.

At the end of the medical exam, the board declares each candidate as either “FIT” or “UNFIT.” Those who are unfit are given the option to appeal through a Review Medical Examination (RME), usually held the next day or shortly after.

The RME provides a second chance if the candidate believes the earlier judgment was unfair or if the condition is temporary.

In short, the medical exam is not just a formality—it is a decisive stage in CAPF selection. Being aware of the process and preparing in advance can make all the difference between success and rejection.

3. Common Medical Reasons for Rejection in CAPF AC

The medical examination in CAPF is very strict, and candidates are often surprised when they are declared “UNFIT.” In reality, the medical board is not looking for perfection—they simply ensure that a candidate can handle the physical and mental challenges of being an Assistant Commandant.

Below are the most common medical rejection reasons with explanations, examples, and tips on how to avoid them.

(a) Vision and Eye Problems

1. Weak Eyesight Beyond Limits

One of the most common causes of rejection is poor vision. According to CAPF medical standards:

• Distant Vision:

  • Better eye: 6/6 or 6/9

  • Worse eye: 6/9 or 6/12

• Refractive Error Permitted:

  • Myopia (near-sightedness): up to –4.00 D (including cylinder)

  • Hypermetropia (far-sightedness): up to +4.00 D (including cylinder)

If your vision is worse than these limits even with glasses, you will be declared unfit.

Example: A candidate with –6.00 D myopia will be rejected, even if they wear glasses or contact lenses, because the error exceeds the permissible limit.

2. Colour Blindness

CAPF requires normal colour perception (CP-III as tested by Ishihara plates). If you are colour blind, you cannot be declared fit because colour recognition is essential in field operations.

3. LASIK Surgery Rules

Many aspirants undergo LASIK surgery to correct vision. While it is allowed, the rules are strict:

• Candidate must be above 20 yrs of age at the time of Surgery

• Corneal thickness: ≥ 425 microns.

• Axial length: 21–26 mm.

• Pre-LASIK error: Not more than 6D.

• Stability: Eyesight must remain stable after surgery.

• Gap: At least 6 months must have passed between surgery and medical test.

Mistake candidates make: Undergoing LASIK just 2–3 months before exam. Even if vision is perfect, the board will reject you because the 6-month rule is mandatory.

(b) Weight and Body Proportion Issues

1. Underweight or Overweight

Another very common rejection reason is weight mismatch. CAPF has a detailed height–weight chart for both men and women. Candidates who are either underweight or overweight compared to their height and age may be declared unfit.

Example:

• A male candidate of 170 cm height (18–22 years) should weigh between 52–64 kg.

• If he weighs 48 kg or 75 kg, he risks rejection.

2. Sudden Crash Dieting

Many aspirants try to lose weight quickly before the exam. This is risky because:

• It weakens the body and affects stamina during PET.

• Sudden weight loss often leads to weakness visible in medical tests.

• Dehydration tricks (like skipping water before weigh-in) can be dangerous.

3. Obesity Issues

On the other hand, obesity is a clear disqualification. It reduces endurance, increases risk of heart disease, and is not suitable for field duties.

👉 Tip: Start weight management 6–12 months before exam. A steady, healthy BMI is safer than quick fixes.

(c) Orthopedic & Structural Problems

The CAPF board carefully checks for body structure deformities. These may seem minor, but they affect efficiency in field duty.

1. Knock Knees

• When standing straight, if your knees touch but ankles remain apart, it’s called knock knees.

• It affects running, marching, and balance.

• Very common rejection reason, especially among male candidates.

2. Flat Foot

• In flat foot, the natural arch of the foot is missing.

• It reduces shock absorption during running and may cause long-term pain.

• Candidates with flat foot are declared unfit.

3. Varicose Veins

• Enlarged, twisted veins (usually in legs).

• Can lead to pain, swelling, and risk of blood clots.

• Not acceptable for a physically demanding role.

4. Old/Mal-United Fractures

• If you had a bone fracture that healed improperly, causing restricted movement, it may lead to rejection.

• For example, limited elbow or knee mobility will be noted.

(d) Chronic Diseases & Internal Health

1. Respiratory and Heart Conditions

• Asthma and Bronchial problems disqualify candidates due to reduced endurance.

• Tuberculosis (TB) (past or present) is also a rejection reason.

• Heart diseases or high blood pressure are taken seriously since duties are stressful.

2. Metabolic and Endocrine Disorders

• Diabetes and Thyroid problems can affect long-term performance.

• Uncontrolled diabetes is a strict disqualification.

3. Kidney and Genito-Urinary Problems

• Chronic kidney disease, hernia, or scrotal swelling disqualify candidates.

• Male candidates must have both testicles in scrotum with normal size.

4. Chronic Skin Diseases

• Psoriasis, leprosy, dermatitis, and lupus (SLE) are disqualifications.

• These conditions are either contagious or progressive.

(e) ENT and Dental Issues

1. Ear Problems

• Deafness of any degree is not acceptable.

• Persistent ear discharge, history of recurrent earache, or tinnitus can cause rejection.

2. Nose Problems

• Deviated Nasal Septum (DNS), chronic sinusitis, or nasal blockages lead to rejection.

• These conditions affect breathing, especially in high-altitude or dusty areas.( Recommended to get the minor DNS surgery done ell in time)

3. Throat and Speech

• Candidate must speak clearly, without stammering or speech impediments.

4. Dental Issues

• Candidates must have sufficient sound teeth for proper chewing.

• Severe pyorrhea (gum disease) is a common cause of rejection.

(f) Other Disqualifications

1. Hernia, Hemorrhoids, and Prolapse Rectum

• These are painful conditions that can worsen under physical strain.

• Candidates with untreated cases are usually rejected.( Recommended to get minor surgeries done well before the medical Board )

2. Tattoo Policy Violations

Tattoos are allowed but restricted under CAPF rules:

• Permitted Tattoos: Religious symbols, names, and cultural designs.

• Location: Inner forearm (left), dorsum of hand.

• Size: Less than ¼ of the body part where placed.

Any tattoo larger than this, or placed in non-permitted areas, can lead to disqualification.

Final Thoughts on Medical Rejections

The CAPF medical board follows strict but clear rules. Most rejections happen due to issues that can be treated or managed if candidates prepare in advance.

Quick Recap of Major Causes:

• Eyesight beyond limits, colour blindness, or recent LASIK.

• Weight not matching height–age chart.

• Knock knees, flat foot, varicose veins.

• Chronic diseases like asthma, diabetes, TB, or heart issues.

• ENT problems (DNS, deafness, sinusitis).

• Severe dental issues.

• Hernia, skin diseases, or tattoos outside permitted norms.

How to Avoid Rejection:

• Get a pre-medical checkup at least 6–8 months before the exam.

• Maintain ideal body weight and good fitness.

• Resolve dental, ENT, or skin issues early.

• If planning LASIK, ensure it is done well in advance.

• Check tattoo rules before appearing.

By taking these steps, candidates can significantly reduce their chances of rejection and move confidently towards becoming a CAPF Assistant Commandant.

How to Avoid Medical Rejection in CAPF AC

Clearing the CAPF Assistant Commandant medical test requires more than just good luck—it demands preparation and awareness. The good news is that most rejection reasons are preventable if candidates take the right steps early.

Below are the most effective CAPF medical tips to ensure you are declared “FIT” during the medical board.

1. Get a Pre-Medical Checkup

One of the smartest things an aspirant can do is to schedule a comprehensive medical checkup 6–8 months before the CAPF exam.

A general physician or defense-oriented medical practitioner can help identify potential issues like:

• Weak eyesight beyond permissible limits.

• ENT problems (DNS, sinusitis, ear infections).

• Dental conditions such as pyorrhea or missing teeth.

• Orthopedic issues like flat foot or knock knees.

Detecting these early gives you enough time to undergo treatment or corrective procedures. Many candidates wait until the final exam stage, only to discover problems that could have been managed months earlier.

2. Maintain Ideal Weight

Your height–weight ratio is one of the most common causes of rejection. Sudden crash dieting or rapid weight gain is risky, as it makes the body weak and obvious during the exam. Instead:

• Follow a balanced diet with adequate protein, fiber, and hydration.

• Include regular exercise (running, push-ups, squats, core strengthening).

• Avoid junk food and extreme diets.

Remember: consistency is key. Start managing your weight at least 6 months in advance so your BMI matches the official height–age chart. This not only helps you clear the medical test but also improves PET performance.

3. Corrective Measures for Minor Issues

Small health issues can lead to disqualification if ignored. Aspirants should:

• Get dental cleaning or treatment for cavities, gum infections, or pyorrhea.

• Treat skin problems like fungal infections, dermatitis, or psoriasis with a dermatologist’s help.

• Undergo ENT treatment for nasal blockages (DNS), sinus problems, or ear discharge.

• Ensure proper healing if they’ve had fractures—restricted mobility will be noted by the board.

Handling these issues early is often enough to avoid rejection.

4. LASIK Surgery Timing

For candidates with poor eyesight, LASIK surgery can be a game-changer. However, CAPF rules are clear:

• Surgery must be done at least 6 months before the medical exam.

• Pre-LASIK error should not exceed 6D.

• Eyes must be stable post-surgery.

If you are considering LASIK, plan it well in advance. Many candidates lose eligibility because they undergo surgery too close to the exam.

5. Tattoo Awareness

Tattoo rules are strict but not completely prohibitive:

• Allowed: Religious symbols, names, cultural designs.

• Location: Inner side of left forearm or back of hand.

• Size: Must not exceed ¼ of the respective body part.

If your tattoo does not meet these conditions, you risk rejection. If necessary, consider tattoo removal before the exam.

Final Advice

The medical stage is not meant to eliminate deserving candidates—it ensures only those physically fit for tough duties are selected. With timely preparation, regular health checkups, and awareness of the rules, you can significantly reduce your chances of rejection.

👉 Remember: How to clear CAPF medical test? The answer lies in early preparation, maintaining fitness, correcting minor health issues, and following guidelines strictly.

Review Medial Board (Second Chance in CAPF Medical Test)

Being declared “UNFIT” in the Detailed Medical Examination (DME) is one of the most heartbreaking moments for a CAPF aspirant. However, UPSC and the Ministry of Home Affairs (MHA) provide candidates with a second chance through the Review Medical Examination (RME).

Understanding this process is essential because it can often save a candidate’s dream of becoming an Assistant Commandant.

What is the Review Medical Board (RMB)?

• After the DME, each candidate is declared either FIT or UNFIT.

• If you are found “UNFIT,” you have the right to appeal for a review.

• The RME is conducted by a fresh medical board (different doctors) to ensure fairness.

This means that if you believe your rejection was due to a temporary condition or an error in judgment, you still have hope.

Timeline of the RME Process

1. Immediately after DME: If declared unfit, you are informed in writing.

2. Appeal Option: You must submit your request for review (usually within a day or as instructed).

3. Scheduling: The RME is usually conducted the very next day of the DME or shortly after, depending on logistics.

4. Final Result: The Review Board examines you again and declares the final status—FIT or UNFIT. This decision is binding and cannot be challenged further.

When Do Candidates Succeed in RME?

The Review Medical Board is not meant for everyone—it helps candidates who were rejected for reasons that can be rechecked or corrected.

Common cases where aspirants succeed include:

• Temporary Conditions: Cold, ear infection, skin allergy, or minor injuries on the day of DME.

• Weight Mismatch: If slightly underweight or overweight, candidates are sometimes given a re-check opportunity.

• Eye Issues: Minor variations in eyesight measurement that may differ depending on testing equipment.

• ENT & Dental Problems: Temporary infections or swelling that can subside in a day or two.

For permanent or structural problems like knock knees, flat foot, colour blindness, or chronic diseases, the RME rarely changes the decision.

Tips for Candidates Facing RME

• Stay Calm: Many aspirants panic after being declared unfit, but the review exists to ensure fairness.

• Get Quick Medical Attention: If your unfitness is due to a temporary issue, see a doctor immediately and manage it before RME.

• Bring All Records: Carry any medical prescriptions, test results, or reports that support your claim.

• Prepare Mentally: Remember, this is your final chance—so be confident and cooperative during the exam.

Key Takeaway

The Review Medical Examination (RME) is a safeguard built into the CAPF selection process. While not everyone gets cleared in the review, it provides a genuine opportunity for aspirants who faced temporary health issues or borderline cases.

If you prepare well and handle the process wisely, the RME could be the turning point that saves your CAPF journey.

👉 In short: Don’t lose hope if declared “UNFIT” in the first round—the RME is your chance at redemption.