GOVERNMENT OF PUDUCHERRY

CHIEF SECRETARIAT (ADI-DRAVIDAR WELFARE)

(G.O. Ms. No. 1/2013/Wel. SCW-II, dated 4th January 2013)

ORDER

The following notification, dated 23rd December 2011 of the Ministry of Social Justice and

Empowerment, Government of India, New Delhi shall be republished in the Gazette for the general

information of the public.

P. RAJALAKSHMI,

Under Secretary to Government

(Adi-Dravidar Welfare).

[ 127 ]

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No.

10

Poudouchéry

Mardi

5

Février

2013 (16 Magha 1934)

No.

Puducherry

Tuesday

5th

February

2013

128

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128

MINISTRY OF SOCIAL JUSTICE AND EMPOWERMENT

New Delhi, the 23rd December, 2011.

NOTIFICATION

G.S.R. 896(E).— In exercise of the powers conferred by sub-section (1) of section 23 of the

Scheduled Castes and the Scheduled Tribes (Prevention of Atrocities) Act, 1989 (33 of 1989), the Central

Government hereby makes the following rules of amend the Scheduled Castes and the Scheduled Tribes

(Prevention of Atrocities) Rules, 1995, namely :—

1. (1) These rules may be called the Scheduled Castes and the Scheduled Tribes (Prevention

of Atrocities) (Amendment ) Rules, 2011.

(2) They shall come into force on the date of their publication in the official gazette.

2. In the Scheduled Castes and the Scheduled Tribes (Prevention of Atrocities) Rules, 1995

(hereinafter referred to as the principal rules), in clause (iv) of sub-rule (1) of rule 16, for the words

and figure “Director/Deputy Director, National Commission for the Scheduled Castes and the Scheduled

Tribes”, the words, “representative of the National Commission for Scheduled Castes and the National

Commission for Scheduled Tribes” shall be substituted.

3. In the principal rules, for the Schedule and Annexure-I, the following shall be substituted,

namely:—

“SCHEDULE

ANNEXURE – I

[See rule 12(4)]

NORMS FOR RELIEF AMOUNT

Sl.

Name of the offences

Minimum amount of relief

No.

(1)

(2)

(3)

1

Drink or eat inedible or obnoxious substance

[Section 3 (1) (i)].

2

Causing injury insult or annoyance

[Section 3(1) (ii)].

3

Derogatory Act [Section 3(1) (iii)]

4

Wrongful occupation or cultivation of land, etc.

[Section 3(1) (iv)].

5

Relating to land, premises and water

[Section 3(1) (v)].

6

Begar or forced or bonded labour

[Section 3(1) (vi)].

` 60,000 or more depending upon the nature and

gravity of the offence to each victim and also

commensurate with the indignity, insult, injury

and defamation suffered by the victim.

Payment to be made as follows :

I. 25% when the chargesheet is sent to the

court.

II. 75% when accused are convicted by the lower

court.

At least ` 60,000 or more depending upon the

nature and gravity of the offence. The land/

premises/water supply shall be restored where

necessary at Government cost, full payment to be

made when chargesheet is sent to the court.

At least ` 60,000 to each victim, payment of 25%

at FIR stage and 75% on conviction in the lower

court.

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LA GAZETTE DE L’ETAT

129

7

Relating to right to franchise

[Section 3 (1) (vii)].

8

False, malicious or vexatious legal proceedings

[Section 3 (1) (viii)].

9

False and frivolous information

[Section 3 (1) (ix)].

10

Insult, intimidation and humiliation

[Section 3 (1) (x)].

11

Outraging the modesty of a woman

[Section 3 (1) (xi)].

12

Sexual exploitation of a woman

[Section 3 (1) (xii)].

13

Fouling of water [Section 3 (1) (xiii)]

14

Denial of customary rights of passage

[Section 3 (1) (xiv)].

15

Making one desert place of residence

[Section 3 (1) (xv)].

16

Giving false evidence [Section 3 (2) (i) and (ii)]

17

Committing offences under the Indian Penal

Code punishable with imprisonment for a

term of 10 years or more [Section 3 (2)].

18

Victimization at the hands of a public servant

[Section 3 (2) (vii)].

Up to ` 50,000 to each victim depending upon the

nature and gravity of the offence.

` 60,000 or reimbursement of actual legal

expenses and damages or whichever is less after

conclusion of the trial of the accused.

Up to ` 60,000 to each victim depending upon

the nature of the offence. Payment of 25% when

chargesheet is sent to the court and rest on

conviction.

` 1,20,000 to each victim of the offence. 50% of

the amount may be paid after medical examination

and remaining 50% at the conclusion of the trial.

Up to ` 2,50,000 or full cost of restoration of

normal facility, including cleaning when the water

is fouled. Payment may be made at the stage as

deemed fit by District Administration.

Up to ` 2,50,000 or full cost of restoration of

right of passage and full compensation of the loss

suffered, if any. Payment of 50% when charge

sheet is sent to the court and 50% on conviction

in lower court.

Restoration of the site/right to stay and

compensation of ` 60,000 to each victim and

reconstruction of the house at Government cost,

if destroyed to be paid in full when chargesheet

is sent to the lower court.

At least ` 2,50,000 or full compensation of the

loss or harm sustained. 50% to be paid when

chargesheet is sent to court and 50% on

conviction by the lower court.

At least ` 1,20,000 depending upon the nature and

gravity of the offence to each victim and or his

dependents. The amount would vary if specifically

otherwise provided in the Schedule.

Full compensation on account of damages or loss

or harm sustained. 50% to be paid when charge

sheet is sent to the court and 50% on conviction

by lower court.

(1)

(2)

(3)

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19

Disability : The definition of disability shall

be as given in section 2 of the Persons

With Disabilities (Equal Opportunities,

Protection of Rights and Full Participation)

Act, 1995, and guidelines for their

a s s e s s m e n t s h a l l b e a s c o n t a i n e d i n

the

Ministry

of

Social

Justice

and

Empowerment,

Government

of

India

Notification No. 154, dated 1-6-2001, as

amended from time to time. A copy of the

Notification is at Annexure–II to the

Schedule.

(a) 100% incapacitation

(i) Non-earning member of a family

(ii) Earning member of a family

(b) Where incapacitation is less than 100%

20

Murder /Death.

(a) Non-earning member of a family

(b) Earning member of a family

21

Victim of murder, death, massacre, rape

mass rape and gang rape, permanent

incapacitation and dacoity.

22

Complete destruction / burnt houses.

(1)

(2)

(3)

At least ` 2,50,000 to each victim of offence.

50% on FIR and 25% at charge sheet and 25%

on conviction by the lower court.

At least ` 5,00,000 to each victim of offence,

50% to be paid on FIR/Medical examination stage,

25% when charge sheet sent to court and 25% at

conviction in lower court.

The rates as laid down in a (i) and (ii) above shall

be reduced in the same proportion, the stages of

payments also being the same. However, not less

than ` 40,000 to non-earning member and not less

than ` 80,000 to an earning member of a family.

At least ` 2,50,000 to each case. Payment of 75%

after postmortem and 25% on conviction by the

lower court.

At least ` 5,00,000 to each case. Payment of 75%

after postmortem and 25% on conviction by the

lower Court.

In addition to relief amounts paid under above items,

relief may be arranged within three months of date of

atrocity as follows:-

(i) Pension to each widow and/or other

dependents of deceased SC and ST @

` 3,000 per month, or employment to one

member of the family of the deceased, or

provision of agricultural land, an house, if

necessary by outright purchase.

(ii) Full cost of the education and maintenance of

the children of the victims. Children may be

admitted to Ashram Schools/Residential schools.

(iii) Provision of utensils, rice, wheat, dals,

pulses, etc., for a period of three months.

Brick/stone masonary house to be constructed or

provided at Government cost where it has been

burnt or destroyed."

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131

4. In the principal rules, for the existing Annexure-II, the following Annexure-II, shall be

substituted, namely:—

"ANNEXURE-II

[See rules 12(4) & 19]

MINISTRY OF SOCIAL JUSTICE AND EMPOWERMENT

New Delhi, the 1st June, 2001.

NOTIFICATION

Subject.— Guidelines for evaluation of various disabilities and procedure for certification.

No. 16-18/97-NI. I.— In order to review the guidelines for evaluation of various disabilities

and procedure for certification as given in the Ministry of Welfare’s O.M. No. 4-2/83-HW.-III,

dated the 6th August, 1986 and to recommend appropriate modifications/alterations keeping in view

the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995,

Government of India in Ministry of Social Justice and Empowerment, vide Order No. 16-18/97-NI. I,

dated 28-8-1998, set up four committees under the Chairmanships of Director-General of Health Services-

one each in the area of Mental retardation, Locomotor/Orthopaedic disability, Visual disability and Speech

and Hearing disability. Subsequently, another committee was also constituted on 21-7-1999 for

evaluation, assessment of multiple disabilities and categorisation and extent of disability and procedures

for certification.

2. After having considered the reports of these committees the undersigned is directed to convey

the approval of the President to notify the guidelines for evaluation of following disabilities and

procedure for certification:—

1. Visual impairment

2. Locomotor/Orthopaedic disability

3. Speech and hearing disability

4. Mental retardation

5. Multiple disabilities.

Copy of the report is enclosed herewith as Annexure.

3. The minimum degree of disability should be 40% in order to be eligible for any concessions /

benefits.

4. According to the Persons with Disabilities (Equal Opportunities, Protection of Rights and

Full Participation) Rules, 1996 notified on 31-12-1996 by the Central Government in exercise of the

powers conferred by sub-sections (1) and (2) of section 73 of the Persons with Disabilities (Equal

Opportunities, Protection of Rights and Full Participation) Act, 1995 (1 of 1996), authorities to give

disability certificate will be a medical board duly constituted by the Central and the State Government.

The State Government may constitute a medical board consisting of at least three members out of

which at least one shall be a specialist in the particular field for assessing locomotor/visual including

low vision/hearing and speech disability, mental retardation and leprosy cured, as the case may be.

5. Specified test as indicated in Annexure should be conducted by the medical board and

recorded before a certificate is given.

6. The certificate would be valid for a period of five years for those whose disability is

temporary. For those who acquire permanent disability, the validity can be shown as 'Permanent'.

7. The State Governments/Union territory Administrations may constitute the medical boards

indicated in para 4 above immediately, if not done so far.

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8. The Director-General of Health Services Ministry of Health and Family Welfare will be the

final authority, should there arise any controversy/doubt regarding the interpretation of the definitions/

classifications/evaluations tests etc.

GAURI CHATTERJI,

Joint Secretrary.

————

ANNEXURE

Reports of the committee set up to review the guidelines for evaluation of various

disabilities and procedure for certification and to recommend appropriate modifications/

alternations keeping in view the Persons with Disabilities (Equal Opportunities, Protection of

Rights and Full Participation) Act, 1995.

In order to review the definitions of various types of disability, the guidelines for evaluation of

various disabilities and procedure for certification as given in the Ministry of Welfare's O.M.No.4-2/

83-HW.III, dated the 6th August, 1986 and to recommend appropriate modifications/alterations keeping

in view the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full

Participation) Act, 1995, five sub-committees were constituted in the areas of Mental Retardation,

Orthopedic/Locomotor Disability, Visual Disability, Speech & Hearing and Multiple Disabilities, under

the Chairmanship of Dr. S.P. Agarwal, Director-General of Health Services, vide the Ministry of Social

Justice & Empowerment's Order No.16-18/97-NI.I, dated 28-8-1998 and 21-7-1999. A copy each of

the Order is at Appendix-I.

2. These sub-committees, after detailed deliberations have submitted their reports. List of

participants of the meetings taken by the committee is at Appendix-II. The reports of the committees

set up to review the guidelines for evaluation of various disabilities and procedure for certification on

each of the area of the disabilities are given in Appendix-III.

APPENDIX – I

No. 16-18/97-NI.I

GOVERNMENT OF INDIA

MINISTRY OF SOCIAL JUSTICE AND EMPOWERMENT

New Delhi, dated 28th August 1998.

ORDER

In order to review the definitions of various types of disability, the guidelines for evaluation of

various disabilities and procedure for certification as given in the Ministry of Welfare's

O.M. No. 4-2/83-HW. III, dated the 6th August, 1986 and to recommend appropriate modifications/

alterations keeping in view the Persons with Disabilities (Equal Opportunities, Protection of Rights and

Full Participation) Act, 1995, the following sub-committees are hereby constituted in the areas of Mental

Retardation, Orthopedic/Locomotor Disability, Visual Disability and Speech & Hearing Disability:

I. Sub-committee on Mental Retardation :

1. Dr. S P Aggarwal,

. .

Chairperson

Director-General,

Health Services,

Ministry of Health and Family Welfare,

Nirman Bhavan,

New Delhi-11.

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133

2. Dr. R. Srinivastava Murthy,

. .

Co-Chairperson

Professor and Head,

Department of Psychiatry,

NIMHANS,

Bangalore-22.

3. Dr. G G. Prabhu,

. .

Member

Workchil Court,

Mysore.

4. Dr. (Mrs.) NeenaVohra,

. .

Member

Consultant and Head of Department,

Psychiatry,

Dr. R.M.L. Hospital, New Delhi.

5. Dr. Anand Pandit,

. .

Member

Honorary Professor and Director,

KEM Hospital Pune-11.

6. Dr. D.K. Menon,

. .

Member-Secretary

Director,

National Institute for Mentally

Handicapped, Secunderabad.

II. Sub-committee on Locomotor / Orthopaedic Disability :

1. Dr. S.P. Aggarwal,

. .

Chairperson

DGHS,

Ministry of Health Nirman Bhavan

New Delhi-11.

2. Dr. K.K. Singh,

. .

Co-Chairperson

Professor and Head.

AHMS, New Delhi.

3. Dr. Balu Sankaran,

. .

Member

FX-DOHS FX-Chairman ALIMCO,

New Delhi.

4. Dr. Suranjan Bhattacharji,

. .

Member

Head of Department,

Department of PMR,

CMC Hospital, Vellore.

5. Dr. R.K. Srivastava,

. .

Member

Medical Superintendent,

Safdarjung Hospital, New Delhi.

6. Dr. B.P. Yadav,

. .

Member

Ex-Chairman,

Rehab Council of India,

New Delhi.

7. Dr. B.R. Avadhani,

. .

Member-Secretary

Director IPH,

New Delhi.

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III. Sub-committee on Visual Disability :

1. Dr. S.P. Aggarwal,

. .

Chairperson

D.G.H.S.,

Ministry of Health,

New Delhi.

2. Dr.V.K. Dada,

. .

Co-Chairperson

Head. Dr. R.P. Centre,

AIIMS, New Delhi.

3. Dr. Hari Mohan,

. .

Member

Director,

Mohan Eye Institute,

Rajender Nagar,

New Delhi.

4. Shri Lal Advani,

. .

Member

Consultant,

Saket, New Delhi.

5. Dr. Bhushabn Punani,

. .

Member

Blind Men's Association,

Ahmedabad.

6. Shri S.A. Datrange,

. .

Member

National Association for the Blind,

Mumbai.

7. Dr. S.R. Shukla,

. .

Member-

Director,

Secretary

NIVH,

Dehradun.

IV. Sub-committee on Speech and Hearing Disability :

1. Dr. S P Aggarwal,

. .

Chairperson

D.G.H.S. Ministry of Health,

New Delhi.

2. Dr. S.K. Kacker,

. .

Co-Chairperson

Ex-Director,

AIIMS, New Delhi.

3. Dr. S. Nikam,

. .

Member

Director AIIMS, Mysore.

4. Dr. J.M. Hans,

. .

Member

Senior ENT Surgeon,

Dr. RML Hospital,

New Delhi.

5. Dr. M. Raghunath,

. .

Member

Professor in Audiology,

PGIMER, Chandigarh

6. Dr. (Mrs.) Rekha Roy,

. .

Member-

Director,

Secretary

AYJNIHH, Mumbai-400 050.

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135

2. The terms of reference for the committees are as follows :

(a) Providing uniform definitions and categorisation of degree and extent of the disability.

(b) Recommending authorities competent to give certification.

(c) The committees will submit their report in two months.

3. TA/DA to the members of the committee will be borne by the concerned institute whose

Director is included as Member-Secretary of the sub-committee.

GAURI CHATTERJI,

Joint Secretrary to

Government of India.

[Tele No. 3381641]

To

All members of the committees.

Copy for information to :

Private Secretaries to Secretary (SJ&E)/AS(SJ&E), JS(DD).

————

No. 16-18-97-NI.I

GOVERNMENT OF INDIA

MINISTRY OF SOCIAL JUSTICE AND EMPOWERMENT

Shastri Bhavan,

New Delhi, dated 21st July, 1999.

ORDER

It has been decided to constitute a sub-committee in the sector of multiple disability, in order

to have standard definitions and guidelines for evaluation and procedure for certification, arid to make

appropriate recommendations. keeping in view the Persons with Disabilities (Equal Opportunities,

Protection of Rights and Full Participation) Act, 1995. Accordingly, a sub-committee is hereby

constituted in the sector of multiple disability, with the following members :

1. Dr. S.P. Aggarwal,

. .

Chairman

Director-General of Health Services,

Ministry of Health and Family Welfare,

Nirman Bhavan, New Delhi.

2. Smt. Aloka Guha,

. .

Member

Director,

Spastics Society of Tamil Nadu,

Opp.TTTI, Taramani Road,

Chennai-13.

3. Dr. H.C. Goyal,

. .

Member

Consultant,

Rehabilitation Department,

Safdarjung Hospital, New Delhi.

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4. Dr. Uma Tuli,

. .

Member

General Secretary,

Amar Jyoti Charitable Trust,

N-192, Greater Kailash-1,

New Delhi – 110 048.

5. Dr. D.K. Menon,

. .

Member-Secretary

Director,

National Institute for the

Mentally Handicapped,

Manovikas Nagar,

Secunderabad-500 009.

3. The terms of reference for the committee are as follows:-

(a) Providing uniform definitions and categorization of degree and extent of the disabilities.

(b) Recommending authorities competent to give certification.

(c) The committee will submit its report in two months.

4. TA/DA to the members of the committee will be borne by the National Institute for the

Mentally Handicapped, Secunderabad.

GAURI CHATTERJI,

Joint Secretary to

Government of India.

[Tele No. 3381641]

To

All members of the committees.

Copy for information to :

Private Secretaries to Secretary (SJ&E)/AS(SJ&E), JS(DD).

————

APPENDIX – II

List of participants of the meeting held on 29-2-2000 under the Chairmanship of Dr. S.P. Agarwal,

Director-General of Health Services with the members of sub-committee constituted vide Order

No.16-18/96-NI.I (PWD), dated 28-8-1998 of Ministry of Social Justice and Empowerment.

1. Dr. R.K. Srivastava, Additional Director-General of Health Services.

2. Dr. V.K. Dada, Head, R.P. Centre, AIIMS, New Delhi.

3. Dr. R.Srinivasa Murthy, Professor and HOD, Department of Psychiatry, NIMHANS, Bangalore.

4. Dr. O.K. Menon, Director, NIMH, Hyderabad.

5. Dr. Rekha Roy, Director, NIHH, Mumbai.

6. Dr. S.R. Shukla, Director, NIVH, Dehradun.

7. Dr. Dharmendra Kumar, Officiating Director, NIRTAR, Cuttack.

8. Dr. A.S. Bais, Deputy Director-General (Medical).

9. Dr. S.Chug, Consultant in Medicine and Chairman, Medical Board, Dr. RML Hospital.

10. Dr. LS. Chauhan, ADG (IH).

11. Dr. A.N. Sinha, CMO (HA).

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List of participants of the meeting held on 17-8-2000 under the Chairmanship of Dr. S.P.Agarwal.

Director-General of Health Services with the members of sub-committee constituted vide Order

No.16-18/96-NI.I (PWD), dated 21-7-1999 of Ministry of Social Justice and Empowerment.

1. Dr. R.K. Srivastava, Additional Director-General of Health Services.

2. Dr. H.C. Goyal, Consultant and HOD, Rehabilitation, S.J. Hospital, New Delhi.

3. Dr. O.K. Menon, Director, National Institute for the Mentally Handicapped, Secunderabad.

4. Smt. Aloka Guha, Director, Spastic Society of Tamil Nadu, Opposite TTTI, Taramani Road,

Chennai-13.

5. Dr. A.N. Sinha, CMO (HA).

APPENDIX – III

A. Mental Retardation

1. Definition.— Mental Retardation is a condition of arrested or incomplete development of

the mind, which is especially characterized by impairment of skills manifested during the development

period which contribute to the overall level of intelligence, i.e., cognitive, language, motor and social

abilities.

2. Categories of Mental Retardation.— 2.1 Mild Mental Retardation:– The range of 50 to 69

(standardized IQ test) is indicative of mild retardation. Understanding and use of language tend to be

delayed to a varying degree and executive speech problems that interfere with the development of

independence may persist into adult life.

2.2 Moderate Mental Retardation:– The IQ is in the range of 35 to 49. Discrepant profiles

of abilities are common in this group with some individuals achieving higher levels in visuo-spatial

skills than in tasks dependent on language while others are markedly clumsy by enjoy social interaction

and simple conversation. The level of development of language in variable some of those affected can

take part in simple conversations while others have only enough language to communicate their basic

needs.

2.3 Severe Mental Retardation:– The IQ is usually in the range of 20 to 34. In this category,

most of the people suffer from a marked degree of motor impairment or other associated deficits

indicating the presence of clinically significant damage to or mal-development of the central nervous

system.

2.4 Profound Mental Retardation:– The IQ in this category estimated to be under 20. The

ability to understand or comply with requests or instructions are severally limited. Most of such

individuals are immobile or severally restricted in mobility, incontinent and capable at most of only

very rudimentary forms of non-verbal communication. They posses little or no ability to care for their

own basic needs and require constant help and supervision,

3. Process of certifications.— 3.1 A disability certificate shall be issued by a Medical Board

consisting of three members duly constituted by the Central/State Government. At least, one shall be

a Specialist in the area of Mental Retardation, namely. Psychiatrist, Paediatrician and Clinical

Psychologist.

3.2 The examination process will consist of three components, namely, clinical assessment,

assessment of adaptive behaviour and intellectual functioning.

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B. Visual Disability

1. Definition.— Blindness refers to a condition where a persons suffer from any of the

condition, namely–

(i) total absence of sight; or

(ii) visual acuty not exceeding 6/60 or 20/200(snellen) in the better eye with best correcting

lenses; or

(iii) limitation of field of vision subtending an angle of 20 degree or worse;

2. Low vision.— Persons with low vision means a person a with impairment of vision of less

than 6/18 to 6/60 with best correction in the better eye or impairment of field in any one of the

following categories:—

(a) Reduction of fields less than 50 degrees

(b) Heminaopia with macular involvement

(c) Altitudinal defect involving lower fields.

3. Categories of visual disability all with correction.—

Category

Better eye

Worse eye

Percentage of

impairment

Category 0

6/9-6/18

6/24 to 6/36

20%

Category I

6/18-6/36

6/60 to Nil

40%

Category II

6/40-4/60 or field of vision

3/60 to Nil

75%

10°-20°

Category III

3/60 to 1/60 or field of

F.C. at 1 ft. to Nil

100%

vision 10°

Category IV

F. C. at 1 ft. to Nil or field

F.C. at 1 ft. to Nil

100%

of vision 10°

One eyed persons

6/6

F. C. at 1 ft. to Nil or field

30%

of vision 10°

Note : F.C. means Finger Count

4. Process of certification.— A disability certificate shall be issued by a medical board duly

constituted by the Central/StateGovernment having at least three members. Out of which, at least one

member shall be a specialist in ophthalmology.

B. Speech and Hearing Disability

1. Definition of hearing.— A persons with hearing impairment having difficulty of various

degrees in hearing sounds is an impaired person.

2. Categories of Hearing Impairment.—

Category

Type of

D B Level

Speech

Percentage of

Impairment

discrimination

impairment

(1)

(2)

(3)

(4)

(5)

I

Mild hearing Impairment

DB 26 to 40 dB in better ear

80 to 100%

Less than

in better ear.

40% to 50%

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II (a)

Moderate hearing

41 to 60 dB in better ear

50 to 80%in

40% to 50%

better ear.

(b)

Serve hearing impairment

61 to 70 dB hearing Impairment

40 to 50%

51% to 70%

in better ear.

in better ear.

III

(a) Profound hearing

71 to 90 dB

Less than

71% to 100%

impairment.

40% in

better ear

(b) Total deafness

91 dB and above/in

Very poor

100%

better ear/to hearing.

discrimination

(i) Pure tone average of learning in 500, and 2000 HZ, 4000 HZ by conduction (AC and BC)

should be taken as basis for consideration as per the test recommendations.

(ii) When there is only as island of hearing present in one or two frequencies in better ear,

it should be considered as total loss of hearing.

(iii) Wherever there is no response (NR) at any of the 4 frequencies (500, 1000, 2000

and 4000 HZ), it should be considered as equivalent to 100 dB loss for the purpose of classification of

disability and in arriving at the average.

3. Process of certification.— A disability certificate shall be issued by a medical board duly

constituted by the Central and the State Government. Out of which, at least, one member shall be a

specialist in the field of ENT.

C. Locomotor Disability

1. Definition.— (i) Impairment : An impairment in any loss or abnormality of psychological,

physiological or anatomical structure or function in a human being.

(ii) Functional Limitations: Impairment may cause functional limitations which are partial or

total inability to perform those activities, necessary for motor, sensory or mental function within the

range or manner of which a human being is normally capable.

(iii) Disability : A disability, is any restriction or lack (resulting from an impairment) of ability

to perform an activity in the manner or within the range considered normal for a human being.

(iv) Locomotor Disability : Locomotor disability is defined as a persons inability to execute

distinctive activities associated with moving both himself and objects, from place to place and such

inability resulting from affliction of musculoskeletal and/or nervous system.

2. Categories of Locomotor Disability.— The categories of locomotor disabilities are enclosed

at Annexure-A.

3. Process of certification.— A disability certificate shall be issued by a medical board of three

members duly constituted by the Central and the State Government, out of which, at least, one member

shall be a specialist from either the field of Physical Medicine and Rehabilitation or Orthopaedics.

Two specimen copies of the disability certificate for Mental Retardation and others (visual

disability, speech and hearing disability and locomotor disability) are enclosed at Annexure-B.

It was also decided that whenever required the Chairman of the Board may co-opt other experts

including that of the members constituted for the purpose by the Central and the State Government.

On representation by the applicant, the medical board may review its decision having regard to

all the facts and circumstances of the case and pass such order in the matter as it thinks fit.

(1)

(2)

(3)

(4)

(5)

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ANNEXURE – A

LOCOMOTOR DISABILITY

REVISED GUIDELINES FOR EVALUATION OF THE

PERMANENT PHYSICAL IMPAIRMENT

1.1 Guidelines for Evaluation of Permanent Physical Impairment of Upper Limb.—

1. The estimation of permanent impairment depends upon the measurement of functional

impairment and is not expression of a personal opinion.

2. The estimation and measurement should be made when the clinical condition has reached

the stage of maximum improvement from the medical treatment. Normally the time period is to be

decided by the medical doctor who is evaluating the case for issuing the PPI certificate as per standard

format of the certificate.

3. The upper limb is divided into two component parts; the arm component and the hand

component.

4. Measurement of the loss of function of arm component consists of measuring the loss of

motion, muscle strength and coordinated activities.

5. Measurement of loss of function of hand component consists of determining the

prehension, sensation and strength. For estimation of prehension opposition, lateral pinch cylindrical

grasp, spherical grasp and hook grasp have to be assessed as shown in hand component of Form-A

assessment pro forma for upper extremity.

6. The impairment of the entire extremity depends on the combination of the functional

impairments of both components

1.2 Arm component.— Total value of arm component is 90%

1.2.1 Principles of evaluation of range of motion (ROM) of joints.— (1) The value of

maximum ROM in the arm component is 90%.

(2) Each of the three joints of the arm is weighed equally (30%).

Example : The intra articular fractures of the bones of right shoulder joint may affect range of

motion even after healing. The loss of ROM should be calculated in each arc of motion as envisaged

in the Assessment Form-A (Assessment Pro forma for Upper Extremity).

Arc of ROM

Normal value

Active ROM

Loss of ROM

Shoulder Flexion

0-220

110

50%

Rotation

0-180

90

50%

Abduction-Adduction

0-180

90

50%

Hence the mean loss of ROM of shoulder will be :

=

= 50%

Shoulder movements constitute 30% of the motion of the arm component, therefore the loss of

motion for arm component will be 50 x 0.3d = 15% If more than one joint of the arm is involved the

loss of percentage in each joint is calculated separately as above and then added together.

1.2.2. Principles of evaluation of strength of muscles.— 1. Strength of muscles can be tested

by manual method and graded from 0-5 as advocated by Medical Research Council of Great Britain

depending upon the strength of the muscles.

50 + 50 + 50

———————

3

150

——

3

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2. Loss of muscle power can be given percentages as follows:

Manual muscle strength grading

Loss of strength in percentage

0

100%

1

80%

2

60%

3

40%

4

20%

5

0%

3. The mean percentage of loss of muscle strength around a joint is multiplied by 0.30.

4. If loss of muscle strength involves more than one joint the mean loss of percentage in

each joint is calculated separately and then added together as has been described for loss of motion.

1.2.3 Principles of evaluation of coordinated activities.— (1) The total value for coordinated

activities is 90%.

(2) Ten different coordinated activities should be tested as given in Form-A. (Appendix–I of

Annexure–A).

(3) Each activity has a value of 9%.

1.2.4 Combining values for the arm component.— The total value of loss of function of arm

component is obtained by combining the value of loss of ROM, muscle strength and coordinated

activities, using the combining formula.

a + b (90 – a)

————

90

where a = higher value

b = lower value

Example : Let us assume that an individual with an intra articular fracture of bones of shoulder

joint in addition to 16.5% loss of motion in arm has 8.3% loss of strength of muscles and 5% loss of

coordination. These values should be combined as follows :

16.5 + 8.3 (90 – 16.5)

Loss of ROM - 16.5%

—————————

90

Loss of strength of muscles - 8.3%

=

23.33%

To add

23.3 + 5 (90 – 23.3)

Loss of coordination - 5%

——————— =

27.0%

90

So the total value of loss of function in arm component will be 27.0%.

1.3 Hand component.— (1) Total value of hand component is 90%

(2) The functional impairment of hand is expressed as loss of prehension, loss of sensation

and loss of strength.

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1.3.1 Principles of evaluation of prehension.— 1. Total value of prehension is 30% it includes

(a) Opposition

–

8%

Tested against

–

Index finger

– 2%

–

Middle finger – 2%

–

Ring finger

– 2%

–

Little finger

– 2%

(b) Lateral pinch

–

5% – Tested by asking the patient to hold a key between the thumb

and lateral side of index finger.

(c) Cylindrical grasp –

6% Tested for

(i) Large object of 4 inches size

–

3%

(ii) Small object of 1 inch size

–

3%

(d) Spherical grasp –

6% Tested for

(i) Large object of 4 inches size

–

3%

(ii) Small object of 1 inch size

–

3%

(e) Hook grasp

–

5% – Tested by asking the patient to lift a bag.

1.3.2. Principles of evaluation of sensation.— (1) Total value of sensation in hand is 30%.

(2) It should be assessed according to the distribution given below :

(i) Complete loss of sensation

Thumb ray 9%

Index finger 6%

Middle finger 5%

Ring finger 5%

Little finger 5%

(ii) Partial loss of sensation : Assessment should be made according to percentage of loss

of sensation in thumb/finger(s).

1.3.3. Principles of evaluation of strength.— (1) Total value of strength is 30%.

(2) It includes :

(i) Grip strength 20%

(ii) Pinch strength 10%

Strength of hand should be tested with hand dynamo-meter or by clinical method (grip method).

Additional weightage - A total of 10% additional weightage can be given to following

accompanying factors if they are continuous and persistent despite treatment.

1. Pam

2. Infection

3. Deformity

4. Mal-alignment

5. Contractures

6. Cosmetic disfiguration

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7. Dominant extremity – 4%

8. Shortening of upper limb

First 1"

–

No weightage

For each 1" beyond first 1"

–

2%

The extra points should not exceed 10% of the total arm component and total PPI should not

exceed 100% in any case.

1.3.4. Combining values of hand component.— The final value of loss of function of hand

component is obtained by summing up values of loss of prehension, sensation and strength.

1.3.5. Combining values for the extremity.— Values of impairment of arm component and

impairment of hand component should be added by using combining formula :

a + b (90 – a)

—————

90

a = higher value

b = lower value

Example :

64 + 27 (90 – 64)

Impairment of arm - 27%

———————

90

Impairment of hand - 64%

= 71.8%

The total value can also be obtained by using the ready reckoner table for combining formula given

at Appendix-II of Annexure-A.

2. Guidelines for Evaluation of permanent physical Impairment in Lower Limb.—

The measurement of loss of function in lower extremity is divided into two components. Mobility

and standing components :

2.1 Mobility component : (1) Total value of mobility component is 90%.

(2) It includes range of movement (ROM) and muscle strength.

2.1.1. Principles of evaluation of range of movement : (1) The value of maximum range of

movement in mobility component is 90%.

(2) Each of three joints i.e. hip, knee and foot-ankle component is weighed equally - 30%.

Example : A fracture of right hip joint bones may affect range of motion of the hip joint.

Loss of ROM of the affected hip in different are should be assessed as given in Form B (Assessment

Pro forma for lower extremity) (Appendix-I of Annexure-A).

Affected Joint - Rt. Hip :

Arc of movement

Normal ROM

Active ROM

Loss in percentage

Flexion-Extension

0-140

70

50%

Abduction-Adduction

0-90

60

33%

Rotations

0-90

30

66%

Mean loss of ROM of Rt Hip =

= 50%

50 + 33 + 66

———————

3

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Since the hip constitute 30% of the total mobility component of the lower limb the loss of

motion in relation to the lower limb will be 50 x 0.30 = 15%.

If more than one joint of the limb is involved the mean loss of ROM in percentage should be

calculated in relation to individual joint separately and then added together as follows to calculate the

loss of mobility component in relation to that particular limb.

For example :

Mean loss of ROM of Rt. Hip

–

50%

Mean loss of ROM Rt. Knee

–

40%

Loss of mobility component of Rt. Lower

=

27%

Limb will be (50 x 0.30) + (40 x 0.30).

2.1.2. Principle of evaluation of muscle strength : (1) The value for maximum muscle

strength in the limb is 90%.

(2) Strength of muscles can be tested by manual method and graded 0-5 as advocated by

MRC of Great Britain depending upon the residual strength in the muscle group.

(3) Manual muscle grading can be given percentage like below :

Power grade of Ms

Loss of strength in percentage

0

100%

1

80%

2

60%

3

40%

4

20%

5

0%

4. Mean percentage of muscle strength loss around a joint is multiplied by 0.30 to calculate

loss in relation to limb.

5. If there has been a loss muscle strength involving more than one joint the values are

added as has been described for loss of ROM.

2.1.3. Combining values for mobility component : (1) The values of loss of ROM and loss

of muscle strength should be combined with the help of combining formula:

a + b (90 – a)

————

90

a = higher value

b = lower value

Example : Let us assume that the individual with a fracture of right hip bones has in addition

to 16% loss of motion, 8% loss of muscle strength also.

Combined values

16 + 8 (90 – 16)

Motion - 16%

—————

90

Strength - 8%

=

22.6%

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2.2 Stability component : (1) Total value of the stability component is 90%.

(2) It should be tested by clinical method as given in Form-B (Assessment pro forma for

lower extremity). There are nine activities, which need to be tested, and each activity has a value of

ten per cent (10%). The percentage valued in relation to each activity depends upon the percentage of

loss stability in relation to each activity.

2.3 Extra points : Extra points have been given for pain, deformities, contractures, loss of

sensations and shortening maximum points to be added are 10% (excluding shortening). Details are as

following.

(i) Deformity

In functional position

3%

In non-functional position

6%

(ii) Pain

Severe (grossly interfering with function)

9%

Moderate (moderately interfering with function)

6%

Mild (mildly interfering with function)

3%

(iii) Loss of sensation

Complete loss

9%

Partial loss

6%

(iv) Shortening

First 1/2"

Nil

Every 1/2" beyond first 1/2"

4%

(v) Complications

Superficial complications – Deep complications

3%

3. Guidelines for evaluation of permanent physical impairment of trunk (Spine) basic guidelines.—

1. As permanent physical impairment caused by spinal deformity tends to change over the

years, the certificate issued in relation to spine should be reviewed as per the standard format of the

certificate given at Annexure-B of Appendix-III.

2. Permanent physical impairment should be awarded in relation to spine and not in relation

to whole body.

3. Permanent physical impairment due to neurological deficit in addition to spinal impairment

should be added by combining formula. The local effects of the lesions of the spine can be

conventionally divided into traumatic and non-traumatic. The percentage of PPI in relation to each

situation should be valued as follows :

3.1 Traumatic lesions :

3.1.1 Cervical spine injuries.

Percentage

of PPI in

relation

to spine.

(i) 25% or more compression of one or two adjacent vertebral bodies

20%

with no involvement of posterior elements, no nerve root

involvement, moderate neck rigidity and persistent Soreness.

(ii) Posterior element damage with radiological evidence of moderate

parties dislocation/subluxation including whiplash injury.

(a) With fusion healed, no permanent motor or sensory changes.

10%

(b) Persistent pain with radiologically demonstrable instability.

25%

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(iii)

Severe dislocation :

Percentage

of PPI in

relation

to spine.

(a) Fair to good reduction with or without fusion with no residual

10%

motor or sensory involvement;

(b) Inadequate reduction with fusion and persistent radicular pain.

15%

3.1.2. Cervical intervertebral disc lesions

(i) Treated case of disc lesion with persistent pain and no neurological deficit.

10%

(ii) Treated case with pain and instability.

15%

3.1.3. Thoracic and thoracolumbar spine injuries :

(i) Compression of less than 50% involving one vertebral body with no

10%

neurological manifestation.

(ii) Compression of more than 50% involving single vertebra or more with

20%

involvement of posterior elements, healed, no neurological

manifestations persistent pain, fusion indicated.

(iii) Same as (b) with fusion, pain only on heavy use of back.

15%

(iv) Radiologically demonstrable instability with fracture or fracture

30%

dislocation with persistent pain.

3.1.4 Lumbar and lumbosacral spine : Fracture

(a) Compression of 25% or less of one or two adjacent vertebral bodies,

15%

no definite pattern or neurological deficit.

(b) Compression of more than 25% with disruption of posterior elements,

30%

persistent pain and stiffness, healed with or without fusion, inability

to lift more than 10 kgs.

(c) Radiologically demonstrable instability in low lumbar or lumbosacral

35%

spine with pain.

3.1.5 Disc lesion :

(a) Treated case with persistent pain

15%

(b) Treated case with pain and instability

20%

(c) Treated case of disc disease with pain activities of lifting moderately

25%

modified.

(d) Treated case of disc disease with persistent pain and stiffness, aggravated

30%

by heavy lifting necessitating modification of all activities requiring

heavy weight lifting.

3.2 Non-traumatic lesions :

3.2.1 Scoliosis : Basic guidelines - following modification is suggested. - The largest

structural curve should be accounted for while calculating the PPI and not the compensatory

curve or both structural curves.

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3.2.2 Measurement of spine deformity : Cobb's method for measurement, of angle of curve

in the radiograph taken in standing position should be used. The curves have been divided

into following groups depending upon the angle of major structural scoliotic deformity.

Group

Cobb's Angle

PPI in relation to spine

I

0-20

Nil

II

21-50

10%

III

51-100

20%

IV

101 & above

30%

3.2.3 Torso imbalance : In addition to the above PPI should also be evaluated in relation

the torso imbalance. The torso imbalance should be measured by dropping a plumb line from

C7 spine and measuring the distance of plumb line from gluteal crease.

Deviation of plumb line

PPI

Up to 1.5 c.m.

4%

1.6 - 30 c.m.

8%

3.1 - 50 c.m.

16%

5.1 and above

32%

3.2.4 Head tilt over C7 spine PPI

Up to 15

4%

More than 15

10%

3.2.5 Cardiopulmonary test : In cases with scoliosis of severe type cardiopulmonary

function tests and percentage deviation from normal should be assessed by one of the following

method whichever seems more reliable clinically at the time of assessment. The value thus

obtained may be added by combining formula.

(a) Chest expansion

PPI

4 - 5 c.m.

Normal

Less than 4 c.m.

5% for each c.m.

Reduction in chest expansion

No expansion.

25%

(b) Counting in one breathe

Breathe count

PPI

More than 40

Normal

0-40

5%

0-30

10%

0-20

15%

0-10

20%

Less than 5

25%

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3.2.6 Associated problems : To be added directly but the total value of PPI in relation to

spine should not exceed 100%.

(a) Pain

– mildly interfering with ADL

4%

– moderately restricting ADL

6%

– severely restricting ADL

10%

(b) Cosmetic appearance

– No obvious disfiguration with clothes on

Nil

– mild disfigurement

2%

– severe disfigurement

4%

(c) Leg length discrepancy

– First ½" shortening

Nil

– Every ½" beyond first ½"

4%

(d) Neurological deficit - Neurological deficit should be calculated as per established

method of evaluation of PPI in such cases. Value thus obtained should be added

telescopically using combining formula.

3.3 Kyphosis : Evaluation should be done on the similar guidelines as use for scoliosis with

the following modifications:

3.3.1 Spinal deformity

PPI

Less than 20

Nil

21-40

10%

41-60

20%

Above 60

30%

3.3.2 Torso imbalance : Plumb line dropped from external ear normally falls at ankle level.

The deviation from normal should be measured from ankle anterior joint line to the plumb

line.

Less than 5 cm. in front of ankle

4%

5 to 10 cm. in front of ankle

8%

10 to 15 cm. in front of ankle

16%

More than 15 cm. in front of ankle

32%

(Add directly)

Miscellaneous conditions : Those conditions of the spine which cause stiffness and pain etc.

are rated as follows.

Conditions

Percentage

PPI

(A) Subjective symptoms of pain, no involuntary muscle spasm, not substantiated by

-0%

demonstrable structural pathology.

(B) Pain, persistent muscles spasm and stiffness of spine, substantiated by mild

-20%

radiological change.

(C) Same as B with moderate radiological changes

-25%

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(D) Same as B with severe radiological changes involving any one of the regions of spine

-30%

(E) Same as D involving whole spine

-40%

4. Guidelines for Evaluation of PPI in cases of Short Stature/Dwarfism.—

1. Recumbent length or longitudinal height below 3rd percentile or less than 2 standard deviation

from the mean is considered to have short stature.

2. The evaluation of a short statured person should be considered only when it is of

disproportionate variety and is accompanied by an underlying pathological conditions, e.g.,

achondroplasia, chandrodysplasia punctata, spondyloepiphysical dysplasia,mucopoly and acchrydosis, etc.

3. The ICMR norms as enclosed at Appendix III of Annexure. A should be used as a guideline

for the height.

4. Every 1" vertical height reduction should be valued as 4% permanent physical impairment.

5. Associated skeletal deformities should be evaluated, separately and total percentage of both

should be added by combining formula.

5. Guidelines for Evaluation of Permanent Physical Impairment in Amputees.— Basic

Guidelines :

1. In cases of multiple amputees if the total sum of permanent physical impairment is above

100%, it should be taken as 100% only.

2. If the stump is unfit for fitting the prosthesis additional weightage of 5% should be added

to the value.

3. In case of amputation in more than one limb percentage of each limb is added by combining

formula and another 10% will be added but when only toes or fingers are involved only 5% will be added.

4. Any complication in form of stiffness of proximal joint, neuroma infection, etc., should

be given up to a total of 10% additional weightage.

5. Dominant upper extremity should be given 4% additional weightage.

Upper Limp Amputations

PPI and loss

of physical

function of

each limb

1. Fore-quarter amputations

100%

2. Shoulder disarticulation

90%

3. Above elbow up to upper 1/3 of arm

85%

4. Above elbow up to lower 1/3 of forearm

80%

5. Elbow disarticulation

75%

6. Below elbow up to upper 1/3 of forearm

70%

7. Below elbow up to lower 1/3 of forearm

65%

8. Wrist disarticulation

60%

9. Hand through carpal bones

55%

10. Thumb through C.M. or though 1st MC joint

30%

11. Thumb disarticulation through metacarpophalangeal joint or through proximal phalanx

25%

12. Thumb disarticulation through inter phalangeal joint or through distal phalanx

15%

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Index

Middle

Ring

Little

finger

finger

finger

finger

(15%)

(5%)

(3%)

(2%)

13.

Amputation through proximal phalanx or disarticulation

15%

5%

3%

2%

through M.P. joint.

14.

Amputation through middle phalanx or disarticulation

10%

4%

2%

1%

through PP joint.

15.

Amputation through distal phalanx or disarticulation

5%

2%

1%

1%

through DIP joint.

6. 1.3 Lower Limb Amputations :

1. Hind quarter

100%

2. Hip disarticulation

90%

3. Above knee up to upper 1/3 of thigh

85%

4. Above knee up to lower 1/3 of thigh

80%

5. Through keen

75%

6. B.K. up to 8 c.m.

70%

7. B.K. up to lower 1/3 of leg

60%

8. Through ankle

55%

9. Syme's

50%

10. Up to mid-foot

40%

11. Up to fore-foot

30%

12. All toes

20%

13. Loss of first toe

10%

14. Loss of second toe

5%

15. Loss of third toe

4%

16. Loss of fourth toe

3%

17. Loss of fifth toe

2%

6. Guidelines for Evaluation of Permanent Physical Impairment of Congenital deficiencies of

the limbs.

6.1 Transverse deficiencies : 1. Functionally congenital transverse limb deficiencies are

comparable to acquired amputations and can be called synonymously as congenital amputation, however,

in some cases revision of amputation is required to fit in a prosthesis.

2. The transverse limb deficiencies therefore should be assessed on basis of the guidelines

applicable to the evaluation of PPI in cases of amputees as given in the preceding chapter.

For example:

PPI

Transverse deficiency Rt. arm complete (shoulder disarticulation)

90%

Transverse deficiency at thigh complete (hip disarticulation)

90%

Transverse deficiency proximal upper arm (Above elbow amp.)

85%

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Transverse deficiency at lower thigh (Above knee Amp. Lower 1/3)

80%

Transverse deficiency forearm complete (elbow disarticulation)

75%

Transverse deficiency lower forearm (Below Elbow Amp.)

65%

Transverse deficiency carpal complete (wrist disarticulation)

60%

Transverse deficiency Metacarpal complete (Disarticulation through carpal bones) 55%

6.2 Longitudinal deficiencies :

6.2.1 Basic guidelines

1. In cases of longitudinal deficiencies of limbs due consideration should be given to

functional impairment.

2. In upper limb, loss of ROM loss muscular strength and hand functions like prehension,

etc. should be tested while assessing the case for PPI.

3. In lower limb clinical method of stability component and shortening of lower limb should

be given due weightage.

4. Apart from functional assessment the lost joint/part of body should also be valued as

per distribution given in chapter Guidelines for Evaluation of PPI in upper extremity and lower

extremity. The values so obtained should be added with the help of combining formula.

Example : Congenital absence of humorous where forearm bones directly articulate with

scapula.

There will be miled reduction in ROM and strength of muscles in the existing joints apart

from loss of body part.

Loss of shoulder joint can be given - 30%

Loss of ROM of Elbow/Shoulder & Wrist

All the components should be added together by the combining formula of .

6.2.2 In cases of loss of single bone in forearm the evaluation should be based on the

principles of evaluation of arm component which include evaluation of ROM, muscle strength-

and coordinated activities. The values so obtained should be added together with the help of

combining formula.

6.2.3 In cases of loss of single bone in leg the evaluation should be based on the principles

of evaluation of mobility component and stability components of the lower extremity. The

values obtained should be added together with the help of combining formula.

7. Guidelines for Evaluation of Physical Impairments in Neurological conditions.—

1.1 Basic Guidelines : 1. Assessment in neurological conditions is not the assessment of

disease but the assessment of its effects, i.e. clinical manifestations.

2. These guidelines should only be used for central and upper motor neurone lesions.

3. Pro formas (form A & B) will be utilised for assessment of lower motor neurone lesions,

muscular disorders and other locomotor conditions.

4. Normally any neurological assessment for the purpose of certification has to be done six

months after the onset of disease however exact time period is to be decided by the medical doctor

who is evaluating the case and has to recommend the review of certificate as given in the standard

format of certificate.

a + b (90 – a)

—————

90

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5. Total percentage of physical impairment in any neurological condition should not exceed 100%.

6. In mixed cases the highest score will be taken into consideration. The lower score will

be added telescopically to it by the help of combining formula .

7. Additional rating of 4% will be given for dominant upper extremity.

8. Additional weightage up to 10% can be given for loss of sensation in each extremity but

the total physical impairment should not exceed 100%.

7.2 Table-I

Neurological status

Physical Impairment

Altered sensorium

100%

7.3 Table-II : Intellectual Impairment (to be assessed by Clinical Psychologist)

Degree of Mental Retardation

IQ Range

Intellectual Impairment

Border line

70-79

25%

Mild

50-69

50%

Moderate

35-49

75%

Severe

20-34

90%

Prefound

Less than 20

100%

7.4 Table-III

Speech defect

Physical Impairment

Mild dysarthria

Nil

Moderate dysarthria

25%

Servere dysarthria

50%

7.5 Table-IV

Type of cranial nerve involvement

Physical Impairment

Motor cranial nerve

20% for each nerve

Sensory cranial nerve

10% for each nerve

Sensory cranial nerve 10% for each herve.

7.6 Table-V

Motor system disability

Neurological involvement

Physical Impairment

Hemiparesis:-

- Mild

25%

- Moderate

50%

- Severe

75%

a + b (90 – a)

—————

9 0

PART-I ]

LA GAZETTE DE L’ETAT

153

7.7 Table-VI : Sensory System Disability

Extent of sensory deficit

Physical Impairment

Anaesthesia

Up to 10% for each limb

Hypoaesthesia

Depending upon % of

Paraestheis

Loss of sensation up to 30% depending

Hands/feet sensory loss

Upon % of loss sensation

7.8 Table-VII : Bladder disability due to neurogenic involvement.

Bladder involvement

Physical Impairment

Mild (hesitancy/frequency)

25%

Moderate (precipitancy)

50%

Severe (occasional but recurrent incontinence)

75%

Very severe (retention/total incontinence)

100%

7.9 Table - VIII : Post-head Injury Fits and Epileptic Convulsions.

Frequency/Severity of Convulsions

Physical Impairment

Mild - occurrence of one convulsion only

Nil

Moderate 1-5 convulsions/month on adequate - medication

25%

Severe 6-10 convulsions/month on adequate medication.

50%

Very severe more than 10 fits/months on adequate - medication.

75%

7.10 Table - IX : Ataxia (Sensory or Cerebellar)

Severity of Ataxia

Physical Impairment

Mild (Detected on examination)

25%

Moderate

50%

Severe

75%

Very Severe

100%

8. Guidelines for Evaluation of Physical Impairment due to Cardiopulmonary Diseases.—

8.1 Basic guidelines : (1) Modified New York Heart Association subjective classification

should be utilised to assess the functional disability.

(2) The assessing physician should be alert to the fact that patients who come for disability

claims are likely to exaggerate their symptoms. In case of any doubt, patients should be referred for

detailed physiological evaluation.

(3) Disability evaluation of cardiopulmonary patients should be done after full medical, surgical

and rehabilitative treatment available, because most of these diseases are potentially treatable.

(4) Assessment of cardiopulmonary impairment should also be done in diseases which might

have associated with cardiopulmonary problems, e.g., amputees, myopathies, etc.

(5) For respiratory assessment, routine respiratory functions test should be done, however,

in cases of interstitial lung diseases, diffusion studies may be done.

154

LA GAZETTE DE L’ETAT

[ PART-I

154

(6) In cases of Angina pectoris (chest pain) base line studies in resting ECG should be done.

When there is persistence of symptoms, exercise or stress test should be done.

8.2 The proposed classification with loss of function is as follows :

Group 0 : A patient with cardiopulmonary disease who is a symptomatic (i.e. has no

symptoms of breathlessness, palpitation, fatigue or chest pain).

Group 1 : A patient with cardiopulmonary disease who becomes symptomatic during his

ordinary physical activity but has mild restriction (25%) of his physical activities.

Group 2 : A patient with cardiopulmonary disease who becomes symptomatic during his

ordinary physical activity and has 25-50% restriction of his ordinary physical activities.

Group 3 : A patient with cardiopulmonary disease who becomes symptomatic during less

than ordinary physical activity so that his ordinary physical activities are 50-75% restricted.

Group 4 : A patient with cardiopulmonary disease who is symptomatic even at rest or on

mildest exertion so that his ordinary physical activities are severely or completely restricted

(75-100%).

Group 5 : A patient with cardiopulmonary disease who gets intermittent symptoms at rest

(i.e. patients with bronchial asthma, paroxysmal nocturnal dyspnoea, etc.)

1. Definition of multiple disabilities.— Multiple disabilities means a combination of two or more

disabilities as defined in clause (i) of section (2) of the Persons with Disabilities (Equal Opportunities,

Protection of Rights and Full Participation) Act, 1995, namely—

I. Locomotor disability including leprosy cured

II. Blindness/Low vision

III. Speech and hearing impairment

IV. Mental retardation

V. Mental illness.

2. Guidelines for evaluation.— In order to evaluate the multiple disability, the same guidelines

shall be used as have been developed by the respective sub-committees of various single disability,

viz. mental retardation, locomotor disability, visual disability, and speech and hearing disability and

recommended in the meeting held on 29-2-2000 under the Chairmanship of Dr. S.P. Agarwal, Director-

General of Health Services, Government of India, with reference to Order No.16-18/96-NI.I, dated

28th August 1998 and communicated to Ministry of Social Justice and Empowerment, Government of

India, vide letter No.S-13020/4/98-MH, dated 16th March 2000.

However, in order to arrive at the total percentage of multiple disability, the combining

formula as given in the "Manual for Doctors to Evaluate Permanent Physical Impairment,

Developed by Expert Group meeting on Disability Evaluation", shall be used, where "a" will be the

higher score and "b" will be the lower score. However, the maximum total percentage of multiple

disabilities shall not exceed 100%.

For example, if the percentage of hearing disability is 30% and visual disability is 20%, then

by applying the combining formula given above, the total percentage of multiple disability will be

calculated as follows :

30 + 20 (90 – 30)

—————— = 43%

90

a + b (90 – a)

—————

9 0

PART-I ]

LA GAZETTE DE L’ETAT

155

3. Procedure for certification of multiple disability.— The procedure will remain the same as

has been developed by the respective sub-committees on various single disabilities and finalised in a

meeting under the Chairpersonship of Dr. S.P. Agarwal held on 29-2-2000. The final disability certificate

for multiple disability will be issued by Disability Board which has given higher score of disability by

combining the score of different disabilities using the combining formula, i.e., . In case,

where two scores of disability are equal, the final certificate of multiple disability will be issued by

any one of them as decided by local authority.

————

APPENDIX – I OF ANNEXURE-A

FORM A

Assessment pro forma for upper extremity

Name

:

Age

:

Sex

:

Diagnosis :

Address :

O.P.D.

:

Department :

Arm component (Total value 90%)

Summary value for upper extremity is calculated from component and hand component values.

Add 4% for dominant extremity 10%. Additional weightage to be given to infection, deformity,

malalignment, contracture, cosmetic appearance and abnormal mobility.

————

APPENDIX – I OF ANNEXURE-A

FORM B

ASSESSMENT PRO FORMA FOR LOWER EXTREMITY

Name

:

Age

:

Sex

:

Diagnosis :

Address

:

O.P.D. No.

:

Department :

Diagnosis :

Mobility component [Total value (90%)]

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Range of

1. Flexion-

0-140°

movement (Active)

Extension arc.

2. Abduction

0-90°

Adduction

0-90°

HIP

3. Rotation arc

a + b (90 – a)

—————

9 0

Rt. side

Lt. side

Loss of % Rt side

Loss of % Lt. side

Mean % Rt. side

Mean 0.30 Rt. Lt.

Combing value Rt. Lt.

% Summary value for

mobility component

a + b (90 + a)

———— .

9 0

Joint

Component

Normal value

156

LA GAZETTE DE L’ETAT

[ PART-I

156

Range of

1. Flexion

0-125°

movement (Active)

Knee

Extension arc

Range of

1. Dors flexion

0-70°

movement (Active)

Panterlexion arc.

0-60°

Ankle &

2. Invesior

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Range of movement 1. Flexion-Extension arc

0-220°

(Active) value 90%. 2. Rotation arc

0-180°

Elbow

3. Abduction-Adduction arc

0-180°

Shoulder range

1. Flexion-Extension arc

0-160°

of movement

(Active) value 90%.

Wrist

2. Radial- Ulnardeviatior arc

0-55°

Muscle strength

1. Flexion

value 90%.

2. Extension

Shoulder

3. Rotation - Ext.

4. Rotation - Int.

5. Abduction

6. Adduction

Muscle strength

1. Flexion

value 90%.

2. Extension

3. Pronation

4. Supination

Muscle strength

1. Dors flexion

value 90%.

2. Palmar flexion

3. Radial deviation

4. Ulnardeviatior

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Rt. side

Lt. side

Loss of % Rt side

Loss of % Lt. side

Mean % Rt. Lt.

Sum of % loss Rt.Lt

Combining value Rt. Lt.

% Summary value for

component

Arm component

Component

Normal value

(Degrees)

PART-I ]

LA GAZETTE DE L’ETAT

157

Coordinated

1. Lifting overhead objects

9%

activities value 90%.

remove and placing at

the same place.

2. Touching nose with end 9%

of extremity.

3. Eating indian style

9%

4. Combing and plaiting

9%

5. Putting on a shirt/kurta

9%

6. Ablution glass of water

9%

7. Drinking glass of water

9%

8. Buttoning

9%

9. Tie nara dhoti

9%

10. Writing

9%

Hand component (Total value 90%)

30% prehension

Movement

Normal value

1. Hand component

A. Opposition (8%)

1. Index

2]

2. Middle

2] 8%

3. Ring

2]

4. Little

2]

B. Lateral pinch (5%)

Key holding

5%

C. Cylindrical grasp

(a) Large object (4°)

3}

(b) Small object (1°)

3} 6%

(a) Large object (4°)

(b) Small object (1°)

D. Spherical grasp

Lifting bag

3}

E. Hook grasp

3} 6%

5%

2. Sensation 30%

1. Radial side }

4 : 1

2. Ulnar side } thumb

3. Radial } Fingers

(4.8 : 1.2)

4. Ulnar }

3.

Strength 30%

1. Grip

20%

strength

2. Pinch

10%

strength

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

158

LA GAZETTE DE L’ETAT

[ PART-I

158

APPENDIX – I OF ANNEXURE-A

A + B (90 – A)

Ready Reckoner Table for

————

90

B(1)

B(2)

B(3)

B(4)

B(5)

B(6)

B(7)

B(8)

B(9)

B(10)

B(11) B(12)

B(13)

B(14)

B(15)

A(1)

1.99

3.98

3.97

4.96

5.94

6.93

7.92

8.91

9.90

10.89

11.88

12.87

13.86

14.84

15.83

A(2)

2.98

3.96

4.93

5.91

6.89

7.87

8.84

9.82

10.80

11.78

12.76

13.73

14.71

15.69

16.67

A(3)

3.97

4.93

5.90

6.87

7.83

8.80

9.77

10.73

11.70

12.67

13.63

14.60

15.57

16.53

16.67

A(4)

4.96

5.91

6.87

7.82

8.78

9.73

10.69

11.64

12.65

13.50

14.44

15.39

16.33

17.28

18.33

A(5)

5.94

6.89

7.83

8.78

9.72

10.67 11.61

12.56

13.50

14.44

15.39

16.33

17.28

18.22

19.17

A(6)

6.93

7.87

8.80

9.73

10.67

11.60 12.50

13.46

14.38

15.30

16.27

17.20

18.13

19.07

20.00

A(7)

7.92

8.84

9.77

10.69

11.61

12.53 13.46

14.38

15.29

16.20

17.11

18.07

18.99

19.91

20.83

A(8)

8.91

9.82

10.73 11.64

12.56

13.47 14.38

15.29

16.20

17.10

18.02

18.93

19.84

20.76

21.67

A(9)

9.90

10.80

11.70 12.60

13.50

14.40 15.30

16.20

17.10

18.00

18.90

19.80

20.70

21.60

22.50

A(10)

10.89

11.87

12.67 13.56

14.44

15.33 16.22

17.11

18.00

18.89

19.78

20.67

21.56

22.44

23.33

A(11)

11.88

12.76

13.63 14.51

15.39

16.27 17.14

18.02

18.90

19.78

20.66

21.53

22.41

23.29

24.17

A(12)

12.87

13.73

14.60 15.47

16.33

17.20 18.07

18.93

19.80

20.67

21.53

22.40

23.27

24.13

25.00

A(13)

13.86

14.71

15.57 16.42

17.28

18.13 18.99

19.84

20.70

21.56

22.41

23.27

24.12

24.98

25.83

A(14)

14.84

15.69

16.53 17.38

18.22

19.07 19.91

20.76

21.60

22.44

23.29

24.13

24.98

25.82

26.67

A(15)

15.83

16.67

17.50 18.33

19.17

20.00 20.83

21.67

22.50

23.33

24.17

25.00

25.83

26.67

27.50

A(16)

16.82

17.64

18.47 19.20

20.11

20.93 21.76

22.58

23.40

24.22

25.04

25.87

26.69

27.51

28.33

A(17)

17.81

18.62

19.37 20.24

21.06

21.87 22.68

23.49

24.30

25.11

25.92

26.73

27.54

28.36

29.17

A(18)

18.80

19.60

22.33 21.20

22.00

22.80 23.60

24.40

25.20

26.00

26.80

27.60

28.40

29.20

30.00

A(19)

19.79

20.58

23.30 22.16

22.94

23.73 24.52

25.31

26.10

26.89

27.68

28.47

29.26

30.04

30.83

A(20)

20.78

21.56

24.27 23.11

23.89

24.67 25.44

26.22

27.00

27.78

28.56

29.33

30.11

30.89

31.67

A(21)

21.77

22.53

25.23 24.07

24.83

25.60 26.37

27.13

27.90

28.67

29.43

30.20

30.97

31.73

32.50

A(22)

22.76

23.51

26.20 25.02

25.78

26.33 27.29

28.04

28.80

29.56

30.31

31.07

31.82

32.58

33.33

A(23)

23.44

24.49

27.17 25.08

26.72

27.47 28.21

28.96

29.70

30.44

31.19

31.93

32.68

33.42

34.17

A(24)

24.73

25.47

28.13 26.93

27.67

28.40 29.13

29.87

30.60

31.33

32.07

32.80

33.57

34.27

35.00

A(25)

25.72

26.44

29.10 27.89

28.61

29.33 30.06

30.78

31.50

32.22

32.94

33.67

34.39

35.11

35.83

A(26)

26.71

27.42

30.07 28.84

29.56

30.27 30.98

31.69

32.40

33.11

33.82

34.53

35.21

35.96

36.67

A(27)

27.70

28.40

31.03 29.80

30.50

31.20 31.90

32.60

33.30

34.00

34.40

25.40

36.10

36.80

37.50

A(28)

28.69

29.38

32.00 30.76

31.44

32.13 32.80

33.51

34.40

34.89

35.58

36.27

36.96

37.64

38.33

A(29)

29.68

30.36

32.97 31.71

32.39

33.07 33.74

24.42

35.10

35.78

36.46

37.13

37.81

38.49

39.17

A(30)

30.67

31.33

32.00 32.67

33.33

34.67 35.33

36.00

36.67

36.67

37.33

38.00

38.67

39.33

40.00

A(31)

31.66

32.31

34.97 33.62

34.28

34.93 35.59

36.24

36.90

37.96

38.21

38.87

39.50

40.18

40.83

A(32)

32.64

33.29

33.93 34.58

35.22

35.87 36.51

37.16

37.80

38.44

39.09

39.73

40.38

11.02

11.67

A(33)

33.63

34.27

34.90 35.53

36.17

36.80 37.43

38.07

38.70

39.33

39.97

40.60

41.23

41.87

42.50

A(34)

34.62

35.24

35.87 36.49

37.11

37.73 38.36

38.98

39.60

40.22

40.84

41.47

42.09

42.71

43.33

A(35)

35.61

36.22

36.83 37.44

38.06

38.67 39.28

39.89

40.50

41.11

41.72

42.33

42.94

43.56

44.17

A(36)

36.60

37.20

37.80 38.40

39.00

39.60 40.20

40.80

41.40

42.00

42.60

43.20

43.80

44.40

45.00

A(37)

37.59

38.18

38.77 39.36

39.94

40.53 41.12

41.71

42.30

42.89

43.48

44.07

44.66

45.24

45.83

A(38)

38.58

39.16

39.73 40.31

40.89

41.47 42.04

42.62

43.20

43.78

44.36

44.93

45.51

46.09

46.67

A(39)

39.57

40.13

40.70 41.27

41.83

42.40 42.97

43.53

44.10

44.67

45.23

44.80

46.37

46.93

47.50

A(40)

40.56

41.11

41.67 42.22

42.78

43.33 43.89

44.44

45.00

45.56

46.11

46.67

47.22

47.78

48.33

A(41)

40.54

40.09

42.62 43.18

43.72

44.27 44.81

45.36

45.90

46.44

46.99

47.53

48.08

48.62

49.17

A(42)

42.53

43.07

43.60 44.13

44.67

45.20 45.73

46.27

46.80

47.33

47.87

48.40

48.93

49.47

50.00

A(43)

43.52

44.04

44.57 45.09

45.61

46.13 46.66

47.18

47.70

48.22

48.74

49.24

49.79

50.13

50.83

A(44)

44.51

45.02

44.53 46.04

46.56

47.07 47.58

48.09

48.60

49.11

49.62

50.13

50.64

51.61

51.67

A(45)

45.50

46.00

46.50 47.00

47.50

48.00 48.50

49.00

49.50

50.00

50.50

51.00

51.50

52.00

52.50

PART-I ]

LA GAZETTE DE L’ETAT

159

A + B (90 – A)

Ready Reckoner Table for

————

90

B(1)

B(2)

B(3)

B(4)

B(5)

B(6)

B(7)

B(8)

B(9)

B(10)

B(11) B(12)

B(13)

B(14)

B(15)

A(46)

46.49

46.98

47.47 47.96

48.44

48.93 49.42

49.91

50.40

50.89

51.38

51.87

52.36

52.84

53.33

A(47)

47.48

47.96

48.43 48.91

49.39

49.87 50.34

50.82

51.30

51.78

52.26

52.73

53.21

53.69

54.17

A(48)

48.47

48.93

49.40 49.87

50.33

50.80 51.27

51.73

52.20

52.67

53.13

53.60

54.07

54.53

55.00

A(49)

49.46

49.91

50.37 50.82

51.28

51.73 52.19

52.64

53.10

53.56

54.01

54.47

54.92

55.38

55.83

A(50)

50.44

50.89

51.33 51.78

52.22

52.67 53.11

53.56

54.00

54.44

54.89

55.33

55.78

56.22

56.67

A(51)

51.43

51.87

52.30 52.73

53.17

53.60 54.03

54.47

54.90

55.33

55.77

56.20

56.63

57.07

57.50

A(52)

52.42

52.84

53.27 53.69

54.11

54.53 54.96

55.38

55.80

56.22

56.64

57.07

57.49

57.91

58.33

A(53)

53.41

53.82

54.23 54.64

55.06

55.47 55.88

56.29

56.70

57.11

57.52

57.93

58.34

58.76

59.17

A(54)

54.40

54.80

55.20 55.60

56.00

56.40 56.80

57.20

57.60

58.00

58.40

58.80

59.20

59.60

60.00

A(55)

55.39

55.78

56.17 56.56

56.94

57.33 57.72

58.11

58.50

58.89

59.28

59.67

60.06

60.44

60.83

A(56)

56.38

56.76

57.13 57.51

57.89

58.27 58.64

59.02

59.40

59.78

60.16

60.53

60.91

61.21

61.67

A(57)

57.37

57.73

58.10 58.47

58.83

59.20 59.57

59.93

60.30

60.67

61.03

61.40

61.77

62.13

62.50

A(58)

58.36

58.71

59.07 59.42

59.78

60.13 60.49

60.84

61.20

61.56

61.91

62.26

62.62

62.98

63.33

A(59)

59.34

59.69

60.03 60.38

60.72

61.07 61.41

61.76

62.10

62.44

62.79

63.13

63.48

63.82

64.17

A(60)

60.33

60.67

61.00 61.33

61.67

62.00 62.33

62.67

63.00

63.00

63.67

64.00

64.33

64.67

65.00

A(61)

61.32

61.64

61.97 62.29

62.61

62.93 63.26

63.58

63.90

64.22

64.54

64.87

65.19

65.51

65.83

A(62)

62.31

62.62

62.93 63.24

63.56

63.87 64.18

64.49

64.80

65.11

65.42

65.73

66.04

66.36

66.67

A(63)

63.30

63.60

63.90 64.20

64.50

64.80 65.10

65.40

65.70

66.00

66.30

66.60

66.90

67.20

67.50

A(64)

64.29

64.58

64.87 65.16

65.44

65.73 66.02

66.31

66.60

66.89

69.18

67.47

67.76

68.04

68.33

A(65)

65.28

65.56

65.83 66.11

66.39

66.67 66.94

67.22

66.50

67.78

68.06

68.33

68.61

68.89

69.17

A(66)

66.27

66.53

66.80 67.07

67.33

67.60 67.87

68.13

67.40

68.67

68.93

69.20

69.47

69.73

70.00

A(67)

67.26

67.51

67.77 68.02 68.28

68.53 68.79

69.04

68.30

69.56

69.81

70.07

70.32

70.58

70.83

A(68)

68.24

68.49

68.73 68.98

69.22

69.47 69.71

69.96

70.20

70.14

70.69

71.93

71.18

71.42

71.67

A(69)

69.23

69.47

69.70 69.93

70.17

70.40 70.63

70.87

71.10

71.33

71.57

71.80

72.03

72.27

72.50

A(70)

70.22

70.44

70.67 70.89

71.11

71.33 71.56

71.78

72.00

72.22

72.44

72.67

72.89

73.11

73.33

A(71)

71.21

71.42

71.63 71.84

72.06

72.27 72.48

72.69

72.90

73.11

73.32

73.53

73.74

73.96

74.17

A(72)

72.20

72.40

72.60 72.80

73.00

73.20 73.40

73.60

73.80

74.00

74.20

74.40

74.60

74.80

75.00

A(73)

73.19

73.38

73.57 73.76

73.94

74.13 74.32

74.51

74.70

74.89

75.08

75.27

75.46

75.64

75.83

A(74)

74.18

74.36

74.53 74.71

74.89

75.07 75.24

75.42

75.60

75.78

75.96

76.13

76.31

76.49

76.67

A(75)

75.17

75.33

75.50 75.67

75.83

76.00 76.17

76.33

76.50

76.67

76.83

77.00

77.17

77.33

77.50

A(76)

76.16

76.31

76.47 76.62

76.78

76.93 77.09

77.24

77.40

77.56

77.71

77.87

78.02

78.18

78.33

A(77)

77.14

77.29

77.43 77.58

77.72

77.87 78.01

78.16

78.30

78.44

78.59

78.73

78.88

79.02

79.17

A(78)

78.13

78.27

78.40 78.53

78.67

78.80 78.93

79.07

79.20

79.33

79.47

79.60

79.73

79.87

80.00

A(79)

79.12

79.24

79.37 79.49

79.61

79.73 79.86

79.98

80.10

80.22

80.34

80.47

80.59

80.71

80.83

A(80)

80.11

80.22

80.33 80.44

80.56

80.67 80.78

80.89

81.00

81.11

81.22

81.33

81.44

81.56

81.67

A(81)

81.10

81.20

81.30 81.40

81.50

81.60 81.70

81.80

81.90

82.00

82.10

82.20

82.30

82.40

82.50

A(82)

82.09

82.18

82.27 82.36

82.44

82.53 82.62

82.71

82.80

82.89

82.98

83.07

83.16

83.24

83.33

A(83)

83.08

83.16

83.23 83.31

83.39

83.47 83.54

83.62

83.70

83.78

83.86

83.93

84.01

84.09

84.17

A(84)

84.07

84.13

84.20 84.27

84.33

84.40 84.47

84.53

84.60

84.67

84.73

84.80

84.87

84.93

85.00

A(85)

85.06

85.11

85.17 85.22

85.28

85.33 85.39

85.44

85.50

85.56

85.61

85.67

85.72

85.78

85.83

A(86)

86.04

86.09

86.13 86.18

86.22

86.27 86.31

86.36

86.40

86.44

86.49

86.53

86.58

86.62

86.67

A(87)

87.03

87.07

87.10 87.13

87.17

87.20 87.23

87.27

87.30

87.33

87.37

87.40

87.43

87.47

87.50

A(88)

88.02

88.04

88.07 88.09

88.11

88.13 88.16

88.18

88.20

88.22

88.24

88.27

88.29

88.13

88.33

A(89)

89.01

89.02

89.03 89.04

89.06

89.07 89.08

89.09

89.10

89.11

89.12

89.13

89.14

89.16

89.17

A(90)

90.00

90.00

90.00 90.00

90.00

90.00 90.00

90.00

90.00

90.00

90.00

90.00

90.00

90.00

90.00

160

LA GAZETTE DE L’ETAT

[ PART-I

160

A + B (90 – A)

Ready Reckoner Table for

————

90

B(16)

B(17)

B(18) B(19) B(20)

B(21) B(22) B(23)

B(24)

B(25)

B(26) B(27)

B(28)

B(29)

B(30)

A(1)

16.82

17.81

18.80 19.79

20.78

21.77 22.76

23.74

24.73

25.72

26.71

27.70

28.69

29.68

30.67

A(2)

17.64

18.62

19.60 20.58

21.56

22.53 23.51

24.49

25.47

26.44

27.42

28.40

29.38

30.36

31.33

A(3)

18.47

19.43

20.40 21.37

22.33

23.30 24.27

25.23

26.20

27.17

28.13

29.10

30.07

31.03

32.00

A(4)

19.29

20.24

21.20 22.16

23.11

24.07 25.02

25.98

26.93

27.89

28.84

29.80

30.76

31.71

32.67

A(5)

20.11

21.06

22.00 22.94

23.89

24.07 25.78

26.72

27.67

28.61

29.56

30.50

31.44

32.39

33.33

A(6)

20.93

21.87

22.80 23.73

24.67

24.83 26.53

27.47

28.40

29.33

30.27

31.20

32.13

33.07

34.00

A(7)

21.76

22.68

23.60 24.52

25.60

25.60 27.13

28.04

29.13

30.06

30.98

31.90

32.82

33.74

34.67

A(8)

22.58

23.49

24.40 25.31

26.37

26.37 27.90

28.80

29.87

30.78

31.69

32.60

33.51

34.42

35.33

A(9)

23.40

24.30

25.20 26.10

27.00

27.90 28.80

29.70

30.60

31.50

32.40

33.30

34.20

35.10

36.00

A(10)

24.22

25.11

26.00 26.89

27.78

28.67 29.56

30.44

31.33

32.22

33.11

34.00

34.89

35.78

36.67

A(11)

25.04

25.92

26.80 27.68

28.56

29.56 30.31

31.39

32.07

32.94

33.82

34.70

35.58

36.46

37.33

A(12)

25.87

26.73

27.60 28.47

29.33

30.20 31.07

31.93

32.80

33.67

34.53

35.40

36.27

37.13

38.00

A(13)

26.69

27.54

28.40 29.26

30.11

30.97 31.82

32.68

33.53

34.39

35.24

36.10

36.96

37.81

38.67

A(14)

27.51

28.36

29.20 30.04

30.89

31.73 32.58

33.42

34.27

35.11

35.96

36.80

37.64

38.49

39.33

A(15)

28.33

29.17

30.00 30.83

31.67

32.50 33.33

34.17

35.00

35.83

36.67

37.50

38.33

39.17

40.00

A(16)

29.16

29.98

30.80 31.62

32.44

33.27 34.09

34.91

35.73

36.56

37.38

38.20

39.02

39.84

40.67

A(17)

29.98

30.79

31.60 32.41

32.22

34.03 34.84

35.66

36.47

37.28

38.09

38.90

39.71

40.52

41.33

A(18)

30.80

31.60

32.40 32.20

34.00

34.80 35.60

36.40

37.20

38.00

38.80

39.60

40.40

41.20

42.00

A(19)

31.62

32.41

33.20 33.99

34.78

35.57 36.36

37.14

37.93

38.72

39.51

40.30

41.09

41.88

42.67

A(20)

32.44

33.22

34.00 34.78

35.56

36.33 37.11

37.89

38.67

39.44

40.22

41.00

41.78

42.56

43.33

A(21)

33.27

34.03

34.80 35.57

36.33

37.10 37.87

38.63

39.40

40.17

40.93

41.70

42.47

43.23

44.00

A(22)

34.09

34.84

35.60 36.36

37.11

37.87 38.62

39.38

40.13

40.89

41.64

42.40

43.16

43.91

44.67

A(23)

34.91

35.66

36.40 37.14

37.89

38.63 39.38

40.12

40.87

41.61

42.36

43.10

43.84

44.59

45.33

A(24)

35.73

36.47

37.20 37.93

38.67

39.40 40.13

40.87

41.60

42.33

43.07

43.80

44.53

45.27

46.00

A(25)

36.56

37.28

38.00 38.72

39.44

40.17 40.89

41.61

42.33

43.06

43.78

44.50

45.22

45.94

46.67

A(26)

37.38

38.09

38.80 39.51

40.22

40.93 41.64

42.36

43.07

43.78

44.49

45.20

45.91

46.62

47.33

A(27)

38.20

38.90

39.60 40.30

41.00

41.70 42.40

43.10

43.80

44.50

45.20

45.90

46.60

47.30

48.00

A(28)

39.02

39.71

40.40 41.09

41.78

42.47 43.16

43.84

44.53

45.22

45.91

46.60

47.29

47.98

48.67

A(29)

39.84

40.52

41.20 41.88

42.56

43.23 43.91

44.59

45.27

45.94

46.62

47.30

47.98

48.66

49.33

A(30)

40.67

41.33

42.00 42.67

43.33

44.00 44.67

45.33

46.00

46.67

47.33

48.00

48.67

49.33

50.00

A(31)

41.49

42.14

42.80 43.46

44.11

44.77 45.42

46.08

46.73

47.39

48.04

48.70

49.36

50.01

50.67

A(32)

42.31

42.96

43.60 44.24

44.89

45.23 46.18

46.82

47.47

48.11

48.76

49.40

50.04

50.69

51.33

A(33)

43.13

43.77

44.40 45.03

45.67

46.30 46.93

47.57

48.20

48.83

49.47

50.10

50.73

51.37

52.00

A(34)

43.96

44.58

45.20 45.82

46.44

47.07 47.69

48.31

48.93

49.56

50.18

50.80

51.42

52.04

52.67

A(35)

44.78

45.39

46.00 46.61

47.22

47.83 48.44

49.06

49.67

50.28

50.89

51.50

52.11

52.72

53.33

A(36)

45.60

46.20

46.80 47.40

48.00

48.60 49.20

49.80

50.40

51.00

51.60

52.20

52.80

53.40

54.00

A(37)

46.42

47.01

47.60 48.19

48.78

49.37 49.96

50.54

51.13

51.72

52.31

52.90

53.40

54.08

54.67

A(38)

47.24

47.82

48.40 48.98

49.56

50.13 50.71

51.29

51.87

52.44

53.02

53.60

54.18

54.76

55.33

A(39)

48.07

48.63

49.20 49.77

50.33

50.90 51.47

52.03

52.60

53.17

53.73

54.30

54.87

55.43

56.00

A(40)

48.89

49.44

50.00 50.56

51.11

51.67 52.22

52.78

53.33

53.89

54.44

55.00

55.56

56.11

56.67

A(41)

49.71

50.26

50.80 51.34

51.89

52.43 52.98

53.52

54.07

54.61

55.16

55.70

56.24

56.79

57.33

A(42)

50.53

51.07

51.60 52.13

52.67

53.20 53.73

54.27

54.80

55.33

55.87

56.40

56.93

57.47

58.00

A(43)

51.36

51.88

52.40 52.92

53.44

23.97 54.49

55.01

55.53

56.06

56.58

57.10

57.62

58.14

58.67

A(44)

52.18

52.69

53.20 53.71

54.22

54.73 55.24

55.76

56.27

56.78

57.29

57.80

58.31

58.82

59.33

A(45)

53.00

53.50

54.00 54.50

55.00

55.50 56.00

56.50

57.00

57.50

58.00

58.50

59.00

59.50

60.00