Section 181(9) in The Naval Ceremonial, Conditions Of Service And Miscellaneous Regulations, 1964
(9)Before a candidate for Branch Rank is discharged to undergo qualifying courses for promotion to Branch Rank, he shall be medically examined in the ship or establishment in which he is serving, and a certificate that he is in all respects physically fit shall be forwarded to the Captain of the establishment in which the courses are to be held. All candidates shall be medically examined before promotion to Branch Rank and such promotions will be dependent on medical fitness.