Smart Employee Eyecare (en-GB)

Smart Employee Eyecare are delighted to be working with the Ministry of Defence (MoD) to provide pre-entry eye examination reports for all candidates. The candidates will begin being issued with SEE vouchers from 1st April 2023 and these vouchers will entitle the holder to a sight test and completed report which will determine their results.

Following the eye test, please ensure that the results report is completed in full to indicate all aspects of candidates visual acuity.

Please see the form below to allow the voucher to be submitted online. Alternatively, this can be sent back to SEE via email (vouchers@smartemployee-eyecare.com).

Opticians Name

Practice Name

Candidate Name

Voucher Number

Optician's Address

Optician's Post Code

Distance Unaided Right Eye

(pse annotate worse/better than/equal to)

Distance Unaided Left Eye

(pse annotate worse/better than/equal to)

Distance Aided Right Eye

(pse annotate worse/better than/equal to)

Distance Aided Left Eye

(pse annotate worse/better than/equal to)

Near Unaided Right Eye

Near Unaided Left Eye

Near Aided Right Eye

Near Aided Left Eye

Sphere Right Eye

Sphere Left Eye

Cylinder Right Eye

Cylinder Left Eye

Axis Right Eye

Axis Left Eye

Additional Comment Right Eye

Additional Comment Left Eye

Please tick the appropriate box statement, confirm in the box below, sign, date, stamp and place in a sealed envelope before handing it back to the individual immediately after the examination:

I confirm that the individual I have examined, with reference to the guidance above DOES meet Visual Standard 1, 2, or 3.

I confirm that the individual I have examined DOES NOT meet the Visual Standards for entry to the Royal Navy and is below VA3.

(U16/U19 in FTE)U16U19

Confirm Visual Standard below (Please tick appropriate box BELOW)VA1VA2VA3Below VA3

SEE Employee Eyecare

MOD Vouchers