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Supreme Court of India

KABIR PAHARIAversusNATIONAL MEDICAL COMMISSION AND OTHERS

Citation
2025 INSC 623
Decided
2 May 2025
Disposal
Appeal(s) allowed

Holding

The Supreme Court held that denying admission to the appellant, a SC‑PwBD candidate, was grossly illegal, arbitrary and violative of Articles 14 and 16, and ordered his allocation of a seat and revision of NMC guidelines.

Summary

The appellant, a Scheduled Caste candidate with benchmark disabilities, secured a high rank in the NEET‑UG 2024 examination and applied for admission to the MBBS UG course at AIIMS, New Delhi under the SC‑PwBD quota. The Vardhman Mahavir Medical College’s disability certification board deemed him ineligible under NMC norms, a decision upheld by the Delhi High Court despite a fresh medical board assessment. The appellant challenged the denial, arguing that it violated Articles 14, 16 and 21 of the Constitution and the Rights of Persons with Disabilities Act, 2016, which require reasonable accommodation. The Supreme Court, relying on its earlier judgments in Om Rathod and Anmol, held that the denial was arbitrary, illegal and contrary to the principle of substantive equality. It directed the National Medical Commission to revise its guidelines and ordered that the appellant be allocated a seat in the 2025‑2026 MBBS session under the SC‑PwBD quota. Consequently, the High Court’s order was set aside and the appeal was allowed.

Issues considered

  • Whether the denial of admission to a SC‑PwBD candidate in the MBBS UG course violates Articles 14, 16 and 21 of the Constitution of India.
  • Whether the medical board’s assessment under existing NMC guidelines, without considering reasonable accommodation, is arbitrary and illegal.
  • Whether the Rights of Persons with Disabilities Act, 2016 mandates the provision of reasonable accommodation in professional education for PwBD candidates.
  • Whether the Delhi High Court’s order upholding the denial should be set aside.

Legislation cited

Headnote

Issue for Consideration Whether the denial of admission to the appellant in the MBBS UG course under Scheduled Castes PwBD quota was grossly illegal, arbitrary and violative of the appellant’s fundamental rights as guaranteed u/Arts.14 and 16 of the Constitution of India. Headnotes† course – Person with benchmark disabilities – The appellant being a person with benchmark disabilities (PwBD) belongs to the reserved category of Scheduled Caste was denied admission to the MBBS UG course despite standing high in merit in his category owing to his disability –

Subjects

EducationAdmissionMBBS UG coursePerson with benchmark disabilitiesFundamental RightsArticle 14 of ConstitutionArticle 16 of ConstitutionArticle 21 of ConstitutionEqualityReasonable accommodationExclusionary practicesStereotypical assumptions

Judgment

                 [2025] 5 S.C.R. 653 : 2025 INSC 623

                         Kabir Paharia
                               v.
            National Medical Commission and Others
                      (Civil Appeal No. 5836 of 2025)
                                02 May 2025
              [Vikram Nath and Sandeep Mehta,* JJ.]


                           Issue for Consideration
       Whether the denial of admission to the appellant in the MBBS UG
       course under Scheduled Castes PwBD quota was grossly illegal,
       arbitrary and violative of the appellant’s fundamental rights as
       guaranteed u/Arts.14 and 16 of the Constitution of India.

                                 Headnotes†
       Education – Admission – MBBS UG course – Person with
       benchmark disabilities – The appellant being a person with
       benchmark disabilities (PwBD) belongs to the reserved
       category of Scheduled Caste was denied admission to the
       MBBS UG course despite standing high in merit in his category
       owing to his disability – Writ Petition – The High Court relying
       on the report submitted by the Medical Board concluded that
       the appellant was ineligible to pursue the medical courses –
       Correctness:
       Held: This Court directed to constitute a fresh Medical Board –
       Appellant was subjected to extensive review assessment by the
       Medical Board – The report of the Board makes it amply clear that
       the appellant successfully demonstrated skilled techniques in the
       simulation laboratory including chest compressions, intravenous
       cannulation, assembly of a laryngoscope, intubation and suturing –
       The Medical Board, in its report, observed that the appellant
       demonstrated the functional adaptation using his existing digits
       during these tasks – The only minor challenge, which the appellant
       faced during the entire procedure, was putting on the sterilized
       standard gloves – This trivial aberration cannot be a ground to
       deny admission to the appellant in the MBBS UG course – The
       denial of admission to the appellant in the MBBS UG course was


* Author
654                                                               [2025] 5 S.C.R.

                            Supreme Court Reports


       grossly illegal, arbitrary and violative of the appellant’s fundamental
       rights as guaranteed u/Arts.14 and 16 of the Constitution of India –
       The constitutional mandate of substantive equality demands that
       person with disabilities (PwD) and PwBD be afforded reasonable
       accommodations rather than subjected to exclusionary practices
       based on unfounded presumptions about their capabilities – Thus,
       the appellant to be allocated a seat in the MBBS UG course 2025
       against the Scheduled Castes PwBD quota in the AIIMS, New
       Delhi – The impugned order of the High Court is set aside – Rights
       of Persons with Disabilities Act, 2016 – Constitution of India –
       Arts.14 and 16. [Paras 6, 7, 9, 12, 17]

       Education – Admission – MBBS UG course – Person with
       benchmark disabilities – Process of revising guidelines –
       Directions issued:
       Held: National Medical Commission directed to forthwith and not
       later than within a period of two months and at any cost before
       the counselling for the 2025-2026 session commence, complete
       the process of revising the guidelines in light of judgments of this
       Court in Om Rathod v. Director General of Health Sciences and
       Anmol v. Union of India & Ors. [Para 14]

       Constitution of India – Arts.14 and 16 – Person with disabilities
       and Person with benchmark disabilities – Meaningful
       participation – Reasonable accommodation is not a matter
       of charity but a fundamental right:
       Held: The constitutional promise of equality is not merely formal
       but substantive, requiring the State to take affirmative measures
       to ensure that PwD and PwBD can meaningfully participate in
       all spheres of life, including professional education – This Court
       emphasizes that reasonable accommodation is not a matter of
       charity but a fundamental right flowing from Arts.14, 16, and 21
       of Constitution – When administrative authorities create arbitrary
       barriers that exclude qualified PwBD candidates, they not only
       violate statutory provisions but also perpetuate the historical
       injustice and stigmatisation – The fundamental rights and the dignity
       of PwD and PwBD candidates must be protected by ensuring that
       assessment of their capabilities is individualised, evidence-based,
       and free from stereotypical assumptions that have no scientific
       foundation. [Para 15]
[2025] 5 S.C.R.                                                             655

       Kabir Paharia v. National Medical Commission and Others


                              Case Law Cited
     Om Rathod v. Director General of Health Sciences [2024] 10 SCR
     2187 : 2024 SCC OnLine SC 4283; Anmol v. Union of India &
     Ors., 2025 SCC OnLine SC 387 – referred to.

                                List of Acts
     Rights of Persons with Disabilities Act, 2016; Constitution of India.

                             List of Keywords
     Education; Admission; MBBS UG course; Person with benchmark
     disabilities; Fundamental Rights; Article 14 of Constitution; Article
     16 of Constitution; Article 21 of Constitution; Equality; Reasonable
     accommodation; Exclusionary practices; Stereotypical assumptions.

                            Case Arising From
     CIVIL APPELLATE JURISDICTION: Civil Appeal No. 5836 of 2025
     From the Judgment and Order dated 12.11.2024 of the High Court
     of Delhi at New Delhi in LPA No. 967 of 2024

                         Appearances for Parties
     Advs. for the Appellant:
     Gaurav Agarwal, Sr. Adv., Talha Abdul Rahman, Rahul Bajaj, Taha
     Bin Tasneem, Amar Jain, M Shaz Khan.
     Advs. for the Respondents:
     Ms. Archana Pathak Dave, A.S.G., Piyush Beriwal, Sudarshan
     Lamba, Praneet Pranav, Aaditya Dixit, Aditya Manubarwala, Prateek
     Bhatia, Dhawal Mohan, Paranjay Tripathi, Rajesh Raj.

                 Judgment / Order of the Supreme Court

                                    Order

     Mehta, J.

1.   Heard.
2.   Leave granted.
3.   The appellant being a person with benchmark disabilities (for short
     ‘PwBD’) belongs to the reserved category of Scheduled Caste and
656                                                               [2025] 5 S.C.R.

                                    Supreme Court Reports


       aspires for admission to the MBBS UG (Bachelor of Medicine and
       Bachelor of Surgery) course. Having been denied admission to the
       MBBS course, despite standing high in merit in his category i.e.,
       Scheduled Castes-PwBD quota, the appellant approached the High
       Court of Delhi at New Delhi1 by filing a Writ Petition (C) No. 12165
       of 2024, which came to be rejected vide order dated 10th September,
       2024. The Letters Patent Appeal No. 967 of 2024, preferred by the
       appellant, also stands rejected by the Division Bench of the High
       Court vide order dated 12th November, 2024, which is assailed in
       this appeal by special leave.
4.     The facts in brief, essential for disposal of the present matter, can
       be gathered from the detailed order dated 2nd April, 2025 passed by
       this Court, which is reproduced hereinbelow: -
               “2. The petitioner passed Secondary School Examination/
               Class X th in 2022 with 91.5% marks and class XII th
               exams with 90% marks. He appeared for the National
               Eligibility-cum-Entrance Test (for short “NEET”) UG 2024
               Examinations in the category of SC/PwBD candidate.
               The deformities suffered by the petitioner in his body are
               as below:-
                       “congenital absence of multiple fingers in both hands
                       as well as involvement of left foot (2nd and 3rd toe),
                       the extent whereof has been assessed at 42%.”
               3. Despite the structural disadvantages referred to
               above, the petitioner performed exceedingly well in the
               examination scoring 542 marks and secured a category
               rank of 176. It may be stated that the cut-off marks for
               these subcategories were 143-127. Having made the
               cut-off for the SC/PwBD category with flying colours,
               the petitioner staked his rightful claim for the next stage
               which requires the issuance of a Certificate of Disability
               for NEET Admissions (“NEET Disability Certificate”) by a
               designated ‘Disability Certification Centre’. Accordingly,
               the petitioner approached the Vardhman Mahavir Medical



1    Hereinafter referred to as ‘High Court.’
[2025] 5 S.C.R.                                                            657

       Kabir Paharia v. National Medical Commission and Others


           College-Safdarjung Hospital, New Delhi (for short “VMMC-
           SJ Hospital”) for medical assessment. Even though, the
           VMMC-SJ Hospital assessed the petitioner’s disability at
           68%, it concluded that under the NMC/MCI guidelines,
           the petitioner was not entitled to pursue the medical
           courses. The conclusions drawn by the certifying body
           in the certificate dated 19th August, 2024, are reproduced
           below for ready reference:-
                “Conclusion: Based on quantification of disability
                The candidate is not eligible to pursue medical
                courses (as per NMC norms).
                Remark: BILATERAL UPEER (sic) LIMB
                INVOLVEMENT
                The Disability Certification Board certifies that
                the candidate is not eligible for admission in
                Medical/Dental courses and to avail 5% PwD
                reservation as per the NMC/MCI Gazette
                Notification.”
           4. Aggrieved by his disqualification from admission in the
           MBBS course on the ground of benchmark disabilities,
           despite standing high in merit, the petitioner approached
           the High Court of Delhi by filing Writ Petition (Civil) No.
           12165 of 2024.
           5. The learned Single Bench of the High Court directed
           the All-India Institute of Medical Sciences, New Delhi
           to constitute a Board of three experts to reassess the
           petitioner’s disabilities and to give an opinion as to whether
           the petitioner would be able to pursue medical courses
           and perform as a Doctor. In compliance, the petitioner
           was subjected to reassessment by the Medical Board
           constituted at AIIMS, New Delhi and the report was
           submitted to the learned Single Judge, who upon perusal
           thereof, concluded that the petitioner was ineligible to
           pursue medical courses. Accordingly, the writ petition was
           dismissed vide order dated 10th September, 2024.
           6. The petitioner assailed the decision of the learned Single
           Judge by filing Letters Patent Appeal No. 967 of 2024.
658                                                     [2025] 5 S.C.R.

                     Supreme Court Reports


       The Division Bench of the High Court of Delhi passed
       an order dated 27th September, 2024, and directed a
       fresh evaluation of the petitioner’s disabilities by a newly
       constituted medical Board. The three-member medical
       Board constituted at the AIIMS reiterated the conclusions
       of the earlier Medical Board and again declared the
       petitioner ineligible to pursue the medical courses as per
       the prevailing NMC norms. Upon receiving the report,
       the learned Division Bench of the Delhi High Court vide
       impugned judgment dated 12th November, 2024, endorsed
       the view of the board and dismissed the Letters Patent
       Appeal preferred by the petitioner. The said judgment is
       subject matter of challenge in this petition.
       7. Mr. Rahul Bajaj, learned counsel representing the
       petitioner, contended that the impugned judgment and
       the decisions of both the medical Boards are inherently
       flawed inasmuch as neither the medical authorities nor
       the High Court duly adverted to the crucial concepts of
       assistive devices and reasonable accommodation to which
       the petitioner is entitled, under the Rights of Persons with
       Disabilities Act, 2016 (for short ‘Act of 2016’). The vital
       factors, i.e., the academic excellence of the petitioner, his
       performance in the NEET examination, the high placement
       in merit, were totally glossed over while denying relief to
       the petitioner. Shri Bajaj relied upon the judgments of
       this Court in Om Rathod v. Director General of Health
       Sciences, 2024 SCC OnLine SC 4283 and Anmol v.
       Union of India & Ors. 2025 SCC OnLine SC 387, to
       urge that the salutary principles provided under Article
       41 of the Constitution of India read with the Act of 2016
       clearly entitle the petitioner to seek medical education as
       both these judgments expressly recognize the concepts
       of assistive devices and reasonable accommodation. By
       availing these moderations as provided under the decisions
       of this Court, the petitioner would be well equipped to
       perform his duties as a Doctor.
       8. Learned counsel submitted that in the case of
       Om Rathod (supra), despite the fact that the candidate
       was not having both hands, he was held entitled to undergo
[2025] 5 S.C.R.                                                         659

       Kabir Paharia v. National Medical Commission and Others


           the MBBS course pursuant to an assessment made by
           Dr. Satendra Singh, a specialist in the field.
           9. Learned counsel submitted that Dr. Satendra Singh, while
           undertaking the functional assessment of the candidate
           Shri Om Rathod posed four questions for assessing his
           ability to undergo MBBS course and concluded that all the
           questions had to be answered in negative. The relevant
           excerpt from Om Rathod’s judgment is quoted below: -
                “11. Dr Satendra Singh submitted his report
                on 20 October 2024. This Court duly furnished
                the report to the second respondent, National
                Medical Council, on 21 October 2024 to enable
                them to formulate their response. The report
                by Dr Satendra Singh outlined the functional
                disability of the appellant to be an inability to
                stand independently which may prove limiting in
                clinical rotations in surgical settings. The report
                suggested solutions to enable the appellant in
                such cases. The report further suggested clinical
                accommodations for the appellant to reduce
                the barriers he may encounter. The report
                determined the accommodations necessary for
                the appellant to be reasonable and in compliance
                with existing norms. The report formulated four
                questions and answered them as follows:
                “a) Would the proposed accommodation result
                in a failure to meet the NMC CBME’s inherent
                requirements? Not in my opinion
                b) Would the accommodation legitimately
                jeopardize patient safety? Not in my opinion
                c) Would the proposed accommodation result
                in the improper waiver of a core requirement of
                the CBME? Not in my opinion
                d) Would the proposed accommodation pose an
                undue hardship on the medical college (budgets
                wise)? Not in my opinion”
660                                                    [2025] 5 S.C.R.

                     Supreme Court Reports


       10. In his report, Dr. Satendra Singh quoted that the father
       of Neurosurgery Harvey Cushing emphasized way back
       in 1912 that motor skills are often the least important part
       of the work.
       11. Learned counsel submitted that the petitioner in the
       case of Anmol (supra) was suffering from locomotor
       disability assessed at 50% with club foot right lower limb
       and Phocomelia (a congenital defect which causes severe
       limb shortening or loss of long bones), in left middle ring
       finger through middle phalanx with right middle index finger
       through middle phalanx. The candidate also suffered from
       speech and language disability assessed at 20%.
       12. Mr. Bajaj contended that the petitioner herein is
       having much better physical/locomotor attributes and is
       well equipped as compared to the two candidates in the
       cases of Anmol (supra) and Om Rathod (supra). He also
       scored much higher marks than these candidates in NEET
       (UG) examination 2024-2025. Anmol had obtained rank
       2462 in the PwD category, whereas the petitioner herein
       secured 176 rank and thus, he is much better placed than
       the candidates in the above-referred cases.
       13. He submitted that the assessment made by the medical
       Board of the petitioner’s capability to take the medical
       degree course and his disqualification on the anvil of NMC
       norms is illegal and unsustainable in view of the law laid
       down by this Court in the judgments referred to supra.
       14. He, therefore, urged that a direction deserves to be
       issued to have a reassessment done of the petitioner
       through Dr. Satyendra Singh on the ratio of the above
       referred judgments and to mandate the respondents to
       grant admission and accommodate the petitioner in the
       MBBS (UG) Course 2024-2025.
       15. Relying upon the order dated 17th April, 2023, passed
       in the case of Vibhushita Sharma v. Union of India, Writ
       Petition (Civil) No.793 of 2022, learned counsel submitted
       that in case, this Court is not inclined to grant admission
       to the petitioner in the 2024-2025 MBBS Degree course, a
[2025] 5 S.C.R.                                                            661

       Kabir Paharia v. National Medical Commission and Others


           suitable direction deserves to be issued to the respondents
           to admit the petitioner in the academic session 2025-2026
           treating him to be NEET (UG) qualified.
           16. Per contra, learned counsel representing the Union
           of India and National Medical Commission urged that the
           Commission is under the process of revising its guidelines
           in compliance with the judgments in the cases of Om
           Rathod (supra) and Anmol (supra). Three meetings have
           already taken place, and the process is expected to be
           finalised before counselling for the next academic session
           commences. They thus, urged that the petitioner will not
           be prejudiced, if the consideration of this matter is deferred
           till the new guidelines are put in place.
           17. We have given our thoughtful consideration to the
           submissions advanced at bar and have gone through the
           material placed on record.
           18. Prima facie, we find substance in the submission of
           the learned counsel representing the respondents that the
           process for revising the guidelines in terms of this Court’s
           decisions (supra) is underway and a final outcome is
           expected before the counselling session for MBBS (UG)
           2025-2026 commences. However, we are not inclined to
           defer the proceedings at this stage.
           19. Denying relief to the petitioner on this premise would
           be totally unjustified in view of the ratio of this Court’s
           judgments in Om Rathod (supra) and Anmol (supra).
           Merely because the NMC is under the process of revising
           the guidelines, the petitioner’s fate cannot be allowed to
           hang in a limbo in spite of the fact that he has performed
           exceedingly well in the NEET (UG) 2024 examination and
           stood high in the merit in his category.
           20. In view of the above, we hereby direct that a fresh
           Medical Board shall be constituted at the All-India Institute
           of Medical Sciences, New Delhi comprising of five Doctors/
           specialists. One of the Board members shall be a specialist
           in locomotor disabilities and one member shall be a Neuro-
           Physician.
662                                                              [2025] 5 S.C.R.

                           Supreme Court Reports


            21. The petitioner shall be intimated a suitable date for
            assessment by the Board within the next seven days.
            He shall appear before the Board on the appointed date
            whereupon the Board shall undertake a fresh assessment
            of the petitioner’s disabilities with due deference to the
            ratio of this Court’s judgments in Om Rathod (supra) and
            Anmol (supra). The Board’s report shall be forwarded to
            this Court in a sealed cover on or before 15th April, 2025.”
5.     Pursuant to the aforesaid direction, the appellant was subjected to
       extensive review assessment by a Medical Board constituted at the
       All-India Institute of Medical Sciences, New Delhi (for short ‘AIIMS,
       New Delhi’). The report dated 24th April, 2025 has been forwarded
       by the Medical Board, which is reproduced hereinbelow for the sake
       of convenience: -
            “Subject: Report of the medical board constituted at AIIMS
            for medical examination of petitioner Sh. Kabir Paharia in
            compliance of order dated 02.04.2025, Hon’ble Supreme
            Court of India, New Delhi (Section-XIV)vide Special Leave
            Petition (Civil) No. 29275 of 2024 titled Kabir Paharia
            Versus National Medical Commission & Others.
                             *****************************
            With reference to the aforementioned subject, the Medical
            Superintendent, AIIMS, New Delhi constituted a Medical
            Board consisting of the following members:-

             1. Dr. S.L. Yadav                               -   Chairperson
             Professor, Deptt. of P.M.R
             2. Dr. Suman Jain                               -     Member
             Professor, Deptt. of Physiology
             3. Dr. Divya M.R.                               -     Member
             Assoc. Professor, Deptt. of Neurology
             4. Dr. Arun Kumar Choudhary                     -     Member
             Asstt. Professor, Deptt. of PMR
             5. Dr. Sahil Batra                              -     Member
             Asstt. Professor, Deptt. of Orthopaedics
             6. Dr. Veeranna B.                              -   Member Secy.
             Department of Hospital Administration
[2025] 5 S.C.R.                                                            663

       Kabir Paharia v. National Medical Commission and Others


           The meeting of the Medical Board was held on 16.04.2024
           (Wednesday) at 11:00 A.M. in the Seminar Room, Room
           No. 01, Ground floor, PMR OPD, Department of PMR,
           AIIMS, New Delhi. The available reports, earlier disability
           certificates and medical documents were reviewed. The
           petitioner Sh. Kabir Paharia was present and was examined
           by the members of the Medical Board. The second board
           meeting was held on 22nd April 2025 at 11:00 AM in the
           SET facility convergence block, AIIMS, New Delhi.
           Mr. Kabir Paharia underwent a comprehensive neurological
           examination as part of the Medical Board assessment. It
           was observed that Mr. Kabir has a significant absence of
           multiple digits in both hands (specifically, the index and
           middle fingers on the right hand, and the index, middle,
           and ring fingers on the left hand) as well as in the left foot
           (notably, the second and third toes), which is attributed to a
           birth complication as documented in the available medical
           records. His condition is deemed non-progressive, and
           the locomotor disability is classified as permanent. The
           neurological examination showed normal strength in the
           existing limbs and digits, with intact sensations and good
           coordination of the existing limbs and digits.
           He was asked to demonstrate various skilled techniques
           in the simulation laboratory, including chest compressions,
           intravenous cannulation, assembly of a laryngoscope,
           intubation, and suturing, all of which he executed
           satisfactorily. He demonstrated functional adaptation using
           his existing digits during these tasks. However, the board
           observed that he faced minor challenges while attempting
           to put on the sterilized standard gloves. He had slight
           coordination problems and delays caused by the lack of
           fingers and empty finger slots in the gloves. An evaluation
           by an occupational therapist validated his independence
           in activities of daily living (ADLs).”
6.   A careful perusal of the above report makes it amply clear that
     the appellant successfully demonstrated skilled techniques in the
     simulation laboratory including chest compressions, intravenous
     cannulation, assembly of a laryngoscope, intubation and suturing. The
664                                                          [2025] 5 S.C.R.

                          Supreme Court Reports


       Medical Board, in its report, observed that the appellant demonstrated
       the functional adaptation using his existing digits during these tasks.
       The only minor challenge, which the appellant faced during the entire
       procedure, was putting on the sterilized standard gloves.
7.     We feel that the mindset must change and this trivial aberration, by
       no stretch of imagination, can be a ground to deny admission to the
       appellant in the MBBS UG course, when he is otherwise qualified
       and scored exceeding high rank in the NEET-UG 2024.
8.     As per the result of NEET-UG 2024, the appellant secured an All-India
       Rank of 147946. His Scheduled Caste category rank was 7252, and
       his PwBD category rank was 176. The appellant has also submitted
       details of the provisional NEET-UG 2024 counselling seat allotment
       (Round 1), according to which a candidate with Roll No. 14491, who
       ranked 159816, was allocated a seat at AIIMS, New Delhi under the
       Scheduled Castes PwBD category. Apparently thus, a candidate who
       stood much below the appellant in merit has been admitted against
       the reserved seat at the AIIMS, New Delhi to which the appellant
       had a valid claim.
9.     Manifestly, in view of the observations made by us in the order
       dated 2nd April, 2025 and the consequent successful assessment of
       the appellant by the Medical Board, AIIMS, New Delhi vide report
       dated 24th April, 2025, the denial of admission to the appellant in
       the MBBS UG course was grossly illegal, arbitrary and violative of
       the appellant’s fundamental rights as guaranteed under Articles 14
       and 16 of the Constitution of India. Such action not only reflects
       institutional bias and systemic discrimination but also undermines the
       principles of equal opportunity and non-discrimination enshrined in our
       constitutional framework. The constitutional mandate of substantive
       equality demands that person with disabilities (for short ‘PwD’) and
       PwBD be afforded reasonable accommodations rather than subjected
       to exclusionary practices based on unfounded presumptions about
       their capabilities.
10. On the previous date of hearing, we had sought a response from
    the learned counsel representing the respondents regarding the
    appellant’s submission that the candidate who secured a rank lower
    than the appellant had been granted admission against the Scheduled
    Castes PwBD quota in the MBBS UG course at AIIMS, New Delhi,
    for the academic year 2024–2025.
[2025] 5 S.C.R.                                                        665

       Kabir Paharia v. National Medical Commission and Others


11. Today, during the course of hearing, Ms. Archana Pathak Dave,
    learned ASG, on instructions, fairly affirms this assertion of the
    appellant. She further states that as the appellant has been
    successfully assessed by the Medical Board constituted at AIIMS,
    New Delhi, he can be afforded admission in MBBS UG course against
    the Scheduled Castes PwBD quota in the AIIMS, New Delhi in the
    forthcoming counselling session of 2025-2026.
12. Taking consideration of the fact that the 2024-2025 academic
    session must have progressed significantly and thus it would not be
    expedient to grant admission to the appellant in the said session.
    We accordingly direct that the appellant shall be allocated a seat in
    the MBBS UG course 2025 against the Scheduled Castes PwBD
    quota in the All-India Institute of Medical Science, New Delhi, in the
    forthcoming academic session.
13. In backdrop of the factual matrix narrated supra and the comparative
    higher merit secured by the appellant in the NEET-UG 2024
    examination, we make it clear that the appellant shall not be required
    to undergo the NEET-UG 2025 examination.
14. We further direct that the National Medical Commission shall forthwith
    and not later than within a period of two months from today and at
    any cost before the counselling for the 2025-2026 session commence,
    complete the process of revising the guidelines in light of judgments
    of this Court in Om Rathod v. Director General of Health Sciences2
    and Anmol v. Union of India & Ors.3 so that no deserving candidate
    in the PwBD category is denied admission into the MBBS course in
    spite of his/her/their entitlement. It must be ensured that systemic
    discrimination against persons with benchmark disabilities, whether
    direct or indirect, is eliminated and that the admission process upholds
    their right to equal opportunity and dignity.
15. The constitutional promise of equality is not merely formal but
    substantive, requiring the State to take affirmative measures to ensure
    that PwD and PwBD can meaningfully participate in all spheres of
    life, including professional education. We emphasize that reasonable
    accommodation is not a matter of charity but a fundamental right
    flowing from Articles 14, 16, and 21 of our Constitution. When


2   2024 SCC OnLine SC 4283.
3   2025 SCC OnLine SC 387.
666                                                        [2025] 5 S.C.R.

                              Supreme Court Reports


       administrative authorities create arbitrary barriers that exclude
       qualified PwBD candidates, they not only violate statutory provisions
       but also perpetuate the historical injustice and stigmatisation. The
       fundamental rights and the dignity of PwD and PwBD candidates
       must be protected by ensuring that assessment of their capabilities
       is individualised, evidence-based, and free from stereotypical
       assumptions that have no scientific foundation.
16. Before parting, we express our wholehearted appreciation for
    Mr. Rahul Bajaj and Mr. Amar Jain, learned counsel, both persons
    with benchmark disability (zero vision), for the excellent assistance
    provided by them during the course of hearing of the present matter.
    We also express our sincere appreciation to Mr. Gaurav Agarwal,
    learned senior counsel, for his pro bono services and Ms. Archana
    Pathak Dave, learned ASG, for her pragmatic approach in the matter.
17. The impugned order dated 12th November, 2024, passed by the High
    Court of Delhi in Letters Patent Appeal No. 967 of 2024 is set aside.
18. Consequently, the present appeal is allowed in these terms. No
    order as to costs.
19. Pending application(s), if any, shall stand disposed of.

       Result of the case: Appeal allowed.




       †
           Headnotes prepared by: Ankit Gyan


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KABIR PAHARIA versus NATIONAL MEDICAL COMMISSION AND OTHERS — 2025 INSC 623 - Legal Desk AI