What is the period of validity of an ENG 1 Medical Fitness Certificate?

If the seafarer is over 18, two years, and if under 18, one year. If the seafarer’s health demands it, an approved doctor may issue a certificate for less than two years.

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Can an approved doctor restrict a Medical Fitness Certificate for service in a certain capacity or a certain area?

How does a seafarer obtain an ENG 1 Medical Fitness Certificate?