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ADVERTISEMENT NO. 01/2016

UNION PUBLIC SERVICE COMMISSIONINVITES ONLINE RECRUITMENT APPLICATIONS (ORA*)

FOR RECRUITMENT BY SELECTION TO THE FOLLOWING POSTS

(* !" #$%&' + !$% http://www.upsconline.nic.in )VACANCY DETAILS

1. (V,-,&-" N . 16010101 0 ) T %& D% - $ (C 3$ D 4 5 3 &D% - , $)7 M%&%$ " 8 A' %-#5 # 9 F, $ W 58, 7 D 3, & 8A' %-#5 # 7 C 3 , % & 9 F, $ W 58, 7 C 3$ D%4%$% & (SC:01 9 UR:02). Outof three posts, one post is reserved for Physically Challenged Persons with disabilityviz. Hearing I pair ent !"eaf #"$ or Partially "eaf #P"$%. &he posts are suitable forPhysically Challenged Persons with disability viz. Hearing I pair ent !"eaf #"$ orPartially "eaf #P"$% &he posts are per anent. P," S-,5 's.(),*++ - ,(++ #P -$ 0's. *,*++ #1rade Pay$ #&.2. 's. 34,*(4/ 5ppro6.$ 0 &5 and H'5 as ad issible.1eneral Central 7ervice, 1roup 5, 81azetted9, on ;inisterial. A' * ; " $.heat/;illet/'ice$ . #iii$ 26pertise in writingtechnical reports of the above crops. #iv$ 5d inistrative e6perience. DUTIES #i$ &oassist Central 1overn ent to plan, coordinate and onitor crops develop entprogra es. #ii$ &o coordinate with 7tates/A&s to i ple ent progra es relating toincrease in production and productivity of crops. #iii$ &o interact national/stateinstitutions in planning the production of seeds and for organizing training courses. H<

ew "elhi #>ill be posted in any of the eight Crops "evelop ent "irectorates in India$.

2. (V,-,&-" N . 16010102 0 ) T+ A' %-#5 # ,5 E&'%& $ %& F, M,- %& "T ,%&%&' ,&> T $ %&' I&$ % # 7 M%&%$ " 8 A' %-#5 # 9 F, $ W 58, 7D 3, & 8 A' %-#5 # 7 C 3 , % & 9 F, $ W 58, (OBC:01 9 UR:01). &heposts are per anent. P," S-,5 's. ,-++ -3,4++ #P B$ 0 's. 3,*++ #1rade Pay$#&.2. 's. -+,33(/ 5ppro6.$ 0 &5 and H'5 as ad issible. 1eneral Central 7ervice,1roup , 81azetted9, on ;inisterial. A' * ?0 " $.

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recognised research institutions or councils or se i 1overn ent or autono ous orstatutory organisations OR &wo years9 e6perience of teaching or as a trainer, includinge6perience in operation or aintenance of tractors and agricultural i ple ents or

achinery, the e6perience sought to be fro Central 1overn ent or state govern entsor union territory ad inistrations or public sector underta?ings or agricultural universities

or recognised research institutions or councils or se i 1overn ent or autono ous orstatutory organisations. DESIRABLE One year practical e6perience of echanisedfar ing practices. DUTIES #i$ 'esponsible for operation/ aintenance/repair/evaluation of 5gricultural/2arth oving e uip entD #ii$ Eerification of agricultural

achinery for C;E' certificationD #iii$ 7upervision/coordination of testing / trainingactivities and assist in International / specialized training coursesD #iv$ Planning /supervision/control of wor?shop. H< ;inistry of 5griculture F elfare, @rishi

hawan, ew "elhi with liability to serve anywhere in India.

?. (V,-,&-" N . 1601010?10 ) T+ M >%-,5 O88%- $/ R $ , - O88%- $ (S%>> ,)7

M%&%$ " 8 A"#$ (OBC:01 9 UR:01). &he posts are suitable for Physically ChallengedPersons with disability viz. Orthopaedically Handicapped/Goco otor "isability/CerebralPalsy with One Geg 5ffected #'ight or Geft$ #OG$ One 5r 5ffected #'ight or Geft$#O5$. &he posts are per anent. P," S-,5 's.(),*++ - ,(++ #P -$ 0 's. ),3++#1rade Pay$ #&.2. 's. 3), +/ 5ppro6.$ 0 P5 0 &5 and H'5 as ad issible. 1eneralCentral 7ervice, 1roup 859 1azetted on ;inisterial A' * ? " $. %-, % &$ %& O88%- 8 C & 55 G & ,5 8 P, & $7D $%'&$ ,&> T ,> M, $7 M%&%$ " 8 C - 9 I&>#$ "7 D 3, & 8I&>#$ %,5 P 5%-" 9 P % & (ST:017 OBC:02 9 UR:01). &he post is suitable forPhysically Challenged Persons with disability viz. OrthopaedicallyHandicapped/Goco otor "isability/Cerebral Palsy with oth Gegs 5ffected but not 5r s

# G$ One Geg 5ffected #'ight or Geft$ #OG$ One 5r 5ffected #'ight or Geft$ #O5$ One Geg and One 5r 5ffected #OG5$ OR lindness or Gow Eision !Partially lind

#P $%OR Hearing I pair ent !Partially "eaf #P"$%. &he posts are te porary but li?elyto be continued. P," S-,5 's.(),*++ - ,(++ #P -$ 0 's. ),3++ #1rade Pay$ #&.2.'s. 3), +/ 5ppro6.$ 0 &5 and H'5 as ad issible. 1eneral Central 7ervice, 1roup 5,81azetted9, on ;inisterial. A' * ? " $.

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years9 e6perience in handling Court cases and other legal atters or atters relating to&rade ;ar?s or 1eographical Indications. DESIRABLE ;aster9s degree in IntellectualProperty fro a recognized Aniversity. DUTIES Ander the superintendence anddirection of the 'egistrar, the 7enior 26a iner to oversee e6a ined applications forregistration of &rade ;ar?s as per the provisions of &rade ;ar?s 5ct, ( and rulesfra ed thereunder. &he 7enior 26a iner is also assigned to hear 7how cause attersand authorized to accept &rade ar? applications for registration. &he 7enior 26a inercan be assigned any other wor? relating to the subJect assigned by the 'egistrar. H<;u bai with 5ll India 7ervice Giability.

. (V,-,&-" N . 1601010 60 ) F # S &% S-% & %8%- O88%- $ G ,> : II(A , & ) %& D% - , G & ,5 8 #- % & (SC:017 OBC:01 9 UR:02). &he posts are suitablefor Physically Challenged Persons with disability viz. OrthopaedicallyHandicapped/Goco otor "isability/Cerebral Palsy with One Geg 5ffected #'ight or Geft$#OG$ OR Hearing I pair ent !Partially "eaf #P"$%. &he posts are te porary but li?ely tobeco e per anent. P," S-,5 's.(),*++ - ,(++ #P -$ 0 's. ),3++ #1rade Pay$#&.2. 's. 3), +/ 5ppro6.$ 0 &5 and H'5 as ad issible. "efence Kuality 5ssurance7ervice 1roup 5, 1azetted, # on ;inisterial.$ A' * ? " $. : II (C %$ ")%& D% - , G & ,5 8 #- % & (OBC:01). &he post is suitable for Physically Challenged Personswith disability viz. Orthopaedically Handicapped/Goco otor "isability/Cerebral Palsy with

One Geg 5ffected #'ight or Geft$ #OG$ OR Hearing I pair ent !Partially "eaf #P"$%. &hepost is te porary but li?ely to beco e per anent. P," S-,5 's.(),*++ - ,(++ #P -$0 's. ),3++ #1rade Pay$ #&.2. 's. 3), +/ 5ppro6.$ 0 &5 and H'5 as ad issible."efence Kuality 5ssurance 7ervice 1roup 5, 1azetted, # on ;inisterial.$ A' * ? " $.

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"evelop ent or Kuality 5ssurance in the Che istry related field. DESIRABLE;ini u si6 onths certificate course in 1er an or

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DESIRABLE ;ini u si6 onths certificate course in 1er an or

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or I unology. DESIRABLE "octorate degree in io che istry fro a recognizedAniversity or e uivalentL. N L2 uivalent ualification to "octorate degree in ioChe istry fro a recognized Aniversity is 8 IG9. DUTIES ;anufacturing, &esting andKuality Control of I unobiologicals. H< @asauli, "istrict 7olan #Hi achal Pradesh$.

11 (V,-,&-" N . 16010111;0 ) S%@ 3 $ $ %& S &% G ,> 8 I&>%,& I&8 , % &S 4%- 7 M%&%$ " 8 I&8 , % & 9 B ,>-,$ %&' (OBC:0? 9 UR:0?). &he posts aresuitable for Physically Challenged Persons with disability viz. OrthopaedicallyHandicapped/Goco otor "isability/Cerebral Palsy with oth Gegs 5ffected but not 5r s# G$ oth 5r s 5ffected # 5$ One Geg 5ffected #'ight or Geft$ #OG$ One 5r

5ffected #'ight or Geft$ #O5$ 7tiff ac? and Hips #cannot 7it 7toop$ # H$ othGegs and oth 5r s 5ffected # G5$ ;uscular >ea?ness and Gi ited Physical2ndurance #;>$ One Geg and One 5r 5ffected #OG5$ OR lindness or Gow Eision! lind # $ or Partially lind #P $% OR Hearing I pair ent !"eaf #"$ or Partially "eaf#P"$%. &he posts are per anent. P," S-,5 's. ,-++ -3,4++ #P B$ 0 's. 3,*++#1rade Pay$ #&.2. 's. -+,33(/ 5ppro6.$ 0 &5 and H'5 as ad issible. Indian Infor ation7ervice, 1roup , 81azetted9. A' * ?0 " $. T ,%&%&') %& O88%- 8 D 4 5 3 & C %$$% & 7M%&%$ " 8 M%- 7 S ,55 ,&> M >%# E& 3 %$ $7 (MSME:DO) (UR:02). &he postsare suitable for Physically Challenged Persons with disability viz. OrthopaedicallyHandicapped/Goco otor "isability/Cerebral Palsy with One 5r 5ffected #'ight or Geft$#O5$. &he posts are per anent. P," S-,5 's. ,-++ -3,4++ #P B$ 0 's. 3,*++ #1radePay$ #&.2. 's. -+,33(/ 5ppro6.$ 0 &5 and H'5 as ad issible. 1eneral Central 7ervice,

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1roup , 81azetted9, on ;inisterial. A' * ?0 " $. : II (L , ,&>F + , ) %& O88%- 8 D 4 5 3 & C %$$% & 7 M%&%$ " 8 M%- 7S ,55 ,&> M >%# E& 3 %$ $7 (MSME:DO) (UR:01). &he post is suitable forPhysically Challenged Persons with disability viz. OrthopaedicallyHandicapped/Goco otor "isability/Cerebral Palsy with One 5r 5ffected #'ight or Geft$#O5$. &he post is per anent. P," S-,5 's. ,-++ -3,4++ #P B$ 0 's. 3,*++ #1radePay$ #&.2. 's. -+,33(/ 5ppro6.$ 0 &5 and H'5 as ad issible. 1eneral Central 7ervice,1roup , 81azetted9, on ;inisterial. A' * ?0 " $.

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1;. (V,-,&-" N . 1601011;;0 ) O& D 3# " D% - (ER) %& O88%- 8 U&% & P#!5%- S 4%- C %$$% & (UR: 01). &he post is suitable for PhysicallyChallenged Persons with disability viz. Orthopaedically Handicapped/Goco otor"isability/Cerebral Palsy with oth Gegs 5ffected but not 5r s # G$ One Geg

5ffected #'ight or Geft$ #OG$ One 5r 5ffected #'ight or Geft$ #O5$ One Geg andOne 5r 5ffected #OG5$ OR lindness or Gow Eision ! Partially lind #P $% OR HearingI pair ent ! Partially "eaf #P"$%. &he post is te porary. P," S-,5 's.(),*++ - ,(++#P -$ 0 's. *,*++ #1rade Pay$ #&.2. 's. 34,*(4/ 5ppro6.$ 0 &5 and H'5 asad issible. 1eneral Central 7ervice, 1roup 859, 1azetted, on ;inisterial. A' * ;0" $. ildlife fro arecognized AniversityD (B) E=PERIENCE

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IMPORTANTCGO7I 1 "5&2 2 7I&2 I7 2? HRS ON 2 .01.2016.

&H2 G57& "5&2

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d$ Physically Handicapped #PH$ Persons or Persons with disabilities, as indicatedagainst various ite #s$ in the E5C5 C "2&5IG7, can apply to the respective posts evenif the post is not reserved for the but has been identified as 7uitable. However, suchcandidates will be considered for selection to such post by general standard of erit.Persons suffering fro not less than 3+ of relevant disability shall alone be eligible for the

benefit of reservation and other rela6ations as per issible under the rules. &hus, PhysicallyHandicapped #PH$ persons can avail benefit of :

i$ 'eservation and other Concessions F 'ela6ations as per issible under the rulesonly when degree of physical disability is 3+ or ore and the posts are reserved for PHcandidates.

ii$ Other Concessions F 'ela6ations as per issible under the rules only when degreeof physical disability is 3+ or ore and the posts are suitable for PH candidates.

e$ HEAD

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INSTRUCTIONS AND ADDITIONAL INFORMATION TO CANDIDATES FORRECRUITMENT BY SELECTION

1. CITI ENSHIP 5 Candidate ust be either:

#a$ a citizen of India, or

#b$ a subJect of epal, or

#c$ a subJect of hutan, or

#d$ a &ibetan refugee who ca e over to India before ( st =anuary, ( *B with theintention of per anently settling in India, or

#e$ a person of Indian origin who has igrated fro Pa?istan, ur a, 7ri Gan?a or2ast 5frican countries of @enya, Aganda, the Anited 'epublic of &anzania#for erly

&anganyi?a and Manzibar$, Ma bia, ;alawi, Maire, 2thiopia and Eietna with theintention of per anently settling in India. Provided that a candidate belonging tocategories #b$, #c$, #d$ and #e$ above shall be a person in whose favour a certificate ofeligibility has been issued by the 1overn ent of India.

NOTE &he application of a candidate in whose case a certificate of eligibility isnecessary, ay be considered by the Co ission and, if reco ended forappoint ent, the candidate ay also be provisionally appointed subJect to thenecessary certificate being issued in his favour by the 1overn ent of India.

B. AGE LIMITS : &he age li it for the post has been given in the advertise ent.

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A; 2' O< C5 "I"5&27 &O 2 C5GG2" &O 5 '257O 5 G2A; 2' 5 O' ;O'2 O< &H2 I 1 ;2&HO"7:

#a$ On the basis of "esirable Kualification #"K$ or any one or all of the "Ks if ore thanone "K is prescribedQ

#b$ On the basis of higher educational ualifications than the ini uprescribed in the advertise ent#c$ On the basis of higher e6perience in the relevant field than the ini u prescribed inthe advertise ent#d$ y counting e6perience before or after the ac uisition of essential ualifications#e$ y holding a 'ecruit ent &est.

THE CANDIDATE SHOULD7 THEREFORE7 MENTION ALL HIS/HER $ ,55 & ! 8#&> > #&> ,&" -% -# $ ,&- & -,& 8 ! 5> %& $ 4 8 ,&" @, %&, % & $ 5 - % &.

. CONCESSIONS 9 RELA=ATIONS :

#a$ T #33 ,' 5% % %& -,$ 8 E@:S 4%- & ,&> C %$$% & >O88%- $ %&-5#>%&' ECO$/SSCO$ shall be rela6ed by five years subJect to the conditionthat on the closing date for receipt of applications the continuous service rendered in the

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5r ed (,) ,! 4 , candidates

concerned would be re uired to produce a certificate that they have been released frothe "efence

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&he age rela6ation will be ad issible to such of the 1overn ent servants as are wor?ingin posts which are in the sa e line or allied cadres and where a relationship could beestablished that the service already rendered in a particular post will be useful for theefficient discharge of the duties of the post#s$ recruit ent to which has been advertised."ecision in this regard will rest with the Co ission.

#d$ A' 5,@, % & 3 $ &$ + ,> >%&, %5" ! & > %-%5 > %& S , 89 ># %&' 3 % > 8 1$ ,, "7 1 0 ?1 $ D - ! 7 1 :

&he rela6ation in upper age li it of ) years shall be ad issible to all persons who hadordinarily been do iciled in the 7tate of =F@ during the period fro ( st =anuary, ( 4+ to-( st "ece ber, ( 4 . &he persons clai ing rela6ation under this sub para would bere uired to produce a certificate to this effect fro the "istrict ;agistrate within whose

Jurisdiction they had ordinarily resided or fro any other authority designated in thisbehalf by the 1overn ent of =a u and @ash ir. &his rela6ation shall re ain in force

upto -(.(B.B+().

#f$ A' 5,@, % & P "$%-,55" H,&>%-,33 > (PH) 3 $ &$ 5ge rela6ation of (+ years is allowed #total () years for 7Cs/7&s and (- years for O Csin respect of the posts reserved for the $ to blind, deaf ute and orthopedicallyhandicapped persons for appoint ent to 1roup 859 and 1roup 8 9 posts/services. &hepersons clai ing age rela6ation under this sub para would be re uired to produce acertificate in prescribed profor a in support of their clai s clearly indicating that thedegree of physical disability is 3+ or ore. In any case, the appoint ent of thesecandidates will be subJect to their being found edically fit in accordance with the

standards of edical fitness as prescribed by the 1overn ent for each individual 1roup859 and 1roup 8 9 posts to be filled by "irect 'ecruit ent by 7election.

6.(A) HOW TO APPLY

i$ Candidates ust apply online through the website http://www.upsconline.nic.in. 5pplications received through any other ode would not be accepted and su arilyreJected.

ii$ Candidates ust upload docu ents pertaining to educational ualification#s$ ande6perience #preferably in prescribed for at$, if any, as clai ed in the online application,in a single pdf file in such a way that the file size does not e6ceed B ; and is legiblewhen a printout ta?en.

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An signed 26perience Certificate etc. ust not be uploaded in the "ocu ent Apload;odule.

iii$ IMPORTANT C5 "I"5&27 5'2 5"EI72" &O 7CH2"AG2 5 " '2KAI'2;2 &7 >I&H '215'" &O COPI27O< C2'&IIGG 2 2 ;5IG2" I "A2 COA'72 &O &H2 C5 "I"5&27I &H2I' '21I7&2'2" 2 ;5IG I" 5 " >IGG 5G7O 2 PO7&2" O &H2 >2 7I&2O< &H2 CO;;I77IO .

iv$ Candidates who wish to apply for ore than one post should apply separately foreach post and pay the fee for each post in the prescribed anner.

v$ 5fter sub itting the Online 'ecruit ent 5pplication #O'5$, the candidates are

re uired to ta?e out a print out of the finally sub itted Online 'ecruit ent 5pplication.4%) C,&>%>, $ , & #% > $#! % C %$$% & % !" 3 $ !" ,&> 3 %& # $ 8 % &5%& ,335%-, % &$ ,&" > -# & . T " +%55! #% > ! %&' ,5 &' +% 3 %& # $ 8 % &5%& ,335%-, % &$ ,&>

> -# & $ & % & > %& 3, , ! 5 + %8 -,55 > 8 %& 4% +.

vii$ &he applicants are advised to sub it only single Online 'ecruit ent 5pplicationfor each postD however, if so ehow, if he/she sub its ultiple Online 'ecruit ent

5pplications for one post, then he/she ust ensure that Online 'ecruit ent 5pplicationwith the higher N5pplication u berN is co plete in all respects including fee. &heapplicants, who sub it ultiple Online 'ecruit ent 5pplications, should note that onlythe Online 'ecruit ent 5pplication with higher N5pplication u berN shall be entertainedby the Co ission and fee paid against one N5pplication u berN shall not be adJustedagainst any other N5pplication u berN.

viii$ &he candidates are advised to sub it the Online 'ecruit ent 5pplication well inadvance without waiting for the closing date.

6 (B) C,&>%>, $ $ 5%$ > 8 %& 4% + & !,$%$ 8 %&8 , % &3 4%> > %& &5%& ,335%-, % &$ $#! % > !" +%55 ! #% > $ &> $ 58, $ > - 3% $ 8 > -# & $/ 5 4,& - %8%-, $ %& $#33 8 -5,% $ ,>%& ,335%-, % & ,$ ,&> + & > ,&> > !" C %$$% &.

WARNING

CANDIDATES WILL BE SHORT:LISTED FOR INTERVIEW ON THE BASIS OF THEINFORMATION PROVIDED BY THEM IN THEIR ONLINE APPLICATIONS7 THEYMUST ENSURE THAT SUCH INFORMATION IS TRUE. IF AT ANY SUBSE

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STAGE OR AT THE TIME OF INTERVIEW ANY INOFRMATION GIVEN BY THEM ORANY CLAIM MADE BY THEM IN THEIR ONLINE7 APPLICATIONS IS FOUND TO BEFALSE7 THEIR CANDIDATURE WILL BE LIABLE TO BE RE ECTD AND THEY MAYALSO BE DEBARRED EITHER PERMANENTLY OR FOR A SPECIFIED PERIOD BYTHE

• COMMISSION FROM ANY E=AMINATION OR SELECTION HELD BY THEM.• CENTRAL GOVERNMENT FROM ANY EMPLOYMENT UNDER THEM.

. DOCUMENTS/ CERTIFICATES TO BE PRODUCED AT THE TIME OFINTERVIEW.

T 3 %& # 8 &5%& ,335%-, % & ,&> 8 55 +%&' O %'%&,5 D -# & $/C %8%-, $ ,5 &' +% $ 58 , $ > - 3% $ ,&> % $ $3 -%8% > %& S# & L 8 %& 4% + , ! 3 >#- > , % 8 %& 4% +7 8,%5%&

+ %- -,&>%>, + #5> & ! ,55 + > ,33 , %& I& 4% + %& + %- -,$$#- -,&>%>, +%55 & ! & % 5 > - %4 C %$$% & $ - & %!# % &+, >$ ,4 55%&' @3 &$ $ :

a$ ;atriculation/(+ th 7tandard or e uivalent certificate indicating date of birth, orar? sheet of ;atriculation/(+ th 7tandard or e uivalent issued by Central/7tate oard

indicating "ate of irth in support of their clai of age. >here date of birth is notavailable in certificate/ ar? sheets, issued by concerned 2ducational oards, 7choolleaving certificate indicating "ate of irth will be considered #in case of &a il adu F@erala$.b$ "egree/"iplo a certificate along with ar?sheets pertaining to all the acade ic

years as proof of educational ualification clai ed. In the absence of "egree/"iplo acertificate, provisional certificate along with ar? sheets pertaining to all the acade icyears will be accepted.c$ Order/ letter in respect of e uivalent 2ducational Kualifications clai ed, indicatingthe 5uthority #with nu ber and date$ under which it has been so treated, in respect ofe uivalent clause in 2ssential Kualifications, if a candidate is clai ing a particular

ualification as e uivalent ualification as per the re uire ent of advertise ent.d$ Certificate#s$ in the prescribed profor a fro the Head#s$ ofOrganization#s$/"epart ent#s$ for the entire e6perience clai ed, clearly entioning theduration of e ploy ent #date, onth F year$ indicating the basic pay and consolidatedpay. &he certificate#s$ should also ention the nature of duties perfor ed/e6perience

obtained in the post#s$ with duration#s$. 26perience Certificate should be issued inprescribed for at relevant to the post. 26perience certificate not in prescribed profor abut containing all the details as entioned above would be considered on erits by theCo ission.e$ Caste certificate by candidate see?ing reservation as 7C/ 7&/ O C, in theprescribed profor a fro the co petent authority indicating clearly the candidate9sCaste, the 5ct/ Order under which the Caste is recognized as 7C/ 7&/ O C and thevillage/ town the candidate is ordinarily a resident of.

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f$ 5 declaration in the prescribed for at by candidate see?ing reservation as O C,that he/she does not belong to the crea y layer on the crucial date, in addition to theco unity certificate #O C$. Anless specified otherwise, the prescribed closing date forreceipt of Online 'ecruit ent 5pplication for the post is to be treated as crucial date.g$ Physically Handicapped certificate in prescribed profor a issued by the

co petent authority by Physically Handicapped persons eligible for appoint ent to thepost on the basis of prescribed standards of ;edical %>, + -5,% $ - ,&' %& &, ,8 , %-#5, % & & , %,' , %,' >%4 - -. 8 55 +%&' > -# & $ $ ,55 ! $#! % > :

i$ I& -,$ 8 , %,' 8 + & Photocopy of Husband9s passportshowing na es of spouses or an attested copy of arriage certificate issued by the

'egistrar of ;arriage or an 5ffidavit fro husband and wife along with a Jointphotograph duly sworn before the Oath Co issionerDii$ I& -,$ 8 : , %,' 8 + & : "ivorce "eed/"eath certificate as thecase ay be in respect of first spouseD and photocopy of present husband9s passportshowing na es of spouse or an attested copy of arriage certificate issued by the'egistrar of ;arriage or an 5ffidavit fro the husband and wife along with Jointphotograph duly sworn before the Oath Co issioneriii$ I& -,$ 8 >%4 - 8 + & Certified copy of "ivorce "ecree and "eedPoll/5ffidavit duly sworn before the Oath Co issioner.iv$ In -% -# $ ,&- $ 8 - ,&' 8 &, 8 ! ,5 ,&> 8 ,5 : "eed Poll/5ffidavit duly sworn before the Oath Co issioner and paper cuttings of twoleading daily newspaper in original #One daily newspaper should be of the area ofapplicants per anent and present address or nearby area$ and 1azette otification.i$ Certificate/ "ocu ent in respect of 5ge rela6ation for:i$ 26 7ervice en and Co issioned Officers including 2COs/77COs in prescribedprofor a fro co petent authority.ii$ Central/A& 1overn ent 2 ployees/7ervants in prescribed profor a froco petent authority issued after the date of advertise ent.iii$ ;eritorious 7ports persons in prescribed profor a fro co petent authority.iv$ >idows/"ivorced >o en/>o en =udicially separated fro Husbands.v$ Persons who had ordinarily been do iciled in the 7tate of = F @ during the periodfro ( st =anuary, ( 4+ to -( st "ece ber, ( 4 .vi$ Persons see?ing age rela6ation under special provision/ order.

J$ Persons already in 'egular 1overn ent service, whether in per anent orte porary capacity other than casual/adhoc/daily wages/hourly paid/contract basis arehowever re uired to sub it a declaration that they have infor ed in writing to their Headof Office/"epart ent that they have applied for the selection.?$ Certificate#s$ in respect of clai regarding Professional 'egistration, Ganguage,Publications, 2&, 15&2, Conference, Internship.l$ "ocu entary support for any other clai #s$ ade.

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NOTE I "ate of birth entioned in Online 'ecruit ent 5pplication is final. osubse uent re uest for change of date of birth will be considered or granted.

NOTE II The period of experience rendered by a candidate on part time basis, dailywages, visiting/ guest faculty will not be counted while calculating the valid experiencefor short listing the candidates for interview.

NOTE III If any docu ent/ certificate furnished is in a language other than Hindi or2nglish, a transcript of the sa e duly attested by a 1azetted officer or notary is to besub itted.

. ACTION AGAINST CANDIDATES FOUND GUILTY OF MISCONDUCT :Candidates are warned that they should not furnish any particulars that are false orsuppress any aterial infor ation in filling up the application for . Candidates are also

warned that they should in no case correct or alter or otherwise ta per with any entry ina docu ent or its attested/certified copy sub itted by the nor should they sub it ata pered/fabricated docu ent. If there is any inaccuracy or any discrepancy betweentwo or ore such docu ents or their attested/certified copies, an e6planation regardingthis discrepancy should be sub itted.

5 candidate who is or has been declared by the Co ission to be guilty of:

a$ obtaining support of his/her candidature by any eans, orb$ i personating, orc$ procuring i personation by any person , ord$ sub itting fabricated docu ents or docu ents which have been ta pered with,ore$ a?ing state ents which are incorrect or false or suppressing aterialinfor ation, orf$ resorting to any other irregular or i proper eans in connection with his/hercandidature for the selection, org$ using unfair eans during the test, orh$ writing irrelevant atter including obscene language or pornographic atter, inthe script#s$ , ori$ isbehaving in any other anner in the e6a ination hall, or

J$ harassing or doing bodily har to the staff e ployed by the Co ission for theconduct of their test, or?$ bringing obile phone/Co unication device in the e6a ination Hall/Interviewroo .l$ atte pting to co it or, as the case ay be, abetting the Co ission of all orany of the acts specified in the foregoing clauses ay, in addition to renderinghi self/herself liable to cri inal prosecution, be liable:i$ to be dis ualified by the Co ission fro selection for which he/she is acandidate, and/or

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ii$ to be debarred either per anently or for a specified period:• by the Co ission fro any e6a ination or selection held by the• by the Central 1overn ent fro any e ploy ent under the , andiii$ if he/she is already in service under 1overn ent to disciplinary action under theappropriate rules.

. OTHER INFORMATION/INSTRUCTIONS

a$ 5ll candidates whether in 1overn ent service or in 1overn ent owned industrialor other si ilar organizations or in private e ploy ent should sub it their applicationsonline directly to the Co ission. Persons already in 'egular 1overn ent service,whether in per anent or te porary capacity other than casual/adhoc/daily wages/hourlypaid/contract basis are however re uired to sub it a declaration that they have infor edin writing to their Head of Office/"epart ent that they have applied for the selection.b$ &he date for deter ining the eligibility of all candidates in every respect shall bethe closing date for sub itting the Online 'ecruit ent 5pplication on the websitehttp://www.upsconline.nic.in .c$ In respect of e uivalent clause in 2ssential Kualifications, if a candidate isclai ing a particular ualification as e uivalent ualification as per the re uire ent ofadvertise ent, then the candidate is re uired to produce order/letter in this regard,indicating the 5uthority #with nu ber and date$ under which it has been so treatedotherwise the Online 'ecruit ent 5pplication is liable to be reJected.d$ Candidates ust, if re uired, attend a personal interview at such place, as ay befi6ed by the Co ission. &he Co ission do not defray the traveling or other e6pensesof candidates su oned for interview. &hey, however, contribute towards thosee6penses at a rate corresponding to the a ount of the 7econd Class ;ail railway fare bythe shortest route to the place of interview fro the 'ailway 7tation nearest to thenor al place of residence of the candidate or fro which he actually perfor s the

Journey, whichever, is nearer to the place of interview, and bac? to the sa e station orthe a ount of 'ailway fare actually incurred by the candidate whichever is less. "etailsof this will be furnished when they are called for interview.e$ Co ission9s contribution towards the traveling e6penses in respect of thosecandidates who are interviewed at "elhi will be paid on the spot on the date of interviewitself provided they fulfill all the conditions. In respect of those candidates who have beencalled to be present at interviews at places other than "elhi, the sa e will be sent by;oney Order later on.f$ &he 7u oning of candidates for interview convey no assurance whatsoever thatthey will be selected. 5ppoint ent orders to selected candidates will be issued by the1overn ent.g$ Candidates ust be in sound bodily health. &hey ust, if selected be prepared toundergo such edical e6a ination and satisfy such edical authority as 1overn ent

ay re uire.h$ Candidates will be infor ed of the final result in due course through AP7Cwebsite/ 2 ploy ent ews and any interi en uiries about the result are therefore,unnecessary and will not be attended to. &he Co ission do not enter into

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correspondence with the candidates about reasons for their non selection forinterview/appoint ent.i$ &he Co ission ay grant higher initial pay to candidates adJudged eritoriousin the interview.

J$ Canvassing in any for will dis ualify a candidate.

IMPORTANT

MOBILE PHONES ARE BANNED IN THE CAMPUS OF UPSC E=AMINATION/INTERVIEW HALL

a$ 1overn ent strives to have wor? force which reflects gender balance and wo encandidates are encouraged to apply.b$ In case of any guidance/infor ation/clarification regarding their applications,candidature etc. candidates can contact AP7C9s #- > !" S- >#5 > C,$ $ ,&> S- >#5 > T %! $-,&>%>, $ ,335"%&' 8 ,33 %& & 3 $ $ #&> G 4 & & 8 I&>%,

&his is to certify that 7hri/7hri ati/@u ariL..................................................son/daughterL of ..................................................... of village/townL................................................. in "istrict/"ivisionL ........................................... of the7tate/Anion &erritoryL ...................... belongs to the.......................... Caste/&ribeL whichis recognised as a 7cheduled Caste/7cheduled &ribeL under:R

S &he Constitution #7cheduled Castes$ Order, ( )+

S &he Constitution #7cheduled &ribes$ Order, ( )+

S &he Constitution #7cheduled Castes$ Anion &erritories Order, ( )(

S &he Constitution #7cheduled &ribes$ Anion &erritories Order, ( )(

Tas a ended by the 7cheduled Castes and 7cheduled &ribes Gist #;odification$ Order,( )*D the o bay 'eorganisation 5ct, ( *+, the PunJab 'eorganisation 5ct, ( **, the7tate of Hi achal Pradesh 5ct, ( +, the orth 2astern 5reas #'eorganisation$ 5ct,( (, the 7cheduled Castes and 7cheduled &ribes Order #5 end ent$ 5ct, ( *., the

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7tate of ;izora 5ct, ( 4*, the 7tate of 5runachal Pradesh 5ct, ( 4* and the 1oa,"a an and "iu #'eorganisation$ 5ct, ( 4 .U

S &he Constitution #=a u and @ash ir$ 7cheduled Castes Order, ( )*

S &he Constitution #5nda an and icobar Islands$ 7cheduled &ribes Order, ( ) asa ended by the 7cheduled Castes and 7cheduled &ribes Order #5 end ent$ 5ct, ( *

S &he Constitution #"adar and agar Haveli$ 7cheduled Castes Order, ( *B

S &he Constitution #"adar and agar Haveli$ 7cheduled &ribes Order, ( *B

S &he Constitution #Pondicherry$ 7cheduled Castes Order, ( *3

S &he Constitution #Attar Pradesh$ 7cheduled &ribes Order, ( *

S &he Constitution #1oa, "a an and "iu$ 7cheduled Castes Order, ( *4

S &he Constitution #1oa, "a an and "iu$ 7cheduled &ribes Order, ( *4

S &he Constitution # agaland$ 7cheduled &ribes Order, ( +

S &he Constitution #7i??i $ 7cheduled Castes Order, ( 4

S &he Constitution #7i??i $ 7cheduled &ribes Order, ( 4

S &he Constitution #=a u F @ash ir$ 7cheduled &ribes Order, ( 4

S &he Constitution #7C$ Order #5 end ent$ 5ct, ( +

S &he Constitution #7&$ Order #5 end ent$ 5ct, ( (

S &he Constitution #7&$ Order #7econd 5 end ent$ 5ct, ( (

S &he 7cheduled Castes and 7cheduled &ribes Orders #5 end ent$ 5ct B++B

S &he Constitution #7cheduled Castes$ Order #5 end ent$ 5ct, B++B

S &he Constitution #7cheduled Castes and 7cheduled &ribes$ Orders #5 end ent$ 5ct,B++B

S &he Constitution #7cheduled Castes$ Orders #7econd 5 end ent$ 5ct, B++B

B. 5pplicable in the case of 7cheduled Castes/7cheduled &ribes persons who haveigrated fro one 7tate/Anion &erritory 5d inistration to another.

&his certificate is issued on the basis of the 7cheduled Castes/7cheduled &ribescertificate issued to 7hri/7hri atiL.....................................................

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.......................................... in "istrict/"ivisionL............................ of the 7tate/Anion&erritoryL............................ who belongs to the Caste/&ribeL which is recognised as a7cheduled Caste/7cheduled &ribe in the 7tate/Anion &erritoryL of..................................... issued by the ..................................... dated......................................

-. 7hri/7hri ati/@u ariL............................................... and/orL his/herL fa ilyordinarily resides in village/townL............................. of.............................."istrict/"ivisionL of the 7tate/Anion &erritoryL of..............................................

7ignature................................................

LL"esignation............................................

#>ith 7eal of Office$

7tate/Anion &erritoryL

Place: .....................................

"ate: ......................................

LPlease delete the words which are not applicable.

SPlease uote specific Presidential Order.

"elete the paragraph which is not applicable.

O&2: &he ter ordinarily reside #s$Q used here will have the sa e eaning as in7ection B+ of the 'epresentation of the People 5ct, ( )+.

LLGist of authorities e powered to issue 7cheduled Caste/7cheduled &ribe Certificate.

#i$ "istrict ;agistrate/5dditional "istrict ;agistrate/Collector/"eputyCo issioner/5dditional "eputy Co issioner/"eputy Collector/(st Class 7tipendiary

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;agistrate/V 7ub "ivisional ;agistrate/&alu?a ;agistrate/26ecutive ;agistrate/26tra 5ssistant Co issioner.V#not below of the ran? of (st Class 7tipendiary ;agistrate$.

#ii$ Chief Presidency ;agistrate/5dditional Chief Presidency ;agistrate/Presidency;agistrate.#iii$ 'evenue Officers not below the ran? of &ehsildar.#iv$ 7ub "ivisional Officer of the area where the candidate and/or his/her fa ilynor ally resides.#v$ 5d inistrator/7ecretary to 5d inistrator/"evelop ent Officer#Ga?shadweep$

P 8 ,:II

T 8 8 - %8%-, ! 3 >#- > !" O B,- +, > C5,$$ $ -,&>%>, $,335"%&' 8 ,33 %& & 3 $ $ #&> G 4 & & 8 I&>%,.

&his is to certify that7hri/7hri ati/@u ariL...........................................son/daughterL of7hri............................... of village/townL ...........................in "istrict/"ivisionL............... ofthe 7tate/Anion &erritoryL..................................belongs to the ....................Co unitywhich is recognised as a bac?ward class under:

S 1overn ent of India, ;inistry of >elfare 'esolution o. (B+((/*4/ - CC #C$ dated(+th 7epte ber, ( - published in the 1azette of India 26traordinary Part I, 7ection (,

o. (4* dated (-th 7epte ber, ( -.

S 1overn ent of India, ;inistry of >elfare 'esolution o. (B+((/ / 3 CC dated ((+ 3, published in the 1azette of India 26traordinary Part I, 7ection (, o. (*- datedB+ (+ ( 3.

S 1overn ent of India, ;inistry of >elfare 'esolution o. (B+((/ / ) CC dated B3 )), published in the 1azette of India 26traordinary Part I, 7ection (, o. 44 dated B) )

( ).

S 1overn ent of India, ;inistry of >elfare 'esolution o. (B+((/ */ 3 CC dated th;arch, ( * published in the 1azette of India 26traordinary Part I, 7ection (, o. *+dated ((th ;arch, ( *.

S 1overn ent of India, ;inistry of >elfare 'esolution o. (B+((/33/ * CC dated *th"ece ber, ( * published in the 1azette of India 26traordinary Part I, 7ection (, o.B(+ dated ((th "ece ber, ( *.

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S 1overn ent of India, ;inistry of >elfare 'esolution o. (B+((/ / 3 CC dated ((th"ece ber, ( published in the 1azette of India 26traordinary Part I, 7ection (, o.B-* dated (Bth "ece ber, ( .

S 1overn ent of India, ;inistry of >elfare 'esolution o. (B+((/(-/ CC dated -rd"ece ber, ( published in the 1azette of India 26traordinary Part I, 7ection (, o.B- dated ( th "ece ber, ( .

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.(B+((/*4/ 4 CC dated the B th October, ( published in the 1azette of India26traordinary Part I, 7ection (, o. B3( dated the B th October, ( .

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.(B+((/44/ 4 CC dated *th "ece ber, ( published in the 1azette of India26traordinary Part I, 7ection (, o. B + dated *th "ece ber, ( .

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.(B+((/-*/ CC dated 3th 5pril, B+++ published in the 1azette of India 26traordinaryPart I, 7ection (, o. ( dated 3th 5pril, B+++.

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.(B+((/33/ CC dated the B(st 7epte ber, B+++ published in the 1azette of India26traordinary Part I, 7ection (, o. B(+ dated the B(st 7epte ber, B+++.

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.(B+()/ /B+++ CC dated *th 7epte ber, B++( published in the 1azette of India26traordinary Part I, 7ection (, o. B3* dated *th 7epte ber, B++(.

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.

(B+((/(/B++( CC dated ( th =une, B++- published in the 1azette of India26traordinary Part I, 7ection, ( o. ()( dated B+th =une, B++-.

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.(B+((/3/B++B CC dated (-th =anuary, B++3 published in the 1azette of India26traordinary, Part I 7ection (, o. dated (-th =anuary, B++3.

S 1overn ent of India, ;inistry of 7ocial =ustice and 2 power ent 'esolution o.(B+((/(3/B++3 CC dated (Bth ;arch, B++ published in the 1azette of India26traordinary, Part I, 7ection (, o. * dated (Bth ;arch, B++ .

7hri/7hri ati/@u ariL................................and/orL his/herL fa ily ordinarily residesin village/townL................................ of...................... "istrict/"ivisionL of the 7tate/ Anion&erritoryL of.............................

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&his is also to certify that he/sheL does not belong to the persons/sectionsL#Crea y Gayer$ entioned in colu n - of the 7chedule to the 1overn ent of India,"epart ent of Personnel F &raining O.;. o. -*+(B/BB/ - 2stt. #7C&$ dated 4 ( -O.;. o. -*+--/-/B++3 2stt. #'es.$ dated th ;arch, B++3 and O.;. o. -*+--/-/B++32stt. #'es.$ dated (3th October, B++4.

7ignature................................

LL"esignation............................

#>ith seal of Office$

7tate/Anion &erritory

Place....................................................

"ate.....................................................

LPlease delete the words which are not applicable.

S 7tri?e out whichever is not applicable.

NOTE &he ter ordinarily reside #s$Q used here will have the sa e eaning as in7ection B+ of the 'epresentation of the People 5ct, ( )+.

LLGist of authorities e powered to issue O C Certificate

#i$ "istrict ;agistrate/5dditional "istrict ;agistrate/Collector/"eputyCo issioner/5dditional "eputy Co issioner/"eputy Collector/(st Class 7tipendiary;agistrate/V 7ub "ivisional ;agistrate/&alu?a ;agistrate/26ecutive ;agistrate/26tra

5ssistant Co issioner.V#not below of the ran? of (st Class 7tipendiary ;agistrate$.

#ii$ Chief Presidency ;agistrate/5dditional Chief Presidency ;agistrate/Presidency;agistrate.#iii$ 'evenue Officers not below the ran? of &ehsildar.#iv$ 7ub "ivisional Officer of the area where the candidate and/or his/her fa ilynor ally resides.#v$ 5d inistrator/7ecretary to 5d inistrator/"evelop ent Officer#Ga?shadweep$

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N 1 Candidates clai ing to belong to O Cs should note that the na e of their Caste#including its spellings$ as indicated in their certificates, should be e6actly the sa e aspublished in the lists notified by the Central 1overn ent fro ti e to ti e. 5 certificatecontaining any variation in the Caste na e will not be accepted.

N 2 &he O C clai of a candidate will be deter ined in relation to the 7tate #or partof the 7tate$ to which his/her father originally belongs. 5 candidate who has igratedfro one 7tate #or part of the 7tate$ to another should, therefore, produce an O Ccertificate which should have been issued to hi /her based on his/her father9s O Ccertificate fro the 7tate to which he #father$ originally belongs.

N ? o change in the co unity status already indicated by a candidate in his/hersi plified application for for this e6a ination will ordinarily be allowed by theCo ission.

P 8 ,:III

F 8 > -5, , % & ! $#! % > !" OBC -,&>%>, (%& ,>>% % & - #&% " - %8%-, )

I WWWWWW. 7on/daughter of 7hriWWWWWWWW.resident ofvillage/town/cityWWWWWWW.districtWWWWWWW.stateWWWWWWhereby declarethat I belong to theWWWWWW..co unity which is recognized as a bac?ward class bythe 1overn ent of India for the purpose of reservation in services as per orderscontained in "epart ent of Personnel and &raining Office ;e orandu o-*(+B/BB/ - 2stt. #7C&$ dated 4 ( -. It is also declared that as on closing date, I donot belong to persons/sections/sections #Crea y Gayer$ entioned in colu n - of the7chedule to the above referred Office ;e orandu dated 4 ( -, O.;. o.-*+--/-/B++3 2stt. #'es.$ dated th ;arch, B++3 and O.;. o. -*+--/-/B++3 2stt.#'es.$ dated (3th October, B++4.

7ignature:WWWWWWWWW..

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5ddress:WWWWWWWWWW

P 8 ,:IV

CERTIFICATE TO BE PRODUCED BY SERVING/RETIRED/RELEASED ARMEDFORCES PERSONNEL FOR AVAILING THE AGE CONCESSION FOR POSTSFILLED BY DIRECT RECRUITMENT BY UNION PUBLIC SERVICE COMMISSIONOTHERWISE THAN ON RESULTS OF AN OPEN COMPETITIVE E=AMINATION

A. F 8 C %8%-, ,335%-,!5 8 R 5 ,$ >/R % > P $ && 5

It is certified that o..................... 'an?.....................a e..........................................whose date of birth is..................... has rendered service

fro ..................... to..................... in 5r y/ avy/5ir

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7ignature, a e and "esignation of the

Co petent 5uthorityLL

725G

"elete the paragraph which is not applicable.

B. F 8 C %8%-, 8 S 4%&' P $ && 5

(Applicable for serving personnel who are due to be released within one year)

It is certified that o. WWWWW'an?WWW. a eWWW. is serving in the 5r y/ avy/5ir

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C,&>%>, (S 4%&' P $ && 5) 8# &%$ %&' - %8%-, B ,$ ,! 4 +%55 ,4 '%4 8 55 +%&' #&> , %&'

U&> , %&' ! '%4 & !" $ 4%&' A > F - 3 $ && 5 + , ># !5 ,$ > +% %& & " ,

I understand that if selected on the basis of the recruit ent/26a ination to whichthis application relates, y appoint ent will be subJect to y producing docu entaryevidence to the satisfaction of the appointing authority that I have been dulyreleased/retired/discharged fro the 5r ed % %&% %,5 ,$$%'& & ,&> , & @ &> > ,$$%'& &

It is certified that o................. 'an?.....................a e.......................................... whose date of birth is.....................is serving in the

5r y/ avy/5ir

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Co petent 5uthorityLL

725G

LL5uthorities who are co petent to issue certificate to 5r ed

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son/wife/ daughter of 7hri................................ "ate of irth ...................................

#""/ ;;/ $

5ge .............. years, ale/fe ale ...............................

'egistration o. ................. per anent resident of House o. ..................>ard/Eillage/7treet .......................... Post Office ........................... "istrict................................ 7tate ......................................

whose photograph is affi6ed above, and a satisfied that:

#5$ he/she is a case of :

X loco otor disability

X blindness

#Please tic? as applicable$

# $ the diagnosis in his/her case isW............................................................

#5$ He/ 7he has ........................ #in figure$.............................. percent #in words$per anent physical i pair ent/blindness in relation to his/her .................... #part ofbody$ as per guidelines #to be specified$.

B. &he applicant has sub itted the following docu ent as proof of residenceD

ature of "ocu ent "ate of Issue "etails of authorityissuing certificate

#7ignature and 7eal of 5uthorised 7ignatory of

notified ;edical 5uthority$

7ignature/&hu bi pression of the

person in whose

favour disability

certificate is issued.

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- lindness oth 2yes

3 Hearing i pair ent Z

) ;ental retardation [

* ;ental illness [

# $ In the light of the above, his /her over all per anent physical i pair ent as perguidelines #to be specified$, is as follows:

In figures: ..............................percent

In words: ...............................percent

B. &his condition is progressive/ non progressive/ li?ely to i prove/ not li?ely to i prove.

-. 'eassess ent of disability is :#i$ not necessary,

Or

#ii$ is reco ended/ after ........................ years.................. onths, and thereforethis certificate shall be valid till ...........................................................

#""$ #;;$ # $

S e.g. Geft/'ight/both ar s/legs

Y 7ingle eye/both eyes

Z e.g. Geft/'ight/both ears

3. &he applicant has sub itted the following docu ent as proof of residence:

ature of "ocu ent "ate of Issue "etails of authority

issuing certificate

). 7ignature and seal of the ;edical 5uthority,

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a e and seal of ;e ber a e and seal a e and seal of the

of ;e ber Chairperson

7ignature/&hu b

i pression of the

person in whose

favour disability


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been evaluated as per guidelines #to be specified$ and is shown against the relevantdisability in the table below:

7. "isability 5ffected Part "iagnosis Per anent physical

o. of ody i pair ent/ entaldisability #in $

( Goco otor disability S

B Gow vision Y

- lindness oth 2yes

3 Hearing i pair ent Z

) ;ental retardation [

* ;ental illness [

#Please stri?e out the disabilities which are not applicable.$

B. &he above condition is progressive/ non progressive/ li?ely to i prove/not li?ely toi prove.

-. 'eassess ent of disability is :

#i$ not necessary

Or

#ii$ is reco ended/ after ....................... years ...................... onths, and thereforethis certificate shall be valid till .....................................................

#""$ #;;$ # $

S e.g. Geft/'ight/both ar s/legs

Y e.g. 7ingle eye/both eyes

Z e.g. Geft/'ight/both ears3. &he applicant has sub itted the following docu ent as proof of residence:

ature of "ocu ent "ate of Issue "etails of authority

issuing certificate

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#5uthorised 7ignatory of notified ;edical 5uthority$

# a e and 7eal$

Countersigned

#Countersignature and seal of the C;O/;edical 7uperintendent/Head of1overn ent Hospital, in case the certificate is issued by a edical authority who is not agovern ent servant #with seal$$

7ignature/&hu b

i pression of the

person in whose

favour disability


ote: In case this certificate is issued by a edical authority who is not a govern entservant, it shall be valid only if countersigned by the Chief ;edical Officer of the "istrict.

ote: &he principal rules were published in the 1azette of India vide notification nu ber7.O. +4 #2$, dated the -(st "ece ber, ( *.

P 8 ,:VI

T 8 8 - %8%-, ! 3 >#- > !" G 4 & & $ 4,& $ 8 -5,% %&' A'- &- $$% &

(L H ,> 8 I&$ % # % &/I$$#%&' A# % ")

&his is to certify that 7hri/;sWWW7/o,"/o,>/o 7hriWWWWWis a regularly appointed ne ployee of this Organization/"epart ent/;inistry and duties perfor ed by hi /herduring the period#s$ are as under

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Certified that:

L#a$ 7hri/7hri ati/@u . ............................................................ holds substantively aper anent post of ................................in the Office/"epart ent of........................................with effect fro ...................................................

L#b$ 7hri/7 t./@u . ....................................... has been continuously in te porary serviceon a regular basis under the Central 1overn ent in the post of.......................................................in theOffice/"epart ent..........................................with

effect fro .................................

7ignature..............................................................

a eW...............................................................

"esignation.........................................................

;inistry/Office.....................................................

5ddressW.. .........................................................

Office 725G........................................................

Place: ........................

"ate: ........................

P 8 ,:VII

T 8 8 - %8%-, ! 3 >#- > !" C,&>%>, $ 8 -5,% %&' @3 % &-

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FORM:I

E@3 % &- C %8%-,

Getter Head of the Institution/Issuing 5uthority

&elephone oWWWW

/o 7hriWWWWWwas/is an e ployee ofthis Organization/"epart ent/;inistry and duties perfor ed by hi /her during theperiod#s$ are as under:

a e ofpostheld

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;onthlyre uneration#total$

"utiesperfor ed/e6perience gained in brief ineach post#pleasegive details, if needbe, in attachedsheet$# in case of;edical posts,please ention fieldof specialization$

Placeofposting

ature of wor?:

a$ ;anagerial#Gower/;iddle/7eniorL$

b$ 7upervisoryc$ Operative

d$ If none of the above,please indicate nature ofwor? #L7tri?e offwhichever is notapplicable$

'e ar?s, if any

# $ #4$ # $ #(+$ #(($

B. It is certified that above facts and figures are true and based on service recordsavailable in our organization/"epart ent/;inistry.

7ignature

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B. It is certified that above facts and figures are true and based on service recordsavailable in our organization/"epart ent/;inistry.

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7ta p of co petent authority

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