Eng 19114 4 1617b
Eng 19114 4 1617b
Nationality/Citizenship:(i)
For the post of Constables (Cook, Washerman, Barber, Safaiwala & Water Carrier):(a) A Citizen of India only.
(ii)
3.
Sl.
No.
Name of Posts
1.
2.
3.
4.
5.
6.
Post
Code
UR
19
208
24
70
08
295
162
30
62
18
00
07
84
16
31
09
00
03
15
00
09
29
08
70
03
00
08
14
22
23
24
25
UR
OBC
SC
UR
OBC OBC SC
SC
Ex-SM
Ex-SM
Ex-SM
ST
Total
ST
ST
Ex-SM
33
84
09
731
46
09
17
05
00
02
22
05
09
03
00
39
349
60
170
00
03
00
03
00
30
13
04
34
00
00
04
07
03
19
05
00
02
03
00
10
22
00
29
82
15
176
00
09
00
04
00
03
00
30
180
19
93
10
54
07
26
06
395
15
00
09
00
03
00
03
00
30
26
Grand Total
*UR: Un-Reserved, SC: Schedule Caste, ST: Schedule Tribe, OBC: Other Backward Class and
Ex-SM: Ex-Servicemen.
2068
Note:i)
Vacancies reserved for Ex-Servicemen will be filled by the candidates of open category within the
respective quota, if suitable candidates of Ex-Servicemen are not available.
ii)
The vacancies are subject to change and may increase or decrease without any notice.
iii)
SC/ST/OBC candidates who fulfill eligibility criteria of Un-Reserved Category may apply against the
Un-Reserved category for posts where no vacancies are reserved for SC/ST/OBC candidates.
Page 1
4.
PAY SCALE AND OTHER ALLOWANCES:- The above posts carry pay in Pay Band-1 `5200-20200/- +
Grade Pay `2000/-, Dearness Allowance, Ration Money, Washing Allowance as admissible, Special Compensatory
Allowance while posted in specified border areas, free uniform, free accommodation or HRA, Transport Allowance,
Free leave pass and any other allowance as admissible in SSB from time to time under the rules.
5.
ELIGIB ILITY CONDITIONSName of Post
Age
Essential Educational & Professional Qualification
Constable (Driver) 21 to
i) Matriculation or equivalent from a recognized Board.
27
ii) Must possess valid Heavy Vehicle Driving license.
years
Constables (Cook,
18 to
i) Matriculation or equivalent from a recognized board with
Washerman,
23
(a) Two years Diploma from recognized Industrial Training Institute in the trade or
Barber, Safaiwala
years
similar trade or
& Water Carrier)
(b) One year certificate course from a recognized Industrial Training Institute or
Vocational Institute with at least one year experience in the trade; or
(c) Two years work experience in respective trade;
ii) Must qualify trade test.*
DESIRABLE:-Multi-skilled candidates will be given preference.
* The candidate must qualify trade test during recruitment process.
NOTE:i) The crucial date to determine age will be the closing date of receipt of applications i.e. 30 days from the date
of publication of this advertisement in the Employment News.
ii) The candidates must fulfill all eligibility conditions and should be in possession of all certificates as on the last
date of receipt of application i.e. 30 days from the date of publication of this advertisement in the Employment
News. Candidates appearing in the examination/awaiting result, not in possession of educational certificates need not
apply.
iii) All educational & professional qualification certificates other than Central Board/State Board should be
accompanied with Government notification declaring the equivalence of such qualification for service under Central
Government.
iv) Only date of birth as recorded in the Matriculation certificate will be accepted for determining the age.
6.
AGE RELAXATION:(i)
Sl. No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Category
Age Relaxation permissible over and above the upper age limit
SC/ST
5 years
OBC
3 years
Ex-Servicemen
3 years after deduction of the military service rendered from the
(UR/General)
actual age.
Ex-Servicemen
6 years (3 years + 3 years) after deduction of the military service
rendered from the actual age.
(OBC)
Ex-Servicemen
8 years (3 years + 5 years) after deduction of the military service
rendered from the actual age.
(SC/ST)
Government servant
**05 years
Candidate who had ordinarily been domiciled in the State of Jammu & Kashmir 5 years
during the period from 1st January 1980 to 31st December 1989. (Unreserved/
General).
Candidates who had ordinarily been domiciled in the State of Jammu & Kashmir (3+5) 8 years
during the period from 1st January 1980 to 31st December 1989.(OBC).
Candidates who had ordinarily been domiciled in the State of Jammu & Kashmir (5 + 5) 10 years
during the period from 1st January 1980 to 31st December 1989 (SC/ST).
*Children/dependent of victims killed in the 1984 riots OR communal riots of
5 years
2002 in Gujarat (Unreserved/ General)
*Children/dependent of victims killed in the 1984 riots OR communal riots of
(3+5) 8 years
2002 in Gujarat (OBC)
*Children/dependent of victims killed in the 1984 riots OR communal riots of
(5 + 5) 10 years
2002 in Gujarat (ST/SC)
Page 2
*Children mean (a) Son (including adopted son): or (b) Daughter (including adopted daughter) Dependent
family members mean: (a) Spouse; or (b) Children; or Brother or Sister in the case of unmarried Govt. servant
who were wholly dependent on the Govt. servant at the time of his killing in the riot. The candidate will have to
produce a certificate to the effect, issued by the concerned District Collector to claim relaxation in age.
**Government employees/servants claiming age relaxation should be in possession of certificate from their
office in respect of the length of continuous service which should not be less than 03 years in the immediate
period preceding the closing date of receipt of application. They should continue to have the status of
Government servant/employee till the time of appointment. In the event of their selection, the candidate will
have to produce NOC from his/her parent department.
(ii)
In case of candidates belonging to OBC category, the creamy layer status should have been obtained
within three years of the closing date of receipt of application as mentioned at Para-9(i)(a). The OBC
certificate in prescribed format (Annexure-III) issued after publication of this advertisement in
Employment News and before the closing date of receipt of application as mentioned at Para-9(i)(a)
will be accepted as proof of belonging to OBC category.
(iii)
Candidate who wish to be considered against vacancies reserved or seek age relaxation must submit
requisite certificate from the competent authority.
(iv)
The candidates seeking relaxation under SC/ST category should submit the certificate as per Annexure
II. In the event of non-enclosure of the certificate, their claim for SC/ST category will not be
entertained.
(v)
The candidates seeking relaxation under OBC category should submit the certificate as per AnnexureIII. In the event of non-enclosure of certificate, the candidate will be considered under Un-Reserved
category, if he/she fulfills the eligibility conditions prescribed for Un-Reserved category. Certificate on
any other format will not be accepted.
(vi)
who has been released, otherwise than on his own request, from such service as a result of
reduction in establishment;
or
who has been released from such service after completing the specific period of engagement,
otherwise than at his own request or by way of dismissal or discharge on account of misconduct or
inefficiency, and has been given a gratuity and includes personnel of the Territorial Army of the
following categories, namely:(i)
(ii)
(iii)
7.
Disqualification:(i)
No person:(a) who has entered into or contracted a marriage with a person having a spouse living; or
(b) who, having a spouse living has entered into or contracted a marriage with any person shall not be
eligible for appointment to the said post.
Provided that the Central Government may, if satisfied that such marriage is permissible under the
personal law applicable to such person and the other party to the marriage and that there are other
grounds for doing so, exempt any person from the operation of this rule.
(ii)
(iii)
8.
FEE PAYABLE AND MODE OF PAYMENT:- Eligible and desirous candidates should send their
application form duly filled in prescribed format. General & OBC category candidates should pay examination fee of
`50/- (Rupees fifty only) (Non Refundable) in the form of IPO/Demand Draft/Banker Cheque as per details given
below against each. The cover containing application must be superscribed in block letters as APPLICATION FOR
THE POST OF (NAME OF POST APPLIED)-2016.
Post
Application to be sent at
following address
Constable (Driver)
HOW TO APPLY:(i)
LAST DATE:-
(a) 30 days from the date of publication of this advertisement in the Employment News for the
candidates residing at places other than mentioned in para-9 (i) (b) below.
(b) 45 days from the date of publication of this advertisement in the Employment News for the
candidates residing in Assam, Meghalaya, Arunachal Pradesh, Mizoram, Manipur, Nagaland, Tripura, Sikkim,
Ladakh Division of Jammu and Kashmir State, Lahaul and Spiti District and Pangi Sub-Division of Chamba
District of Himachal Pradesh, Andaman and Nicobar Islands or Lakshadweep.
Page 4
(ii) Candidates are not required to enclose the photocopies of educational/ technical/ professional certificates
with the application. However, self attested photocopies of following documents are required to be enclosed while
sending the application:(a) In case Candidate is subject to Nepal or Bhutan, a self attested certificate of eligibility issued by
Government of India (applicable only for the post of Constable (Driver).
(b) Two self-attested recent passport size photographs, one pasted on the application form (Annexure-I) at the
space provided and other to be enclosed with the application form.
(c) Self attested copy of Scheduled Caste/Scheduled Tribe/OBC certificate in the prescribed format (AnnexureII) or (Annexure-III) as applicable.
(d) Demand Draft/IPO/Bankers Cheque of `50/- (Non-Refundable).
(e) Self attested copy of certificate of Bonafide/Domicile/Permanent residence of that State from designated
revenue authorities not below the rank of Tehsildar for verification of citizenship of India. However, the
following are exempted from producing the Bonafide/Domicile/Permanent residence certificate with
application form:(i) West Pakistani Refugees settled in J&K, they will produce certificate issued by the village Sarpanch/
Numberdar along with a copy of the Electoral Roll showing the name of the candidate in the voter list
for election to the Parliamentary Constituency.
(ii) State of Assam is also not issuing Domicile Certificate/PRC, candidates belonging to the state of Assam
are not required to submit the same. However, their selection will be subject to verification of
residential status from the concerned District Authorities.
(f) Ex-servicemen must submit self-attested photocopy of discharge/release certificate in support of claim of
Ex-servicemen & Caste Certificate. If belonging to SC/ST/OBC prescribed format certificate in the
(Annexure-II/III) should also be enclosed.
(g) Annexure-IV to avail relaxation in height and chest (if applicable).
(h) Two self-addressed envelopes of 11.5 cms. x 27.5 cms with postage stamps worth `25/- (Twenty Five only)
affixed on it.
10.
NO TA/DA WILL BE ADMISSIBLE:- No TA/DA or other expenses for appearing in the recruitment test
will be paid to the candidates. The candidates should come duly prepared for a stay of at least one week under their own
arrangement at the recruitment venue. Unemployed SC/ST candidates who appear in written test will be reimbursed fare
as admissible under relevant Rules subject to production of Rail/Bus tickets, original caste certificate, & nonemployment certificate issued by MP or MLA or any Gazetted Officer of the locality.
11.
SELECTION PROCESS:- The bio-metric examination, photograph and signature of the candidates who
report with Admit Card at the recruitment venue will be taken, which shall be followed by conduct of different stages of
recruitment process as under:(i)
PHYSICAL EFFICIENCY TEST (PET):- All candidates will have to undergo Physical Efficiency
Test, which will be qualifying in nature and the candidate must qualify the event as under:POSTS
Constable (Driver, Cook, Washerman, Barber, Safaiwala and
Water Carrier)
FOR MALE
4.8 Kms. Race in 24
minutes
FOR FEMALE
2.4 Kms. Race in 18
minutes
Page 5
(a)
Name of Post
Constable
(Driver)
(b)
Constables
(Cook,
Washerman,
Barber,
Safaiwala and
Water Carrier)
Male
Chest in Cms.
Minimum - 80
Minimum expansion- 5
165
Minimum - 78
Minimum expansion- 5
162.5
Minimum 77
Minimum expansion - 5
162.5
Minimum - 76
Minimum expansion - 5
160
Minimum - 76
Minimum expansion - 5
Female
157
Male
165
Minimum 78
Minimum expansion - 5
Not applicable
Minimum - 78
Minimum expansion - 5
Female
155
Not applicable.
Male
Female
167.5
162.5
150
Minimum - 76
Minimum expansion - 5
Not applicable
NOTE:- A CANDIDATE NOT MEETING THE MINIMUM HEIGHT AND CHEST REQUIREMENT WILL
BE REJECTED.
(a)
Weight:- Weight of the candidate should be proportionate to height and age as per detail given below.
Weight will not be disqualification at the time of PST. However, the overweight/ underweight
candidates will be disqualified at the time of Detailed Medical Examination based on weight and age on
the day of Detailed Medical Examination and the height as measured during Physical Standard Test.
Female Average Body Weights in Kilograms For Different Age Groups and Heights
Height in Cms
148
150
153
155
158
160
163
165
168
18-22
34.5-42.5
36.5-44.5
38-46
38.5-47.5
40.5-49.5
41.5-50.5
43-52.5
44-54
45-55
Age in years
23-27
28-32
37-45
38.5-47
37.5-45.5
39-48
39-48
41-50
40-49
41.5-50.5
42-51
43-53
43-52.5
44-54
44-54
46-56
45.5-55.5
47-58
47-57
48.5-59.5
Page 6
33-37
39.5-48.5
40.5-49.5
42-51
43-52.5
44.5-53.5
45.5-54.5
47-57
48.5-59.5
49.5-60.5
Male Average Body Weights in Kilograms For Different Age Groups and Heights
Height in Cms
Age in years
18-22
23-27
28-32
33-37
156
44-54
46-56
47-58
48-59
158
45-55
47-57
48.5-59.5
49.5-60.5
160
46-56
47.5-58.5
49.5-60.5
50.5-61.5
162
47-58
49-60
50.5-61.5
52-63
164
48-59
50-61
52-63.5
53-65
166
49.5-60.5
51.5-62.5
53-65
54.5-66.5
168
51-62
52.5-64.5
54.5-66.5
56-68
170
52-64
54-66
56-68
57.5-70.5
172
54-66
55.5-67.5
57-70
59-72
174
55-67
57-70
59-72
61-74.5
176
56.5-69
58.5-71.5
60.5-73.5
62-76
178
57.5-70.5
60-73
61.5-75.5
63.5-77.5
180
59-72
61-75
63.5-77.5
65.5-80
182
61-74.5
62.5-76.5
65-79
66.5-81.5
184
63-77
64.5-78.5
66.5-81.5
68.5-83.5
186
63.5-77.5
65.5-80.5
68-83
70-86
188
65-79
67.5-82.5
70-85.5
71.5-87.5
190
66-81
68.5-83.5
70.5-86.5
72.5-88.5
The body weights given in the chart are corresponding to only certain height (in cms) on even
numbers only. In respect of heights in between, the principle of Average will be utilized for
calculating body weights.
In doubtful cases of overweight, the assessment will be made on the basis of BMI.
NOTE: (i) APPEAL AGAINST PHYSICAL STANDARD TEST (PST):- Candidates declared disqualified
in Physical Standard Test can prefer an appeal to the appellate authority for re-measurement of Height
and Chest only. The appeals of the candidates shall be disposed off on the same day.
(ii) Candidates who intend to avail relaxation in height and chest measurements will have to
submit certificate as per Annexure-II/IV.
(iii)
DOCUMENTATION: - The candidate who qualify the Physical Standard Test will have to go through
documentation, in which candidates will have to produce all original documents/certificates the detail of whose are
given in the application form to Recruitment Board, failing which the candidate will be disqualified.
(iv)
WRITTEN EXAMINATION/ASSESSMENT: - Candidates who qualify documentation will appear
in written examination i.e. Paper-I and Trade Test:Paper-I (duration: 2 hours):- Paper-I will be of 100 multiple objective type question focusing on
General Knowledge, Numerical ability, General English & Hindi, General Reasoning carrying 100 marks. Minimum
qualifying marks for Paper-I for all posts will be:50 % for General
45 % for SC/ST/OBC
TRADE TEST:- The Trade Test will be of 50 marks and the minimum qualifying marks for all
candidates including SC/ST/OBC category candidates will be 60%. The final merit will be drawn on the basis of marks
obtained in Common Entrance Test (CET) Paper-I and Trade Test.
(v)
DETAILED MEDICAL EXAMINATION:- Candidates will be put through Detailed Medical
Examination strictly on the basis of merit of Written Examination. The Medical Standards for all posts are as under:-
Page 7
(a)
Sl.
No.
1.
2.
3.
Visual Acuity
unaided (Near
Vision)
Better Worse
N6
N9
Uncorrected visual
acuity (Distant
Vision)
Better
Worse
6/6
6/6
N6
N9
6/6
6/9
N6
N9
6/9
6/9
Color
Vision
CP II BY
ISIHARA
CP IV BY
ISIHARA
CP III BY
ISIHARA
Remarks
Binocular
vision is
required.
REFRACTION:(i)
(ii)
(iii)
(b) The candidates must not have knock-knee, flat foot, varicose veins, squint in eyes and they should
possess high colour vision. The candidates will be tested for colour vision by ISIHARAs test as well as EdrichGreen Lantern test.
(c) Must be in good mental and bodily health and free from any physical defect likely to interfere with the
efficient performance of their duties.
(d) Criteria to determine permissibility of tattoo: Candidate having prominent Tattoos other than small
tattoos depicting religious symbol or figure and the name, as followed in Indian army, on the body like inner
aspect of only Left forearm, being non-saluting limb or dorsum of the hands will be rejected.
NOTE:-The candidates will be examined as per the Revised Medical Guidelines May, 2015 issued by MHA.
(vi)
APPEAL AGAINST FINDINGS OF DETAILED MEDICAL EXAMINATION:- If a candidate is
declared unfit in the detailed medical examination, the grounds for rejection will be communicated to him/her by the
Chairman. If the rejected candidate is not satisfied with the findings of the Medical Officer, he/she will obtain Form 1, 2
& 3 from the Chairman Recruitment Board concerned to prefer an appeal for Review Medical Examination within 15
days from the date of issue of communication in which the findings of the Medical Officers is communicated to
him/her. The appeal should necessarily contain the following: (a) Review Medical Examination fee of `25/- (Rupees
Twenty Five only) non-refundable, through a Bank Draft payable in favour of concerned authority to be intimated by
Chairman Recruitment Board (b) Appeal Forms 1, 2 & 3 issued by the initial Medical Board declaring the candidate as
Unfit, (c) One self addressed envelope with `25/- postage stamp duly affixed on it. Fitness certificate other than Form3 (provided by the Chairman of Recruitment Board to the Candidate) will not be considered for Review Medical
Examination and appeal will be rejected straightway. The fitness certificate on form-3 is essential to consider
his/her case for review medical examination and not for any other purpose.
Those candidates whose appeal are found in order will be issued call letters to appear for Review Medical
Examination and their list will also be uploaded in the SSB website i.e. www.ssbrectt.gov.in.
The decision of the Review Medical Examination Board will be final and no 2nd appeal will be entertained as
per instructions of the Government and no reply of the correspondence/2nd appeal will be given/entertained.
Page 8
NOTE:- (a)
(b)
It should, however, be clearly understood that the Selection Board reserves absolute discretion to
reject or accept any candidate after considering the report of the medical board.
Being declared FIT in Medical Examination will in no way give any legal claim or right to any
candidate for final appointment in Government service.
(vii)
FINAL SELECTION:- The final selection list will be prepared in order of merit, category wise, after
completion of Review Medical Examination. It is hereby emphasized that the candidates who merely secure the
qualifying marks and found medically fit, may not be considered for final selection since the cut off marks will be
determined based on number of vacancies after the completion of whole recruitment process. Where equal marks have
been obtained by candidates their merit will be fixed as per following:
a) A candidate who secures more marks in the written examination is ranked higher.
b) In case where, marks mentioned at (a) above are also equal, the candidate senior in age is ranked higher.
c) In case, date of births are also the same, then the candidates will be given priority based on the alphabets of
their names i.e. A- first, B - second, C - third etc.
10.
GENERAL INSTRUCTIONS:(1)
Only eligible candidates may apply in the prescribed proforma. Candidates should minutely go through
all the provisions in the notification to ensure that he/she is eligible for the post for which he/she is
applying.
(2)
Candidates should bring all original documents i.e. matriculation, technical and trade pass certificate
alongwith self attested Photostat copies of the same at the time of documentation, failing which
candidates will be rejected in the documentation stage of recruitment.
(3)
Name, Fathers Name & Date of Birth should be mentioned exactly as recorded in Matriculation
certificate. In case of change the same must be supported by necessary documents otherwise, the
candidature will be rejected.
(4)
The application form must be filled in English & Hindi only and signed by the candidate in his/her
own handwriting. Correction, if any, should be legible and attested by the candidate.
(5)
(6)
Persons employed in Government/Semi Government/ Public Sector Undertakings should apply through
proper channel. No objection certificate from their employer will be required to be submitted at the time
of documentation.
(7)
Falsification of documents to mislead the Recruitment board or to gain access to examination would
lead to criminal/debar action against the candidate, besides cancellation of his/her candidature.
(8)
No separate admit cards/call letters will be issued to the qualified candidates for written examination
(Paper-I), Trade Test and Detailed Medical Examination. The list of qualified candidates called for
above test will be displayed on the notice board at the Recruitment venue and SSB website.
(9)
The Government/ SSB shall not be responsible for damage/ injury/ death/ loss to the individual, if any,
sustained during the entire recruitment process/journey.
(10)
The Director General, SSB has full right to make changes/cancel/postpone the recruitment without
assigning any reason.
(11)
(12)
It should, however, be clearly understood that the Recruitment Board reserves to itself, absolute
discretion to reject or accept any candidate at any stage.
(13)
Mere qualifying all the prescribed tests in SSB recruitment does not confer the right to any candidate
for selection.
(14)
Change in category will NOT be entertained in future and the candidature of such candidate shall be
cancelled.
Page 9
11.
(15)
Candidates who are not in possession of certificate of minimum education qualification by closing
date of receipt of applications i.e. 30 days from the date of publication of this advertisement in the
Employment News need not apply.
(16)
Calculator, Digital Diary, Cellular Phone, pager, whiteners, blade etc. are prohibited in the recruitment
venue.
(17)
The candidates will not be considered for recruitment if involved/convicted/arrested in any criminal
case under IPC or any other Act of the Central Government or State Government.
(18)
The selection committee will not enter into any correspondence with the candidate except in the case of
change of address sought by a candidate.
(19)
Any amendment in the schedule/condition/process of recruitment will be available on SSB web site
www.ssbrectt.gov.in only. Candidates are advised to log on to this site regularly.
(20)
The advertisement is also available on SSB web site. The format of the application may be
downloaded from SSB web site www.ssbrectt.gov.in
(21)
In case a candidate is found ineligible or suppresses facts on any ground after his/her selection/appointment, his/her services will be terminated without assigning any reason.
(22)
The candidates provisionally selected for the above posts should qualify the training or courses as
prescribed by the Director General, Sashastra Seema Bal from time to time during probation period
failing which services are liable to be terminated.
Page 10
ANNEXURE-I
APPLICATION FORM FOR THE POSTS OF CONSTABLE (DRIVER, COOK, WASHERMAN, BARBER,
SAFAIWALA AND WATER CARRIER) IN SASHASTRA SEEMA BAL (SSB) FOR THE YEAR-2016.
Paste a recent
colour self
attested
photograph of
3.5 x 4.5 cms.
Roll No
For Office Use
Applied for the post of with post code__________________________________
1.
MIDDLE
SURNAME
2.
3.
4.
5.
6.
7.
Y Y
Amount
Roll No
Certificate
No.
Date of
issue
Subjects
Aggregate
percentage
of Marks
Roll No
Certificate
No.
Date of
issue
Subjects
Aggregate
percentage
of Marks
Page 11
8.
Valid Heavy Driving License details (Only for the candidates who has applied for the post of Constable
(Driver):Valid Heavy Driving
Date of issue
Date of expiry
Issuing authority
License Number
9.
10.
Sikh
Christian
Buddhist Jain
If others, specify
11.
12.
13.
Dogras
Marathas
Garhwalis
Kumaonis
Certificate
number
Date of issue
Issuing
authority
Date of issue
Yes/No
Issuing authority
Yes/No
Date of issue
Issuing authority
14.
Yes/No
Date of issue
Issuing authority
Whether Ex-serviceman, if so, indicate (Please attach a self-attested CTC discharge certificate):Date of
Enrolment
Date of
retirement/
Discharge
Medical
category
Award/
Decorations
Page 12
Reasons for
release/
discharge
Education qualification
Civil
Military
15.
Permanent address:
Village/Town
Post Office
Tehsil
Police Station
District
State
Pin Code
16.
Correspondence address:
Village/Town
Post Office
Tehsil
Police Station
District
State
Pin Code
17.
+91
b) E-mail ID________________________________________________________
18.
19.
Posted since
Government Servant
(If so, please mention the following):-
Yes
Post held
No
Name and designation of NOC issuing authority
Certificate Number
Date of issue
Name of issuing authority
20.
21.
Have you ever been debarred by UPSC, SSC or SPSC or any recruitment board
from appearing in any exam?
Yes/No
22.
Case reference: If the answers to any of the above mentioned questions is YES then give full particulars of
the Criminal complaint case, FIR No. & Date, Under Section, District and present status of the case at the time of
filling up this application form.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Page 13
23.
If after submission of this application form, any criminal case(s) is registered against you or arrested/detained
by Police in any criminal case relevant details of same should be communicated immediately to the concerned
Chairman of Recruitment Board conducting recruitment, failing which it shall be deemed to be suppression of factual
information.
24.
25.
26.
:
Signature of the applicant
NOTE:-Candidates should apply only if they fulfill all the physical standard & educational qualifications as mentioned
in the advertisement to avoid any disappointment at later stage.
Page 14
ANNEXURE-II
FORM OF CERTIFICATE TO BE PRODUCED BY A CANDIDATE BELONGING TO SCHEDULED CASTE
OR SCHEDULED TRIBE
This is to certify that Shri/Mrs/Ms/Miss ___________________________________ son/daughter of Shri
______________________________
village/Town
_______________________
in
District/Division
________________________ of the State/Union Territory ___________________ belongs to the ______________
caste/tribe which is recognized as a Schedule Caste/Scheduled Tribe under.
The Constitution (Scheduled Castes) order, 1950.
The Constitution (Scheduled Tribes) order, 1950.
The Constitution (Scheduled Castes) (Union Territory) order, 1951.
The Constitution (Scheduled Tribes) (Union Territory) order, 1951.
(As amended by the Scheduled Castes and Scheduled Tribes (Modification) Order 1956, the Bombay
Reorganization Act, 1960, the Punjab Reorganization Act, 1966, The State of Himachal Pradesh Act, 1970, the
North Eastern Areas (Reorganization Act, 1971) and the Scheduled Castes and Scheduled Tribes orders
(Amendment) Act, 1976.)
*The constitution (Jammu & Kashmir) Scheduled Caste Order, 1956;
*The Constitution (Andaman and Nicobar Islands) Scheduled Tribes, 1959, as amended by the
Castes and Scheduled Tribes orders (Amendment) Act. 1976;
*The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order 1962;
*The Constitution (Dadra & Nagar Haveli) Scheduled Tribes Order, 1962;
*The Constitution (Pondichery) Scheduled Castes Order, 1964;
*The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967;
*The Constitution (Goa, Daman & Dieu) Scheduled Castes Order, 1968;
*The Constitution (Goa, Daman & Diu) Scheduled Tribes Order, 1968;
*The Constitution (Nagaland) Scheduled Tribes Order, 1970;
*The Constitution (Sikkim) Scheduled Castes Order, 1978;
*The Constitution (Sikkim) Scheduled Tribes Order, 1978;
*The Constitution (Scheduled Castes) Orders (Amendment) Act, 1990.
*The Constitution (Scheduled Tribes) Order, (Amendment) Ordinance, 1991.
*The Constitution (Scheduled Tribes) Order, (Second Amendment) Act, 1991.
*The Constitution (Scheduled Tribes) Ordinance, 1996
Scheduled
2.
This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes Certificate issue to Shri
_________________________
father
of
Shri/Mrs/Miss
_____________________
of
village/town
__________________________ in District
/
Division ____________________ of the State/UT
__________________________ who belong to the ________________ caste/Tribe which is recognized as a SC/ST in
the State/Union Territory ___________________ issued by the ______________________
(name of the prescribed
issuing authority) vide their No._____________________ dated _____________ or Shri _________________ and or
his/her family ordinarily reside (s) in Village/Town __________________ of ________________ District /Division of
the State/Union Territory of ____________________________.
Place_______________
Date_______________
Signature______________
Designation ____________
(With seal of Office)
NOTE: - The terms ordinarily reside(s) used here will have the same meaning as in Section 20 of the Representation of
the People Act, 1950.
LIST OF AUTHORITIES EMPOWERED TO ISSUE CASTE/TRIBE CERTIFICATE
1.
2.
3
4.
Page 15
ANNEXURE-III
(FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR
APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA)
This
is
to
certify
that
Shri/Smt/Kumari____________________________________son/daughter
of____________________________of
village/town______________________________________
District/Division________________________________________________________in
the
in
State/Union
DISTRICT MAGISTRATE/
DEPUTY COMMISSIONER ETC.
Office Seal
___________________________________________________________________________________
Dated:
*
**
The authority issuing the certificate may have to mention the details of Resolution of Government of India, in
which the caste of the candidates is mentioned as OBC.
As amended from time to time.
Note: The term Ordinarily used here will have the same meaning as in Section 20 of the Representation of
the People Act, 1950.
ANNEXURE-IV
permanent
resident
of
It is certified that:-
*Residents of entire are mentioned above are considered as (Garhwalis, Kumaonis, Gorkhas, Dogras, Marathas)
for relaxation in height and chest measurement for recruitment in the Para Military Forces of the Union of India.
Place: ___________
Signature________
Date: ___________
District Magistrate/Sub-Divisional
Magistrate/ Tehsildar
Page 16
DECLARATION / UNDERTAKING
I,_____________________________________son/daughter
of______________________
R/o
________________________________________________________________________________________________
__________________________________hereby declare that I belong to the _________community which is recognized
as a backward class by the Government of India for the purpose of reservation in services as per orders contained n
Department of Personnel and Training Office Memorandum No.36012/22/93-Estt.(SCT), dated 08/09/1993. It is also
declared that I do not belong to persons/ sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above
referred Office Memorandum, dated 08/09/1993, which is modified vide Departmental of Personnel and Training Office
Memorandum No.36033/3/2004 Estt. (Res.) dated 09/03/2004.
Place:
Date:
Signature of Candidate
davp 19114/11/0004/1617
Page 17