भारत सरकारGovernment of India

परमाणु ऊर्ाा विभाग Department of Atomic Energy

परमाणु खनिर् अन्िेषण एिं अिुसंधाि निदे शालय
Atomic Minerals Directorate for Exploration & Research

Advt. No. AMD-3/2022

“GOVERNMENT STRIVES TO HAVE A
WORKFORCE WHICH REFLECTS GENDER
BALANCE & WOMEN CANDIDATES ARE
ENCOURAGED TO APPLY”

Duration for submission of online applications 29-10-2022 to 17-11-2022

Last date and time for receipt of online applications 17-11-2022 (23:59 hrs.)
Tentative Schedule of Physical test for the posts of ASO-A &
December, 2022
Security Guard
Tentative Schedule of Written Examination (Computer based
January, 2023
test) for the posts of JTO (Level-1) & Security Guard
Tentative Schedule of Descriptive Examination for JTO (Level-2)
February, 2023
& ASO-A
Applications are invited only through ON-LINE mode from eligible candidates for appointment to the following vacant posts
in various constituent units of Department of Atomic Energy located all over India:

1. Name of the post Junior Translation Officer (JTO)

Pay Pay: ₹ 35,400/-
(Cell No. 1 in the Level 6 of Pay Matrix) plus DA & other allowances as admissible to
Central Government Employees.
Group B (Non-Gazetted)
Total No. of Posts SC ST OBC EWS UR TOTAL
0 0 2 2 5 9
1 post out of total posts is reserved for PWD-HH
Minimum Qualification Masters Degree of a recognized University in Hindi/English, with English/Hindi as a
Essential: main subject at degree level
(OR)
Masters Degree of a recognized University in any subject with Hindi and English as
main subjects at degree level
(OR)
Masters Degree of a recognized University in any subject with Hindi/English medium
and English/Hindi as a main subject at degree level
(OR)
Masters Degree in Hindi /English or in any other subject with Hindi/English medium,
with English/Hindi as a main subject or a medium of examination at degree level
(OR)
Bachelors Degree with Hindi and English as main subjects or either of the two as
medium of examination and the other as a main subject plus recognized Diploma /
Certificate course in translation from Hindi to English and vice-versa or two years
experience of translation work from Hindi to English and vice-versa in Central / State
Government offices including Government of India Undertaking.
Age Limit as on closing 18-28 years.
date of submission of
applications
Mode of Selection Mode of Selection comprises Written Tests in Level 1 & 2 as detailed below:
Level-1 Test – Objective Test covering:
1. General Hindi
2. General English
3. General Intelligence & Reasoning
4. Quantitative Aptitude
100 Questions in Bilingual (Hindi and English) - Duration – 2 Hrs

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Minimum Pass Percentage in each Level shall be as follows:-

UR/EWS:50% aggregate.
OBC: 40% aggregate.

In the event where large number of candidates obtain the minimum qualifying marks
in the Level-1 examination, the candidates will be shortlisted for the Level-2
examination. For short listing of candidates, marks secured by the candidates will be
arranged in descending order up to the minimum qualifying marks as mentioned
above. Separate marks list will be prepared for UR, EWS, OBC & PwBD and one
common list for all the candidates who appeared in Level-1 examination. Obtaining the
minimum qualifying marks alone does not entitle a candidate to be called for the
Level-2 examination.

Short listing of candidates on the basis of Level-1 examination will be in the ratio of
1:20 i.e., for every single vacancy, 20 candidates will be called for the Level-2
examination. If there is more than one candidate with the same cut off mark (while
short listing@ 1:20), then all the candidates with the same mark will be short listed for
Level-2 examination.

Level-2 Test:-

Descriptive written test consisting of two papers (Paper - I & Paper - II) as per the
syllabus given below:-

Paper-I (100 Marks) – Duration – 3 Hrs.

1. Translation of paragraphs from Hindi to English (02 nos.) (One each of technical and
administrative in nature) (Approx. 250 words for translation)
– 25 marks.

2. Translation of paragraphs from English to Hindi (02 nos.) (One each of technical and
administrative in nature) (Approx. 250 words for translation)
– 25 marks.

3. Translation of sentences in English (related to official work) to Hindi (10 sentences).

– 15 marks.

4. Translation of sentences in Hindi (related to official work) to English (10 sentences)

– 15 marks.

5. Synonyms for English words in Hindi (10) – 10 Marks

6. Synonyms for Hindi words in English (10) – 10 Marks

Paper-II (100 Marks) – Duration – 3 Hrs.

1. General Intelligence & Reasoning and Quantitative Aptitude – 50 Marks

2. General Hindi – 15 marks
3. General English- 15 marks
4. Essay in Hindi language – 10 marks
5. Essay in English language – 10 marks

Empanelment criteria:
Final Selection will be based on the marks obtained in Level – 2 only.

Resolution in case of tie of marks in level-2:

a. Total of Level 1 and Level 2 marks.

b. Date of Birth (candidate having older age)
c. Alphabetical order of name (in the order of First name, middle name and surname)

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2 . Name of the post Assistant Security Officer-A
Pay Pay: ₹ 35,400/-
(Cell No. 1 in the Level 6 of Pay Matrix) plus DA & other allowances as admissible to
Central Government Employees.
Group B (Non-Gazetted)
Total No. of Posts
SC ST OBC EWS UR TOTAL
3 3 14 3 15 38
1 (one) post out of total posts is reserved for Ex-Servicemen.
Minimum Qualification Direct Recruits Graduate from a recognized University
For Ex-Servicemen, Graduate from a recognized University or equivalent.
Ex-Police and Ex-
Central Para Experience: Not below Junior Commissioned Officer or
Military Personnel equivalent or having five years experience as
Non-Commissioned Officer or equivalent.
Age Limit as on closing 18-27 years.
date of submission of
Ex-servicemen and Ex-constables shall be eligible to apply only within three years of
applications
discharge or retirement from Armed Forces or Police.
Mode of Selection The selection process will consist of Physical Test and Written Test.
Physical Test (PT):
Physical Standard: No deformity
Minimum Height:
Sl. Category Height
No. (in cms.)
Male Female
1. General 167 157
2. Candidates belonging to hill areas of 165 155
Garhwal, Kumaon, Himachal Pradesh,
Gorkhas, Dogras, Marathas, Kashmir
Valley, Leh & Ladakh regionsof J&K,
North Eastern States and Sikkim.
3 Candidates belonging to Scheduled Tribe 162.5 154
category.

b) Chest (Male)

Sl. Category In
No. (cms).
Unexpanded Expanded
1. General 80 85
2. Candidates belonging to hill areas of Garhwal, 80 85
Kumaon, Himachal Pradesh, Gorkhas, Dogras,
Marathas, Kashmir Valley, Leh& Ladakh, J&K,
North Eastern States and Sikkim.
3 Candidates belonging to Scheduled Tribe 77 82
Category
1. Physical Events
(a) Physical Events (Male)

(i) 1.6 Kms. run - 6 minutes 30 seconds.

(ii) Long Jump - 3.65 meters in 3 chances
(iii)
Age Group Nos.
Upto 30 years 08-09
Chin ups
30-40 years 05-06
40-45 years 16-17
Push ups
Above 45 years 12-13
Upto 30 years 25-29
Sit ups 30-40 years 20-24
40-45 years 15-19
Above 45 years 10-14
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 (b) Physical Events (Female)

(i) 800 meters run - 4 minutes.

(ii) Long Jump - 2.7 meters (09 feet) in 3 chances
(iii)
Age Group Nos.
Upto 30 years 20
Sit ups 30-40 years 15
40-45 years 12
Above 45 years 10
The candidates who qualify the Physical Test alone will be allowed to appear for
the written test

2. Written Test

Written examination for 75 marks in the allotted time of 90 minutes.

The question paper will be as per the following pattern:

(a) Comprehension - 25 marks

(b) Report Writing - 25 marks
(c) Analytical (Basic Maths & General Awareness-
Objective Type) - 25 marks

Final selection shall be on the basis of the marks secured in the Written Test only.
Resolution in case of tie of marks in Written Examination:

a. Date of Birth (candidate having older age)

b. Alphabetical order of name (in the order of First name, middle name and surname)

3 . Name of the post Security Guard

Pay ₹ 18,000/-
(Cell No. 1 in the Level 1 of Pay Matrix) plus DA & other allowances as admissible to
Central Government Employees

Group C (Non-Gazetted)

Total No. of Posts

SC ST OBC EWS UR TOTAL

20 28 46 18 162 274
29 posts out of total posts are reserved for Ex-servicemen
Minimum Qualification
Direct Recruits 10th standard pass
For Ex-servicemen, Ex-Police & 10th standard pass or equivalent
Ex-Central Para Military central Para Military Personnel
th
Personnel 10 standard pass or equivalent
certificate from Armed Forces.

Age Limit as on closing 18-27 years.

date of submission of
applications
Ex-servicemen and Ex-constables shall be eligible to apply only within three years of
discharge or retirement from Armed Forces or the Police.

Page 4 of 27
Mode of Selection The selection process will consist of Physical Test and Written Test.

1) Physical Test (PT):

Physical Standard: No deformity

a. Minimum Height:

Sl. Category Height

No. (in cms.)
Male Female
1. General 167 157
2. Candidates belonging to hill areas of 165 155
Garhwal, Kumaon, Himachal Pradesh,
Gorkhas, Dogras, Marathas, Kashmir
Valley, Leh&Ladakh, J&K,North Eastern
States and Sikkim.
3 Candidates belonging to Scheduled Tribes 162.5 154
Category
b. Chest (Male)

Sl. Category In cms.

No.
Unexpanded Expanded
1. General 80 85
2. Candidates belonging to hill areas of 80 85
Garhwal, Kumaon, Himachal Pradesh,
Gorkhas, Dogras, Marathas, Kashmir
Valley, Leh& Ladakh, J&K,
North Eastern States and Sikkim.
3 Candidates belonging to Scheduled 77 82
Tribes Category

c. Physical Events
Physical Events (Male)

(i) 100 meters run - 16 seconds.

(ii) Long Jump - 3.65 meters in 3 chances
(iii)

Age Group Nos.

Upto 30 years 08-09
Chin ups
30-40 years 05-06
40-45 years 16-17
Push ups
Above 45 years 12-13
Upto 30 years 25-29
Sit ups 30-40 years 20-24
40-45 years 15-19
Above 45 years 10-14

Physical Events (Female)

(i) 100 meters run - 20 seconds.
(ii) Long Jump - 2.7 metres (09 feet) in 3 chances
(iii)
Age Group Nos.
Upto 30 years 20
Sit ups 30-40 years 15
40-45 years 12
Above 45 years 10

The candidates who qualify the Physical test alone will be allowed to appear for a
written test

Page 5 of 27
 2. Written Test:

Written examination for 75 marks in the allotted time of 90 minutes. The

question paper will be as per the following pattern:

(a) Comprehension - 25 marks

(b) General Awareness (Objective type) - 25 marks
(c) Analytical or Basic Mathematics (Objective Type) - 25 marks

Final selection shall be on the basis of the marks secured in the Written Test only.

Resolution in case of tie of marks in Written Examination:

a. Date of Birth (candidate having more age)

b. Alphabetical order of name (in the order of First name, middle name and surname)

Application Fee

Sl. No. Post name Fee Payment Mode

₹
1. Junior Translation Officer 200/- Application fee should be paid through on-line
2. Assistant Security Officer-A 200/- only. Please refer website www.amd.gov.in for
3. Security Guard 100/- details.

Fee once paid shall be non-refundable,

non-transferable and cannot be held in reserved
for any other examination under any
circumstances.
Payment should be made before 23.55 hrs on 17.11.2022. On-line Payment will not be accepted beyond
the prescribed time.
The following candidates are exempted from payment of Application Fee.

1. Candidates belonging to SC/ST

2. Ex-Servicemen
3. Persons with physical disability
4. Women candidates.

Nationality/Citizenship.
i. A candidate must be either:
a) a citizen of India, or
b) a subject of Nepal, or
c) a subject of Bhutan, or
st
d) a Tibetan refugee who came over to India, before the 1 January, 1962 with the intention of
permanently settling in India, or
e) a person of Indian origin who has migrated from Pakistan, Burma, Sri Lanka, East African Countries of
Kenya, Uganda, the United Republic of Tanzania (Formerly Tanganyika and Zanzibar), Zambia,
Malawi, Zaire, Ethiopia and Vietnam with the intention of permanently settling in India.

ii. Provided that a candidate belonging to categories (b), (c), (d) and (e) above shall be a person in whose favour
a certificate of eligibility has been issued by the Government of India.

iii. A candidate in whose case a certificate of eligibility is necessary may be admitted to the Examination but the
offer of appointment will be given only after the necessary eligibility certificate has been issued to him by the
Government of India.

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 RELAXATION IN UPPER AGE LIMIT:

SC/ST/OBC Candidates.

 Upper age limit indicated will be relaxed by 5 years for SC/ST and 3 years for OBC candidates not belonging to
creamy layer, only in respect of reserved posts. SC/ST/OBC Certificates should be as per the prescribed format for
employment in Government of India.

 Age relaxation is not applicable for SC/ST/OBC candidates applying for Unreserved posts.

Departmental candidates:

 Age relaxation for departmental candidates will be considered as per rules in vogue. (Annexure-C)

Ex-servicemen:
 Age relaxation in the upper age limit for Ex-servicemen would be over and above the maximum age prescribed in
the advertisement to the extent of service rendered in Defence plus three years. Ex-servicemen and ex-constables
shall be eligible to apply only within three years of discharge or retirement from armed forces or Police for the
post of Assistant Security Officer-A & Security Guard.
 Ex-servicemen who have already secured employment in civil side under Government in Group ‘C’ & ‘D’ posts on
regular basis after availing of the benefits of reservation given to ex-servicemen for their re-employment are not
eligible for reservation in ESM category and fee concession. However, such candidates can avail of the benefit of
reservation as ex-serviceman for subsequent employment if he immediately after joining civil employment, gives
self- declaration/undertaking to the concerned employer about the date-wise details of application for various
vacancies for which he had applied for before joining the initial civil employment as mentioned in the OM No:
36034/1/2014-Estt (Res) dated 14.08.2014 issued by DoP&T.

 The period of "Call up Service" of an Ex-Serviceman in the Armed Forces shall also be treated as service rendered
in the Armed Forces for purpose of age relaxation, as per rules.
 For any serviceman of the three Armed Forces of the Union to be treated as Ex- Serviceman for the purpose of
securing the benefits of reservation, he must have already acquired, at the relevant time of submitting his
application for the Post/ Service, the status of ex-serviceman or is in a position to establish his acquired
entitlement by documentary evidence from the competent authority that he would complete specified term of
engagement from the Armed Forces within the stipulated period of one year from the closing date for receipt of
application. Such candidates must also acquire the status of an ex-serviceman within the stipulated period of one
year from the closing date of receipt of applications. (Annexure-D)
 Explanation: An 'ex-serviceman' means a person:
who has served in any rank whether as a combatant or non-combatant in the regular Army, Navy and Air Force
of the Indian Union and Who either has been retired or relieved or discharged from such service whether at his
own request or being relieved by the employer after earning his pension ;or
Who has been relieved from such service on medical grounds attributable to military service or circumstances
beyond his control and awarded medical or other disability pension; or
Who has been released 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, namely, pension holders for
continuous embodied service or broken spells of qualifying service;
Or
Personnel of the Army Postal Service who are part of Regular Army and retired from the Army Postal Service
without reversion to their parent service with pension, or are released from the Army Postal service on
medical grounds attributable to or
aggravated by military service or
circumstances beyond their control and awarded medical or other disability pension; or
Personnel, who were on deputation in Army Postal Service for more than six months prior to the 14th
April,1987; or
Gallantry award winners of the Armed forces including personnel of Territorial Army; or
Ex-recruits boarded out or relieved on medical ground and granted medical disability pension.
Page 7 of 27
  A Matriculate Ex-Servicemen (which includes an Ex-Servicemen, who has obtained the Indian Army Special
Certificate of education or corresponding certificate in the Navy or the Air Force), who has put in not less
than 15 years of service with the Armed Forces of the Union shall be considered eligible for appointment to
the reserved vacancies for ESM in Group “C” posts. Thus, those non-graduate Ex-Servicemen who have not
completed 15 years of service as on the closing date for receipt of applications or would not complete 15
years of service within one year from the closing date of receipt of applications are not eligible to apply for
this examination.

 Age relaxation/ ESM reservation is not admissible to sons, daughters and dependents of Ex-
Servicemen. Therefore, such candidates should not indicate their category as ex-servicemen.

Once an Ex-serviceman is appointed to a civil post against a reserved vacancy, he ceases to be an Ex-serviceman.
However, the benefit of age relaxations as prescribed for Ex-servicemen will be admissible.

Persons with benchmark disabilities (PwBD):

 Relaxation of 10 years in Upper age limit is admissible to Persons with Disabilities (OH/HH/VH/OD) for the posts
identified (for S.No.01 i.e. Junior Translation Officer) subject to production of certificate from the Govt.
Hospital/Medical Board consisting of at least one specialist in the particular field in assessing locomotor disability,
in support of their claim of disability, at the time of document verification.

 The percentage of disability shall not be less than 40%.

 PwBD candidates are not eligible to apply for the posts of Assistant Security Officer-A &Security Guard which are
not identified for PwBD.

Defence Personnel disabled in operation during hostilities with any foreign country or in a disturbed area and released
as a consequence thereof

 Relaxation of 3 years in Upper age limit is admissible to Defence Personnel disabled in operation for the posts
identified (for S.No.01 i.e. Junior Translation Officer)

 Defence Personnel disabled are not eligible to apply for the posts of Assistant Security Officer-A & Security Guard

Widow, divorced woman and woman judicially separated from husband and who is not re-married

 Relaxation of age is applicable in respect of Security guard post only, as detailed below

UR/EWS SC ST OBC
35 years 40 years 40 years 38 years

ECONOMICALLY WEAKER SECTION (EWS) RESERVATION

Candidates who are not covered under the scheme of reservation for SC/ ST/ OBC and whose family gross annual
income is below Rs.8 Lakh (Rupees Eight Lakh) are to be identified as EWS for benefit of reservation for EWS. The
income shall also include income from all sources i.e. salary, agriculture, business, profession etc. for the financial
year prior to the year of application i.e. 2021-22. Also candidates whose family owns or possesses any of the
following assets shall be excluded from being identified as EWS, irrespective of family income:

(i) 5 acres of agricultural land and above;

(ii) Residential flat of 1000 sq. ft. and above;
(iii) Residential plot of 100 sq. yards and above in areas of notified municipalities;
(iv) Residential plot of 200 sq. yards and above in areas other than the notified municipalities.
The property held by a “Family” in different locations or different places/ cities would be clubbed while applying
the land or property holding test to determine EWS status.

Page 8 of 27
The term “Family” for this purpose will include the person who seeks benefit of reservation, his/her parents and
siblings below the age of 18 years as also his/ her spouse and children below the age of 18 years.

The benefit of reservation under EWS can be availed upon production of an Income and Asset Certificate issued by
a Competent Authority. The Income and Asset Certificate issued by any one of the following authorities in the
prescribed format as given in Annexure- H shall be only accepted as proof of candidate’s claim as belonging to
EWS:

(a) District magistrate/ Additional District Magistrate/ Collector/ Deputy Commissioner/ Additional Deputy
st
Commissioner/ 1 Class Stipendiary Magistrate/ Sub-Divisional Magistrate/ Taluka Magistrate/ Executive
Magistrate/ Extra-Assistant Commissioner.
(b) Chief Presidency Magistrate/ Additional Chief Presidency Magistrate/ Presidency Magistrate.
(c) Revenue Officer not below the rank of Tehsildar and
(d) Sub-Divisional Officer of the area where the candidate and/ or his family normally resides.

The candidates applying against the vacancies reserved for EWS must possess Income and Asset Certificate as on
closing date of receipt of application. These candidates need to produce valid Income and Asset Certificate during
certificate verification. In case of non-compliance to these stipulations, their claim for reserved status under EWS
will not be entertained and the candidature/ application of such candidates, if fulfilling all the eligibility conditions
for General (UR) category, will be considered under General (UR) vacancies only.

EWS status as on the closing date for online application for this advertisement shall only be considered for availing
reservation benefits, if eligible. Any change in the community/ EWS status of the candidate thereafter shall not be
entertained.

Process of Certification and Format of Certificates:

a) Candidates who wish to be considered against reserved vacancies or seek age- relaxation must submit requisite
certificate from the competent authority, in the prescribed format at the time of document verification.
Otherwise, their claim for SC/ ST/ OBC/ EWS/ PwBD/ ESM category will not be entertained and their
candidature will be cancelled. The formats of the certificates are annexed with the Notice of this Examination.
The certificate of disability issued under the Persons with Disabilities (Equal Opportunities, Protection of Rights
and Full Participation) Act will also be valid. Certificates in any other format are liable to be rejected.
b) Candidates are cautioned that they must ensure that they belong to the category as filled in the application form
and are able to prove the same by furnishing the requisite certificate from the competent authority when such
certificates are sought at the time of document verification, failing which their candidature will be cancelled. If a
candidate is rejected for non-furnishing of the requisite certificate in support of the category filled in the
application form, the candidate will be solely responsible for the same and this Directorate will not have any
responsibility. Any grievance received in this regard in any form like Post,Email, by hand, etc. shall not be
entertained by this Directorate and will be summarily rejected.
For example, candidate X filled OBC in his application form. However, during document verification, he is unable
to produce the valid OBC certificate. In such scenario, candidature of X will be cancelled by this Directorate.

c) Crucial date for claim of SC/ ST/ OBC/ EWS/ PwBD status or any other benefit viz. fee concession, reservation,
age-relaxation, etc., where not specified otherwise, will be the closing date for receipt of online applications.
d) A person seeking appointment on the basis of reservation to OBCs must ensure that he possesses the caste/
community certificate and does not fall in creamy layer on the crucial date.

e) Candidates may also note that in respect of the above, their candidature will remain provisional till the
veracity of the concerned document is verified by the Appointing Authority. Candidates are cautioned that
they will be debarred from the examination conducted by this Directorate in case they fraudulently claim SC/
ST/ OBC/ EWS/ PwBD/ ESM status or avail any other benefit.

Page 9 of 27
Provision of Compensatory time and Assistance of Scribe:
In case of persons with benchmark disabilities in the category of blindness (low vision), locomotor disability (both
arms affected-BA) and cerebral palsy, the facility of scribe is provided, if desired by the candidate. Since the posts
are not identified suitable for persons with BA disability, facility of scribe will not be admissible to such candidates.

In case of remaining categories of persons with benchmark disabilities, the provision of scribe will be available on
production of a certificate at the time of examination to the effect that the person concerned has physical
limitation to write, and scribe is essential to write examination on candidate’s behalf, from the Chief Medical
Officer/Civil Surgeon/Medical Superintendent of a Government health care institution as per proforma at
Annexure A. For engaging the scribe, candidates will have to indicate the same while filling online application
form.

Engagement of Scribe will be subject to the following conditions:

a. Candidates will have to arrange for the scribe on their own.

b. The scribe so arranged should not himself/herself be the candidate for post/ vacancies/ exam for which the
candidate is appearing. Also same scribe should not be engaged for more than one candidate. The scribe and
the candidate shall give a declaration to this effect. Any violation, if detected at any stage will render both the
candidate & the Scribe disqualified.
c. Candidates with disabilities which are not identified as eligible for concession are not allowed to have scribe.
d. In case the candidate opts for his/her own scribe, the qualification of the scribe should be one step below the
qualification of the candidate taking the examination. The candidates with benchmark disabilities opting for
own scribe shall be required to submit details of the own scribe at the time of examination as per proforma at
Annexure-A. In addition, the scribe has to produce a valid ID proof in original at the time of examination. A
photocopy of the ID proof of the scribe signed by the candidate as well as the scribe will be submitted along
with proforma at Annexure-B. If, subsequently it is found that the qualification of the scribe is not as declared
by the candidate, then the candidate shall forfeit his/her right to the post and claims relating thereto.
e. Candidates opting for scribe will have to provide details of scribe as per Annexure-B which should be signed by
both candidate and scribe at the time of exam. Scribe should produce original valid ID proof at exam centre,
and paste passport size photograph on Annexure B.
f. The candidate shall be responsible for any misconduct on the part of the scribe brought by him/her during the
examination.

CERTIFICATE VERIFICATION (CV):

Candidates would be required to produce the relevant certificates in original along with a copy of online application and
submit self attested copies of the following certificates at the time of document verification in Hyderabad after the written
test:

a) Educational qualifications supported by appropriate mark sheets/certificates as proof of possessing the

minimum educational qualification as on the closing date i.e. failing which the candidature of such candidate
will be cancelled.
b) Valid proof of Date of birth (Matriculation / Secondary School Certificate).
c) SC/ST candidates’ caste certificate should be issued by designated authority in the prescribed format and the
community should have been included in the Presidential orders in relation to the concerned state (as per the
format given in Annexure-F).
d) OBC candidates’ caste certificate should be of a recent valid date and issued by designated authority in the
prescribed format with non-creamy layer certificate and the caste/community should have been included in
the Central lists of Other Backward Classes. (as per the format given in Annexure-G)
e) Disability Certificate from the appropriate authority regarding physical disability (as per the formats given in
Annexure-I, J & K- applicable only for Persons with Benchmark Disability)
f) Certificate should be produced by candidates belonging to Economically Weaker Sections (EWS) issued by
designated authority in the prescribed format and the community should have been included in the
Presidential orders in relation to the concerned state (as per the format given in Annexure-H).
g) Discharge Certificate from Defence service (applicable to Ex-Servicemen only)
h) Relevant certificate if seeking any Age relaxation
Page 10 of 27
 i) A candidate who claims change in name after matriculation on marriage or remarriage or divorce, etc. the
following documents shall be submitted:
a. In case of married women: Photocopy of Husband’s passport showing names of spouses or an
attested copy of marriage certificate issued by the Registrar of Marriage or an Affidavit from
husband and wife along with a joint photograph duly sworn before the Oath Commissioner;
b. In case of re-marriage of women: Divorce Deed/ Death Certificate as the case may be in respect
of first spouse; and photocopy of present husband’s passport showing names of spouse or an
attested copy of marriage certificate issued by the Registrar of Marriage or an Affidavit from the
husband and wife along with joint photograph duly sworn before the Oath Commissioner.
c. In case of divorce of women: Certified copy of Divorce Decree and Deed Poll/ Affidavit duly
sworn before the Oath Commissioner.
d. In other circumstances for change of name for both male and female: Deed Poll/ Affidavit duly
sworn before the Oath Commissioner and paper cuttings of two leading daily newspaper in
original (One daily newspaper should be of the area of applicant’s permanent and present
address or nearby area) and Gazette Notification.

GENERAL CONDITIONS

1. Applications will have to be submitted on-line only. No hard copies need to be submitted.

2. For detailed information as to on-line application, how to apply and payment of application fee etc., please login to
website “www.amd.gov.in”. Facility for on-line submission of applications will be available from 29.10.2022 to
17.11.2022

3. Before applying, the candidate should ensure that he/she fulfils all the eligibility conditions mentioned in the
advertisement. Candidates should ensure that they furnish the correct information. The candidate would be admitted
to various stages of the recruitment process based on the information furnished by them in the application. Only a
summary scrutiny of the application would be made before the final stage of the recruitment process and detailed
scrutiny of the eligibility of the candidates would be done only at the final stage of the recruitment process. As such,
the candidature of the applicants shall remain provisional till detailed scrutiny is undertaken only when the candidates
are found eligible in all respects.

4. Candidates who have not acquired the educational qualification as indicated above as on the closing date for receipt of
application should not apply. No further correspondence or clarification will be entertained on this matter.

5. Date of Birth filled by the candidate in the online application form and the same recorded in the Matriculation/
Secondary Examination Certificate will be accepted by this Directorate for determining the age and no subsequent
request for change will be considered or granted.

6. Candidates are required to have a valid email ID and mobile number. It should be kept active throughout the currency
of this recruitment. Necessary intimation about call letters for written examination, document verification etc. will be
sent through the registered Email IDs/registered mobile numbers only.

7. Candidates are advised in their own interest to submit the online application much before the closing date and not to
wait till the last date to avoid the possibility of disconnection/ inability or failure to login to the website on account of
heavy load on the website during the closing days.

8. This Directorate will not be responsible for the candidates not being able to submit their applications within the last
date on account of any reasons beyond the control of this Directorate.

9. AMD would be at liberty to reject any application at any stage of the recruitment process if the candidate is found
ineligible for the post or if it comes to its notice that the candidate has furnished false information.

10. The decision of AMD shall be final in deciding the eligibility of the candidate. The mere fact that a call letter has been
issued to the candidate and allowed to appear in the written exam will not imply that his/her candidature has been
finally cleared or that entries made by the candidate in his/her application have been accepted as true and correct.

11. In case the Universities/Board, award grades/CGPA/OGPA, the same will have to be indicated in equivalent percentage
of marks as per the norms adopted by University/Board. In the absence of the same, the candidature will not be
considered.

Page 11 of 27
12. The date, time and venue for Physical Test/Written Test etc. will be intimated to the eligible candidates through e-
mail/SMS.

13. The Written examination for the post Security Guard and Level-1 examination for Junior Translation Officer in the
mode of Computer Based Test (CBT) will be held in the following cities depending on the number of candidates in each
city. The candidates will have to opt for 3 cities, in the order of preference. AMD reserves the right to allot the
candidates to any City/Centre and not to hold online test in any Centre/City. Decision of AMD in this regard will be
final.

1 Ahmedabad 7 Hyderabad 13 Nagpur

2 Bengaluru 8 Indore 14 Ranchi
3 Chandigarh 9 Jaipur 15 Thiruvananthapuram
4 Chennai 10 Kolkata 16 Visakhapatnam
5 Delhi 11 Lucknow
6 Guwahati 12 Mumbai

14. On intimation/publication of examination venues and dates, the candidates are required to book their examination
slots/centre for attending CBT examination failing which, the candidates shall not be given any opportunity for CBT
examinations later. In other words, no written examination/CBT shall be conducted to the candidates who do not book
their slots/examination centres for CBT Examination. The candidates who booked slot will be issued with admit card
which can be downloaded from the link provided in the AMD’s website (www.amd.gov.in) by the candidate to appear
in the Examination(s).

15. Written examination for ASO-A and Level 2 examination for Junior Translation Officer will be held at Hyderabad or at
selected centres based on the outcome of the number of candidates qualified in the Physical test for ASO-A and Level-1
examination for JTO. Only those candidates who qualify in Physical test/Level-1 examination can download admit card
from the link provided in the AMD’s website (www.amd.gov.in)

16. In addition to the Admit Card, it is mandatory to carry at least two passport size recent colour photographs, Original
valid Photo-ID proof having the Date of Birth as printed on the Admit Card, such as:

i. Aadhaar Card/ Printout of E-Aadhaar,

ii. Voter’s ID Card,
iii. Driving License,
iv. PAN Card,
v. Passport,
vi. ID Card issued by University/ College/ School,
vii. Employer ID Card (Govt./ PSU),
viii. Ex-Serviceman Discharge Book issued by Ministry of Defence,
ix. Any other photo bearing ID Card issued by the Central/ State Government.
a. If Photo Identity Card does not have the date of birth printed on it then the candidate must
carry an additional original document (e.g. Matriculation Certificate, Marks Sheet issued only
by CBSE/ ICSE/ State Boards; Birth Certificate, Category Certificate) in proof of their date of
birth. In case of mismatch in the date of birth mentioned in the Admit Card and photo ID/
Certificate brought in support of date of birth, the candidate will not be allowed to appear in
the examination.
b. Any other document mentioned in the Admit Card shall also be carried by the candidates
while appearing in the Examination.

17. There shall be no provision for re-evaluation/ re-checking of the scores of any stage / Level(s) of the examination. No
correspondence in this regard shall be entertained

18. Certificate verification will be made at Hyderabad only for those candidates who have reached the final stage of
selection process

Page 12 of 27
19. Select list will be published only after verification of certificates of the candidates qualified in the relevant qualification
test as the case may be.

20. Candidate must write Registration Number, Roll Number, registered Email-ID and Mobile Number along with name,
date of birth and name of the examination, while addressing any communication to this Directorate. Communication
from the candidate not furnishing these particulars shall not be entertained.

21. Mere fulfilling the requirement as laid down in the advertisement does not entail a candidate to be called for a Written
Test (Level-1 & 2).

22. Candidates working in/under the Central/State Government, Public Sector Undertakings, Autonomous Bodies etc.,
should furnish a “NO OBJECTION CERTIFICATE” at the time of certificate verification.

23. The selected candidates will be governed by the new restructured defined Contribution Pension Scheme (National
Pension System), which has come into force with effect from 01.01.2004 vide Ministry of Finance Notification
No.5/7/2003-ECB & PR dated 22.12.2003 and the provisions there under.

24. The validity of operation of wait-list will be one year from the date of preparation of the Select Panel or the
subsequent notification for the said posts, whichever is earlier.

25. Record of the non-selected candidates shall not be preserved beyond 6 months from the date of finalization of select
list.

26. AMD reserves the right to fill up all the posts or alter the number of posts or even cancel the whole process of
recruitment or change the Centre of examination without any notice.

27. AMD reserves the right to reject or accept the candidature of any applicant at any stage.

28. Candidates belonging to Scheduled Caste /Scheduled Tribe/Other Backward Classes/Economically Weaker Section will
have to submit Caste/EWS certificate in the prescribed format at the time of document verification.

29. Disqualifications: 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 be eligible for
appointment to the service 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 there are other grounds for
so doing, exempt any person from the operation of this rule.

30. Candidates applying under Economically Weaker Section category must possess a valid certificate of EWS as on last
date of receipt of applications i.e. 17.11.2022. Candidates having EWS certificates after the last date of receipt of
applications shall not be considered.

31. Advertisement has been published in Employment News dated 29.10.2022 and in National and Local News papers
dated 29.10.2022

32. Action against candidates found guilty of misconduct:

If candidates are found to indulge at any stage in any of the malpractices, their candidature for this examination will be
cancelled and this Directorate may also report the matter to Police/ Investigating Agencies, as deemed fit. This
Directorate may also take appropriate action to get the matter examined by the authorities/ forensic experts
concerned.

33. CAUTION TO ALL CANDIDATES:

i. Candidates are cautioned to be very careful while submitting their applications through the authorised link
provided only on AMD’s website and further advised to beware of touts and fake websites.

ii. In the event of any person approaching the candidate with the assurance of selection/appointment in this
Directorate through illegal gratification, he/she MUST NOT fall prey to such assurance or exploitation and
must not entertain or encourage such elements in any way. It is emphasized and re-assured that the
selection process will be done on the basis of merit only and in a transparent manner.

34. Court’s Jurisdiction : Any dispute with regard to this recruitment will be subject to the Courts having jurisdiction in
Hyderabad only

Page 13 of 27
35. CANVASSING IN ANY FORM SHALL BE A DISQUALIFICATION.

36. Note: Corrigendum/ extension etc., if any, shall be published only on our website: www.amd.gov.in Please visit our
website regularly.

APPOINTMENT & PLACEMENT

37. The posts advertised are meant for various constituent units of Department of Atomic Energy (DAE) all over India.
Hence, after preparation of select panels (both main list and wait lists), category-wise, the selected candidate may be
offered employment in any of the constituent units of DAE, which need to be noted by the candidates. Thus, the
candidates are liable to serve in any of the constituent units of DAE and anywhere in India. In so far as Assistant
Security Officer-A and Security Guards, apportioned to AMD are concerned, being a field oriented organisation, they
may be posted to field areas and hence they should be prepared and must be willing to bear the arduous conditions of
field life, which involve living in tents or in improvised field accommodation. They should be physically and mentally
strong enough to withstand all the rigors and hazards of field life.

Page 14 of 27
 Annexure-A

Certificate regarding physical limitation in an examinee to write

This is to certify that, I have examined Mr/Ms/Mrs

(name of the candidate with
disability), a person with (nature and
percentage of disability as mentioned in the certificate of
disability), S/o/ D/o a resident of
Village/District/State) and to state that he/she has
physical limitation which hampers his/her writing capabilities owing to his/her
disability.

Signature
Chief Medical Officer/Civil Surgeon/Medical Superintendent of a
Government health care institution
Name & Designation
Name of Government Hospital/Health Care Centre with Seal
Place:
Date:

Note: Certificate should be given by a specialist of the relevant stream/disability (e.g. Visual
impairment-Ophthalmologist, Locomotor disability-Orthopaedic specialist/PMR)

Page 15 of 27
 Annexure-B

Paste
Letter of Undertaking for Using Own Scribe passport size
photograph
of scribe here
and sign
across

I , a candidate with (name of

the disability) appearing for the (name of the
examination) bearing Roll No at
(name of the centre) in the District
, (name of the State/ UT) My
qualification is

I do hereby state that (name of the scribe) will

provide the service of scribe/reader/lab assistant for the undersigned for taking the aforesaid
examination.

I do hereby undertake that his/ her qualification is In

case, subsequently it is found that his/ her qualification is not as declared by the undersigned
and is beyond my qualification, I shall forfeit my right to the post and claims relating thereto.

(Signature of the candidate with Disability)

Place:
Date:

____________________
Specimen signature of Scribe

Page 16 of 27
 Annexure- C

FORM OF CERTIFICATE TO BE SUBMITTED BY CENTRAL GOVERNMENT CIVILIAN EMPLOYEES

SEEKING AGE-RELAXATION

To be filled by the Head of the Office or Department in which the candidate is working).

It is certified that * Shri/Smt./Km. is a Central

Government Civilian employee holding the post of
in the pay scale of Rs.
with 3 years regular service in the grade as on closing date of receipt of Applications
Forms for (name of examination).

Signature

Name

Official Seal

Place:

Date:

(*Please delete the words which are not applicable.)

Page 17 of 27
 Annexure – D

Certificate for serving Defence Personnel

I hereby certify that, according to the information available with me (No.)

(Rank) (Name)

is due to complete the specified term of his engagement with the

Armed Forces on the (Date) .

(Signature of Commanding Officer)

Office Seal

Place:

Date:

Page 18 of 27
 Annexure- E

UNDERTAKING TO BE GIVEN BY THE EX-SERVICEMEN

I …………………………….,bearing Roll No….................................................................................. ,appearing for the Document

Verification of the .................................................................................................................. Examination, 20… , do hereby
undertake that:

I am entitled to the benefits admissible to Ex-Servicemen in terms of the Ex- Servicemen Re-employment in Central Civil
Services and Posts Rules, 1979, as amended from time to time.
I have not joined the Government job on civil side (including Public Sector Undertakings, Autonomous Bodies/ Statutory
Bodies, Nationalized Banks, etc.) in Group ‘C’ and ‘D’ posts on regular basis after availing of the benefits of reservation given
to ex-serviceman for re-employment; or
I have availed the benefit of reservation as ex-serviceman for securing Government job on civil side. I have joined as
…………………………….on… in the
office of ………………………………………………………… I hereby undertake that I have submitted the self-declaration/ undertaking to
my current employer about date wise detail of the application for the above mentioned examination for which I had applied
for before joining the present civil employment; or

I have availed the benefit of reservation as ex-serviceman for securing Government job on civil side. I have joined as
…………………………….on… in the office of ……………………………………. Therefore, I am eligible for age- relaxation only;

I hereby declare that the above statements are true, complete and correct to the best of my knowledge and
belief. I understand that in the event of any information being found false or incorrect at any stage, my
candidature/ appointment is liable to be cancelled/ terminated.

Signature: .....................

Name: …………….

Roll Number: ....................

Date: …………….

Date of appointment in Armed Forces: …………….

Date of Discharge: …………….

Last Unit/ Corps: …………….

Mobile Number: …………….

Email ID: …………….

Page 19 of 27
 Annexure- F
FORMAT FOR SC/ ST CERTIFICATE

A candidate who claims to belong to one of the Scheduled Caste or the Scheduled Tribes
should submit in support of his/ her claim an attested/certified copy of a certificate in the form given
below, from the District Officer or the sub-Divisional Officer or any other officer as indicated below
of the District in which his parents (or surviving parent) ordinarily reside who has been designated by
the State Government concerned as competent to issue such a certificate. If both his parents are
dead, the officer signing the certificate should be of the district in which the candidate himself
ordinarily resides otherwise than for the purpose of his own education. Wherever photograph is an
integral part of the certificate, the Commission would accept only attested photocopies of such
certificates and not any other attested or true copy.

(The format of the certificate to be produced by Scheduled Castes and Scheduled Tribes
candidates applying for appointment to posts under Government of India)

This is to certify that Shri/Shrimati/Kumari* son/daughter of

of village/town* in
District/Division * of the State/Union Territory*

belongs to the Caste/Tribes which is recognized as a Scheduled

Castes/Scheduled Tribes* under:-

The Constitution (Scheduled Castes) order, 1950

The Constitution (Scheduled Tribes) order, 1950

The Constitution (Scheduled Castes) Union Territories order, 1951 *

The Constitution (Scheduled Tribes) Union Territories Order, 1951*

As amended by the Scheduled Castes and Scheduled Tribes Lists(Modification) order, 1956,
the Bombay Reorganization Act, 1960 & the Punjab Reorganization Act, 1966, the State of Himachal
Pradesh Act 1970, the North-Eastern Area(Reorganization) Act, 1971 and the Scheduled Castes and
Scheduled Tribes Order(Amendment) Act, 1976.

The Constitution (Jammu & Kashmir) Scheduled Castes Order, 1956

The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the
Scheduled Castes and Scheduled Tribes order (Amendment Act), 1976*.

The Constitution (Dadra and Nagar Haveli) Scheduled Castes order 1962.

The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order 1962@.

The Constitution (Pondicherry) Scheduled Castes Order 1964@

The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967 @

The Constitution (Goa, Daman & Diu) Scheduled Castes Order, 1968@
Page 20 of 27
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 (Jammu & Kashmir) Scheduled Tribes Order 1989@

The Constitution (SC) orders (Amendment) Act, 1990@

The Constitution (ST) orders (Amendment) Ordinance 1991@

The Constitution (ST) orders (Second Amendment) Act, 1991@

The Constitution (ST) orders (Amendment) Ordinance 1996@

The Scheduled Caste and Scheduled Tribe Orders (Amendment ) Act 2002@

The Constitution (Scheduled Caste) Orders(Amendment) Act 2002@

The Constitution(Scheduled Caste and Scheduled Tribe) Orders (Amendment) Act 2002@

The Constitution (Scheduled Caste) Order (Amendment) Act 2007@

% 2. Applicable in the case of Scheduled Castes, Scheduled Tribes persons who have migrated
from one State/Union Territory Administration.

This certificate is issued on the basis of the Scheduled Castes/ Scheduled Tribes
certificate issued to Shri/Shrimati Father/mother of

Shri/Shrimati/Kumari* of village/town*
in District/Division* of the State/Union

Territory* who belong to the

Caste/Tribe which is recognized as a Scheduled

Caste/Scheduled Tribe in the State/Union Territory* issued by

the dated .

%3. Shri/Shrimati/Kumari and /or * his/her family ordinarily reside(s) in village/town*

of
District/Division* of the State/Union Territory of

Signature

** Designation

(with seal of office)

Page 21 of 27
Place

Date

* Please delete the words which are not applicable

@ Please quote specific presidential order

% Delete the paragraph which is not applicable.

NOTE: The term 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 Certificates:

(i) District Magistrate/Additional District Magistrate/Collector/Deputy

Commissioner/Additional Deputy Commissioner/ Dy.Collector/Ist Class Stipendiary
Magistrate/Sub-Divisional Magistrate/Extra-Assistant Commissioner/Taluka
Magistrate/Executive Magistrate.

(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.

(iii) Revenue Officers not below the rank of Tehsildar.

(iv) Sub-Divisional Officers of the area where the candidate and/or his family normally resides.
NOTE: ST candidates belonging to Tamil Nadu State should submit caste certificate ONLY FROM THE
REVENUE DIVISIONAL OFFICER.

Page 22 of 27
 Annexure- G

(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

in District/Division in the State/Union Territory

belongs to the Community which is

recognized as a backward class under the Government of India, Ministry of Social Justice and

Empowerment’s Resolution No. dated *.

Shri/Smt./Kumari and/or his/her family ordinarily reside(s) in the

District/Division of the State/Union

Territory. This is also to certify that he/she does not belong to the persons/sections (Creamy Layer)
mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel &
Training O.M. No. 36012/22/93-Estt (SCT) dated 8.9.1993**.

District Magistrate:

Deputy Commissioner etc.:

Dated:

Seal:

* The authority issuing the certificate may have to mention the details of Resolution of Government
of India, in which the caste of the candidate 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.

Page 23 of 27
 Annexure- H
Government of ...............

(Name & Address of the authority issuing the certificate)

INCOME & ASSEST CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS

Certificate No. Date

VALID FOR THE YEAR

This is to certify that Shri/Smt./Kumari son/daughter/wife of
permanent resident of ,
Village/Street PostOffice District in
the State/ Union Territory PinCode whose photograph is
attested below belongs to Economically Weaker Sections, since the gross annual income* of his/ her
‘family’** is below Rs. 8 Lakh (Rupees Eight Lakh only) for the financial year
His/ her family does not own or possess any of the following assets *** :

I. 5 acres of agricultural land and above;

II. Residential flat of 1000 sq. ft. and above;

III Residential plot of 100 sq. yards and above in notified municipalities;

IV Residential plot of 200 sq. yards and above in areas other than the notified
municipalities.

2. Shri/Smt./Kumari belongs to the caste

which is not recognized as a Scheduled Caste, Scheduled Tribe and Other Backward Classes (Central
List).

Recent
Signature with seal of Office
Passport size
attested Name
photograph of
the applicant Designation

*Note 1: Income covered all sources i.e. salary, agriculture, business, profession etc.

** Note 2: The term ‘Family’ for this purpose include the person, who seeks benefit of reservation,
his/ her parents and siblings below the age of 18 years as also his/her spouse and children below the
age of 18 years.

***Note 3: The property held by a “Family” in different locations or different

places/cities have been clubbed while applying the land or property holding test to
determine EWS status.
Page 24 of 27
 Annexure- I
Form-V Certificate of Disability
(In cases of amputation or complete permanent paralysis of limbs or dwarfism and in case of blindness)
[See rule 18(1)]
(Name and Address of the Medical Authority issuing the Certificate)

Recent passport size

attested photograph

(Showing face only) of the

person with disability.

Certificate No. Date:

This is to certify that I have carefully examined Shri/Smt./Kum.

son/wife/daughter of Shri Date of
Birth (DD/MM/YY) Age years, male/female
registration No. permanent resident of House No.
Ward/Village/Street Post Office District
State , whose photograph is affixed above, and am satisfied
that:

(A) he/she is a case of:

 locomotor disability
 dwarfism
 blindness
(Please tick as applicable)
(B) the diagnosis in his/her case is
(C) he/she has % (in figure) percent (in words)
permanent locomotor disability/dwarfism/blindness in relation to his/her (part of
body) as per guidelines ( ......................... number and date of issue of the guidelines to be
specified).
2. The applicant has submitted the following document as proof of residence:-

Nature of Document Date of Issue Details of authority issuing

certificate

Signature/thumb impression of the person

(Signature and Seal of Authorised Signatory of
notified Medical Authority)
in whose favour certificate of disability is issued

Page 25 of 27
 Annexure- J

Form - VI Certificate of Disability

(In cases of multiple disabilities) [See rule
18(1)]
(Name and Address of the Medical Authority issuing the Certificate)

Recent passport
size attested
photograph
(Showing face
only) of the
person with
disability

Certificate No. Date:

This is to certify that we have carefully examined Shri/Smt./Kum.

son/wife/daughter of Shri
Date of Birth (DD/MM/YY)
Age years, male/female .

Registration No. permanent resident of House No.

Ward/Village/Street Post Office District State
, whose photograph is affixed above, and am satisfied that:

(A) he/she is a case of Multiple Disability. His/her extent of permanent physical

impairment/disability has been evaluated as per guidelines (… .........................number and date of
issue of the guidelines to be specified) for the disabilities ticked below, and is shown against the
relevant disability in the table below:
S. No Disability Affected
part of body Diagnosis Permanent physical
impairment/mental
disability (in %)

1. Locomotor disability @
2. Muscular Dystrophy
3. Leprosy cured
4. Dwarfism
5. Cerebral Palsy
6. Acid attack Victim
7. Low vision #
8. Blindness #

Page 26 of 27
 9. Deaf £
10. Hard of Hearing £
11. Speech and Language
disability
12. Intellectual Disability
13. Specific Learning
Disability
14. Autism Spectrum
Disorder
15. Mental illness
16. Chronic Neurological
Conditions
17. Multiple sclerosis
18. Parkinson’s disease
19. Haemophilia
20. Thalassemia
21. Sickle Cell disease

(B) In the light of the above, his/her over all permanent physical impairment as per guidelines (…
number and date of issue of the guidelines to be specified), is as follows:

In figures --------------------------- percent

In words:- percent

2. This condition is progressive/non-progressive/likely to improve/not likely to improve.

3. Reassessment of disability is :
(i) not necessary,
or
(ii) is recommended/after ............... years ................ months, and therefore this
certificate shall be valid till ----- ----- ------

(DD) (MM) (YY)

@ e.g. Left/right/both arms/legs

# e.g. Single eye
£ e.g. Left/Right/both ears
4. The applicant has submitted the following document as proof of residence:
Nature of document Date of issue Details of authority issuing
certificate

5. Signature and seal of the Medical Authority.

Name and Seal of Member Name and Seal of Member Name and Seal of the

Chairperson

Signature/thumb impression of the person in

whose favour certificate of disability is issued.

Page 27 of 27