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Saturday 10 March 2012

UNION PUBLIC SERVICE COMMISSION INVITES ONLINE RECRUITMENT APPLICATIONS (ORA*) FOR RECRUITMENT BY SELECTION TO THE FOLLOWING POSTS/MARCH,2012


ADVERTISEMENT NO. 03/2012 
UNION PUBLIC SERVICE COMMISSION 
INVITES ONLINE RECRUITMENT APPLICATIONS (ORA*) 
FOR RECRUITMENT BY SELECTION TO THE FOLLOWING POSTS
(*: by using the website http://www.upsconline.nic.in) 
VACANCY DETAILS 

1.     (Vacancy No. 12030301610) One Deputy Adviser (Power) in the Planning Commission. The 
post is Unreserved.  QUALIFICATIONS: ESSENTIAL: A. EDUCATIONAL: Degree in Electrical/ 
Mechanical Engineering or Master’s Degree in Physics/ Chemistry/ Mathematics of a recognized 
University or equivalent. B. EXPERIENCE: Ten years’ experience in Research/ Development/ Planning/ 
Execution in the field of Power generation/ transmission, utilities development etc.  DESIRABLE:  i)  
Master’s Degree in Electrical/ Mechanical Engineering or Doctorate Degree in the relevant Science 
subjects of Physics/ Chemistry/ Mathematics of a recognized University or equivalent. ii) Familiarity with 
problems of long term physical and financial planning in the field of power generation. iii) Knowledge of
electricity economics in relation to forecasting of demand, distribution and pricing. iv) Experience of 
techno-economic evaluation, appraisal of projects/ programmes/ detailed project reports.  DUTIES:  
Formulation of Five Year Plans and Annual Plans for Central and States' Power Sector. Planning for 
Power Development, Demand Forecasting and Generation Capacity Planning. Examination of thermal, 
hydel and nuclear power projects and associated transmission and distribution projects and Rural 
Electrification programme. To monitor implementation of power projects. HQ: Delhi with liability to serve 
anywhere in India. 

2.       (Vacancy No. 12030302210) One Senior Research Officer (Natural Science) in the Planning 
Commission. The post is reserved for Scheduled Castes Candidates. The post is suitable for Physically 
Challenged Persons with disability viz. Hearing Impairment [Partially Deaf (PD)] or Orthopaedically 
Handicapped/ Locomotor Disability/ Cerebral Palsy with One Leg Affected (OL) or Both Legs Affected but 
not Arms (BL).  QUALIFICATIONS: ESSENTIAL: A. Master's Degree in Physics or Chemistry or 
Mathematics (including statistics) or Botany or Zoology of a recognized University or equivalent.  B. 
EXPERIENCE: Five years’ experience in scientific and industrial research. DESIRABLE: i) A Research 
Degree in natural sciences. ii) Planning of scientific  programmes.  DUTIES:  Collection of data and 
preparation of Notes and Memoranda. Any other duties assigned to him from time-to-time.  HQ: Same as 
in Item No. 1 above. 
  
3.     (Vacancy No. 12030303510) One Research Officer (Monitoring Agriculture) in the Planning 
Commission.  The post is Unreserved. The post is suitable for Physically Challenged Persons with 
disability viz. Hearing Impairment [Partially Deaf (PD)] or Orthopaedically Handicapped/ Locomotor 
Disability/ Cerebral Palsy with One Leg Affected (OL) or Both Legs Affected but not Arms (BL). 
QUALIFICATIONS: ESSENTIAL: A. EDUCATIONAL: Master's Degree in Agriculture of a recognized 
University or equivalent. B. EXPERIENCE: Three years’ experience in research or planning on problems 
connected with agriculture and allied subjects.  DUTIES: To assist Senior Officers of the division in 
collection of data and preparation of Notes and Memoranda. HQ: Same as in Item No. 1 above. 
IMPORTANT
CLOSING DATE FOR SUBMISSION OF  
ONLINE RECRUITMENT APPLICATION (ORA) 
THROUGH ORA WEBSITE IS  
23:59 HRS ON 29.03.2012 
LAST DATE FOR RECEIPT OF PRINTOUT OF 
ONLINE APPLICATIONS ALONGWITH COPY OF 
SPECIFIED DOCUMENTS/ CERTIFICATES IS 
12.04.2012 (BY POST/ BY HAND)
DATE FOR DETERMINING THE ELIGIBILITY OF ALL CANDIDATES IN EVERY RESPECT SHALL BE THE 
PRESCRIBED CLOSING DATE FOR SUBMISISON OF ONLINE RECRUITMENT APPLICATION (ORA) NOTES: 
a) Candidates are requested to apply only Online against this advertisement on the Online Recruitment 
Application (ORA) website  http://www.upsconline.nic.in and NOT write to the Commission for 
Application forms. They are also requested to go through carefully the details of posts and 
instructions published below as well as on the website http://www.upsconline.nic.in.    
  
b)  NATURE OF POST:  
 i)     Posts at Item Nos. 1, 2 & 3 are permanent. 
c)  PAY SCALE & CLASSIFICATION: (Figures in bracket at the end of the pay scale indicate the 
approx Total Emoluments (per month) (T.E.) excluding TA and HRA at the minimum of the scale). 
i) Rs.15,600-39,100 (PB-3) + Rs.7,600 (Grade pay) (T.E. Rs.36,656/-), General Central 
Service, Group ‘A’ Gazetted for the post at Item No. 1. 
ii) Rs.15,600-39,100 (PB-3) + Rs.6,600 (Grade pay) (T.E. Rs.35,076/-),  General Central 
Service, Group ‘A’ Gazetted,  for the post at Item No. 2. 
iii) Rs.15,600-39,100 (PB-3) +  Rs.5,400 (Grade pay) (T.E. Rs.33,180/-), General Central 
Service,  Group ‘A’ Gazetted  for the post at Item No. 3.
  
d) AGE LIMIT AS ON CLOSING DATE i.e. 29.03.2012: 
i) Not exceeding 50 years for the post at Item No. 1. 
ii) Not exceeding 45 years for the post at Item No. 2. 
iii) Not exceeding 35 years for the post at Item No. 3. 
e) The age limits shown against Item No. 2 is relaxed age limit for Scheduled Castes candidates. The 
age limit shown against all other items is the normal age limit and the age is relaxable for SC/ST 
candidates upto 5 years and upto 3 years for OBC candidates in respect of vacancies reserved for 
them.  SC/ST/OBC Candidates have to produce a caste certificate in prescribed proforma. For age 
concession applicable to other categories of applicants please see relevant paras of the "Instructions 
and Additional Information to Candidates for Recruitment by Selection".  
f) Physically Handicapped (PH) Persons or Persons with  disabilities, as indicated against various 
item(s) in the VACANCY DETAILS, can apply to the respective posts even if the post is not reserved 
for them but has been identified as Suitable.  However, such candidates will be considered for 
selection to such post by general standard of merit.  Persons suffering from not less than 40% of 
relevant disability shall alone be eligible for the  benefit of reservation and other relaxations as 
permissible under the rules. Thus, Physically Handicapped (PH) persons can avail benefit of : 
i) Reservation and other Concessions & Relaxations as permissible under the rules only when 
degree of physical disability is 40% or more and the posts are reserved for PH candidates.   
ii) Other Concessions & Relaxations as permissible under the rules only when degree of physical 
disability is 40% or more and the posts are suitable for PH candidates.   
g)  HEADQUARTERS:  At places specifically stated against certain posts, otherwise anywhere in India. 
h)  PROBATION: The persons selected will be appointed on probation as per rule. INSTRUCTIONS AND ADDITIONAL INFORMATION TO CANDIDATES FOR RECRUITMENT BY 
SELECTION
1. CITIZENSHIP: 
A Candidate must be either: 
(a) a citizen of India, or 
(b) a subject of Nepal, or 
(c) a subject of Bhutan, or 
(d) a Tibetan refugee who came over to India before  1
st
 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  or 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.  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  
NOTE: The application of a candidate in whose case a certificate of eligibility is necessary, may be 
considered by the Commission and, if recommended  for  appointment, the  candidate may also be 
provisionally appointed subject to the necessary certificate being issued in his favour by the Government 
of India . 
2.  AGE LIMITS: The age limit for the post has been given in the advertisement.  For certain age 
concessions admissible to various categories please go  through the instruction regarding 
Concessions & Relaxations.     
3.  MINIMUM ESSENTIAL QUALIFICATIONS:  All applicants must fulfill the essential requirements 
of the post and other conditions stipulated in the advertisement.  They are advised to satisfy 
themselves before applying that they possess at least the essential qualifications laid down for 
various posts.  No enquiry asking for advice as to eligibility will be entertained. 
NOTE-I: The prescribed essential qualifications are the minimum and the mere possession of the same 
does not entitle candidates to be called for interview. 
NOTE-II: IN THE EVENT OF NUMBER OF APPLICATIONS BEING LARGE, COMMISSION WILL 
ADOPT SHORT LISTING CRITERIA TO RESTRICT THE NUMBER OF CANDIDATES TO BE CALLED 
FOR INTERVIEW TO A REASONABLE NUMBER BY ANY OR MORE OF THE FOLLOWING 
METHODS: 
(a) On the basis of higher educational qualifications than the minimum prescribed in the advertisement  
(b) On the basis of higher experience in the relevant field than the minimum prescribed in the 
advertisement  
(c) By counting experience before or after the acquisition of essential qualifications  
(d) By holding a Recruitment Test.   
THE CANDIDATE SHOULD, THEREFORE, MENTION ALL HIS/HER QUALIFICATIONS AND 
EXPERIENCE IN THE RELEVANT FIELD OVER AND ABOVE THE MINIMUM QUALIFICATIONS.  
4.  APPLICATION  FEE: 
(a) Candidates are required to pay a fee of Rs. 25/- (Rupees Twenty five) only either by remitting 
the money in any branch of the SBI by cash or by using net banking facility of the SBI or by 
using visa/master credit/debit card.  (b) No fee for SC/ST/PH/Women candidates of any community.  No "fee exemption" is available 
to OBC male candidates and they are required to pay the full prescribed fee.    
(c) Applications without the prescribed fee would not be considered and summarily rejected. No 
representation against such rejection would be entertained. 
(d)  Fee once paid shall not be refunded under any circumstance nor can the fee be held in 
reserve for any other examination or selection. 
5.  CONCESSIONS & RELAXATIONS: 
(a)  The upper age limit in case of Ex-Servicemen and Commissioned Officers including 
ECOs/SSCOs shall be relaxed by the length of Military Service increased by three 
years subject to the conditions that on the closing date of receipt of applications (i) the 
continuous service rendered in the Armed Forces by an Ex-Serviceman is not less than six 
months after attestation and (ii) that  the resultant age after deducting his period of service 
from his actual age does not  exceed the prescribed age limit by more than 3 years. This 
relaxation is also available to ECOs/SSCOs who have completed their initial period of 
assignment of five years of Military Service and whose assignment has been extended 
beyond 5 years as on closing date and in whose case the Ministry of Defence issues 
certificates that they will be released within 3 months on selection from the date of receipt of 
offer of appointment. Candidates claiming age relaxation under this para would be required to 
produce a certificate in the prescribed proforma to the Commission. 
NOTE: Ex Servicemen who have already secured regular employment under the Central Govt. in a Civil 
Post are permitted the benefit of age relaxation as admissible for Ex-Servicemen for securing another 
employment in any higher post or service under the Central Govt.  However, such candidates will not be 
eligible for the benefit of reservation, if any for Ex-Servicemen in Central Govt. jobs. 
(b)  In order to qualify for the concession under (a) above, candidates concerned would be 
required to produce a certificate that they have been released from the Defence Forces.  The 
certificate for Ex-Servicemen and Commissioned Officers including ECOs/SSCOs should be 
signed by the appropriate authorities specified below and should also specify  the period of 
service in the Defence Forces:- 
(i) In case of Commissioned Officers including ECOs/SSCOs: 
Army:        Directorate of Personnel Service, Army Headquarters, New Delhi. 
Navy:         Directorate of Personnel Services Naval Headquarters, New Delhi. 
Air Force:  Directorate of Personnel Services, Air Headquarters, New Delhi. 
(ii) In case of JCOs/ORs and equivalent of the Navy and Air Forces: 
Army:       By various Regimental Record Offices. 
Navy:         Naval Records, Bombay 
Air Force: Air Force Records, New Delhi. 
(c)  Age relaxation for Central Government employees:  
The upper age limit is relaxable for Central/U.T. Govt. Servants up to 5 years as per 
instructions issued by the Govt. of India from time to time. (10 years  for persons belonging to 
Scheduled Castes/Scheduled Tribes and 8 years for persons belonging to other Backward 
Classes in respect of the posts reserved for them) in  accordance with the instructions or 
orders issued by the Government of India.  A candidate claiming to belong to the category of 
Central Government servant and thus seeking age relaxation under this para would be 
required to produce a Certificate in the prescribed proforma  issued after the date of 
advertisement from his/her Employer on the Office letter head to the effect that he/she is a 
regularly appointed Central Government Servant and not on casual/adhoc/daily wages/hourly 
paid/contract basis employee.   
The age relaxation will be admissible to such of the Government servants as are working in 
posts which are in the same line or allied cadres and  where a relationship could be 
established that the service already rendered in a particular post will be useful for the efficient discharge of the duties of the post(s) recruitment to which has been advertised. Decision in 
this regard will rest with the Commission.   
(d)  Age relaxation for Meritorious Sports persons:  
The relaxation in upper age limit upto a maximum of 5 years (10 years for persons belonging 
to SC/ST Communities and 8 years for persons belonging to Other Backward Classes in 
respect of posts reserved for them) may be allowed to meritorious sportswomen/sportsmen in 
the field of Games/Sports recognized by the Government for such purpose provided they 
satisfy all other conditions prescribed by Government from time to time.  The persons 
claiming age relaxation under this sub-para would be required to produce a certificate issued 
by the competent authority in the prescribed proforma.  For others, age limit will be strictly 
adhered to save in exceptional circumstances, and in no case be relaxed beyond a limit of 
three years. 
(e)  Age relaxation for Widows, Divorced Women and Women Judicially separated from 
Husbands:
The upper age limit is relaxable up to the age of 35 years (upto 40 years for members of 
Scheduled Castes/Scheduled Tribes and upto 38 years for members belonging to the Other 
Backward Classes in respect of the posts reserved for them) for Widows, divorced Women 
and Women Judicially separated  from their Husbands who are not remarried.  The persons 
claiming age relaxation under this sub-para would be required to produce following 
documentary evidence: 
(i) In case of Widow, Death Certificate of her husband together with the Affidavit that she 
has not remarried since. 
(ii) In case of divorced Women and Women judicially separated from their husbands, a 
certified copy of the judgment/decree of the appropriate Court to prove the fact of divorce 
or the judicial separation, as the case may be, with an Affidavit in respect of divorced 
Women and they have not remarried since. 
(f)  Age relaxation to persons who had ordinarily been domiciled in the State of J&K 
during the period from 1
st
 January, 1980 to 31
st
 December, 1989: 
The relaxation in upper age limit of 5 years shall be admissible to all persons who had 
ordinarily been domiciled in the State of J&K during the period from 1
st
 January, 1980 to 31
st
December, 1989. The persons claiming relaxation under this sub-para would be required to 
produce a certificate to this effect from the District Magistrate within whose jurisdiction they 
had ordinarily resided or from any other authority designated in this behalf by the 
Government of Jammu and Kashmir.  This relaxation shall remain in force upto 31.12.2013. 
(g)  Age relaxation to Physically Handicapped (PH) persons:
Age relaxation of 5 years is allowed (total 10 years for SCs/STs and 8 years for OBCs in 
respect of the posts reserved for them) to blind, deaf-mute and orthopedically handicapped 
persons for appointment to Group ‘A’ and Group ‘B’  posts/services.  The persons claiming 
age relaxation under this sub-para would be required to produce a certificate in prescribed 
proforma in support of their claims clearly indicating that the degree of physical disability is 
40% or more.  In any case, the appointment of these candidates will be subject to their being 
found medically fit in accordance with the standards of medical fitness as prescribed by the 
Government for each individual Group ‘A’ and Group ‘B’ posts to be filled by Direct 
Recruitment by Selection. 
6. HOW TO APPLY: 
a) Candidates must apply online through the website http://www.upsconline.nic.in.  
Applications received through any other mode would not be accepted and summarily 
rejected. 
b) Candidates who wish to apply for more than one post should apply separately for each post 
and pay the fee for each post in the prescribed manner. c) After submitting the Online Recruitment Application (ORA), the candidates are required to 
take out a print out of the finally submitted Online Recruitment Application.  
d) Candidates are required to send the Printout of the Online Recruitment Application alongwith 
specified documents/ certificates at Para 7 (A) below. 
e) Candidates may attach therewith a self-addressed post card bearing a total postage worth 
Rs. 6.00 affixed thereon. They should indicate in this card the Advertisement No. and 
Vacancy No. of the posts applied for. Receipt of the same would be acknowledged by the 
Commission by returning this post card to the candidate. Candidates may note that no 
separate acknowledgement other than this card will be sent to them. If a candidate does not 
receive this post card within a fortnight from the last date for receipt of the same, he should 
make an enquiry from the Commission in writing by furnishing the application number. 
NOTE-I: Candidates have to submit the Printout of the Online Recruitment Application (ORA) alongwith 
specified documents/ certificates  BY POST/ BY HAND  after successful submission (this includes Fee 
payment also) of the Online Recruitment Application.  
NOTE-II: Printout of the Online Recruitment Application alongwith specified documents/ certificates are to 
be sent to  Joint Secretary (Recruitment), Union Public Service Commission, Dholpur House 
Shahjahan Road, New Delhi-110069 on or before the prescribed last date. 
NOTE-III: In case, the Printout of the Online Recruitment Application alongwith specified documents/ 
certificates is not received or received after the prescribed last date, the same would be summarily 
rejected thereby resulting into rejection of the concerned Online Recruitment Application. 
NOTE-IV: Candidates are requested to super scribe the words “RECRUITMENT BY SELECTION” on top 
of the Envelope while sending the Printout of the Online Recruitment Application alongwith specified 
documents/ certificates. 
NOTE-V: Candidates can also deliver the Printout of the Online Recruitment Application alongwith 
specified documents/ certificates personally “BY HAND” at the Commission Counter against proper 
receipt. The Commission would not be responsible for the application delivered to any other functionary of
the Commission. 
NOTE-VI: Printout of the Online Recruitment Application alongwith specified documents/ certificates 
received through couriers or courier service of any type shall be treated as have been received as “BY 
HAND” at the Commission's Counter and NOT as “BY POST”.  
NOTE-VII: Candidates should clearly note that the Commission will in no case be responsible for nonreceipt of the Printout of the Online Recruitment Application alongwith specified documents/ certificates or
any delay in receipt thereof on any account whatsoever.  No Application received after the prescribed last 
date will be entertained under any circumstances and accordingly all the concerned late applications will 
be summarily rejected thereby resulting into rejection of the concerned Online Recruitment Application.  
Candidates should, therefore, ensure that the Printout of the Online Recruitment Application alongwith 
specified documents/ certificates reach Commission office on or before the prescribed last date. 
7. DOCUMENTS/ CERTIFICATES: 
A) Only following Documents/ Certificates are to be submitted essentially along with the 
Printout of the Online Recruitment Application  (ORA) by post/ by hand failing which 
the candidature would be summarily rejected: 
a) Self attested copies of Degree/Diploma certificate along with mark statements pertaining to 
all the academic years as proof of educational qualification claimed. In the absence of 
Degree/Diploma certificate, provisional certificate along with mark sheets pertaining to all the 
academic years will be accepted. b) Self attested copy of order/ letter in respect of equivalent Educational Qualifications claimed, 
indicating the Authority (with number and date) under which it has been so treated, in respect 
of equivalent clause in Essential Qualifications, if  a candidate is claiming a particular 
qualification as equivalent qualification as per the requirement of advertisement.  
c) Self attested copies of Certificate(s) in the prescribed proforma from the Head(s) of 
Organization(s)/Department(s) for the entire experience claimed, clearly mentioning the 
duration of employment (date, month & year) indicating the basic pay and consolidated pay.  
The certificate(s) should also mention the nature of duties performed/experience obtained in 
the post(s) with duration(s).  Experience Certificate should be in the prescribed format 
relevant to the post. Experience certificate not in prescribed proforma but containing all the 
details as mentioned above would be considered on merits by the Commission. 
d) Self attested copy of Physically Handicapped certificate in prescribed proforma by the 
competent authority from Physically Handicapped Persons eligible for appointment to the 
post on the basis of prescribed standards of Medical Fitness.  
B)   Following Original Documents/ Certificates are to be produced along with self attested 
copies at the time of Interview, including other items specified in the Summon letter for 
Interview, failing which the candidate would not be allowed to appear in the Interview: 
a) Matriculation/10
th
 Standard or equivalent certificate indicating date of birth, or mark sheet of 
Matriculation/10
th
 Standard or equivalent issued by Central/State Board indicating Date of 
Birth in support of their claim of age. Where date of birth is not available in certificate/mark 
sheets, issued by concerned Educational Boards, School leaving certificate indicating Date of 
Birth will be considered (in case of Tamil Nadu & Kerala). 
b) Degree/Diploma certificate along with marksheets pertaining to all the academic years as 
proof of educational qualification claimed. In the absence of Degree/Diploma certificate, 
provisional certificate along with mark sheets pertaining to all the academic years will be 
accepted. 
c) Order/ letter in respect of equivalent Educational  Qualifications claimed, indicating the 
Authority (with number and date) under which it has been so treated, in respect of equivalent 
clause in Essential Qualifications, if a candidate is  claiming a particular qualification as 
equivalent qualification as per the requirement of advertisement.  
d) Certificate(s) in the prescribed proforma from the Head(s) of Organization(s)/Department(s) 
for the entire experience claimed, clearly mentioning the duration of employment (date, 
month & year) indicating the basic pay and consolidated pay.  The certificate(s) should also 
mention the nature of duties performed/experience obtained in the post(s) with duration(s).  
Experience Certificate should be issued in prescribed format relevant to the post. Experience 
certificate not in prescribed proforma but containing all the details as mentioned above would 
be considered on merits by the Commission. 
e) Caste certificate by candidate seeking reservation as SC/ ST/ OBC, in the prescribed 
proforma from the competent authority indicating clearly the candidate’s Caste, the Act/ Order 
under which the Caste is recognized as SC/ ST/ OBC and the village/ town the candidate is 
ordinarily a resident of.  
f) A declaration in the prescribed format by candidate seeking reservation as OBC, that he/she 
does not belong to the creamy layer on the crucial date, in addition to the community 
certificate (OBC).  Unless specified otherwise, the prescribed closing date for receipt of 
Online Recruitment Application for the post is to be treated as crucial date.  
g) Physically Handicapped certificate in prescribed proforma issued by the competent authority 
by Physically Handicapped persons eligible for appointment to the post on the basis of 
prescribed standards of Medical Fitness.  
h) A candidate  who claims change in name after matriculation on marriage or remarriage or 
divorce etc. the following documents shall be submitted:- 
i)  In case of marriage of 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; ii)  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 
iii)  In case of divorce of women - Certified copy of Divorce Decree and Deed Poll/Affidavit 
duly sworn before the Oath Commissioner. 
iv) 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 applicants 
permanent and present address or nearby area) and Gazette Notification. 
i) Certificate/ Document in respect of Age relaxation for: 
i) Ex-Servicemen and Commissioned Officers including ECOs/SSCOs in prescribed 
proforma from competent authority. 
ii) Central/UT Government Employees/Servants in prescribed proforma from competent 
authority issued after the date of advertisement. 
iii) Meritorious Sports persons in prescribed proforma from competent authority. 
iv) Widows/Divorced Women/Women Judicially separated from Husbands. 
v) Persons who had ordinarily been domiciled in the State of J & K during the period from 1
st
January, 1980 to 31
st
 December, 1989.  
vi) Persons seeking age relaxation under special provision/ order.   
j) Persons already in Regular Government service, whether in permanent or temporary 
capacity other than casual/adhoc/daily wages/hourly paid/contract basis are however 
required to submit a declaration that they have informed in writing to their Head of 
Office/Department that they have applied for the selection. 
k) Certificate(s) in respect of claim regarding Professional Registration, Language, Publications, 
NET, GATE, Conference, Internship.  
l) Documentary support for any other claim(s) made. 
   
NOTE I: ORIGINAL CERTIFICATES SHOULD BE PRODUCED ONLY AT THE TIME OF INTERVIEW. 
NOTE II: Date of birth mentioned in Online Recruitment Application is final. No subsequent request for 
change of date of birth will be considered or granted. 
NOTE III: The period of experience rendered by a candidate on part time basis, daily wages, visiting/ 
guest faculty will not be counted while calculating the valid experience for short listing the candidates for 
interview.
NOTE IV: If any document/ certificate furnished is in a language other than Hindi or English, a transcript 
of the same duly attested by a Gazetted officer or notary is to be submitted.   
8.  ACTION AGAINST CANDIDATES FOUND GUILTY OF MISCONDUCT: 
Candidates are warned that they should not furnish any particulars that are false or suppress any 
material information in filling up the application form.  Candidates are also warned that they 
should in no case correct or alter or otherwise tamper with any entry in a document or its 
attested/certified copy submitted by them nor should they submit a tampered/fabricated 
document.  If there is any inaccuracy or any discrepancy between two or more such documents 
or their attested/certified copies, an explanation regarding this discrepancy should be submitted. 
A candidate who is or has been declared by the Commission to be guilty of: 
a) obtaining support of his/her candidature by any means, or 
b) impersonating, or 
c) procuring impersonation by any person , or 
d) submitting fabricated documents or documents which have been tampered with, or 
e) making statements which are incorrect or  false or suppressing material information, or 
f) resorting to any other irregular or improper means in connection with his/her candidature for 
the selection, or 
g) using unfair means during the test, or h) writing irrelevant matter including obscene language or pornographic matter, in the script(s) , 
or 
i) misbehaving in any other manner in the examination hall, or  
j) harassing or doing bodily harm to the staff employed by the Commission for the conduct  of  
their test, or 
k) bringing mobile phone/Communication device in the examination Hall/Interview room. 
l) attempting to commit or, as the case may be, abetting the Commission  of all or any of the 
acts specified in the foregoing clauses may, in addition to rendering himself/herself  liable to 
criminal prosecution, be liable: 
i) to be disqualified by the  Commission from selection for which he/she is a candidate,  
and/or  
ii) to be debarred  either permanently or for a specified period:- 
• by the Commission from any examination or selection held by them 
• by the Central Government from any employment under them, and  
iii) if he/she is already in service under Government to disciplinary action under the 
appropriate rules. 
9. OTHER INFORMATION/INSTRUCTIONS: 
a) All candidates whether in Government service or in Government owned industrial or other 
similar organizations or in private employment should submit their applications online directly 
to the Commission. Persons already in Regular Government service, whether in permanent 
or temporary capacity other than casual/adhoc/daily wages/hourly paid/contract basis are 
however required to submit a declaration that they have informed in writing to their Head of 
Office/Department that they have applied for the selection.   
b) The date for determining the eligibility or all candidates in every respect shall be the closing 
date for submitting the Online Recruitment Application on the website 
http://www.upsconline.nic.in. 
c) In respect of equivalent clause in Essential Qualifications, if a candidate is claiming a 
particular qualification as equivalent qualification as per the requirement of advertisement, 
then the candidate is required to produce order/letter in this regard, indicating the Authority 
(with number and date) under which it has been so treated otherwise the Online Recruitment 
Application is liable to be rejected. 
d) Candidates must, if required, attend a personal interview at such place, as may be fixed by 
the Commission. The Commission do not defray the traveling or other expenses of 
candidates summoned for interview. They, however, contribute towards those expenses at a 
rate corresponding to the amount of the Second Class Mail railway fare by the shortest route 
to the place of interview from the Railway Station nearest to the normal place of residence of 
the candidate or from which he actually performs the journey, whichever, is nearer to the 
place of interview, and back to the same station or the amount of Railway fare actually 
incurred by the candidate whichever is less.  Details of this will be furnished when they are 
called for interview.  
e) Commission’s contribution towards the traveling expenses in respect of those candidates 
who are interviewed at Delhi will be paid on the spot on the date of interview itself provided 
they fulfill all the conditions. In respect of those candidates who have been called to be 
present at interviews at places other than Delhi, the same will be sent by Money Order later 
on. 
f) The Summoning of candidates for interview convey no assurance whatsoever that they will 
be selected.  Appointment orders to selected candidates will be issued by the Government. 
g) Candidates must be in sound bodily health.  They must, if selected be prepared to undergo 
such medical examination and satisfy such medical authority as Government may require.  
h) Candidates will be informed of the final result  in due course through UPSC website/ 
Employment News and any interim enquiries about the result are therefore, unnecessary and 
will not be attended to.  The Commission do not enter into correspondence with the 
candidates about reasons for their non selection for interview/appointment. 
i) The Commission may grant higher initial pay to candidates adjudged meritorious in the 
interview. 
j) Canvassing in any form will disqualify a candidate.CHECK LIST: VERIFY THE FOLLOWING BEFORE SUBMITING THE ONLINE RECRUITMENT 
APPLICATION OR DOCUMENTS/ CERTIFICATES 
a) That no column is wrongly filled or kept blank as the information furnished therein would be used 
to determine the eligibility of candidates to be called for interviews. 
b) That after submitting the Online Recruitment Application (ORA), a print out of the finally submitted 
Application is to be sent alongwith specified documents/ certificates. 
c) That all the qualifications and experiences in the  relevant field (over and above the minimum 
qualifications and experiences prescribed) are mentioned in the Online Recruitment Application 
as the Commission may restrict the number of candidates to a reasonable number by considering 
higher qualifications and/or experiences. 
d) That copies of only following documents/certificates  are provided in support of claims 
made/information given in the Online Recruitment Application: 
i) Degree/Diploma certificates alongwith Marks Sheets of all years in support of Educational 
Qualifications. Provisional Certificate alongwith Marks Sheets of all years may also be 
considered 
ii) Experience Certificate(s) in prescribed proforma 
iii) Order/ letter in respect of equivalent Educational Qualifications claimed, indicating the 
authority (with number & date) under which it has been so treated 
iv) Physically Handicapped certificate in prescribed proforma 
e) That if the qualification possessed by the candidates is equivalent, a copy of order/letter under 
which it has been so treated may be enclosed.
f) Any information contained in the attached documents/certificates shall not be considered unless it 
is claimed in the Online Recruitment Application.  
g) That the printout of the Online Recruitment Application alongwith specified documents/ 
certificates is sent well in advance so as to reach the Commission’s Office on or before the 
prescribed last date. 
h) That the candidates are requested to super scribe the words “Recruitment by Selection” on the 
top of the envelope while sending the Online Recruitment Application alongwith specified 
documents/ certificates. For each set of application, separate envelope should be used.  
i) That the printout of the Online Recruitment Application alongwith specified documents/ 
certificates are to be sent by post/ by hand to  Joint Secretary (Recruitment), Union Public 
Service Commission, Dholpur House, Shahjahan Road, New Delhi-110069. 
IMPORTANT 
a) MOBILE PHONES ARE BANNED IN THE CAMPUS OF UPSC EXAMINATION/ INTERVIEW 
HALL 
b) Government strives to have work force which reflects gender balance and women candidates are 
encouraged to apply. 
c) In case of any guidance/information/clarification regarding their applications, candidature etc. 
candidates can contact UPSC’s Facilitation Counter near gate ‘C’ of its campus in person or over 
Telephone No. 011-23385271/011-23381125/011-23098543 on working days between 10.00 hrs 
and 17.00 hrs. PRESCRIBED PROFORMAE 
Proforma-I
The form of certificate to be produced by Scheduled Castes and Scheduled Tribes candidates 
applying for appointment to posts under the 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/tribe* which is recognised as a Scheduled Caste/Scheduled Tribe* 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 List (Modification) Order, 1956; the 
Bombay Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh 
Act, 1970, the North Eastern Areas (Reorganisation) Act, 1971, the Scheduled Castes and Scheduled 
Tribes Order (Amendment) Act, 1976., the State of Mizoram Act, 1986, the State of Arunachal Pradesh 
Act, 1986 and the Goa, Daman and Diu (Reorganisation) Act, 1987.] 
@ The Constitution (Jammu and 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 (Dadar and Nagar Haveli) Scheduled Castes Order, 1962 
@ The Constitution (Dadar and Nagar Haveli) Scheduled Tribes Order, 1962 
@ The Constitution (Pondicherry) Scheduled Castes Order, 1964 
@ The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967 
@ The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968 
@ The Constitution (Goa, Daman and 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) Order (Amendment) Act, 1990
@ The Constitution (ST) Order (Amendment) Act, 1991 
@ The Constitution (ST) Order (Second Amendment) Act, 1991 
@ The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act 2002 
@ The Constitution (Scheduled Castes) Order (Amendment) Act, 2002 
@ The Constitution (Scheduled Castes and Scheduled Tribes) Orders (Amendment) Act, 2002 
@ The Constitution (Scheduled Castes) Orders (Second Amendment) Act, 2002 
% 2.  Applicable in the case of Scheduled Castes/Scheduled Tribes persons who have migrated from 
one State/Union Territory Administration to another.  
 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 belongs to the 
caste/tribe* which is recognised as a Scheduled Caste/Scheduled Tribe in the State/Union Territory* of 
..................................... issued by the ..................................... dated ...................................... % 3.  Shri/Shrimati/Kumari*............................................... and/or* his/her* family ordinarily resides in 
village/town*............................. of.............................. District/Division* of the  State/Union Territory* 
of..............................................  
Signature................................................ 
**Designation............................................ 
(With Seal of Office) 
State/Union Territory* 
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 Scheduled Caste/Scheduled Tribe Certificate. 
(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy 
Commissioner/Deputy Collector/1st Class Stipendiary Magistrate/† Sub-Divisional 
Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner. 
†(not below of the rank of 1st Class Stipendiary Magistrate). 
(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. 
(iii) Revenue Officers not below the rank of Tehsildar. 
(iv) Sub Divisional Officer of the area where the candidate and/or his/her family normally resides. 
(v) Administrator/Secretary to Administrator/Development Officer(Lakshadweep) Proforma-II
The form of certificate to be produced by Other Backward Classes candidates applying for 
appointment to posts under the Government of India.
 This is to certify that Shri/Shrimati/Kumari*...........................................son/daughter* of 
Shri............................... of village/town* ...........................in District/Division*............... of the State/Union 
Territory*..................................belongs to the ....................Community which is recognised as a backward 
class under: 
@ Government of India, Ministry of Welfare Resolution No. 12011/68/93-BCC (C) dated 10th September, 
1993 published in the Gazette of India Extraordinary Part-I, Section-1, No. 186 dated 13th September, 
1993. 
@ Government of India, Ministry of Welfare Resolution No. 12011/9/94-BCC dated 19-10-94, published in 
the Gazette of India Extraordinary Part-I, Section-1, No. 163 dated 20-10-1994. 
@ Government of India, Ministry of Welfare Resolution No. 12011/7/95-BCC dated 24-5-95, published in 
the Gazette of India Extraordinary Part-I, Section-1, No. 88 dated 25-5-1995. 
@ Government of India, Ministry of Welfare Resolution No. 12011/96/94-BCC dated 9th March, 1996 
published in the Gazette of India Extraordinary Part-I, Section-1, No. 60 dated 11th March, 1996. 
@ Government of India, Ministry of Welfare Resolution No. 12011/44/96-BCC dated 6th December, 1996 
published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated 11th December, 1996. 
@ Government of India, Ministry of Welfare Resolution No. 12011/99/94-BCC dated 11th December, 
1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 236 dated 12th December, 
1997. 
@ Government of India, Ministry of Welfare Resolution No. 12011/13/97-BCC dated 3rd December, 1997 
published in the Gazette of India Extraordinary Part-I, Section-1, No. 239 dated 17th December, 1997. 
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/68/98-BCC 
dated the 27th October, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 241 
dated the 27th October, 1999. 
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/88/98-BCC 
dated 6th December, 1999 published in the Gazette of  India Extraordinary Part-I, Section-1, No. 270 
dated 6th December, 1999. 
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/36/99-BCC 
dated 4th April, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 71 dated 4th
April, 2000. 
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/44/99-BCC 
dated the 21st September, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210
dated the 21st September, 2000. 
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12015/9/2000-BCC 
dated 6th September, 2001 published in the Gazette of India Extraordinary Part-I, Section-1, No. 246 
dated 6th September, 2001. 
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/1/2001-BCC 
dated 19th June, 2003 published in the Gazette of India Extraordinary Part-I, Section, 1 No. 151 dated 
20th June, 2003. 
 @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/4/2002-BCC 
dated 13th January, 2004 published in the Gazette of India Extraordinary, Part-I Section-1, No. 9 dated 
13th January, 2004. 
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/14/2004-BCC 
dated 12th March, 2007 published in the Gazette of India Extraordinary, Part-I, Section-1, No. 67 dated 
12th March, 2007. 
  
 Shri/Shrimati/Kumari*................................and/or* his/her* family ordinarily resides in 
village/town*................................ of...................... District/Division* of the State/ Union Territory* 
of.............................  
   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 O.M. No. 36033/3/2004-Estt. (Res.) dated 9th March, 
2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October, 2008. 
Signature................................ 
**Designation............................ 
(With seal of Office) 
State/Union Territory 
Place.................................................... 
Date..................................................... 
*Please delete the words which are not applicable. 
@ Strike out whichever 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 OBC Certificate 
(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy 
Commissioner/Deputy Collector/1st Class Stipendiary Magistrate/† Sub-Divisional 
Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner. 
†(not below of the rank of 1st Class Stipendiary Magistrate). 
(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. 
(iii) Revenue Officers not below the rank of Tehsildar. 
(iv) Sub Divisional Officer of the area where the candidate and/or his/her family normally resides. 
(v) Administrator/Secretary to Administrator/Development Officer(Lakshadweep) 
Note 1: Candidates claiming to belong to OBCs should note that the name of their caste (including its 
spellings) as indicated in their certificates, should be exactly the same as published in the lists notified by 
the Central Government from time to time. A certificate containing any variation in the caste name will not
be accepted. 
Note 2: The OBC claim of a candidate will be determined in relation to the State (or part of the State) to 
which his/her father originally belongs. A candidate who has migrated from one State (or part of the State) 
to another should, therefore, produce an OBC certificate which should have been issued to him/her based 
on his/her father’s OBC certificate from the State to which he (father) originally belongs. 
Note 3: No change in the community status already indicated by a candidate in his/her simplified 
application form for this examination will ordinarily be allowed by the Commission. Proforma-III
Form of declaration to be submitted by the OBC candidate (in addition to the community 
certificate) 
I ………………. Son/daughter of Shri…………………….resident of 
village/town/city………………….district………………….state………………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 in Department of  Personnel and Training 
Office Memorandum No 36102/22/93-Estt. (SCT) dated 8-9-1993.  It is also declared that I do not belong 
to persons/sections/sections (Creamy Layer) mentioned in column 3 of the Schedule to the above 
referred Office Memorandum dated 8-9-1993, O.M. No. 36033/3/2004-Estt. (Res.) dated 9th March, 2004 
and O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October, 2008. 
Signature:……………………….. 
Full Name:………………………
Address:…………………………Proforma-IV
CERTIFICATE TO BE PRODUCED BY SERVING/RETIRED/RELEASED ARMED FORCES 
PERSONNEL FOR AVAILING THE AGE CONCESSION FOR POSTS FILLED BY DIRECT 
RECRUITMENT BY UNION PUBLIC SERVICE COMMISSION OTHERWISE THAN ON RESULTS OF 
AN OPEN COMPETITIVE EXAMINATION 
A. Form of Certificate applicable for Released/Retired Personnel 
 It is certified that No..................... Rank..................... Name..........................................whose date 
of birth is..................... has rendered service from..................... to..................... in Army/Navy/Air Force. 
2. He has been released from military services: 
% a) on completion of assignment otherwise than  
(i) by way of dismissal, or 
(ii) by way of  discharge on account of misconduct or inefficiency, or 
(iii) on his own request, but without earning his pension, or 
(iv) he has not been transferred to the reserve pending such release 
%b) on account of physical disability attributable to Military Service. 
%c) on invalidment after putting in at least five years of Military service 
3. He is covered under the definition of Ex-Serviceman (Re-employment in Central Civil Services 
and Posts) Rules, 1979 as amended from time to time  
Place: .......................... 
Date: ........................... 
Signature, Name and Designation of the 
Competent Authority** 
SEAL 
% Delete the paragraph which is not applicable. B. Form of Certificate for Serving Personnel 
(Applicable for serving personnel who are due to be released within one year) 
It is certified that No. ……………Rank……….Name………. is serving in the Army/Navy/Air Force 
from……………………
2. He is due for release retirement on completion of his specific period of assignment 
on…………….. 
3. No disciplinary case is pending against him. 
Place: .......................... 
Date: ........................... 
Signature, Name and Designation of the 
Competent Authority** 
SEAL 
Candidate (Serving Personnel) furnishing certificate B as above will have to give the following 
undertaking: 
Undertaking to be given by serving Armed Force personnel who are due to be released within one 
year 
 I understand that if selected on the basis of the recruitment/Examination to which this application 
relates, my appointment will be subject to my producing documentary evidence to the satisfaction of the 
appointing authority that I have been duly released/retired/discharged from the Armed Forces and that I 
am entitled to the benefits admissible to Ex-Servicemen in terms of the Ex-Servicemen (Re-employment 
in Central Civil Service and Posts) Rules, 1979, as amended from time to time. 
Place: 
Date: 
Signature and Name of Candidate 
C. Form of Certificate applicable for Serving ECOs/SSCOs who have already completed their 
initial assignment and are on extended assignment 
 It is certified that No................. Rank..................... Name.......................................... whose date of 
birth is.....................is serving in the Army/Navy/Air Force from...................... 
2.  He has already completed his initial assignment of five years on……………and is on extended 
assignment till………………
3.  There is no objection to his applying for civil employment and he will be released on three months 
notice on selection from the date of receipt of offer of appointment. 
Place: Date: 
Signature, Name and Designation of the 
Competent Authority** 
SEAL 
**Authorities who are competent to issue certificate to Armed Forces Personnel for availing Age 
concessions are as follows: 
(a) In case of Commissioned Officers including ECOs/SSCOs. 
Army - Military Secretary Branch, Army Hqrs., New Delhi 
Navy - Directorate of Personnel, Naval Hqrs., New Delhi 
Air Force - Directorate of Personnel Officers, Air Hqrs., New Delhi 
(b) In case of JCOs/ORs and equivalent of the Navy and Air Force. 
Army - By various Regimental Record Offices 
Navy - BABS, Mumbai 
Air Force - Air Force Records, New Delhi Proforma-V
The form of certificate to be produced by Physically Handicapped candidates applying for 
appointment to posts under the Government of India 
NAME & ADDRESS OF THE INSTITUTE/HOSPITAL 
Certificate No. ...................................                                           Date: .......................... 
DISABILITY CERTIFICATE
Recent Photograph of 
the candidate showing 
the disability duly 
attested by the 
Chairperson of the 
Medical Board 
 This is certified that Shri/Smt./Kum. ...............................son/wife/daughter of Shri 
......................................... age ..........sex ............ identification mark(s) ........................ is suffering from 
permanent disability of following category : 
A. Locomotor or Cerebral Palsy: 
(i) BL—Both legs affected but not arms 
(ii) BA—Both arms affected    (a) Impaired reach 
      (b) Weakness of grip 
(iii) BLA—Both legs and both arms affected 
(iv) OL—One leg affected (right or left)  (a) Impaired reach 
      (b) Weakness of grip 
      (c) Ataxic 
(v) OA—One arm affected   (a) Impaired reach 
      (b) Weakness of grip 
      (c) Ataxic 
(vi) BH—Stiff back and hips (cannot sit or stoop) 
(vii) MW—Muscular weakness and limited physical endurance. 
B. Blindness or Low Vision: 
(i) B—Blind 
(ii) PB—Partially blind 
C. Hearing impairment: 
(i) D—Deaf (ii) PD—Partially deaf 
(Delete the category whichever is not applicable) 
2.  This condition is progressive/non-progressive/likely to improve/not likely to improve. Reassessment of this case is not recommended/is recommended after a period of ................years 
............................... months.* 
3.  Percentage of disability in his/her case is....................... Percent. 
4.  Shri/Smt./Kum. ...................................... meets the following physical requirements for discharge 
of his/her duties:— 
(i) F—Can perform work by manipulating with fingers.   Yes/No 
(ii) PP—Can perform work by pulling and pushing.   Yes/No 
(iii) L—Can perform work by lifting.     Yes/No 
(iv) KC—Can perform work by kneeling and crouching.  Yes/No 
(v) B—Can perform work by bending.    Yes/No 
(vi) S—Can perform work by sitting.    Yes/No 
(vii) ST—Can perform work by standing.    Yes/No 
(viii) W—Can perform work by walking.    Yes/No 
(ix) SE—Can perform work by seeing.    Yes/No 
(x) H—Can perform work by hearing/speaking.   Yes/No 
(xi) RW—Can perform work by reading and writing.   Yes/No 
   (Dr.......................)       (Dr......................)         (Dr. ..................) 
 Member    Member    Chairman 
      Medical Board         Medical Board          Medical Board 
Countersigned by the Medical 
Superintendent/CMO/Head of Hospital  
(With seal) 
* Strike out whichever is not applicable. Proforma-VI
The form of certificate to be produced by Meritorious Sportsperson for claiming Age concession 
for appointment to posts under the Government of India 
FORM-I 
(For representing India in an International Competition in one of the recognized Games/Sports) 
NATIONAL FEDERFATION/NATIONAL ASSOCIATION OF ---------------- 
Certified that Shri/Smt./Kumari…………..son/wife/daughter of Shri ………………………resident of 
………..(Complete address) represented the Country in the   game/event 
of…………in……….competition/tournament  held at ……………………….. from …………to………..The 
position obtained by the individual/team in the above said Competition/Tournament was ---------------. 
2. The Certificate is being given on the basis of record available in the office of National Federation/ 
National Association of …………….. 
Place:……………….       Signature………………
Date:………………..       Name……………………
Designation ………......…
     Name of the Federation/National  
Association…………………………………..
Address………………………………………
Seal…………………………………………... 
Note: This certificate will be valid only when signed personally by the Secretary, National 
Federation/National Association. FORM-II 
(For representing a State in India in a National competition in one of the recognized Games/Sports) 
STATE ASSOCIATION OF ---------------------IN THE  GAME OF ------- 
Certified that Shri/Smt/Kumari………………….son/wife/daughter of Shri………. Resident of 
……….(Complete Address) represented the State of ------------------ in the game/event of ……………..in 
the National Competition/Tournament held at……………………………… from………….to……….. 
2. The certificate is being given on the basis of record available in the office of the State  
Association of ………….. 
Place:……………….       Signature………………
Date:………………..       Name……………………
Designation ………......…
Name of the State Association……….. 
Address……………………………….. 
   Seal……………………………………
Note: This certificate will be valid only when signed personally by the Secretary to the State Association  Proforma-VII
The form of certificate to be produced by Government servants for claiming Age concession 
(Letter Head of the Institution/Issuing Authority) 
This is to certify that Shri/Ms………S/o,D/o,W/o Shri……………is a regularly appointed n  employee of 
this Organization/Department/Ministry and duties performed by him/her during the period(s) are as under
Certified that: 
*(a) Shri/Shrimati/Kum. ............................................................ holds substantively a permanent post of 
................................in the Office/Department of ........................................with effect from 
...................................................
*(b) Shri/Smt./Kum. ....................................... has been continuously in temporary service on  a regular 
basis under the Central Government in the post of .......................................................in the 
Office/Department..........................................with 
effect from ................................. 
Signature.............................................................. 
      Name…............................................................... 
      Designation ......................................................... 
 Ministry/Office..................................................... 
Address….. ......................................................... 
Office SEAL........................................................ 
Place: ........................ 
Date: ........................ Proforma-VIII
The form of certificate to be produced by Candidates for claiming experience 
FORM-I 
Experience Certificate 
Letter Head of the Institution/Issuing Authority 
Telephone No…………
Fax No………
Name of Organization 
Address of the Organization 
Dated……….. 
This is to certify that Shri/Ms………S/o,D/o,W/o Shri……………was/is an  employee of this 
Organization/Department/Ministry and duties performed by him/her during the period(s) are as under: 
Name of 
post held 
From dd/mm/yy To 
dd/mm/yy 
Total 
period 
dd/mm/yy 
Nature of  
Appointment- 
Permanent, 
Regular, 
Temporary, 
Part-time, 
Contract, 
Guest, 
Honorary etc. 
Department/ 
Specially/Field  
of experience 
    (1)         (2)          (3)        (4)          (5)       (6) 
      
Pay scale 
and last 
salary 
drawn 
Duties performed/experience gained in 
brief in each post(please give details, if 
need be, in attached sheet)( in case of 
Medical posts, please mention field of 
specialization) 
Place of posting Worked at 
supervisory 
level/middle 
management 
level/head of  
branch 
         (7) (8)            (9)               (10) 
    
2. It is certified that above facts and figures are true and based on service records available in our 
organization/Department/Ministry. 
Signature 
Name of competent authority  
Stamp of competent authority FORM-II 
Experience Certificate 
 (For experience while pursuing DNB/DM/M.Ch Courses) 
 Letter Head of the Institution/Issuing Authority 
Telephone No….. 
Fax No…………. 
Name of Organization 
Address of the Organization 
Dated: ………. 
This is to certify that Dr………….son/Daughter/wife of Shri (Registration No………) was a  
student for Diplomat of National Board(DNB)/Doctor in Medicine(DM)/Magister Chirugiae (M.Ch.) 
in……………(Name of Course) examination vide Notification No………dated…………The Degree of 
DNB/DM/M.Ch. in ………(Name of Specialty) awarded to Dr………..by  this College/University is 
recognized by the Medical Council of India. 
NOTE-I: The experience gained is recognized by the MCI or the Statutory body concerned for system of 
medicine as valid teaching experience (for teaching medical posts only). 
NOTE-II: The medical institution/college from where the experience is/are gained, is/are recognized by 
the concerned medical authority ( for medical posts only). 
2.     It is certified that above facts and figures are true and based on service records available in our
organization/Department/Ministry. 
Signature 
Name of competent authority 
Stamp of competent authority FORM-III 
Experience Certificate 
(For experience at Bar for Advocates) 
Letter Head of the Institution/Issuing Authority
Telephone No….. 
Fax No…………. 
Name of Organization 
Address of the Organization 
Dated: 
This is to certify that Shri/Ms………… (Registration No…………..) S/o D/o W/o Shri……….has 
been practicing /practiced as  an Advocate dealing with criminal/civil cases from………to…………….in the 
CAT/Session/Court/High Court/Supreme Court at………
2. It is certified that above facts and figures are true and based on service records available in our 
organization/Department/Ministry. 
Signature 
Name of competent authority 
Stamp of competent authority 


fordetails click;http://upsc.gov.in/recruitment/advt/2012/03_12_eng.pdf
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