Applications in the prescribed forms are invited for direct recruitment to the following posts by 15
th
December 2011
(22
nd
December 2011 in respect of applications received only BY POST from the candidates residing in Assam,
Meghalaya, Arunachal Pradesh, Mizoram, Manipur, Nagaland, Tripura, Sikkim, J&K, Lahaul & Spiti District and Pangi
Sub-division of Chamba district of Himachal Pradesh, A & N Islands or Lakshadweep or abroad).
UNION PUBLIC SERVICE COMMISSION
ADVERTISEMENT NO.22
INVITES APPLICATIONS FOR RECRUITMENT BY SELECTION
TO THE FOLLOWING POSTS
VACANCY DETAILS
1. (Vacancy No.11112201626) Two Senior Scientific Officers, Grade-II (Gentex) in the DirectorateGeneral of Quality Assurance, Department of Defence Production, Ministry of Defence. Out of the two
posts, one post is reserved for Scheduled Castes candidates and the remaining one post is Unreserved. Of
the two posts, one post is reserved for Physically Handicapped persons with disability viz. Hearing
Handicapped (HH) or Orthopaedically Handicapped/Locomotor Disability/Cerebral Palsy with One Leg
Affected (OL). The posts are also suitable for Physically Handicapped persons with disability viz.
Hearing Handicapped (HH) or Orthopaedically Handicapped/Locomotor Disability/Cerebral Palsy with
One Leg Affected (OL). QUALIFICATION : ESSENTIAL : A. EDUCATIONAL : i) B.E./B.Tech in
Mechanical/Metallurgical/Textile Engineering from a recognized University or equivalent. ii) Conversant
with Quality Management, System/Lab Accreditation System. B. EXPERIENCE: Two years’ practical
experience in Production/Development/Quality Assurance in any of the following fields:- i) Preparation
of documents for specification i.e. BIS internal standards, standards of manufacturing. ii) Testing of
Samples (Mechanical properties). iii) Sampling, Inspection, Quality control activities during manufacture
or after manufacture of mechanical/Textile products. iv) Any development work on indigenization, value
engineering/work study, product improvement etc. v) Creation of test facilities: a) Procurement of test
equipment b) Maintenance/operation of test equipment c) Administration of Lab facilities d) Calibration
of Lab equipment for testing mechanical/textile products. DESIRABLE: i) Knowledge of German,
French, Russian, Japanese or Chinese Language. ii) Knowledge of Computer. DUTIES: Preparation of
specifications and vetting of documents pertaining to procurement of items/stores. Technical evaluation,
testing, inspection and Quality Assurance activities of equipments, systems/sub-systems and stores
indented by the Services pertaining to the relevant discipline. Creation of test facilities as per various laid
down standards/specifications. Value engineering studies of items/stores. Product improvement,
indigenization and development work on systems/products. Interaction with the Industry and preparation
of capacity /capability reports. Technical documentation. Administration of test labs.
2. (Vacancy No.11112202626) One Senior Scientific Officer, Grade-II (Instrumentation) in the
Directorate General of Quality Assurance, Department of Defence Production, Ministry of Defence. The
post is Unreserved. The post is suitable for Physically Handicapped persons with Disability viz. Hearing
Handicapped (HH) or Orthopaedically Handicapped/Locomotor disability/Cerebral Palsy with One Leg
Affected (OL). QUALIFICATION : ESSENTIAL : A. EDUCATIONAL : Master’s degree in
Electronic/Applied Physics/Physics or B.E/B. Tech. in Electronics Engineering/Electronics Technology
from a recognized University or equivalent. B. EXPERIENCE: Two years’ practical experience in Production/Development/Quality Assurance in the relevant field . DESIRABLE: Knowledge of German,
French, Russian, Japanese or Chinese Language. DUTIES: Same as in Item No.1 above.
3. (Vacancy No.11112203426) One Assistant Library and Information Officer (French Language) in
National Library, Kolkata, Ministry of Culture. The post is Unreserved. The post is suitable for Physically
Handicapped persons with Disability viz. Orthopaedically Handicapped/Locomotor disability/Cerebral
Palsy with One Arm Affective (OA)/One Leg Affected (OL). QUALIFICATION : ESSENTIAL : A.
EDUCATIONAL : i) Bachelor’s degree in the French Language from a recognized University or
equivalent. ii) Bachelor’s degree or equivalent in Library Science of a recognised University/Institute or
equivalent. B. EXPERIENCE: Two years’ experience in a recognized Library or Two years’ experience
in computerization of a recognized Library or Post Graduate Diploma in computer application from a
recognized Institute or equivalent. DESIRABLE: Master’s degree in Library Science of a recognized
University/Institute or equivalent. DUTIES: The Assistant Library and Information Officer (French
Language) will be in-charge of the French division and responsible for technical and administrative jobs
in the division. He/she will supervise and guide the work of his/her colleagues and recommend plan and
policies for promoting readers’ service. HQ: National Library, Kolkata.
4. (Vacancy No.11112204126) Nine Specialist Grade III (Skin/ Dermatology), Non-Teaching
Specialist Sub-cadre, Department of Health & Family Welfare, Government of NCT of Delhi. Out of nine
posts, one post is reserved for Scheduled Castes candidates, two posts are reserved for Other Backward
Classes candidates and the remaining six posts are Unreserved. The posts are suitable for Physically
Handicapped persons with Disability viz. Orthopaedically Handicapped/Locomotor
disability/Cerebral Palsy with One Leg Affected (OL). QUALIFICATION : ESSENTIAL : A.
EDUCATIONAL : i) A recognized MBBS Qualification included in the First or the Second Schedule
or Part II of the Third Schedule (Other than licentiate qualifications) to the Indian Medical Council Act,
1956. Holders of Educational Qualifications included in Part II of the Third Schedule should also fulfil the
conditions stipulated in Sub-section(3) of Section (13) of the Indian Medical Council Act, 1956. ii) PostGraduate Degree in the concerned Speciality i.e. MD (Dermatology)/ MD (Dermatology/Venereology)/
MD in Medicine with diploma in Dermatology/ D.D. or equivalent. B. EXPERIENCE: Three years’
experience in the concerned Speciality (Dermatology) after obtaining the first Post-Graduate Degree or
five years’ experience after obtaining Post-Graduate Diploma. NOTE I: The Medical qualifications
possessed by the candidates should have the recognition of the Medical Council of India. In case of
medical posts other than Allopathic system of medicine, the qualifications should be included in the
respective Schedule of the Act governing that system of medicine. The proof thereof may be attached.
NOTE II: In so far as Post-Graduation Medical qualifications awarded by Indian Universities are
concerned, they should also find a place in the Schedules to Indian Medical Council Act, 1956, as amended
from time to time. Holder of equivalent Post-Graduate qualifications are approved by the Medical Council
of India from time to time will be considered to have requisite Post-Graduate qualification in the subject
concerned. In case of medical posts other than allopathic system of medicine, the qualification should be
included in the respective Schedule of the Act governing that system of medicine. The proof thereof may
be attached. NOTE III: Holders of speciality Board of USA qualifications should complete the entire
requirements of the Board concerned. NOTE IV: Completion of compulsory Rotating Internship
Certificate, Registration Certificate, an official document showing name of College/Institution from where
degree/diploma has been done and official document showing name of the University and College from
where teaching experience has been gained to be furnished. NOTE V: M.R.C.P./ F.R.C.P., F.R.C.S. refers
to Diploma or Membership and Fellowship awarded by all the Royal College of U.K. and Fellowship of
Royal College of U.K. and Fellowship of Royal College of Canada. DUTIES: To work in the Dispensaries and Hospitals of the Govt. of NCT of Delhi and shall be primarily handling patients of
various types in these Hospitals and dispensaries for medical care. However they can, also be entrusted
with other work including administrative and other related work as per exigencies of the public service.
ANY OTHER CONDITIONS : Persons appointed to the service shall not be allowed private practice of
any kind whatsoever including any consultation and laboratory practice. HQ. Delhi.
IMPORTANT
NORMAL CLOSING DATE FOR RECEIPT OF APPLICATIONS IS 15.12.2011
EXTENDED CLOSING DATE FOR RECEIPT OF APPLICATIONS IS 22.12.2011 IN RESPECT OF
APPLICATIONS RECEIVED ONLY BY POST (BY POST/SPEED POST) FROM THE
CANDIDATES RESIDING IN ASSAM, MEGHALAYA, ARUNACHAL PRADESH, MIZORAM,
MANIPUR, NAGALAND, TRIPURA, SIKKIM, J&K, SIKKIM, LAHAUL AND SPITI DISTRICT
AND PANGI SUB DIVISION OF CHAMBA DISTRICT OF HIMACHAL PRADESH, A&N
ISLANDS OR LAKSHADWEEP OR ABROAD.
DATE FOR DETERMINING THE ELIGIBILITY OF ALL CANDIDATES IN EVERY RESPECT
SHALL BE THE NORMAL CLOSING DATE FOR RECEIPT OF APPLICATIONS
NOTES:
a) Candidates are requested to apply in the format published along with this Advertisement No.22
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 before applying.
b) NATURE OF POST: All posts belong to General Central Service except otherwise mentioned.
i) Posts at Item No. 3 & 4 are permanent.
ii) Posts at Item No. 1 & 2 are temporary.
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+ GP Rs.6600/-+ NPA as admissible under rules (T.E.Rs.33,533/- +
NPA approximately) Delhi Health Services, Group ‘A’ Gazetted, Non-Ministerial for the post at
Item No.4.
ii) Rs.9,300-34,800/- (PB-2) + Rs.4600/- (Grade pay) (T.E. Rs.21,291/-), General Central
Service, Group ‘B’, Gazetted, Non-Ministerial for the post at Item No. 3. iii) Rs.8000-275-13,500/- (Pre-revised) (T.E. Rs.30,000/-), Defence Quality Assurance Service,
Group ‘A’ for the post at Item No.1& 2.
d) AGE LIMIT AS ON CLOSING DATE i.e. 15.12.2011:
i) Not exceeding 45 years for the post at Item No. 4.
ii) Not exceeding 35 years for the post at Item No.1 & 2.
iii) Not exceeding 30 years for the post at Item No.3.
e) The age limit shown against all the Items is normal age limit and the age is relaxable for Scheduled
Castes candidates upto 5 years and upto 3 years for OBC candidates in respect of vacancies reserved for
them. 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
or abroad.
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 EDUCATIONAL 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 RESORT TO SHORT LISTING CRITERIA TO RESTRICT THE NUMBER OF
CANDIDATES TO BE CALLED FOR INTERVIEW TO A REASONABLE LIMIT BY ANY OR
MORE OF THE FOLLOWING METHODS:
(a) On the basis of either qualifications and experience higher than the minimum
prescribed in the advertisement; or
(b) On the basis of experience in the relevant field; or
(c) By counting experience before or after the acquisition of essential qualifications; or
(d) By holding a screening 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. 50/- (Rupees Fifty) only through Central
Recruitment Fee Stamp.
(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) Candidates can purchase the Central Recruitment Fee Stamp in the denomination of Rs.
50/- available in Head Post Officers, all Departmental/Post Offices (i.e. down to sub-post office level)
and selected Branch Post Offices throughout the Country and affix it in the space earmarked for the
purpose in the application format and get in cancelled by the Counter Clerk of the Post Office with the
date stamp in such a manner that they impression cancellation stamp partially overflows on the
application form itself taking care that the impression must be clear and distinct to facilitate the
identification of the date of issue and issuing post offices.
(d) Candidates applying from outside India should deposit the prescribed fee at the Office of
the High Commissioner for India, or of the Indian Ambassador, or of the Government of India’s
Representative abroad, as the case may be. The original receipt for such payment should accompany
every application.
(e) The fee sent through Money Order, Indian Postal Orders, Bank Drafts, Crossed Chques,
Currency Notes and Treasury Challans will not be accepted by the Commission and such applications
will be treated as without fee and will be summarily rejected.
(f) Fee once paid shall not be refunded under any circumstance nor can the fee be held
in reserve for any other examination or selection.
(g) Applications without the prescribed fee would not be considered and summarily rejected.
No representation against such rejection would be entertained.
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 Govt. 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.
(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. There is no upper age limit in respect of Indian employees of the Government of
Burma discharged owing to Constitutional changes in that country. 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 a 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 31.12.2011.
(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 in the Application Format published in the Employment News along with
this advertisement. Candidates abroad may apply on plain paper but the format should be exactly the
same as published in the advertisement. Applications on formats other than the one indicated in this
issue of Employment News will not be entertained. The candidates may cut out the form of
application given in this advertisement and utilize it in original. Form should be filled in with ballpoint pen (to prevent spreading of ink). If need be they can get this form typed nearly on white paper
of FOOLCAP SIZE( 21 cm x 30 cm) in double space on one side of paper only and fill up the
columns in their own handwriting. There is no objection to candidates using a printed Application
Form, if available from private agencies. They should ensure however, that its format is exactly the
same as published by the Commission in their advertisement. If any wrong entries are made by the
candidates in their application from on account of mistakes in the guidelines or in printing of
application forms by private agencies, their applications shall be rejected and the Commission will
not be responsible for such rejection. No representation against such rejection will be entertained.
Application filled in on the format used for previous recruitment or some other advertisement will not
be considered. The candidates should note that Application Form will NOT be supplied by the
Commission’s Office.
(b) Candidates who wish to apply for more than one post should submit separate application
accompanied by the prescribed fee for each post.
(c) Candidates are requested to attach with the application a self-addressed post card bearing total
postage worth Rs. 6.00 affixed thereon. They should indicate in this card the Advertisement No., Item No. and Name of the posts applied for. The applications will be acknowledged by the Commission by
returning this card to the candidate after indicating the Registration No. allotted 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
applications, he should make an enquiry from the Commission in writing by furnishing full details of
the post for which he has sent an application
(d) (i) The completed application form must reach the Joint Secretary
(Recruitment), Union Public Service Commission, Dholpur House, Shahjahan Road, New Delhi-
110069 on or before 15.12.2011.
(ii) In respect of applications received only by post (by post/speed post/from the candidates residing in
Assam , Meghalaya, Arunachal Pradesh, Mizoram, Manipur, Nagaland, Tripura, Sikkim, J&K, Sikkim,
Lahaul and Spiti District and Pangi sub division of Chamba District of Himachal Pradesh, A&N
Islands or Lakshadweep or abroad); the last date for receipt of applications is 22.12.2011. The
benefit of extended time will be available only in respect of applications received by post/speed post
from the above mentioned areas/regions. In the case of applications received by hand or through
courier service, benefit of extended time will not be available regardless of the place of residence of
the applicant. Candidates who are claiming the benefit of extended time should clearly indicate in a
separate sheet duly authenticated by their signature, the name of the particular area or region (e.g.
Assam, Meghalaya, J&K etc.) from where they have posted their application. In case they fail to do so,
the benefit of extended time will not be allowed to them.
NOTE I: Candidates should clearly note that the Commission will in no case be responsible for nonreceipt of their application 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 all the late
applications will be summarily rejected. They should, therefore, ensure that their applications reach
Commission’s office on or before the prescribed last date.
NOTE II: Candidates can also deliver their applications personally at the Commission’s Counter
against proper receipt. The Commission will not be responsible for the applications delivered to any
other functionary of the Commission.
NOTE III: Applications received through couriers or courier services of any type shall be treated as
having been received as ‘BY HAND’ at the Commission’s Counter, and NOT as by post.
NOTE IV: The concession of extended closing date in respect of the entire State of J&K will remain
in force upto the end of the Calendar year 2011.
NOTE V: Candidates are requested to superscribe the words “RECRUITMENT BY SELECTION”
on the top of the Envelope while sending the Application Form.
7. DOCUMENTS/ CERTIFICATES:
Candidates should note that they should attach with their applications attested/self
certified copies of the following documents: 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 (like 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) If the qualification possessed by the candidate is equivalent, order/ letter in respect of
equivalent Educational Qualifications claimed indicating the Authority (with number and date) under
which it has been so treated.
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 as published in the Employment
News. 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 Other
Backward Classes (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 last date for
receipt of 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 in respect of Age relaxation from: 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.
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.
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.
NOTE I: ORIGINAL CERTIFICATE SHOULD NOT BE SENT WITH THE APPLICATION.
THESE SHOULD BE PRODUCED ONLY AT THE TIME OF INTERVIEW.
NOTE II: Admit card as a proof of date of birth will not be accepted. No subsequent request for
change of date of birth will be considered or granted.
NOTE III: Documentary support for whatsoever claims made in the application should be furnished
along with application. Supporting documents sent separately may also be accepted if received in
UPSC on or before the closing date.
NOTE IV: 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.
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 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
normal closing date for receipt of Applications.
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 Application is liable to be rejected.
d) (i) Any changes of address given in the application form should at once be communicated
to the Joint Secretary(Recruitment), Union Public Service Commission clearly indicating the Advt.
No.. Item No., Name of the Post, UPSC Vacancy No. and candidate’s Registration.
(ii) Candidates are requested to arrange for the redirection of communications to their new address,
if necessary. The UPSC makes every effort to take account of changes in candidates address but
cannot accept any responsibility in the matter.
e) 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. f) 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.
g) 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.
h) 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.
i) Candidates will be informed of the result of their applications in due course 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.
j) The Commission may at their discretion grant higher initial pay to specially qualified and
experienced candidates.
k) Canvassing in any form will disqualify a candidate.
CHECK LIST
VERIFY THE FOLLOWING BEFORE MAILING THE APPLICATION
That the application is sent as per the prescribed format given in the Employment
ws. It can also be downloaded from Commission’s Website: www.upsc.gov. in
That all the columns in Part-1 and Part-II of the Application form have been filled
tly according to the “Instructions to the Candidates” published in the Employment News or
mmission’s website.
That no column is wrongly filled or kept blank as the information furnished therein
ld be used to determine the eligibility of a candidate to be called for interviews.
That all the qualifications and experiences in the relevant field (over and above the
mum qualifications and experiences prescribed) are mentioned in the Application as the
mmission may restrict the number of candidates to a reasonable limit by considering higher
ifications and/or experiences.
That copies of certificates are attached in support of claims made/information given
he Application regarding Date of Birth, Degree Certificates (along with mark sheets),
eriences, etc.
Any information contained in the attached certificates shall not be considered unless
claimed in the application form.
That if the qualification possessed by the candidates is equivalent, a copy of
r/letter under which it has been so treated may be enclosed.
That Experience certificate(s) are as per instructions contained in para 7 of
truction to Candidates”.
That fee amount of Rs. 50/- payable through Central Recruitment Stamp (CRFS)
. No other mode of payment is acceptable. Ensure that CRPF is pasted in the Form and the e has been cancelled by the Post Office.
That SC/ST/OBC/PH/Ex-Servicemen certificate is in prescribed format as given in
Employment News. All the prescribed proforma may also be downloaded from the
mmission’s website.
That Government Servant certificate for seeking age relaxation has been issued after
date of publication of advertisement.
That Application is sent well in advance so as to reach the Commission’s Office on or
re the closing date for receipt of applications.
That candidates are requested to superscribe the words ‘Recruitment By Selection’
he top of the envelope while sending the Application Form. For each application, separate
elope should be used.
That the Application is to be sent to the Joint Secretary (Recruitment), Union
lic Service Commission, Dholpur House, Shahjahan Road, New Delhi-110069.
IMPORTANT
MOBILE PHONES ARE BANNED IN THE CAMPUS OF UPSC EXAMINATION/
ERVIEW HALL
Government strives to have work force which reflects gender balance and women
didates are encouraged to apply.
In case of any guidance/information/clarification regarding their applications, candidature
candidates can contact UPSC’s Facilitation Counter near gate ‘C’ of its campus in person or over
phone No. 011-23385271/011-23381125/011-23098543 on working days between 10.00 hrs and
0 hrs.
APPLICATION FORM FOR RECRUITMENT BY SELECTION IS ON ______ PAGE
PRESCRIBED PROFORMAES ARE ON PAGE ______________
GENERAL INSTRUCTIONS FOR FILLING THE APPLICATION FORM
1) Candidates must read the details “Instructions and Additional Information to Candidates
for Recruitment by Selection” before filling up PART-I and PART-II of the form. He must fill the form
strictly according to the instructions.
2) CANDIDATE MUST ENSURE THAT NO COLUMN IS LEFT BLANK OR
WRONGLY FILLED IN EITHER PART-I OR PART-II OF THE FORM AS THE
INFORMATION FURNISHED THEREIN WOULD BE USED FOR DECIDING THE
ELIGIBILITY AND SUITABILITY OF THE CANDIDATES FOR BEING CALLED FOR THE
INTERVIEW. APPLICATIONS NOT FILLED CORRECTLY, COMPLETELY AND AS PER
THE INSTRUCTIONS IN BOTH PART-I AND PART-II ARE LIABLE TO BE REJECTED
AND THE ONUS OF SUCH REJEJCTION WOULD BE ON THE CANDIDATE HIMSELF/HERSELF. THE COMMISSION WILL NOT ENTERTAIN ANY CLAIM AFTER
SUCH REJECTION.
INSTRUCTIONS FOR FILLING UP PART-I OF THE FORM
Instruction I: (For column 8) please read the details “Instructions and Additional Information to
Candidates for Recruitment by Selection” very carefully before filling this column. Furnish details
under the relevant category/categories mentioned in the form as shown under:-
In column 8(A): Write ‘1’ for Central/ U.T. Govt. Servants and ‘2’ for others.
(NB: Employees of State Govt. and Central/State Public Sector Undertakings do not fall within this
category)
For column 8 (B) to (E): Write ‘1’ for Yes, ‘2’ for No.
Instruction II: (For column 10) Even if experience is not prescribed for the post applied for, do
indicate relevant experience if you have any, in this column.
Instruction III: (For column-13 B)
REGION CODES:
‘1’ for ABROAD, ‘2’ FOR NORTH EASTERN STATES, ‘3’FOR JAMMU & KASHMIR, ‘4’
for LAHUL & SPITI DISTRICTS OF HIMACHAL PRADESH, ‘5’ for SIKKIM , ‘6’ for PANGI
SUB-DIVISION OF CHAMBA, ‘7’ for ANDAMAN AND NICOBAR ISLANDS, ‘8’ for
LAKSHADWEEP, ‘9’ for any Other REGION of INDIA.
Fee amount is Rs. 50/- payable in the shape of Central Recruitment Fee Stamp
only. No other mode of payment is acceptable.
For details of Recruitment Fee Concessions to specified Concessions to specified
categories of applications, kindly refer to instruction No.4 in “Instructions and Additional Information
to Candidates for Recruitment by Selection” published in Employment News. 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.
Re-assessment of this case is not recommended/is recommended after a period of ................years
............................... months.*
3. Percentage of disability in his/her case is....................... Per cent.
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
Appointmen
t-
Permanent,
Regular,
Temporary,
Part-time,
Contract,
Guest,
Honorary
etc.
Department/
Specially/Field
of experience
2) 3) ) 5) )
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 cmpetent 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
FOR DETAILS CLICK;
http://upsc.gov.in/
