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18

CERTIFICATE FOR THE PERSONS WITH DISABILITIES

This is to certify that Sri / Smt / Kum son
/

wife

daughter

of

Shri

..

.Age

old, male / female, Registration No is a case of

... He / She is physically disabled/visual disabled/speech & hearing disabled and has
.. % (percent) permanent (physical impairment visual impairment
speech & hearing impairment) in relation to his / her
Note :
1.
2.
*

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

to improve. *
Re-assessment is not recommended/is recommended after a period
of months/years. *
Strike out which is not applicable

(Recent Attested
Photograph showing
the disability
affixed here)
Sd/(Doctor)
(Seal)

Sd/(Doctor)
(Seal)

Sd/(Doctor)
(Seal)

Countersigned by the
Medical Superintendent CMO/Head
of Hospital (with seal)
Signature / Thumb impression
of the disabled person
Explanation:-As per Notification No. DPAR 50 SRR 2000 dated 03-09-2005 Physically Handicapped candidates
or person with disability means a person suffering from not less than forty percent of any of the following
disabilities :- (1) Blindness (2) Low Vision (3) Hearing impairment (4) Locomotor disability
(5) Leprosy cured
(6) Mental retardation (7) Mental illness.
- (1)Blindness refers to a condition where a person suffers from any of the following conditions, namely:- (a)Total
absence of sight; or (b) Visual acuity not exceeding 6/60 or 20/200 (Snellen) in the better eye with correcting lenses;
or (c) limitation of the field of vision subtending an angle of 20 degree or worse;(2) Person with low vision means a
person with impairment of visual functioning even after treatment or standard refractive correction, but who uses or is
potentially capable of using vision for the planning or execution of a task with appropriate assistive device;(3) Hearing
impairment means loss of sixty decibels or more in the better ear in the conversational range of frequencies.(4)
Locomotor disability means disability of the bones, joints or muscles leading to substantial restriction of the
movement of the limbs or any form of cerebral palsy.(5) Leprosy cured:-means any person who has been cured of
Leprosy, but is suffering from, (i) Loss of sensation in hands or feet as well as loss of sensation & paresis in the eye &
eyelid, but with no manifest deformity;(ii)manifest deformity & paresis but having sufficient mobility in their hands &
feet to enable them to engage in normal economic activity; (iii) extreme physical deformity as well as advanced age
which prevents him from undertaking any gainful occupation; and the expressesion Leprosy cured shall be
construed accordingly; (6) Mental Retardation:-means a condition of arrested or incomplete development of mind of a
person who is specially characterised by sub normality of intelligence; (7) Mental Illness:- means any mental disorder
other than mental retardation.

19

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GP Azz 108 zU

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108

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27

(1)

(2)

08

(3)

(4)

g. 17650gqv
32000
zAiz
Ug PU QjAi
CAiAvgg
(sJQP) 25+05
zU

Junior Engineer
(Electrical) in City
Corporation in the
Dept. of Municipal
Administration
25+05 posts

(5)

(6)

(7)

Must have passed

Diploma in Electrical
Engineering from a
Government
recognized
University/Institution

P - 18
Uj - 35
. 2J
2
3J 38
3

GP Azz 25 zU

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04
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25

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w
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28

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09

(3)

gqv
zAiz
Ug PAi
PUj jPPg
167+44 zU
Work Inspectors in
City Corporation
in the Dept. of
Municipal
Administration
167+44 posts

(4)

g. 1455026700

(5)
(1) Must have passed
SSLC or its equivalent
examinations.
(2) Must have successfully
completed Two years Job
Oriented Course of Civil
Construction Technology
from a Government
recognized Institution.

(6)

(7)

P - 18
Uj - 35
. 2J
2
3J 38
3

GP Azz 167 zU

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56

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w

U.

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k

29

(1)

(2)

10

(3)

gqv
zAiz
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23+06 zU
Electrician Grade-I in
Town Municipalities
/Municipalities in the
Dept. of Municipal
Administration
23+06 posts

(4)

g.
1250024000

(5)

(6)

(7)

P - 18
Uj - 35
. 2J
2) Must have passed a two years 2
course in Electrical Trade from
3J 38
an Industrial Training Institute
3
recognized by the Government
1) Must have passed SSLC or
any equivalent examination and

resulting in National Trade

Certificate (NTC)
3) Must have completed one
year Apprenticeship Training
in any Industry resulting in
National Apprenticeship
Certificate (NAC)

.e
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40

GP Azz 23 zU
w
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(3)

gqv
zAiz
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QjAi DgU
jPPg 119+20
zU
Junior Health
Inspectors City
Corporation in the
Dept. of Municipal
Administration
119+20 posts

(4)

g. 1250024000

(5)
(1) Must have passed
SSLC or equivalent
examinations. and
(2) Must have completed
successfully a three years
diploma course in
Sanitary Health
Inspector/Inspector
conducted by Para
Medical Board of
Government of Karnataka
OR
II. (1) Must have passed
PUC or its equivalent
examinations. and

(6)

(7)

P - 18
Uj - 35
. 2J
2
3J 38
3
.e
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40

GP Azz 119 zU
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18
04
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17
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59
119

Z:- #z iAz / t z / Z P
(OA/OL/OAL/ BL) CsyU Cf Cg

(2) Must have completed

successfully a two years
diploma course in
Sanitary Health
Inspector/Health
Inspector conducted by
Para Medical Board of
Government of Karnataka
OR
III. (1) Must have passed
SSLC or equivalent
examinations. and
(2) Must have completed
the course in Sanitary
Inspector Diploma
conducted by All India
Institute of Local Self
Government.

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31

(1)

(2)
12

(3)

gqv
zAiz
Ugs/gsU
QjAi DgU
jPPg 99+30
zU
Junior Health
Inspectors in Town

Municipalities /
Municipalities in
the Dept. of
Municipal
Administration
99+30 posts

(4)

g. 1250024000

(5)
(1) Must have passed
SSLC or equivalent
examinations. and
(2) Must have passed a
three years diploma
course in Sanitary Health
Inspector / Health
Inspector conducted by
Para Medical Board of
Government of Karnataka
OR
II. (1) Must have passed
PUC or its equivalent
examinations. and

(6)

(7)

P - 18
Uj - 35
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2
3J 38
3
.e
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40

GP Azz 99 zU
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47
99

Z:- #z iAz / t z / Z P
(OA/OL/OAL/ BL) CsyU Cf Cg
zgz-PlP Ai Azz 30 zU

(2) Must have passed a

two years diploma course
in Sanitary Health
Inspector/Health
Inspector conducted by
Para Medical Board of
Government of Karnataka
OR
III. (1) Must have passed
SSLC or equivalent
examinations. and
(2) Must have passed the
course in Sanitary
Inspector Diploma
conducted by All India
Institute of Local Self
Government.

w
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Z:- #z iAz / t z / Z P
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iqUz.

(ePig )
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PlP P DAiU.
32