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UNION PUBLIC SERVICE COMMISSION GENERAL INSTRUCTIONS FOR

APPLICATION FORMAT FOR RECRUITMENT FILLING THE APPLICATION


FORM
NOTE: PLEASE FILL IN THE FORM ACCORDING TO INSTRUCTIONS TO CANDIDATES 1)Candidates must read the detailed
ÒInstructions and Additional
Information to Candidates for
CANDIDATE TO FILL FEE PARTICULARS FOR OFFICE USE ONLY Recruitment by SelectionÓ before filling
up PART-I and PART-II of the form. He
SPACE FOR CENTRAL must fill the form strictly according to the
RECRUITMENT FEE instructions.
STAMPS
2) Candidates must ensure that no column is
*AMOUNT OF FEE PAID left blank or wrongly filled in either part-
I or part-II of the form as the information
Rs.: ROLL NO: furnished therein would be used for
deciding the eligibility and suitability of
the candidates for being called for the
PART Ð I (BRIEF PARTICULARS OF CANDIDATES) interview. Applications not filled
correctly, completely and as per the
1. ADVT. NO.: ITEM NO.: YEAR: instructions in both Part-I and Part-II are
liable to be rejected and the onus of such
rejection would be on the candidate
2. NAME OF THE POST APPLIED FOR:
himself/herself. The commission will not
entertain any claim after such rejection.
3. FULL NAME:
(IN CAPITALS) 3) Copies of certificates should be attached
FIRST NAME MIDDLE NAME SURNAME in support of information given in the
(PLEASE LEAVE ONE BOX BLANK BETWEEN EACH NAME)
form where necessary. Any information
contained in the attached certificates shall
4. (a) DATE OF BIRTH: not be considered unless it is claimed in
(IN FIGURES) DAY MONTH YEAR the application form.

(b) DATE OF BIRTH: INSTRUCTIONS FOR FILLING UP


(IN WORDS) PART-I OF THE FORM
Instruction-I (For column 8) Please
5. SEX (Write `1Õ for Male `2Õ for Female) read the detailed ÒInstructions and
Additional Information to
6. PHYSICALLY HANDICAPPED (Write `1Õ for Yes `2Õ for No) Candidates for Recruitment by
(See ÒInstructions and Additional Information to Candidates for Recruitment by SelectionÓ)
SelectionÓ very carefully before
filling up this column. Furnish details
7. COMMUNITY under the relevant category /categories
(Write `1Õ for SC `2Õ for ST `3Õ for OBC `4Õ for GENERAL) mentioned in the form as shown
under:-
8. IS ANY AGE RELAXATION BEING CLAIMED In column 8(A) : Write Ô1Õ for
(Write `1Õ for Yes `2Õ for No) Central/State Govt. Employees and
Ô2Õ for others.
IF `YESÕ FURNISH DETAILS UNDER THE RELEVANT CATEGORY/CATEGORIES GIVEN BELOW:
(See Instruction-I) (NB. Employees of Central/State Public
(A) GOVERNMENT SERVANT (As on closing date) Sector Undertakings do not fall within
this category)
(B) SPORTSPERSON
(C) ORDINARILY DOMICILED IN THE STATE OF J&K For column 8(B) to (E) Write Ô1Õ for
(D) WIDOW/DIVORCEE/JUDICIALLY SEPARATED Yes Ô2Õ for No

(E) EX-SERVICEMAN Instruction-II (For column 10)


(IF ANSWER TO 8(E) IS `YESÕ TOTAL NO. OF YEARS OF ELIGIBLE SERVICE Even if experience is not prescribed
IN THE ARMED FORCES. YEARS
for the post applied for, do indicate
relevant experience if you have any, in
9. DO YOU POSSESS THE ESSENTIAL EDUCATIONAL QUALIFICATIONS this column.
AS MENTIONED IN THE ADVERTISEMENT? (Write `1Õ for Yes, `2Õ for No)
REGION CODES:
10. (A) DO YOU POSSESS RELEVANT EXPERIENCE FOR THE POST Ô1Õ for ABROAD, Ô2Õ for NORTH
(Write `1Õ for Yes, `2Õ for No) (See Instruction Ð II) EASTERN STATES, Ô3Õ for JAMMU &
K A S H M I R , Ô 4 Õ for LAHAUL &
(B) IF YES, INDICATE THE LENGTH OF EXPERIENCE IN YEARS, MONTHS AND SPITI DISTRICTS OF HIMACHAL
DAYS AS ON CLOSING DATE. YEARS MONTHS DAYS
PRADESH, Ô5Õ for SIKKIM, Ô6Õ for
PANGI SUB-DIVISION OF CHAMBA,
11. (A) DO YOU POSSESS HIGHER EDUCATIONAL QUALIFICATIONS (OVER AND ABOVE
THE ESSENTIAL EDUCATIONAL QUALIFICATIONS) LIKE Ph. D., M. Phil., M. Tech./ Ô7Õ for ANDAMAN AND NICOBAR
M.E., M.D./M.S., Etc. (Write `1Õ for Yes, `2Õ for No). ISLANDS , Ô8Õ
for LAKSHADWEEP ,
Ô9Õ for Any Other REGION of INDIA.
(B) IF ÒYESÓ Write Ô1Õ IN THE RELEVANT BOX/BOXES
Ph.D. M.Phil. M.E./ MD/MS Others
M.Tech.
12. DO YOU POSSESS ANY OF THE DESIRABLE QUALIFICATIONS
(Write `1Õ for Yes, `2Õ for No, `3Õ for Not Applicable).
* Fee amount is Rs. 50/- payable in the
13.(A) MODE OF SUBMISSION OF APPLICATION (Write `1Õ if Submitted by Hand/ shape of Central Recruitment Fee
Courier, `2Õ if submitted by Post/Speed Post). Stamp Only. No other mode of
payment is acceptable.
(B) IF ANSWER TO 13 (A) IS Ô2Õ INDICATE REGION CODE
For details of Recruitment Fee
I hereby declare that all the statements made in this application are true and complete to the best of my knowledge and Concessions to specified categories of
belief. I understand that action can be taken against me by the Commission if I am declared by them to be guilty of any applications, kindly refer to Instruction
type of misconduct mentioned herein. I have informed my Head Office/Deptt. in writing that I am applying for this No. 4 in the ÒInstructions and
selection. Additional Information to Candidates
Date: for Recruitment by SelectionÓ
Place: published in Employment News.
Signature of the candidate
(Candidate must fill detailed particulars in Part-II of form)

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