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SASHASTRA SEEMA BAL
MINISTRY OF HOME AFFAIRS (GOVT. OF INDIA)
Applications are invited from male Indian citizens who fulfill the eligibility conditions for filling up the following Group 'C" posts in the SASHASTRA SEEMA BAL. The posts are temporary, but likely to be permanent in the pay scale as mentioned below against each post plus usual and admissible allowances as applicable to Central Government employees from time to time. In addition, ration allowance; medical assistance, free uniform, free accommodation, free leave pass etc. are admissible to SSB personnel. The posts have all India posting liability and selected candidates can be posted anywhere in India and even abroad. The last date of receipt of application form is 30/9/10 for all States except North-Eastern States, Sikkim, Pangi Sub-Division of Chamba, Lahaul & Spiti and Kinnaur Districts of Himachal-Pradesh, Ladakh Division, Kashmir of J & K State and the Union Territories of Andaman and Nicobar Islands and the Lakshadweep for which last date is
(A) TECHNICAL CADRE Post code 01. 02. Name of post, Pay Scale + GP Sub-Inspector (Telecom.)
GEN ExServ icem en
SC ExServic emen
ST ExServic emen
OBC ExServic emen
15 16 41 20 24 294 159
01 01 04 02 02 32 17
06 06 14 06 08 119 27
01 13 03
02 05 08 03 03 63 16
09 09 21 10 09 85 44
02 01 01 09 04
33 37 91 42 47 621 271
Sub- Inspector (Pioneer)
(B) MINISTERIAL CADRE 08 ASI (STENO)
30 63 662
03 07 69
09 18 213
09 09 118
16 33 236
01 03 21
68 135 1345
(C) VETERINARY CADRE 09 Constable (Vety)
NOTE: - The number of vacancies are subject to change.
instructions.) and up to 45 years in the case of candidates belonging to the SC/ST and 43 years to OBC candidates in accordance with the instructions or orders issued by the Central Govt from time to time.-2- 2. SC/ST/OBC relaxation.)/ Constable (Telecomm)/ Constable (Vety) 18 to 23 years HC (Elect. (A) SL No ELIGIBILITY CONDITIONS FOR ABOVE POSTS ARE AS UNDER: Eligibility Condition Posts SI /ASI (Telecom)/ ASI (Steno) SI (Pioneer) HC (Telecom. [c] The above concession will be admissible only where an employee has rendered not less than 3 (three) years’ Continuous service in Govt. issued by the concerned District Collector to claim relaxation in age. (e) Every Ex-Serviceman who has put in not less than six months continuous service in the Armed Forces of the Union. The candidate will have to produce a certificate to the effect. The candidate will have to produce a certificate from the concerned District Collector to claim relaxation in age. As on 30-09-2010 18 to 25 years. break in service should not be more than two years. The cut off date for determining the age of the candidates will be 30-09-2010 Contd Page-3- . service working on the posts and 35 years in the case of Departmental candidates applying for Group ‘C’ posts which are on the same line or in allied cadre where a relationship could be established that the services already rendered in a particular post will be useful for efficient discharge of the duties in the post(s) to which the recruitment is made. or Brother or Sister in the case of unmarried Govt. (e) The Relaxation in upper age limit of 5 years shall also be admissible to all posts mentioned in Para-1 for the candidates who had ordinarily been domiciled in the state of J&K during the period from 01/01/1980 to 31/12/1989. (b) The upper age limit upto 05 years is also relaxable in case of candidates already in Govt.) HC (Workshop) 1. as per Govt. Deptt. servant at the time of his killing in the riot. Age. Children mean (a) Son (including adopted son): or (b) Daughter (including adopted daughter) Dependent family members mean: (a) Spouse. 5 years for SC/ST & 3 years for OBC). (h) Children and dependent family members of those killed in the riots (1984 riots and 2002 communal riots of Gujarat) will also produce a certificate from the concerned District Collector. will be in addition to this relaxation. e. shall be allowed to deduct the period of such service from his actual age and if the resultant age does not exceed the maximum age limit by more than three years he shall be deemed to satisfy the condition regarding age limit. or (b) Children. (d) **Relaxation for Govt. However. servant up to 40 years for the post of Constable (Vety. (f) Five years of age relaxation will also be granted to the children and dependent family members of those killed in the 1984 riots and 2002 communal riots of Gujarat. 20 to 25 years 18 to 25 years 18 to 24 years Relaxation: (a) There will be relaxation in age for SC/ST/OBC (i. servant who was wholly dependent on the Govt.
Chemistry and Mathematics from a recognized Board or Institution or equivalent. Constable (Telecom. ii) Two years experience in authorised Garage desirable iii) Must possess valid driving license for heavy vehicles. Or ii) 10+2 Or Intermediate with aggregate marks of fifty percent with selective subject being Physics. and Mathematics from a recognized board or institution or equivalent.) Desirable: One year experience in treatment of different species of animals in a recognized Veterinary Hospital. ASI (Steno): (a) Senior Secondary School Certificate (10+2) examination Or Intermediate or equivalent examination of a recognized Board/ University Or (b) Matriculation with three years "Diploma in Secretarial Practice or Modern Office Practice or Commercial Practice from a recognized Board of Technical Education.): Degree in Electronics Or Telecommunica tion Or Science with Physics.-: 3: 2. HC (Workshop):i) Matriculation with Diploma in Automobile Engineering or two years certificate in National Trade of Mechanic Motor Vehicle from a recognized Industrial Training Institute or Institution under the Crafts. SI(Pioneer) 1) Should have passed 10+2 (With science subjects) or equivalent from a recognized Board/ University. HC (Electrician): i) 10+2 or Matric or equivalent from a recognized board.T. EDUCATIONAL QUALIFICATION:SI (Telecom. (c) Should have basic Knowledge in computer application. Page-4- . recognized Institution/ Industrial Training Institutes.man training scheme of the Ministry of Labour. (Vety. ii) Certificate/Diploma in the trade of Electrician from a Govt. Chemistry. HC (Telecom) Matric or equivalent with two years I. and Mathematics from a recognized University Or Institute Or equivalent.)/Vety Metric or equivalent with Science from a recognized Board/ Institute or equivalent with Science Const.I. Contd. Certificate in Electronics Or Intermediate/ 10+2 with Physics.): Matric with Diploma in Electronics Or Telecommunication from an Institution recognized by the State Government or equivalent. 2) Degree or Diploma in Civil Engineering from a recognized University or Institution ASI (Telecom. Chemistry.
ASI (Steno): Height: i) 167.i) Distant VisionShould not be less than 6/6 in one eye and 6/9 in other i. ii) Relaxation in height 165 Cms in the case of candidates belonging to Garhwal.7681 Cms. : 78-83 Cms iii) Tribal/ Adivasi including Mizo and Naga. Kashmir Valley. A candidate must qualify in all the above events. ii) Near Vision (Better eye) (Worse eye) (Corrected Vision) J. flat foot. which will consist of subjective as well as narrative tests.The candidates must not have knock-knee. 2. Kashmir Valley. No.). The candidates will be tested for colour vision by Ishahara's test as well as Edrich-Green Lantern test. Marathas. Gorkhas. Leh & Ladakh. ii) Long Jump-11 Feet (03 chances). Eye Sight. Dogras. Kumaon. Kashmir Valley. 4. HC (Workshop) Sl. HC (Telecom). HC (Elect. They must be in good mental and bodily health and free from any physical defect likely to interfere with the efficient performance of the duties. flat foot. 85 Cms (Expanded) for all except the categories shown below. HP. Leh & Ladakh.5 cms for Scheduled Tribes including Mizo & Naga. Sikkimese. HP.II Note: . HP. PHYSICAL EFFICIENCY TEST SI (Telecom). Marathas. & Gorkhas. HC (Workshop) / CT (Tele) / Vety Height: i) 170 Cms for all except the categories shown below. etc. ASI (Telecom). ii) Relaxation in height 165 cms in the case of candidates belonging to the areas of Garhwal. 86 Cms (Expanded) ii) Men belonging to Garhwal. 1. Kumaon. Leh & Ladakh. Failure to qualify in ANY of the events will render the candidate disqualified to appear in Written Examination. Sikkimese etc. 4. SI(P). Kumaon. The candidates who qualify in the Physical Efficiency Test will be required to appear in a written examination in the following subjects. Chest: i) 80 Cms (Un-Expanded). PHYSICAL STANDARD: SI (Telecom).e.II Note: . They must be in good mental and bodily health and free from any physical defect likely to interfere with the efficient performance of the duties. Weight.to be completed in 6 ½ Mins. iii) High Jump. North Eastern states & Dogras. Chest: i) 81 Cms (Un-Expanded). ii) Near Vision (Better eye) (Worse eye) (Corrected Vision) J.e 6/6 for right eye in right handed individual and 6/6 for left eye in left handed individual without wearing spectacles / lenses). Contd. HC (Elect.No separate mark will be allotted for PET.I J.5 Cms except the categories shown below. varicose vein or squint in eyes and they should possess high colour vision.).I J. Marathas. ASI (Telecom). Page-5- . : 78-83 Cms iii) The Minimum standard so far as it relates to chest measurements may be relaxed from 81 Cms Un-expanded and 86 Cms Expanded to 78 Cms Un-expanded and 83 Cms Expanded respectively for Scheduled Tribes. SI(P). Leh & Ladakh. etc. Dogras. Marathas.-:4:- 3. Gorkhas. Name of PET Event 100 Metres Race Long Jump High Jump 800 Metres Race Time /Chances To be completed in 16 seconds 11 feet (03 chances) 3’ 6” (03 chances) To be completed in 4 Minutes CT (Tele) & Vety i) One Mile Race. Kumaon. 3.3’ 6” (03 chances) Note :. 6/6 for right eye in right handed individual and 6/6 for left eye in left handed individual without glasses. ii) Men belonging to Garhwal. Eye sight: i) Distant vision: Should not be less than 6/6 in one eye and 6/9 in other i. Weight: Corresponding to Height. HP. 4. Kashmir Valley. Sikkimese etc. Sikkimese. North Eastern states & Dogras. HC (Telecom). iii) 162.Proportionate to height as per Medical standard.5 Cms for Tribal/ Adivasi including Mizo & Naga. North Eastern states & Gorkhas. varicose vein or squint in eyes and they should possess high colour vision. North Eastern states. iii) 162.The candidates must not have knockknee.
Marks 30 30 40 ______ TOTAL 100 Duration 2 hours The minimum qualifying marks of written test are 50 % for General/Ex-servicemen and 40 % for SC/ST/OBC categories. Knowledge 50 100 Duration2 Hours One Paper Part-I General English Part-II General Knowledge Max. Chemistry & Mathematics Max. Chemistry & Mathematics Total marks Duration2 Hours 40 100 i) The minimum qualifying marks of written test are 50% for General/Exservicemen and 40% for SC/ST/OBC categories. Head Constable (Workshop) Max. Marks i) General English 20 ii) General Knowledge 20 I iii) Physics. Marks 30 30 Duration 2 hours The candidate who qualify written test will be called for practical test in “General mechanism of vehicles". Marks Duration 30 2 hours 30 40 TOTAL 100 The minimum qualifying marks of written test are 50% for General/Ex-servicemen and 40% for SC/ST/OBC categories PRACTICAL TEST – 50 Marks Paper i) General English ii) Gen. Mathematics and Telecommunication 60 Total 100 Duration2 Hours i) General English 50 ii) Gen. Marks 30 30 Paper-II General Engineering (Civil & Structural) 100 Duration2 Hours Part-III Physics. Knowledge iii) General Mechanical Subjects Paper i) General English ii) General Knowledge iii) Electrical Subject (ITI level) Max. Marks SI (PIONEER) HC (TELECOMM. HC (Electrician) 40 TOTAL 100 The minimum qualifying marks of written test are 50% for General/ Ex-servicemen category and 40% for SC/ST/OBC categories. WRITTEN TEST: All candidates who qualify PET will be eligible for written test which will consist of objective as well as narrative tests. SUB-INSPECTOR/ASI (TELECOMMUNICATION) One Paper Max. The minimum qualifying marks in Written test will be 50% for General /Ex-Servicemen and 40% for SC/ST/OBCs categories.-: 5: - 5. ii) The standard of written test would be as per required minimum educational qualification. Page-6 . Chemistry.) Paper-I Max. The minimum qualifying marks of written test are 50% for General/Ex-Servicemen and 40% for SC/ST/OBC categories. Constable (Telecom) Paper i) General English ii) General Knowledge iii) Physics. Contd.
The candidates will have to arrange their own Typewriter for Typing Test. 9. General Physiology Max. Marks Duration 100 3 hours 100 2 hours 100 TOTAL 300 The minimum qualifying marks of written test are 40% for General/ Ex-servicemen category and 35% for SC/ST/OBC categories. A minimum speed of 70 words per minute in English or 50 words per minute in Hindi Stenography for Scheduled Caste and Scheduled Tribe candidates. 8. NAME OF POST Sub-Inspector (Telecommunication) Asstt. A minimum speed of 30 words per minute in English Typewriting or 20 words per minute in Hindi Typewriting for Scheduled Caste Category and Scheduled Tribe candidates. A minimum speed of 80 words per minute in English or 60 words per minute in Hindi Stenography for General Category and Other Backward Class candidates. C) Typing speed Test The candidates who qualify in the shorthand test will be required to appear in the Typing Test. 6. Failure to qualify in the event of typing speed test will render the candidate disqualified to appear in Interview. Page-7- . 4. ASI (STENO) A) Written Test Max.NO. (ii) 10**:. 3.-: 6:- Constable (Vety) One Paper (Objective Type) Science. which is only qualifying test. 5. Scouts & Guides and extra curricular activities. which is only qualifying test. Failure to qualify in the event of shorthand speed test will render the candidate disqualified to appear in typing speed test. Marks 50 Duration 1 ½ hour The minimum qualifying marks of written test are 35% for General category/Ex-Servicemen and 33% for SC/ST/OBC categories. 7. A minimum speed of 40 words per minute in English Typewriting or 30 words per minute in Hindi Typewriting for General Category and Other Backward Class candidates. Paper-I Part-A General English Part-B General Knowledge Paper-II Essay B) Shorthand speed test The candidates who qualify in the written examination will be required to appear in the shorthand test.A maximum of 10 marks will be awarded to candidates having credible achievements in sports.(i) The candidate who will be declared qualified in the written test / Practical Test and Interview will be called for detailed medical examination and merit list will be prepared accordingly to fill up the vacancy advertised. 2. 1. INTERVIEW SL. 6. Contd. Sub Inspector (Telecommunication) Sub-Inspector (Pioneer) HC (Telecommunication) HC (Electrician) HC (Workshop) ASI (Steno) Constable (Telecommunication) Constable (Vety) INTERVIEW MARKS 50 50 100 50 50 25 25 25 (15+10**) 25 (15+10**) Note:. Note: . Claims of achievements should be supported by the documents and the participation should be at least at state level. Hygiene.
within 30 days from the date of issue of communication in which the findings of the Medical Officer is communicated to the candidate. ASI (Telecommn) . cadres) & requisite medical examination viz. 50/.1 & 2 of Para No. SSB (MHA). ECG etc. APPEAL AGAINST FINDINGS OF MEDICAL EXAMINATION If a candidate is declared unfit in the detailed medical examination. be clearly understood that the Selection board reserves to itself. New Delhi. SI (P).FOR ALL POSTS Application fee will be Rs. (c) One self addressed envelope with Rs. Note: a) It should. No. 11.Puram. The fitness certificate on Form-6 is essential to consider their cases for review medical examination and not for any other purpose.25/-(Rupees twenty five) only non refundable.). Those candidates whose appeal found in order will be issued call letters to appear for Review Medical Examination and their list will also be uploaded in the SSB Website www. will be put through detailed medical examination to assess their suitability/ fitness for selection. if not satisfied with the findings of the Medical Officer. SSB Force HQ.-:7:- 7. 9. (b) Appeal Form 4. DLC. 5 & 6 from the Chairman concerned. upon qualification in the written test. HC (Telecommn) HC (Electrician) & HC (Workshop)Ct. The rejected candidates will obtain Form 4. However. The appeal should necessarily contain the following . 5 & 6 issued by the Initial Medical Board declaring the candidate as Unfit. R. MEDICAL EXAMINATION Candidates who qualify the Written test & Practical test in the case of HC Workshop and Shorthand/Typing test in case of ASI Steno & Interview. They may keep in touch to know their date of appearing in review medical examination and venue by visiting our website.6/postage stamp duly affixed on it.in .gov. instructions and also no reply of the correspondence / 2nd appeal will be given / entertained. TLC. APPLICATION FEE:.(Telecommn) General & Ex-Servicemen: 50 % SC/ST/OBC: 40 % ASI (Steno) General & Ex-Servicemen: 40 % SC/ST/OBC 35 % Constable (Vety) General & Ex-Servicemen: 35 % SC/STs & OBC 33 % 8. the grounds for rejection will be communicated to him by the Chairman. The qualifying percentage of marks will be as under: SI (Telecommn).11 below./Min. ESR & Sugar (Random) Urine for sugar and albumen and microscopically conducted examination.(Rupees fifty only)-Non-refundable for candidates belonging to General and OBC categories. Blood for Hb. SELECTION PROCEDURE:- The final selection of the candidates will be made in order of merit in each Category. No fee will be charged from SC/ST/ExServicemen. X-Ray Chest. They shall attach the Crossed/Non-refundable Bank Draft or Indian Postal Order drawn in favour of authority mentioned at Col. on or before the closing date as per the following details . through a Bank Draft/ IPO in favour of “PAO. 10. The decision of the Review Medical Board of SSB will be final and no 2nd appeal will be entertained as per Govt. Certificate other than Medical Form – 6 (provided by the Chairman of Recruitment Board to the Candidates) to submit appeal for Review Medical Examination will not be considered and rejected straightway. New Delhi” . to prefer an appeal for Review-medical examination to Inspector General (Pers. HOW TO APPLY: Eligible and desirous candidates should send their applications BY POST in the prescribed proforma as given in Annexure-I with attested passport size photographs duly affixed on the application form and admit card duly completed in all respect. Ex-Servicemen will be required to pass the Written Test (Only Tech.K. (a) Review Medical Examination fee of Rs. b) No Physical efficiency test will be held for Ex-Servicemen. however. absolute discretion to reject or accept any candidate after considering the report of the medical board.ssbrectt.
6/. The Staff Officer (Admn). SSB Guwahati. SSB or any other offices of SSB shall not be entertained at any stage. ATTESTED COPIES. attested copies of testimonials and admit card duly filled in. (ii) Application must be sent to above address only.) Application Receiving Centre and application should be addressed to the following officer.ssbrectt.50/.Inspector (Pioneer) ASI (Steno. Assam. Sub. Scheduled Caste/Scheduled Tribe/OBC certificate on the format as prescribed in the Central Govt. West Pakistani Refugees settled in J&K are exempted to produce domicile certificate. Certificate of bonafide/Domicile/Permanent resident of that State from designated revenue authorities not below rank of Tehsildar for verification of citizenship of India.(Six) each should also be attached with the application form.50/.Self addressed envelopes with postage stamps worth Rs. Note: . if held by the candidate.) Head-Constable (Telecom. a) b) Educational/Technical qualification Certificate(s)/ Shorthand/Typing certificate(s) etc. SSB. Date of birth certificate (Matriculation or 10+2 Class certificate. Nikita Complex. Guwahati. 6/. Frontier Hqr. O/O The Inspector General. Assam (payable at SBI Guwahati) The envelope containing the application should be superscribed in block letters as “APPLICATION FOR THE POST OF ……………… ……………………………… POST CODE NO”…………… BY POST. adventure sports.gov. along with the Bank draft/IPO of Rs. (iii) Applications addressed to FHQ. are liable to be rejected summarily.Contd. Demand Draft of Rs.O. Frontier Hqr. order. IMPORTANT INSTRUCTIONS: i) ii) Applications submitted on a format. Research Gare. Road. SSB.(i) DD / IPOs may be sent in favour of address as given above only. they will produce certificate issued by the village Sarpanch/ Numberdar along with a copy of the Electoral Roll showing the name of the candidates in voter list for election to the Parliamentary Constituency. which is not the same. Guwahati-22. Scout & Guides and other extra curricular activities. Departmental/ Government service candidates must enclose N.C. Sector-H. UP (payable at SBI Lucknow) 2. c) d) e) f) g) h) i) j) 13. SSB Lucknow. Page-8-:8:- S. Purnea Crossing. The Staff Officer (Admn). (May be down loaded from SSB Website -www.) Head-Constable (Workshop) Head-Constable (Electrician) Constable (Vety) The Accounts Officer. FTR Hqrs. NCC. No correspondence will be entertained on this account. 345. 2 (Two).S. G. Certificate of achievements in Sports.E. Aliganj. FTR Hqrs.) Constable (Telecom. Two postage stamps of Rs. 12.as application fee. Uttar Pradesh. order.(Non-Refundable). if belongs to SC/ST/OBC on the format as prescribed in the Central Govt.in) Ex-Servicemen must submit Photostat copies of discharge/release certificate in support of claim of Ex-Servicemen & Caste Certificate. Name of post Sub-Inspector (Telecom. .) ASI (Telecom. 11th Floor.No 1. as published in this advertisement. Kendriya Bhawan. Candidates applying for more than one post should send separate application for each post. The application received after the last date will not be entertained and summarily rejected. IPO / Bank DD should be in favour of following officer and Bank. Lucknow-226024. O/O The Inspector General. DOCUMENTS TO BE ATTACHED WITH THE APPLICATION I. The Accounts Officer.(Six) each.
TA to SC/ST candidates will be paid in case they appear in written examination subject to production of Rail/ Bus tickets. applications without attested photographs. late applications will be rejected summarily.ssbrectt.gov. will be accepted by the Recruitment Board and no subsequent request for its change will be considered or granted. his services will be terminated without assigning any reason. these centres could be changed keeping in view the number of eligible candidates from a particular region. iii) However. Any wrong attestation so as to mislead the Recruitment board or to gain access to our examination would lead to criminal/debar action against the candidate besides cancellation of his candidature. service whether in a permanent or in temporary capacity etc. blackmailing or threatening to blackmail any person connected with recruitment will be disqualified. ii) No appeal/representation will be entertained against rejection of application. Gorakhpur.Contd. in case they are not employed in Central/State Govt. 10+2/Secondary Examination certificate OR an equivalent certificate on the date of submission of application. it will be rejected summarily or at any stage of the recruitment process and no request for reconsideration will be entertained. The DG SSB has full rights to make changes or cancel /postpone the recruitment without assigning any reason. list of eligible candidate will be displayed in SSB Recruitment Website- www. subject to adequate number of applications of the candidates. Bangalore and Bhopal. If the above documents are not submitted along with the application. it is essential that the application is strictly in accordance with the prescribed format is properly and completely filled and contains no correction/alteration/overwriting.) . Incomplete or unsigned applications. Application shall be rejected if received late and/or are not complete in all respects as provided in the rules. Admit cards will be posted on mailing address given in the application as submitted by the candidate. however. will be required to submit their application through proper channel along with NOC. Candidates canvassing in any form or bringing outside influence /pressure. if any. Page--:9: - -: 9:iii) Candidate should note that the Date of Birth as recorded in the Matriculation. The Government shall not be responsible for damage /injury/loss to the individual. As the applications are to be processed by a computerized system. NOTE: -i) After preliminary scrutiny of applications by application receiving Centres all eligible candidates will be duly informed about the DATE AND VENUE OF THE RECRUITMENT TEST.in ASSISTANT DIRECTOR (RECTT. offering illegal gratification. The tentative Recruitment venues would be at Delhi. It should. Candidates should come duly prepared for 7-8 days stay and make their own arrangements at the Recruitment Centre. However. Guwahati. In case any candidate is found ineligible or suppressing facts on any ground after his selection/appointment. NO TA/DA WILL BE ADMISSIBLE:However. non-employment certificate from MP or MLA or any Gazetted Officer of the locality. be clearly understood that the Selection Board reserves to itself. original caste certificate. All candidates in Govt. Candidates impersonating and submitting the fabricated/forged documents are also liable to be disqualified. sustained during the entire recruitment process and journey. SSB department is not responsible for non-delivery or late receipt of Call letters from postal department to the candidates for which no further correspondence and request will be entertained. iv) v) vi) vii) viii) ix) x) xi) Xii] xiii) xiv) 14. absolute discretion to reject or accept any candidate at any stage.
and date 1. specify Kumaonis 8.5Cms size with in the box attested by a Gazetted Officer Name in BLOCK LETTERS (as recorded in Matriculation Certificate) SURNAME FIRST NAME MIDDLE 2. MINISTRY OF HOME AFFAIRS (SASHASTRA SEEMA BAL) APPLICATION FORM FOR THE POST OF………………………………………………………. Whether belongs toGen SC ST OBC (If SC/ST/OBC attach certificate true copy as per Central Govt. (a) Date of birth (as in Matriculation certificate) D D M M Y Y Y Y 1 9 (b) Age as on _30-09-2010 D Y Y M M D 4. Father’s name (as entered in Matriculation Certificate) 3. if so. specify. Religion: Hindu Muslim Sikh Christian Buddhist Jain If others.5 x 4. (i) Whether Tribal/Adivasi Tribal Adivasi If other.instructions).. Educational Qualification (Attach attested copy of Education/Tech. Name of Subject Studied Aggregate Passed School/Board/University/Institute percentage of Marks 5. 7. Page-2- . Amount Paste a recent Colour Photograph of 3.ANNEXURE-I GOVERNMENT OF INDIA. Qualification certificate(s) & Typing etc. (a) Post code (b) Advertisement No. Exam. Whether Gorkhas Dogras Marathas Garhwalis (Attach true copy of certificate) Whether belonging to North Eastern States. (Attach true Copy of Certificate) (ii) Whether belonging to Mizo Naga (iii) Whether Domiciled ordinarily in J&K during 198089 (Attach certificate true copy) Affected in 1984 riots Affected in 2002 communal riots of Gujarat Contd. specify 6. (Attach true copy of certificate) 9._________________________________________________ (c) Name of the Post applied for: (Write in capital letters only) (d) Bank Draft / IPO No.
Candidates should apply only if they fulfill all the physical standard & Educational/Technical mentioned in the advertisement to avoid any disappointment at later stage. Level University level State Level National Level 16. Present address: Village/Town Post Office Tehsil District State Contact No: 13. Service I N Post held Name and designation of authority issuing N. Achievements in Sports: Name of sports Distt. Ex-Serviceman. IDENTIFICATION MARK (Please write in the box) (Unsigned application received if any will be rejected ).C. Police station P E-Mail ID. (a) Whether Ex-Serviceman. Whether employed in SSB If so. District State Contact No: 12. Name of present Date since when employer Police Station P I N E-Mail ID. indicate. NCC (Sr. mention following details. . mention following details.O. Div. my candidature will stand cancelled and all my claims of the recruitment will stand forfeited.. indicate:Gen SC ST OBC (b) If. Govt. YES/NO. ‘A’ Certificate ‘B’ Certificate ‘C’ Certificate NOTE: . 15.) Certificates: if so. Permanent address: Village/Town Post Office Tehsil. SIGNATURE OF THE CANDIDATE 17. 14.-: 2: 10. DECLARATION qualifications as I hereby declare that all statements made in this application are true and complete to the best of my knowledge and belief. Strike out whichever is not applicable*. if so. In the event of any information being found false or incorrect or ineligibility being detected before or after the test and interview.(Attach CTC Discharge) Date of Date of Medical Award or Reasons for Enrolment retirement/ category Decoration release/discharge Discharge Education Qualification___________ Civil Military 11.
______________________________________________________________ Post for which appearing for test_______________________________________ Date of birth __________________________________________________________ Whether direct/departmental candidate:_______________________________ Whether SC/ST/OBC/General/Ex-Serviceman________________________ Name of Recruitment Centre with complete address: _________________________________________________________________________ _________________________________________________________________________ Date and time on which the candidate is required to appear: Date____________________________________ Time ______________________ Signature of Nodal Officer ARC With seal .ANNEXURE-II ADMIT CARD (TO BE PRINTED/TYPED/WRITTEN IN SEPARATE PAPER) (Candidate will not be allowed to appear in the recruitment test without production of this admit card) Affix your recent passport size photograph duly attested by the Gazetted Officer To be filled by the candidate Name _________________________________________ (Capital Letter) Fathers name._________________________________ Name of post for which applied and code No.________________________ Signature of the candidate (TO BE FILLED BY THE APPLICATION RECEIVING AUTHORITY) Roll No.
LIST OF AUTHORITIES EMPOWERED TO ISSUE CASTE/TRIBE CERTIFICATE: 1. 1951. *The Constitution (Pondichery) Scheduled Castes Order.The terms ordinarily reside(s) used here will have the same meaning as in Section 20 of the Representation of the People Act. 1964. 1968. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. Daman & Dieu) Scheduled Tribes Order. *The Constitution (Uttar Pradesh) Scheduled Tribes Order. *The Constitution (Scheduled Tribes) Ordinance. 1951. 1960. 1956.ANNEXURE-III FORM OF CERTIFICATE TO BE PRODUCED BY A CANDIDATE BELONGING TO SCHEDULED CASTE OR SCHEDULED TRIBE This is to certify that Shri_________________________________ Son of Shri __ _______________________________of village/Town_______________________in District/ Division _____________________ of the State/Union Territory _____________________ belongs to the _____________ caste/Tribe. *The Constitution (Goa. 1967. *The Constitution (Nagaland) Scheduled Tribes Order. the North Eastern Areas (Reorganization Act. 1968. 1978. 1970. Daman & Dieu) Scheduled Castes Order. The Constitution (Scheduled Tribes) order. (As amended by the Scheduled Castes and Scheduled Tribes (Modification) Order 1956. 1978. Revenue Officers not below the rank of Tehsildar. Sub-Divisional Officers of the area where the candidate and/or his family normally resides. The Constitution (Scheduled Castes) order. 1991. The Constitution (Scheduled Castes)(Union Territory) order. *The Constitution (Sikkim) Scheduled Tribes Order. (Second Amendment) Act. 1976. ______________________________________ dated _____________ or Shri ____________ __________________ and or his/her family ordinarily reside(s) in Village/Town _____________of ____________ District/Division of the State/Union Territory of _______________. as amended by the Scheduled Castes and Scheduled Tribes orders (Amendment) Act. *The Constitution (Sikkim) Scheduled Castes Order. 4. 1959. Place______________ Date_______________ Signature______________ Designation ____________ (With seal of Office) NOTE: . which is recognized as a Schedule Caste/Scheduled Tribe under. *The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order 1962. *The Constitution (Scheduled Tribes) Order. the Punjab Reorganization Act. 1970. 2. 1950. *The Constitution (Goa. *The Constitution (Scheduled Castes) Orders (Amendment) Act. 1996 This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes Certificate issue to Shri _____________________________________Father of Shri _________________________ ______of village/town________________________ in District/Division _____________________ of the State/UT _________________ _____________who belongs to the ____________ caste/Tribe which is recognized as a SC/ST in the State/Union Territory __________________________ issued by the _______________________________ (name of the prescribed issuing authority) vide their No. Revenue NOTE: -ST candidates belonging to Tamil Nadu State should submit Caste Certificate only from the Division Officer. The State of Himachal Pradesh Act. 1990. the Bombay Reorganization Act. (Amendment) Ordinance. 1950. The Constitution (Scheduled Tribes) (Union Territory) order. *The Constitution (Dadra & Nagar Haveli) Scheduled Tribes Order. 1966.) *The constitution (Jammu & Kashmir) Scheduled Caste Order. 1962. 1971) and the Scheduled Castes and Scheduled Tribes orders (Amendment) Act. 3. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner /Additional Deputy Commissioner/Dy. 1976. 1991. *The Constitution (Scheduled Tribes) Order. 1950. Collector/ 1st Class Stipendiary Magistrate/Sub Divisional Magistrate/Extra Assistant Commissioner/Taluka Magistrate/Executive Magistrate. . *The Constitution (Andaman and Nicobar Islands) Scheduled Tribes.
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