Gllej ØeosMe YetlelJe SJeb Keefvekeâce&
-
UTTAR PRADESH PUBLIC SERVICE COMMISSION
efveosMeeueÙe DeOeervemLe ØeeefJeefOekeâ mesJee
LAST DATE FOR SUBMISSION OF ONLINE APPLICATIONS : 14.07.2023
LAST DATE FOR THE PAYMENT OF ONLINE APPLICATION FEE IN THE BANK : 14.07.2023
LAST DATE FOR SUBMISSION OF HARD COPY OF APPLICATION : 28.07.2023
IMPORTANT-
(1) It is mandatory for the candidates to make One Time
Registration (O.T.R.) before applying online.
(2) "Incomplete Online Application-Form shall be
rejected and no communication in this regard shall be
entertained."
(3) "If at any stage, it comes to the knowledge of the
commission that the candidate has concealed or
misrepresented any information, his candidature shall
be rejected and proceeding to debar him from future
examinations and selections shall be initiated."
(4) At the time of online application "The candidates
are directed to ensure the preservation of information
regarding all the stages (i.e. O.T.R., Final submission,
Fee payment etc.) in Soft/Hard copy for future
references."
NOTE- Candidates after submitting their applications
through online shall send self attested photo copies of their
all academic required documents regarding their claims
along with printout of online form till 28.07.2023 at 05:00
P.M. through registered/speed post or personally in the
office of the Commission. For this purpose proforma of
Address Slip is as below:-
Advertisement No. : D-3/E-1/2023
Post Name : (PAR)" shall be displayed alongwith detail of fee payment,
Deptt. No. : the print of which must be taken by clicking on "Print
O.T.R. No./Application ID :
To,
The Secretary,
Uttar Pradesh Public Service Commission
10, Kasturba Gandhi Marg, Prayagraj, U.P.
Pin Code-211018
From
Name & Address of the Candidate
The candidates are advised to paste the above mentioned
address slip on the envelope containing documents. In
absence of required relevant documents/ records, the
claim made by the candidates shall not be tenable and
relevant documents/records received after due date in the
office of the Commission will not be accepted.
SPECIAL NOTICE :- (a) The candidates will be entirely
responsible for on-line submission of application. The
application will be accepted only the candidates deposit the
fees till the last date of payment fee in the bank. (b) All
future information/instructions will be sent to the registered
mobile number and email ID as registered in O.T.R. by
SMS or on the email ID for updates. Candidates are also
directed to visit the website of the commission for updates.
IMPORTANT INFORMATION FOR CANDIDATES
APPLYING ONLINE
This advertisement is also available on the website of
the commission https://uppsc.up.nic.in O.T.R. based
"ONLINE APPLICATION SYSTEM" is applicable for
applying in this advertisement. Application sent through
any other medium will not be accepted. Therefore
candidates have to apply online only.
The candidates applying online are expected to go
through the following instructions thoroughly and apply
accordingly.
1. When the candidate click on the "ALL NOTIFICATION/
ADVERTISEMENTS" in the Commission's website https://
uppsc.up.nic.in, the ONLINE ADVERTISEMENT will
automatically be displayed, which has the following 3 parts --
(i) User Instructions
(ii) View Advertisement
(iii) Apply
The Instructions for filling "Online form" have been
given in User Instructions. The candidates desirous to see
the respective advertisement will have to click on 'View
Advertisement'. Thereafter, a full advertisement will be
displayed alongwith Sample Snapshots of Online
Application procedure.
Online Application will be completed in four stages:-
It is mandatory for the candidates to make One Time
Registration (OTR) before applying online.
First Stage:- On clicking 'Apply', 'Authenticate with
O.T.R.' will be displayed with respect to the direct
recruitment and on clicking 'Authenticate with O.T.R.',
'Have You Completed Your O.T.R. Registration' will be
displayed, in which the candidate will have to tick 'Yes' or 'No'.
If the candidate --
(i) If candidate ticks on 'Yes' and clicks on 'Go' button,
"Enter your O.T.R. Number" will be displayed wherein he/
she has to fill O.T.R. Number and click on 'Proceed' button.
On clicking 'Proceed" button, "Click here to Authenticate'
will be displayed, clicking whereon the candidate may
authenticate his/her O.T.R. Number through OTP received
on his/her registered mobile no./email ID or O.T.R.-
password. Having completed the process of Authentication,
all personal details of the candidate (as filled in O.T.R.) will
be displayed automatically. The candidate will have to fill
only essential qualification as required for the post.
(ii) If candidate ticks on 'No' and clicks on 'Go' button (a)
First of all, the candidate has to be obtain O.T.R. number
from O.T.R. Web-portal of Commission. (b) After obtaining
O.T.R. number the candidate will have to apply online
according to the process adopted in First Stage.
Second Stage:- The First Stage procedure having been
completed the address of the candidate will automatically
be displayed on the screen from O.T.R. along with the
preferential qualifications prescribed for the post.
The candidate will have to choose Yes/No option
against each preferential qualification according to his/her
eligibility for the same.
Third Stage:- After the completion of the procedure of
Second Stage, 'Fee to be deposited [in INR]' shall be
displayed with caption "Click here to proceed for payment".
After clicking the above caption of "Click here to proceed for
payment", home page of State Bank MOPS (Multi Option
Payment System) shall be displayed comprising of 03
modes of payment viz.
(i) NET BANKING (ii) CARD PAYMENTS and (iii) OTHER
PAYMENT MODES.
After payment of the required fee by any one of the above
prescribed modes, "Payment Acknowledgement Receipt
Payment Receipt".
Fourth Stage:- After completing the procedure of the Third
Stage the candidate may obtain the print of online
application from O.T.R.-Dashboard. If candidate does not
complete the process of online application, his/her
candidature will not be accepted for which he will entirely be
responsible. The candidate will have to take the print of
online application and keep it safe with himself/herself to
produce it in the office of the commission when required in
case of any discrepancy, else his/her request/claim will not
be accepted. After applying, in case of any error in the
essential and preferential qualification, the essential and
preferential qualification of the applied post can be modified
by going to 'Modify Submitted Application' of Home Page.
2. Application Fee : After completing the process of First
and Second Stage in the online application process,
deposit the fee category wise/subcategory wise as per the
instructions given in the Third Stage. The prescribed fee is
as follows:-
(i) Unreserved/ - Application fee Rs. 80/- + On-line
Economically process fee Rs. 25/- Total =
Weaker Sections/ Rs. 105/-
Other Backward
Classes
(ii) Scheduled Castes/ -Application fee Rs. 40/- + On-line
Scheduled Tribes process fee Rs. 25/- Total =
Rs. 65/-
(iii) Disabled Category - Application fee NIL/- + On-line
process fee Rs. 25/- Total =
Rs. 25/-
(iv) Ex-Servicemen - Application fee Rs. 40/- + On-line
process fee Rs. 25/- Total =
Rs. 65/-
(v) Dependents of the - According to their original
Freedom Fighters/ category
Women/Skilled
Player
3. If the claim made by the candidate in the application is not
found to be true, action can be taken to debar the candidate
from all the selections/examinations of the Commission and
other punative action can be taken.
Note: After scrutiny of the online application, if it is
found by the commission that in case of discrepancy
between the claims of educational qualification made
in the online application form filled by the candidate
and the copies of records of educational qualification
attached with the submitted hard copy, the application
will be cancelled automatically. The process of
amendment of the application form is as prescribed in
the aforesaid paragraph, therefore no claim of the
candidate will be accepted in this regard.
Uttar Pradesh Forensic Science Laboratories
1- Name of the Post - Scientific Officer
2- Number of Post = 41
Number of posts in different specialities is as under:-
No. of Deptt.
S.N. Scientific Officer (Specialist)
Post No.
1 Biology Section/Domain 22 S-1/01
2 Computer Forensic Section/Domain 09 S-1/02
3 Physics Section/Domain 06 S-1/03
4 Chemistry Section/Domain 03 S-1/04
5 Behavioral Science Section/ Domain 01 S-1/05
Total Post 41
Page-1
Advertisement. No.
D-3/E-1/2023
Date: 14.06.2023
3- Nature of post-Gazetted, 4- Reservation:- As per
existing rules, 5- Pay Scale- Level-10 (56100-177500) 6- Age
Limit:- 21 to 40 years. (Age relaxation is permissible as per
rule) 7- Academic Qualifications - Essential: (a) (i) Biology
Section/ Domain- M.Sc./M.Tech. in Zoology/Botany/Forensic
Science. (ii) Computer Forensic Section/ Domain- B. Tech.
in Computer Science/I.T./Electronics and Communication
or M.Sc. in Computer Science or M.C.A. (iii) Physics
Section/Domain- M.Sc./M. Tech. in Physics/Forensic
Science/Mathematics. (iv) Chemistry Section/Domain- M.
Sc./M. Tech. in Chemistry/ Forensic Science. (v) Behavioral
Science Section/Domain- Post Graduate in Psychology/
Forensic Psychology or M.D. in Psychiatry. (b) At least Three
years analytical or Research experience in the relevant
subjects in recognized Laboratory or Institute. Preferential-
1. Ph.D. in relevant subject. 2. For Lie Detection Section-
Experience of using polygraph. (For Behavioral Science
Section only) Preferential Qualification- A candidate who
has- (i) served in the Territorial Army for a minimum period of
two years; or (ii) obtained a 'B' certificate of National Cadet
Corps, shall, other things being equal, be given preference
in the matter of direct recruitment.
in dh laxr lsok fu;ekofy;k¡
n m0iz0 fof/k foKku iz;ksx'kkyk rduhdh vf/kdkjh lsok fu;ekoyh] 2016
n m0iz0 fof/k foKku iz;ksx'kkyk rduhdh vf/kdkjh lsok ¼izFke la'kks/ku½
fu;ekoyh] 2021
Uttar Pradesh Geology and Mining Department
01 Post (unreserved) of Mines Officer, Deptt. No. S-6/02,
Pay Scale- Pay-Matrix level-10 (Rs. 56,100-1,77,500),
Academic Qualification:- Essential Qualification:
Degree in Mining Engineering from a University established
by law in India or Three years Diploma in Mining
Engineering from recognized institution with at least one
Years's experience in supervising mining operation and two
years experience in dealing with mineral concession work.
Preferential Qualification- A candidate other things being
equal will be given preference in the matter of direct
recruitment if, he- (a) has served in the Territorial Army for a
minimum period of two years; or (b) has obtained a 'B'
certificate of National Cadet Corps. Age Limit:- 21 to 40
years. (Age relaxation is permissible as per rules)
in dh laxr lsok fu;ekofy;k¡
n m0iz0 HkwrRo ,oa [kfudeZ ¼lewg& ^d* ,oa ^[k*½ lsok fu;ekoyh&2019
n m0iz0 HkwrRo ,oa [kfudeZ ¼lewg& ^d* ,oa ^[k*½ lsok ¼izFke la'kks/ku½
fu;ekoyh&2021
Uttar Pradesh Medical Health & Family Welfare
Department
174 Post of Dental Surgeon, Deptt. No. S-08/03, Nature
of post- Gazetted, Reservation:- According to the existing
rules, Pay Scale- Level-10 Rs. 56100-177500, Academic
Qualification:- A. Essential- A candidate must possess at
least B.D.S. (Bachelor of Dental Surgery) Degree from a
recognised university or an equivalent qualification
recognised by the Indian Dental Council. B. Preferential
Qualification- A candidate, Who has (1) served in the
Territorial Army for a minimum period of two years; or (2)
obtained a 'B' certificate of National Cadet Corps, shall other
things being equal, be given preference in the matter of
direct recruitment. Age Limit:- 21 to 40 years. (Age
relaxation is permissible as per rules). Note:- Regarding the
equivalency of essential educational qualification, it has
been clarified by the letter no.-128/ ik¡p-5-2023, dated 23-
02-2023 of the government that no equivalent qualification
has been prescribed for the post in question.
in dh laxr lsok fu;ekofy;k¡
m0iz0 nUr ltZu lsok fu;ekoyh] 1979
n
n m0iz0 nUr ltZu lsok ¼izFke la'kks/ku½ fu;ekoyh] 1998
n m0iz0 nUr ltZu lsok ¼f}rh; la'kks/ku½ fu;ekoyh] 2017
Uttar Pradesh AYUSH (Ayurveda) Department
1- Name of the Post - Lecturer
2- Number of Post = 127
Number of posts in different specialities is as under:-
No. of Deptt.
S.N. Lecturer (Specialist)
Post No.
1 Shalya Tantra 10 S-9/07
2 Rachana Shareer 14 S-9/08
3 Rog Nidan 06 S-9/09
4 Agad Tantra Evam Vidhi Ayurveda 09 S-9/10
Ras Shastra Evam Bhaishajya
5 10 S-9/11
Kalpana
6 Dravya Guna 14 S-9/12
7 Samhita Sanskrit Evam Siddhant 17 S-9/13
8 Kriya Shareer 19 S-9/14
9 Shalakya Tantra 10 S-9/15
10 Prasuti Tantra Evam Stree Rog 05 S-9/16
11 Swasthya Vrit 06 S-9/17
12 Kaya Chikitsa 07 S-9/18
Total Post 127
3- Nature of post-Gazetted, 4- Reservation:- According to
existing rules, 5- Pay Scale- 56100-177500 (Level-10), 6-
Age Limit:- Minimum 25 years, Maximum 40 years (age Reader Amraz-e-Jild wa Tazeeniyat - 1. Five years Degree
relaxation as per Rules). 7- Academic Qualification:- A. in Unani from a University established by law, or five years
Essential: 1. Five years Degree in Ayurveda from a University Degree from the Board of Indian Medicine, Uttar Pradesh or
established by law, or the Board of Indian Medicine, Uttar any other state Board or Faculty which is registrable under the
Pradesh, or any other State Board or Faculty which is United Provinces Indian Medicine Act, 1939. 2. Seven years
registrable under the United Provinces Indian Medicine Act, teaching experience of the subject (Five years for a Post-
1939. 2. Post-Graduate qualification of the subject from a Graduate) in a recognized institution. 3. Working knowledge
recognized institution. 3. Adequate knowledge of Hindi, of Hindi, English and Urdu or Arabic or Persian. B.
Preferential- 1. Post-graduate qualification from a
English and Sanskrit. B. Preferential- 1. Research work and
publication of Original Papers and books. Preferential recognized institution; 2. Research work and publication of
Qualification- 1. Served in the territorial Army for a minimum original papers and books. Preferential Qualification- A
candidate, who has- (1) Served in the Territorial Army for a
period of two years; or 2. Obtained a "B" certificate of National
Cadet Corps; shall other things being equal, be given minimum period of two years; or (2) Obtained a 'B' certificate
preference in the matter of direct recruitment. of National Cadet Corps, shall other thing being equal, be
in dh laxr lsok fu;ekofy;k¡ given preference in the matter of direct recruitment. Age
n m0iz0 jkT; vk;qosZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok
Limit:- 28 to 45 years. (Age relaxation is permissible as per
fu;ekoyh] 1990 rule to the reserved the category candidates).
n m0iz0 jkT; vk;qosZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok ¼izFke in dh laxr lsok fu;ekofy;k¡
la'kks/ku½ fu;ekoyh] 2008 n m0iz 0 jkT; vk;q osZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok
Uttar Pradesh Ayush (Homoeopathy) Department fu;ekoyh] 1990
1- Name of the Post - Homoeopathic Medical Officer and n m0iz0 jkT; vk;qosZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok ¼izFke
la'kks/ku½] fu;ekoyh] 2008
Homoeopathic Residential Medical Officer
Uttar Pradesh Ayush (Unani) Department
2- Number of Post = 23
01 Post (Unreserved) of Lecturer Arabic, Deptt. No. S-
Number of posts in different specialities is as under:-
11/07, Nature of post- Gazetted, Pay Scale- Level-10 Pay
S.N. (Specialist) No. of Post Deptt. No. Band- 15600-39100 Grade Pay-5400/-, Academic
1 Homoeopathic Medical Officer 08 S-11/02
Qualification:- A. Essential- 1. A First class Post-Graduate
Homoeopathic Residential Degree in Arabic from a recognised Institution. 2. Three
2 15 S-11/03 year's teaching experience in a recognised Institution. 3.
Medical Officer
Total Post 23 Working knowledge of Hindi, English and Urdu. B.
Preferential- 1. Ph.D. in Arabic. 2. Research work and
3- Nature of post- Group-'B' Gazetted, 4- Reservation:-
According to the existing rules, 5- Pay Scale- Level-10, Pay publication of original papers and books. Preferential
Band Rs. 15600-39100, Grade Pay Rs. 5400/-, 6- Age Limit:- Qualification- A candidate, who has- (1) Served in the
21 to 40 years. (Age relaxation is permissible as per rules. 7- Territorial Army for a minimum period of two years; or (2)
Academic Qualification:- A. Essential: 1. A recognized Obtained a 'B' certificate of National Cadet Corps; shall
Degree in Homoeopathy, the duration of study of which is not other things being equal, be given preference in the matter
less than 5 years according to its syllabus or course or A of direct recruitment. Age Limit:- 25 to 40 years. (Age
recognized Diploma in Homoeopathy, the duration of study of relaxation is permissible as per rules).
which is not less than 4 years according to its syllabus or course in dh laxr lsok fu;ekofy;k¡
2. The applicant should be duly registered with the n m0iz0 jkT; vk;qosZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok
Homoeopathic Medicine Board, Uttar Pradesh. B. Preferential fu;ekoyh] 1990
Qualification- Acandidate other things being equal, will be given n m0iz0 jkT; vk;qosZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok ¼izFke
preference in the matter of direct recruitment, if he- (1) has la'kks/ku½] fu;ekoyh] 2008
served in the TerritorialArmy for a minimum period of two years;
Note:- The number of vacancies of the above advertised
or (2) has obtained a 'B' certificate of National Cadet Corps. posts may decrease/increase as per requirement/situation.
in dh laxr lsok fu;ekofy;k¡
GENERAL INSTRUCTIONS
m0iz0 gksE;ksiSfFkd fpfdRlk lsok fu;ekoyh] 1990
n LAST DATE FOR SUBMISSION OF ONLINE
n m0iz0 gksE;ksiSfFkd fpfdRlk lsok ¼izFke la'kks/ku½] fu;ekoyh] 1991 APPLICATIONS : 14.07.2023
n m0iz0 gksE;ksiSfFkd fpfdRlk lsok ¼f}rh; la'kks/ku½] fu;ekoyh] 1996 LAST DATE FOR THE PAYMENT OF
n m0iz0 gksE;ksiSfFkd fpfdRlk lsok ¼r`rh; la'kks/ku½] fu;ekoyh] 2016 APPLICATION FEE IN THE BANK : 14.07.2023
n m0iz0 gksE;ksiSfFkd fpfdRlk lsok ¼prqFkZ la'kks/ku½] fu;ekoyh] 2016 1.The candidate must carefully study the detailed
Uttar Pradesh Ayush (Unani) Department advertisement and may apply for the post only when he/ she
is eligible for the concerned post.
26 Post of Unani Medical Officer, Deptt. No. S-11/04,
Nature of post- Gazetted, Reservation:- According to the 2. Applications after the last prescribed date and time will not
existing rules, Pay Scale- Level-10 (Rs. 56,100-1,77,500), be accepted under any circumstances. Incomplete and
Academic Qualification:- A. Essential: 1. A degree in ambiguous application forms will be cursorily rejected even if
Unani Tib of a University established by law in India. or Five received on time.
years degree or diploma in Unani Tib of the Board of Indian 3. The knowledge of Hindi is essential.
Medicine, Uttar Pradesh. 2. Registration as a Hakeem with 4. The date of calculation of age (except where indicated
st
the Board of Indian Medicine, Uttar Pradesh. 3. Atleast six otherwise) is 1 July, 2023. The maximum age-limit shall be
months Professional experience of state Unani/Allopathic relaxable by five years for the candidates belonging to
Hospital or dispensary. B. Preferential Qualification- 1. Scheduled Caste, Scheduled tribe, Other backward class,
Post-graduate degree in Unani Tib from a recognized Skilled players of U.P. of Classified games (for the post of
Group 'B' and 'C' only) (Only domiciled persons of U.P. are
institution. Age Limit:- 21 to 40 years. (Age relaxation is
entitled for such age relaxation) and State Govt. Employees
permissible as per rules).
of U.P. including Teachers/ Staff of the Basic Shiksha
in dh laxr lsok fu;ekofy;k¡
Parishad of U.P. according to G.O. No. 1648/79-5-2015,
n m0iz0 jkT; fpfdRlk ¼vk;qosZn ,oa ;wukuh½ lsok fu;ekoyh] 1990
dated 19 June, 2015 and Teachers/Staff of the Government
n m0iz0 jkT; fpfdRlk ¼vk;qon Zs ,oa ;wukuh½ lsok ¼izFke la'kks/ku½] fu;ekoyh]
Aided Madhyamik Vidyalayas of U.P. as per G.O. No.
1991
1508/15-8-2015-3057, dated 16 September, 2015. The
n m0iz0 jkT; fpfdRlk ¼vk;qosZn ,oa ;wukuh½ lsok ¼f}rh; la'kks/ku½]
fu;ekoyh] 1992
upper age limit shall also be greater by 3 years + period of
service rendered in army for the emergency commissioned
n m0iz0 jkT; fpfdRlk ¼vk;qosZn ,oa ;wukuh½ lsok ¼r`rh; la'kks/ku½]
officers/short service commission officers/ commissioned
fu;ekoyh] 2003 officers/Ex-Army personnels of U.P. It is essential to be
Uttar Pradesh Ayush (Unani) Department
discharged from army upto the last date of receipt of
01 Post of Reader Kulliyat (Reader Kulliyat-01 Post application. Relaxation of 15 years in the upper age limit will
(unreserved), Deptt. No. S-11/05, Nature of post- Gazetted,
be admissible to P.H. candidates.
Pay Scale- Level-11, Rs. 67,700-2,08,700, Academic 5. After receipt of application in the Commission, any request
Qualification:- A. Essential: Reader Kulliyat - 1. Five years for change in the qualification and category will not be
Degree in Unani from a University established by law, or five entertained.
years Degree from the Board of Indian Medicine, Uttar 6. Minimum educational qualification is not sufficient for
Pradesh or any other state Board or Faculty which is being called for interview. Mere eligibility does not entitle a
registrable under the United Provinces Indian Medicine Act, candidate to be called for interview or for selection.
1939. 2. Seven years teaching experience of the subject Intimation for interview will be sent later on.
(Five years for a Post-Graduate) in a recognized institution. 7. In case of large number of applicants for the post/ posts,
3. Working knowledge of Hindi, English and Urdu or Arabic or the Commission may hold screening test, which will be
Persian. B. Preferential- 1. Post-graduate qualification from communicated in due course of time. Under the conditions of
a recognized institution; 2. Research work and publication of
holding screening test (Objective Type), penalty (Negative
original papers and books. Preferential Qualification- A Marking) shall be imposed for wrong answers given by the
candidate other thing being equal, be given preference in the
candidates in the manner given below--
matter of direct recruitment, if he- (1) has served in the
(i) There are four alternatives for the answer to every
Territorial Army for a minimum period of two years; or (2) has
question. For each question for which a wrong answer has
obtained a 'B' certificate of National Cadet Corps. Age Limit:-
been given by the candidate, one third (0.33) of the marks
28 to 45 years. (Age relaxation is permissible as per rules).
assigned to that question will be deducted as penalty.
in dh laxr lsok fu;ekofy;k¡ (ii) If a candidate gives more than one answer, it will be
n m0iz0 jkT; vk;qosZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok treated as a wrong answer even if one of the given answer
fu;ekoyh] 1990 happens to be correct and there will be same penalty as
n m0iz0 jkT; vk;qosZfnd vkSj ;wukuh egkfo|ky; v/;kidksa dh lsok ¼izFke above for that question.
la'kks/ku½] fu;ekoyh] 2008 (iii) If a question is left blank i.e. no answer is given by the
Uttar Pradesh Ayush (Unani) Department candidate, there will be no penalty for that question.
01 Post of Reader Amraz-e-Jild wa Tazeeniyat (Reader 8. The original certificates are required for verification at the
Amraz-e-Jild wa Tazeeniyat-01 Post (unreserved)), Deptt. time of interview. Candidate will then also be required to
No. S-11/06, Nature of post- Gazetted, Pay Scale- Level-11, submit his/her passport size photograph attested by head of
Rs. 67,700-2,08,700, Academic Qualification:- A. Essential: department or head of the institution, where he/she
Page-2
received last education or by a Gazetted Officer.
9. Candidates serving under Central or State Government
will have to produce "NO OBJECTION CERTIFICATE"
from their employer at the time of interview.
10. The decision of the Commission as to the eligibility or
otherwise of a candidate will be final.
11. Candidates of any reserved category, if they want the
benefit of reservation, must mention their category/
subcategory (one or more than one, whichever) in the
column related to O.T.R. (because all the personal
information will be automatically displayed in the
application form from the O.T.R.).
12. It is very important to make the payment in the 'ONLINE
APPLICATION' process by the candidate till the last date
and time of submission of complete application in all
respects. Candidates should take a print of the information
filled by them and keep it safe.
In case of any discrepancy, the candidate will have to
submit the printout to the Commission's office otherwise
the request of the candidate will not be accepted.
13. With regard to claims made in the 'On-line Application',
the candidate shall submit the following original certificate/
certificates in the prescribed format, when asked for by the
Commission. If the certificates are not submitted in time,
the candidature shall be cancelled.
13.1 Only Higher Secondary/High School Certificate for
proof of the age shall be treated valid.
13.2 Proof of degree/diploma or its equivalent
qualifications to confirm the prescribed essential and
preferential qualifications.
13.3 In the case of physically handicapped candidates, the
certificate issued by the competent authority in the format-
1 to the Govt. Order No. 05/2022/18/1/2008/47/ka-2/2022
dated 18th April 2022.
13.4 In the case of the skilled players of the classified
sports, a certificate issued by the competent authority will
be required in terms of the Government Order No. – 22/21/
1983-Ka-2 dated 28th November 1985.
13.5 Under any reserved category/categories, for the
confirmation of the claim for reservation, the caste
certificate issued by District Magistrate/Additional District
Magistrate (Executive)/City Magistrate/SDM/Tehsildar in
the prescribed format prescribed under Govt. Order No.
22/16/92-TC-III/Ka-2/2002 dated 22nd October, 2008
in respect of candidates belonging to the SC/ST/OBC, will
be accepted .
13.6 mRrj izns'k 'kklu] dkfeZd vuqHkkx&2 ds i=kad 1@2019@
4@1@2002@dk&2@19 Vh-lh-&AA fnukad 18 Qjojh 2019 esa
fufgr izkfo/kkuksa ds vuqikyu esa mRrj izns'k jkT; ds ewy fuoklh ,oa
vkfFkZd :i ls detksj oxksZa ds ,sls O;fDr;ksa tks vuqlwfpr tkfr]
vuqlwfpr tutkfr rFkk vU; fiNM+s oxksZa ds fy, vkj{k.k dh orZeku
O;oLFkk ls vkPNkfnr ugha gSa] dks mRrj izns'k ljdkj dh yksd
lsokvksa vkSj inksa dh lHkh Jsf.k;ksa esa lh/kh HkrhZ ds izØe ij 10
izfr'kr dk vkj{k.k fu;ekuqlkj ns; gksxkA
13.7 Those candidates, willing to take the benefit of the
reservation may obtain a certificate, issued by the
competent authority, in support of the reserved category, in
the prescribed format printed in this detailed advertisement
and submit the same to the Commission, whenever
required to do so. Those claiming more than one reserved
category will be given only one such concession, which will
be more beneficial. The candidates not originally domiciled
in U.P. belonging to SC, ST, O.B.C., dependants of
freedom fighters, handicapped and Ex-servicemen are not
entitled to benefit of reservation. Such candidates will be
treated in general category.
veesš:- (1) G0Øe0 kesâ meceepe kesâ efoJÙeebie DeYÙeefLe&ÙeeW kesâ efueÙes Meemeve Éeje
DeefOemetefÛele ( efÛeefvnle) efkeâÙes ieÙes heoeW hej ÛeÙeve kesâ mebyebOe ceW peejer keâeÙee&ueÙe
%eehe meb0-5/2022/18/1/2008/47/keâe-2/2022, efoveebkeâ- 18 DeØewue 2022 kesâ
efyevog-5 (Deveejef#ele efjefòeâÙeeW hej efveÙegefòeâ) ceW ØeeefJeOeeve efvecveevegmeej efkeâÙee ieÙee
nw- efoJÙeebielee mes «emle JÙeefòeâÙeeW kesâ efueÙes GheÙegòeâ efÛeefvnle efkeâÙes ieÙes heoeW ceW,
efoJÙeebielee mes «emle JÙeefòeâ keâes efkeâmeer Deveejef#ele efjefkeäle hej efveÙegefòeâ kesâ efueÙes
ØeeflemheOee& keâjves mes cevee vener efkeâÙee pee mekeâlee nw DeLee&le efoJÙeebielee mes «emle
JÙeefòeâ keâes efkeâmeer Deveejef#ele efjefòeâ hej efveÙegòeâ efkeâÙee pee mekeâlee nw yeMelex efkeâ heo
mebiele ßesCeer keâer efoJÙeebielee mes «emle JÙeefòeâÙeeW kesâ efueÙes efÛeefvnle efkeâÙee ieÙee nes~
MeemeveeosMe mebKÙee-39 efjš/keâe-2/2019 efoveebkeâ - 26 petve, 2019 Éeje
MeemeveeosMe mebKÙee- 18/1/99/ keâe-2/2006 efoveebkeâ 09 peveJejer, 2007 kesâ Øemlej-
4 ceW efoÙes ieÙes ØeeefJeOeeve, ‘‘Ùen Yeer mhe° efkeâÙee peelee nw efkeâ jepÙeeOeerve ueeskeâ
mesJeeDeeW Deewj heoeW hej meerOeer Yeleea kesâ Øe›eâce hej ceefnueeDeeW keâes DevegcevÙe Ghejesòeâ
Deej#eCe kesâJeue Gòej ØeosMe keâer cetue efveJeemeer ceefnueeDeeW keâes ner DevegcevÙe nw’’ keâes
efjš ÙeeefÛekeâe mebKÙee- 11039/2018 efJeefheve kegâceej ceewÙee& Je DevÙe yeveece Gòej
ØeosMe jepÙe Je DevÙe leLee mecyeæ 6 DevÙe efjš ÙeeefÛekeâeDeeW ceW cee0 GÛÛe vÙeeÙeeueÙe,
Fueeneyeeo Éeje efoveebkeâ 16.01.2019 keâes DeefOekeâejeleerle (Ultra Vires)
Ieesef<ele keâjves mecyevOeer efveCe&Ùe kesâ Devegheeueve ceW MeemeveeosMe efoveebkeâ 09.01.2007 mes
Øemlej-04 keâes efJeueesefhele efkeâS peeves keâe efveCe&Ùe efueÙee ieÙee nw~ Gòeâ efveCe&Ùe Meemeve
Éeje cee0 GÛÛe vÙeeÙeeueÙe kesâ DeeosMe efoveebkeâ 16.01.2019 kesâ efJe™æ oeÙej efJeMes<e
Deheerue ([er) mebKÙee-475/2019 ceWb cee0 vÙeeÙeeueÙe Éeje heeefjle nesves Jeeues Deefvlece
efveCe&Ùe kesâ DeOeerve nesiee~
14. The Commission do not advise to candidates about
their eligibility. Therefore, they should carefully read the
advertisement and apply only when satisfied about their
qualifications in terms of the advertisement.
15. In the category of dependants of the freedom fighters
only sons, daughters, grand-sons (son's son/daughter's
son) and grand daughters (son's daughter/daughter's
daughter, married/ unmarried) are covered. Only such
relationships with the freedom fighters are not adequate
but the candidate should remain actually dependant of the
freedom fighter. It is advised that now the candidates may tkfr izek.k&i= ¼izk#i&II½ rglhy ----------------------------- ftyk ----------------------- jkT; ---------------------------------
obtain the reservation, certificate from the District izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------------------
------ us vkfFkZd :i ls detksj oxZ ds çek.k i= gsrq vkosnu fn;k gS]
Magistrate in terms of Govt. Order No. 453/79-V-1-15-
1(Ka)/14-2015 dated 07-04-2015 in the prescribed format
lqiq=@lqiq=h Jh ------------------------ fuoklh ----------------- xzke --------------------- ,rn~ }kjk ?kks"k.kk djrk@djrh gw¡A
and submit the same. rglhy --------------------- uxj ------------------------ ftyk -------------------------- mRrj 1. eSa -------------------------------------------- tkfr ls lEcU/k j[krk@j[krh g¡]w
16. In the event of involvement of a candidate in the izns'k jkT; dh ----------------------------- tkfr ds O;fDr gSa ftls lafo/kku tks mRrj izn's k gsrq vf/klwfpr vuqlfw pr tkfr] vuqlfw pr tutkfr] ,oa
concealment of any important information, pendency of any ¼vuqlwfpr tkfr½ vkns'k] 1950 ¼tSlk fd le;&le; ij la'kksfèkr vU; fiNM+k oxZ dh lwph esa lwphc) ugha gSA
case/criminal case, conviction, more than a husband or wife gqvk½@lafo/kku ¼vuqlwfpr tutkfr] mRrj izns'k½ vkns'k] 1967 ds
2- esjs ifjokj dh dqy Jksrksa ¼osru] d`f"k] O;olk;] is'kk bR;kfn½ ls
being alive, submission of facts in a distorted manner, vuqlkj vuqlwfpr tkfr@vuqlwfpr tutkfr ds :i esa ekU;rk nh
canvassing for selection etc. The Commission reserves the
dqy okf"kZd vk; : ------------------------ ¼'kCnksa es½a gSA
xbZ gSA 3- esjs ifjokj ds ikl mfYyf[kr vk; ds flok; vFkok blds
right to reject the candidature and debar from appearing in
the examinations and selections. Jh@Jherh@dqekjh ------------------------------------------------- rFkk@vFkok vfrfjDr vU;= dksbZ ifjlEifRr ugha gSA
17. Be sure to mention the name of Post applied for, mudk ifjokj mRrj izns'k ds xzke ---------------------- rglhy ---------------------- vFkok
advertisement number, department number, date of birth uxj -------------------------- ftyk ---------------------- esa lkekU;r;k jgrk gSA
dbZ LFkkuksa ij fLFkr ifjlEifRr;ksa dks tksMu+ s ds i'pkr Hkh eSa
and O.T.R./Application ID for correspondence with the
Commission.
LFkku -------------------------- gLrk{kj--------------------------- ¼uke½ --------------------------------- vkfFkZd :i ls detksj oxZ ds nk;js esa
18. Candidates are required to hold essential qualification fnuakd ----------------------- iwjk uke-------------------------- vkrk@vkrh g¡Aw
till the last date of receipt of On-line application. eqgj --------------------------- in uke---------------------------- 4- eSa ?kks"k.kk djrk@djrh g¡w fd esjs ifjokj dh lHkh ifjlEifRr;ksa
19. If any change is to be made in the personal detail dks tksMu+ s ds i'pkr~ fuEufyf[kr esa ls fdlh Hkh lhek ls vf/kd
mentioned in the O.T.R, it will be mandatory to Sync. it on ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVsªV@ijxuk ugha gSA
the Dashboard after the change. Otherwise change will not eftLVsªV@rglhynkj@vU; osru Hkksxh eftLVsªV] ;fn dksbZ
I. 5 ¼ikWp
a ½ ,dM+ d`f"k ;ksX; Hkwfe vFkok mlls ÅijA
be allowed. No representation will be accepted for error gks@ftyk lekt dY;k.k vf/kdkjhA
correction/amendment in this regard. Incomplete mÙkj izns'k ds vU; fiNM+s oxZ ds fy, tkfr izek.k&i= II. ,d gtkj oxZ QhV vFkok blls] vf/kd {ks=Qy dk ¶ySVA
application will be cursorily rejected and no III. vf/klwfpr uxjikfydk ds varxZr 100 oxZ xt vFkok blls
correspondence will be entertained in this regard. ¼izk#i&I½ vf/kd dk vkoklh; Hkw[k.MA
Submission of false/misleading information will lead to izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ------------------ lqiq=@
IV. vf/klwfpr uxjikfydk ls brj 200 oxZ xt vFkok blls
cancellation of candidature. lqiq=h ------------------ fuoklh ------------------ rglhy ------------------ uxj -------------
20. In case the candidates feel any problem in the "On-line
vf/kd dk vkoklh; Hkw[k.MA
ftyk ----------------- mRrj izns'k jkT; dh -------------------- fiNM+h tkfr ds eSa çekf.kr djrk@djrh gw¡ fd esjs }kjk mijksDr tkudkjh esjs Kku vkSj
Application" they may get their problem resolved by sending
their quarries to the 'Mail Box' of the Commission. O;fDr gSaA ;g tkfr m0iz0 yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr fo'okl ds vuqlkj lR; gS vkSj eSa vkfFkZd :i ls detksj oxZ ds fy,
21. The candidates whose candidature are cancelled, those tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ vf/kfu;e] 1994 vkj{k.k lqfo/kk çkIr djus gsrq ik=rk /kkj.k djrk@djrh gw¡A ;fn esjs }kjk
candidates does not remain candidates after the ¼;Fkkla'kksf/kr½ dh vuqlwph&,d ds vUrxZr ekU;rk izkIr gSA nh xbZ tkudkjh vlR;@xyr ik;h tkrh gS rks eSa iw.kZ :i ls tkurk
cancellation of candidature, therefore it has been decided to ;g Hkh izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh -------------- gw¡W@tkurh gw¡ fd bl vkosnu i= ds vk/kkj ij fn;s x;s çek.k i= ds }kjk
not give their marks to those candidates. --------- iwoksDZ r vf/kfu;e] 1994 ¼;Fkkla'kksf/kr½ dh vuqlp w h&nks tSlk fd 'kS{kf.kd laLFkku esa fy;k x;k ços'k@yksd lsokvksa ,oa inksa esa izkIr dh xbZ
Detailed Application Form:
At the online page there is a 'Declaration' for the
m0iz 0 yks d ls o k ¼vuq l wf pr tkfr;ks a] vuq l wfpr tutkfr;ks a vkSj vU; fu;qfDr fujLr dj nh tk;sxh@dj fn;k tk;sxk vFkok bl çek.k i= ds
candidates. Candidates are advised to go through the fiNM+ s oxks a Z ds fy;s vkj{k.k½ ¼la' kks
/ ku½ vf/kfu;e] 2001 }kjk iz frLFkkfir vk/kkj ij dksbZ vU; lqfo/kk@ykHk çkIr fd;k x;k gS mlls Hkh oafpr fd;k
contents of the Declaration carefully. Candidate has the fd;k x;k gS ,oa tks m0iz0 yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr tk ldsxk vkSj bl lEcU/k esa fof/k ,oa fu;eksa ds v/khu esjs fo:) dh tkus
option to either agree or disagree with the contents of tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ ¼la'kks/ku½ okyh dk;Zokgh ds fy, eSa mRrjnk;h jgw¡xk@jgw¡xhA
Declaration by clicking on 'I Agree' or 'I do not agree'
buttons. In case the candidate opts to disagree, the
vf/kfu;e] 2002 }kjk la'kksf/kr dh x;h gS] ls vkPNkfnr ugha gSA buds uksV%& tks ykxw ugha gks mls dkV nsaA
application will be dropped and the procedure will be ekrk&firk dh fujarj rhu o"kZ dh vof/k ds fy;s ldy okf"kZd vk;
terminated. Accepting to agree only will submit the vkB yk[k #i;s ;k blls vf/kd ugha gS rFkk buds ikl èkudj vf/kfu;e]
candidate's Online Application.
LFkku %& vkosnd@vkosfndk dk gLrk{kj rFkk iwjk ukeA
1957 esa ;Fkk fofgr NwV lhek ls vf/kd lEifRr Hkh ugha gSA
Notification Details Form-II
This section shows information relevant to Notification
Jh@Jherh@dqekjh ------------------------------- rFkk@vFkok mudk Certificate of Disability
i.e. Notification number, selection type, directorate/ ifjokj mRrj izns'k ds xzke --------------------------- rglhy -------------------------- (In cases of amputation or complete permanent paralysis
department name and post name uxj ------------------------ ftyk ------------------------ esa lkekU;r;k jgrk gSA of limbs or dwarfism and in case of blindness) (Name and
Personnel Details from OTR Address of the Medical Authority issuing the Certificate)
LFkku -------------------------- gLrk{kj -----------------------------
This section shows information about candidate Recent passport size
personnel details i.e. OTR Number, candidate name, fnua k d ----------------------- iw jk uke ----------------------------- attested photograph
Father/Husband name, Gender, DOB, UP domicile, eqgj --------------------------- in uke ----------------------------- (showing face only) of
Category, Marital status, email and contact number, photo &
signature, address, UP Freedom Fighter, Ex Army, service ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVsªV@ijxuk the person with disabiliy
duration and your physical challenges, Skilled Player, eftLVsªV@rglhynkjA Certificate No. Date:
Outstanding Player of U.P., Debarred candidate.
¼çi=&I½ This is to certify that I have carefully examined
Education & Experience Details Shri/Smt./Kum._____________son/wife/daughter of
It shows your educational and experience details mRrj çns'k ljdkj Shri__________Date of Birth (DD/MM/YY)________Age
Declaration segment dk;kZy; dk uke---------------------------------------------- ____years, male/female___________ registration No.
At the page there is a 'Declaration' for the candidates. __________permanent resident of House No.
Candidates are advised to go through the contents of the vkfFkZd :i ls detksj oxZ ds lnL; }kjk izLrqr fd;k tkus
_ _ _ _ _ _ _ _ Wa r d / Vi l l a g e / S t r e e t _ _ _ _ _ _ _ _ _ P o s t
Declaration carefully. okyk vk; ,oa ifjlEifRr izek.k&i= office_________ District________State__________.
After filling all above particulars there is provision for çek.k i= la[;k------------------- fnukad -------------------- whose photograph is affixed above, and am satisfied that:
preview your detail before final submission of application (A ) he/she is a case of:
form on clicking on “Preview” button. foRrh; o"kZ ---------------- ds fy, ekU; n Iocomotor disability
Preview page will display all facts/particulars that you çekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh------------------------------ n dwarfism
have mentioned in O.T.R. if you are sure with filled details n blindness
then click on “Submit” button to finally push data into server iq =@ifr@iq=h----------------------------------- xzke@dLck---------------------------- iksLV
vkW f Ql ---------------------------- Fkkuk ------------------------------ rglhy ---------------------------- (Please tick as applicable)
with successfully submission report that you can print.
(B) The diagnosis in his/her case is_________
[CANDIDATES ARE ADVISED TO TAKE A PRINT OF ftyk --------------------------- jkT; --------------------- fiu dksM -------------------- ds LFkk;h
THIS PAGE BY CLICKING ON THE “Print” OPTION fuoklh gSa] ftudk QksVksxzkQ uhps] vfHkçekf.kr gS] vkfFkZd :i ls (A) he/she has ________% (in figure)________percent
AVAILABLE] (in words) permanent locomotor disability/
detksj oxZ ds lnL; gSa] D;ksafd foRrh; o"kZ -------------------- esa buds ifjokj dwarfism/blindness in relation to his/her______
For other information candidates are advised to select
desired option in 'Home Page' of Commission's website dh dqy okf"kZd vk; 8 yk[k ¼vkB yk[k :i;s ek=½ ls de gSA buds
(part of body) as per guidelines (.............number
ifjokj ds LokfeRo esa fuEufyf[kr esa ls dksbZ Hkh ifjlEifRr ugha gS%& and date of issue of the guidelines to be specified).
https://uppsc.up.nic.in
2. The applicant has submitted the following document
IMPORTANT ANNOUNCEMENT I. 5 ¼ikWp a ½ ,dM+ d`f"k ;ksX; Hkwfe vFkok mlls ÅijA as proof of residence:-
:- NOTIFICATIONS / ADVERTISEMENTS
II. ,d gtkj oxZ QhV vFkok blls] vf/kd {ks=Qy dk ¶ySVA Nature of
?All Notification / Advertisements Date of Details of authority
:- ONLINE APPLICATION FORMS SUBMISSION III. vf/klwfpr uxjikfydk ds varxZr 100 oxZ xt vFkok Document Issue Issuing certificate
?Candidate Registration blls vf/kd dk vkoklh; Hkw[k.MA
?Fee Deposition /Reconciliation IV. vf/klwfpr uxjikfydk ls brj 200 oxZ xt vFkok blls 3. Signature and seal of the Medical Authority.
?Submit Application Form
vf/kd dk vkoklh; Hkw[k.MA (Dr...............) (Dr...............) (Dr...............)
?Modify Submitted Application Member Member Chairperson
?Candidate Dashboard (OTR Based) 2- Jh@Jherh@dqekjh -------------------------------------- tkfr ------------------- ds
Medical Board Medical Board Medical Board
:- CANDIDATE'S HELP DESK SECTION lnL; gSa tks vuqlfw pr tkfr] vuqlfw pr tutkfr rFkk vU; fiNM+s with seal with seal with seal
?Double Verification mode oxksZa ds :i esa vf/klwfpr ugha gSAa
?View Application Status Countersigned by the
gLrk{kj ------------------¼dk;kZy; dk eqgj lfgr½
?Download Admit Card Chief Medical Officer
?Print Duplicate Registration Slip iwjk uke ------------------------------------------------------------------ (with seal)
vkosnd dk
?Print Detailed Application Form
ikliksVZ lkbt inuke -------------------------------------------------------------------- Form-III
?List of Applications Having ANY Objections Certificate of Disability
dk vfHkizekf.kr ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh
?View Answer Key (In cases of multiple disabilities)
QksVksxzkQ eftLVªVs @ijxuk eftLVªVs @rglhynkjA
LAST DATE FOR RECEIPT OF APPLICATIONS : On-line (Name and Address of the Medical Authority/Board
Application process must be completed (including filling up ¼çi=&II½ issuing the Certificate)
of OTR, Part-I, Part-II and Part-III of the Form) before last Signature/thumb Recent passport size
date of form submission according to Advertisement, after vkfFkZ d :i ls detks j oxZ ds ykHkkFkZ Lo;a ?kks"k.kk i= impression of the attested photograph
which the web-link will be disabled. Lo;a ?kks"k.kk i= person in whose (showing face only) of
favour certificate of
ifjf'k"V eSa ------------------ iq=@iq=h@iRuh ---------------- xzke@dLck ------------------ disability is issued the person with disabiliy
m0iz0 dh vuqlwfpr tkfr rFkk vuqlwfpr tutkfr ds fy;s iksLV vkWfQl ------------------------------ Fkkuk ----------------------- Cykd ------------------ Certificate No. Date:

Page-3
 This is to certify that we have carefully examined No. ________ Ward/Village/ Street________Post ------------- ¼LFkku dk uke½ esa vk;ksftr------------------------
Shri/Smt./Kum.___________son/wife/ daughter of Office_______District________ State_______, whose ¼ØhM+k@[ksy&dwn dk uke½ dh izfr;ksfxrk@VwukZesUV esa ns'k dh
Shri _____________ Date of birth (DD/MM/ YY) _______ photograph is affixed above, and am satisfied that he/she vksj ls Hkkx fy;kA
age_____ years, male/ female__________. is a case of ___________ Disability. His/her extent of muds Vhe ds }kjk mDr izfr;ksfxrk@VwukZesUV esa -------------------------
Registration No.__________ permanent resident of House percentage physical impairment/disability has been LFkku izkIr fd;k x;kA
N o . _ _ _ _ _ _ _ _ _ Wa r d / Vi l l a g e / S t r e e t _ _ _ _ _ _ _ _ evaluated as per guidelines (......number and date of issue ;g izek.k&i= jk"Vªh; QsMjs'ku@jk"Vªh; ,lksfl,'ku@¼;gk¡ laLFkk
Post Office_______District________ State_______, of the guidelines to be specified) and is shown against the dk uke fn;k tk;s½ --------- esa miyC/k fjdkMZ ds vk/kkj ij fn;k x;k
whose photograph is affixed above, and am satisfied that: relevant disability in the table below gSA
(A) he/she is a case of Multiple Disability. His/her extent of LFkku -------------------------- gLrk{kj --------------------------------------
Permanent fnuakd ----------------------- uke ---------------------------------------------
Permanent Affected physical in -----------------------------------------------
Affected physical S. part of Diagno impairment/ laLFkk dk uke ---------------------------
S. Diagno impairment/
N. Disability sis mental disability
part of body eqgj --------------------------------------------
N. Disability sis mental disability (in%)
body
(in%) uksV % ;g izek.k&i= us'kuy QsMjs'ku@us'kuy ,lksfl,'ku ds
1. Locomotor disability @
1. Locomotor disability @ lfpo }kjk O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU;
2. Muscular Dystrophy 2. Muscular Dystrophy gksxkA
3. Leprosy cured izk:i & 2
3. Leprosy cured
4. Cerebral Palsy
¼ekU;rk izkIr ØhM+k@[ksy esa vius izns'k dh vksj ls jk"Vªh;
4. Dwarfism izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
5. Cerebral Palsy 5. Acid attack Victim lEcfU/kr [ksy dh izns'kh; ,lksfl,'ku dk uke -------------------jkT;
6. Acid attack Victim 6. Low Vision # ljdkj dh lsokvksa@inksa ij fu;qfDr ds fy, dq'ky f[kykfM+;ksa
7. Low Vision # 7. Deaf £ ds fy, izek.k&i=
8. Hard of Hearing £
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------- vkRet@
8. Blindness #
iRuh@vkRetk Jh ----------------------- fuoklh ¼iwjk irk½ -----------------------us
9. Speech and
9. Deaf £ fnuka d ----------------ls fnuka d -------------------rd-------------------es a
Language disability
10. Hard of Hearing £ ¼ØhM+k@[ksy&dwn dk uke½ dh izfr;ksfxrk ¼VwukZesUV LFkku dk
11. Speech and 10. Intellectual Disability uke½--------------------vk;ksftr jk"Vªh;--------------- esa ¼ØhM+k@[ksy&dwn dk
Language disability 11. Specific Learning uke½ dh izfr;ksfxrk@ VwukZesUV esa izns'k dh vksj ls Hkkx fy;kA
12. Intellectual Disability Disability muds Vhe ds }kjk mDr izfr;ksfxrk@VwukZesUV esa -------------------------
13. Specific Learning 12. Autism Spectrum LFkku izkIr fd;k x;kA
Disability Disorder ;g izek.k&i= ------------------------------------- ¼izns'kh; la?k dk uke½ esa
13. Mental illness miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
14. Autism Spectrum
LFkku -------------------------- gLrk{kj --------------------------------------
Disorder 14. Chronic Neurological
Conditions fnuakd ----------------------- uke ---------------------------------------------
15. Mental illness in ---------------------------------------------
15. Multiple sclerosis
16. Chronic Neurological laLFkk dk uke ---------------------------
16. Parkinson's disease
Conditions eqgj --------------------------------------------
17. Haemophilia uksV % ;g izek.k&i= izns'kh; [ksy&dwn la?k ds lfpo }kjk
17. Multiple sclerosis
18. Thalassemia O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU; gksxkA
18. Parkinson's disease
19. Haemophilia
19. Sickle Cell disease çk:i & 3
20. Thalassemia Please strike out the ¼ekU;rk izkIr ØhM+k@[ksy esa vius fo'ofo|ky; dh vksj ls
disabilities which is not applicable) vUrfoZ'ofo|ky; izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
21. Sickle Cell disease 2. The above condition is progressive/non-progressive/ fo'ofo|ky; dk uke -------------------- jkT; Lrj dh lsokvksa@inksa
permanent physical impairment/disability has bee likely to improve/not likely to improve. ij fu;qfDr ds fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i=
evaluated as per guidelines (......number and date of issue 3. Reassessment of disability is:- izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------------
of the guidelines to be specified) for the disabilities ticked (i) not necessary, or vkRet@iRuh@vkRetk Jh ---------------------------- fuokl ¼iwjk uke½ -------
below, and is shown against the relevant disability in the (B) (ii) is recommended/after............years............
months, and therefore this certificate shall be -------------------------------- fo'ofo|ky; dh d{kk ---------------------------- ds
In the light of the above, his/her over all permanent physical fo|kFkhZ us fnukad ----------------------- ls fnukad --------------------- rd ---------------
valid till.... ...... ..... (DD) (MM) (YY)
impairment as per guidelines (.......number and date of @ - e.g. Left/right/both arms/legs -------- ¼LFkku dk uke½ esa vk;ksftr vUrfoZ'ofo|ky; --------------------------
issue of the guidelines to be specified), is follows: # - e.g. Single eye/both eyes -- ¼ØhM+k@ [ksy&dwn dk uke½ izfr;ksfxrk@VwukZesUV esa --------------------
In figures................percent. £ - e.g. Left/Right/both ears ------ fo'ofo|ky; dh vksj ls Hkkx fy;kA muds Vhe ds }kjk mDr
In words............................................................percent izfr;ksfxrk@VwukZesUV esa ------------------------- LFkku izkIr fd;k x;kA ;g
2. This condition is progressive/non-progressive/likely to izek.k&i= Mhu vkWQ LiksV~lZ vFkok bapktZ [ksy dwn -----------------
improve/not likely to improve. Name and Seal Name and Seal Name and Seal
of Member of the Chairperson
fo'ofo|ky; esa miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
3. Reassessment of disability is:- of Member
LFkku -------------------------- gLrk{kj --------------------------------------
(i) not necessary, fnuakd ----------------------- uke ---------------------------------------------
Signature/thumb 4. Countersigned by the
or impression of the in ----------------------------------------------
(ii) is recommended/ after............ years............ months, person in whose Chief Medical Officer laLFkk dk uke ---------------------------
and therefore this certificate shall be valid till.... ...... ..... favour certificate of (with seal) eqgj --------------------------------------------
(DD) (MM) (YY) disability is issued uksV % ;g izek.k&i= fo'ofo|ky; ds Mhu vkWQ LiksV~lZ ;k bapktZ
@ -e.g. Left/right/both arms/legs Signature and seal of the [ksy&dwn }kjk O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU;
# - e.g. Single eye Medical Authority. gksxkA
£ - e.g. Left/Right/both ears izk:i & 4
4. The applicant has submitted the following document as mÙkj izns'k yksd lsok ¼'kkjhfjd :Ik ls fodykax] Lora=rk laxzke ¼ekU;rk izkIr ØhM+k@[ksy esa vius Ldwy dh vksj ls jk"Vªh;
proof of residence:- lsukfu;ksa ds vkfJrksa vkSj HkwriwoZ lSfudksa ds fy;s vkj{k.k½] [ksy&dwn esa Hkkx ysus okys f[kykM+h ds fy;s½
Nature of Date of Details of authority vf/kfu;e] 1993 ¼;Fkkla'kksf/kr½ ds vuqlkj Lora=rk laxzke lsukuh MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@funs'kd] f'k{kk] mÙkj
Document Issue issuing certificate ds vkfJr ds izek.k&Ik= dk izi=A izns'k ------------------------------ jkT; Lrj dh lsokvksa@inksa ij fu;qfDr
izek.k&i= ds fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i=
izekf.kr fd;k tkrk gS fd Jh@Jherh ------------------------ fuoklh izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh -----------------------------------
5. Signature and seal of the Medical Authority. xzke& --------------- uxj& ------------------- ftyk& ---------------- mÙkj izns'k -- vkRet@iRuh@vkRetk Jh ------------------------------------------- fuoklh
yksd lsok ¼'kkjhfjd :Ik ls fodykax] Lora=rk laxzke lsukfu;ksa ds ¼iwjk irk½ ------------------------------------ esa ----------------------------- Ldwy esa d{kk -----
Name and Seal Name and Seal Name and Seal vkfJrksa vkSj HkwriwoZ lSfudksa ds fy;s vkj{k.k½ vf/kfu;e] 1993 ds ---------- ds fo|kFkhZ us fnukad ------------------- ls fnukad ------------------- rd ----
of Member of Member of the Chairperson vuqlkj Lora=rk laxzke lsukuh gSa vkSj Jh@Jherh@dqekjh --------------¼LFkku dk uke½ esa vk;ksftr Ldwyksa ds us'kuy xsEl dh -------
¼vkfJr½ ----------- iq=@iq=h@ikS= ¼iq= dk iq= ;k iq=h dk iq=½ rFkk ----------------- ¼ØhM+k@[ksy&dwn dk uke½ izfr;ksfxrk@VwukZesUV esa -------
Countersigned by the ikS=h ¼iq= dh iq=h ;k iq=h dh iq=h½ ¼fookfgr vFkok vfookfgr½ -------------------- Ldwy dh vksj ls Hkkx fy;kA muds Vhe ds }kjk mDr
Chief Medical Officer
mijkafdr vf/kfu;e] 1993 ¼;Fkkla'kksf/kr½ ds izkfo/kkuksa ds vuqlkj izfr;ksfxrk@ VwukZesUV esa ------------------------- LFkku izkIr fd;k x;kA
mDr Jh@Jherh ¼Lora=rk laxzke lsukuh½ ----------------ds vkfJr gSaA ;g izek.k&i= MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@f'k{kk esa
(with seal)
LFkku% gLrk{kj ----------------------------------- miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
fnukad% iwjk uke ----------------------------------- LFkku -------------------------- gLrk{kj -------------------------------------
inuke ------------------------------------- fnuakd ----------------------- uke ---------------------------------------------
Form-IV eqgj ------------------------------------------ in ----------------------------------------------
Certificate of Disability ftykf/kdkjh laLFkk dk uke --------------------------
(In cases of other than those mentioned in Forms eqgj -------------------------------------------
¼lhy½
II and III ) uksV % ;g izek.k&i= funs'kd@;k vfrfjDr@la;qDr ;k
(Name and Address of the Medical Authority/Board mifuns'kd MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@f'k{kk -------------------
issuing the Certificate)
dq'ky f[kykfM+;ksa ds fy;s izek.k&i= tks m-iz- ds ewy fuoklh gSa
'kklukns'k la[;k&22@21@1983&dkfeZd&2 - }kjk O;fDrxr :i ls gLrk{kj gksus ij ekU; gksxkA
Recent passport size Secretary
fnukad 28 uoEcj] 1985
attested photograph izek.k&i= ds QkeZ & 1 ls 4
(showing face only) of izk:i &1
the person with disabiliy ¼ekU;rk izkIr ØhM+k@[ksy esa vius ns'k dh vksj ls vUrjkZ"Vªh;
Certificate No. Date: izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
This is to certify that we have carefully examined lEcfU/kr [ksy dh jk"Vªh; QsMjs'ku@jk"Vªh; ,lksfl,'ku dk
Shri/Smt./Kum.___________son/wife/daughter of uke --------------------------- jkT; ljdkj dh lsokvksa@inksa ij fu;qfDr
Shri _____________ Date of birth (DD/MM/ YY) _______ ds fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i=
age_____ years, male/ female__________. izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ------------------------
Registration No.__________permanent resident of House vkRet@iRuh@vkRetk Jh --------------------- fuoklh ---------------------- iwjk
irk ----------------- us fnukad ------------------- ls fnukad ------------------ rd --------

Page-4