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Rather 27.05.2013 a center Far aa, sieat ores se FY siftor FAR ay srefigare ahd eae A ee AR & oT a aT stearate ag alt anet (Sar rear sworn AA ae severe Aah dae at a wren #1 ga hire srcheant a arqaeaea af fae ame Mutts wre a anor at rete aie sao Sage rar pte, Fy Arde se a Ret dae a afte a adit a ws enter Aa ae Be cea an samo wage = aA at rehome AAT STM any at ET A, see tore amtaer wa a ng chor se Te eh aitdteh (cartes) soroTe Peter 01.04.2023 % 04.03.2024 & Ate saxty Pra eter aR athe Feet af 2023-24 & fare area giar anfeel geht ware Seerquer woos aft fer at 2023-24 & fare wee ete RTL agate sifaareiter seen & sett at gets wearer Swe Belt oer (egaea-s,) a snfS sarees SEAT aT ete decoys Ach 8 delta secant at sack Raw Belts sree GqHeaE-e) a aieraRar WaT San aca FT ge Ramee & sical a andar wet ad ardent at seth fhe a wee Gf sac BR a oder oe & fae auch arse a der at eae a aighe ae Al ee ae gfaeus we eho Ph 8 order caer at fy sift FAR maf 04.03.2024 ara ay Aen, sara, eva, sear, sareToT ane alt arse arorést ot qgr aed ahi ai sdf a Pa af mewn a ar Grater are sth ag emer ah orem t fis ag shh severe ofa staan merge alte at area aver qh adh ae a Ber ardeet A aS aro or are sreteth gE ar was a set AS HRA ea (Bor gar area ora ag & at sett sosteanty Fafa char a eet sist wy emer Ree Raa, iE areeT aT area Re Per eae: eae eh eth ihe ger ats a Retr aly seme fe GerarvaeRUTETE we x © 16, een, waageorse ore ae aioe ats B 1, anteatt sitar te ards fateer wt anf fafa oder & gare oA are sesheant A Hoar ahr GY 1 Severe sh saree atv ate aa Spe a gg wey a ART cathe & Fare gare saat ar aA aire at Her are BI seat afb th th ao at ate Pe oft Achy a Reet steer at agrenremagera rarer fei shaft vat at Fae ang ewer wee aE a aT HEL 4. xe uber & Reet al oor A Ronee a Pee aft artonet ge ar yew a argeteaare wangusane tamige We aff ae; EUTATI 17. amtgat at areh Rar A, ah a salt AeA aM erent & Fe andar a ate ora aw art a pt agi et arch aa aes sngehearsne Sf dame mf wwwiemenicin td wuwwnimeora.in & aivé 2 ret ft ware a arch & sth angeheone-wrangeane Pret at ware & Geter aft ee, “ft Pret seca daengch oe att ont a aor ag ath a eat aah ot Ee oT & 18, flrameer & Aer eieawror a wg Rein ore met oe Ramat ast ewer A Ay ae re & wefseregt arett srt sree sft srg Tee ICMR-National Institute of Malaria Research Sector-8, Dwarka, New Delhi-110077 Advertisement No. NIMR/Admn/01/2024 Dat VACANCY NOTIFICATION Applications are invited for the following regular posts: - Pay Level (as per 7th St | Namo ofthe post | Novo sondlenailtitiatl yee Posts" “ur | sc | st | osc | ews Personal Pay Level -6 * | assistant a ML co 00] 00 | 00 | (Rs, 35,400 - 1,12,400) Stenographer Pay Level - 4 2 02 01 00 | 00 | 01 | 00 | Gg 96,500.- 81,100) Upper Division Pay Level - 4 © | ler e ae 9] 9 | Ot | 99 TGs. 26,500 - 81,100) Lower Division Pay Level- 2 4) Clerk ee 02] 00 | 00) 00 | OF | (Rs. 19,900 -63,200) TOTAL 08 os | oo | oo | o2 | of “Vacancies shown are tentative and may increase/decrease at any stage of recruitment. The last date of submission of application forms is 04,03.2024 up to 05:30 PM. The applictations should be submitted through online mode only. Corrigendum, if any, shall be published on the Institute's website only. Admn. Officer ICMR-National Institute of Malaria Research Sector-8, Dwarka, New Delhi-110077 Advertisement No. NIMR/Admn/01/2024 Date: 16.01.2024 VACANCY NOTIFICATION LAST DATE FOR RECEIPT OF ONLINE APPLICATIONS : 04.03.2024 up to 05:30 PM ICMR-National Institute of Malaria Research is one of the prestigious research organization working under the aegis of indian Council of Medical Research, Department of Health Research, Ministry of Health and Family Welfare, Govt. of India ICMR-NIMR intends to fill up various positions under the Administrative Cadre. Online applications are invited up to 04.03.2024 up to 05:30 PM for the following regular Administrative Cadre posts through the link : recruitment.nimr.org.in. The online link shall be accessed on mozilla firefox (latest version) only. SI.No. | Details of Posts to be filled 1__| Post Code PA 2 | Name of the post Personal Assistant 3__| Pay Level Pay Level -6 (Rs. 35,400 - 1,12,400) 4 | Posts ‘01 (UR) 5 | Essential Qualification — | (i). Minimum 3 years Bachelors Degree in any Discipline from ‘@ recognized University/institution. There will be No Equivalence of the qualification. The Candidates having Degree shall only be considered. (i). 120 w.p.m. speed in short hand in English or Hindi (ii). Working knowledge of Computer (MS Office/Power Point) Note:- Qualifying marks for written test shall be 50% for UR/EWSIOBC and 40% for SC/ST/PwD candidates. Only qualified candidates shall be called for Skill Test Test. Skill Test/Shorthand Test : Dictation : 10 minutes at a speed of 120 words per minute. ‘Transcription : 60 minutes in English or 75 minutes in Hindi on Computer. i 6 [Upper Age Limit 30 years ‘Si.No._| Details of Posts to be filled + | Post Code STN 2 | Name of the post___| Stenographer 3__| Pay Level Pay Level-4 (Rs. 25,500 — 81,100) 4 | Posts (01 (UR) and 01 (OBC) ‘5 | Essential Qualifications |(). 12° class pass or equivalent qualification from a recognized Board or University with computer literacy ® w Ti). 80 wpm. Speed in short hand in English or Hindi Note:- Qualifying marks for written test shall be 50% for URIEWSIOBC and 40% for SC/ST/PwD candidates. Only qualified candidates shall be called for Skill Tes/Shorthand Test Skill Test/Shorthand Test : Dictation : 10 minutes at 2 speed of 80 words per minute. ‘Transcription : 50 minutes in English or 65 minutes in Hindi on ‘Computer. [6 _[ Upper Age Limit 27 years Sl.No, | Details of Posts to be filled 1 | Post Code Upper Division Clerk 2__| Name of the post upc. 3__| Pay Level Pay Level-4 (Rs_ 25 500 - 67,100) 4 | Posts (01 (UR) and 01 (OBC) 3 | Essential Gualifications | (). Degree of a recognized University or equivalent. (ip. Typing speed of 35 w-p.m. in English or 30 w.p.m in Hind! on Computer. (85 w.p.m, and 30 w.p.m. correspond to 10500 KDPH/8000 KOPH on an average of 05 key depressions for each word) Note:- Qualifying marks for written test shall be 50% for | URIEWS/OBC and 40% for SC/STIPwD candidates. Only qualified candidates shall be called for Skill TesvTyping Test 6 _| Upper Age Limit 27 years [Si No. | Details of Posts to be filled 1 | Post Code Loc 2__| Name of the post Lower Division Clerk 3__| Pay Level Pay Level -2 (Rs. 19,900 — 69,200) Aor | Poets UR - 02 and EWS - 01 6 Essential Qualification | (). 12" class pass or equivalent qualification from a recognized Board or University. (ip. Typing speed of 35 w.p.m. in English or 30.w.p.m. in Hindi con computer. (35. wpm. and 30 wpm. correspond to 10500 KDPH/S000KDPH on an average of 05 kay depression for each word Note:- Qualifying marks for written test shall be 60% for URIEWSIOBC and 40% for SC/ST/PWD candidates. Only qualified candidates shall be called for Skill Test/Typing Test 6 | Upper Age Limit 27 Yeats Note :- “Computer Literacy” means a person shall be able to transcribe his/her shorthand notes or type on a computer as per tost norms specified by the Government from time to time, or HOW TO APPLY: ‘The candidates wish to apply for the above mentioned posts should apply online through the link recruitment.nimr.org.in. The candidates have to pay a non-refundable application fee of Rs. 300/- through Online Mode only. The SC /ST, Persons with Disabilities (PwD), Women candidates and Ex-Servicemen are exempted from payment of the application fee. The application fee is payable by all other candidates including ICMR’ and its Institutes’ employees. The fee once deposited will not be refunded under any citcumstances whatsoever nor can the fee be held in reserve for any other examination or selection, The candidates do not require to attach any document while applying online. SELECTION PROCEDURI a) Selection for the above-mentioned posts will be through a written test only subject to qualifying the Skill Test b) The candidates qualifying the written test i.e. obtaining 50% marks in case of URIEWS/OBC candidates and 40% marks in case of for SC/ST/PwD candidates shall only be eligible for the Skill test. However, only top 20 candidates as per the merit list of the written test shall only be callled for the Skill test. In case, none of the top 20 candidates qualify the skill test, the next 20 candidates in order of merit, shall be called for the skill test. ©) The candidates qualifying the Skill test shall again be arranged in order of the merit on the basis of the marks obtained by them in written test. 4d) No marks shall be awarded for the Skill test and, therefore, the skill test shall not be taken into consideration for preparation of the Merit List. e) The candidates not qualifying the skill test shall be removed from the Merit List. f) Candidates securing highest marks in the written examination will be selected in order of their merit in the written examination as per DoPT guidelines and subject to fulfiling all the eligibility criteria, OTHER TERMS AND CONDITIONS FOR ALL THE POSTS AS MENTIONED ABOVE: - (A). ECONOMICALLY WEAKER SECTION (UR):- All the terms and conditions in respect of reservation for Economically Weaker Sections (EWSS) in civil posts and services in the Government of India shall be regulated in terms of DoPT OM No, 36039/1/2019 - Estt (Res.) dated 19.01.2019 and OM. of even no. dated 31.01.2019 as amended from time to time. Candidates belonging to the EWS category in terms of the above mentioned OMs are required to produce the Income and Asset Certificate issued by Competent Authority, in the prescribed attached format (Annexure - A) at the time of document Verification. The last date of receipt of applications i.e. 04.03.2024 shall be treated as the crucial date for suomitting the Income and Asset Certificate by the candidate. Non submission of such certificate shall be treated as disqualification. The Income and Asses Certificate should be valid for the year 2023- 24. (B). AGE LIMIT: - ‘The crucial date for determining the age limit shall be the last date of receipt of applications ic. 04.03.2024 for all the posts. No age relaxation will be given to SC/STIOBC (Non Creamy Layer) candidates applying for the Unreserved posts as per Govt. of India order No.3601 1/1/98/Estt(Res.) dated 01.07.1998 as amended from time to time. ‘The age relaxation to SC/ST/OBCI (None Creamy Layer) /PwD/Ex-Servicemen etc. shall be considered as per the DoPT OM No. DoPT-1667569393892 dated: 06,09.2022 as amended time to time. Relaxation of age limit would be permissible to such persons who have a minimum of 40% disability, ‘The candidates need to produce the relevant Disability Certificate, issued by the competent medical @ Qa authority of the Govt. of India; for claiming age relaxation failing which no age relaxation shall be considered Central Govt. servants and departmental candidates who have rendered at least three years continuous service under the Central Government are allowed the age relaxation up to the age of 40 years (45 years for SCIST) for appointment to Group ‘C’ posts by direct recruitment subject to the usual condition that the Group ‘C’ posts to which direct recruitment is being made are in the same line or allied cadres, and that a relationship could be established that service rendered in the post will be useful for efficient discharge of the duties in other categories of posts. ‘Age concession of 5 years are allowed to Departmental Candidates and Central Government ‘employees for appointment to Group 'B' posts by direct recruitment subject to the usual condition that the Group ‘posts to which direct recruitment is being made are in the same line or allied cadres and that a relationship could be established that service rendered in the post will be useful for efficient discharge of the duties in other categories of posts The Employees of Central Government/Autonomous Bodies and Departmental candidates seeking age relaxation should submit a Certificate in the prescribed format given in the Annexure-B at the time of document verification. The Central Government Servants/Departmental Candidates should submit No Objection Certificate in the prescribed format given in the Annexure-C at the time of document verification. (C). TAIDA: - No TA/DA will be paid to attend the Written TesUSkill Test and the candidates will have to make their own arrangement. (D). PROBATION: - (i), The period of Probation will be TWO years for all the posts from date of joining (i), Other terms and conditions regarding Probation willbe as per the rules of ICMR/GOI issued from time to time, (€). OTHERS: - Date, time and venue of the written testskill test will be communicated to the shortlisted candidates through call lettersiadmit cards and no enquiry/tequest in this regard will be entertained. Candidates are advised to visit NIMR website from time-to-time for the updated status of the recruitment process. ‘Any change in the address for communication should be intimated to NIMR by the candidate immediately All the posts carry all India transfer liability. No TA/DA shall be considered in this case. ‘Any canvassing by or on behalf of the candidates or to bring political or other outside influence with regard to the selection / recruitment shall be treated as disqualification. The candidates working in the Central/State Govt. Departments / Public Sector Undertakings etc. should submit “No Objection Certificate" and “Vigilance Clearance Certificate” at the time of document verification failing which the candidature application will be summarily rejected. ‘The candidates working in the Central GovernmentiAutonomous Bodies and Departmental candidates only shall be considered for the age relaxation. Educational Qualifications should be from a Recognized Board/Organization/Institute of repute and experience should be in a Govt. recognizediapprovediregistered laboratory/institution, ‘No person (a) who has entered into, or contracted a marriage with a person having a spouse living, or (b) who, having a spouse living has entered into, or contracted a marriage with any person shall be ‘ligible for appointment to the service provided that the Central Government may, if satisfied that such @® ar 10. "1 12, 13, 14. 16. 16. marriage is permissible under the personal law applicable to such person and the other party to the marriage and there are other grounds for so doing, exempt any person from the operation of this rule. Separate Application Form should be filled for each post. Single application for multiple posts will not be allowed. Those Ex-Servicemen who have already secured regular employment under the Central/State Government in Civil Posts after availing the benefit of ex-servicemen quota would be permitted the benefit of age relaxation as admissible for ex-servicemen for securing another employment in any higher post or service under the Central/State Government irrespective of any Group/Post, However, such candidates will not be eligible for the benefit of reservation, if any, for ex-servicemen in Central Government. OBC certificate for the purpose of age relaxation will mean “PERSONS OF OBC CATEGORY NOT BELONGING TO CREAMY LAYER’ as defined in DoPT's OM No. 36012/22/93-Estt (SCT) dated (08.09.1993, modified vide OM No. 36033/3/2004-Estt (Res) dated 09.03.2004 and 14.10.2008 and subsequently revised vide OM No. 36035/1/2013-Estt.(Res.) dated 27.05.2013. The closing date for receipt of application will be treated as the date of reckoning for OBC status of the candidate and also for assuming that the candidate does not fall in the Creamy Layer on the reckoning date. OBC candidates must, therefore, furnish valid and updated OBC certificate in the prescribed format given in ‘Annexure-D which should specifically include the clause regarding "Exclusion from the Creamy Layer’ Non Submission of such certificate shall be treated as disqualification. In order to get age relaxation, they have to furnish a declaration given in the online application form. The OBC (NCL) certificate should have been issued between 01.04.2023 to 04.03.2024 and should be valid for the FY-2023-24. Similarly, the EWS certificate should also be valid for the FY- 2023-24. The candidates belonging the SC/ST should submit the caste certificate in the prescribed format (Annexure - E), at the time of document verification, ‘The candidates belonging to the Pw0 category should submit the Disability Cerificate in the prescrioed format, 2s applicable to them (Annexure - F). The applications applying in response to this advertisement, in their own interest, are advised that they should satisfy themselves regarding their eligibility for the post applied for. They must ensure that they fulfill al the eligibility criteria viz, Age limit, essential qualifications, experience, reservation etc, as on the last date of receipt of applications ie. 04.03.2024. In case, at any stage of recruitment or even after appointment, it has come to the notice that any of candidates does not fulfill the required qualifications in respect of the above mentioned eligibility crteria or has furnished any wrong or false or misleading information in the application form or has suppresses any material fact(s) or is not eligible otherwise, hisiher candidature will automatically stand cancelled without assigning any reason or notice thereof irrespective of his/her marks obtained in the written test and no enquiry/requesticorrespondence will be entertained in this regard. ‘The Director, NIMR reserves the right to: - Fix criteria for screening the applications so as to limit the number of Candidates to be called for written test. Merely fulfilling the essential qualification and requisite experience by the candidate does not confer any right to be called for the written test Increase/decrease/delete the number of vacancies in any category and at any stage of selection process. Fill up of not to fill up any/all of the advertised positions without assigning any reasons thereof Rectify any inadvertent error or omission in the advertisement, at any stage of the recruitment process, by notifying it on the ICMRINIMR website, ® or” 47. 18. ‘Applicants, in their own interest are advised to remain in touch with the websites of ICMR and NIMR ie www.ieme.nic.in and www.nimr.org.in respectively for any information related with the recruitment ‘since beginning til the recruitment process is completed and ICMR/NIMR will not be responsible if any ‘candidate skips any important recruitment information due to not visiting the websites. In case of any discrepancy found in Hindi version of advertisement, the contents as given in the English version of Advertisement will be prevailed. Administrative Officer ICMR-NIMR, Delhi Annexure -A Government of (Name & Address of the authority issuing the certificate) INCOME & ASSETS CERTIFICATE TO” BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS Certificate No. Date: VALID FOR THE YEAR This is to certify that Shri/Smt./Kumari son/daughter/wife of permanent resident of » Village/Street Post Office District ~ in the State/Union Territory Pin Code, whose photograph is attested below belongs to Economically Weaker Sections, since the gross annual income* of his/her ‘family"** is below Rs. 8 lakh (Rupees Eight Lakh only) for the financial year Hishher family does not own or possess any of the following assets™* : |. S acres of agricultural land and above; ll. Residential flat of 1000 sq. ft. and above; Ill, Residential plot of 100 sq. yards and above in notified municipalities; IV. _ Residential plot of 200 sq. yards and above in areas other than the notified municipalities. 2 Shri/Smt/Kumari belongs to the caste which is not recognized as a Scheduled Caste, Scheduled Tribe and Other Backward Classes (Central List) Signature with seal of Office Name Designation Recent Passport size attested photograph of the applicant "Hotet Treome covered al sources 1 agitate, buses, profescton, ee ‘Hote 2.Te term "Family" for this purpose include he person, who socks beneft of reservation, hisfher parents and siblings below the age (oF 18 yoars as ako hsther spouse ad chien below the age of 18 years ‘note 3: The property helé ty a “Family” in diferent folios or diferent placesftles have been clubbed while applying te land or property holding tat to determine EWS stats, © or Annexure-B (Format of certificate to be submitted by Central Government Employees seeking age relaxation) (To be produced on the Letter Head of the Department and to be filled by the Head of the Department in which the candidate is working) Itis certified that ShriiSmvKum. is a Central Government employee holding the post of, in the Pay Scale/Pay Level of Rs ‘with 03 years regulariconfinudus service in the grade as wet 2. There is no objection to his appearing for the post of. and document verification for the said recruitment Signature Name Designation. Tel No Office Seal Annexure - C NO OBJECTION CERTIFICATE (To be produced on the Letter Head of the Department and to be filled by the Head of the Department in which the candidate is working) It is. certified that Mr/Mrs /Miss/Or. (Gesignation) is working in the temporary/permanent capacity with effect from The particulars furnished by him/her in the application form are correct and he/she 08805865 Educational qualification and experience mentioned in the Vacancy Circular no. dated, This organization has ino objection in histher applying to the post of {aS mentioned in the above stated circular. Itis certified that his/her Pay Level is, HelShe Is drawing a Basic Pay of Rs. Hefher next increment is due on It is certified that in the event of selection of Mr.Mrs.Miss/Dr to the post of ‘at ICMR-NIMR, Sector-8, Dwarka, New Delhi - 170077, he/she shall be jeleved within a period of 01 month of issue of Appointment letter to Mr/Mrs./MissiDr. by ICMR-NIMR, Place Date! Signature a Name Designation Seal of the office Anney- D ; Annex=D FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA This is to. certify that Shri/Smt,/Kumari __son/daughter_of ee of village/town in District/Division ee in the State/Union Territory belongs to the community which is recognised as a backward class under the Government of India, Ministry of Social Justice and Empowerment’s Resolution No. dated *, Shri/Smt,/Kumari and for his/her family ordinarily reside(s) in the District/Division of the State/Union Territory. This is also to certify that he/she does not belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93-Estt. (SCT) dated 8.9.1993, OM No. 36033/3/2004- Estt. (Res) dated 9 March, 2004, O.M. No, 36033/3/2004-Estt. (Res) dated 14!" October, 2008 and O.M. No. 36033/1/2013-Estt. (Res) dated 27 May, 2013**, Signature. Hee Designation $ Dated: Seal *- The authority issuing the certificate may have to mention the details of Resolution of Government of India, in which the caste of the candidate is mentioned as OBC. +. As amended from time to time. $ - List of Authorities empowered to issue Other Backward Classes certificate will be the same as those empowered to issue Scheduled Caste/Scheduled Tribe certificates, Note:- The term “Ordinarily” used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950. ® O~ Annrey— E Amnex— PRESCRIBED PROFORMAE ry forma-1 tes and Scheduled Tribes The form of certificate o be produced by Scheduled © candidates applying for appointment to posts under the Government of India this isto certify that Shri/ShrimatiKumari sonidaugher* of : of illageitown® in DistrievDivision® of the State/Union Territory® ... sve belongs 10 the castetribe™ which is secognised as a Scheduled Caste/Scheduled Tribe* under— (@ The Constitution (Scheduled Castes) Order, 1950 @ The Constitution (Scheduled Tribes) Order, 1950 @ The Constitution (Scheduled Castes) Union Territories Order, 1951 @ The Constitution (Scheduled Tribes) Union Territories Order, 1951 [as amended by the Scheduled Castes and Scheduled Tribes List (Modification) Order, 1956: the Bombay Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the North Easter Areas (Reorganisation) Act, 1971, the cheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976. the State of ram Act, 1986, the State of Arunachal Pradesh Act, 1986 and the Goa, Daman and Diu M (Reorganisation) Act, 1987,] @ The Constitution (Jammu and Kashmir) Scheduled Castes Order, 1956 @ The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976 @ The Constitution (Dadar and Nagar Haveli) Scheduled Castes Order, 1962 «@) The Constitution (Dadar and Nagar Haveli) Scheduled ‘Tribes Order, 1962 @ the Constitution (Pondicherry) Scheduled Castes Order, 1964 @ The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967 @ The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968 @ The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968 @ The Constitution (Nagaland) Scheduled Tribes Order, 1970 @ The Constitution (Sikkim) Scheduled Castes Order, 1978 @ The Constitution (Sikkim) Scheduled Tribes Order, 1978 The Constitution (Iammu & Kashmir) Scheduled Tribes Order, 1989 @ The Constitution (SC) Order (Amendment) Act, 1990 @ The Constitution (ST) Order (Amendment) Act, 1991 @ The Constitution (ST) Onder (Second Amendment) Act, 1991 4G. The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act 2002 @ The Constitution (Scheduled Castes) Order (Amendment) Act, 2002 @ The Constitution (Scheduled Castes and Scheduled Tribes) Orders (Amenciment) Act, 2002 @ The Constitution (Scheduled Castes) Orders (Second Amendment) Act, 2002 ‘2. Applicable in the case of Scheduled Castes/Scheduled Tribes persons who have migrated from one State/Union Territory Administration to another. @ & This certificate is isswed on the basis of the Scheduled Custes’Scheduled Tribe ceniifieaie issued to Shri/Sheimati Father/Mother of Shvi/Shrimati‘Kamari of village:town® in DistrievDivision* of the State/Union Territory” who belongs 10 the caste‘tribe* which is recognised as a Scheduled Caste/Scheduled Tribe in the State/Union Territory® of issued by the dated % 3, Shii/Shrimati“Kumari*..... _ andor —histher* family ordinarily resides in villapeltowe fac sone District Division® of the Siate/Union Territory* of : ignature.. *Designationnnon i (With Seal of Office) Siate/Linion Territory" Place Date: *Please delete the words which are not applicable @Please quote specific Presidential Order. % Delete the paragraph which is not applicable. NOTE: The term “ordinarily reside (s)" used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950. ed to issue Scheduled Caste/Scheduled Tribe Certificate, **List of authorities empow (i) District Magistrate/Additional isiict __- Magistrate/Collector"Deputy Commissioner/Additional Deputy Commissioner/Deputy Collector/Ist_ Class Stipendiary Magistrate/F Sub-Divisional Magistrate/Taluka Magistratc/Exceutive Magistrate/Extra Assistant Commissioner. +(niot below of the rank of Ist Class Stipendiary Magistrate). (ii) Chief Presidency Magistrate/Additional Chief Presidency MagistrateyPresidency Magistrate. (ii) Revenue Officers not below the rank of Tehsildar. Gv) Sub Divisional Officer of the area where the candidate and/or his/her family normally resides. (v) Administrator/Secretary to Administrator/Development Officer(Lakshadweep) fmnex— F Form-V ite of Disability (In cases of amputation or complete permanent paralysis of limbs and in cases of blindness) rule 18(1]] (NAME AND ADDRESS OF THE MEDICAL AUTHORITY If CERTIFICATE) Certifice SUING THE Recent Passport Attested Photograph (Showing face only) of the person with disability Certificate No. Date: . This is to certify that 1 have carefully examined Shri/Smt/Kum : son/ wife / daughter of Shri... .. Date of Birth ... ae 7 (DD/ MM/ YY) Age years, male/female ; .. Registration No. is permanent resident of House No. Ward /Village/Street Post Office District State photograph is affixed above, and am satisfied that whose (A) he/she is a case of : * locomotor disability * dwarfism * blindness (Please tick as applicable) (B) the diagnosis in his/her case is (A) He/ She has ... ..% (in figure).. * percent (in words) permanent Locomotor Disability/dwarfism/blindness in relation to _ his/her (part of body) as per _ guidelines number and date of issue of the guidelines to be specified). x 2. The applicant has submitted the following document as proof of residence: Nature of |Date of Issue | Detail Document issuin of authority certificate (Signature and Seal of Authorised Signatory of notified Medical Authority) Signature/Thumb impression of the person in whose favour certificate of disability | certificate is issued. Form-VI Certificate of Disability (In case of multiple disabilities) rule L8(1)} (NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE Passport Attested Photograph (Showing face only) of the person with | disability Certificate No. ... Date: This is to certify that we have carefully examined Shri/Smt/Kum /son/wife/daughter of Shri (DD)/(MM)/(YY) .. Date of Birth. male/female. Registration No. permanent resident of House No. .Ward/Village/Stree Post Office District. State . whose photograph is affixed above, and are satisfied that: (A) He/she is a Case of Multiple Disability. His/her extent of permanent physical impairment/disability has been evaluated as per guidelines ( .mumber and date of issue of the guidelines to be specified) for the disabilities ticked below, and shown against the relevant disability in the table below: @ wr S. No | Disability [Affected [Diagnosis [Permanent physical | | | part of impairment/mental | body disability (in %) 2. Muscular Dystrophy 3__[ieprosy cured | fis Cerebral Pale ‘Acid attack | Victim . 7.__| Low vision 8. | Blindness 9. |Deaf 10. | Hard of Hearing 11. [Speech and Language disability 13. | Intellectual Disability 13. [Specific Learning [Disability 14. [Autism Spectrum Disorder 15. | Mental iliness 16. | Chroni } Neurological Conditions 17. | Multiple sclerosis 18. | Parkinson's disease 19. | Haemophilia 20. | Thalassemia 21. | Sickle Cell disease eb > =| ae (8) In the light of the above, his /her over all permanent physical impairment as per guidelines (......... mamber and date of issue of the guidelines to be specified), is as follows:- sseeoseenpercent @ 2. This condition is progressive/ non-progressive/ likely to improve / not likely to improve. 3. Reassessment of disability is (ii) is recommended/ after years. ; months, and therefore this certificate shaill be valid lll... (DD)/(MM)/ (YY) @ eg. Left/right/both arms/legs # — eg. Single eye £ eg. Lefi/Right/both ears 4. The applicant has submitted the following document as proof of residence:- [Nature of [Date of Issue [Details of authority | Document issuing certificate fee | 5, Signature and seal of the Medical Authority. Name and seal of — [Name and seal of | Name and seal of Member Member the Chairperson Signature/Thumb impression of the person in whose favour certificate of disability is issued ds oa @ Form-VII Certificate of Disability (In cases other than those mentioned in Forms V and V1) AUTHORITY ISSUING THE EI FICATE) [See rule 18(1)] ecent Passport | size Attested photograph (Showing face only) of the person with disability Certificate No. .. This is to certify that I have carefully examined Shri/Smt,/Kum son/wife/daughter of Shri (DD)/(MM)/(YY) Age Registration No. resident of House No. . Ward/Village/Street . Post Office ......... District... » State .. whose photograph is affixed above, and am satisfied that he/she . disability. His/her extent of Date of Birtl male/female . years, permanent is a case of .. percentage physical impairment/disability has been evaluated as per guidelines (to be specified) and is shown against the relevant disability in the table below:~ isability impairment/mental __| disab I} Locomotor 2. | Muscular | Dystrophy: ——£ ae {__ 3. Leprosy cure pais | Permanent” physical disability 10} Intellectual Disability EE 11; Specific Learning Disabilit 12] Autism Spectrum Disorder Mental illness Chronic Neurological Conditions | Multiple sclerosis : = Parkinson’s disease 17 Haemophilia 18! Thalassemia 19] Sickle Cell disease (Please strike out the disabilities which are not applicable.) 2. The above condition is progressive/ non-progressive/ likely to improve/not likely to improve. 3. Reassessment of disability is : () not necessary Or @ recommended/ after y and therefore this certificate shall be valid till (DD) @ - eg. Left/Right/both arms/legs # ~ cg, Single eye/both eyes € - eg. Left/Right/both ears 4. The applicant has submitted the following document as proof of residence:- | Details of authority issuing certificate [Nat Date of Issue Document (Authorised Signatory of notified Medical Authority) (Name and Seal) Countersigned (Countersignature and seal of the Chief Medical Officer /Medical Superintendent/ Head of Government Hospital, in case the certificate is issued by a medical authority who is not a government servant (with seal)) impression of the person in whose favour certificate of disability is issue Note: In case this certificate is issued by a medical authority who is not a government servant, it shall be valid only if countersigned by the Chief Medical Officer of the District. Note: The principal rules were published in the Gazette of India by Ministry of Social Justice and Empowerment vide notification number 489, dated 15.06.2017. @ ot

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