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									                             Sashastra Seema Bal
                                         (Ministry of Home Affairs)
                                     RECRUITMENT NOTICE
Advertisement No. 125/RC/SSB/2007-08/-2568-2613                                       Dated, the 07-08-2007

               Applications are invited from male Indian citizens fulfilling the eligibility criterion and
ordinarily the residents of respective States/UTs, for filling up 2245 vacancies in the rank of
Constable (GD) in the pay scale of Rs. 3050-75-3950-80-4590/- and admissible allowances to
Central Govt. employees from time to time in “Sashastra Seema Bal” as shown against each
State/UT. The last date of receipt of application is 22-09-2007.

      (A) State-wise allocation of vacancies are as under:-
Sr.      State   Name of     Vac. allotted for                   SC+      ST+          OBC+         Gen+          Total
No.      Code    State                                           Ex.      Ex.Sr.       Ex-          Ex-Sr.
                 UTs                                             Sr.      Men          Sr.Men       Men
                                                                 Men
(1)      (2)     (4)         (3)                                 (5)      (6)          (7)          (8)           (9)
1.       02      Andhra      Statewide                             14+2         6+1          24+3         45+5          100
                 Pradesh     Militancy affected districts:-        17+2         7+1          28+3         52+6          116
                             Adilabad,Karim-nagar, Khammam,
                             Medak, Mehboob nagar, Nalgonda,
                             Nizamabad & Warangal.Guntoor,
                             Prakasham,     Anantapur,Karnool,
                             Srikakulum,        Vishakapatnam,
                             Vizianagaram & East Godawari
                             Total                                  35           15            58          108          216
2.       03      Arunachal   Statewide                               -           01             -           01           02
                 Pradesh     Border                                  -            -             -           01           01
                             Tawang & West Kameng.
                             Militancy affected districts:            -          01             -            02          03
                             Entire State
                             Total                                    -          02             -            04          06
3.       04      Assam       Statewide                              02           04          9+1          17+2          35
                             Border                                 02           04          7+1          14+2          30
                             Baksa, Chirang, Kokrajhar &
                             Udalguri
                             Militancy affected districts:          04          7+1          15+2         31+3          63
                             Entire State
                             Total                                 08            16            35        69         128
4.       05      Bihar       Statewide                           16+2            01          27+3      55+6         110
                             Border                              28+3            02          47+5    97+ 11         193
                             Araria,   East    Champaran,
                             Kishanganj, Sitamarhi, Supaul,
                             Madhubani,       &       West
                             Champaran.

                                                                                                    Contd…P…2/-
                                                  -2-
                         Militancy/naxal          affected   12+1    01   19+2 40+4     79
                         districts:
                         Aurangabad, Bhojpur, Gaya,
                         Jehanabad,Kaimur, Nalanda,
                         Patna,     Rohtas      East
                         Champaran,             West
                         Champaran,        Sitamarhi,
                         Arwal, Nawada, & Jamui
                         Total                                 62    04    103   213   382
 5.    06    Chandi-     Statewide                              -     -      -    01    01
             garh
 6.    07    Chhatis-    Statewide                             03   8+1    02 13+1      28
             garh        Militancy affected districts          02    06    01 8+1       18
                         Bastar,Dantewara,Jashpur, Kanker,
                         Kawardha, Rajnandgaon, Sarguja
                         & Korea (Baikunthpur).
                         Total                                 05    15     03   23     46
  7.    10   Delhi           Statewide                         03    01     05 8+1      18
  8.    11   Goa             Statewide                          -     -      -   01     01
  9.    12   Gujarat         Statewide                         05   9+1   16+2 31+3     67
 10.   13    Haryana     Statewide                             05     -    7+1 14+1     28
 11.   14    Himachal    Statewide                             02     -     02   04     08
             Pradesh
 12.   16    Jharkhand   Statewide                             04 8+1      04 17+2      36
                         Militancy affected districts:         06 13+1     06 24+3      53
                         Bokaro, Chatra, Dhanbad,Garhwa,
                         Giridih,   Gumla,     Hazaribagh,
                         Kodarma, Latehar, Lohardagga,
                         Palamu, Ranchi, Simdega, East
                         Singhbhum, West Singhbhum &
                         Saraikela-Kharaswan
                         Total                                 10   23      10   46     89
13.    17    Karnataka   Statewide                           10+1   05    17+2 32+3     70
14.    18    Kerala      Statewide                             04    -    10+1 25+2     42
15.    20    Madhya      Statewide                           11+1 15+1    11+1 36+4     80
             Pradesh
                         Militancy affected districts:         01    01    01     04    07
                         Balaghat, Dindori & Mandla
                         Total                           13   17            13   44     87
 16.   21    Maharas     State wide                    12+1 11+1          32+3 62+7    129
             htra        Militancy affected districts:   01   01            03 7+1      13
                         Bhandara,         Chandrapur,
                         Garhchiroli & Godia.
                         Total                                 14    13    38     77   142
 17.   22    Manipur     Statewide                              -    01     -     02    03
                         Militancy affected districts:          -    02     -     03    05
                         Entire State
                         Total                                  -    03      -     05   08
                                                                                 Contd…P…3/-




                                                  -3-
 18.   23   Meghalaya       Statewide                        -     02      -    01     03
                            Militancy affected               -     02      -    03     05
                            districts:
                            Entire State
                            Total                            -     04      -    04     08
 19.   24   Mizoram         State wide                       -      -      -    01     01
                            Militancy affected               -      -      -     -      -
                            districts:
                            Entire State
                            Total                            -      -      -    01     01
 20.   25   Nagaland        Statewide                        -     02      -    01     03
                            Militancy affected               -     02      -    03     05
                            districts:
                            Entire State
                            Total                           -      04     -   04       08
 21.   26   Orissa          Statewide                     7+1    10+1    06 22+2       49
                            Militancy affected             04      06    04 12+1       27
                            districts:
                            Gajapati,Ganjam,Korap
                            ut,Malkangiri,Mayurbh
                            anj,Nabrangpur
                            Rayagada, Sundergarh
                            & Keonjhar
                            Total                          12     17      10   37      76
 22.   27   Pondicherry     State wide                      -      -       -   01      01
 23.   28   Punjab          Statewide                     8+1      -     6+1 15+1      32
 24.   29   Rajasthan       Statewide                    12+1    9+1    14+1 33+4      75
 25.   30   Sikkim          Statewide                       -      -       -   01      01
                            Border:                         -     01      01   02      04
                            East Distt., North
                            District, & West. Distt.
                            Total                            -     01     01   03      05
 26.   31   Tamil Nadu      Statewide                    15+1      01   20+2 40+4      83
 27.   32   Tripura         Statewide                       01     01      -   02      04
                            Militancy affected              01     02      -   04      07
                            districts:
                            Entire
                            State
                            Total                          02      03      -   06      11
28.    33   Uttar Pradesh   Statewide                    42+4      02   54+6 101+     220
                                                                               11
                            Border Distt.                28+3      01   36+4 70+7     149
                            Baharaich,Balrampur,
                            Lakhimpur         Kheri,
                            Maharajganj,     Pilibhit,
                            Shrawasti&SidharthNaga
                            r,
                            Militancy affected             03       -    03     06     12
                            districts:
                            Chandauli, Mirzapur
                            & Sonebhadra
                            Total                          80      03   103    195    381

                                                                                     Contd…P…4/-

                                                   -4-
29.        34       Uttrakhand     Statewide                   02       -      01 7+1          11
                                   Border                      03      01      03 12+1         20
                                   Champawat, Pithoragarh,
                                   Udham Singh Nagar.
                                   Total                       05      01     04   21         31
30.        35       West           Statewide                 22+2      05   21+2 49+5        106
                    Bengal         Border:                   11+1      03   10+1 23+3         52
                                   Darjeeling & Jalpaiguri
                                   Militancy affected        7+1       02     7+1 16+2         36
                                   districts:
                                   Bankura, Midnapore &
                                   Purulia,
                                   Total                       44      10      42     98     194
 Note ( i ) 10% vacancies as marked Plus(+) in each category are reserved for Ex- Servicemen in
             the respective category which may later be filled up by fresh candidates, if suitable ex-
             servicemen do not turn-up.
     ii) The post is temporary but likely to become permanent. The number of vacancies is
             subject to change.
2      Place of duty:-Any where within as well as outside the Territory of India.

3          Eligibility conditions for above post are as under:

           (A)        Age:
                      i)         18 to 23 year ( Cut off date for age will be 1st August,2007)
                      ii)        Upper age limit is relaxable for SC/ST by 5 years and 3 years for OBC.

           (B).       Educational qualification:

                      Matriculation or 10th Pass from a recognized board/university.

            (C)       Physical Standards

    Sr.     State                                             Height        Chest                   Weight
    No.
    1.      For all except categories as shown at 170 Cms                   80 Cms unexpanded       Proportionat
            Sl.No.2 & 3 below.                                              85 Cms expanded         e to height
                                                                                                    and age as
                                                                                                    per medical
                                                                                                    standard.
    2.      For candidates falling in the categories of 165 Cms             78 Cms Unexpanded,      -do-
            Garhwalis, Kumaonese, Gorkhas, Dogras,                          83 Cms expanded
            Marathas and candidates belonging to the
            States of HP, Sikkim & NE States.
    3.      For all candidates belonging to Scheduled 162.5 Cms             76 Cms Unexpanded,      -do-
            Tribe                                                           81 Cms expanded
    ( D)     Eye sight

           The minimum distant vision should be 6/6 and 6/9 of two eyes without correction i.e. without
    wearing of glasses. They should possess high colour vision and should be free from colour blindness.
                                                                                         Contd…P…5/-
                                                  5-
(E) General

        Candidates must not have knock-knee, flat foot varicose vein or squint in eyes and they should
possess high colour vision. 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. They should conform to the
medical standards prescribed by the Force and should be declared fit by the Medical Officers of SSB.
The medical certificate obtained from elsewhere will not be entertained. In the event of any doubt or
dispute decision of SSB shall be final.

4.     Conditions for Ex-Servicemen:

       For recruitment of Ex-servicemen following will be the criterion:-

       (a)    Physical standard: Total relaxation
       (b)    Medical category: Category-A
       (c)    Character:       Exemplary/Very Good/Good
       (d)    Break in service: Not more than 24 months
       (e)    Education:-Total relaxation in civil education but Army Edn. Should be equivalent to
              matric.
       (f)    Age limit:-Age concession for Ex-servicemen will be allowed in accordance with the
              orders issued by the Govt. of India from time to time and they will be allowed to deduct
              Military service from their actual age and such resultant age should not exceed the
              prescribed age limit by more than three years.

             Wards (Sons) of serving/retired SSB personnel may also apply if so desired accordingly.
Sons of SSB personnel may apply either from their home state or from state in which his father is
posted/deployed at the time of recruitment.

5.     Selection procedure:

(i)            The eligible candidates shall be issued Admit Card to appear in the recruitment test.
The date and place of recruitment test will be indicated in Admit Card. Candidates will have to
undergo the following tests:

       (a) Physical Measurement: Candidates found eligible in documentation will be screened first
           for height, chest and weight measurements.

       (b) Physical Efficiency Test(PET)(25 Marks): The candidates who found eligible as per
           physical measurement will be required to pass physical efficiency test consisting of
           following events: -

       (i) 1 mile race to be completed in 6½ minutes. Minimum marks-4 and maximum marks-12
       (ii) * Long jump: minimum 11 feet (minimum marks-2 & maximum marks-6
       (iii)* High jump: minimum 3½ feet(minimum marks-3 & maximum marks-7)
            (* 03 chances will be given)

Note: A candidate must qualify in all the above events. Failure to qualify in any of the above event of
PET will render the candidate disqualified to appear in subsequent events. No physical efficiency test
will be held for Ex-Servicemen. However, Ex. Servicemen will be required to pass the requisite
medical examination viz X-ray chest, Blood for Hb, TLC, DLC, ESR and sugar (Random) Urine for
sugar and albumen and microscopical examination ECG etc. upon qualification in the written test.
                                                                                       Contd….P…6/-
                                                   -6-
(ii) Written Examination: Maximum 50 Marks: - The candidates qualifying in the physical
efficiency test will be required to appear in written test. The written test will consist of objective, as
well as narrative tests. The question paper will consist of questions on General Awareness, General
Knowledge, and Knowledge of elementary Mathematics, ability to observe and distinguish patterns
and to test the basic knowledge of candidates in English/Hindi. The written test will be held after
PET is over. The papers may be answered either in Hindi or English. Total 33% marks for
SC/ST/OBC candidates and 35% for General and Ex. servicemen are required to qualify the written
test.

NOTE: - As the Ex.-service men are exempted from PET, they will appear in Written
Examination directly.

(iii)   Interview: (Maximum 15 Marks)

      Interview shall be conducted after written examination. Candidates numbering three times the
number of category-wise vacancies allotted will be called for interview as per merit.

(iv)    Special Qualifications-10 Marks

       A maximum of 10 marks will be awarded to those candidates who have to their credit
achievements in Sports, NCC, Scout & Guide and other extra curricular activities and proficiency in
computer, diploma in any trade relevant to SSB.

(v)     Medical Examination

        The candidates will be medically examined to assess their physical and medical fitness as
prescribed in the eligibility conditions. Medical examination will be conducted after the interview.

(vi)    Appeal against medical examination:

        If a candidate is declared unfit in the detailed medial examination, the grounds for rejection
will be communicated to him by the Chairman. The rejected candidates will obtain form 4,5 and 6
from Chairman concerned , if not satisfied with the findings of the Medical Officer, to prefer an
appeal for re-medical examination to the Inspector General(Pers), SSB Force HQ, R.K.Puram, New
Delhi, within one month from the date of issue of communication in which the findings of the Medical
Officer is communicated to the candidate. The appeal should necessarily contain the following (a)
Medical re-examination fee of Rs. 25/-(Rupees twenty five)only non refundable, through a bank
draft in favour of “ Accounts Officer, SSB FHQ, New Delhi” Payable at SBI, R.K.Puram, New Delhi-
Code-1076 or IPO in favour of Accounts Officer, SSB FHQ New Delhi (b) Appeal form 4,5 & 6
issued by the Initial Medical board declaring the candidate as unfit (c) One self addressed envelope
with Rs.6/- stamp affixed on it. Certificate other than Medical Form-6 (provided by the
Chairman of rectt. Board to the candidates) to submit appeal for Review Medical Examination
will not be considered & rejected straightaway. The fitness certificate on form-6 is essential only
to consider their cases for review medical examination and not for any other purpose.
       Those candidates whose appeal found in order will be issued call letter to appear for Review
Medical Examination and their list will also be published in SSB website www.ssb.nic.in. They may
keep in touch to know their date of appearing in review medical examination and venue in our
website.
       The decision of the review medical board of SSB shall be final and no 2 nd appeal will be
entertained as per Govt. instructions and also no reply of the correspondence /2 nd appeal will be
given/entertained.
                                                                                    Contd…P…7/-
                                                   -7-
vii)   Final Selection

       (a)   The final selection of the candidates will be made in order of merit in each category.
       (b)   The cut off percentage of marks for appointment will be as under:

                 General and Ex-Servicemen                    : 35%
                 SC/ST/OBC                                    : 33%

(viii) Merit list

       List of provisionally selected candidates will be placed in SSB website www.ssb.nic.in. as per
category wise available vacancies.

6.      Application Fee:- Application fee will be Rs.50/- for candidates belonging to General and
OBC categories. No fee will be charged from SC/ST and Ex-Servicemen. The candidates shall attach
the crossed/non refundable Bank Draft drawn in favour of authority mentioned in column No.4 of
Para-07. The candidates can also submit application fee through IPOs to be prepared in favour of
authority mentioned in Column No. 5 of Para 7.

7.     How to apply:-

                       Eligible and desirous candidates should send their applications BY
ORDINARY POST in the prescribed proforma given in Annexure-I and II with attested passport size
photographs duly affixed on application form and admit card at the space provided for the purpose,
along with application fee, attested copies of the testimonials as in Para-8. The applications should
be typed or neatly hand written. Two self-addressed envelops of 4”x9” size with Rs.6/- postage
stamps duly affixed should also be attached with the application forms. The candidates belonging to
different States/UTs should send their application forms addressed to the designated authorities for
their respective States/UTs as shown at Column No.3 of the table below on or before closing date.
The envelop containing the application should be superscribed in block letters as APPLICATION
FOR THE POST OF CONSTABLE (GD) State code should also invariably be mentioned on the
envelope. The incomplete application and applications received after the last date will not be
entertained and will be summarily rejected. No correspondence will be entertained on this account:-

 Sr. Name of States/UTs           Application     should    be    Bank Draft payable IPOs      in
 No.                              addressed    to following       to                 favour of
                                  officers
 (1)              (2)                         (3)                          (4)                  (5)
 1.    Andhra          Pradesh,   The Commandant, 25th            The     Commandant       The
       Delhi,Haryana, Karnatka,   Bn(SSB)     Ghitorni,    PO:    25th Bn SSB Payable      Comman-
       Kerala Pondichery &        Arjungarh,    New      Delhi-   at SBI. R.K.Puram        dant 25th Bn
       Tamilnadu                  110047                          New Delhi-1076           SSB
 2.    Arunachal                  The IG Ftr. HQ                  Accounts       Officer   Accounts
       Pradesh,Assam,             (SSB) Guwahati Sunder           (SSB) O/O The IG,        Officer SSB
       Manipur,Meghalaya,         Singh Bhawan Uday Path,         FTR HQ Guwahati          Guwahati
       Mizoram, Nagaland &        S.P.O.Zoo Road,Guwahati -       payable    at     SBI
       Tripura                    24(Assam)                       Guwahati-7976
 3.    Chhattisgarh,   Madhya     The IG FTR HQ (SSB) Patna,      Accounts                 Accounts
       Pradesh Jharkhand          Rukanpura House Rukanpura       Officer(SSB) o/o IG      Officer(SSB)
                                  Patna-800 014 (Bihar)           FTR      HQ     Patna    Patna
                                                                  payable     at    SBI
                                                                  Patna-0152

                                                                                            Contd…P…8/-
                                               -8-


  4.     Chandigarh,       The DIG, Training Centre SSB     Commandant TC(SSB) Commandant
         Himachal          Sapri PO: Jwalamukhi, Distt.     Sapri Payable at SBI TC    SSB
         Pradesh,Punjab,   Kangra(HP)-176 031               Dehra-1070           Sapri
         Rajasthan     &
         Gujarat
  5.     Sikkim West       The       DIG       SHQ(SSB)     Accounts Officer SSB      Accounts
         Bengal       &    Ranidanga, PO: Matigara Distt.   SHQ           Ranidanga   Officer SSB
         Orissa            Darjeeling(WB)-734 428           payable     at     SBI-   Ranidanga
                                                            Siliguri-0184
  6.     Uttar Pradesh     The FTR HQ SSB Lucknow,          Accounts Officer(SSB)     Accounts
                           Kendriya Bhawan,11th Floor       FTR HQ Lucknow            Officer SSB
                           Sector-H, Puraniya Crossing      Payable at          SBI   Lucknow
                           Aliganj Lucknow (UP)-226 024     Lucknow-0125
  7.     Bihar             The IG Sector HQ, SSB            Accounts Officer          Accounts
                           Barauni, Hindusthan Fertiizer    (SSB) Sector HQ           Officer
                           Corp. Ltd. Urvarak Nagar         Barauni                   (SSB)
                           Barauni (Bihar)                  Payable at SBI            Sector HQ
                                                            Barauni Code-2913         Barauni
  8.     Uttrakhand,       The DIG, SSB Sector HQ           Accounts Officer          Accounts
         Maharashtra       SSB Ranikhet PO: Ganiya          (SSB) Sector HQ           Officer
         & Goa             Deoli      Distt. Almora         Ranikhet                  (SSB)
                           Uttrakhand                       Payable at SBI            Sector HQ
                           263 645                          Ranikhet Code -0704       Ranikhet


8. Enclosure required to be forwarded with application:-
Attested copies of:-

i)      Educational certificate.
ii)     Date of birth certificate (Matriculation or 10th class certificate).
iii)    SC/ST and OBC certificate (Subject to verification at any stage).
iv)     Latest OBC certificate on the format as prescribed in Annexure-III. The OBC certificate
        produced other than Annexure-III will not be entertained and their application will be
        summarily rejected.
v)      Certificate of achievement in sports, NCC, Scouts and Guides and other extra curricular
        activities, if possessed by the candidates.
vi)     2 self addressed envelopes of 4x9” size duly affixed with postage stamps of Rs. 6/- on it.
vii)    Domicile Certificate issued by the revenue authority not below the rank of Tehsildar.

9.     General instructions:-

      On appointment, the candidate shall be governed by the provisions of the CRPF Act
       and Rules.
      Government shall not be responsible for damage/injury/ loss to the individual, if any,
       sustained during the process of recruitment test/journey.
      The candidate shall have to bring with them pen, pencil, ink, clip board for written test.
      TA for onward and return journey to SC/ST candidates will be paid to those who appear in
       written test subject to production of rail/bus tickets, original caste certificate, non
       employment certificate from MP or MLA or any other Gazetted Officer of the locality in
       case they are not employed in Central/State Govt.
                                                                                    Contd…P…9/-
                                            -9-

    Candidates should come duly prepared to stay for 9-10 days at their own arrangements at
     the place of recruitment.
   All eligible candidates will be duly informed about the date and venue of recruitment test.
   On appointment, candidates shall be governed under New Defined Contributory Pension
     Scheme effective from 1.1.2004.
   Canvassing in any form or bringing outside influence will disqualify the candidature.
    Candidates impersonating and submitting the fabricated/forged documents are liable to
     disqualification /prosecution.
    Any shortcoming, which could not be detected by the Application Receiving Centre at the
     time of initial scrutiny of the documents and found/noticed at a later stage, shall render the
     candidate disqualified for the post and he will not be allowed to appear in subsequent
     events of the recruitment and no any correspondence will be entertained on the subject.
   In case any candidate is found ineligible on any ground after his appointment, his service
     will be terminated immediately without assigning any reason.
   The Director General, SSB reserve the right to make changes or cancel or postpone the
     recruitment without assigning any reasons.
   Mere qualifying all the prescribed tests in SSB recruitment of Constable (GD) does not
     confer the right of selection of the candidates but they should have to stand in merit
     keeping in view the available vacancies of that particular State in each State.
    Ex. Para-Military personnel (including SSB) will be treated as fresh entrants and they will
     not be allowed for relaxation applicable to Ex-Servicemen.
    SSB strives to recruit fit committed, sincere and best candidates with transparency and
     impartiality. Hence, candidates are advised to “ beware of touts”.




                                                                           -Sd- 07-08-2007
                                                                ASSTT.DIRECTOR (PERS-II)
                                                                                                  ANNEXURE-I
Application form for the post of constable (GD) Sashastra Seema Bal:
                                                                                      Paste here your
State Code                                                                            recent    PP     size
                                                                                      photographs
Advertisement No.__________________________year 2007                                  (Appro.3.5x       4.5
                                                                                      Cms) duly attested
1. Name in Block letters (as recorded in Matriculation certificate)                   by a Gazetted Officer


   First Name                   Middle name                                 Surname
2. Father‟s name(as recorded in Matriculation Certificate)

3. (a) Date of birth(as per matriculation certificate)(b) Age as on 1.8.2007 YY               MM      DD
        D D M M Y Y Y Y

4. Religion:- Hindu/Muslim/Sikh/Christian/Buddhist/Jain and others.
5. Community/Code(Write 1 for Gen,2for SC,3 for ST,4 for OBC and 5 for Ex- servicemen in the
   appropriate box/out of envelop.
                  Gen.      SC          ST       OBC Ex.S/Man


6.       Educational qualification
         (Attach attested copy of Educational/Technical Qualification certificate(s).
7.       Whether having martial tradition such as:

                                                 Gorkha        Dogras       Marathas Garhwalis Kumaonis

                                                 (Attach true copy of certificate)
8.       Whether belongs to the states of:
                                                                                     HP      Sikkim NE
                                                                                                    States

                                                                           (Attach true of certificate)
9.       (a) Whether Ex- servicemen, if so, indicate:

                                                 General       SC             ST                OBC

         (b) If Ex-Serviceman, mention following details (attach CTC)
         Date     of Date      of Medical      Award or Reasons                  Education qualification
         enrolment Retirement/ category decoration for
                      Discharge                               Release/           Civil              Military
                                                              Discharge

     10. Whether wards of SSB employee, if so, attach supporting documents:
     11. Extra Curricular activities:
     (a) NCC (Sr.Div.) Certificate, if so, indicate,
                                                          „A‟ certificate „B‟ certificate  „C‟ certificate
     Yes/No
     OR
     (b) Scouts & Guides:                 Certificate for out Certificate       for Certificate          for
                                               standing work        Rajya Puraskar        Rashtrapati Puraskar


                                                                                                      Contd…P/2
                                                     -2-

( c) Achievement in Sports:
                         Name of Sports    District Level        University Level       State Levee   National Level

      (d) Diploma in any trade relevant to SSB:
                                                                Diploma from Polytechnic/Civil
                                                                /Electric/Mechanical/Engineering/Computer

12.   Physical Standard:-      Heights in Cms.   Chest in Cms.     Weight in Kgs.
                                 ________          _______           ________
13.   Identification Mark:-___________________________________________________________
14.   Permanent Home address:
       HOUSE      NO.                            P          O
       STREET                                    T          O      W     N
       VILLAGE                                   T          E      H     S      I         L
       DISTT.                                               P      I     N
       STATE
15.   Present Address:
       HOUSE      NO.                           Village
       STREET                                   T           O       W      N
       VILLAGE                                  T           E       H      S        I      L
       DISTT.                                               P       I      N
       STATE

      NOTE:- Candidates should apply only if they fulfill the physical standard &
      Education/Technical qualification as mentioned in the advertisement to avoid any
      disappointment at later stage.
16.   Whether in Govt.Service? if so, indicate name of present employer and date since when.
17.   List of enclosures.

         DECLARATION:

                   I hereby declare that the statement made in this application is true and complete to the
      best of my knowledge and belief. In the event of any information being found false or incorrect or
      ineligibility being detected before or after the test and interview, my candidature will stand
      cancelled and all my claims of the recruitment will stand forfeited.

      Place;_
      Date:-
                                            SIGNATURE OF THE APPLICANT
            (APPLICATION NOT SIGNED BY THE CANDIDATES WILL BE REJECTED)
      *STRIKE OUT WHICHEVER IS NOT APPLICABLE
                                                                                        ANNEXURE-II
(To be printed/typed/written in separate paper)
Admit card

(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: ______________________________________________________________

Father‟s name_________________________________________________________

Name of post for which applied: __________________________________________



                                                         Signature of the candidate______________
                                                                            ANNEXURE-III
    Form of certificate to be produced by other backward classes applying for appointment to
    posts under the Government of India.

    (G.I. Dept. of Per.& Trg. O.M. No.36033/28/94-Estt.(Res).dated 2-7-1997)

          This is to certify that ………………………… son of …………………. Village
    …………………….. District/Division ……………………. In the ……………………
    State……………. Belongs to the ………………….. Community which is recognized as a
    Backward Class under. –

    * (i)     Government of India, Ministry of Welfare, Resolution, No.12011/68/93-BCC (C),
              dated the 10th September, 1993, published in the Gazette of India, Extraordinary, Part-I,
              Section I, NO.186, dated the 13th September, 1993.

    *(ii)     Government of India, Ministry of Welfare, Resolution No.12011/9/94-BCC, dated the
              19th October, 1994, published in the Gazette of India, Extraordinary, Part-I, Section,
              No.163 dated the 20th October, 1994.
    *(iii)    Government of India, Ministry of Welfare, Resolution No.12011/7/95-BCC, dated the
              24th May, 1995, published in the Gazette of India, Extraordinary, Part-I, Section I,
              No.88, dated the 25th May, 1995.
    *(iv)     Government of India, Ministry of Welfare, Resolution No.12011/44/96-BCC, dated the
              6th December, 1996, published in the Gazette of India, Extraordinary, Part-I, Section I,
              No.210, dated the 11th December, 1996.

     Shri……………………………………..and/or his family ordinarily reside(s) in the
    ……………………. District/ Division of the …………………………… State. 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 and
    Training, O. M. No.36012/22/93-Estt.(SCT), dated 8-9-1993.


                                                             DISTRICT MAGISTRATE
    Dated :                                                /DEPUTY COMMISSIONER,
                                                                TEHSILDAR ETC.
    OFFICE SEAL
    Strike out which ever is not applicable
                                                                                      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 which is recognized as a Schedule Caste/Scheduled Tribe under.

            The Constitution (Scheduled Castes) order, 1950.
            The Constitution (Scheduled Tribes) order, 1950.
            The Constitution (Scheduled Castes)(Union Territory) order, 1951.
            The Constitution (Scheduled Tribes) (Union Territory) order, 1951.
            (As amended by the Scheduled Castes and Scheduled Tribes (Modification) Order 1956, the Bombay
            Reorganization Act, 1960, the Punjab Reorganization Act, 1966, The State of Himachal Pradesh Act,
            1970, the North Eastern Areas (Reorganization Act, 1971) and the Scheduled Castes and Scheduled
            Tribes orders (Amendment) Act, 1976.)
            *The constitution (Jammu & Kashmir) Scheduled Caste Order, 1956;
            *The Constitution (Andaman and Nicobar Islands) Scheduled Tribes, 1959, as amended by the
            Scheduled Castes and Scheduled Tribes orders (Amendment) Act. 1976;
            *The Constitution ( Dadra and Nagar Haveli) Scheduled Castes Order 1962;
            *The Constitution (Dadra & Nagar Haveli) Scheduled Tribes Order, 1962;
            *The Constitution (Pondichery) Scheduled Castes Order, 1964;
            *The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967;
            *The Constitution (Goa, Daman & Dieu) Scheduled Castes Order, 1968;
            *The Constitution (Goa, Daman & Dieu) 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 (Scheduled Castes) Orders (Amendment) Act, 1990.
            *The Constitution (Scheduled Tribes) Order, (Amendment) Ordinance, 1991.
            *The Constitution (Scheduled Tribes) Order, (Second Amendment) Act, 1991.
            The Constitution (Scheduled Tribes) Ordinance, 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.
  ______________________________________ dated _____________                     or      Shri ____________
  __________________ and or his/her family ordinarily reside(s) in Village/Town _____________of
  ____________ District/Division of the State/Union Territory of _______________.



  Place______________                              Signature______________
  Date_______________                              Designation ____________
                                                                (With seal of Office)
  NOTE:- The terms ordinarily reside(s) used here will have the same meaning as in Section 20 of the
  Representation of the People Act, 1950.
                                                       -:2:-

LIST OF AUTHORITIES EMPOWERED TO ISSUE CASTE/TRIBE CERTIFICATE:

1. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner /Additional Deputy
Commissioner/ Dy. Collector/ 1st Class Stipendiary Magistrate/Sub Divisional Magistrate/Extra Assistant
Commissioner/ Taluka Magistrate/Executive Magistrate.

2. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.

3. Revenue Officers not below the rank of Tehsildar.

4. Sub-Divisional Officers of the area where the candidate and/or his family normally resides.

NOTE: -ST candidates belonging to Tamil Nadu State should submit caste certificate only from the
Revenue Division Officer.

								
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