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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.