CUG Non-Teaching Job Openings 2019
CUG Non-Teaching Job Openings 2019
F.No.9-4/2019-Admn./875 06/07/2019
EMPLOYMENT NOTIFICATION NO. CUG/04-2/2019-20
ADVERTISEMENT FOR THE NON-TEACHING POSTS AND OTHER ACADEMIC POSTS
Central University of Gujarat (CUG) invites online applications in the prescribed format from eligible
Indian nationals for appointment by direct recruitment for following ‘Group-A’ posts. Printout of
Online Application in ONE set with all necessary self-attested copy of testimonials, certificates, and
documents should be submitted by the eligible candidates to the Central University of Gujarat.
Following are the important dates for application:
IMPORTANT NOTE
Candidates who have applied earlier under Employment Notification No. 18/2016-17 dated
19/09/2016 issued by the Central University of Gujarat against below post(s) are required to
apply afresh. However, they need not pay the fee(s) again. They need to present the relevant
proof of Payment(s) & Application(s).
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Sr. No. of Pay Matrix As per 7th CPC
Name of Post Group Category
No. Posts Pay Level Pay Range
2
[UR-1,
PwBD-1
7 Assistant Registrar A 2 (Cat.-c – 10 56100 - 177500
OA, OL,
OAL,
BL)]
8 Assistant Librarian A 1 UR 10 57700 - 182400
9 Executive Engineer A 1 UR 11 67700 - 208700
10 Information Scientist A 1 UR 10 56100 - 177500
11 System Analyst A 1 SC 10 56100 - 177500
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Method of recruitment whether by Direct/Deputation for a tenure of five years or till
direct recruitment or by promotion or attaining the age of superannuation i.e. 62 years,
4 by deputation/absorption and whichever is earlier.
percentage of the post to be filled by (Eligible for reappointment after observance of due
various methods. selection process.)
In case of recruitment by deputation,
Deputation:
5 grades from which deputation to be
As indicated at col.3
made.
Deputation:
Appointment preferably by drawing officers not
below the Level 12 belonging to the Indian Audit
In case of recruitment by deputation, and Accounts services or other similar organized
5 grades from which deputation to be Services in Central/ State Govt.
made. OR
University System/ Other organisation subject to
fulfilment of qualification as indicated under col. 6
on Deputation for a tenure of 5 years or till attaining
the age of 62 years, whichever is earlier.
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1 Name of Post CONTROLLER OF EXAMINATION
2 Age Limit for Direct Recruits Preferably below 57 years
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1 Name of Post DEPUTY LIBRARIAN
2 Age Limit for Direct Recruits 55 years
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3 Educational and other qualifications Essential:
required for direct recruits Master’s Degree with at least 55% of the marks or
an equivalent grade in a point scale wherever
grading system is followed.
Desirable:
1. Five years of experience in supervisory level in
Administration/ Establishment/ Finance/
Examination/ Academic of the University in
Level 7 or holding analogous post.
2. Knowledge of Computer Applications.
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two external examiners;
c) Open Ph.D. viva voce of the candidate had been
conducted;
d) The candidate has published two research papers
from his/her Ph.D. work out of which at least
one must be in a refereed journal;
e) The Candidate has presented at least two papers
based on his/her Ph.D. work in conferences/
seminars sponsored/ funded/ supported by the
UGC/ ICSSR/ CSIR or any other similar agency.
Note :
(i) The fulfilment of these conditions is to be
certified by the Registrar or the Dean
(Academic Affairs) of the university concerned.
(ii) NET/SLET/SET shall also not be required for
such Masters Programmes for which
NET/SLET/SET is not conducted by the UGC,
CSIR or similar test accredited by the UGC like
SLET/SET.
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substitute/deviation items statements and other
associated issues related with building and
constructions.
ii) Knowledge of Computer Aided Design (CAD)
and latest Management Technology/other
relevant software.
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M.Sc. (Computer Science/Information Technology)
or equivalent OR
First class B.E./B. Tech. (Computer Science &
Technology/ Information Technology) or equivalent
with two years of relevant experience.
Desirable
Cisco Certified Network Associate/ Cisco Certified
Network Professional or equivalent certification.
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13. A relaxation of 5% shall be allowed at the Bachelor’s as well as at the Master‘s level for the
candidates belonging to Scheduled Caste/Scheduled Tribe/Other Backward Classes (OBC)(Non-
creamy Layer)/Differently-abled ((a) Blindness and low vision; (b) Deaf and Hard of Hearing; (c)
Locomotor disability including cerebral palsy, leprosy cured, dwarfism, acid-attack victims and
muscular dystrophy; (d) Autism, intellectual disability, specific learning disability and mental
illness; (e) Multiple disabilities from amongst persons under (a) to (d) including deaf-blindness)
for the purpose of eligibility and assessing good academic record for direct recruitment. The
eligibility marks of 55% marks (or an equivalent grade in a point scale wherever the grading
system is followed) and the relaxation of 5% to the categories mentioned above are permissible,
based only on the qualifying marks without including any grace mark procedure.
14. Reservations for SC, ST, OBC, EWS and Persons with Benchmark Disabilities will be as per
existing Government of India norms as amended from time to time. Candidates applying for the
reserved posts should clearly state to which category they belong.
15. Candidates seeking reservation under SC/ST category are required to submit certificate on the
format prescribed by the Government of India, Department of Personnel & Training (Annexure-I).
16. Candidates seeking reservation under OBC category are required to submit certificate on the
format prescribed by the Government of India, Department of Personnel & Training (Annexure-
II).
17. Candidates applying for the post(s) reserved for OBC, should submit an self-attested copy of valid
caste certificate specifically mentioning Creamy Layer-exclusion in the format prescribed by
Govt. of India, issued by competent authority, vide Column 3 of GOI Dept. of Personnel and
Training O.M. No. 36012/22/93-Estt.(SCT) dated 8.9.1993 and modified vide DoPT's O.M. No.
36033/3/2004-Estt.(Res) dated 9.3.2004, subsequently revised vide O.M. No.36033/3/2004-
Estt.(Res) dated 14.10.2008. The Caste Certificate must be in the format as prescribed by the
Govt. of India vide OM No. 36036/2/2013- Estt (Res.) dated 30/05/2014.
18. The person with Degree of Disability of 40% and above are eligible for applying for the posts
earmarked for persons with benchmark disabilities as under:
% of
Sr. No. Category Description
Reservation
1 a Blindness and low vision 1%
2 b Deaf and hard of hearing; 1%
Locomotor disability including cerebral palsy,
3 c leprosy cured, dwarfism, acid attack victims and 1%
muscular dystrophy
Autism, intellectual disability, specific learning
4 d
disability and mental illness;
Multiple disabilities from amongst persons under 1%
5 e clauses (a) to (d) including deaf-blindness in the
posts identified for each disabilities
In case of candidates want to claim benefits under the Persons with Benchmark Disabilities
(PwBD) category, the candidates’ relevant disability should not be less than 40%. Proof to this
effect, must be enclosed with the application as per Annexure - IV-I, IV-II, IV-III (which ever
applicable) without which the application will be treated as 'General (unreserved)'.
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19. EWS vacancies are tentative and subject to further directives of GoI and outcome of any litigation.
The appointment is provisional and its subject to the Income and Asset certificate being verified
through proper channel and if the verification reveals that the claim to belong to EWS is fake/false
the services will be terminated forthwith without assigning any further reasons and without
prejudice to such further action as may be taken under the provision of the Indian Penal Code for
production of fake/false certificate. The Income and Asset Certificate (Annexure-III) issued by
any one of the authorities mentioned in the prescribed format as given in Annexure-III shall only
be accepted as proof of candidate’s claim as belonging to EWS.
20. Candidates seeking reservation under SC/ST/OBC/PwBD/EWS category are required to submit
certificate in the prescribed format and duly countersigned by the competent authority of
Government of India, Department of Personnel and Trainings. Socially and Educationally
Backward Class (SEBC) candidates will be considered as OBC only if they submit the required
creamy layer certificates in the above mentioned format. Further, they shall submit the declaration
given in the application form.
21. The qualifications and other conditions prescribed in the present advertisement are subject to the
regulations/norms stipulated by the MHRD/UGC from time to time.
22. The University reserves the right to restrict the candidates to be called for interview to a
reasonable number on the basis of qualifications and experience higher than the minimum
prescribed as decided by duly constituted Screening Committee(s) and approved by the competent
authority. Call letters for attending interview will be sent only to the short-listed candidates by
speed post/registered post/E-mail. No correspondence will be entertained with the applicants who
are not short-listed to be called for interview.
23. Canvassing in any form on behalf of or by any candidate will disqualify him/her from being
considered.
24. Candidates already in service must submit a NOC from their employer and forward their
applications (hard copy) through proper channel. In case the applicants are in service and delay is
expected in getting endorsement of the employer concerned on the original application, the
applicants may submit an advance copy of the application along with all enclosures directly (with
or without the employer's endorsement on the advance copy). If the original application through
proper channel has not been received by the University by the last date mentioned in this
employment notification, the applicants will have to submit a 'NO OBJECTION CERTIFICATE'
along with Vigilance Clearance Certificate in a sealed cover from his/her employer to the
University at the time of interview.
25. The candidates selected shall be appointed under a written contract as per UGC/University norms.
26. The appointing authority for all regular non-teaching and other academic posts is as per the
Amended Ordinance No. 13 of the University, which is available on University website.
27. The candidates selected for the post shall be required to serve at any place notified as the Campus
of Central University of Gujarat.
28. The recruitment to the advertised posts shall be carried out in accordance with the prevalent
University/ UGC/GOI rules and regulations framed from time to time.
29. All the appointees including the in-service candidates shall be governed by the New Pension
Scheme (NPS) introduced by Govt. of India.
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30. The University reserves the right:
a) To withdraw the advertisement either partly or wholly at any time without assigning any
reason to this effect.
b) To fill or not to fill up some or all the posts advertised for any reasons whatsoever.
c) To increase/decrease the number of posts after due procedure as per directions of UGC from
time to time
d) Any edition/deletion and changes in matter of terms and conditions given in this notification
of recruitment, as directed by concerned authority/UGC/MHRD/GoI from time to time.
31. The University will not be responsible for any loss of e-mail, loss of any communication due to
wrong address provided by the candidates.
32. No TA/DA will be paid for attending interview. However, for outstation SC/ST/PwBD
candidates’ second-class single railway to and fro fare on shortest route will be reimbursed after
attending the interview. This is not admissible to SC/ST/PwBD candidates who are already
employed in the Central/ State Government services/Autonomous bodies, etc.
33. Call letters and other correspondence for attending the interview, etc., will be sent only to the
eligible candidates by Email only and will be displayed on the University website.
34. In case of any dispute/ambiguity that may occur in the process of selection, the decision of the
Vice-Chancellor, Central University of Gujarat in all matters relating to eligibility, acceptance or
rejection of applications, mode of selection, conduct of examination/ interview will be final and no
query or correspondence will be entertained in this connection from any individual or his/ her
agency.
35. Fake/derecognised Institutions: Candidates, who have obtained degrees or diplomas or certificates
for various courses from any Institution declared fake/derecognised by the University Grants
Commission, New Delhi shall not be eligible for being considered for recruitment to the posts
advertised.
36. The applications received shall be screened as per screening guidelines published in Amended
Ordinance No. 13 of the University.
37. The character of a person for direct recruitment to the service must be such as to render him/her
suitable in all respect for appointment to the service. Persons dismissed by the Union Government
or by a State Government or by a Local Authority or a Government Corporation owned or
controlled by the Central Government or State Government will be deemed to be ineligible for
appointment.
38. No person shall be recruited unless he/she is in good mental and bodily health and free from any
physical defect that is likely to interfere with the efficient performance of his official duties.
Before candidates recruited directly are finally approved for appointment to the University, he
shall be required to produce a medical certificate of physical fitness from whom the appointing
authority specifies.
39. Errors and omissions in notification and selection process are subject to corrections as per rules
and regulations of University/UGC/GOI.
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40. Candidates in their own interest are advised to remain in touch with the University website
www.cug.ac.in. They should also regularly check their email account for updates.
APPLICATION FEE:
Note: The online application processing fee is non-refundable, and no enquiries will be entertained in
this regard by the University.
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GUIDELINES TO FILL ONLINE APPLICATION FORM
CENTRAL UNIVERSITY OF GUJARAT
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vii) Upload scanned signature in JPG and JPEG format only, the digital size of each file
should not exceed 20 KB each and must not be less than 10 KB and resolution 140
pixels (Width) X 60 pixels.
viii) Upload scanned documents in PDF format only. The digital size of PDF file should
not exceed 150 KB and must not be less than 100 KB.
ix) Candidates can pay application fee online through Net Banking, Credit Card and Debit
Card only.
7. On successful completion of your complete application, an auto-generated email will be sent on
your registered email-id. In case you have not received an email, please check / ensure that
submission of Part-II of the Application has been completed successfully.
8. Before final submission of online Application form, the candidates must read the declaration
given on the website carefully and furnish his/her consent on it, without which he/she will not
be able to complete the registration of Online Application.
Sd/-
Registrar (I/c)
COPY TO:
1. The Secretary, Ministry of Human Resource Development, Department of Higher Education,
Government of India, Shastri Bhawan, New Delhi.
2. The Secretary, UGC, Bahadurshah Zafar Marg, New Delhi – 110002.
3. The Joint Secretary (Res.), UGC, Bahadurshah Zafar Marg, New Delhi – 110002.
4. The Secretary General, Association of Indian Universities, AIU House, 16, Comrade Indrajit
Gupta Marg NewDelhi-110002.
5. The Joint Secretary, (CU), MHRD, Shastri Bhawan, New Delhi – 110002.
6. The Principal Secretary (Higher Education) Department of Higher Education, Govt. of Gujarat,
New Secretariat, Gandhinagar.
7. The Registrars of all Central Universities & State Universities of Gujarat for wide publicity.
8. The Director, Information, Govt. of Gujarat, Gandhinagar for wide publicity.
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ANNEXURE - I
FORMAT FOR SC/ST CERTIFICATE
A candidate who claims to belong to one of the Scheduled Caste or the Scheduled Tribes should
submit in support of his claim an attested/certified copy of a certificate in the form given below, from
the District Officer or the sub-Divisional Officer or any other officer as indicated below of the District
in which his parents (or surviving parent) ordinarily reside who has been designated by the State
Government concerned as competent to issue such a certificate. If both his parents are dead, the officer
signing the certificate should be of the district in which the candidate himself ordinarily resides
otherwise than for the purpose of his own education. Wherever photograph is an integral part of the
certificate, the Corporation would accept only attested photocopies of such certificates and not any
other attested or true copy.
(The format of the certificate to be produced by Scheduled Castes and Scheduled Tribes candidates
applying for appointment to posts under Government of India.)
This is to certify that Shri/Shrimati/Kumari* _________________________________ son / daughter
of _________________________________ of Village/Town/*_______________________________
in District/Division * _______________________ of the State/Union Territory* _____________
belongs to the Caste/Tribes ________________ which is recognized as a Scheduled Castes/Scheduled
Tribes* 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 Lists (Modification) order, 1956, the
Bombay Reorganization Act, 1960 & the Punjab Reorganization Act, 1966, the State of Himachal
Pradesh Act 1970, the North-Eastern Area(Reorganization) Act, 1971 and the Scheduled Castes and
Scheduled Tribes Order(Amendment) Act, 1976.]
@The Constitution (Jammu & 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 (Dadra and Nagar Haveli) Scheduled Castes Order 1962
@The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order 1962
@The Constitution (Pondicherry) Scheduled Castes Order 1964
@The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967
@The Constitution (Goa, Daman & Diu) Scheduled Castes Order, 1968
@The Constitution (Goa, Daman & 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 (Jammu & Kashmir) Scheduled Tribes Order1989
@The Constitution (SC) orders (Amendment) Act, 1990
@The Constitution (ST) orders (Amendment) Ordinance 1991
@The Constitution (ST) orders (Second Amendment) Act, 1991
@The Constitution (ST) orders (Amendment) Ordinance 1996
@The Scheduled Caste and Scheduled Tribes Orders (Amendment) Act, 2002
@The Constitution (Scheduled Caste) Orders (Amendment) Act, 2002
@The Constitution (Scheduled Caste and Scheduled Tribes) Orders (Amendment) Act, 2002
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% 2. Applicable in the case of Scheduled Castes, Scheduled Tribes persons who have migrated from
one State/Union Territory Administration to other.
This certificate is issued on the basis of the Scheduled Castes/ Scheduled Tribes certificate issued to
Shri/Shrimati_______________________________________Father/Mother of Shri/Shrimati/Kumari*
____________________________________________ of village/ town*________________________
in District/Division*____________________ of the State/Union Territory*__________________ who
belong to the_________________________ Caste/Tribe* which is recognized as a Scheduled
Caste/Scheduled Tribe in the State/Union Territory* issued by the ____________________________
dated __________________.
%3. Shri/Shrimati/Kumari and/or* his/her family ordinarily reside(s) in village/town* _____________
of_______________________________ District/Division* ____________________________ of the
State/Union Territory of ______________________________________.
Signature _____________________
**Designation _________________
With a Seal of Office
State/Union 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.
NOTE: ST candidates belonging to Tamil Nadu state should submit caste certificate ONLY FROM
THE REVENUE DIVISIONAL OFFICER.
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ANNEXURE - II
i) Resolution No. 12011/68/93-BCC dated the 10th September, 1993, published in the Gazette of
India Extraordinary – Part I, Section I, No. 186 dated 13th September, 1993.
ii) Resolution No. 12011/9/94-BCC, dated 19.10.1994 published in Gazette of India extraordinary
Part I Section I No. 163, dated 20th October, 1994.
iii) 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 25th May, 1995.
iv) Resolution No.12011/96/94-BCC dated 9th March, 1996.
v) 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.
vi) Resolution No.12011/13/97-BCC dated 3rd December, 1997. vii) Resolution No.12011/99/94-
BCC dated 11th December, 1997. viii) Resolution No.12011/68/98-BCC dated 27th October,
1999.
vii) Resolution No.12011/88/98-BCC dated 6th December, 1999, published in the Gazette of India,
Extra Ordinary Part-I, Section-I No.270, 6th December, 1999.
viii) Resolution No.12011/36/99-BCC dated 4th April, 2000, published in the Gazette of India, Extra
Ordinary Part-I, Section-I, No.71 dated 4thApril, 2000.
ix) Resolution No.12011/44/99-BCC dated 21.9.2000, published in the Gazette of India, Extra
Ordinary Part-I, Section-I, No.210 dated 21.9.2000.
x) Resolution No.12015/9/2000-BCC dated 6th September, 2001, published in the Gazette of India,
Extra Ordinary Part-I, Section-1, No.246 dated 6th September, 2001.
xi) Resolution No.12011/1/2001-BCC dated 19th June,2003, published in the Gazette of India, Extra
Ordinary Part-I, Section-1, No.151 dated 20th June, 2003.
xii) Resolution No.12011/42002-BCC dated 13th January, 2004, published in the Gazette of India,
Extra Ordinary Part-I, Section-1, No.9 dated 13th January, 2004.
xiii) Resolution No.12011/142004-BCC dated 12th March, 2007, published in the Gazette of India,
Extra Ordinary Part-I, Section-1, No.67 dated 12th March, 2007.
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 OM No.
36012/22/93-Estt. (SCT) dated 08.09.1993 and modified vide Govt. of India Dept. of Personnel and
Training OM No. 36033/3/2004-Estt(Res) dated 09.03.2004 & 14.10.2008.
Dated:
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Note - I:
a) The term 'Ordinarily' used here will have the same meaning as in Section 20 of the Representation
of the People Act, 1950.
b) The authorities competent to issue Caste Certificate are indicated below:-
i) District Magistrate / Additional Magistrate / Collector / Dy. Commissioner / Additional
Deputy Commissioner / Deputy Collector / Ist Class Stipendary Magistrate / Sub-Divisional
Magistrate / Taluka Magistrate / Executive Magistrate/Extra Assistant Commissioner (not
below the rank of 1st Class Stipendiary Magistrate).
ii) Chief Presidency Magistrate /Additional Chief Presidency Magistrate/ Presidency Magistrate.
iii) Revenue Officer not below the rank of Tehsildar
iv) Sub -Divisional Officer of the area where the candidate and/or his family resides.
Note - II:
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.
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ANNEXURE - III
Government of_________________
(Name & Address of the authority issuing the certificate)
Certificate No.____________
Date: ___________________
Recent Passport
size
Attested
photograph of the
applicant
*Note 1: Income covered all sources i.e. salary, agriculture, business, profession, etc.
**Note 2: The term 'Family" for this purpose include the person, who seeks benefit of reservation,
his/her parents and siblings below the age of 18 years as also his/her spouse and children
below the age of 18 years.
***Note 3: The property held by a "Family' in different locations or different places/cities have been
clubbed while applying the land or property holding test to determine EWS status.
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NOTE:-
The Income and Asset Certificate issued 'by any one of the following authorities in the prescribed
format as given above shall only be accepted as proof of candidate's claim as 'belonging to EWS:-
(i) District Magistrate/Additional District Magistrate/ Collector/ Deputy
Commissioner/Additional Deputy Commissioner/ 1st Class Stipendiary Magistrate/ Sub-
Divisional Magistrate/ Taluka Magistrate/ Executive Magistrate/ Extra Assistant
Commissioner,
(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/ Presidency Magistrate,
(iii) Revenue Officer not below the rank of Tehsildar and
(iv) Sub-Divisional Officer or the area where the candidate and/or his family normally resides.
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ANNEXURE - IV-I
Form-V
CERTIFICATE OF DISABILITY
(In cases of amputation or complete permanent paralysis of limbs or dwarfism
and in case of blindness)
[See rule 18(1)]
(Name and Address of the Medical Authority issuing the Certificate)
Recent passport
size attested
photograph
(Showing face
only) of the person
with disability.
Certificate No._____________________ Date: ___________________
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ANNEXURE - IV-II
Form-VI
CERTIFICATE OF DISABILITY
(In cases of multiple disabilities)
[See rule 18(1)]
(Name and Address of the Medical Authority issuing the Certificate)
Recent passport
size attested
photograph
(Showing face
only) of the person
with disability.
Certificate No._____________________ Date: ___________________
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15 Mental illness
16 Chronic Neurological Conditions
17 Multiple sclerosis
18 Parkinson’s disease
19 Haemophilia
20 Thalassemia
21 Sickle Cell disease
(B) In the light of the above, his/her over all permanent physical impairment as per guidelines
(_________ number and date of issue of the guidelines to be specified), is as follows: -
In figures: - _____________ percent.
In words: - ___________________________________________ percent.
2. This condition is progressive/non-progressive/likely to improve/not likely to improve.
3. Reassessment of disability is:
i) not necessary, or
ii) is recommended/after ________ years _______ months, and therefore this certificate shall be
valid till _DD/MM/YYYY_.
Name and Seal of Member Name and Seal of Member Name and Seal of the Chairperson
Signature/thumb
impression of the
person in whose
favour certificate of
disability is issued
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ANNEXURE - IV-III
Form-VII
CERTIFICATE OF DISABILITY
(In cases other than those mentioned in Forms V and VI)
[See rule 18(1)]
(Name and Address of the Medical Authority issuing the Certificate)
Recent passport
size attested
photograph
(Showing face
only) of the person
with disability.
Certificate No._____________________ Date: ___________________
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15 Multiple sclerosis
16 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:
i) not necessary, or
ii) is recommended/after ________ years _______ months, and therefore this certificate shall be
valid till _DD/MM/YYYY_.
Name and Seal of Member Name and Seal of Member Name and Seal of the Chairperson
Signature/thumb
impression of the
person in whose
favour certificate
of disability is
issued
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.
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ANNEXURE - V
I hereby certify that, according to the information available with me (No.) ______________________
(Rank) ___________________ (Name) __________________________ is due to complete the
specified term of his engagement with the Armed Forces on the (Date) _______________________.
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