Direct Group A Rec
Direct Group A Rec
Online applications are invited for the following posts on DIRECT RECRUITMENT basis at All India
Institute of Medical Sciences, Jodhpur.
S. Name of the Post, Pay Level & Grade Pay and Group Age Limit Number of
No. Essential eligibility criteria for Direct vacancies (s)*
Recruits and
reservation
1. Deputy Medical Superintendent A Between 21- 06
Pay Level-11 as per 07th CPC, (Grade Pay: 6600/- + 40 years of (05-UR,
NPA) age 01-OBC)
Essential Qualification:
1. A recognized medical qualification included in I or II
Schedule or Pan II of the 3rd Schedule (other than the
licentiate qualifications) to the Indian Medical Council
Act 1956 Holders of educational qualifications included
in Part-II of the 34th Schedule should fulfill the
conditions stipulated in subsection (3) of the Section 13
of the Indian Medical Council Act, 1956.
2. MD (Hospital Administration) / MHA recognized by
Medical Council of India
Or
3. MD/MS in any clinical specialty with 3 years
experience in Hospital administration of a 200 bedded
hospital.
2. Blood Transfusion Officer –
Pay Level -11 as per 07th CPC, (Grade Pay: 6600/- +
NPA)
Essential Qualification:
A recognized medical qualification included in I or II
Schedule or Pan II of the 3rd Schedule (other than the
licentiate qualifications) to the Indian Medical Council Between 21-
Act 1956 Holders of educational qualifications included A 40 years of UR-1
in Part II of the 34d Schedule should fulfill the age
conditions stipulated in subsection (3)of the Section 13
of the Indian Medical Council Act. 1956. With 5 years
experience in Blood Bank with component separator.
Or
M.D. in Blood Transfusion Medicine with 1 year
experience in Blood Bank with component separator
during the PG course
3. Accounts Officer
Pay Level-10 as per 07th CPC, (Grade Pay: 5400/-)
Essential Qualifications:
Essential: Graduate in Commerce with at least 55% in
aggregate, Between 21-
A UR-1
35 Years
Experience: 3 Years experience in Supervisory capacity
in Govt. Organization.
Essential Qualification:
1. A degree in relevant stream of AYUSH from a
Recognized University/ Statutory State Board/Council/
Faculty of Indian Medicine or equivalent recognized
Between 21-
under the relevant council. A 35 years of UR-1
2. Enrolment on the Central Register of that stream in
age
Central or State Register of Indian Medicine.
3. Experience: 03 years clinical and/or teaching
experience in a recognized hospital/teaching institution.
Essential Qualification:
M.A. / M.Sc. in Psychology with M.Phil. in Clinical
Between 21-
Psychology
A 35 years of UR-1
AND
age
At least 2 years' experience in Child & Adolescence
mental health.
Abbreviation used: - UR-Unreserved, EWS- Economically Weaker Section, OBC-Other Backward Class
(Non creamy layer),
Note: -
1. The above vacancies are provisional and subject to variation. The Executive Director, AIIMS, Jodhpur
reserves the right to vary the vacancies including reserved vacancies as per the Govt. of India
rules/circulars and requirements.
2. 4% horizontal reservation is applicable for PwBD category candidates. Reservation will be as per
Government of India Policy.
3. Age and all other qualification will be counted on the last date of submission of application.
4. The period of experience wherever prescribed shall be counted after obtaining the prescribed
qualification.
5. Suitable Category for Persons with Benchmark Disability (PwBD) :- It is informed that above
advertised posts have been defined suitable in accordance with Notification No. 38-16/2020-DD-III,
dated 04th January, 2021, as amended from time to time, and issued by Ministry of Social Justice &
Empowerment
ABBREVIATIONS USED: AAV=Acid Attack Victims, ASD= Autism Spectrum Disorder (M=
Mild), B=Blind, BA=Both Arms, BL=Both Leg, BLA=Both Legs Arms, BLOA=Both Leg & One
Arm, CP=Cerebral Palsy, D=Deaf, Dw=Dwarfism, HH= Hard of Hearing, ID=Intellectual Disability,
LC=Leprosy Cured, LV=Low Vision, MD=Multiple Disabilities, MDy= Muscular Dystrophy, MI=
Mental Illness, OA=One Arm, OAL=One Arm and One Leg, OL=One Leg, SLD= Specific Learning
Disability
6. Note:- Candidate having visual acuity not exceeding 6/60 or 20/200 (Snellen) in the better eye with
correcting lenses & Limitation of the field of vision subtending an angle of 20 degrees or worse will
only be considered against the Blind category.
GENERAL CONDITIONS
1. The posts carry usual allowances as admissible to Central Government Employees of similar status
stationed at Jodhpur, Rajasthan.
2. The aspiring applicants satisfying the eligibility criteria in all respect can submit their application only
through ON-LINE mode. The On-line registration of application will be made available on AIIMS,
Jodhpur official website i.e. http://www.aiimsjodhpur.edu.in. The link for submission of online
applications in respect of above said posts along-with other relevant information will be notified on the
website. No Documents including online application form is required to be sent physically. However, all
the applicants are advised to keep a copy of online application form with them, along with proof of
payment (a Copy of challan /online payment receipt) for their record.
3. The applicants applying in response to this advertisement should satisfy themselves regarding their
eligibility for the post applied for. They must be fulfilling eligibility criteria as on the closing date of
applications failing which their application will be rejected.
4. The candidature of such applicants who fails to complete the online application submission by the
stipulated date and time will not be considered and no correspondence in this regard will be entertained.
5. The Candidate must ensure that their recent Photo and Signature should be clearly visible in
preview at the time of filling of application in online mode. If photo/signature image is displayed
small or not visible in preview on website that means photo/signature is not as per the AIIMS, Jodhpur
prescribed size and in that case, your application will be rejected. The candidate are requested to be careful
while uploading your photo and signature. Both must be visible clearly on Online Application form.
6. The Opening/Closing date of the applications would be notified on the official website only.
7. The last date of online application form will be 20 days from the commencement of online
registration of application of this advertisement.
8. In case a candidate wishes to apply for more than one post, he/she is required to fill in the form separately
through On-line mode only.
9. APPLICATION FEES:
1) General/OBC/EWS Candidates: - Rs.3,000/- (Rupees Three Thousand only).
2) SC/ST/Women/PwBD Candidates - Rs.2400/- (Rupees Two Thousand Four Hundred only)
3) The candidate will be required to pay prescribed application fees, if any through Online Mode Only
via payment gateway of AIIMS, Jodhpur. Transaction/ Processing fee, if any, as applicable will
be payable to the bank by the candidate.
4) Applications without the prescribed fee would not be considered and summarily rejected.
5) Application Fees of SC/ST/Women/PwBD candidates who appear in the Examination/Interview will
be refunded after the declaration of results in due course of time.
6) Application fee, once remitted, shall not be refunded under any circumstances even if rejection of
application due to ineligible for that applied post.
.
S. No. Category Age Relaxation permissible beyond the Upper age limit.
1 SC/ST 5 years
2 OBC 3 years
3 PwBD* 10 years
4 PwBD* + OBC 13 years
5 PwBD*+ SC/ST 15 years
For Group A:-
6. Ex-Servicemen a) Five years subject to the condition that on the closing date for receipt
and of applications the continuous service rendered in the Armed Forces
Commission by an Ex-Serviceman is not less than six months after attestation.
Officers This relaxation is also available to ECOs/SSCOs who have
including completed their initial period of assignment of five years of Military
ECOs/SSCOs Service and whose assignment has been extended beyond five years
as on closing date and in whose case the Ministry of Defence issues
certificates that they will be released within 3 months on selection
from the date of receipt of offer of appointment. Candidates
claiming age relaxation under this para would be required to produce
a certificate in the prescribed proforma to the Commission.
NOTE: Ex Servicemen who have already secured regular
employment under the Central Govt. in a Civil Post are permitted
the benefit of age relaxation as admissible for Ex-Servicemen for
securing another employment in any higher post or service under the
Central Govt. However, such candidates will not be eligible for the
benefit of reservation, if any for Ex-Servicemen in Central Govt.
jobs.
NOTE-I: Ex-servicemen who have already secured employment in civil side under Central
Government on regular basis after availing of the benefits of reservation given to ex-servicemen for
their re-employment are NOT eligible for fee concession or for claiming benefits of reservation under
Ex-servicemen category. However, they are eligible for age relaxation as per rules.
NOTE-II: The period of "Call up Service" of an Ex-Serviceman in the Armed Forces shall also be
treated as service rendered in the Armed Forces for purpose of age relaxation, as per rules.
NOTE-III: For any serviceman of the three Armed Forces of the Union to be treated as Ex-Serviceman for
the purpose of securing the benefits of reservation, he must have already acquired, at the relevant time of
submitting his application for the Post / Service, the status of ex-serviceman and /or is in a position to
establish his acquired entitlement by documentary evidence from the competent authority that he would
complete specified term of engagement from the Armed Forces within the stipulated period of one year
from the CLOSING DATE FOR RECEIPT OF APPLICATION or otherwise than by way of dismissal or
discharge on account of misconduct or inefficiency.
EXPLANATION: An 'ex-serviceman' means a person –
i. Who 'has served in any rank whether as a combatant or non-combatant in the Regular Army, Navy
and Air Force of the India Union, and
ii. Who either has been retired or relieved or discharged from such service whether at his own request
or being relieved by the employer after earning his or her pension; or
iii. Who has been relieved from such service on medical grounds attributable to military service or
circumstances beyond his control and awarded medical or other disability pension; or
iv. Who has been released from such service as a result of reduction in establishment; or
v. Who has been released from such service after completing the specific period of engagement,
otherwise than at his own request, or by way of dismissal, or discharge on account of misconduct or
inefficiency and has been given a gratuity; and includes personnel of the Territorial Army, namely,
pension holders for continuous embodied service or broken spells of qualifying service; or
vi. Personnel of the Army Postal Service who are part of Regular Army and retired from the Army Postal
Service without reversion to their parent service with pension, or are released from the Army Postal
service on medical grounds attributable to or aggravated by military service or circumstance beyond
their control and awarded medical or other disability pension; or
vii. Personnel, who were on deputation in Army Postal Service for more than six months prior to the 14th
April, 1988; or
viii. Gallantry award winners of the Armed forces including personnel of Territorial Army; or
ix. Ex-recruits boarded out or relieved on medical ground and granted medical disability pension.
11. i) PwBD candidates with disabilities mentioned in Section 34 (1) of Rights of Persons with Disability Act,
2016, as identified by the Institute suitable for respective post is mentioned against its name. PWBD are
eligible to apply under this category provided they have benchmark disability of equal to or more than 40%.
Identifications of posts suitable for PwBD as per guidelines of Govt of India.
ii) Candidates who wish to be considered against vacancies reserved/or seek age-relaxation must submit
requisite certificate from the competent authority, in the prescribed format when such certificates are sought
by the Institute. Otherwise, their claim for SC/ST/OBC/PwBD/EWS status will not be entertained and their
candidature/ applications will be considered under General (UR) category. The formats of certificates are
annexed with notice of this Examination from (Annexure-II to Annexure-VIII).Certificate obtained in any
other format will not be accepted. Candidates are warned that they will be permanently debarred from the
examinations conducted by the AIIMS Jodhpur in case they fraudulently claim SC/ST/OBC/EWS/PwBD
status.
iii) Candidates applying under any of the reserved category viz. SC/ST/OBC will be considered subject to
submission of valid Caste certificate on a prescribed format issued by the competent authority. The
vacancies are being advertised in financial year 2024-2025, therefore, OBC –(NCL) certificate issued
during the period from 01.04.2024 to 31.03.2025 will be considered valid. Candidates who have OBC
(NCL) certificate issued before or after this period (i.e. 01.04.2024 to 31.03.2025), will not be considered
valid for this advertisement. Candidates applying under OBC category must produce the valid caste
certificate in the format provided by the DoP&T vide O.M. No. 36036/2/2013-Estt. (Res.) dated 30.05.2014
and further clarification issued by DoP&T OM No. 36036/2/2013- Estt(Res-I) dated 31.03.2016. Certificate
must be valid for employment in Central Government Institutions. OBC candidate’s eligibility will be based
on Castes borne in the Central List of Govt. of India. Their Sub-caste should also match with the entries in
Central List of OBC, failing which their candidature as OBC candidate will not be considered. The OBC
certificate should clearly show that the applicant does not belong to the Creamy Layer.
iv) The vacancies advertised under EWS Category are as per the instructions issued by DoPT, Ministry of
Personnel, Public Grievances & Pension, Govt. of India, vide OM. No. 36039/1/2019-Estt (Res), dated
31.01.2019. Application under EWS category will be considered subject to submission of Income and
Assets certificate on a prescribed format issued by the competent authority and subject to verification of
genuineness of the certificate by the issuing authority. A EWS certificate issued in prescribed format for
employment in Central Government on the basis on income of financial year 2023-2024 issued from
01.04.2024 to 31.03.2025 valid for the year 2024-2025 will be considered valid for this advertisement.
v) Candidates who fail to produce valid category certificate OBC/EWS/SC/ST/PWBD etc during
document verification or as and when required to produce the same, the candidature will be cancelled. All
candidates are advised to obtain required valid category certificate in advance to avoid cancellation
of candidature at any stage of the recruitment process.
vi) Disability Certificate should be issued from the Medical Authority as notified by the Government is
annexed with this notice with (Annexure-VII & Annexure-VIII).
12. Essential Qualification:
As per Ministry of Human Resource Development Notification dated 10.06.2015 published in Gazette of
India all the degrees/diplomas/certificates including technical education degrees/diplomas awarded through
Open and Distance Learning Mode of education by the Universities established by an Act of Parliament or
State Legislature, Institutions Deemed to be Universities under Section 3 of the University Grants
Commission Act, 1956 and Institutions of National Importance declared under an Act of Parliament stand
automatically recognized for the purpose of employment to posts and services under the Central
Government provided they have been approved by the University Grants Commission.
“WARNING”:- Candidates will be short-listed for interview only on the basis of the information
provided by them in their online applications. Documents submitted in support of the claim made in the
online application will be examined only if the candidate is prima facie eligible to be shortlisted on the
basis of information regarding qualifications and experience claimed in the online application, various
reports as per the advertisement and modalities and criteria adopted for shortlisting. Candidates must
ensure that such information is true. If at any subsequent stage or at the time of interview any information
given by them or any claim made by them in their online applications is found to be false, their
candidature will be liable to be rejected.
(iii) A written screening examination will be conducted if the number of candidates is more than 04
times of the number of advertised posts.
(iv) If a written screening examination is conducted, candidates will be shortlisted for the Interview
category-wise in the ratio of 1:4 (vacancies : candidates) based on merit. The final selection will be based
on the Interview.
(v) The scheme of examination & Syllabus for recruitment to the aforesaid posts will be notified on the
website of AIIMS, Jodhpur.
(vi) SC, ST, OBC, EWS and PH candidates, who are selected on their own merit without relaxed
standards, along with candidates belonging to other communities, will not be adjusted against the
reserved share of vacancies. Such SC, ST, OBC, EWS and PwBD candidates will be accommodated
against the general/unreserved vacancies in the post as per their position in the overall Merit List or
vacancies earmarked for their category, whichever is advantageous to them. The reserved vacancies will
be filled up separately from amongst the eligible SCs, STs, OBCs, EWS and PwBD candidates who are
lower in merit than the last general candidate on merit list of unreserved category but otherwise found
suitable for appointment by relaxed standard.
(vii) A person with benchmark disability who qualifies the AIIMS, Jodhpur examination under General
standards can be appointed against a reserved vacancy provided the post is identified suitable for person
with disability of relevant category.
(viii) An Ex-Serviceman or a person with benchmark disability category candidates who qualifies on the
basis of relaxed standards viz. age limit, experience or qualifications, permitted number of chances in
written examination, extended zone of consideration, etc. is to be counted against reserved vacancies and
not against general vacancies subject to fitness of such candidate for selection. Such candidates may also
be recommended at the relaxed standards to the extent the number of vacancies reserved for them, to
make up for the deficiency in the reserved quota, irrespective of their rank in the order of merit. In so far
as cases of Ex-Serviceman are concerned, deduction from the age of Ex- Serviceman is permissible
against the reserved or unreserved posts and such exemption cannot be termed as relaxed standards in
regard to age.
(ix) Success in the examination confers no right of appointment unless Government is satisfied after such
enquiry as may be considered necessary that the candidate is suitable in all respects of appointment to
the service/post.
(x) The candidates applying for the examination should ensure that they fulfil all the eligibility
conditions for admission to the examination. Their admission at all stages of the examination will be
purely provisional, subject to their satisfying the prescribed eligibility conditions. if, on verification, at
any time before or after the written examination, it is found that they do not fulfil any of the eligibility
conditions, their candidature for the examination will be cancelled by the AIIMS, Jodhpur.
Without prejudice to criminal action/debarment from AIIMS Jodhpur examination wherever necessary,
candidature will be summarily cancelled at any stage of the recruitment in respect of candidates found
to have indulged in any of the following:
(i) In possession of mobile phone & accessories and other electronic gadgets within the
premises of the examination centres, whether in use or in switched off mode and on person or
otherwise.
(ii) Involved in malpractices.
(iii) Using unfair means in the examination hall.
(iv) Obtaining support for his/her candidature by any means.
(v) Impersonate/Procuring impersonation by any person.
(vi) Submitting fabricated documents or documents which have been tampered with.
(vii) Making statements which are incorrect or false or suppressing material information.
(viii) Resorting to any other irregular or improper means in connection with his/her candidature
for the examination.
(ix) Misbehaving in any manner in the examination hall with the Supervisor, Invigilator or AIIMS
Jodhpur representatives.
(x) Taking away the Answer Sheet with him/her from the examination hall, or passing it
on to unauthorized persons during the conduct of the examination.
(xi) Intimidating or causing bodily harm to the staff employed by the AIIMS Jodhpur for the
conduct of examination.
(xii) Being ineligible for the examination by not fulfilling the eligibility conditions mentioned in the
notice.
(xiii) Candidature can also be cancelled at any stage of the recruitment for any other ground which
the AIIMS Jodhpur considers to be sufficient cause for cancellation of candidature.
17. Those who are in employment (In Case Govt. Services) must submit a “NO OBJECTION
CERTIFICATE” from the employer at the time of Document Verification and should have to produce
Relieving Certificate from their present employer at the time of joining the Institute.
OTHER INFORMATION FOR THE CANDIDATES
(ii) The period of experience wherever prescribed shall be counted after obtaining the prescribed
educational qualification.
(iii) If required Computer Base Online exam/ Off-line exam will be held in Jodhpur, However, AIIMS
Jodhpur reserves the right to hold examination any other places also.
(iv) The AIIMS Jodhpur reserves the right to cancel a Centre and ask the candidates of that centre to appear
from another centre. AIIMS, Jodhpur also reserves the right to divert candidates of any centre to
someother Centre with the Region or outside to take the examination.
(v) In anticipation of the huge number of applicants, scrutiny of the eligibility criteria etc. may not be
undertaken at the time of examination. Therefore, the application may be accepted provisionally only.
The candidates are advised to go through the requirements of educational qualification, age etc. and
satisfy themselves that they are eligible, before applying. Candidature will be cancelled if any
information or claim is not found substantiated when the scrutiny of documents is undertaken by the
AIIMS, Jodhpur after the Examination. AIIMS, Jodhpur decision shall be final in this regards.
(vi) Candidates, in their own interest, are advised to go through the detailed instruction contained in this
notice, which is also available on the website of the www.aiimsjodhpur.edu.in, carefully before
applying.
(vii) Candidates seeking reservation benefits for SC/ST/OBC/EWS/PwBD/ExS must ensure that they are
entitled to such reservation as per eligibility prescribed in the Notice. They should also be in possession
of the required certificates in the prescribed format in support of their claim as stipulated in this Notice.
OBC and EWS candidates should ensure that they are in possession of valid OBC/EWS Certificate
issued within the due date, issued by the competent authority.
(viii) Central Government civilian employees claiming age relaxation should produce a certificate in the
prescribed format, is annexed with Notice of this examination (Annexure-I) from their office at the
time of Document Verification, in respect of the length of continuous service which should be not less
than three years during the period immediately preceding the closing date for receipt of application.
They should remain Central Government civilian employees till the time of appointment, in the event
of their selection.
(ix) Mobile phone, accessories and other electronic gadgets are banned within the premises of the
examination centres. Possession of such equipment whether in use or in switch off mode, during the
examination will be considered as use of unfair means. Candidature of such candidates will be
cancelled. They will be liable for further action including initiation of criminal proceedings and
debarment from AIIMS, Jodhpur examination, as may be decided by the AIIMS Jodhpur.
(x) Candidates must carry at least one photo bearing Identity Proof in original such as Driving Licence,
Voter Card, Aadhaar Card, Identity Card issued by University/College, Income Tax Pan Card to the
examination centre, failing which they shall not be allowed to appear for the examination
(xi) The post(s) is/are whole time and private practice of any kind is prohibited.
(xii) The Candidate will have to work in shifts and can be posted at any place in the Institute.
(xiii) The Candidate are likely to be posted at rural health and urban centre attached with the institute for the
period to be decided by the Institute as applicable.
(xiv) AIIMS reserves the rights to increase or decrease the number of vacancies.
(xvii) The candidate should not have been convicted by any Court of Law.
(xviii) In case any information given or declaration by the candidate is found to be false or if the candidate
has wilfully suppressed any material information relevant to this appointment, he/she will be liable to
be removed from the service and any action taken as deemed fit by the appointing authority.
(xix) The Competent Authority reserves the right of any amendment, cancellation and changes to this
advertisement as a whole or in part without assigning any reason or giving notice.
(xx) The decision of the competent authority regarding conduct of examination, interview, verification of
documents and selection would be final and binding on all candidates. No representation
correspondence will be entertained in this regard.
(xxi) In case, any rule is not mentioned or there is ambiguity, rules of Central Government will be followed.
(xxiii) Candidates are advised to regularly visit the website for updates & interim queries shall not be
entertained.
SD/-
Senior Administrative Officer
AIIMS, Jodhpur
Annexure-I
(To be filled by the Head of the Office or Department in which the candidate is working).
Signature
Name
Official Seal
Place:
Date:
(Rank) (Name)
Office Seal
Place:
Date:
Annexure-III
(a) I am entitled to the benefits admissible to Ex-Servicemen in terms of the Ex- Servicemen
Re-employment in Central Civil Services and Posts Rules, 1979, as amended from time to
time.
(b) I have not joined the Government job on civil side (including Public Sector Undertakings,
Autonomous Bodies/ Statutory Bodies, Nationalized Banks, etc.) in Group ‘C’ and ‘D’ posts
on regular basis after availing of the benefits of reservation given to ex-serviceman for re-
employment; or
(c) I have availed the benefit of reservation as ex-serviceman for securing Government job on
civil side. I have joined as …………………………….on… ....................................... in the
office of ………………………………………………………… I hereby undertake that I have
submitted the self-declaration/ undertaking to my current employer about date wise detail of the
application for the above mentioned examination for which I had applied for before joining the
present civil employment; or
(d) I have availed the benefit of reservation as ex-serviceman for securing Government job on
civil side. I have joined as …………………………….on… ....................................... in the
office of ……………………………………. Therefore, I am eligible for age- relaxation only;
I hereby declare that the above statements are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being found false or
incorrect at any stage, my candidature/ appointment is liable to be cancelled/ terminated.
Signature: _______________________________________
Name:__________________________________________
Roll Number: ____________________________________
Date: ___________________________________________
Date of appointment in Armed Forces: _________________
Date of Discharge: _________________________________
Last Unit/ Corps: __________________________________
Mobile Number: ___________________________________
Email ID: _________________________________________
Annexure-IV
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/ her 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 Commission 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)
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.
This certificate is issued on the basis of the Scheduled Castes/ Scheduled Tribes certificateissued
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 .
Signature
**Designation
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.
(iv) 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 DIVISIONAL OFFICER
Annexure-V
of village/town
recognized as a backward class under the Government of India, Ministry of Social Justice and
Territory. This is also to certify that he/she does not belong to the persons/sections (Creamy Layer)
mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel &
Training O.M. No. 36012/22/93-Estt (SCT) dated 8.9.1993**.
District Magistrate:
Dated:
Seal:
* The authority issuing the certificate may have to mention the details of Resolution of Government
of India, in which the caste of the candidate is mentioned as OBC.
Note: The term “Ordinarily” used here will have the same meaning as in Section 20 of the
Representation of the People Act, 1950.
Annexure-VI
Government of ...............
(Name & Address of the authority issuing the certificate)
INCOME & ASSEST CERTIFICATE TO BE PRODUCED BY ECONOMICALLY
WEAKER SECTIONS
III Residential plot of 100 sq. yards and above in notified municipalities;
IV Residential plot of 200 sq. yards and above in areas other than the notified
municipalities.
Name
Designation
*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/herspouse 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.
Annexure-VII
Address:- _____________________________________________
I here by certify that the information provided above is true and correct.
Date:- Signature
Filled by Consultant:-
Department:- ___________________________________________
(2) _______________________________
(3) _______________________________
{The application and issuance of the disability certificate is in accordance to the Gazette notification of government
of India {EXTRAORDINARY, PART II Section 3- Sub section (i); nO. 489; New Delhi, Thursday, June 15,
2017/Jyaistha 25, 1939 (REGD. No. D> L. – 33004/99)} AND {EXTRAORDINARY, PART II Section 3- Sub section
(ii): No. 61; New Delhi, Friday, January 05,2018/Pausha 15,1939 (REGD. NO. D. L. – 33004/99)}]
Hospital: ____________________________________________________________________________________
Identifications Mark(s)
(i) ………………………………………………………………………………..
……………………………………………………………………………..
(ii) …………………………………………………………………………
…………………………………………………………………………
Whose photograph is affixed and had applied for disability certificate on dated: ………………………………
Dr………………………….. Dr……………………………..
Signature………………….. Signature…………………….
Member of Medical Board Member of Medical Board
(Subject Expert) (Subject Expert)
Sign/Thumb Impression of
the person whose in favour
Certificate of disability is issued
Counter signed by
Medical Superintendent/CMO/
HOD of Hospital
(With Seal)