Friday, April 20, 2012

267 Lecturer UPPSC Last Date 10-05-2012

Sarkari Naukri Damad India. Latest Upadted Indian Govt Jobs -

Public Service Commission, Uttar Pradesh(UP PSC)
10, Kasturba Gandhi Marg, Allahabad-211018 (UP)

Online applications are invited by UP PSC for  following posts of Lecturers in Government Degree Colleges of U.P. in the various subjects :    
  • Lecturer : 267 posts in various subjects  in Government Degree Colleges of U.P., Pay Scale : Rs. 15600-39100 with Grade pay Rs.6000/-, Age: 21-40 years, age relaxation as per rules.
Application Fee :  The E-Challan will be used to deposit the fee in any of the branches of State Bank of India or Punjab National Bank by the candidate  to pay the fee as under :

1. Unreserved (General) - Rs. 80/-
2. Other Backward Class - Rs. 80/-
3. Scheduled Caste - Rs. 40/-
4. Scheduled Tribe - Rs. 40/-

How to Apply : Online Application in the prescribed  format should be submitted from 10/04/2012 to 10/05/2012 only at

Please visit for all the details, instructions, payment fee details  and online application submission etc. 

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Advertisement No. 1/2012-13                                                                                                                            Date: 10 April, 2012                                                                                                                                                                                                                                           
"SPECIAL NOTICE :  Applications will be accepted only when fee is deposited in the Bank upto prescribed last date for fee submission. If the fee is deposited in Bank after prescribed last date for fee submission, the candidature of the candidate will be rejected and application will not be accepted. Once fee deposited in the Bank will not be refunded to the candidate in any condition. It will be responsibility of the candidate to deposit fee in the Bank upto prescribed last date for fee submission and submit the application upto prescribed last date for submission of applications."
              No certificates/mark sheets are required along with 'On-line application forms'.
This advertisement is also available on the Commission's website The On-line application system is applicable for applying against this advertisement. On-line application may be filled from 10 April, 2012. Application sent through any other mode shall not be entertained. Candidates are advised to apply On-line only. In connection with On-line application, candidates are advised to:-
1. Go through thoroughly the directions given in Appendix-1 and apply accordingly.
2. When the candidate clicks "ALL NOTIFICATION/ ADVERTISEMENT DETAILS" on the Commission's website the following two options shall be available:-
1. On-line advertisement.
2. Off-line advertisement.
"On-line advertisement" shall automatically display the list of all advertisements, wherein On-line application system is available. The candidate may click "View Advertisement" to see the desired advertisement. By doing so, the full advertisement will   display. Now, the clicking of "Apply" will provide full details post wise of the advertisement against the post/exam for which a candidate wants to apply. The candidate Registration should be clicked, there upon the format will appear on the screen, in which the candidate will fill in the desired information. The specimen is given at Appendix-2 of the displayed advertisement where "On-line Application" procedure  is mentioned, such advertisement will remain available on the website of the Commission from the date of the commencement of the filling of the application form upto the last date for application submission. The applicants shall thoroughly study the advertisement and fill the application On-line for examination/post in which they are interested.
3. The work relating to On-line filling shall involve three stages:-
First Stage:- On the specified website of the Commission, the Candidate shall click 'Candidate's Registration' and fill in On-line  information in the format and register himself. Thereafter, the candidate shall print the Registration slip and take a copy of the same to preserve with him. The specimen of the Registration slip is available at the Appendix-3. Also, get an E-Challan print out of the State Bank of India or Punjab National Bank, the specimen of which are given at  Appendix-4 and Appendix-5 respectively. This may be noted that at the next stage of filling the application, the applicant shall be required to enter correctly the Registration Number at the specified space.
Second Stage:- Along with E-Challan (from the first stage the name of the Bank selected by the candidate is printed on the Challan), the candidates will deposit the prescribed amount with  E-Challan by himself in  any branch of the bank in any district and receive a copy of the same from the Bank, which will be preserved by the candidate. The Bank will indicate Transaction ID / Journal No. and date in the copy of the E-Challan returned to the candidate which will be used by the candidate at the Third Stage, while filling in the applications.
Third stage :- After depositing the fee in the Bank, the candidate two day after on the next working day (after 2.00 pm) shall enter information On-line in the format, available in Commission's website by clicking “Submit Application Form”. Also the photo and signature, duly scanned shall be uploaded, The specimen of the same is given at Appendix-6.
The candidate should scan his photograph and signature in the prescribed size (the size will be mentioned at the specified spot in the On-line application). This should also be kept in notice that the photo should be latest passport size. In case the photo and  signature, scanned in the prescribed size, are not uploaded, then the On-line system will not accept it. The procedure related to scanning of the photo and signature  is laid down in the Appendix-7. After filling in all entries in the format, the candidate may click “View application form” to see for himself that all entries and informations are correctly entered and after satisfying himself should click "Submit" to forward the same  to the  Commission. It is essential that the candidate should fill all informations On-line correctly according to the directions given and click the 'Submit' button by the last date prescribed for depositing the application form. If the candidate does not click the "Submit" button, the application shall not reach the Commission. The candidate shall be accountable for this. After clicking the 'Submit' button, the candidate may take a print-out of the application to preserve it with himself. In the event of any discrepancies, the candidate will be required to submit the said print-out in the office of the Commission. Otherwise his request shall not be entertained.
4. The Application once submitted, will not be allowed to be modified.
5. Application Fee : After filling in the Candidates 'Registration'  format of the On-line application, the candidate shall procure the print-out of the E-challan in duplicate. The E-Challan will be used to deposit the fee in any of the branches of State Bank of India or Punjab National Bank by the candidate according to his category. The fee will not be allowed to be deposited by any other mode except E-Challan. The above fee, according to the category, is as under:-
1. Unreserved (General)     -Rs. 80/-
2. Other Backward Class    -Rs. 80/-
3. Scheduled Caste             -Rs. 40/-
4. Scheduled Tribe              -Rs. 40/-
5. Dependants of the           -According to the original category                   
Freedom Fighters                                mentioned from Sl. Nos. 1 to 4.
6. Handicapped                   -NIL
7. Ex-Serviceman                                 -According to the original category                                                     
 mentioned from Sl. Nos. 1 to 4.
8. Women                             -According to the original category
                                                mentioned from Sl. Nos.1 to 4.
6. If the claims of the candidates given in their applications are not found true, they can be debarred from all the future examinations and selections made by the Commission including other appropriate penalties.
7. If the candidates want some correction or change in their submitted applications, they can submit another fresh complete applications with desired corrections alongwith prescribed fee within the last notified dates of the advertisement. The application fee deposited with the prior application will neither be returned nor adjusted in any condition.
Applications are invited against following posts from the candidates. Number of posts may increase or decrease.  
Selection through direct recruitment for the post of Lecturers in Government Degree Colleges of U.P. in the following subjects, Nature of the post- Gazetted/Temporary but likely to be permanent, Pay Band Rs. 15,600-39,100 with Grade pay Rs. 6000/-, Age: 21-40 years (Age relaxation as per rules).
S.           Subject                   Deptt.     Total                       General  O.B.C.     S.C. Of                    S.T. of
No.                                          No.        Vacancies                                              of U.P.                    U.P.        
1            2                              3              4                              5              6              7                              8
1.           Economics             S-3/12     11                            10            -               01                            -
2.           History                    S-3/13     13                            07            04            02                            -
3.           Ancient                   S-3/14     03                            01            01            01                            -
4.           English                   S-3/15     17                            13            02            02                            -
5.           Maths                      S-3/16     14                            08            05            01                            -
6.           Home                      S-3/17     05                            02            01            02                            -
7.           Zoology                 S-3/18     14                            05            07            02                            -
8.           Philosophy            S-3/19     08                            04            02            01                            01
9.           Geography            S-3/20     08                            05            02            01                            -
10.         Physics                  S-3/21     14                            07            04            02                            01           
11.         Psychology           S-3/22     03                            01            02            -                               -
12.         Chemistry               S-3/23     17                            10            04            02                            01
13.         Political                  S-3/24     19                            13            04            02                            -
14.         Botany                    S-3/25     16                            08            04            05                            01
15.         Commerce              S-3/26     21                            12            04            03                            -
16.         Education                               S-3/27     01                            01            -               05                            -
17.         Sociology                              S-3/28     14                            10            03            -                               -
18.         Statistics                 S-3/29     03                            02            01            01                            -
19.         Defence                  S-3/30     04                            02            01            -                               -
              Studies or
              Military Science
20.         Music(vocal)          S-3/31     01                            01            -               -                               -
21.         Sanskrit                  S-3/32     15                            08            05            02                            -
22.         Hindi                       S-3/33     25                            15            06            03                            01
23.         Urdu                        S-3/34     02                            02            -               -                               -
24.         Agriculture              S-3/35     04                            02            02            -                               -
25.         Drawing                  S-3/36     01                            01            -               -                               -
26.         B-Ed.                       S-3/37     09                            05            02            -                               02
27.         Physical                 S-3/38     03                            01            02            -                               -
28.         Computer                               S-3/39     01                            01            -               -                               -
29.         Micro                      S-3/40     01                            01            -               -                               -
               Total                                      267                          158          68            34                            07

Note:- The Horizontal reservation on subject wise vacant posts will be given according to rules.
Essential Qualifications:-
(A) For the post of Lecturers (other than Lecturer, B.Ed. and Physical Education).
   1- Good academic record with atleast 55% of the marks, or an equivalent grade of "B" in the 7 point scale with letter grades O,A,B,C,D,E and F at the Master's Degree level in the relevant subject from an Indian University or an equivalent Degree from a Foreign University.
2- Have cleared NET in the relevant subject or U.G.C. accredited SLET of Uttar Pradesh in the relevant subject or SLET in the relevant subject conducted by the other States of India prior to June, 2002.
(B) For the post of Lecturer (B.Ed.):-
   1- Good academic record with atleast 55% marks in the Degree of Master of Education (M.Ed.) or an equivalent grade "B" in 7 point scale.
   2- A Post Graduate Degree in any School subject.
   3- Have cleared NET or SLET of Uttar Pradesh in the relevant subject or SLET in the relevant subject conducted by the other States of India prior to June, 2002.
(C) For the post of Lecturer (Physical Education):-
   1- Good academic record with atleast 55% of the marks in Physical Science three years course or Post Graduate Degree in Games and Sports or equivalent 'B' Grade in 7 point scale of U.G.C..
   2- Have represented University or Degree College in Inter   University Or Inter Collegiate Games / Sports Tournament or represented State team in National Tournament of Games and Sports.
   3- Have certificate of Physical Fitness.
   4- Have cleared NET or equivalent U.P. State Level Eligibility Test (SLET) in relevant subjects.
Note:- In reference of posts as mentioned above in category A,B & C to clear NET or SLET shall remain compulsory requirement for appointment as Lecturer. However the candidates having Ph.D. Degree in the concerned subject are exempted from NET or SLET. The candidates having M.Phil Degree in the concerned subject are exempted from NET or SLET but they are eligible for teaching to U.G. Level only.
(1) A relaxation of 5% shall be admissible from 55% to 50% of the marks at the Master's level for SC/ST Category.
(2) A relaxation of 5% shall be admissible from 55% to 50% of the marks to the Ph.D. Degree holders who have passed their Master's Degree prior to 19   September, 1991.
(3) A relaxation of the minimum marks at the P.G. level from 55% to 50% for appointment as Lecturer shall be adimssible to the candidates who have cleared the JRF examination conducted by the UGC/CSIR only prior to 1989.
(4) A relaxation of the minimum marks at the P.G. level from 55% to 50% for those candidate who are Physically/Visually   handicapped.
(5) Grade 'B' in seven point scale with letter grades O,A,B,C,D,E, and F shall be regarded as equivalent to 55% where ever the grading system is followed.
(6) Good academic record is defined as under:-
      A minimum 50% marks in the relevant Bachelor's Degree. However, a relaxation of Maximum 5% marks shall be admissible to such candidates who belong to SC/ST or Physically/Visually handicapped category.
(7) For the post of Lecturer (History) mentioned at serial No.2, such candidates will be eligible who have Master Degree in Medieval and Modern History.
Note:- The above selection through direct recruitment shall be made by the Commission on the basis of Interview. However the Commission will hold a screening test to shortlist the candidates for Interview. A separate press communique will be issued for Screening Test regarding programe and syllabus etc.
Last Date for the Receipt of Application Fee in the Bank : 07 May, 2012
Closing Date for Receipt of Applications  will be : 10 May, 2012
1. The candidate must carefully study the detailed advertisement and may apply for the post only when he is eligible for the concerned post.
2. In no circumstances, applications shall be accepted after the last prescribed date and time. Applications found without requisite information’s and without photograph and signature, even when received in time, will be summarily rejected.
3. The knowledge of Hindi is essential.
4. The date of calculation of age (except where indicated  otherwise) is 01 July, 2012. The maximum age-limit shall be relaxable by five years for the candidates belonging to Scheduled Caste, Scheduled Tribe, Other Backward Class and dependants of the Freedom Fighters of U.P.. In case of ex-servicemen, the 3 years relaxation is extra admissible in the maximum age limit in addition to total length of Military Service. It is essential to be  retired from army upto the last date for receipt of application. For the physically handicapped persons (If post reserved), relaxation in age of 15 years will be admissible according to Government Order.
5. After receipt of application in the Commission, any request for change in the qualification and category will not be entertained.
6. Minimum educational qualification is not sufficient for being called for interview. Mere eligibility does not entitle a candidate to be called for interview or for selection. Intimation for interview will be sent later on.
7. In case of large number of applicants for the post / posts, the Commission may hold screening test, which will be communicated in due course of time.
8. The original certificates are required for verification at the time of inter view. Candidate will then also be required to submit his   passport size photograph attested by his head of department or head of the institution, where he received last education or by a Gazetted Officer.
9. Candidates serving under Central or State Government will have to produce "NO OBJECTION CERTIFICATE" from their employer at  the time of Interview.
10. The decision of the Commission as to the eligibility or otherwise of a candidate will be final.
11. The candidate coming under the reserved category, desiring benefit of the reservation, must indicate in the prescribed column of the on-line application the category/sub category (one or more than one) whatever may be, and if they fail to do so, they will be treated like a general candidate and the benefit of reservation will not be admissible to them.
12. Till the last date and time of the submission of the on-line application, it is must to click the 'Submit Button'. The candidate must take a print out of the application duly filled in and keep it safe and secure. In the event of any discrepancy, the candidate will be required to submit the print-out to the office of the Commission otherwise the request of the candidate shall not be entertained.
13. With regard to claims made in the 'On-line Application', the candidate shall submit the following original certificate/certificates in the prescribed format, when asked for by the Commission. If the certificates are not submitted in time, the candidature shall be treated cancelled.
13.1 Higher Secondary/ High School Certificate for proof of the age.
13.2 Proof of degree / diploma or its equivalent qualifications to confirm the prescribed essential and preferential qualifications.
13.3 In case of physically handicapped candidates, the certificate issued by the competent authority in the format-1 to the   Government Order No. 18/1/2008-Ka-2-2008 dated 3rd February 2008.
13.4 In case of the skilled players of the classified sports, a certificate issued by the competent authority will be required in terms of the Government Order No. – 22/21/1983-Ka-2 dated 28th November 1985.
13.5 Under any reserved category/categories, for the confirmation of the claim for reservation, The caste certificate issued by District Magistrate/Additional District Magistrate (Executive)/City Magistrate/ SDM/Tehsildar in the prescribed format prescribed under Govt.    Order No. 22/16/92-TC-III/ Ka-2/2002 dated 22nd October, 2008 in respect of candidates belonging to the SC / ST / OBC.
13.6 Those candidates, willing to take the benefit of the  reservation may obtain a certificate, issued by the competent authority, insupport of the reserved category, in the prescribed format printed in this detailed advertisement and submit the same to the  Commission, whenever required to do so. Those claiming more than one reserved category will be given only one such concession, which will be more beneficial. The candidates not originally domiciled in U.P. belonging to SC, ST, O.B.C., dependants of  freedom fighters, handicapped, Ex-servicemen and women are not entitled to benefit of  reservation. Such candidates will be treated in general category. In case of the women candidates, the certificate issued from father side will be treated valid.
14. The Commission do not advise to candidates about their eligibility. Therefore, they should carefully read the advertisement and when satisfied about their qualifications in terms of the advertisement, then only apply.
15. In the category of dependants of the freedom fighters only sons, daughters, grand-sons (son's son) and  grand daughter are covered. Only such relationships with the freedom fighters are not adequate but the candidate should remain actually dependant of the freedom fighter. Drawing the attention of the candidates towards Govt. orders dated 22.01.1982, 08.03.1983 and Govt. Order No. 3014, Personnel-2, 1982 dated 18.10.1982 read with Govt. Order No. 6/1972 Personnel-2, 1982 dated 15.01.1983, it is advised that now the candidates may obtain the reservation, certificate from the District Magistrate in terms of Govt. Order No. 4/3/82-Ka-2-97 dated 26.12.1997 in the prescribed format and submit the same.
16. In the event of involvement of a candidate in the concealment of any important information, pendency of any case / criminal case, conviction, more than a husband or wife being alive,  submission of facts in a distorted manner, canvassing for selection etc. The Commission reserves the right to reject the candidature and debar from appearing in the examinations and selections.
17. The change of address intimation may be sent immediately to the Commission. In order to make any correspondence with the  Commission, it is essential to mention the name of the post  applied for, advertisement number, Deptt. No., date of birth and registration number.
18. In case the candidates face any problem in the "On-line Application" they may get their problem resolved by contacting over phone or Website clicking 'Contact us'. A separate detailed notice in this regard will be published.
Appendix-1 "Detailed instructions to fill in the On-line Applications". The specimens at Appendix 2 to 6 are given for the purpose of making the candidates familiar with the procedure.
1. Log on to access the home page of the “Candidate Segment”.
2. Before filling up the form candidates are advised to carefully go through the Relevant Notification published in the News Papers and also available in the “All Notification/Advertisement” in Candidate segment page.
3. Place the mouse over the “All Notification/Advertisement” menu to view details of notifications with respect of vacancies/post.
4. Click on “All Notification / Advertisement” link would take you to the list of all the active Notifications, where you can select to apply for any of the listed notification by clicking on the link “Apply” against each notification.
5. Click on “Apply” button it will open option “Candidate Registration”.
              For Part-I Candidate Registration process you have to click on “Candidate Registration” option it will fetch out Candidate Basic Registration page in which the candidates have to fill fundamental information, particulars and details asked for. All pink fields are mandatory and essential to be filled in by the candidate. Every field has clear instructions for filling up are written which should be carefully read and strictly followed by the candidates while filling up the form.
6. Read User guidelines carefully using “User Instruction” option.
              The Application submission of form is divided into two options namely ”Candidate Registration” and “Submit Application Form”.
Part -1
7. Now click on “Candidate Registration” option to accomplish 1st part of form submission.
Candidate Basic Registration Form:
              Here the system asks for Candidate's Personal Information including 'Name', 'Father's/husband name', 'U.P. Domicile', 'Category', 'DOB', Gender, 'Marital status', 'Contact no', email, Qualification details, and other relevant information.
              After entering verification code Click on “Submit” button at bottom of the page, the second page that will display your  Registration Slip where you can find your 11 digit registration  number with detail that you can also take print for future  reference.
[The candidates are supposed to fill in the Payment Details while filling up Part-II of the On-line Application Submission.]
8. After Completion of PART-I Registration. You have to go through via “Generate E-Challan” and “Submit Application Form” options to complete Part-II portion.
              Click on “Generate E-Challan” button in candidate segment it will opens-up a page and ask for Candidate Registration Number and Bank Name to Generate E-Challan.
              When candidate provide valid information, then click on  “Generate E-Challan” button it will generate Bank Challan with respective of bank that you have to deposit in bank and they will give you candidate Challan Copy with transaction date and number for further proceeding.
              [The candidates may however note that Application would be treated as incomplete and rejected unless accompanied with Part-II Application Form submission.]
Part -2
9. Click on “Submit Application Form” would take you to the 2nd part of the online application.
10. Now to complete online application submission you just click on “Submit Application Form” in Candidate Segment Page.
              Clicking on “Submit Application Form” button it will opens-up a page and ask for Candidate Registration Number, Fee details, Scanned photograph with signature and some your personnel details that you filled during registration process. And click on submit button & you will be moved on next page where you can fill all information to complete form submission.
              [Here the candidate is required to upload the images of recent Photograph and Signature Specimen. Images to be uploaded should be only in .jpg, .jpeg, .gif, .tif, .png format of size not exceeding 50 KB.]
              # the candidate should scan his signature, which has been put on white paper using Black Ink pen with his/her photograph.
Detailed Application Form:
              At the top of the page there is a 'Declaration' for the candidates. Candidates are advised to go through the contents of the Declaration carefully. Candidate has the option to either agree or disagree with the contents of Declaration by clicking on  'I Agree' or 'I do not agree' buttons. In case the candidate opts to disagree, the application will be dropped and the procedure will be terminated. Accepting to agree only will submit the candidate's Online Application.
Notification Details
              This section shows information relevant to Notification i.e. Notification number, selection type, directorate/department name and post name.
Personnel Details
              This section shows information about candidate personnel  details i.e. Registration Number, candidate name, Father/ Husband name, Gender, DOB, UP domicile, Category, Marital    status, email and contact number.
Other Details of candidate
              Other details of candidate shows the information details about UP Freedom Fighter, Ex Army, service duration and your physical challenges.
Education & Experience Details
              It shows your educational and experience details
Candidate address, photo & signature details
              Here you will see your complete communication address and photo with your signature.
Declaration segment
              At the bottom of the page there is a 'Declaration' for the candidates. Candidates are advised to go through the contents of the Declaration carefully.
              After filling all above particulars there is provision for preview your detail before final submission of application form on clicking on  “Preview” button.
              Preview page will display all facts/particulars that you have mentioned on entry time if you are sure with filled details then click on “Submit” button to finally push data into server with successfully submission report that you can print.
              Otherwise using “Back” button option you can modify your details.
11. On clicking “View Application status” option in Candidate Segment page you can see current status of candidate.
12. On clicking “Result” option in Candidate Segment page candidate can see result status of periodically.
13. “Interview/Exam Schedule” option in Candidate Segment page candidate can see Interview and examination schedule details periodically.
14. On clicking “Key Answer Sheet” candidate can download key  answer sheet.
15. On clicking “Admit Card/Hall Ticket” candidate can download their Admit Card using with some basic credential of candidate.
16. On clicking “List of Rejected Candidate” candidate can view Rejected candidate list.
17. On clicking “Syllabus” candidate can view syllabus of particular examination.
              [Candidates applying online need NOT send hard copy of the Online Application filled by them online or any other document/             certificate/testimonial to the Uttar Pradesh Public Service Commission. However they are advised to take printout of the Online Application and retain it for further communication with the UPPSC.] [The Candidates applying for the examination should ensure that they fulfill all eligibility conditions for admission to  examination. Their admission at all the stages of the examination will be purely provisional subject to satisfying the prescribed eligibility conditions.] UPPSC takes up verification of eligibility conditions with reference to original   documents at subsequent stages of  examination process.
LAST DATE FOR RECEIPT OF APPLICATIONS : On-line  Application process must be completed (including filling up of   Part-I and Part-II of the Form) before last date of form submission  according to Advertisement, after which the web-link will be disabled.

Appendix-7 The Procedure relating to upload Photo & Signature. Guide Lines for Scanning Photograph with Signature
1.  Paste the Photo on any white paper as per the above required dimensions. Sign in the Signature Space provided. Ensure that the signature is within the box.
2.  Scan the above required size containing photograph and signature. Please do not scan the complete page.
3.  The entire image (of size 3.5 cm by 6.0 cm) consisting of the photo along with the signature is required to be scanned, and stored in * .jpg, .jpeg, .gif, .tif, .png format on local machine.
4.  Ensure that the size of the scanned image is not more than 50 KB.
5.  lf the size of the file is more than 50 KB, then adjust the settings of the scanner such as the DPI resolution, no. colours etc., during the process of scanning.
6.  The applicant has to sign in full in the box provided. Since the signature is proof of identity, it must be genuine .and in full; initials are not sufficient. Signature in CAPITAL LETTERS is not permitted.
7.  The signature must be signed only by the applicant and not by any other person.
8.  The signature will be used to put on the Hall Ticket and wherever necessary. If the Applicant’s signature on answer script, at the time of the examination, does not match the signature on the Hall Ticket, the applicant will be disqualified.
Sample Image & Signature :-

0प्र0 की अनुसूचित जाति तथा अनुसूचित जनजाति के लिये जाति प्रमाण-पत्र (प्रारुप-।।)
प्रमाणित किया जाता है कि श्री/श्रीमती/कुमारी.............................सुपुत्र/सुपुत्री श्री...................निवासी ................. ग्राम .................... तहसील................ नगर................जिला............................ उत्तर प्रदेश राज्य की......................... जाति के व्यक्ति हैं जिसे संविधान (अनुसूचित जाति) आदेश, 1950 (जैसा कि समय-समय पर संशोधित हुआ)/संविधान (अनुसूचित जनजाति, उत्तर प्रदेश) आदेश, 1967 के अनुसार अनुसूचित जाति/ अनुसूचित जनजाति के रूप में मान्यता दी गई है।
श्री/श्रीमती/कुमारी................................ तथा/अथवा उनका परिवार उत्तर प्रदेश के ग्राम.......................... तहसील.................... नगर................................. जिला................................. में सामान्यतया रहता है।
स्थान .........................                                                              हस्ताक्षर.............................
दिनांक .......................                                                              पूरा नाम.............................
मुहर ...........................                                                              पद नाम.............................
जिलाधिकारी/अतिरिक्त जिलाधिकारी/सिटी मजिस्ट्रेट/परगना मजिस्ट्रेट/तहसीलदार/अन्य वेतन भोगी मजिस्ट्रेट, यदि कोई हो/जिला समाज कल्याण अधिकारी।
उत्तर प्रदेश के अन्य पिछड़े वर्ग के लिए जाति प्रमाण-पत्र (प्रारुप-)
प्रमाणित किया जाता है कि श्री/श्रीमती/कुमारी..................................सुपुत्र/सुपुत्री ......................... निवासी..................... तहसील....................नगर...... जिला...................... उत्तर प्रदेश राज्य की...................................पिछड़ी जाति के व्यक्ति हैं। यह जाति 0प्र0 लोक सेवा (अनुसूचित जातियों, अनुसूचित जनजातियों और अन्य पिछड़े वर्गों के लिये आरक्षण) अधिनियम, 1994 (यथासंशोधित) की अनुसूची-एक के अन्तर्गत मान्यता प्राप्त है।
यह भी प्रमाणित किया जाता है कि श्री/श्रीमती/कुमारी...................पूर्वोक्त अधिनियम, 1994 (यथासंशोधित) की अनुसूची-दो जैसा कि 0प्र0 लोक सेवा (अनुसूचित जातियों, अनुसूचित जनजातियों और अन्य पिछड़े वर्गों के लिये आरक्षण) (संशोधन) अधिनियम, 2001 द्वारा प्रतिस्थापित किया गया है एवं जो 0प्र0 लोक सेवा (अनुसूचित जातियों, अनुसूचित जनजातियों और अन्य पिछड़े वर्गों के लिये आरक्षण) (संशोधन) अधिनियम, 2002 द्वारा संशोधित की गयी है, से आच्छादित नहीं है। इनके माता-पिता की निरंतर तीन वर्ष की अवधि के लिये सकल वार्षिक आय पाँच लाख रुपये या इससे अधिक नहीं है तथा इनके पास धनकर अधिनियम, 1957 में यथा विहित छूट सीमा से अधिक सम्पत्ति भी नहीं है।
श्री/श्रीमती/कुमारी....................................... तथा/अथवा उनका परिवार उत्तर प्रदेश के ग्राम.................. तहसील.................. नगर........................ जिला........................ में सामान्यतया रहता है।
स्थान ..........................                                                              हस्ताक्षर.............................
दिनांक .......................                                                              पूरा नाम.............................
मुहर ...........................                                                              पद नाम.............................
जिलाधिकारी/अतिरिक्त जिलाधिकारी/सिटी मजिस्ट्रेट/परगना मजिस्ट्रेट/तहसीलदार।

Certificate No................................                                                                                                         Date ........................
Recent photograph
of the candidate showing the disability duly attested by the Chairperson of the Medical Board

This is certified that Shri/Smt/Kum...................................................................................................................
son/wife/daughter of Shri............................................................................................age......................
sex................identification mark (S) suffering from permanent disability of following category:
    A.       Locomotor or cerebral palsy:
                    (i) BL-Both legs affected but not arms.
                    (ii) BA-Both arms affected
                                                (a) Impaired reach
                                (b) Weakness of grip
                    (iii) BLA-Both legs and both arms affected
                    (iv) OL-One leg affected (right or left)
                                (a) Impaired reach
                                (b) Weakness of grip
                                (c) Ataxic
                    (v) OA-One arm affected
                                (a) Impaired reach
                                (b) Weakness of grip
                                (c) Ataxic
                    (vi) BH-Stiff back and hips (Cannot sit or stoop)
                    (vii) MW-Musculer weakness and limited physical endurance.
    B.       Blindness or Low Vision:
                    (i) B-Blind
                    (ii) PB-Partialy Blind
    C.            Hearing impairment:
                    (i) D-Deaf
                    (ii) PD-Partialy Deaf
                    (Delete the category whichever is not applicable)
2.  This condition is progressive/non-progressive/likely to improve/not likely to improve. Re-assessn of this case is not                                                                                                                                         recommended/isrecommended after a period of......................year..........................months.
    3. Percentage of disability in his/her case is.................percent.
    4. Sh./Smt./Kum. .................................................................meets the following physical requirements discharge of his/her duties:
                                                                                (i) F-can perform work by manipulating with figers.                                          Yes/No
                                                                                (ii) PP-can perform work by pulling and pushing.                                            Yes/No
                                                                                (iii) L-can perform work by lifting.                                                       Yes/No
                                                                                (iv) KC-can perform work by kneeling and crouching.                     Yes/No
                                                                                (v) B-can perform work by bending.                                                   Yes/No
                                                                                (vi) S-can perform work by sitting.                                                      Yes/No
                                                                                (vii) ST-can perform work by standing.                                                              Yes/No
                                                                                (viii) W-can perform work by walking                                                 Yes/No
                                                                                (ix) SE-can perform work by seeing.                                                   Yes/No
                                                                                (x) H-can perform work by hearing/speaking.                                   Yes/No
                                                                                (xi) RW-can perform work by reading and writing.                                           Yes/No

(Dr. ......................)                                  (Dr. ......................)                                                 (Dr. ......................)        
         Member                                               Member                                                                   Chairperson  
   Medical Board                                     Medical Board                                                           Medical Board
                                                                                                                                                Countersigned by the
                                                                                                                                                Medical Superintendent/CMO/HQ
                                                                                                                                                Hospital (with seal)

 *Strike out which is not applicable.


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