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Parliament of India
(Joint Recruitment Cell)
Lok Sabha Secretariat
Advt. No.1/2013
Applications are invited from eligible Indian citizens for filling up vacancies for the following posts in Lok Sabha Secretariat :
Applications are invited from eligible Indian citizens for filling up vacancies for the following posts in Lok Sabha Secretariat :
- Executive/ Legislative/ Committee/ Protocol Assistant : 09 posts, Pay Scale : Rs. 9300 - 34800 Grade Pay Rs. 4600 , UPPER AGE LIMIT: 27 years.
- Security Assistant Grade-II (Technical) : 52 posts, Pay Scale : Rs. 9300 - 34800 Grade Pay Rs. 4200, UPPER AGE LIMIT: 27 years.
- Security Assistant Grade-II (to be filled from amongst Ex-Servicemen) : 02 posts, Pay Scale : Rs. 9300 - 34800 Grade Pay Rs. 4200, UPPER AGE LIMIT: 45 years
- Junior Library Assistant : 15 posts, Pay Scale : Rs. 9300-34800 Grade Pay Rs. 4200
- Junior Clerk : 23 posts, Pay Scale : Rs. 5200 - 20200 Grade Pay Rs. 2400, UPPER AGE LIMIT: 27 years
The last date for receipt of applications is 15/03/2013. (7 days more for candidates from far-flung areas)
Complete information along with application format is available at http://164.100.47.132/JRCell/Module/Notice/newAdvt.1-2013.pdf
Published at http://sarkari-damad.blogspot.com (Click on the Labels below for more similar Jobs)
Advt. No.1/2013
PARLIAMENT OF INDIA
(JOINT RECRUITMENT CELL)
Applications are invited from eligible Indian citizens to fill up the vacancies for the following
posts in Lok Sabha Secretariat:
Sl.
No.
Name of post and pay scale Vacancies
UR OBC SC ST
Total
1. Executive/Legislative/Committee/Protocol Assistant
Rs. 9300-34800 (PB-2)+Grade Pay:Rs. 4600
09 03 01 01 14
2. Security Assistant Grade-II (Technical)
Rs. 9300-34800 (PB-2)+Grade Pay:Rs. 4200
[
42 06 03 01 52
3. Security Assistant Grade-II (to be filled from
amongst Ex-Servicemen*)
Rs. 9300-34800 (PB-2)+Grade Pay:Rs. 4200
[
00 00 00 02 02
4. Junior Library Assistant
Rs. 9300-34800 (PB-2)+Grade Pay:Rs. 4200
[
11 04 00 00 15**
5. Junior Clerk
Rs. 5200-20200 (PB-1)+Grade Pay:Rs. 2400
20 01 02 00 23**
(12 Eng. &
11 Hindi)
[*Ex-Serviceman means a person who has served in any rank whether as a combatant or non-combatant in the regular
Army, Navy, Air Force of the Indian Union, and:
(a) who retired from such service after earning his/her pension. This would also include persons who are
released/retired at their own request after having earned their pension; or
(b) who has been released, otherwise than on his own request from such service as a result of reduction
in establishment; or
(c) 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.]
** One vacancy reserved for Physically Handicapped Persons (Visual Impairment)
2. QUALIFICATIONS & EXPERIENCE:
POST No.1: Executive/Legislative/Committee/Protocol Assistant
QLFNS: Bachelor's degree in any discipline from a recognised university.
Desirable: Certificate in computer course recognised by All India Council for Technical
Education (AICTE)/ Department of Electronics Accreditation of Computer Courses
(DOEACC) or courses equivalent to ‘O’ Level in terms of syllabus and duration of course
as prescribed by DOEACC.
UPPER AGE LIMIT: 27 years.
POST No. 2: Security Assistant Grade-II (Technical) - Bachelor's degree in Science
from a recognised university OR Bachelor’s degree in Engineering with specialisation in
Electronics or Communication or Computer Science from a recognised university OR
Three year diploma in Computer Science/Computer Engineering/Electronics &
Communication recognised by a university/AICTE.
Physical Standards: Male Height-167.5 cms. (relaxable by 2.4 cms. in case of
Hill area residents), Chest-76.5 cms. to 81 cms. Female Height -154.6 cms.
(relaxable by 2.4 cms. in case of Hill area residents). Vision - 6/12 in both
eyes without glasses. The candidates must not have squint in eyes and
should posses high colour vision. They should also be free from physical
defect, deformity and diseases.
Desirable: 'C' Certificate in NCC or sportsmen of distinction who have
represented a State or the Country at the National or International level or who
have represented a University in recognised inter-university tournament.
UPPER AGE LIMIT: 27 years.
POST No. 3: Security Assistant Grade-II - To be filled from amongst Ex-Servicemen
possessing qualification of Intermediate (Class XII) from a recognised Board and
possessing experience/training in handling and operation of Arms and also well versed in
all types of chores concerned with anti-sabotage checks, area sanitization, CCTV
operation and other security related ground duties.
Preference will be given to persons possessing Bachelor’s degree in any discipline.
UPPER AGE LIMIT: 45 years. (No further age relaxation mentioned in this advertisement
will be given.)
Note: The candidates must furnish self-attested copies of certificates/documents as proof
of possessing the prescribed/required experience/training.
POST No. 4: Junior Library Assistant - Bachelor’s degree in Library Science from a
recognised university.
Desirable: Certificate in computer course recognized by AICTE/DOEACC or courses
equivalent to 'O' Level in terms of syllabus and duration of course as prescribed by
DOEACC
UPPER AGE LIMIT: 27 years.
POST No. 5: Junior Clerk - Bachelor’s degree in any discipline from a recognised
university and a minimum typing speed of 40 words per minute in English/Hindi stream.
Preference will be given to persons having typing speed of 40 words per minute both in
English and Hindi.
Desirable: Certificate in computer course recognized by AICTE/DOEACC or courses
equivalent to 'O' Level in terms of syllabus and duration of course as prescribed by
DOEACC.
UPPER AGE LIMIT: 27 years.
3. SELECTION PROCEDURE:
Eligible candidates will have to appear in written examination/trade
test/personal interview as per the following scheme:
3.I.A Preliminary examination for post nos.1, 4 and 5:
Subject Marks Time
Part-A
Part-B
General Knowledge & Current Affairs
General English
(50 multiple choice objective type questions in each part.)
50
50
50
minutes
The marks secured by the candidates in this paper will not be counted while
preparing the final selection list. Only those candidates who obtain the minimum
qualifying marks in each component and aggregate in the Preliminary Examination
will be called for the next stage of examination process.
3.I.B. Preliminary examination for post no. 2 :
Subject Marks Time
Part A
Part B
Part C
General Knowledge & Current Affairs
(70 multiple choice objective type questions)
General English
(70 multiple choice objective type questions)
Mental Ability
(60 multiple choice objective type questions)
70
70
60
2 hours
In the question paper, only the questions on Part(A): GK & CA will be bilingual i.e.
in English and Hindi. The marks secured by the candidates in Preliminary Examination
will not be counted while preparing the final selection list. Only those candidates who obtain
the minimum qualifying marks in each component and aggregate in the Preliminary
Examination will be called for the Physical Measurement and Field Tests.
3.II.A Main Examination for post no.1: Executive/Legislative/Committee/Protocol
Assistant
Paper Subject Marks Time
I English Essay, Précis,
Comprehension and
Grammar
150 3 hours
II Constitution of India 100 3 hours
In Paper-I, English Essay, Precis, Comprehension and Grammar will be of 60
marks, 40 marks, 25 marks and 25 marks, respectively. The paper on ‘Constitution of
India’ will be descriptive type. Though the Question Paper-II will be in English, the
candidates will have the option of answering the same either in English or in Hindi. All the
answers must be written in one medium i.e. English or Hindi. Candidates will have to
obtain the minimum qualifying marks in each of the papers of the Main Examination.
Selection will be made on the basis of the overall performance of the candidates in
the Main Examination, subject to availability of vacancies.
3.II. B. Physical Measurement Tests, Field Tests, Descriptive Type Written Papers
and Personal Interview for post no. 2: Security Assistant Grade-II (Technical)
Physical Measurement Tests
Male: Height-167.5 cms. (relaxable by 2.4 cms. in case of Hill area residents),
Chest-76.5 cms. to 81 cms.
Female: Height -154.6 cms. (relaxable by 2.4 cms. in case of Hill area residents).
Vision - 6/12 in both eyes without glasses. The candidates must not have squint in
eyes and should possess high colour vision. They should also be free from physical
defect, deformity and diseases.
No marks will be awarded. Candidates will be declared either ‘fit’ or ‘unfit’. In
case, any physical measurement of a candidate is below the advertised
standards, he/she (if the candidate requests) will be given one more
opportunity (on the same day) to rectify deficiency in physical measurement.
(No subsequent requests in this regard will be entertained.) Unfit candidates
will not be allowed to take part in the subsequent events/stages of the
examination process.
Field Tests
Only the candidates found ‘fit’ in the Physical Measurement Tests will be
allowed to take part in the following Field Tests:
Male: 3.5 feet high jump
1 km race in 4 minutes
13 feet long jump
Female: 400 m race in 2 minutes
8 feet long jump
No marks will be awarded. Candidates will be declared either ‘fit’ or ‘unfit’. In
case of high jump and long jump, a candidate will be given three chances to clear
the event. If a candidate is not able to qualify in any event of the Field Tests, he will not be allowed to take part in the subsequent events/stages of the examination
process.
Descriptive Type Written Papers
Only the candidates found ‘fit’ in the Field Tests will be allowed to appear in
the following descriptive type written papers:
The Paper-I (General Studies) will contain small and medium descriptive
type of questions on Indian polity, modern history, culture, heritage, economy,
geography, law enforcement issues, environmental issues, current events of
national and international importance, developments in the field of science and
technology, communications and space, etc. In Paper-II, a candidate will be
required to attempt total 06 questions with 02 questions (out of 04 questions) from
each section. In the Physics Section, the questions may be on Electronics,
Computer Science and Communications in particular. Both the question papers will
be in English. However, the candidates will have the option of answering a paper
either in English or in Hindi. A candidate will have to write all answers in a paper in
the same medium (English or Hindi). Candidates will have to qualify in both the
above papers at the requisite standards.
Only those candidates who obtain the minimum qualifying marks in each
paper and aggregate in the descriptive type written papers will be called for the
Personal Interview.
Personal Interview
Personal Interview will carry 25 marks. Candidates will have to secure the
minimum qualifying marks in the Personal Interview.
From amongst the candidates who qualify the Personal Interview, selection
will be made on the basis of the overall performance of the candidates in the
Descriptive Type Written Papers and the Personal Interview, subject to availability
of vacancies.
3.II.C Personal Interview for Post no. 3: Eligible candidates will have to appear before a
selection board for a Personal Interview which will carry 100 marks. Lok Sabha
Secretariat reserves the right to restrict the number of applicants who may be called
for the Personal Interview.
Candidates will have to secure the minimum qualifying marks in the Personal
Interview. Selection will be made on the basis of the overall performance of the
candidates in the Personal Interview, subject to availability of vacancies.
3.II.D Main Examination for Post No. 4: Junior Library Assistant
Paper Subject Marks Time
I Library Methods and Techniques 100 3 hours
II English Essay, Précis, Comprehension and
Grammar*
100 3 hours
* Essay (40 Marks), Précis (25 Marks), Comprehension (20 Marks) and Grammar (15
Marks)
Paper Subject Marks Time
I General Studies
100 2 hours
II Mathematics and Science
(Descriptive type paper of Graduation level to
assess theoretical, analytical and numerical
abilities of the candidate in Mathematics (30
marks), Physics (40 marks) and Chemistry (30
marks).)
100 2 hours Through, the question Paper-I will be in English, the candidates will have the option
of answering the same either in English or Hindi. All the answers must be written in one
medium i.e. English or Hindi.
From amongst the candidates who obtain the minimum qualifying marks in
each of the above papers, selection will be made on the basis of the performance
of candidates in the Main Examination, subject to the availability of vacancies.
3.II.E. Descriptive Type Written Paper and Typing Test for Post No. 5: Junior Clerk
Paper Subject Marks Time
I Essay, Letter and Grammar* 100 2 hours
II Typing test at 40 w.p.m. in English/Hindi 100 10 minutes
Total 200
* Essay (50 Marks), Letter (35 Marks) and Grammar (15 Marks)
A candidate will be considered for appointment against the vacancies in that
stream i.e. English/Hindi only in which he qualifies Paper-I (Essay, Letter and
Grammar) and Paper-II (Typing Test). The candidates will have to qualify Papers-I
and II in the same stream. However, the candidate qualifying the typing test in both
English and Hindi streams, will be given preference in appointment against the
vacancies in that stream in which he qualifies the Paper-I. A candidate qualifying
Papers I and II in both the streams will be given preference in appointment against
the vacancies in that stream in which he gets higher marks.
A candidate who is eligible for the post of Junior Clerk in both English and
Hindi streams, may be permitted to write Paper-I in both the streams. However,
such candidates will not be allowed any time break. After attempting the Paper in
one stream and handing over the answer sheet to invigilator, they will be allowed
further 02 hours time for attempting the paper in the other stream.
The answer scripts of Paper-I of only those candidates will be evaluated who
qualify Paper-II (typing test) at the requisite speed of 40 w.p.m. Candidates will
have to secure the minimum qualifying marks in Paper-I.
From amongst the candidates who qualify both papers I and II, selection will
be made on the basis of the overall performance of the candidates in Papers-I and
II, subject to the availability of vacancies.
4. RESERVATION FOR PHYSICALLY HANDICAPPED PERSONS
The reservation of posts for physically handicapped persons, will be as under:
Name of
the post
No. of vacancies
reserved
Category for which
identified
Functional Classification
Junior
Library
Assistant
1
Visual Impairment LV (low vision)
Junior
Clerk
1
Visual Impairment LV (low vision)
The physically handicapped persons should submit the ‘Disability Certificate’
in the prescribed format which is available on our website
http://www.loksabha.nic.in at the end of Advt. No. 1/2013 (ANNEXURE-I). Otherwise,
the candidates will not be given any benefits available to PH persons.
5. HOW TO APPLY
I. Eligible candidates have to apply in typewritten form for the above posts, either in
English or in Hindi, strictly in the prescribed format. The format of the application can be downloaded from the website http://www.loksabha.nic.in under the link
‘Recruitment’.
II. Candidates desirous of applying for more than one post should submit separate
application form for each post.
III. Applications which are illegible, not conforming to the prescribed application format
and the instructions given in the Advertisement or received after the last date will be
summarily rejected.
IV. Candidates in Government service should submit their application(s) through
proper channel only. No such application will be accepted 7 days after
15.03.2013.
V. Applicants should affix two self-attested identical recent passport size
photographs, one on the application form and the other on the attendance sheet.
VI. In case sufficient number of eligible candidates prefer to take examination in
Chennai, Kolkata and Mumbai, Joint Recruitment Cell may hold the preliminary
examination for the posts contained in this advertisement in these cities also
besides Delhi. In the eventuality of insufficient number of eligible candidates for a
post opting for taking examination in any of these three cities, those candidates will
have to take examination in Delhi. The choice once made by the applicant with
regard to the examination centre shall be final. Joint Recruitment Cell will, however,
have final discretion in the allotment of examination centre to the applicants on the
basis of number of applications received in respect of a particular post for a
particular centre.
VII. Canvassing in any manner would lead to summary rejection of application and
candidature at any stage.
VIII. All particulars (except Residential Address) furnished by the applicant will be
treated as final and no change will be allowed therein later on. The applications
of the candidates who do not specify their category in sl. no.12 of the
application, will be rejected.
IX. For candidates staying abroad and for those posting applications from Andaman &
Nicobar Islands/ Lakshadweep/ Assam/ Meghalaya/ Arunachal Pradesh/ Mizoram/
Manipur/Nagaland/ Tripura/Sikkim/Jammu & Kashmir/Lahaul and Spiti districts and
Pangi Sub-division of Chamba District of Himachal Pradesh, the last date for
receipt of application by post only (not by Hand or by Courier) will be 7 days after
15.03.2013.
X. Candidates should send their application in an envelope superscribing clearly the
name of the post applied for on the cover of the envelope.
XI. Applicants must fill up all the columns of application form properly. Applications
complete in all respects should be sent to:-
THE JOINT RECRUITMENT CELL
ROOM NO. 521, PARLIAMENT HOUSE ANNEXE,
NEW DELHI-110001.
Incomplete applications shall be summarily rejected.
XII. AGE/QUALIFICATIONS/EXPERIENCE: Age/qualifications/experience will be
reckoned as on 15.03.2013.
Applicants should attach self-attested copy of the matriculation or equivalent
examination certificate as proof of date of birth. No other document will be accepted
for this purpose.
XIII. CUT OFF PERCENTAGE OF MARKS: The minimum cut off percentages of marks
in Written Test and Personal Interview in an examination is 50%, 45% and 40% for
vacancies in Gen, OBC and SC/ST categories, respectively. The above
percentages are relaxable by 5% in case of physically handicapped persons of
relevant disability and category for appointment against the vacancies reserved for
physically handicapped persons. These percentages are the minimum marks which a candidate is required to secure in each paper/component and aggregate in the
written test and in aggregate in the personal interview. However, the cut-off
percentages may be raised in individual component/paper/aggregate to arrive at
reasonable vacancy : candidate ratio.
XIV. The candidates for the post of Junior Clerk will be required to qualify the Typing
Test at the requisite speed. Not more than 5% errors will be allowed for passing the
Typing Test. The test will be held on computer. For Hindi Typing, the candidates
will be provided the facility of typing on ‘Inscript’ or ‘Remington’ keyboard. It is
clarified that in both the keyboards (while operating), the vowel signs (matras) will
be typed only after typing the consonant as in ‘fnu = n + f + u’
and also after typing the full consonant (not after half consonant) as in
‘n`f’V = n + ` + ’ + V + f ’.
XV. AGE RELAXATION: The upper AGE LIMIT specified above is for General
candidates. Relaxation in upper AGE LIMIT to various categories, Physically
handicapped persons, Government Employees, ex-Servicemen and in-house
candidates of Lok Sabha Secretariat will be as indicated hereunder:
Sl. No. Category Permissible age relaxation
_______________________________________________________________________
1. SC & ST 5 years
2. OBC 3 years
3. Physically Handicapped Persons: The upper age limit will be relaxable up
to a maximum of 10 years in the case of physically handicapped persons
having disability mentioned in this advertisement in respect of those grades
in which posts have been reserved for them.
4. Government/Public Sector Undertaking employees: The upper age limit is
further relaxable up to 5 years (depending upon the extent of their
continuous service) to the candidates in Government Service/Public Sector
Undertakings who have rendered not less than 3 years continuous service
on regular basis as on 15.03.2013 and they should continue in their service
till their final selection. Persons who are appointed on ad-hoc/daily
wages/hourly paid/ contract basis are not eligible for age relaxation.
NOTE: Applicants in Government Service or in service in Lok Sabha and
Rajya Sabha Secretariats should have completed 3 years of continuous
regular service in Government and/or in Lok Sabha and Rajya Sabha
Secretariats, for claiming age relaxation as Government servants as per
provisions in para 5(XV) above.
5. Ex-Servicemen: Length of military service plus 3 years (up to the maximum
of 45 years)
6. Employees of Lok Sabha Sectt.: No AGE LIMIT. However, the candidate
must have completed three years’ continuous regular service in the Lok
Sabha Secretariat.
XVI. OBC candidates: Other Backward Classes (OBC) means those communities as
included and specified in the Central Government list of the backward classes.
OBC certificate of a candidate must show that the caste the candidate belongs to is
recognised as OBC under various Resolutions of the Ministry of Welfare,
Government of India, and that the person does not belong to creamy layer
section. The candidates claiming to be belonging to OBC but not submitting OBC
certificate which satisfies these two conditions will be treated as General Category
candidates and will not be provided any benefit available to OBC candidates.
XVII. NUMBER OF VACANCIES: The number of vacancies specified in respect of the
posts is subject to change. Where specific category has been prescribed for vacancies in any post,
there are chances of vacancies occurring in other categories also. Candidates
belonging to other categories are also advised to apply.
XVIII. In case, the number of eligible candidates for a post are less than or equal to the
approved norm for calling the candidates for the Main Examination, the Preliminary
Examination for that post may not be held.
XIX. RIGHT TO CANCEL THE PROGRAMME OF RECRUITMENT FOR A POST OR
POSTS: Lok Sabha Secretariat reserves the right to cancel the programme of
recruitment to any post(s) at any stage without any prior notice and without
assigning any reason therefor.
XX. The last date for receipt of applications is 15.03.2013.
XXI. Candidates should clearly note that the Joint Recruitment Cell will in no case be
responsible for non-receipt of their applications or any delay in receipt thereof on
any account whatsoever. They should, therefore, ensure that their applications
reach the Joint Recruitment Cell on or before the last date.
XXII. Candidates can put their applications in the box kept for the purpose at the
Reception Office, Parliament House Annexe, New Delhi. However, no
acknowledgement will be issued for the same.
XXIII. The advertisement can also be accessed through Lok Sabha website
http://www.loksabha.nic.in under the link ‘Recruitment’.
---
PARLIAMENT OF INDIA (To be filled in by JRC)
(JOINT RECRUITMENT CELL)
****
APPLICATION FORMAT
Advt. No. 1/2013
Post No. applied for:________________
Name of the Post applied for: __________________________
(Please indicate post no. and post name clearly)
(Please fill separate application forms for each post)
1. FULL NAME (In Capital Letters):
Signature of Candidate
First Name Middle Name Surname
(Please leave one box blank between each part of name)
2. FATHER’S NAME (In Capital Letters): _________________________________________
3. MOTHER’S NAME (In Capital Letters): ________________________________________
4. NATIONALITY: ______________________
5. Preferred city for taking preliminary examination: (i) DELHI ; (ii) KOLKATA ;
(iii) MUMBAI ; (iv) CHENNAI (Please mark in the appropriate box.)
6. ADDRESS FOR COMMUNICATION: _________________________________________
_______________________________________________________PIN__________________
[[
7. DETAILS OF RESIDENCE DURING LAST 5 YEARS WHERE THE APPLICANT HAS
RESIDED FOR MORE THAN ONE YEAR:
ADDRESS PERIOD OF STAY
8. PERMANENT ADDRESS: ___________________________________________________
_________________________________________________________PIN________________
9. DATE OF BIRTH: D D M M Y E A R
(Please enclose self-attested copy of the
certificate)
10. PLACE OF BIRTH (Village/Town/City/District/State): ____________________________
11. AGE AS ON 15.03.2013: Years_______ Months_______ Days_______
12. CATEGORY (Gen/SC/ST/OBC):__________________________
(The candidates belonging to SC/ ST/OBC must enclose self-attested copy of the certificate as proof)
13. Whether you are physically handicapped Yes/No
(If yes, please attach self-attested copy of the certificate in the prescribed format)
Affix recent selfattested passport
size Photograph
-- --
Roll No. 14. TYPING SPEED (ENG.) ____________________ (HINDI)_____________________
15. GROUNDS FOR CLAIMING AGE RELAXATION: _____________________________
16. DETAILS OF EDUCATIONAL, PROFESSIONAL & TECHNICAL QLFNS.
(Please enclose self-attested copies of the certificates)
(a) Educational:
Exam
Passed
Institution/
University
Subjects studied
Medium
of
Instruction
Duration
of study
Year of
passing
% of
marks
(b) Professional/Technical (Candidates are advised to fill-up this column carefully and in
terms of conditions stipulated in the Advertisement to avoid rejection)
Exam
Passed
Institution/
University
Subjects studied
Duration
of study
Year of
passing
% of
marks
Division
obtained
17. DETAILS OF EXPERIENCE (Candidates are advised to fill-up this column carefully and in terms
of conditions stipulated in the Advertisement to avoid rejection)
(a) GOVERNMENT SERVICE
Name of
Govt. Orgn.
Post held
Pay
Scale*
Duration of service (Exact
dates to be given)
(From - To)
Whether
regular or
not
Nature of duties
performed
* Please indicate Grade Pay also, wherever applicable.
(b) SERVICE IN OTHER ORGANISATIONS
Name of
Orgn.
Status of organisation
[Government/PSU/Private, etc.]
Post
held
Pay
Scale*
Duration of service
(From – To)
Whether
regular or not
Nature of duties
performed
* Please indicate Grade Pay also, wherever applicable.
18. DETAILS OF ACHIEVEMENTS in NCC/SPORTS
(only for candidates applying for the post nos. 2 and 3)
Event Year Institution/ Organisations Particulars of
achievement
19. (a) Are you eligible and have you applied for any other post(s) in response to this advertisement ? Yes / No
(b) If yes, please indicate the Post No(s). ____________________________________________________and name(s) of the
post(s) __________________________________________________________________________________________
20. Please specify the language/stream for which you want to be considered: ___________
(Only for the candidates applying for Post No.5. Please read para no. 3.II.E of the Advertisement )
21. Do you possess the essential educational qualifications as required for the post applied for? Yes/No
22. Do you possess relevant experience if prescribed for the post applied for? Yes/No/N.A.
23. Do you possess any of the desirable qualifications? Yes/No
24. DECLARATION
(i) I declare that I fulfil the eligibility conditions as per the advertisement and that all the statements made in this
application 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 or not satisfying the eligibility conditions according to the
requirements mentioned in the advertisement, my candidature/appointment is liable to be cancelled/terminated.
(ii) I have enclosed the typed Attendance Sheet duly completed and affixed self-attested recent passport size
photograph thereon.
PLACE:
DATE: (SIGNATURE OF CANDIDATE)
Note: Applications without self-attested copies of necessary certificates as mentioned in
column nos. 9, 12, 13 (in case the candidate is PH) & 16 and recent photographs will
be summarily rejected. The candidates applying for post no. 3 must furnish copies
of certificates/documents as proof of possessing the prescribed/required
experience/training.
PARLIAMENT OF INDIA
(JOINT RECRUITMENT CELL)
ATTENDANCE SHEET
(To be filled in on a separate sheet by the candidate when submitting Application Form)
1. Advt. No. 1/2013
2. Post No. ________
3. Name of the Post: _________________________________________
__________________________________________________________
Signature of Candidate
4. NAME (In block letters): ___________________________________________________________
5. CATEGORY ___________________________________________________________________
6. FATHER’S NAME (In block letters): _________________________________________________
7. MOTHER’S NAME (In block letters): ________________________________________________
8. ADDRESS FOR COMMUNICATION: ______________________________________________
_________________________________________________________________PIN__________
_______________________________________________________________________________
(To be filled in by the candidate at the Examination Venue)
9.
Subject Date of Exam. Signature
_________________________________________________________________________________
10.
ROLL
NO.
(To be allotted by Joint Recruitment Cell)
Affix recent selfattested passport
size Photograph
ANNEXURE-I
NAME & ADDRESS OF THE INSTITUTE / HOSPITAL ------------------------
Certificate No._______________ Date _____________
DISABILITY CERTIFICATE
Recent
Photograph of
the candidate
showing the
disability duly
attested by the
Medical
Authority.
This is certified that Shri/Smt/Kum __________________________ son/wife/daughter of
Shri_____________________________ age ___________ sex ____________
identification mark(s) _______________ is suffering from permanent disability of
following category:
A. Locomotor:
(i) BL-Both legs affected but not arms.
(ii) OL-One leg affected (right or left) (a) Impaired reach
(b) Weakness of grip
(c) Ataxic
(iii) OA-One arm affected (a) Impaired reach
(b) Weakness of grip
(c) Ataxic
B. Low Vision:
C. Hearing impairment:
PD-Partially Deaf
(Delete the category whichever is not applicable)
2. This condition is progressive / non-progressive / likely to improve / not likely to
improve. Re-assessment of this case is not recommended / is recommended after a
period of ______________ years ______________ months.*
3. Percentage of disability in his/her case is …….. percent.
-2-
4. Sh./Smt./Kum……………….meets the following physical requirements for
discharge of his/her duties:-
(i) F-can perform work by manipulating with fingers. 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
(xii) C- can communicate Yes/No
Medical Authority
(with seal)
*Strike out which is not applicable.
NOTE: For ‘multiple disability’ the medical authority will comprise of doctors
of relevant specialities.
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