DRAFT ADVERTISEMENT NOTICE

COMBINED RECRUITMENT FOR 1 FIELD ORDNANCE DEPOT, 15 FIELD AMMUNITION DEPOT,

NORTHERN COMD VEHICLE DEPOT, ORDNANCE TRANSIT GROUP, 39 MTN DIV ORD UNIT,
10 INF DIV ORD UNIT & 25 INF DIV ORD UNIT

1. Application is invited for Combined Recruitment for 1 Field Ordnance Depot, 15 Field Ammunition
Depot, Northern Comd Vehicle Depot, Ordnance Transit Group, 39 Mtn Div Ord Unit, 10 Inf Div Ord Unit & 25
Inf Div Ord Unit from eligible MALE/FEMALE candidates for the post of Fireman (Male only), Tele Optr Gde-
II, Tradesman (Mate), Civilian Motor Driver, Safaiwala, LDC, Stenographer Gde-II & Material Asst
(SSK/SS) to reach Commandant, 15 Field Ammunition Depot, PIN : 909715, C/o 56 APO by
Ordinary/Registered/Speed post within 21 days from the last date of publication of this advertisement in
Employment News as per the format attached as Appendix 'A'. The scale of pay, number of vacancies,
educational qualification and other requirements are as under:-

Designation 6th Pay Commission Scale Qualification Unit wise vacs on

of Post of Pay & New Basic Pay as various category
per 7th Pay Commission
Fireman B.Pay Rs 5200-20200
Grade Pay 1900/-
Revised B. Pay Rs 19,900/-
Tele Optr B.Pay Rs 5200-20200 10th class or equivalent from the Tentative vacancies on
Gde- II Grade Pay 2000/- recognized University/ Board. various categories of
Revised B. Pay 21,700/- UR/SC/ST/OBC
(PH/MSP/ESM) are
Tradesmen B.Pay Rs 5200-20200
appended below. @
(Mate) Grade Pay 1800/-
Safaiwala Revised B. Pay 18000/-
Civilian Motor B.Pay Rs 5200-20200
Driver Grade Pay 1900/-
Revised B. Pay 19900/-
LDC B.Pay Rs 5200-20200 12th class or equivalent from the
Grade Pay 1900/- recognized University/ Board.
Stenographer Revised B.Pay Rs 19,900/-
Gde -II
Material Asst B.Pay Rs 5200-20200 Graduate in any discipline or
Grade Pay 2400/- equivalent from the recognized
Revised B. Pay Rs 29,200/- University/ Board or Diploma in
Material Management or Diploma in
Engineering from any recognized
university.
Note-1 : @ Details of tentative vacancies on various categories of UR/SC/ST/OBC (PH/MSP/ESM) are as under :-

Trade Total Unit Vacs CAT

GEN SC ST OBC PH MSP ESM
Fireman 03 15 FAD 02 01 - - 01 01 x HH - -
1 FOD 01 01
Tele Optr 01 1 FOD 01 01 - - - - - -
Gde II
Tradesman 171 15 FAD 129 70 - 16 43 04 (OH-02, 06 13
(Mate) HH-02)
1 FOD 25 12 - 05 08 03 (HH) - -
OTG 07 04 - - 03 - - -
10 Inf DOU 04 02 - - 02 - - 01
25 Inf DOU 03 02 - - 01 - - -
39 Mtn DOU 01 01 - - - - - -
NCVD 02 01 - - 01 - - -
Safaiwala 02 1 FOD 02 02 - - - 01 (OH) - 01
Civilian Motor 02 1 FOD 02 01 - 01 - - - 01
Driver
LDC 11 1 FOD 10 07 - 02 01 03 (HH-01, - 02
NCVD 01 01 VH-01 &
OH-01)
Stenographer 01 NCVD 01 01 - - - - - -
Gde II
Material Asst 10 15 FAD 09 05 - 01 03 - - 01
OTG 01 - 01 - - - - -
Total 201

2. Calculation of Age. Age calculation will be as on last date prescribed for receipt of application in
open advertisement which will be considered as 21 days from the date of publication of advertisement in
Employment News.
3. Detailed Eligibility Criteria and application form is available at www.indianarmy.nic.in.
4. Application NOT confirming to the format given in website will NOT be accepted.

Note-2. The Physically Handicapped (PH), Ex-Servicemen (ESM) and Meritorious Sports Persons (MSP)
selected for appointment will be in respective cat i.e. GEN, SC, ST & OBC to which they belong and will be
appointed against vac res for them i.e. PH, ESM & MSP.

Note-3. It is clarified that, separate list for selected candidates will be prepared by Bd of Offr for each
unit based on the No of vacs released. The selection of a candidate for a vacs released to a particular
unit will be solely at the discretion of Bd of Offr detailed for recruitment. However, common reserve list will be
prepared for all the units.
5. Applicants are required to forward a mandatory undertaking placed at Appendix 'B' for this combined
recruitment certifying willingness to serve in 1 FOD, 15 FAD, NCVD, OTG, 39 Mtn DOU, 10 Inf DOU & 25 Inf
DOU / respective APs / or any where in India.

MANDATORY REQUIREMENT.

6. Age limit and its relaxation for Fireman, Tele Optr Gde-II, Tradesman (Mate), Safaiwala, Civilian
Motor Driver, LDC & Steno Gde-II :-

S.No Category Age Limit Remarks

(a) UR 18 Yrs to 25 yrs
(b) OBC 03 yrs relaxation in upper age limit
(c) SC/ST 05 yrs relaxation in upper age limit
PH
(d) UR 10 yrs relaxation in upper age limit PH person should be in possession of
medical certificate issued by CMO/Civil
(e) OBC 13 yrs relaxation in upper age limit Surgeon of Govt Hospital certifying the
disability. (A Certificate of Physical
(f) SC/ST 15 yrs relaxation in upper age limit fitness from a Registered Medical
practitioner be submitted alongwith the
application).
MSP
(g) UR 05 yrs relaxation in upper age limit Persons who have represented a state
in National/International competition
(h) OBC 08 yrs relaxation in upper age limit university tournaments conducted by
inter-University Sports Boards, State
(j) SC/ST 10 yrs relaxation in upper age limit school team in National Sports/Games
conducted by AISGF, Persons awarded
national awards in Physical Efficiency
under National Physical Efficiency
Drive. The list of meritorious
games/sports are attached as per
Appendix C. The sports certificate
should be as per proforma attached as
per Appendix D (Form -1, Form -2,
Form -3, Form -4 or Form-5).
ESM
(k) ESM Relaxations equal to Service Services rendered be deducted from
rendered in the Army/ Navy/Air the actual age of the indl and if the
Force plus three yrs resultant age does not exceed
maximum age prescribed for the post
by more than three years individual
deemed to meet conditions regarding
age limit.

7. Age limit and its relaxation for Material Asst :-

S.No Category Age Limit Remarks

(a) Gen 18 Yrs to 27 yrs
(b) OBC 03 yrs relaxation in upper age
limit
(c) SC/ST 05 yrs relaxation in upper age
limit
(d) ESM Relaxations equal to Service Services rendered be deducted from the
rendered in the Army/ Navy/Air actual age of the indl and if the resultant
Force plus three yrs age does not exceed maximum age
prescribed for the post by more than three
years individual deemed to meet conditions
regarding age limit.
Note 4. J & K Migrants :- Age relaxation (upper age limit) up to five years is applicable for candidates
who have ordinarily been domiciled in the state of Jammu & Kashmir during the period from 01 Jan 1980 to
31 Dec 1989 subject to extension having been received from IHQ of MoD (Army) beyond 31 Dec 2015.
Xerox copy of certificate to this effect issued either by concerned Distt - Magistrate or by Relief
Commissioner to be attached with application form and original certificate to be produced at the time of
Physical/Skill/Written test.

8. Physical Standard requirements to be checked at 1 FOD (Qualifying)

S.No Category Physical Standards Required.

(a) Fireman (i) Height without shoes -165 cms. A concession of 2.5 cms height shall be
only allowed for members of scheduled tribes.
(ii) Chest : (Unexpanded 81.5 Cms) & (Expanded 85 cms)
(iii) Weight 50 Kgs minimum

9. Conduct of Physical Endurance / Skill Test.

(a) The following Physical Endurance/ Skill Tests (Qualifying) will be conducted at 1 FOD for
candidates as per their categories : -

Ser Category Physical Standards Required/Tests.

No
(i) Fireman Candidates are required to be physically fit to perform the strenuous
(Male only) duties of Fireman and should pass the following tests:-
(aa) Running 1.6 KM
Qualifying time upto 6 minutes
Fail Beyond 6 minutes
(ab) Clearing 2.7 meters wide ditch and landing on both feet.
(ac) Carrying a man (Fireman lift) of 63.5 Kgs to a distance of 183
meters within 96 seconds.
(ad) Climbing 03 meters vertical rope using hands and feet.
(ii) Tele Optr Must qualify the prescribed test / practicals (Qualifying) on EPBX
Gde II Board along with fluency in spoken English basis or as deemed fit by
the Bd of Officers detailed for recruitment.
(iii) Tradesmen Physical Endurance Test (Qualifying) for the post of Tradesmen
(Mate) (Mate). Candidates are required to pass following which will be
conducted by the Bd of Officers :-
(aa) Running - 1.6KM only ( for male candidates).
Qualifying time upto 6 minutes
Fail Beyond 6 minutes
(ab) Carrying a weight 50 Kg to a distance of 200 Mtr in 100 Sec.
Note : For female candidates :- Timing of Physical Endurance Test
for female candidates will be as deemed fit by the BOO conducting
recruitment.
(iv) Safaiwala NA

(v) Civilian Motor Must possess the civilian driving license for heavy vehicles and have
Driver minimum two years experience of driving such vehicles. Practical test
as deemed fit by the BOO.
(vi) LDC Typing test (Qualifying) will be conducted on computer as under :-

(aa) English Typing @ 35 w.p.m.

(ab) Hindi Typing @ 30 w.p.m.

(ac) Time allowed 10 minutes.

(35 w.p.m and 30 w.p.m correspond to 10500 KDPH / 9000
KDPH on an average of 5 key depressions for each word)
(The condition of passing typing test prior to Rect in LDC post
need not to be insisted upon the fwg cases :-
(ac) Appt of meritorious sportsmen.
(ad) Appt of PH persons.
(vii) Stenographer Must qualify the fwg :-
Gde -II (aa) Dictation : 10 minutes @ 80 w.p.m

(ab) Translation : 50 minutes (English)

65 minutes (Hindi)
(viii) Material Asst NA
 (b) Physical Endurance Test for pers with Disabilities.

(i) Hearing Handicapped Candidates. Hearing Handicapped (HH) candidate will be

tested for physical tests subject to having explained the method and evaluation system using
sign language etc. Prior arrangements should be made in this regard. Board of Officers
should ensure that methodologies of physical tests be taken keeping into consideration the
disability of the candidate.
(ii) Orthopedically Handicapped Candidates. No physical tests are reqd for
Orthopedically Handicapped (OH) candidates. Merit will be prepared based on the
performance of the candidate in written test.

(iii) Visual Handicapped Candidates. No physical tests are reqd for VH candidates.
Merit should be prepared based on the performance of the candidate in written test.
(c) Endurance Test for Ex-Servicemen. Age factor should be kept in mind while conducting
Physical Tests for Ex-Servicemen. Since selection of these candidates will be carried out among
themselves for vacancies reserved horizontally, common yardstick as decided by Bd of Officers
should be applied while conducting physical Test.

(d) Endurance Test for Meritorious Sports Persons. Physical Tests will be applicable for
these persons as applicable for SC/ST/OBC/UR candidates.

10. Written Test :

(a) Fireman, Tele Optr GdeII, Tradesman(Mate), Safaiwala & Civilian Motor Driver
Categories : Combine written test for various posts will be held at 15 FAD on the basis of Matric std
and the question papers of written test (objective type) will be bilingual i.e. English & Hindi as
under:-

Subject No of Maximum Duration Remarks

questions marks
General Intelligence 25 25 2 Hours The standard of questions
and reasoning will be as per matriculation
Numerical Aptitude 25 25 standard basis.
General English 50 50
General Awareness 50 50
(b) LDC & Steno Gde - II : Written test for LDC & Steno Gde-II categories will be held at 15 FAD
and the question papers (12th Std) of written test (objective type) will be bilingual i.e. English & Hindi as
under :-
Subject No of Maximum Duration Remarks
questions marks
General Intelligence 25 25 2 Hours (20 The written test will be as per
and reasoning Minutes extra SSC syllabus on 12th std
Numerical aptitude 25 25 for visually basis.
handicapped
General English 50 50 candidates
General Awareness 50 50

(c) Material Asst Category : Written test will be held at 15 FAD on the basis of Graduation level
and the question papers of written test (objective type) will be bilingual i.e. English & Hindi as under:-
Subject No of Maximummarks Duration Remarks
questions
General 25 25 2 Hours The written test will be as
Intelligence and per SSC syllabus on
reasoning Graduation std basis.
Numerical aptitude 25 25
General English 50 50
General 50 50
Awareness

11. Canvassing in any form shall disqualify the candidates. No inquiry or correspondence will be
entertained.

12. Dates for physical endurance tests/written test for all categories will be intimated in the CALL
LETTERS by Commandant, 15 FAD/1 FOD only to individuals whose applications recd through Ordinary
post/ Registered post/ Speed post and are found correct in all respects after scrutiny by Commandant,
15 FAD.
13. The application should be addressed to Commandant, 15 FAD, PIN : 909715, C/o 56 APO. No
application will be accepted by hand. Board will not be responsible for loss of any application in transit and for
postal delay. No TA/DA will be paid for any test . The candidates themselves will make arrangement for
boarding and lodging. No application will be entertained after the due date. While forwarding the application,
the envelope should be clearly marked, APPLICATION FOR THE POST OF Fireman/Tele Optr Gde -II /
Tradesman (Mate)/Safaiwala/Cvilian Motor Driver /LDC/ Stenographer Gde-II /Material Asst(EX-
SERVICEMEN/ GEN/PH/ MSP/ SC/ST/OBC) (Delete which ever is not applicable). (Quoting of Postal
Index Number (PIN) & Category are mandatory).

14. Candidates are advised to attach self attested copies of following documents as applicable along
with (Size 12 x 18 cm) one x self addressed registered envelope with Rs 25/- postage stamps. Please do not
forward ORIGINAL CERTIFICATES with the application.

(a) Birth certificate.

(b) Medical certificate from a registered medical practitioner for physical fitness.
(c) Caste certificate.
(d) Education certificates along with the marks sheets (Matriculation onwards)
(e) Photocopy of Discharge certificate for Ex-servicemen.
(f) Disability certificate for physically Handicapped
(g) Domicile Certificate (for residents of J&K state availing age relaxation, as applicable)
(h) Two x additional passport size photographs.
(j) Certificate / under taking for employment in any unit as per Appendix B'.
(k) In case of Sports person, please attach Sports Certificate as per Appendix D.
(l) In case of OBC, please attach Non Creamy Layer certificate as per Appendix E'.
Note: Central Government civilian employees must furnish No Objection Certificate from their
employer/office with application else their candidature will be cancelled.

15. The candidate should be in possession of all original documents/certificates as given / applicable in
Para 14 above.

16. Unit will not be responsible to pay any compensation in case of injury/death of a candidate during and
after physical tests and also reserve the right to reschedule the date of Physical /Skill test/Written test due to
strike/ bandh/ curfew/bad weather/any other administrative reasons.

17. It is made clear that merely fulfilling the basic essential qualification requirements does not
automatically entitle a person to be called for tests. The selection will be made strictly on the merit basis. The
decision of appointing authority regarding selection/rejection will be final. It is also made clear that the
numbers of posts/vacancies are tentative and recruitment process can be can celled /suspended/ terminated
by the Board of Officer at any stage due to administrative reasons.

18. Place of Work. Individual should be willing to serve in 1 FOD, 15 FAD, NCVD, OTG , 39 Mtn DOU,
10 Inf DOU & 25 Inf DOU / respective Ammunition Points / or any where in India, if selected.

19. Vacancies may increase or decrease, if additional vacancies are released or reduced by Competent
authority.

20. Rejection. The following acts /omission would render a candidate/applications disqualified :-

(a) Furnishing of false, inaccurate or tempered information.

(b) Obtaining support for his candidature through unfair means..
(c) Impersonation by any person.
(d) Submitting fabricated documents.
(e) Making statements, which are incorrect or false or suppressing material information.
(f) Resorting to any other irregular or improper means in connection with his/her candidature for
the selection.

(g) Improper filling of applications.

(h) Non-submission of separate applications for each post if a candidate is desirous of applying for
more than one post.
(j) Any other reason as observed by the Board of Officers.

(k) If mandatory undertaking is not found attached with the application showing willingness to
serve in 1 FOD, 15 FAD, NCVD, OTG , 39 Mtn DOU, 10 Inf DOU & 25 Inf DOU / respective
 Ammunition Points / or any where in India. Format of the willingness certificate is attached as per
Appendix B'.

21. Selected candidates will be given an appointment letter by the AOC Records for Fireman, Tele Optr
Gde -II, Civilian Motor Driver, LDC, Stenographer Gde-II & Material Asst by Commandant/ Commanding
Officer/ Officer Commanding of their respective unit for Tradesman (Mate) & Safaiwala subject to receipt of
verification of character and antecedents from concerned District Magistrates, Supdt of Police and medical
fitness certificate from medical authorities.

22. Post is permanent, subject to completion of two years probation period successfully by the individual.

23. Central employees appointed in Govt services on or after 01 Jan 2014 will be governed by new
defined contribution pension scheme.

24. Any dispute with regard to rect will be subject to jurisdiction of Jammu court only.

25. Registration of application by no means is a guarantee of employment.

26. WARNING. All candidates are guarded against contact with self appointed agents/touts indulging in
any kind of malicious propaganda undermining the transparency and fairness of entire rect process.

27. Unambiguously, it is stated that Merit as per spelt out tests and possession of Bonafide documents
shall be the sole criteria for selection process.
 APPLICATION FOR THE POST OF .

Appendix A

APPLICATION FORM FOR THE POST OF ____________________________________.

To,
Affix recent
Commandant passport size
15 FAD photograph
PIN 909715 duly self
C/o 56 APO
APPLICATION FOR RECRUITMENT attested

1. Post applied for..

2. Name of candidate (In block letters)
3. Fathers Name
4. Date of Birth:
DD MM YY

5. Correspondence address :-
House No/Street/Village
Post Office............. Teh
DistrictPIN Code

6. Permanent address : -
House No/Street/Village
Post Office.............
TehDistrictPIN
Code
7. Educational Qualification (Matriculation onwards) :-
S.No Qualification Name of School/ Name of Board / University Percentage Obtained
College (upto two decimal
places)
(a)
(b)
(c)
8. Category for which applied:

UR SC ST OBC ESM PH MSP (Please tick( ) in multiple boxes

as applicable )

9. If applied for the post in Sports Persons category :-

Sports person who Sports person who have Sports person who have Sports person who have
have represented represented the represented the State been awarded National
a State or Country University in the Inter School teams in the Awards in physical
in the National or University Tournaments National sports / games Efficiency under the
International conducted by the Inter for schools conducted by National physical Efficiency
University Sports Board All India School Games Drive
Federation

10. Eligible for Jammu & Kashmir migrants age relaxations. Yes/No_______________
11. Whether registered with any employment exchange. Yes/No _________________
(If yes, mention registration No and name of employment exchange)

DECLARATION

12. (a) I hereby certify that the information contained in the above application is correct to the best of
my knowledge and belief. In the event of information found false or incorrect, my candidature may be
cancelled and I understand that my appointment, if made, shall stand terminated without any notice.

(b) I am willing to serve any where in India, if I will be selected.

(c) I accept the terms and conditions of appointment.

(Left Thumb Impression) (Signature of Candidate)

Dated :-
 CALLING LETTER

(MANDATORY : TO BE ATTACHED ON SEPARATE SHEET)

Application No _______________ Index No_______________ Affix recent

(To be left blank)
passport size
______________________ photograph
______________________ duly self
______________________ attested

C No/ 2017

TEST FOR THE POST OF .

1. Refer to your application submitted in response to the post of ___________________.

2. Please report for a test on _________2017 at __________________________________________.

3. All certificates (mentioned in para 15 of advertisement ) will be brought in original along with 4 x
passport size photographs. No boarding/lodging will be provided. Candidate must come prepared for a stay up
to 3 days in very cold climate.

4. The candidate failing to report on the fixed date/time will not be allowed to take test.

5. Production of this letter is mandatory for entry alongwith Govt. issued photo ID proof in original on all
days of test.(Voter Card / Driving Licence / Aadhar Card / PAN Card)
 Appendix 'B'

UNDERTAKING

WILLINGNESS CERTIFICATE

I, Shri/Smt/Kumari _________________________________________, son/wife/daughter of Shri

______________________________________, resident of ______________________________ is willing to

serve in 1 FOD, 15 FAD, NCVD, OTG , 39 Mtn DOU, 10 Inf DOU & 25 Inf DOU / respective APs / or any

where in India as deemed fit by the Board of Offrs for recruitment.

Place _____________ Signature ___________________________

Date _____________ Name : _____________________________

 Appendix 'C'

LIST OF MERITORIOUS GAMES/SPORTS

Ser Name of the Game/Sports

No
1. Archery
2. Athletics (including Track and Field events)
3. Atya-Patya
4. Badminton
5. Ball-Badminton
6. Basketball
7. Billiards and Snookers
8. Boxing
9. Bridge
10. Carrom
11. Chess
12. Cricket
13. Cycling
14. Equestrians Sports
15. Football
16. Golf
17. Gymnastics (including Body Building)
18. Handball
19. Hockey
20. Judo
21. Kabaddi
22. Karate-DO
23. Kayaking and Canoeing
24. Kho-Kho
25. Polo
26. Power lifting
27. Rifle Shooting
28. Roller Skating
29. Rowing
30. Softball
31. Squash
32. Swimming
33. Table Tennis
34. Taekwondo
35. Tennikoit
36. Tenis
37. Volley ball
38. Weight Lifting
39. Wrestling
40. Yachting
41. Ice-Skiing
42. Ice-Hockey
43. Ice-Skating
 Appendix D

SPECIMENS FORM FOR CANDIDATES APPLIED UNDER SPORTS PERSON QUOTA

FORM-1

(For representing India in an International Competition

In one of the recognized Games/Sports)

NATIONAL FEDERATION/NATIONAL ASSOCIATION

OF _________________

Certificate to meritorious sportsman for employment to

Group C and D services under the Central Government

Certified that Shri/Smt/Kumari ___________________, son/wife/daughter of Shri ____________

____ ______________, resident of _________________________ (complete address) represented the

Country in the game/event of _____________ in ______________ Competition/Tournament held at

___________ from __________ to _______

The position obtained by the individual/team in the above said Competition/Tournament was

____________________

The certificate is being given on the basis of record available in the Office of National

Federation/National Association of ________________________________________

Place _____________ Signature ___________________________

Date _____________ Name : _____________________________

Designation _________________________

Name of the Federation/National

Association__________________________

Address : ___________________________

Seal _______________________________

NOTE : This Certificate will be valid only when signed personally by the Secretary, National
Federation/ National Association.
 FORM 2

(For representing A State in India in National Competition

In one of the recognized Games/Sports)

STATE ASSOCIATION OF _____________ IN THE

GAME OF ________________

Certificate to meritorious sportsman for employment to

Group C and D services under the Central Government

Certified that Shri/Smt/Kumari ___________________, son/wife/daughter of Shri ___________

_____ ______________, resident of ______________________________ (complete address) represented

the State of ______________in the game/event of ___________________ in the National Competition/

Tournament held at ________________ from __________ to _______

The position obtained by the individual/team in the above said Competition/Tournament was
_________________

The certificate is being given on the basis of record available in the Office of the State Association of

___________

Place _____________ Signature ___________________________

Date _____________ Name : _____________________________

Designation _________________________

Name of the State

Association__________________________

Address : ___________________________

Seal _______________________________

NOTE : This Certificate will be valid only when signed personally by the Secretary of the State Association.
 FORM 3

(For representing a University in the Inter-University Competition

in one of the recognized Games/Sports)

UNIVERSITY OF _____________

Certificate to meritorious sportsman for employment to

Group C and D services under the Central Government

Certified that Shri/Smt/Kumari ___________________, son/wife/daughter of Shri ____________,

resident of ______________________________ student of __________________ represented the University of
______________state of __________________in the game/event of ________________ in Inter-University
Competition/ Tournament held at ________ from __________ to _________________

The position obtained by the individual/team in the above said Competition/Tournament was
____________________

The certificate is being given on the basis of record available in the Office of Dean of Sports or Officer in
overall charge of sports in the University of ______________

Place _____________ Signature ___________________________

Date _____________ Name : _____________________________

Designation _________________________

Name of the University _______________

Address : ___________________________

Seal _______________________________

NOTE : This certificate will be valid only when signed personally by Dean/Director or other Officer in overall
charge of sports in the University.
 FORM 4

(For representing a State School Team in the National Games for school
in one of the recognized Games/Sports)

DIRECTORATE OF PUBLIC INSTRUCTIONS/EDUCATION

OF THE STATE OF _______________

Certificate to meritorious sportsman for employment to

Group C and D services under the Central Government

Certified that Shri/Smt/Kumari ___________________, son/wife/daughter of Shri ____________,

resident of ____________________________(complete address) student of __________________ represented
the ______________state School Team in the game/event of ________________ in the National Games for
Schools held at ________________ from __________ to _________________

The position obtained by the individual/team in the above said Competition/Tournament was
____________________

The certificate is being given on the basis of record available in the Office of Directorate of Public
Instructions/ Educations of ______________

Place _____________ Signature ___________________________

Date _____________ Name : _____________________________

Designation _________________________

Address : ___________________________

Seal _______________________________

NOTE : This certificate will be valid only when signed personally by the Director or Additional/Joint or Deputy
Director in overall charge of sports/games for schools in the Directorate of Public Instruction/Education of the
State.
 FORM 5

(For the awardees in Physical Efficiency Performances conducted

by the Ministry of Education and Social Welfare)

GOVERNMENT OF INDIA/MINISTRY OF EDUCATION AND

SOCIAL WELFARE

Certificate to meritorious sportsman for employment to

Group C and D services under the Central Government

Certified that Shri/Smt/Kumari ___________________, son/wife/daughter of Shri ____________

________________, resident of ______________________________ (complete address) represented the

______________ School Team in the game/event of ________________ in the National competition held at

________________ from __________ to _________________

The certificate is being given on the basis of record available in the Ministry of Education and Social

Welfare.

Place _____________ Signature ___________________________

Date _____________ Name : _____________________________

Designation _________________________

Address : ___________________________

Seal _______________________________

NOTE : This certificate will be valid only when signed personally by the Secretary or the other Officer in
overall charge of Physical Efficiency in the Ministry of Education and Social Welfare.
 Appendix E

FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES

APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA

(G.I, Dept of Per & Trg O.M No 36033/28/94-Estt (res), dated 02-07-1997)

This is to certify that .Son/Daughter of Sh.

of Village :
. Post : .... District/
Division : .. in the State : belongs to
the community which is recognized as a Backward Class under:-

*(i) Government of India, Ministry of welfare, Resolution No 12011/68/93-BCC (C) dated the 10th
September, 1993, published in the Gazette of India, Extraordinary, Part-I, Section I, No.186 dated the
13th September, 1993.

*(ii) Government of India, Ministry of Welfare, Resolution No 12011/9/94-BCC dated the 19th
October 1994, Published in the Gazette of India, Extraordinary, Part-I, Section I, No 163, dated the
20th October 1994.

*(iii) Government of India, Ministry of Welfare, Resolution No 12011/7/95-BCC dated the 24th May
1995, Published in the Gazette of India, Extraordinary, Part-I, Section I, No 88, dated the25th May
1995.

*(iv) Government of India, Ministry of Welfare, Resolution No 12011/44/96-BCC dated the 6th Dec
1996, Published in the Gazette of India, Extraordinary, Part-I, Section I, No 210, dated the 11th
December 1996.

Shri and/or his family ordinarily reside(s)

in the District/Division of the .. State. This is
also to certify that he/she does not belong to the person/section (Creamy Layer) mentioned in Column 3 of the
Schedule to the Government of India, department of Personal and Training, O.M. No 3602/22/93-Estt (SCT)
dated 8-9-1993.

District Magistrate
Dated: Deputy Commissioner, etc.

SEAL