Advt Non Teaching IITJammu 01 2024 - English
Advt Non Teaching IITJammu 01 2024 - English
Advt Non Teaching IITJammu 01 2024 - English
Online Applications are invited from the Indian Nationals for filling up for the following positions at IIT Jammu.
Number of vacancies
Age Limit Pay Level
Recruitment
Ser Positions Deptt./ Unit Group (as on date of
Type (as 7 CPC)
Advertisement)
UR SC ST OBC EWS Total
Deputation/ Level-14
1 Registrar Administration A 1 - - - - 1 57 years
Direct (₹144200 - ₹218200)
Assistant
Central Level-10
2 Workshop Direct A 1 - - - - 1 45 Years
Workshop (₹56100 - ₹177500)
Officer
Technical Cadre
Laboratory Level-5
3
Assistant
posts for Depts. / Direct C 3 1 1 3 1 9* 33 Years
(₹29200 - ₹92300)
Centre
Civil Engineering 2
C3I 1
Mechanical Engineering 2
Electrical Engineering 3
Total 9*
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1. Registrar, Level 14 of 7th CPC
ESSENTIAL
(i) Master degree from recognized university in any discipline with 60% marks and above or its equivalent
Grade ‘B’ in the UGC seven point scale and consistently good academic record set out in these regulations.
(ii) Atleast 15 years of experience as Assistant Professor in the pay matrix of AL-11 (Rs.68900-117200)
(Pre-revised AGP Rs.7000) and above or 8 years of service in the pay matrix of AL-12 (Rs.101500-167400)
(Pre-revised AGP Rs.8000) and above including as Assistant/ Associate Professor with relevant experience
in educational administration/ research establishments.
OR
15 years of administrative experience of which 8 years regular service as Deputy Registrar or an equivalent
post in the pay matrix of L-12 (Rs.78800-209200) (Pre-revised GP Rs.7600) and above.
Note: If the applicant is from PSU or any other organization, his/her work experience should match the
essential work experience and should match either GP (6th CPC) or minimum total emolument.
JOB RESPONSIBILITIES
The job responsibilities include:
(i) Registrar is the custodian of the Institute Seal and Estate.
(ii) Registrar is responsible for supervising the recruitment, posting, assessment, training, mentoring and
welfare of the non-teaching staff of the Institute, as per the guidance provided by the Institute functionaries.
(iii) Registrar is the ex-officio Secretary (non-member) of the Board of Governors, Senate, Finance
Committee and Building & Works Committee of the Institute.
(iv) Registrar provides data/information and submits statutory reports to Ministries and agencies, besides
collecting/maintaining necessary records of all important functions/activities of the Institute.
(v) Any other tasks that may be assigned by the Competent authority from time to time.
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2. Assistant Workshop Officer, Level 10 of 7th CPC
ESSENTIAL
M.Tech Degree in Mechanical/ Manufacturing/ Production Engineering or equivalent qualification with a
minimum of 60% marks and above with 03 years relevant experience at Pay Matrix level 8 (Pre-revised PB:
2 GP Rs 4800) or equivalent.
OR
B.Tech Degree in Mechanical/ Manufacturing/ Production Engineering or equivalent qualification with a
minimum of with 60% marks and above with 04 years’ experience in relevant field at Pay Matrix level 8 (Pre-
revised PB: 2 GP Rs 4800) or equivalent.
OR
Three years Diploma in Mechanical/ Manufacturing/ Production Engineering or equivalent in appropriate field
(after 10+2) with a minimum of 60% marks in the qualifying degree from a recognized University/ Institute and
6 years relevant experience in relevant field at Pay Matrix level 8 (Pre-revised PB: 2 GP Rs 4800) or
equivalent.
JOB RESPONSIBILITIES
The job responsibilities include:
(i) Assisting in the overall management of the workshop.
(ii) Supervising workshop staff and ensuring smooth daily operations.
(iii) Ensuring safety protocols and standards are followed.
(iv) Providing training and instruction to students, researchers, and staff on the use of workshop
equipment and machinery.
(v) Assisting in the development and implementation of training programs and workshops.
(vi) Overseeing the maintenance, repair, and calibration of workshop tools and machinery.
(vii) Coordinating with vendors and suppliers for equipment servicing and procurement.
(viii) Supporting academic and research projects by providing technical expertise and assistance.
(ix) Managing workshop inventory, including tools, materials, and supplies.
(x) Keeping accurate records of inventory and ensuring timely replenishment of stock.
(xi) Maintaining documentation related to workshop activities, equipment usage, and safety inspections.
(xii) Preparing reports on workshop operations, equipment status, and training sessions.
(xiii) Ensuring compliance with health and safety regulations within the workshop.
(xiv) Conducting regular safety audits and risk assessments.
(xv) Providing support to the Principal Workshop Officer and Workshop Officer in their duties and acting
as a point of contact in their absence and handling delegated responsibilities.
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3. Laboratory Assistant, Level 5 of 7th CPC
ESSENTIAL
Master’s Degree in Engg./Science or equivalent qualification in appropriate field with a minimum of 60%
marks in the qualifying degree from a recognized University/Institute and 01 year relevant experience at
Pay Matrix Level 2 (Pre-revised PB:2 GP Rs.1900) or equivalent level and above in Central Govt./ State
Govt./ Autonomous Bodies/ Public Sector Undertakings/ Private sector.
OR
Bachelor Degree (four years) in Engineering or equivalent qualification in appropriate field with a minimum
of 60% marks in the qualifying degree from a recognized University/Institute and 02 year relevant experience
at Pay Matrix Level 2 (Pre-revised PB:2 GP Rs.1900) or equivalent level and above in Central Govt./ State
Govt./ Autonomous Bodies/ Public Sector Undertakings/ Private sector.
OR
Bachelor’s Degree in Science (Three years) or equivalent in appropriate field with a minimum of 60% marks
in the qualifying degree from a recognized University/Institute and 03 year relevant experience at Pay Matrix
Level 2 (Pre-revised PB:2 GP Rs.1900) or equivalent level and above in Central Govt./ State Govt./
Autonomous Bodies/ Public Sector Undertakings/ Private sector
OR
Three years Diploma in Engineering or equivalent in appropriate field (after 10+2) with a minimum of 60%
marks in the qualifying degree from a recognized University/ Institute and 03 year relevant experience at
Pay Matrix Level 2 (Pre-revised PB:2 GP Rs.1900) or equivalent level and above in Central Govt./State
Govt./ Autonomous Bodies/ Public Sector Undertakings/ Private sector.
JOB RESPONSIBILITIES
The job responsibilities include:
a) Laboratory Setup and Maintenance:
(i) Prepare and setup laboratory equipment and materials for experiments and classes (e.g., setting
up oscilloscopes, signal generators and other electronic instruments for an electronics lab, calibrating pH
meters, Spectrometers and other analytical instruments, assist in the setup of high-performance liquid
chromatography (HPLC) systems etc.)
(ii) Ensure all equipment is functioning properly and is well maintained (e.g., ensuring proper sterilization
of lab equipment and workspaces in a bio safety lab).
(iii) Conduct routine calibration and troubleshooting of laboratory equipment.
(iv) Monitoring and controlling environmental conditions in the laboratory such as temperature and
humidity.
b) Conducting Experiments:
(i) Assist in design and execution of experiments
(ii) Support faculty and researchers in conducting scientific investigations and experiments
(iii) Collection of experimental data.
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(iv) Implement and enforce laboratory safety protocols, and ensure compliance with safety regulations.
(v) Setting up apparatus and equipment for undergraduate and postgraduate lab sessions
c) Technical Assistant:
(i) Demonstrate the use of laboratory equipment and techniques to students and staff.
(ii) Assist in training students and new laboratory users on proper laboratory techniques and safety
protocols.
d) Inventory Management:
(i) Manage laboratory supplies including ordering, stocking and tracking inventory
(ii) Maintain records of equipment and supply usage
e) Documentation and Reporting:
(i) Maintain accurate and detailed records of experiments, procedures and results.
(ii) Prepare reports and summaries of research findings for faculty and research staff.
f) Lab Scheduling and Coordination:
(i) Assist in the scheduling and use of laboratory facilities and equipment
(ii) Oversee the smooth functioning of laboratory classes and sessions.
g) Quality Control:
(i) Monitor the quality and accuracy of laboratory work conducted by junior staff and students.
(ii) Ensure adherence to standard operating procedures (SOPs) and best practices.
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GENERAL INSTRUCTIONS
1 Instructions for application
(a) Applicants applying from private sector need to provide Form-16/ ITR/ salary certificate from the
employer for the period of claimed and declared experience as advertised.
(b) Candidates should read carefully the requisite minimum essential qualifications, age and eligibility,
experience criteria etc. laid down in the advertisement before applying for the relevant post. Since all the
applications will be screened on the basis of data submitted by the candidate in the online application
form, the candidates must satisfy their suitability for the position to which they are applying. If at any stage
during the screening, recruitment and selection process and even after appointment, it is found that
candidates have furnished false or incorrect information, their candidature will be rejected/ cancelled/
terminated immediately. The institute take no responsibility for incomplete/incorrect information. No
correspondence in this regard shall be entertained at later date.
(c) Applicants should take due care while filing online information for different positions. Application
once submitted online cannot be altered/ resubmitted, under any circumstances. Further, no request
with respect to making changes in any data/ particular will be entertained, once the application is submitted
successfully. Therefore, please keep all data/details ready before you start filling up the application online.
(d) For all positions, good knowledge of Computer applications (on word processing, spreadsheet,
presentations software etc. and OS like MS-Windows, LINUX etc.) will be a distinct plus. Hence any
certification in this regard must be submitted along with the application form.
(e) In addition to the pay in the Pay Matrix as per 7th CPC as mentioned above, the posts carry the
usual allowances at par with those admissible under IIT Jammu rules in the corresponding Pay Scale.
(f) The minimum qualifying marks for Written Test/ Proficiency Test/ Computer Test/ Interview will be
as per the standard fixed by the Institute at its discretion (Relaxation/Concession to SC/ST/OBC (Non-
creamy layer) candidates may be given as per GOI’s rules).
(g) Once a candidate has chosen a reserved category, no request shall be entertained for change to
other reserved category viz. SC to ST, ST to SC, OBC to SC/ST or SC/ST to OBC, SC to EWS, EWS to
SC, ST to EWS, EWS to ST, OBC to EWS, EWS to OBC (or) any other such requests.
(i) The OBC (Non-creamy layer) certificate issued on or after 01.01.2024 shall only be considered for
the reservation under OBC (Non-creamy layer) category. The certificate should clearly mention that the
candidate belongs to non-creamy layer and the caste of the candidate must be in the state-wise central list
of OBCs. Also, for Economically Weaker Section (EWS) certificate issued on or after 01.01.2024 shall
only be considered for the reservation under EWS category. The Economically weaker section certificates
in the proforma prescribed and issued by the competent authority will only be accepted as sufficient proof
in support of candidate claim for belonging to EWS. No other certificate will be accepted as sufficient proof.
(j) All candidates, irrespective of category may be considered against UR vacancies, subject to
fulfilment of eligibility criteria prescribed for UR candidates. However, against the vacancies
earmarked for specific categories (SC/ST/OBC-NCL/EWS), only candidates belonging to that
category will be considered.
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(k) For availing reservation, SC/ST/OBC-NCL candidates should furnish valid Caste Certificate from
Competent Authorities at the time of document verification.
(l) Further, in case of OBC-NCL candidates, the certificates should specifically indicate that the
candidate does not belong to the Persons/Sections (Creamy Layer) mentioned in Column 3 of the Schedule
of the Government of India, Department of Personnel and Training O.M.No.36012/22/93- Estt. (SCT) dated
08.09.93 & its subsequent revision through O.M.No.36033/3/2004-Estt. (Res) dated 09.03.2004,
27.05.2013, 13.09.2017 and further revision if any received till the closing date for ONLINE Registration.
The candidate should ensure that he/she belongs to the OBC- Non-Creamy Layer category while applying
for the posts against this notice. Such candidate should produce a valid OBC certificate in the prescribed
format during Document Verification. Further, in addition to the Category Certificate (OBC-NCL), a
declaration if required has to be furnished by the candidate during Document Verification, that he/she does
not belong to the creamy layer, otherwise, their claim for reserved status (OBC-NCL) will not be entertained
and the candidature/application of such candidates, if fulfilling all the eligibility conditions prescribed for
General (Un- reserved) category, will be considered against General (UR) vacancy only.
(m) IIT Jammu strives to have a workforce which reflects gender balance and women candidates are
encouraged to apply.
(n) Age should not exceed the limit as on the date of start of acceptance of applications.
(o) For employees of IITs who are educationally qualified can be considered for direct recruitment upto
a maximum of 50 years of age for these posts.
(p) The Institute reserves the right to select any candidate on contractual basis who has applied for any
substantive position, if the selection committee recommends so with such benefits which are similar to
regular appointments. The appointments on contract basis shall be made initially for a period of 02 years
which are extendable on year-to-year basis, maximum upto period of 05 years. The regularization or
otherwise of the concerned incumbent will be considered based on their performance or institute’s
requirement by a Committee.
(q) The relaxations and concessions for PwD will be as per current Central Govt. Orders. The persons
with disability (PwD) shall be required to submit the Disability/ Medical certificate in the proforma prescribed
and issued by the competent medical authorities for the purpose of employment as per Government of
India norms with duly completed application form. Persons not suffering from less than 40% of the disability
shall only be eligible for the benefit of reservation under this category. The certificate will be rejected if the
disability is less than 40%.
(r) Fulfillment of qualifications and experience is an essential requirement. The candidate will be called
for Written Test/ Proficiency Test/Computer Test/Interview, as stated above while progressing ahead in the
stage(s) of recruitment/ selection, following the standards in general. As stated, the Institute is free to set
the benchmark and call only the eligible candidates above set benchmark for the Written Test/ Proficiency
Test/Computer Test/Interview. Further, IIT Jammu also reserves the right NOT to fill any of the post
advertised, in the event or exigency so decided without assigning any reason thereof.
(s) IIT Jammu is an aspirational emerging institute from 3G IITs. IIT Jammu is looking for energetic,
enthusiastic candidates and having highest work ethics candidates who are passionate about their work.
Candidates having requisite work experience in IIT system shall have added advantage. The relaxation, if
any, for suitable/deserving candidate for relevant posts may be decided by the Director, IIT Jammu. Also,
in case of any dispute/ambiguity/confusion that may occur in the process of selection, the decision of the
Director, IIT Jammu shall be final.
(t) The Institute will conduct a multistage assessment process for advertised positions. This may
include screening, written test/proficiency test/computer test/presentation/ interviews as per requirement of
advertised post. The final merit calculation may involve one of the following: -
I: Each Stage will be an elimination round, so the candidate has to qualify for each test to appear
for next stage
II : Cumulative marks/performances from multiple stages
III: A combination of involved processes in points I & II above Final selection.
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(u) The Institute reserves the right to reduce/ increase the stages of recruitment. All stages may
be conducted on the same day without any prior notice. However, actual selection shall depend on the
merit over and above this minimum level as determined by the respective Selection Committee(s).
(v) Outstation candidates called for Written Test/Proficiency Test/Computer Test/Interview for Group
‘A’ posts will be paid 2nd AC Railway Fare and Group ‘C’ posts will be paid 2nd sleeper Railway Fare from
the place of duty/residence to the IIT Jammu for selection process and back by the shortest route. The
reimbursement will be made through RTGS to candidate’s Bank Account, and no cash will be paid on the
spot.
(w) Age of superannuation for the post of Registrar is 62 years and for other post is 60 years. Relaxation
may be provided to the employees working in IITs (with Minimum Three-year Service) by the Competent
Authority, if any candidate found suitable/deserving for the relevant advertised posts through direct
recruitment.
(x) The Terms and Conditions of the advertisement such as Pay Level/ Grade Pay/ Mode of
Recruitment etc. are subject to amendments from time to time as per Recruitment & Promotion norms of
IIT Jammu.
2 Application Submission
(a) The candidates are required to apply ONLINE only from 10:00 a.m. from 12 Oct 2024 to
02 Nov 2024 upto 05:00 p.m.
(b) For submission of application through ONLINE MODE, please visit: https://apply.iitjammu.ac.in
(c) No hardcopy submission of the online submitted application is required for the non-teaching
positions at the initial stage. However, candidates shortlisted for Written Test/ Proficiency Test/ Computer
Test/ Interview shall be required to produce the print out of the ONLINE completed and duly signed
application along with all supporting educational and experience certificates duly self-attested at the time
of Written test/Proficiency test/Computer test/Interview failing which such candidates shall not be allowed
to participate in the process.
(d) Persons serving in Govt./Semi-Govt./PSUs, should submit NOC at the time of Written test/
Proficiency test/ Computer test/ Interview failing which such candidate shall not be allowed to participate
in the process. However, candidates whose application is received through PROPER CHANNEL (within 40
days of submitting online application) are exempted from producing NOC at the time of Written test/
Proficiency test/ Computer test/ Interview. No advance copy is required to be submitted by post at the
initial screening stage.
(e) Candidates who have successfully submitted their applications online have to ensure that their
application number appear in the list which would be available after the last date of the advertisement on
the website. Only those candidates who have successfully completed and submitted the application and
paid the requisite fees shall find their application number listed on IIT Jammu website. If there is any
discrepancy/query, please contact staff.recruitment@iitjammu.ac.in within one week from the date of
display of the list.
(f) Incomplete application will be summarily rejected, and application received after last date shall not
be entertained and the Institute will not be responsible for any delay.
(h) Number of vacancies including those under reserved categories are provisional and may change,
depending on the actual requirement and appointments will be made strictly on need basis.
(i) Decision of the Institute in all matter relating to the eligibility of the candidate, Written
Test/Proficiency Test/Computer Test/Interview would be final and binding on all the candidates.
(j) The appointment of the selected candidates will be subject to their being found medically fit as per
the requirements of the Institute.
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(k) The Institute shall verify the antecedents or documents submitted by a candidate at any time, at the
time of appointment or during the tenure of the services. In case, it is detected that the documents submitted
by the candidates are fake or the candidate has doubtful / unacceptable antecedents / background and has
suppressed the said information, then his / her services shall be terminated forthwith and in addition, legal
action may be initiated against such candidates / employees as per law.
(l) Candidates who desire to apply for more than one post should apply online separately for each post.
(m) In case of any corrigendum / addendum pertaining to this advertisement, the same shall be
published in the Institute’s website only.
(n) Canvassing in any form and / or bringing any influence, political, or otherwise, will definitely be
treated as a disqualification for the post applied for.
3 Fee Payable
(a) Candidates are required to pay a non-refundable Fee of Rs.1000/- (₹800/- towards application
fee plus ₹200/- towards processing fee) for Group ‘A’ and ₹500/- (₹300/- towards application fee plus
₹200/- towards processing fee) for Group ‘B’ & ‘C’ has to be paid through the link provided inside the
portal. This fee is inclusive of GST.
(b) Candidate belonging to SC/ST, PwD and women candidates are exempted from paying
application fee. However, they have to pay a non-refundable amount of ₹200/- towards processing fee.
(c) The fee once paid will not be refunded or re-adjusted under any circumstances.
(a) Candidates once applied should visit Institute website and portal regularly for status updates in
recruitment. Screened list of eligible candidates with application number will be displayed on the Institute
website, after screening is done. Information regarding selection test, Interview schedule etc. will be
communicated through the Institute website and email. The Institute will not be responsible in any manner,
if, candidate fails to visit/access the website in time. Candidates are requested to visit Institute website
regularly.
(b) Institute will upload the information on its website / homepage, for convenience of the candidates
regarding conduct and result of tests/interview. The candidate may submit their applications at Online portal
https://apply.iitjammu.ac.in in their own interest and refer to any updates, posted their time-to-time.
(c) No correspondence whatsoever will be entertained from candidates regarding conduct and result of
interview and reasons for not being called for interview or selection.
(d) List of Shortlisted candidates will be displayed on the Institute’s Website. Applicants are instructed
to visit the website regularly. Shortlisted candidates will be informed through email only and no separate
communication will be sent.
Sd/xx
Officiating Registrar
Dated: 27.09.2024
Enclosed: Proforma I to V
Note: The advertisement is published in bilingual. In case of any confusion/clarity in the language, the
English version will be considered as final.
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Proforma-I
The form of certificate to be produced by Scheduled Castes candidates applying for appointment to posts under the
Government of India
[as amended by the Scheduled Castes and Scheduled Tribes List (Modification) Order, 1956; the Bombay Reorganisation Act,
1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the North Eastern Areas (Reorganisation)
Act, 1971, the Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976., the State of Mizoram Act, 1986, the State
of Arunachal Pradesh Act, 1986 and the Goa, Daman and Diu (Reorganisation) Act, 1987.]
@ The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the Scheduled Castes and
Scheduled Tribes Order (Amendment) Act, 1976
@ The Constitution (Dadar and Nagar Haveli) Scheduled Castes Order, 1962 @ The Constitution (Pondicherry) Scheduled Castes
Order, 1964
@ The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968
@ The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act 2002 @ The Constitution (Scheduled Castes) Order
@ The Constitution (Scheduled Castes and Scheduled Tribes) Orders (Amendment) Act, 2002
This certificate is issued on the basis of the Scheduled Castes certificate issued to
Shri/Shrimati*..................................................... Father/Mother of Shri/Shrimati/Kumari
...................................................ofvillage/town* ......................................... in District/Division*............................ of
the State/Union Territory*............................ who belongs to the Caste/Tribe* which is recognised as a Scheduled Caste in
the State/Union Territory* of ..................................... issued by the ..................................... dated
................................
Signature................................................
**Designation............................................
Place: .....................................
27
Date: ......................................
*Please delete the words which are not applicable. @Please quote specific Presidential Order.
NOTE: The term “ordinarily reside (s)” used here will have the same meaning as in Section 20 of the
Representation of the People Act, 1950.
Proforma-II
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FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER
THE GOVERNMENT OF INDIA
belongs to the category which is recognized as a backward class under the Government of India,
Territory. This is also to certify that he/she does not belong to the persons/sections (Creamy Layer) mentioned in Column 3
of the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93-Estt. (SCT) dated
8.9.1993, OM No. 36033/3/2004-Estt. (Res) dated 9th March, 2004, O.M. No. 36033/3/2004-Estt. (Res) dated 14th October,
2008 and O.M. No. 36033/1/2013-Estt. (Res) dated 27th May, 2013**.
Dated:
Signature ____________
Designation __________________
Seal
*- The authority issuing the certificate may have to mention the details of Resolution of Government of India, in which the caste of the
candidate is mentioned as OBC.
**- As amended from time to time.
$ - List of Authorities empowered to issue Other Backward Classes certificate will be the same as those empowered to issue Scheduled
Caste/Scheduled Tribe certificates.
Note:- The term “Ordinarily” used here will have the same meaning as in Section 20 of the
Representation of the People Act, 1950.
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Proforma-III
Form of declaration to be submitted by the OBC candidate (in addition to the category certificate)
Signature………………..
Full Name………………………
Address…………………………
30
Proforma-IV
Form-V Certificate of Disability
(In cases of amputation or complete permanent paralysis of limbs and in cases of blindness)
[See rule 18(1)]
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Form‐VI Certificate of Disability
(In case of multiple disabilities) [See rule 18(1)]
(A) He/she is a Case of Multiple Disability. His/her extent of permanent physical impairment/disability has been evaluated as per guidelines
(……………number and date of issue of the guidelines to be specified) for the disabilities ticked below, and shown against the relevant
disability in the table below:
Permanent physical
SI. No Disability Affected part Diagnosis
impairment/mental disability (in
body of
%)
1. Locomotor disability @
2. Muscular Dystrophy
3. Leprosy cured
4. Dwarfism
5. Cerebral Palsy
7. Low vision #
8. Blindness #
9. Deaf £
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14. Autism Disorder Spectrum
19. Haemophilia
20. Thalassemia
(B) In the light of the above, his /her over all permanent physical impairment as per guidelines (number and date of issue of the guidelines to
be specified), is as follows: -
(C) The applicant has submitted the following document as proof of residence
Nature of Document Date of Issue Details of authority issuing certificate
Name and seal of Member Name and seal of Member Name and seal of the Chairperson
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Form-VII Certificate of Disability
(In cases other than those mentioned in Forms V and VI)
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFICATE)
[See rule 18(1)]
Recent Passport size Attested
photograph (Showing face only)
of the person with disability
(A) The above condition is progressive/ non-progressive/ likely to improve/not likely to improve.
(B) Reassessment of disability is :
not necessary
or
is recommended/ after ....................... years ...................... months, and therefore this certificate shall be valid till
..................................................................................................................... (DD)/(MM)/(YY)
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€ - eg. Left/Right/both ears
(C) The applicant has submitted the following document as proof of residence
Nature of Document Date of Issue Details of authority issuing certificate
Name and seal of Member Name and seal of Member Name and seal of the Chairperson
Countersigned
(Countersignature and seal of the Chief Medical Officer/Medical Superintendent/ Head of Government
Hospital, in case the certificate is issued by a medical
authority who is not a government
servant (with seal))
Signature/Thumb impression of the person in
whose favour certificate of disability is issued.
Note: In case this certificate is issued by a medical authority who is not a government servant, it shall be valid only if
countersigned by the Chief Medical Officer of the District.
Note: The principal rules were published in the Gazette of India by Ministry of Social Justice and Empowerment vide notification
number 489, dated 15.06.2017.
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Proforma-V
Government of……………
(Name & Address of the authority issuing the certificate)
His/her family does not own or possess any of the following assets*** :
2. Shri/Smt./Kumari …………………. belongs to the ……………. caste which is not recognized as a Scheduled Caste, Scheduled Tribe
and Other Backward Classes (Central List).
*Note l: Income covered all sources i.e. salary, agriculture, business, profession, etc.
**Note 2: The term 'Family" for this purpose include the person, who seeks benefit of reservation, his/her parents and
siblings below the age of 18 years as also his/her spouse and children below the age of 18 years
***Note 3: The property held by a "Family' in different locations or different places/cities have been clubbed while applying
the land or property holding test to determine EWS status.
*****************************
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