Gllej ØeosMe YetlelJe SJeb Keefvekeâce& Advertisement. No.

-
UTTAR PRADESH PUBLIC SERVICE COMMISSION
efveosMeeueÙe DeOeervemLe ØeeefJeefOekeâ mesJee D-4/E-1/2023
Date: 26.09.2023
DATE OF COMMENCEMENT OF ONLINE APPLICATION : 26.09.2023
LAST DATE FOR SUBMISSION OF ONLINE APPLICATION : 26.10.2023
LAST DATE FOR THE PAYMENT OF ONLINE APPLICATION FEE IN THE BANK : 26.10.2023
LAST DATE FOR SUBMISSION OF HARD COPY OF APPLICATION : 02.11.2023
IMPORTANT- First Stage:- On clicking 'Apply', 'Authenticate with O.T.R.' the aforesaid paragraph, therefore no claim of the
will be displayed with respect to the direct recruitment and on candidate will be accepted in this regard.
(1)- (i) Without O.T.R. Number the submission of
Online application will not be possible. (ii) Those clicking 'Authenticate with O.T.R.', 'Have You Completed Training Division, State Planning Institute, U.P.
Candidates who have not obtained O.T.R. Your O.T.R. Registration' will be displayed, in which the 01 Post (OBC) of Deputy Director, Department No.- S-2/01,
Number, must obtain it from commission's candidate will have to tick 'Yes' or 'No'. If the candidate -- Nature of Post- Group-'A' Gazetted, Reservation: As per
website https://otr.pariksha.nic.in 72 hours before (i) Ticks on 'Yes' and clicks on 'Go' button, "Enter your existing rules, Pay Scale: Level-11, Rs. 67,700-2,08,700, A.
the submission of Online application. (iii) Only O.T.R. Number" will be displayed wherein he/ she has to fill Academic Qualification: (a) A post graduate degree in
after obtaining O.T.R. Number a candidate may O.T.R. Number and click on 'Proceed' button. On clicking Human Geography or Statistics or Economics or Sociology
submit online application through commission's 'Proceed' button, 'Click here to Authenticate' will be or Business Management or Industrial Engineering or
website https://uppsc.up.nic.in displayed, clicking whereon the candidate may authenticate Public Administration from a University established by law
(2) Incomplete Online Application-Form shall be through OTP received on his/her registered mobile no./email ID in India or a recognised Institutions; and (b) Five years
rejected and no communication in this regard shall be or O.T.R.-password. Having completed the process of experience of research work or of imparting training in an
entertained. Authentication, all personal details of the candidate (as filled in institution recognised by Government. B. Preferential
(3) If at any stage, it comes to the knowledge of the O.T.R.) will be displayed automatically. The candidate will Qualification:- A candidate who has- (1) served in the
commission that the candidate has concealed or have to fill only essential qualification as required for the post. territorial army for a minimum period of two years; or (2)
misrepresented any information, his candidature shall be (ii) Ticks on 'No' and clicks on 'Go' button:- (a) First of all, the obtained a 'B' Certificate of National Cadet Corps, shall,
rejected and proceeding to debar him from future candidate has to obtain O.T.R. number from O.T.R. Web- other things being equal, be given preference in the matter
examinations and selections shall be initiated. portal (https://otr.pariksha.nic.in/) of Commission. (b) After of direct recruitment. Age Limit:- 21 to 40 years. (Age
(4) At the time of online application "The candidates are obtaining O.T.R. number the candidate will have to apply relaxation is permissible as per rules).
directed to ensure the preservation of information online according to the process adopted in First Stage. Relevant Service Rules of the post
regarding all the stages (i.e. O.T.R., Final submission, Fee Second Stage:- The First Stage procedure having been * The Uttar Pradesh Training Division (State Planning
payment, Qualification related Modification/Error- completed the address of the candidate will automatically be
Correction etc.) in Soft/Hard copy for future references." Institute) (Group 'A') Service Rules, 1992
displayed on the screen from O.T.R. along with the Geology and Mining Department, U.P.
NOTE- (1) Candidates after submitting their applications preferential qualifications prescribed for the post.
02 Posts (Unreserved) of Assistant Chemist, Department
through online shall send self attested photo copies of their The candidate will have to choose Yes/No option
No.- S-6/03, Nature of Post:- Group-'B' Gazetted, Pay
all academic/required documents regarding their claims against each preferential qualification according to his/her
Scale: Level-10, Rs. 56100-177500, A. Academic
along with printout of online form till 02.11.2023 at 05:00 eligibility for the same.
Qualification- Master's Degree in Chemistry from a
P.M. through registered/speed post or personally in the Third Stage:- After the completion of the procedure of
University established by law in India with at least 50 percent
office of the Commission. For this purpose proforma of Second Stage, 'Fee to be deposited [in INR]' shall be
marks in the aggregate and at least two years experience in
Address Slip is as below:- displayed with caption "Click here to proceed for payment".
the related field. B. Preferential Qualification- A candidate,
Advertisement No. : ................ After clicking the above caption home page of State Bank
other things being equal, be given preference in the matter
Post Name : MOPS (Multi Option Payment System) shall be displayed
of direct recruitment, if he- (1) has served in the Territorial
Deptt. No. : comprising of 03 modes of payment viz.
Army for a minimum period of two years; or (2) has obtained
O.T.R. No. : (i) NET BANKING (ii) CARD PAYMENTS and (iii) OTHER
a 'B' certificate of National Cadet Corps. Age Limit:- 21 to 40
Application ID : PAYMENT MODES.
years (Age relaxation is permissible as per rules).
To, After payment of the required fee by any one of the above
Relevant Service Rules of the post
The Secretary, prescribed modes, "Payment Acknowledgement Receipt
(PAR)" shall be displayed alongwith detail of fee payment, * The Uttar Pradesh Geology and Mining (Group 'A' and 'B')
Uttar Pradesh Public Service Commission Service Rules, 2019
10, Kasturba Gandhi Marg, Prayagraj, U.P. the print of which must be taken by clicking on "Print
Payment Receipt". In the event of 'Payment Failed' the * The Uttar Pradesh Geology and Mining (Group 'A' and 'B')
Pin Code-211018
candidate has to go to 'Candidate Dashboard' and after Service (First Amendment) Rules, 2021
From
Name & Address of the Candidate filling the O.T.R. number proceed to authenticate through Uttar Pradesh Ayush (Homoeopathy) Department
The candidates are advised to login to the 'Candidate OTP or O.T.R. password and click 'Pending Payment' to pay 54 Posts of Homoeopathic Medical Officer, Department
Dashboard (O.T.R. Based)' on the commission's website, the Fee, compulsorily for Online application. No.- S-11/08, Nature of Post: Group-'B' Gazetted,
download and take printout of the address-slip and paste it on Fourth Stage:- After completing the procedure of the Third Reservation: As per existing rules, Pay Scale: Level-10, Pay
the envelope containing documents. In absence of required Stage the candidate may obtain the print of online application Band Rs. 56100/- -177500/-. A. Academic Qualification :- 1-
relevant documents/ records, the claim made by the from O.T.R.-Dashboard. If candidate does not complete the Arecognized Degree in Homoeopathy, the duration of study of
candidates shall not be tenable and relevant documents/ process of online application, his/her candidature will not be which is not less than 5 years according to its syllabus or
records received after due date in the office of the accepted for which he/she will entirely be responsible. The course orArecognized Diploma in Homoeopathy, the duration
Commission will not be accepted. candidate will have to take the print of online application and of study of which is not less than 4 years according to its
(2) The envelope should be of A-4 size. It is necessary for keep it safe with himself/ herself to produce it in the office of the syllabus or course 2- The applicant should be duly registered
the candidates to send application/documents relating to a commission when required in case of any discrepancy, else with the Homoeopathic Medicine Board, Uttar Pradesh. B.
post in separate envelope in case a candidate applies for his/her request/ claim will not be accepted. After applying, in Preferential Qualification- A candidate other things being
more than one post advertised in the advertisement. case of any error in the essential and preferential qualification, equal, be given preference in the matter of direct recruitment, if
(3) If the address on aforesaid mentioned format is not the essential and preferential qualification of the applied post he- (1) has served in the Territorial Army for a minimum period
mentioned on the envelope and application-forms/ can be modified only once by clicking on 'Modify Application' of of two years; or (2) has obtained a 'B' certificate of National
documents of two or more posts are found in one envelope, 'Candidate Dashboard (O.T.R. Based)' of 'Home Page'. Cadet Corps. Age Limit:- 21 to 40 years. (Age relaxation is
the applications/candidature will be rejected. 2. Application Fee : After completing the process of First and permissible as per rules) .
SPECIAL NOTICE :- (a) The candidates will be entirely Second Stage in the online application process, deposit the
responsible for on-line submission of application. The Relevant Service Rules of the post
fee category wise as per the instructions given in the Third * The Uttar Pradesh Homoeopathic Medical Service Rules,
application of the candidate will be accepted only after the
payment of the fee in the bank till the last date. (b) All future Stage. The prescribed fee is as follows:- 1990
information/instructions will be sent to the registered (i) Unreserved/ - Application fee Rs. 80/- + On-line * The Uttar Pradesh Homoeopathic Medical Service (First
mobile number and email ID as registered in O.T.R. by Economically process fee Rs. 25/- Total = Amendment) Rules, 1991
SMS or by email for updates. Candidates are also directed Weaker Sections/ Rs. 105/- * The Uttar Pradesh Homoeopathic Medical Service (Second
to visit the website of the commission for updates. Other Backward Amendment) Rules, 1996
IMPORTANT INFORMATION FOR CANDIDATES Classes
APPLYING ONLINE * The Uttar Pradesh Homoeopathic Medical Service (Third
(ii) Scheduled Castes/ -Application fee Rs. 40/- + On-line Amendment) Rules, 2016
This advertisement is also available on the website of
the commission https://uppsc.up.nic.in. O.T.R. based Scheduled Tribes process fee Rs. 25/- Total = *The Uttar Pradesh Homoeopathic Medical Service (Fourth
"ONLINE APPLICATION SYSTEM" is applicable for Rs. 65/- Amendment) Rules, 2016
applying in this advertisement. Application sent through (iii) Disabled Category - Application fee NIL/- + On-line Uttar Pradesh Ayush (Homoeopathy) Department
any other medium will not be accepted. Therefore process fee Rs. 25/- Total = 27 Posts, Professor
candidates have to apply online only. Rs. 25/-
The candidates applying online are expected to go Number of posts in different specialities is as under:-
(iv) Ex-Servicemen - Application fee Rs. 40/- + On-line
through the following instructions thoroughly and apply S. No. of Deptt
process fee Rs. 25/- Total = Professor (Specialist)
accordingly:- No. Post No.
1. When the candidate clicks on the "ALL NOTIFICATION/ Rs. 65/-
1 Organon of Medicine 04 S-11/09
ADVERTISEMENTS" in the Commission's website https:// (v) Dependents of the - According to their original
Freedom Fighters/ category 2 Homoeopathic Pharmacy 02 S-11/10
uppsc.up.nic.in, the ONLINE ADVERTISEMENTS will
automatically be displayed, which has the following 3 parts:- Women/Skilled Player 3 Homoeopathic Materia Medica 04 S-11/11
(i) User Instructions 3. If the claim made by the candidate in the application is not 4 Repertory 03 S-11/12
(ii) View Advertisement found to be true, action can be taken to debar the candidate 5 Community Medicine 01 S-11/13
(iii) Apply from all the selections/examinations of the Commission and 6 Gynecology and Obstetrics 03 S-11/14
The Instructions for filling "Online form" have been other punitive action may be taken. 7 Surgery 02 S-11/15
given in User Instructions. The candidates desirous to see Note: After scrutiny of the online application, if it is 8 Practice of Medicine 02 S-11/16
the respective advertisement will have to click on 'View
found by the commission that in case of discrepancy 9 Forensic Medicine and Toxicology 02 S-11/17
Advertisement'. Thereafter, a full advertisement will be
displayed alongwith Sample Snapshots of Online between the claims of educational qualification made in 10 Pathology 03 S-11/18
Application procedure. the online application form filled by the candidate and 11 Anatomy 01 S-11/19
"Online Application" will be completed in four stages:- the copies of records of educational qualification
Total Post 27
* It is mandatory for the candidates to make One Time attached with the submitted hard copy, the application
will be cancelled automatically. The process of Nature of Post:- Gazetted, Reservation: As per existing rules,
Registration (O.T.R.) and obtain O.T.R. number before Pay Scale: Level-12, Pay Band 78800-209200/-. Academic
applying online. amendment of the application form is as prescribed in

Page-1
Qualification: In subjects namely, Organon of Medicine, holding screening test (Objective Type), penalty (Negative ‘‘Ùen Yeer mhe° efkeâÙee peelee nw efkeâ jepÙeeOeerve ueeskeâ mesJeeDeeW Deewj heoeW hej meerOeer Yeleea
Homoeopathic Materia Medica, Homoeopathic Pharmacy, Marking) shall be imposed for wrong answers given by the kesâ Øe›eâce hej ceefnueeDeeW keâes DevegcevÙe Ghejesòeâ Deej#eCe kesâJeue Gòej ØeosMe keâer cetue
Repertory A. ESSENTIAL QUALIFICATIONS- Post Graduate candidates in the manner given below-- efveJeemeer ceefnueeDeeW keâes ner DevegcevÙe nw’’ keâes efjš ÙeeefÛekeâe mebKÙee- 11039/ 2018
qualification in Homoeopahty with three years of teaching (i) There are four alternatives for the answer to every efJeefheve kegâceej ceewÙee& Je DevÙe yeveece Gòej ØeosMe jepÙe Je DevÙe leLee mecyeæ 6 DevÙe
experience in the subject concerned as Associate Professor/ question. For each question for which a wrong answer has efjš ÙeeefÛekeâeDeeW ceW cee0 GÛÛe vÙeeÙeeueÙe, Fueeneyeeo Éeje efoveebkeâ 16.01.2019 keâes
Reader in a Homoeopathic college of degree level. The been given by the candidate, one third (0.33) of the marks DeefOekeâejeleerle (Ultra Vires) Ieesef<ele keâjves mecyevOeer efveCe&Ùe kesâ Devegheeueve ceW
qualification shall be the one included in Second Schedule of assigned to that question will be deducted as penalty. MeemeveeosMe efoveebkeâ 09.01.2007 mes Øemlej-04 keâes efJeueesefhele efkeâS peeves keâe efveCe&Ùe
Homoeopathy Central Council Act, 1973 B. DESIRABLE (ii) If a candidate gives more than one answer, it will be efueÙee ieÙee nw~ Gòeâ efveCe&Ùe Meemeve Éeje cee0 GÛÛe vÙeeÙeeueÙe kesâ DeeosMe efoveebkeâ
QUALIFICATION- 1. Experience as Supervisor/ Guide for treated as a wrong answer even if one of the given answer 16.01.2019 kesâ efJe™æ oeÙej efJeMes<e Deheerue ([er) mebKÙee-475/2019 ceWb cee0
Post Graduate programme in Homoeopathy and original happens to be correct and there will be same penalty as vÙeeÙeeueÙe Éeje heeefjle nesves Jeeues Deefvlece efveCe&Ùe kesâ DeOeerve nesiee~
publication in research. 2. Administrative experience in a above for that question. 16. The candidates of reserved categories will be adjusted
Homoeopathic Medical College/Hospital. 3. Research (iii) If a question is left blank i.e. no answer is given by the against the unreserved category in the final selection only if
experience in a research Institution recognised by the candidate, there will be no penalty for that question. he/she has not availed any benefit/ concession in qualifying
concerned University and/or State Government or Central 9. At the time of examination, candidates must fill all the standard at the stage of Screening Examination.
Government. In subjects namely, Anatomy, Pathology, information sought on the OMR Answer Sheet correctly 17. The Commission do not advise to candidates about
Forensic Medicine and Toxicology, Surgery, Gynecology and by blackening the concerned circles, which are their eligibility. Therefore, they should carefully read the
Obstetrics, Practice of Medicine and Community Medicine. (1) decipherable by the scanner machine. The Commission advertisement and apply only when satisfied about their
A.ESSENTIALQUALIFICATION: Post Graduate qualification in will evaluate OMR Answer Sheet only on the basis of qualifications in terms of the advertisement.
Homoeopahty with three years of teaching experience as information given by blackening the concerned circles 18. In the category of dependents of the freedom fighters
Associate Professor/ Reader in the concerned subject in a of OMR Answer Sheet. The candidates are also directed only sons, daughters, grand-sons (son's son/daughter's son)
Homoeopathic college of degree level. The qualification shall be not to use whitener, blade, pin or rubber etc. on the OMR and grand daughters (son's daughter/daughter's daughter,
the one included in Second Schedule of Homoeopathy Central Answer Sheet. In case of not blackening the circles married/ unmarried) are covered. Only such relationships
Council Act, 1973 B. DESIRABLE QUALIFICATION: (A) properly in the OMR Answer Sheet and filling any with the freedom fighters are not adequate but the candidate
Experience as Supervisor/Guide for Post Graduate programme information incorrectly, the Commission shall not should remain actually dependent of the freedom fighter. It is
in Homoeopathy and original publication in research. (B) evaluate such OMR Answer Sheet for which candidates advised that now the candidates may obtain the reservation,
Administrative experience in Homoeopathic Medical College/ themselves shall be wholly responsible. certificate from the District Magistrate in terms of Govt. Order
Hospital or (2) A. ESSENTIAL QUALIFICATION: (i) Post- 10. The original certificates are required for verification at the No. 453/79-V-1-15-1(Ka)/14-2015 dated 07-04-2015 in the
Graduate Medical Degree in the concerned subject recognised time of interview. Candidate will then also be required to prescribed format and submit the same.
by the Medical Council of India. (ii) Three years teaching submit his/her passport size photograph attested by head of 19. In the event of involvement of a candidate in the
experience as Associate Professor/ Reader in subject concerned department or head of the institution, where he/she received concealment of any important information, pendency of any
in a degree level Homoeopathic College and/or in a recognised last education or by a Gazetted Officer. case/criminal case, conviction, more than a husband or
Medical College in India. B. DESIRABLE QUALIFICATION: (i) 11. Candidates serving under Central or State Government wife being alive, submission of facts in a distorted manner,
Original research papers publication. (ii) Research experience in will have to produce "NO OBJECTION CERTIFICATE" from canvassing for selection etc. The Commission reserves the
a research Institution recognised by the concerned University or their employer at the time of interview. right to reject the candidature and debar from appearing in
State Government or Central Government. Age Limit: 30 to 50 12. The decision of the Commission as to the eligibility or the examinations and selections.
years (Age relaxation is permissible as per rules). otherwise of a candidate will be final. 20. Be sure to mention the name of Post applied for,
Relevant Service Rules of the post 13. Candidates of any reserved category, if they want the advertisement number, department number, date of birth,
* The Uttar Pradesh State Homoeopathic Medical College benefit of reservation, must mention their category/ O.T.R. No. and Application ID for correspondence with the
Teachers' Service Rules, 1990 subcategory (one or more than one, whichever) in the Commission.
* The Uttar Pradesh State Homoeopathic Medical College column related to O.T.R. (because all the personal 21. Candidates are required to hold essential qualification
Teachers' Service (First Amendment) Rules, 2017 information will be automatically displayed in the application till the last date of receipt of On-line application.
Note:- The number of vacancies of the above mentioned form from the O.T.R.). 22. If any change is to be made in the personal detail
posts may increase/decrease depending upon the 14. It is very important to make the payment in the 'ONLINE mentioned in the O.T.R, it will be mandatory to Sync. it on
circumstances/requirements. APPLICATION' process by the candidate till the last date the Dashboard after the change. Otherwise change will not
and time of submission of complete application in all be allowed. No representation will be accepted for error
GENERAL INSTRUCTIONS respects. Candidates should take a print of the information correction/amendment in this regard. Incomplete application
LAST DATE FOR SUBMISSION OF ONLINE filled by them and keep it safe. will be cursorily rejected and no correspondence will be
APPLICATION : 26.10.2023 In case of any discrepancy, the candidate will have to entertained in this regard. Submission of false/misleading
LAST DATE FOR THE PAYMENT OF submit the printout to the Commission's office otherwise the information will lead to cancellation of candidature.
APPLICATION FEE IN THE BANK : 26.10.2023 request of the candidate will not be accepted. 23. The candidates whose candidature are cancelled,
1.The candidate must carefully study the detailed 15. With regard to claims made in the 'On-line Application', those candidates do not remain candidates after the
advertisement and may apply for the post only when he/ she the candidate shall submit the following original certificate/ cancellation of candidature, therefore the marks of such
is eligible for the concerned post. certificates in the prescribed format, when asked for by the candidates shall not be provided.
2. Applications after the last prescribed date and time will not Commission. If the certificates are not submitted in time, the 24. In case the candidates feel any problem in the "On-line
be accepted under any circumstances. Incomplete and candidature shall be cancelled. Application" they may get their problem resolved by
ambiguous application forms will be cursorily rejected even if 15.1 Only Higher Secondary/High School Certificate for sending their quarries to the 'Mail Box' of the Commission.
received on time. proof of the age shall be treated valid. Detailed Application Form:
3. The knowledge of Hindi is essential. 15.2 Proof of degree/diploma or its equivalent qualifications At the online page there is a 'Declaration' for the
4. The date of calculation of age (except where indicated to confirm the prescribed essential and preferential candidates. Candidates are advised to go through the
otherwise) is 1st July, 2023. The maximum age-limit shall be qualifications. contents of the Declaration carefully. Candidate has the
relaxable by five years for the candidates belonging to 15.3 In the case of physically handicapped candidates, the option to either agree or disagree with the contents of
Scheduled Caste, Scheduled tribe, Other backward class, certificate issued by the competent authority in the format-1 Declaration by clicking on 'I Agree' or 'I do not agree'
Skilled players of U.P. of Classified games (for the post of to the Govt. Order No. 05/2022/18/1/2008/47/ka-2/2022 buttons. In case the candidate opts to disagree, the
Group 'B' and 'C' only) (Only domiciled persons of U.P. are dated 18th April 2022. application will be dropped and the procedure will be
entitled for such age relaxation) and State Govt. Employees 15.4 In the case of the skilled players of the classified sports, terminated. Accepting to 'I Agree' only will make possible
of U.P. including Teachers/ Staff of the Basic Shiksha Parishad a certificate issued by the competent authority will be the submission of the candidate's Online Application.
of U.P. according to G.O. No. 1648/79-5-2015, dated 19 required in terms of the Government Order No. – 22/21/ Notification Details
June, 2015 and Teachers/Staff of the Government Aided 1983-Ka-2 dated 28th November 1985. This section shows information relevant to Notification
Madhyamik Vidyalayas of U.P. as per G.O. No. 1508/15-8- 15.5 Under any reserved category/categories, for the i.e. Notification number, selection type, directorate/
2015-3057, dated 16 September, 2015. The upper age limit confirmation of the claim for reservation, the caste certificate department name and post name
shall also be greater by 3 years + period of service rendered issued by District Magistrate/Additional District Magistrate Personnel Details from OTR
in army for the emergency commissioned officers/short (Executive)/City Magistrate/SDM/Tehsildar in the prescribed This section shows information about candidate
service commissioned officers/Ex-Army personnels of U.P. It format prescribed under Govt. Order No. 22/16/92-TC-III/Ka- personnel details i.e. OTR Number, candidate name,
is essential to be discharged from army upto the last date of 2/2002 dated 22nd October, 2008 in respect of candidates Father/Husband name, Gender, DOB, UP domicile,
receipt of application. Relaxation of 15 years in the upper belonging to the SC/ST/OBC, will be accepted . Category, Marital status, email and contact number, photo
age limit will be admissible to P.H. candidates. 15.6 mRrj izns'k 'kklu] dkfeZd vuqHkkx&2 ds i=kad 1@2019@ & signature, address, UP Freedom Fighter, Ex Army,
5. Conditions of Eligibility: In case of emergency 4@1@2002@dk&2@19 Vh-lh-&AA fnukad 18 Qjojh 2019 esa service duration and your physical challenges, Skilled
commissioned/short service commissioned officers:- (For fufgr izkfo/kkuksa ds vuqikyu esa mRrj izns'k jkT; ds ewy fuoklh ,oa Player, Outstanding Player of U.P., Debarred candidate.
age relaxation only). In accordance with the provisions of the vkfFkZd :i ls detksj oxksZa ds ,sls O;fDr;ksa tks vuqlwfpr tkfr] Education & Experience Details
G.O. No. 22/10/1976-karmik-2-85, dated 30-1-1985 Emergency vuqlwfpr tutkfr rFkk vU; fiNM+s oxksZa ds fy, vkj{k.k dh orZeku It shows your educational and experience details
Commissioned/Short Service Commissioned Officers who O;oLFkk ls vkPNkfnr ugha gSa] dks mRrj izns'k ljdkj dh yksd lsokvksa Declaration segment
have not been released from Army but whose period of Army vkSj inksa dh lHkh Jsf.k;ksa esa lh/kh HkrhZ ds izØe ij 10 izfr'kr dk
service has been extended for rehabilitation, may also apply At the online page there is a 'Declaration' for the
vkj{k.k fu;ekuqlkj ns; gksxkA candidates. Candidates are advised to go through the
for this examination on the following conditions: (A) Such 15.7 Those candidates, willing to take the benefit of the
applicants will have to obtain a certificate of the competent contents of the Declaration carefully.
reservation may obtain a certificate, issued by the competent After filling all above particulars there is provision for
authority of Army, Navy, Air Force to the effect that their period authority, in support of the reserved category, in the prescribed
of Service has been extended for rehabilitation and no preview your detail before final submission of application
format printed in this detailed advertisement and submit the form on clicking on “Preview” button.
disciplinary action is pending against them. (B) Such same to the Commission, whenever required to do so. Those
applicants will have to submit in due course a written Preview page will display all facts/particulars that you
candidates claiming the concession of more than one have mentioned in O.T.R. if you are sure with filled details
undertaking that in case they are selected for the post applied reserved category will be given only one such benefit, which
for, they will get themselves released immediately from the then click on “Submit” button to finally push data into server
will be more beneficial. The candidates not originally domiciled with successful submission report that you can print.
Army Service. The above facilities will not be admissible to in U.P. belonging to SC, ST, O.B.C., dependants of freedom
Emergency/Short Service Commissioned Officers, if (a) he [CANDIDATES ARE ADVISED TO TAKE A PRINT OF
fighters, physically handicapped and Ex-servicemen are not THIS PAGE BY CLICKING ON THE “Print” OPTION
gets permanent Commission in the Army, (b) he has been entitled to the benefit of reservation. Such candidates should
released from the Army on tendering resignation, (c) he has AVAILABLE]
apply in general category. In case of women candidates, the For other information candidates are advised to select
been released from the Army on grounds of misconduct or caste certificate issued from father side will be treated valid.
physical disability or on his own request and who gets gratuity. desired option in 'Home Page' of Commission's website
veesš:- (1) G0Øe0 kesâ meceepe kesâ efoJÙeebie DeYÙeefLe&ÙeeW kesâ efueÙes Meemeve Éeje https://uppsc.up.nic.in
6. After receipt of application in the Commission, any request DeefOemetefÛele ( efÛeefvnle) efkeâÙes ieÙes heoeW hej ÛeÙeve kesâ mebyebOe ceW peejer keâeÙee&ueÙe %eehe
for change in the qualification and category will not be IMPORTANT ANNOUNCEMENT
meb0-5/2022/18/1/2008/47/keâe-2/2022, efoveebkeâ- 18 DeØewue 2022 kesâ efyevog-5 :- NOTIFICATIONS / ADVERTISEMENTS
entertained. (Deveejef#ele efjefòeâÙeeW hej efveÙegefòeâ) ceW ØeeefJeOeeve efvecveevegmeej efkeâÙee ieÙee nw-
7. Minimum educational qualification is not sufficient for ?All Notification / Advertisements
efoJÙeebielee mes «emle JÙeefòeâÙeeW kesâ efueÙes GheÙegòeâ efÛeefvnle efkeâÙes ieÙes heoeW ceW, :- ONLINE APPLICATION FORMS SUBMISSION
being called for interview. Mere eligibility does not entitle a efoJÙeebielee mes «emle JÙeefòeâ keâes efkeâmeer Deveejef#ele efjefkeäle hej efveÙegefòeâ kesâ efueÙes
candidate to be called for interview or for selection. ?Candidate Registration
ØeeflemheOee& keâjves mes cevee vener efkeâÙee pee mekeâlee nw DeLee&le efoJÙeebielee mes «emle JÙeefòeâ ?Fee Deposition /Reconciliation
Intimation for interview will be sent later on. keâes efkeâmeer Deveejef#ele efjefòeâ hej efveÙegòeâ efkeâÙee pee mekeâlee nw yeMelex efkeâ heo mebiele
8. In case of large number of applicants for the post/ posts, ?Submit Application Form
ßesCeer keâer efoJÙeebielee mes «emle JÙeefòeâÙeeW kesâ efueÙes efÛeefvnle efkeâÙee ieÙee nes~ MeemeveeosMe ?Modify Submitted Application
the Commission may hold screening test, which will be mebKÙee-39 efjš/keâe-2/2019 efoveebkeâ - 26 petve, 2019 Éeje MeemeveeosMe mebKÙee-
communicated in due course of time. Under the conditions of ?Candidate Dashboard (OTR Based)
18/1/99/ keâe-2/2006 efoveebkeâ 09 peveJejer, 2007 kesâ Øemlej-4 ceW efoÙes ieÙes ØeeefJeOeeve,

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:- CANDIDATE'S HELP DESK SECTION rglhy ----------------------------- ftyk ----------------------- jkT; ----------------------------------- This is to certify that we have carefully examined
?Double Verification mode us vkfFkZd :i ls detksj oxZ ds çek.k i= gsrq vkosnu fn;k gS] ,rn~ Shri/Smt./Kum.___________son/wife/ daughter of
?View Application Status Shri _____________ Date of birth (DD/MM/ YY) _______
?Download Admit Card
}kjk ?kks"k.kk djrk@djrh gw¡A
age_____ years, male/ female__________.
?Print Duplicate Registration Slip 1. eSa -------------------------------------------- tkfr ls lEcU/k j[krk@j[krh g¡]w tks
Registration No.__________ permanent resident of House
?Print Detailed Application Form mRrj izn's k gsrq vf/klwfpr vuqlfw pr tkfr] vuqlfw pr tutkfr] ,oa vU; N o . _ _ _ _ _ _ _ _ _ Wa r d / V i l l a g e / S t r e e t _ _ _ _ _ _ _ _
?List of Applications Having ANY Objections
fiNM+k oxZ dh lwph esa lwphc) ugha gSA Post Office_______District________ State_______,
?View Answer Key
2- esjs ifjokj dh dqy Jksrksa ¼osru] d`f"k] O;olk;] is'kk bR;kfn½ ls whose photograph is affixed above, and am satisfied that:
LAST DATE FOR RECEIPT OF APPLICATIONS : On-line
Application process must be completed (including filling up dqy okf"kZd vk; : ------------------------ ¼'kCnksa es½a gSA (A) he/she is a case of Multiple Disability. His/her extent of
of OTR, Part-I, Part-II and Part-III of the Form) before last 3- esjs ifjokj ds ikl mfYyf[kr vk; ds flok; vFkok blds Permanent
date of form submission according to Advertisement, after
which the web-link will be disabled. vfrfjDr vU;= dksbZ ifjlEifRr ugha gSA S.
Affected
Diagno
physical
part of impairment/
ifjf'k"V vFkok N. Disability
body
sis mental disability
m0iz0 dh vuqlwfpr tkfr rFkk vuqlwfpr tutkfr ds fy;s dbZ LFkkuksa ij fLFkr ifjlEifRr;ksa dks tksMu+ s ds i'pkr Hkh eSa ¼uke½ (in%)
tkfr izek.k&i= ¼izk#i&II½ --------------------------------- vkfFkZd :i ls detksj oxZ ds nk;js esa 1. Locomotor disability @
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh --------------------------- lqiq=@ vkrk@vkrh g¡Aw 2. Muscular Dystrophy
lqiq=h Jh ------------------------ fuoklh ----------------- xzke --------------------- rglhy --- 3. Leprosy cured
4- eSa ?kks"k.kk djrk@djrh g¡w fd esjs ifjokj dh lHkh ifjlEifRr;ksa dks
------------------ uxj ------------------------ ftyk -------------------------- mRrj izns'k jkT; 4. Dwarfism
tksMu+ s ds i'pkr~ fuEufyf[kr esa ls fdlh Hkh lhek ls vf/kd ugha gSA
dh ----------------------------- tkfr ds O;fDr gSa ftls lafo/kku ¼vuqlwfpr 5. Cerebral Palsy
tkfr½ vkns'k] 1950 ¼tSlk fd le;&le; ij la'kksfèkr gqvk½@ I. 5 ¼ikWp a ½ ,dM+ d`f"k ;ksX; Hkwfe vFkok mlls ÅijA
6. Acid attack Victim
lafo/kku ¼vuqlwfpr tutkfr] mRrj izns'k½ vkns'k] 1967 ds vuqlkj II. ,d gtkj oxZ QhV vFkok blls] vf/kd {ks=Qy dk ¶ySVA
vuqlwfpr tkfr@vuqlwfpr tutkfr ds :i esa ekU;rk nh xbZ gSA III. vf/klwfpr uxjikfydk ds varxZr 100 oxZ xt vFkok blls 7. Low Vision #
Jh@Jherh@dqekjh ------------------------------------------------- rFkk@vFkok vf/kd dk vkoklh; Hkw[k.MA 8. Blindness #
mudk ifjokj mRrj izns'k ds xzke ---------------------- rglhy ---------------------- IV. vf/klwfpr uxjikfydk ls brj 200 oxZ xt vFkok blls vf/kd 9. Deaf £
uxj -------------------------- ftyk ---------------------- esa lkekU;r;k jgrk gSA dk vkoklh; Hkw[k.MA 10. Hard of Hearing £
LFkku -------------------------- gLrk{kj--------------------------- eSa çekf.kr djrk@djrh gw¡ fd esjs }kjk mijksDr tkudkjh esjs Kku vkSj 11. Speech and
Language disability
fnuakd ----------------------- iwjk uke-------------------------- fo'okl ds vuqlkj lR; gS vkSj eSa vkfFkZd :i ls detksj oxZ ds fy, vkj{k.k
eqgj --------------------------- in uke---------------------------- lqfo/kk çkIr djus gsrq ik=rk /kkj.k djrk@djrh gw¡A ;fn esjs }kjk nh xbZ 12. Intellectual Disability
13. Specific Learning
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVs ª V @ijxuk tkudkjh vlR;@xyr ik;h tkrh gS rks eSa iw.kZ :i ls tkurk gw¡W@tkurh gw¡
Disability
eftLVsªV@rglhynkj@vU; osru Hkksxh eftLVsªV] ;fn dksbZ gks@ fd bl vkosnu i= ds vk/kkj ij fn;s x;s çek.k i= ds }kjk 'kS{kf.kd laLFkku
14. Autism Spectrum
ftyk lekt dY;k.k vf/kdkjhA esa fy;k x;k ços'k@yksd lsokvksa ,oa inksa esa izkIr dh xbZ fu;qfDr fujLr dj Disorder
mÙkj izns'k ds vU; fiNM+s oxZ ds fy, tkfr izek.k&i= nh tk;sxh@dj fn;k tk;sxk vFkok bl çek.k i= ds vk/kkj ij dksbZ vU;
15. Mental illness
¼izk#i&I½ lqfo/kk@ykHk çkIr fd;k x;k gS mlls Hkh oafpr fd;k tk ldsxk vkSj bl 16. Chronic Neurological
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ------------------ lqiq=@ lEcU/k esa fof/k ,oa fu;eksa ds v/khu esjs fo:) dh tkus okyh dk;Zokgh ds Conditions
lqiq=h ------------------ fuoklh ------------------ rglhy ------------------ uxj ------------- fy, eSa mRrjnk;h jgw¡xk@jgw¡xhA 17. Multiple sclerosis
ftyk ----------------- mRrj izns'k jkT; dh -------------------- fiNM+h tkfr ds uksV%& tks ykxw ugha gks mls dkV nAas 18. Parkinson's disease
O;fDr gSaA ;g tkfr m0iz0 yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr
19. Haemophilia
tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ vf/kfu;e] 1994
LFkku %& vkosnd@vkosfndk dk gLrk{kj rFkk iwjk ukeA 20. Thalassemia
¼;Fkkla'kksf/kr½ dh vuqlwph&,d ds vUrxZr ekU;rk izkIr gSA
Form-II 21. Sickle Cell disease
;g Hkh izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh --------------- Certificate of Disability
iwoksDZ r vf/kfu;e] 1994 ¼;Fkkla'kksf/kr½ dh vuqlp w h&nks tSlk fd m0iz0 (In cases of amputation or complete permanent paralysis of permanent physical impairment/disability has bee
yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa vkSj vU; fiNM+s limbs or dwarfism and in case of blindness) (Name and evaluated as per guidelines (......number and date of issue
oxksZa ds fy;s vkj{k.k½ ¼la'kks/ku½ vf/kfu;e] 2001 }kjk izfrLFkkfir Address of the Medical Authority issuing the Certificate) of the guidelines to be specified) for the disabilities ticked
fd;k x;k gS ,oa tks m0iz0 yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr Recent passport size
below, and is shown against the relevant disability in the (B)
tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ ¼la'kks/ku½ In the light of the above, his/her over all permanent physical
attested photograph impairment as per guidelines (.......number and date of
vf/kfu;e] 2002 }kjk la'kksf/kr dh x;h gS] ls vkPNkfnr ugha gSA (showing face only) of issue of the guidelines to be specified), is follows:
buds ekrk&firk dh fujarj rhu o"kZ dh vof/k ds fy;s ldy okf"kZd the person with disabiliy In figures................percent.
vk; vkB yk[k #i;s ;k blls vf/kd ugha gS rFkk buds ikl èkudj In words............................................................percent
vf/kfu;e] 1957 esa ;Fkk fofgr NwV lhek ls vf/kd lEifRr Hkh ugha gSA Certificate No. Date:
This is to certify that I have carefully examined 2. This condition is progressive/non-progressive/likely to
Jh@Jherh@dqekjh ------------------------------- rFkk@vFkok mudk
Shri/Smt./Kum._____________son/wife/daughter of improve/not likely to improve.
ifjokj mRrj izns'k ds xzke --------------------------- rglhy --------------------------
uxj ------------------------ ftyk ------------------------ esa lkekU;r;k jgrk gSA Shri__________Date of Birth (DD/MM/YY)________Age 3. Reassessment of disability is:-
____years, male/female___________ registration No. (i) not necessary,
LFkku -------------------------- gLrk{kj -----------------------------
__________permanent resident of House No. or
fnuakd ----------------------- iwjk uke ----------------------------- _ _ _ _ _ _ _ _ Wa r d / V i l l a g e / S t r e e t _ _ _ _ _ _ _ _ _ P o s t (ii) is recommended/ after............ years............ months,
eqgj --------------------------- in uke ----------------------------- office_________ District________State__________. and therefore this certificate shall be valid till.... ......
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVsªV@ijxuk whose photograph is affixed above, and am satisfied that: ..... (DD) (MM) (YY)
eftLVsªV@rglhynkjA (A ) he/she is a case of: @ -e.g. Left/right/both arms/legs
¼çi=&I½ n Iocomotor disability
# - e.g. Single eye
mRrj çns'k ljdkj n dwarfism
£ - e.g. Left/Right/both ears
dk;kZy; dk uke---------------------------------------------- n blindness
4. The applicant has submitted the following document as
proof of residence:-
vkfFkZd :i ls detksj oxZ ds lnL; }kjk izLrqr fd;k tkus (Please tick as applicable)
okyk vk; ,oa ifjlEifRr izek.k&i= (B) The diagnosis in his/her case is_________ Nature of Date of Details of authority
(A) he/she has ________% (in figure)________percent Document Issue issuing certificate
çek.k i= la[;k------------------- fnukad --------------------
(in words) permanent locomotor disability/
foRrh; o"kZ ---------------- ds fy, ekU;
dwarfism/blindness in relation to his/her______ (part
çekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh------------------------------ of body) as per guidelines (.............number and date 5. Signature and seal of the Medical Authority.
iq=@ifr@iq=h----------------------------------- xzke@dLck---------------------------- iksLV
of issue of the guidelines to be specified).
vkWfQl ---------------------------- Fkkuk ------------------------------ rglhy ----------------------------
ftyk --------------------------- jkT; --------------------- fiu dksM -------------------- ds LFkk;h 2. The applicant has submitted the following document Name and Seal Name and Seal Name and Seal
fuoklh gSa] ftudk QksVksxzkQ uhps] vfHkçekf.kr gS] vkfFkZd :i ls as proof of residence:- of Member of Member of the Chairperson
detksj oxZ ds lnL; gSa] D;ksafd foRrh; o"kZ -------------------- esa buds ifjokj Nature of Details of authority
dh dqy okf"kZd vk; 8 yk[k ¼vkB yk[k :i;s ek=½ ls de gSA buds Date of
Document Issue Issuing certificate Countersigned by the
ifjokj ds LokfeRo esa fuEufyf[kr esa ls dksbZ Hkh ifjlEifRr ugha gS%& Chief Medical Officer
I. 5 ¼ikWpa ½ ,dM+ d`f"k ;ksX; Hkwfe vFkok mlls ÅijA (with seal)
II. ,d gtkj oxZ QhV vFkok blls] vf/kd {ks=Qy dk ¶ySVA 3. Signature and seal of the Medical Authority.
III. vf/klwfpr uxjikfydk ds varxZr 100 oxZ xt vFkok (Dr...............) (Dr...............) (Dr...............)
blls vf/kd dk vkoklh; Hkw[k.MA Member Member Chairperson
Form-IV
IV. vf/klwfpr uxjikfydk ls brj 200 oxZ xt vFkok blls Medical Board Medical Board Medical Board
Certificate of Disability
vf/kd dk vkoklh; Hkw[k.MA with seal with seal with seal (In cases of other than those mentioned in Forms
2- Jh@Jherh@dqekjh -------------------------------------- tkfr ------------------- ds II and III )
lnL; gSa tks vuqlfw pr tkfr] vuqlfw pr tutkfr rFkk vU; fiNM+s Countersigned by the (Name and Address of the Medical Authority/Board
oxksZa ds :i esa vf/klwfpr ugha gSAa Chief Medical Officer issuing the Certificate)
gLrk{kj ------------------¼dk;kZy; dk eqgj lfgr½ (with seal)
vkosnd dk Recent passport size
iwjk uke ------------------------------------------------------------------ Form-III
ikliksVZ lkbt attested photograph
inuke -------------------------------------------------------------------- Certificate of Disability
dk vfHkizekf.kr (In cases of multiple disabilities) (showing face only) of
QksVksxzkQ ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh
(Name and Address of the Medical Authority/Board issuing the person with disabiliy
eftLVªVs @ijxuk eftLVªVs @rglhynkjA
the Certificate) Certificate No. Date:
¼çi=&II½ Signature/thumb Recent passport size This is to certify that we have carefully examined
vkfFkZd :i ls detksj oxZ ds ykHkkFkZ Lo;a ?kks"k.kk i= impression of the attested photograph Shri/Smt./Kum.___________son/wife/daughter of
person in whose
Lo;a ?kks"k.kk i= favour certificate of
(showing face only) of Shri _____________ Date of birth (DD/MM/ YY) _______
eSa ------------------ iq=@iq=h@iRuh ---------------- xzke@dLck ------------------ disability is issued the person with disabiliy
age_____ years, male/ female__________.
iksLV vkWfQl ------------------------------ Fkkuk ----------------------- Cykd ------------------ Certificate No. Date: Registration No.__________permanent resident of House

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No. ________ Ward/Village/ Street________Post ------ ¼LFkku dk uke½ esa vk;ksftr------------------------ ¼ØhM+k@[ksy&dwn dk
Office_______District________ State_______, whose uke½ dh izfr;ksfxrk@VwukZesUV esa ns'k dh vksj ls Hkkx fy;kA
photograph is affixed above, and am satisfied that he/she is muds Vhe ds }kjk mDr izfr;ksfxrk@VwukZesUV esa -------------------------
a case of ___________ Disability. His/her extent of LFkku izkIr fd;k x;kA
percentage physical impairment/disability has been ;g izek.k&i= jk"Vªh; QsMjs'ku@jk"Vªh; ,lksfl,'ku@¼;gk¡ laLFkk
evaluated as per guidelines (......number and date of issue of dk uke fn;k tk;s½ --------- esa miyC/k fjdkMZ ds vk/kkj ij fn;k x;k
the guidelines to be specified) and is shown against the
gSA
relevant disability in the table below
LFkku -------------------------- gLrk{kj --------------------------------------
Permanent fnuakd ----------------------- uke ---------------------------------------------
Affected physical in -----------------------------------------------
S. part of Diagno impairment/ laLFkk dk uke ---------------------------
N. Disability sis mental disability
body eqgj --------------------------------------------
(in%)
uksV % ;g izek.k&i= us'kuy QsMjs'ku@us'kuy ,lksfl,'ku ds
1. Locomotor disability @ lfpo }kjk O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU;
2. Muscular Dystrophy gksxkA
3. Leprosy cured izk:i & 2
4. Cerebral Palsy ¼ekU;rk izkIr ØhM+k@[ksy esa vius izns'k dh vksj ls jk"Vªh;
5. Acid attack Victim
izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
lEcfU/kr [ksy dh izns'kh; ,lksfl,'ku dk uke -------------------jkT;
6. Low Vision #
ljdkj dh lsokvksa@inksa ij fu;qfDr ds fy, dq'ky f[kykfM+;ksa
7. Deaf £ ds fy, izek.k&i=
8. Hard of Hearing £ izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------- vkRet@
9. Speech and iRuh@vkRetk Jh ----------------------- fuoklh ¼iwjk irk½ -----------------------us
Language disability fnuka d ----------------ls fnuka d -------------------rd-------------------es a
10. Intellectual Disability
¼ØhM+k@[ksy&dwn dk uke½ dh izfr;ksfxrk ¼VwukZesUV LFkku dk uke½--
------------------vk;ksftr jk"Vªh;--------------- esa ¼ØhM+k@[ksy&dwn dk uke½
11. Specific Learning
Disability
dh izfr;ksfxrk@ VwukZesUV esa izns'k dh vksj ls Hkkx fy;kA
muds Vhe ds }kjk mDr izfr;ksfxrk@VwukZesUV esa -------------------------
12. Autism Spectrum
LFkku izkIr fd;k x;kA
Disorder
;g izek.k&i= ------------------------------------- ¼izns'kh; la?k dk uke½ esa
13. Mental illness
miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
14. Chronic Neurological LFkku -------------------------- gLrk{kj --------------------------------------
Conditions fnuakd ----------------------- uke ---------------------------------------------
15. Multiple sclerosis in ---------------------------------------------
16. Parkinson's disease laLFkk dk uke ---------------------------
17. Haemophilia eqgj --------------------------------------------
18. Thalassemia uksV % ;g izek.k&i= izns'kh; [ksy&dwn la?k ds lfpo }kjk O;fDrxr
19. Sickle Cell disease :i ls fd;s x;s gLrk{kj gksus ij gh ekU; gksxkA
çk:i & 3
Please strike out the ¼ekU;rk izkIr ØhM+k@[ksy esa vius fo'ofo|ky; dh vksj ls
disabilities which is not applicable) vUrfoZ'ofo|ky; izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
2. The above condition is progressive/non-progressive/ fo'ofo|ky; dk uke -------------------- jkT; Lrj dh lsokvksa@inksa ij
likely to improve/not likely to improve. fu;qfDr ds fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i=
3. Reassessment of disability is:- izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------------
(i) not necessary, or vkRet@iRuh@vkRetk Jh ---------------------------- fuokl ¼iwjk uke½ ----------
(ii) is recommended/after............years............ ----------------------------- fo'ofo|ky; dh d{kk ---------------------------- ds fo|kFkhZ us
months, and therefore this certificate shall be valid fnukad ----------------------- ls fnukad --------------------- rd ----------------------- ¼LFkku
till.... ...... ..... (DD) (MM) (YY) dk uke½ esa vk;ksftr vUrfoZ'ofo|ky; ---------------------------- ¼ØhM+k@
@ - e.g. Left/right/both arms/legs [ksy&dwn dk uke½ izfr;ksfxrk@VwukZesUV esa --------------------------
# - e.g. Single eye/both eyes fo'ofo|ky; dh vksj ls Hkkx fy;kA muds Vhe ds }kjk mDr
£ - e.g. Left/Right/both ears izfr;ksfxrk@VwukZesUV esa ------------------------- LFkku izkIr fd;k x;kA ;g
izek.k&i= Mhu vkWQ LiksV~lZ vFkok bapktZ [ksy dwn -----------------
Name and Seal Name and Seal Name and Seal fo'ofo|ky; esa miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
of Member of Member of the Chairperson LFkku -------------------------- gLrk{kj --------------------------------------
Signature/thumb
fnuakd ----------------------- uke ---------------------------------------------
4. Countersigned by the in ----------------------------------------------
impression of the
person in whose Chief Medical Officer laLFkk dk uke ---------------------------
favour certificate of (with seal) eqgj --------------------------------------------
disability is issued uksV % ;g izek.k&i= fo'ofo|ky; ds Mhu vkWQ LiksV~lZ ;k bapktZ
Signature and seal of the [ksy&dwn }kjk O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU;
Medical Authority. gksxkA
izk:i & 4
mÙkj izns'k yksd lsok ¼'kkjhfjd :Ik ls fodykax] Lora=rk laxzke lsukfu;ksa ds ¼ekU;rk izkIr ØhM+k@[ksy esa vius Ldwy dh vksj ls jk"Vªh;
vkfJrksa vkSj HkwriwoZ lSfudksa ds fy;s vkj{k.k½] vf/kfu;e] 1993 ¼;Fkkla'kksf/kr½ ds [ksy&dwn esa Hkkx ysus okys f[kykM+h ds fy;s½
vuqlkj Lora=rk laxzke lsukuh ds vkfJr ds izek.k&Ik= dk izi=A MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@funs'kd] f'k{kk] mÙkj izns'k
izek.k&i= ------------------------------ jkT; Lrj dh lsokvksa@inksa ij fu;qfDr ds fy,
izekf.kr fd;k tkrk gS fd Jh@Jherh ------------------------ fuoklh xzke& --------------- dq'ky f[kykfM+;ksa ds fy, izek.k&i=
uxj& ------------------- ftyk& ---------------- mÙkj izns'k yksd lsok ¼'kkjhfjd :Ik ls fodykax] izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh -------------------------------------
Lora=rk laxzke lsukfu;ksa ds vkfJrksa vkSj HkwriwoZ lSfudksa ds fy;s vkj{k.k½ vf/kfu;e] vkRet@iRuh@vkRetk Jh ------------------------------------------- fuoklh ¼iwjk
1993 ds vuqlkj Lora=rk laxzke lsukuh gSa vkSj Jh@Jherh@dqekjh ¼vkfJr½ ----------- irk½ ------------------------------------ esa ----------------------------- Ldwy esa d{kk ---------------
iq=@iq=h@ikS= ¼iq= dk iq= ;k iq=h dk iq=½ rFkk ikS=h ¼iq= dh iq=h ;k iq=h dh iq=h½ ds fo|kFkhZ us fnukad ------------------- ls fnukad ------------------- rd ------------------
¼fookfgr vFkok vfookfgr½ mijkafdr vf/kfu;e] 1993 ¼;Fkkla'kksf/kr½ ds izkfo/kkuksa ¼LFkku dk uke½ esa vk;ksftr Ldwyksa ds us'kuy xsEl dh ------------------------
ds vuqlkj mDr Jh@Jherh ¼Lora=rk laxzke lsukuh½ ----------------ds vkfJr gSaA ¼ØhM+k@[ksy&dwn dk uke½ izfr;ksfxrk@VwukZesUV esa ---------------------------
LFkku% gLrk{kj ----------------------------------- Ldwy dh vksj ls Hkkx fy;kA muds Vhe ds }kjk mDr izfr;ksfxrk@
fnukad% iwjk uke ----------------------------------- VwukZesUV esa ------------------------- LFkku izkIr fd;k x;kA
inuke ------------------------------------- ;g izek.k&i= MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@f'k{kk esa
eqgj ------------------------------------------ miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
ftykf/kdkjh LFkku -------------------------- gLrk{kj -------------------------------------
¼lhy½ fnuakd ----------------------- uke ---------------------------------------------
in ----------------------------------------------
dq'ky f[kykfM+;ksa ds fy;s izek.k&i= tks m-iz- ds ewy fuoklh gSa laLFkk dk uke --------------------------
'kklukns'k la[;k&22@21@1983&dkfeZd&2 eqgj -------------------------------------------
fnukad 28 uoEcj] 1985 uksV % ;g izek.k&i= funs'kd@;k vfrfjDr@la;qDr ;k mifuns'kd
izek.k&i= ds QkeZ & 1 ls 4
MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@f'k{kk -------------------- }kjk
izk:i &1
O;fDrxr :i ls gLrk{kj gksus ij ekU; gksxkA
Secretary
¼ekU;rk izkIr ØhM+k@[ksy esa vius ns'k dh vksj ls vUrjkZ"Vªh; izfr;ksfxrk esa
Hkkx ysus okys f[kykM+h ds fy;s½
lEcfU/kr [ksy dh jk"Vªh; QsMjs'ku@jk"Vªh; ,lksfl,'ku dk
uke --------------------------- jkT; ljdkj dh lsokvksa@inksa ij fu;qfDr ds
fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i=
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ------------------------
vkRet@iRuh@vkRetk Jh --------------------- fuoklh ---------------------- iwjk
irk ----------------- us fnukad ------------------- ls fnukad ------------------ rd ---------------

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