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Assam Rifles GD Recruitment 2024 Notification

The document announces a recruitment rally from March 4th 2024 onwards in Shillong, Assam for 44 vacancies in the Assam Rifles under their Compassionate Ground Appointment Scheme. The scheme provides appointments to dependent family members of Assam Rifles personnel who were killed in action, died while in service, discharged due to medical grounds, or went missing in service. Eligible candidates must submit applications by January 28th 2024 along with documents like educational certificates, income certificate, and a copy of the Pension Payment Order book. Physical standards are provided for general duty positions.

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0% found this document useful (0 votes)
481 views

Assam Rifles GD Recruitment 2024 Notification

The document announces a recruitment rally from March 4th 2024 onwards in Shillong, Assam for 44 vacancies in the Assam Rifles under their Compassionate Ground Appointment Scheme. The scheme provides appointments to dependent family members of Assam Rifles personnel who were killed in action, died while in service, discharged due to medical grounds, or went missing in service. Eligible candidates must submit applications by January 28th 2024 along with documents like educational certificates, income certificate, and a copy of the Pension Payment Order book. Physical standards are provided for general duty positions.

Uploaded by

mgmanoj32
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ce rrce or rxs otnecro

ADVERTISEMENT F OR RECRUITMENT THROUGH COMPASSIONATE GROUND


APPOINTMENT SCHEME IN ASSAM RIFLES
(www.assamrifl es.qov.in )

LAST DATE FOR RECEIPT OF AP PLICATIONS AND ELIGIBILITY


(a) Last date of receipt of applications from eligible candidates
is 28 Jan 2024. Applications received thereafter will not be entertained.
(b) This recruitment is applicable for eligible dependent family members of
ASSAM RIFLES PERSONNEL KILLED IN ACTION, DIED WHILE IN SERVICE,
DISCHARGED FROM SERVICE ON MEDICAL GROUNDS AND MISSING WHILE IN
SERVICE,

1. Offline / through email applications are invited from eligible candidates from across
the country for enrolment into the Assam Rifles under the Compassionate Ground
Appointment Scheme. The recruitment rally will tentatively be held from 04 Mar 2024 onwards
at Headquarters Directorate General Assam Rifles, Laitkor, shillong (Meghalaya)
NRS - Guwahati (Assam). Firm Date of reporting to attend the recruitment rally will be
intimated to the eligible candidates by registered post followed by uploading of necessary
details on our official website www.assamrifl es.qov.in from time to time. The candidate will
be responsible to check the official website for firm date to appear in recruitment rally.

2. Trade/post wise details of the vacancies for Assam Rifles Compassionate Ground
Appointment Recruitment Rally 2024 are as under:-

S/No Name of Post No of


vacancies
(a) Rifleman/Riflewoman General Duty (for Male and Female both) 3B
(b) Warrant Officer Personal Assistant (for Male and Female both) 01
(c) Warrant Officer Draughtsman (for Male candidates only) 01
(d) Rifleman Lineman Field (for Male candidates only) 01
(e) Rifleman Recovery Veh Mech (for Male candidates only) 01
(0 Rifleman Plumber (for Male candidates only) 01
(s) Rifleman X-Ray Assistant (for Male candidates only) 01
Total Vacs 44

Eliqibility:-
3. Only one dependent family member of ASSAM RIFLES personnel who were KILLED
IN ACTION, DIED WHILE IN SERVICE, DISCHARGED FROM SERVICE ON MEDICAL
GROUNDS AND MISSING WHILE IN SERVICE ARE ELIGIBLE TO APPLY FOR
COMPASSIONATE GROUND APPOINTMENT.
4. How to Apply. Candidates shall submit their offline a pplications as per format attached
alongwith self attested copies of educational certificate, domicile certificate, caste
certificate, diploma/technical/lTl certificate (as applicable) of the trade in accordance
with Qualitative Requirements, incl xerox copy of PPO (Pension Payment drder) book,
lncome Certificate and Copy of photo lD i.e AADHAR/ PANA/OTER lD/Driving licence etc. to
the address mentioned below:-

DIRECTORATE GENERAL ASSAM RIFLES


(RECRUTTMENT BRANCH)
LAITKOR, SHILLONG
A - 793010
fsr/M o.mlc
Maior / Dy C. r,dt
Sfi'sil ? . ;i)
5 have liberty to intention their choice for m R
es out of the
a in their application forms. Opportunity for Test will be
s o r only one trades/post at the time of recru
a r, sarn Rifles

-,s.t,tLL shi llong . 793010


2

LY The candidates may also upload scanned copies of their application alongwith requisite
connected documents in our official e-mail lD [email protected] till last date of receipt of
the applications.

7. Reiection of Applications. ln case the information furnished by the candidates in the


Application Form is found to be false at any stage of the Recruitment Rally and even at a later
stage, the candidature of such candidates will summarily be rejected without any notice.
Appropriate action will also be taken against such candidates as per the provisions of law by
registering an FIR with the Police. Applications received after the lasUdue date will not be
entertained. lncomplete application, in any respect will be rejected summarily and no
correspondence will be made on this account.

Applicabilitv

8. One dependent family member of following categories of Assam Rifles personnel is


eligible to apply for Compassionate Ground Appointment:-

(a) Combatant AR Personnel. Dependents of twg:-

(i) Killed in actioni Cl Operations

(ii) Dies during service (including death by suicide).

(iii) AR personnel medically boarded out under Para 26 of AR Rules (2010).

(b) Permanent Civil Emplovees of AR. Dependents of fwg:-

(i) Dies during service (including death by suicide).

(ii) Retired on medical grounds under Para 38 CCS (Pension Rules) 2021 of
EOP Rules (2023).

(iii) Retired on medical grounds under Para 4 of EOP Rules (2023).

(c) M issinq Service Personnel:- The wards of Missing Service Personnel are
also covered under the scheme of Compassionate Ground, subject to the following
conditions:-

(i) Request for Compassionate Ground may only be considered after a lapse
of two years from the date, the serving person has been missing. ln addn the fwg
must be considered:-
(a) Lodging of an FIR with the Police.

(b) Police lnvestigation Report.

(c) The competent authority is convinced that the case is genuine.


(ii) This benefit will not be applicable in the case of fwg:-
(a) The missing person who had less than two years to retire on the
date from which he has been missing; or

(b) The missing person who has been suspected of committing fraud,
or joining any anti national organisation or has deftf*t9@ffilto any
foreign country Me!c. i D

-.$1
gri. t-i
ompassionate Grounds appointment in regard of SJrtiSinE Gove rn ment
i
ould be subject to verification of all doc u, requisffii"gliffi [[{y crite ria and
p+ slng of the mandatory tests to include medica I examindbite:,rli 1 .;r.. ....
t Director.rle i\tt .;;, ,.m Rifls!
'/$ Rrorq - qsr6
-r$u-
Shillono - 791101n
t' Dependent Famil v Members: The following would be classified as Dependent family
members:-

(a) Spouse, or

(b) Son (incl legally adopted), or


(c) Daughter (incl legally adopted)
(d) Brother or sister dependent on Unmarried force personal at the time of his
death/retirement on medical grounds.

10. Phvsical Standards for the post of General Dutv (Cateqorv) onlv.
SNo Cateqories/States reqions Heiqht Chest for Male only
Male Female Normal Min
expanston
(a) For all Categories / All over lndia. 170 157 80 cms 5 cms
cms cms
Relaxation : Heiqht
(b) For all candidates belonging to 162.5 150 76 cms 5 cms
Scheduled Tribes (Except NE States). cms cms
(c) For all Schedule Tribe candidates 157 147 5 76 cms 5 cms
hailing from the North-Eastern States cms cms
(d) For Schedule Tribe candidates of Left 160 147.5 77 cms 5 cms
Wing Extremism affected Districts. cms cms
(e) Candidates falling in the categories of 165 155 78 cms 5 cms
Garhwalis, Kumaonis, Dogras, cms CMS
Marathas and candidates belonging to
the States of Assam, Himachal
Pradesh, Jammu & Kashmir and
Ladakh
(f) For all candidates hailing from the 162.5 152.5 80 cms 5cm
North-Eastern States of Arunachal cms cms
Pradesh, Manipur, Meghalaya,
Mizoram, Nagaland, Sikkim & Tripura.
(s) Candidates hailing from Gorkha 157 152.5 77 cms 5 cms
Territorial Administration (GTA) cms cms
comprising of the three Sub-Divisions
of Darjeeling District namely
Darjeeling Kalimpong and Kurseong
and includes the following "Mouzas"
Sub-Division of these Districts:- (1)
Lohagarh Tea Garden (2) Lohagarh
Forest (3) Rangmohan (4)
Barachenga (5) Panighata (6) Chota
Adalpur (7) Paharu (8) Sukna Forest
(9) Sukna Part-l (10) Pantapati Forest
(11) Mahanadi Forest (12')
Champasari Forest (13) Salbari
Chhatpart-ll (14) Sitong Forest (15)
Sivoke Hill Forest (16) Sivoke Forest
(17) Chhota Chenga (18) Nipania.
Weight corresponding to height and age as per medical stand ar4, ( For males and
females) rJ\rlV rid\
ttTI? / D}, ill

)
11

.--ir5(T{
,o Ulresicra;e a.ieii, at r._,,.tm Rifle!
,r._, l,r .,
o .i R?rni - fir,,c,,
srilLt Shillong - 793010
4

1i. Phvsical Standards for the post of Warrant Officer (Personal As sistantl Onlv
Heiqht Chest for Male only
S/
Cateqories/States regions Female Norma Expended
No Male I

(a) For all candidates except those mentioned 165 155 77 cms 82 cms
below. cms cms
Relaxation
(b) Candidates falling in the categories of 162.5 150 77 cms 82 cms
Garhwalis, Kumaonis, Gorkhas, Dogras, cms cms
Marathas and candidates belonging to the
States of Sikkim, Nagaland, Arunachal
Pradesh, Manipur, Tripura, Mizoram,
Meghalaya, Assam, Himachal Pradesh,
Kashmir and Leh and Ladakh regions of
Jammu and Kashmir.
(c) The minimum height for all candidates 162.5 150 cms 76 cms 81 cms
belonging to the Scheduled Tribes. cms

Weight corresponding to height and age as per medical standard (For males and
females)

12 Phvsical Standards for the post of Warrant Officer (Drauqhtsman). Rifleman


Lineman Field (LMN). Rifleman (Recoverv Veh Mech). Rifleman Plymber and Rifleman
X-Ray Assistant onlv.

s/ Chest Measurement
Cateqories/States reqions Heiqht
No Normal Expended
(a) For all candidates except those mentioned 170 B0 cms 85 cms
below. cms
Relaxation
(b) Minimum height for the candidates falling in the 165 cms 78 cms 83 cms
categories of Garhwalis, Kumaonis, Gorkhas,
Dogras, Marathas and candidates belonging to
the States of Assam, Nagaland, Manipur,
Mizoram, Tripura, Arunachal Pradesh,
Maeghalaya, Himachal Pradesh, Kashmir, Leh
and Ladakh Divisions of Jammu and Kashmir
States
(c) The minimum height for all candidates 162.5 cms 76 cms 81 crns
belonqinq to Scheduled Tribes.
Rifleman (Recovery Vehicle Mechanic) only

(d) Minimum height for all Scheduled Tribes 160 cms 77 cms 82 cms
candidates hailing from the North Eastern
States of Arunachal Pradesh, Meghalaya,
Mizoram, Nagaland, Sikkim and Tripura and
Left Extremism affected districts.
Weight corresponding to height and age as per medical standard ( For males and
females)
13. Following relaxation may be considered by the competent authority for eligible
candidates under Compassionate Ground Appointment Scheme: -
r;lTi

Parameter Heiqht Chest Upper Aqe Limit Weiqht


Upto Upto 6 cm (i) Upto 15 years. Maximum
*,4*:; 7.5 Cm unexpanded (ii) For widows upto (O possible
&5 cm yearsofAge. .l
expanded \ .i-
6

.Et. Phvsical Efficiencv Test. All the candidates will have lo quality the following
Physical Efficiency Test (PET):-

Ser Cat Run Aqe Group Wise Timinq


No
'18 to 30 30 Yrs &
Yrs Above
(a) Male (All lndia except Ladakh 2.4 Kms '12 Mins 14 Mins
Region)
(b) Female(All lndia except Ladakh 1.6 Kms 8.30 Mins 9.30 Mins
Reg ion)
(c) Male (Ladakh Region) 1.6 Kms 7.00 Mins 7.30 Mins
(d) Female (Ladakh Region) 800 Mtrs 4.00 Mins 5.00 Mins

'15. Pregnancy at the time of Physical Efficiency Test (PET) will be considered a
d isq ualification and pregnant female candidates shall be rejected at this stage.

'16. Written Test. Candidates applying under the COMPASSIONATE GROUND


APPOINTMENT scheme will be exempted from WRITTEN EXAM TEST.

17. Trade (Skill) Test.

(a) Trade (Skill) Test will be conducted with respect to all Tech & Trades before
undergoing DME. The candidates will be assessed as Pass or Fail in the trade
test.

(b) Candidates applying for General Duty are not reqd to undergo any trade test.'
(c) Widow. Exemption from the requirement of passing of typing test be given.
'18. Detailed Documentation Verification. All the xerox copies of documents
subrnitted by the candidates with their application forms will be verified from original
documents at this stage by the Recruitment Board. Hence all the candidates need to carry
Original copies of their documents with them while appearing the recruitment rally.
'19. Detailed Medical Examination (DME):-

(a) Detailed Medical Examination (DME) will be conducted as per the Guidelines
issued by ADG (Medical) for CAPFS, NSG & AR dt 20 May 201 5. The candidates muril
not have knock knees, flat foot, varicose vein or squint in eyes etc. Candidates are
advised to have these conditions checked before and under own arrangements to avoid
disappointment at DME stage. Decision on medical fitness by Assam Rifles Medicai
authority is final and binding.

(b) Candidates having Tattoos will be considered as per following instructions:-

(i) Content: Being a secular country, the religious sentiments of countrymen


are to be respected and thus, tattoos depicting religious symbol or figures and
the same as followed in lndian Army are to be permitted.

(ii) Location: Tattoos marked on traditional sites of the body like inn€rr
aspect of forearm but only left forearm, being non saluting limb or dorsum of thb
hands are to be allowed.

(iii) fu. Must be less lhan lo of the particular part (Elbow or Hand) of the
body.

(iv ln case a candidate has undergone removal of trttoffi | nnc


nt process and the same has faded subs tantidilly, lh is will treateC
d not a tattoo. Such candidates will be pe @ru dergo th
process with the approval of Presiding the recruitmer ri
the scar resulting due to removal of tatt iewed rllE-tT
bv the
Iit';,
of Officer during Detailed Medical Exami 0ia
fu{- r33
n,itto
$ffy'',,,,.,
Shillong - 793010
6

Note: Amendment, if any, in the tattoo policy will be applicable for this
recruitment if the same is made before the date of Detailed Medical Examination.
20. Apoeal aqainst Findinqs of Detailed Medical Examination. lf a candidate is
declared UNFIT in the Detailed Medical Examination (DME), the grounds for rejection will be
communicated to him/ her by the Presiding Officer. lf the rejected candidate is not satisfied
with the findings of the Medical Officer, he/ she will be allowed to undergo Review Medical
Examination (RME) provided they give their written consent by appending their signature on
the intimation indicating the reasons for being UNFIT Review Medical Examination (RME)
will be conducted in continuation of Detailed Medical Examination (DME) preferably on
the next day of DME.
(a) The consent for Review Medical Examination duly signed by the candidate
should be submitted within 24 hours after he/ she is informed of his/ her unfitness in
Detailed Medical Examination. No payment will be made by candidates for RME appeal.
(b) The decision of the Review Medical Examination Board will be final anC
second appeal will not be entertained as per instructions of the Government and no
reply of the correspondence / second appeal will be given/ entertained.

IVote:- Being declared FIT in Medical Examination will not guarantee any legal
claim or right to any candidate for final appointment in Govemment service.
21. Merit List and Call for Traininq. The candidates who qualify in all mandatory tests i.e
Physical Standard Test (PST), Physical Efficiency Test (PET), Trade (Skill) Test and Medical
Examination Test will be placed in Merit List depending upon the priorities and availabilities of
vacancies. Please note that merely qualifying in all tests does not guarantee the Final
Selection against Compassionate Ground Appointment. The Final Selection will only be made
on the basis of position of the candidates in Merit List in accordance with the priorities and
availability of vacancies.

22. Assam Rifles authorities will not be held responsible for any injury sustained by
the candidates during the recruitment process and transit'
23. No TA/ DA is admissible.

24. Cut Off Date for Reckoninq of Aqe Limit. Cut off date for calculation of upper age
limit will be 01 Jan 2024for a pplicants

25. Candidates belonging to the physically handicapped category are not eligible to apply
for this examination.

26. 'APPLICATION FOR COMPASSIONATE GROUND APPOINTMENT" bC CNdOTSEd ON

top of the postal envelope in which the application is being submitted.

27. Mobiles and other electronic gadgets are banned within the premises of Rect
Rally sites/test centre.
28. LlsT oF aUALITATIVE REaUIREMENTS (aRs) FOR EJ'lB9!.'UEET..l.NTo AssAU
RrrleSffire CnOulo AppOturuext SCneUe tN OnOup 'C'
POSTS:-

Ser Trade lnitial Rank Educational Qualifi cation Aqe Limit


No (without relaxatio4i

(a) General Duty Rifleman 10


rclass pass from a 18-23 years
recognized Board
Both Male &
Female
candidates t, .oqRe
only) n:,F ..1t

sc.l a\
1T.:ii
ch
qa{ ;7ql5ft1
Director :am Ritlee
a ft;6in - s43o oo
Shillong - 7930 r 0
7

(b) Personal Warrant (i) lntermediate or Senior Secondary School 18-25


Assistant Officer Certificate (1 0+2) examination from recognized years
Board/University or equivalent.
(Both Male &
Female (ii) Skill Test Norms on Computer:-
candidates only)
(a) Dictation. 10 minutes @ 80 words per
minute.
(b) Transcription Time 50 minutes in
English or 65 minutes in Hindi on
computer.
(c) Draug htsman Warrant a recognised Board
10+2 or equivalent from 1B-25
Officer and three years Diploma in Architectural years
(For Male Assistantship from any recognized Polytechnic
candidate only) college or lnstitution.

Trade Test Norms

Basic Knowledge of calculating dimensions,


weight limitations and requirements in materials
and describing production methods step by
step(including equipment and software types to
be used).
(d) Lineman Field Rifleman 10th class pass from a recognised Board with '18-23
lndustrial Training lnstitute certificate in years
(For Male Electrician trade from a recognised lnstitute.
candidate only)
Trade Test Norms

Practical knowledge in AC & DC current,


star/delta connections, electric fittings,
rectification of faults in electric circuit, MCB,
fuse, earthing sys, install & maintain wiring,
control of lighting systems, handling of
generators, transformers will be assessed by
the Trade (Skill) Test Board.

(e) Recovery Veh Rifleman 10 class pass and lndustrial Training lnstitute 18-25
Mech (lTl) certificate in Recovery Vehicle Mechanic years
or Recovery Vehicle Operator from a
(For Male recognized Board or University.
candidate only)
Trade Test Norms

Practical knowledge in the kade including


inspecting and testing vehicles, engine tune-
ups, oil changes, tire rotation and changes,
wheel balancing, replacing filters, repairing
engine failures, repairing mechanical and
electrical systems malfunctions, replacing parts
and body damage, cleaning, washing and
painting of vehicle, maintain records by
recording service and repairs, verify recovery
veh serviceability by conducting test drives,
adjusting controls and systems will be
assessed by the Trade(Skill) Test Bd.

rftld oqlge
I.t. : rdt

\; )

t
o Iq glnrt {lzi6(-Tl
Direcloiale Gene.e! D i.teS
a Prf,iT - rot roq
Shillono . 7:!3()1r
8

(0 Plumber Rifleman 10th class pass frorn a recognised Board with 18-23
lndustrial Training lnstitute certificate in years
(For Male Plumber trade from a recognised lnstitute.
candidate only)
Trade Test Norms
Practical knowledge in the trade incl install
pipes and fixtures, sinks, toilets using hand and
power tools, installs support pipes, eqpts and
fixtures prior to installation, measurement, cut,
thread and bend pipe, fitting and valves for
installation using couplings, clamps, screws,
bolts, threading of pipes, locate leaks, sly
wrench, hacksaw blades, pipe cutters and its
uses will be assessed by the Trade (Skill) Test
Bd.
(s) X-Ray Riflema n 10+2 pass with diploma in Radiology from a 18-23
Assistant years
recognised Board or University.
(For Male Trade Test Norms
candidate only)
Practical knowledge of the trade incl medical
imaging equipment, produce images of tissues,
organs, bones and vessels using radiology
equipment, handling of radiology eqpt,
magnetic resonance imaging (MRl),
sonography, mammography, computed
tomography (CT) will be assessed by the
Trade(Skill) Test Bd.

NOTE:-

(i) The candidates must fulfil all eligibility conditions for applied post and should be in
possession of all certificates in Original at the time of reporting for recruitment rally.

(ii) All educational certificates other than central Board /state Board should be
accompanied with Government notification declaring the equivalence of such
qualification for service under Central Government (to be produced at the time of
documentation).

(iii) D.O.B as recorded in the Matriculation certificate will only be accepted for
determining the age.

29. ln case of a widow who does not fulfil educational requirement of a post is considered
for the compassionate Ground Appointment, she can be appointed only against a multi-
tasking staff post, provided the appointing authority is satisfied that she can satisfactorily
perform duties of the post with the help of some On Job Training (OJT)

30. Pav Scale Pay scale and other allowance will be as admissible to
Assam Rifles Personnel.

31. Vacancies are tentative and may increase or decrease. The vacancies so notified are
subject to variation and the Assam Rifles reserves the right to make any changes in the
advertisement or cancel it without assigning any reasons.

32. candidates to undergo Physical Fitness Test at own risk and expense. lnjuries
including fatal due to the test during recruitment rally will not be compensated in any
manner. The candidates will have no claim what-so-ever against the GovUAssam Rifles.
s.m /M ?B-rri+p
33. The candid ates those who are n ot in possession of requisitg. cume nts_ rwill not be
perm Recruitment Rally I'; i)
ici)
R
rl ,.TTF;q
Pirecto i - rles
frr,z,i,l
Shillsn! - / v.1L
o

i}i. All certificates like Education/Permanent Residence /NativityiDomicile/ Caste etc


submitted by candidates during Rect Rally are subjected for verification. ln case of fake/forged
documents/ certificates are found, FIR will be lodged for fraudulent enrolment and candidate
will be handed over to the State Police, besides his candidature being cancelled.

35. Selection of candidates will be PROVISIONAL even after passing successive stages of
screening for recruitment till completion of all the pre-enrolment validation and verification.

36. Candidates Provisionally Selected will be covered under New Pension Scheme (NpS).

37. Overcrowdinq To avoid over-crowding, only candidates will be permitted to


enter Rect Rally Site; Parents/friends are advised not to accompany candidates. Candidates
will not be permitted to attend the recruitment rally on any other date except the one mentioned
on the call letter.

38. Candidates must carry one photo bearing lD proof i.e. PAN/AADHAARA/oIer lD/Driving
licence with them duly matching the details mentioned in the other documents submitted by the
candidates.

39. Climate at Shillong is cold, candidates are advised to carry warm clothings with them.

40. ln case of any query, the following help line numbers may be contacted from
0900 hours to '1700 hours on any working day:-

(a) 0364-2585118 (b)0364-2585119 (c) 8794101693

fq{/ &6
Ma /D 0 dt

t so. (Roct)
lrfi IIEcl
Re{ Branch
.1 ell/AR CG Rally 120231 S I (, q-6lhtffi@ qrfiq qE$-frr
Directo..,h OEn ral Assam Rifles
D Nov 2023 ffiq- rfpqo
snrtotg-7BO
10

Append ix

APPLICATION FOR COMPASSIONATE GROUND APPOINTMENT

PART.A

l. (a) Number, Rank and Name of the Government


Servant (Deceased/Retired on medical ground / Missing)

(b) Unit last Served

(c) Designation of the Govt servant

(d) Date of Appointment

(e) Date of Birth of the Govt Servant

(0 Date of Death (if while in service)

(s) Date of Retirement on medical Ground

(h) Total Length of service rendered

(i) Whether permanent or temporary

(k) Whether belonging to SC/ST/OBC

il. (a) Name of the Candidate for appointment

(b) His/Her relationship with the Govt servant

(c) Date of Birth

(d) Educational Qualifications

(e) Whether any other dependent family member


has been appointed on compassionate ground

(0 Home Address

(i) Village

(ii) PO

(iii) Tehsil

(iv) District

(v) PIN

(vi) State

(vii) Mobile/Phone No and Email lD :

(S) Post for which applied for

Contd....2/-
11

ilt. Particulars of Total Assets Left inclu dinq Amount of

(a) Family pension

(b) DCR gratuity

(c) GPF recd at the time of when indl


out from service

(d) Moveable and lmmovable properties

(e) Dependent family members

(f) No of unemployed members

IV Brief particulars of liabilities if any

V. Particulars of all dependent family members


of the Govt seryant (is some are employed,
there lncome and whether they are living together
or separately)

Ser Name(s) Relationship Age Address Employed or not


No with the Govt (if employ)
Servant
(1) (2) (3) (4) (5) (o)

Dated: Signature of the Candidate

Name

Address

Tele/Mob No .

Contd...3/-
12

DEC TION/UNDER TAKING

1 I hereby declare that the facts given by me above are, to the best of my
knowledge, correct. lf any of the facts here in mentioned are found to be incorrect or
false at a future date, my service may be terminated.

2. I hereby also declare that I shall maintain properly the other family members who
were dependent on the Government servanvmember of the Force as mentioned against
I (a) of Part-A of the application form and in case it is proved at any time that the said
famlly members are being neglected or terminated.

Dated: Signature of the Candidate

Name

Add ress

Tele/Mob No

COUN GNED BY GAZE TTED OFFICER/


VILLAGE PRADHAN/ SARPANCH

(Seal and signature)

Dated.
4
';
SPECIMEN OF UNOERTAKING CERTIFICATE REGARDIN G DETAILS OF
COMPASSIONATE GROUND APPOINTMENT GRANTED T o
DEPENDENT FAMILY MEMBERS

1. l, Mr/Miss/Mrs
son/daughter/wife of Ex No ......... .......... Rank
Name ... . .. . .. . . .. . .. .. of Assam Rifles have been
applied for Compassionate Ground Appointment rally for lhe yeat 2024.

2. I hereby undertake and certify that the my following family members have already been
granted Compassionate Ground Appointment and serving Assam Rifles/Retired from Assam
Rifles:-

(a)
(b)
(c)

OR

(d) No one of my family member is appointed against Compassionate Ground


Appointment as on date except me for which I have been applied for Compassionate
Ground Appointment rally for the year 2024.

3. I further undertake that above information are true to the best of my knowledge. ln case
of above information's are found false at any time even at later stage, department will hold
right to dismissed me from service any time with the decision of Assam Rifles Competent
authority, and I will refund the Govt expenses partly/wholly as deemed fit by the
De pa rtm e nUGove rn me nt.

Signature of the candidate


Name :

H usband/Father's Name
Trade
viil
PO
Place Dist
State
Date Pin

COUNTERSIGNED BY GAZETTED OFFIC ER/


VILLAGE PRADHAN/ SARPANCH

(Seal and signature)

Dated

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