Odisha Livelihoods Mission

Department of Mission Shakti, Government of Odisha

SIRD & PR Campus, Unit-Vlll, Bhubaneswar-751O12, Odisha
Tel: (0674) 2560166/2560126, E-mail: [email protected]

LetterNo. t3t43 t2022 Date:21.10. 2022

oLM/IBCB/CGl0112018
From
Mansi Nimbhal, IAS
State Mission Director
To
All Collectors

Sub: Revised Guidelines Selection of Communitv Suooort Staff und er Odisha Livelihoods
Mission

Ref: This office Letter no. 574t19, Date: 25.02.2019, Letter No .1 1 ?1IOLM Date:l3.08.2020,
Letter No. 661 /2022, Date: 24.05.2022

Madam/Sir,

ln inviting reference to the letters and subject cited above, I am to inform you that the
guidelines for the selection of Community Support Staff such as Community Resource Person for
Community Mobilization (CRP-CM), Master Book Keeper (MBK), Bank Mitra, Community Resource
Person - Enterprise Promotion (CRP-EP) and Business Development Support Provider (BDSP) has
been revised and enclosed for your ready reference.

Yours faithfully,

n
ion Director
Enclosure: As above
Copy to: (for information and necessary action)

1. Joint Secretary to Government, Department of Mission Shakti, Govt. of Odisha

2. CDO-cum- EO, Zilla Parishad of 30 Districts.
3. DSWOs are requested to communicate one copy of guidelines to concerned BLF of their
district for needful action.
4. DPMs, OLM, all 30 Districts.
5. BDOs are requested to communicate one copy of guidelines to concerned GPLF of their
district for needful action.
6. AllAdditional CEOs, JD-MlS, all Dy. CEOs, PMs, PEs and other SMMU Staff for lnformation.
t

Revised Guidelines for Selection of

Community Support Staff
Septemb er, 2022

Odisha Livelihoods Mission

Department of Mission Shakti, Government of Odisha
t\

Contents
I. INTRODUCTION t
2. ELIGIBILITY CRITERIA FOR SELECTION OF COMMLINITY SUPPORT STAFF..,... 7

3. SELECTION PROCEDURE................ 2

4. OFFER AND ENGAGEMENT.. 12

ANNEXURE-I SAMPLE NOTICE.... t4

ANNEXURE-II APPLICATION FORM FOR COMMTiNITY SUPPORT STAFF. 16

ANNEXURE.III CHECKLIST OF DOCUMENTS TO BE SUBMITTED ................ 20

ANNEXURE.IV TIMELINE FOR SELECTION OF COMMLINITY SUPPORT STAFF 2t

ANNEXURE- V REGISTER FOR RECEIPT OF APPLICATIONS 22

ANNEXURE- VI SCRUTINY OF APPLICATIONS AND WEIGHTAGE OF MARKS 23

ANNEXURE-VII LIST OF CANDIDATES FOR DIFFERENT POSITIONS 30

ANNEXURE- VIII SAMPLE LETTER FOR INTIMATION FOR DOCUMENT VERIFICATION........... 31

ANNEXURE-IX FINAL MERIT LIST OF CANDIDATES FOR DIFFERENT POSITIONS................... 32

ANNEXURE- X SAMPLE FORMAT OF PROCEEDINGS OF THE SELECTION COMMITTEE ......,.... 33

ANNEXURE- xI SAMPLE OFFER LETTER FOR ENGAGEMENT OF COMMUNIry SUPPORT
STAFF 34

1.
t\

1. INTRODUCTION
Odisha Livelihoods Mission (OLM) under the Department of Mission Shakti aims at socio economic
and political empowerment of women by organizing them on the Self Help Group (SHG) platform

across the state. Federations of women SHGs have been promoted under the aegis of this Department

at Cluster, Gram Panchayat and ICDS Project level as an institutional mechanism of SHG network in
the State. The Cluster Level Forum (CLF) and the Gram Panchayat Level Federations (GPLFs) play
vital roles in formation of new SHGs, capacity building, monitoring & supervision of SHGs,
graduating SHGs to the next level, exploring livelihood opportunities for member SHGs and offering

several kinds of services during natural disasters and pandemic situations.

The role of Community Cadres hencefomh to be known as Community Support Staff is instrumental
in supporting these SHG federations through social mobilization, institution & capacity building of
stakeholders, handholding for diversified income generating activities and promotion of women-led
entrepreneurship. There is need for a revised guideline for selection of different Community Support
Staff like Community Resource Persons for Community Mobilization (CRP-CM), Master Book
Keeper (MBK), Bank Mitra, Community Resource Person - Enterprise Promotion (CRP-EP) and
Business Development Support Provider (BDSP) for smooth delivery of various activities under the
Department of Mission Shakti.

Henceforth, the Community Cadres will be known as Community Support Staff and this
Guidelines will be known as 'Revised Guidelines for Selection of Community Support Staff.'
This Guideline is in supersession to other similar subject concerning with regards to the
selection process of Community Cadre/Community support staff issued earlier.

2. ELIGIBTLITY CRITERIA FOR SELECTION OF COMMUI\ITY SUPPORT

STAFF
2.1 Community Resource Person for Community Mobilization (CRP-CM)

a. Shall be a woman and an SHG member

b. Shall be able to read and write Odia
c. Shall be well conversed with local languageldialect
d. Age: minimum l8 years
e. Educational Qualification: minimum 101h pass
f. Domicile: Shall be resident of the same village/cluster

t
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 2.2 Master Book Keeper (MBK)

a. Shall be a woman and an SHG member

b. Shall be able to read and write Odia
c. Shall be well conversed with local language/dialect
d. Age: minimum 18 years
e. Educational Qualification: minimum Intermediatel l2th l+2 pass

f. Domicile: shall be resident of the same GP

2.3 Bank Mitra

a. Shall be a woman and an SHG member
b. Shall be able to read and write Odia
c. Shall be well conversed with local language/dialect
d. Age: minimum 18 years
e. Educational Qualification: minimum Intermediate/ 12th l+2 pass
f. Domicile: shall be resident of the GP/GPs coterminous with the service area ofthe
concerned Bank

2.4 Community Resource Person- Enterprise Promotion (CRP-EP)

a. Shall be a woman and an SHG member
b. Shall be able to read and write Odia
c. Shall be well conversed with local language/dialect
d. Age: minimum 18 years
e. Educational Qualification: minimum 1Oth pass
f. Domicile: shall be resident of the same block

2.5 Business Development Support Provider (BDSP)

a. Shall be a woman and an SHG member

b. Shall be able to read and write Odia
c. Shall be well conversed with local language/dialect
d. Age: minimum 18 years
e. Educational Qualification: minimum Intermediate/ l2th l+2 pass
f. Domicile: shall be resident of the same block

3. SELECTION PROCEDURE
\, 2

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a-

Following procedures are to be followed for selection of Community Support Staff.

A. Advertisement and Applications
Selection of all Community Support Staff will be conducted by respective Block Level
Federation (BLF) basing on the resolution of the concerned GPLF.

Step-I

Resolution will be passed in the GPLF meeting for carrying out the selection process of CRP-
CM, MBK and Bank Mitra within one month of formation of GPLF. For the rest of the
Community Support Staff, selection process will be initiated as per requirement by OLM. In
case of vacancy of any of the Community Support Staff, GPLF will pass resolution within 7

days towards carrying out the selection process. The GPLF will communicate a copy of the
resolution to the BLF, indicating the positions to be selected for initiating the selection process.
A copy of the said resolution shall be communicated to concerned BDO, CDPO and Chief
Development Oflicer-Cum- Executive Officer (CDO-cum-EO), Zilla Parishad.

Step-II
Basing on GPLF resolution, BLF shall issue notice for inviting applications for different
positions along with Application Form to be notified at Block Offrce, CDPO Office, BLF
Office, GPLF Office, GP Office, Anganwadi centre of concerned village for CRP-CM position
and all Anganwadi Centres of GP for other positions, and Chief Development Officer-Cum-
Executive Offrcer website for wider circulation and access. A sample notice is attached at
Annexure-l. Fifteen days' time (inclusive of Sunday and Government holidays) shall be given

for submission of application by a candidate at BLF office.

Step-III
Candidate can download the Application Form along with checklist of documents and timeline
of selection process from the Chief Development Officer-Cum- Executive Officer website and
can use photo copy of specified application form.

Candidate can get a hard copy of application form, checklist of documents required to be
submitted in support of age, social category, educational qualification, experience etc. of each
positions and timeline of selection process at respective GPLF/BLF office.
Application Form- Annexure-Il

\y
 ,

Checklist of documents - Annexure-Ill

Timeline of selection process- Annexure-IV

Step-IV
Candidates shall submit duly filled in application form along with self-attested supporting
documents as per the checklist QLnnexure-Ill in BLF Office within the notified period of
Fifteen days' time as per timeline (Annexure-IV).

Step-V
One register shall be maintained at BLF Office for receipt of application with proper
acknowledgement to candidates indicating the Application number. The Application number
shall also be noted on the respective application received from the candidates for reference.
That number shall be entered in the register against concerned position and application.
Application of different positions shall be maintained separately in the said register. Sample
format is enclosed at Annexure-V.

B. Selection Committee
i. The following selection committees will be formed with representation from BLF,
respective GPLF and respective CLF for screening & scrutiny of applications and
conducting selection of Community Support Staff.

Selection Committees:

Committee for selection of CRP-CM

^.
i. 02 office bearers (President and Secretary) of the concerned BLF
ii. 02 office bearers (President and Secretary) of concemed GPLF.
iii. 02 office bearers (President and Secretary) of concerned CLF

b. Committee for selection of MBK and CRP-EP

i. 02 office bearers (President and Secretary) of the concerned BLF
ii. 02 office bearers (President and Secretary) of concerned GPLF.
c. Committee for selection of Bank Mitra and BDSP
i. 02 office bearers (President and Secretary) of the concerned BLF
ii. 02 office bearers (President and Secretary) each from the concemed GPLF.

ii. In case, if either the President orl and the Secretary of the CLF/GPLF/BLF is/are not in
position, equal number of EC members will be nominated as member of the selection

4
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s/
 committee, by virtue of a resolution by the EC of concerned CLF/GPLF/BLF.
lll In case, if either the President or/ and the Secretary or nominated EC member of CLF/
GPLF/BLF is an applicant for any of the positions and / or any of their relatives is an
applicant, then such office bearer/ nominated EC member shall not be a member in the
selection committee. In such case, concerned CLFiGPLF/ BLF shall nominate other EC
member to the selection committee, as member of the selection committee, by way of a
resolution.
lv BPC and BPM shall attend the selection committee meeting, will oversee the entire
process and shall submit a joint report to BDO and CDPO. They shall ensure that the

entire selection process is free and fair. In case, if any prima facie fraudulent activity is
noticed during the selection process that shall be brought to the notice of the concerned
BDO.

C. Scrutiny of Applications
There shall be two levels of scrutiny of applications.

Level-I: All applications with application number received for different positions and
maintained in the register shall be scrutinized by the selection committee. Applications
fulfilling the minimum eligibility criteria, detailed at para- 2 shall be shortlisted for fuither
process.

Level-II: Weightage will be given against educational qualification, socio economic cum
special category and experience of each of shortlisted applications, which is detailed out
below.

Scrutiny of applications shall be recorded in the format attached as Annexure-Vl.

5
v
 Details of weightage of marks for Community Support Staff of OLM
1. Community Resource Persons for Community Mobilization (CRP-CM)

Weightage of mark Total

Socio Economic Weightage
Educational Qualifi cation cum Special Experience marks
Category
a. In Non-Tribal sub plan blocks 03 marks - applicant For CRP-CM 23

belonging to any one Position,

i. 10th pass: 33% to less than 60Yo marks-S
or more or all of the experience as
marks,
600/o and above marks - 10 marks following categories. Internal CRP/
Senior CRPs-
b. In Tribal sub plan blocks & GPs with PoorlEPVG (SECC
(minimum 2
PVTG population in other blocks 2011 Census data)
and above
iRation card holder/
10th Pass: 33Yoto less than 50% marks -5 rounds)/ CRP-
marks, BPLi Annual Income
CM /MBK (for
less than Rs. 60,000/-
50% and above marks- 10 marks continuous 6
)/ sc/sr/
months and
c. Additional and marks Minority/Orphan/
above) 4
PWD/ PVTG
i. +2 l72th / Intermediate qualification -
marks
Additional2 marks,

ii. +31 Graduation qualification

Additional2 marks,

iii. Post-Graduation qualification

Additional2 marks.

s/ 6
2. Master Book Keeper (MBK)

Weightage of mark
Total
Socio Economic Weightage
Educational Qualification cum Special Experience marks
Category

a. In Non-Tribal sub plan blocks 03 marks - applicant For MBK 2t

i. +2 ll2th / Intermediate pass: 33oZ to less belonging to any one position,

than60Yo marks -5 marks, or more or all of the experience as

60%o and above marks - 10 marks

following categories. Internal CRP/
Senior CRPs-
b. In Tribal sub plan blocks & GPs Poor/EPVG (SECC
(minimum 2 and
with PVTG population in other blocks 2011 Census data)
above rounds)/
+2 ll2th / Intermediate pass: 33% to less /Ration card holder/
CRP-CM/
than 50% marks -5 marks, BPL/ Annual Income
MBK/ Bank
50oh and above marks- 10 marks less than Rs.
Mitra (for
60,000/- / sc/sr/
c. Additional Qualification and marks continuous 6
Minority/Orphad
i. +3/ Graduation qualification - months and
PWD/ PVTG
Additional2 marks, above) 4

ii. Post-Graduation qualification - marks

Additional2 marks

uk
 3. Bank Mitra

Weightage of mark
Total
Socio Economic Weightage
Educational Qualification cum Special Experience marks
Category

a. InNM 03 marks - applicant For Bank Mitra 2t

belonging to any one position,
i. +2 ll2th / Intermediate pass: 33% to less
or more or all of the experience as
than 600/o marks -5 marks,
following categories. Intemal CRP/
600/o and above marks - 10 marks Senior CRPs-
PoorlEPVG (SECC
(minimum 2 and
b.In Tribal sub plan blocks & GPs 20ll Census data)
with PVTG population in other blocks above rounds) /
/Ration card holder/
CRP-CM/
+2 ll2thi Intermediate pass: 33% to less BPL/ Annual lncome
MBK/ Bank
than 50Yo marks -5 marks, less than Rs. 60,000/-
Mitra (for
/ SC /ST / Minority
50%o and above marks- 10 marks continuous 6
/Orphan / PWD/
months and
c. Additional Qualification and marks PVTG
above) 4

i. +3/ Graduation qualification - marks

Additional2 marks,

ii. Post-Graduation qualification -

Additional2 marks

s1
4. Community Resource Person - Enterprise Promotion (CRP-EP)
Weightage of mark
Total
Socio Economic Weightage
Educational Qualification cum Special Experience marks
Category

a. In Non-Tribal sub plan blocks 03 marks For CRP-EP 25

i. 1Oth Pass: 33% to less than 600/o marks-S applicant Position,

marks, belonging to any experience as
60% and above marks - 10 marks one or more or all Internal CRP/

b.In Trihal blocks & GPs with

sub
of the following Senior CRPs-
PVTG population in other blocks categories. (minimum 2

lOth Pass: 33Yoto less than 50% marks -5

Poor/EPVG (SECC and above

marks, 2011 Census data) rounds)/ CRP-

50o/o and above marks- 10 marks /Ration card CM/MBK/
c. Additional Oualification and marks holder/ Bank Mitral

i. +2 ll2tt'l Intermediate qualification -

BPL/Annual Udyog Mitra
Additional2 marks, Income less than (for

ii. +3lGraduation qualification - Additional 2

Rs. 60,000/- / SC continuous 6

marks, /ST / Minority months and

i. Po st-Graduation quali ficati on -Additional

ii
lOrphan/ PWD/ above) - 4

2 marks PVTG marks

iv. ITI/ 2 years vocational degree/ Diploma or

Degree in any trade from govt. or private
recognized institution. - Additional2 marks

P
 5. Business Development Support Provider (BDSP)

Weightage of mark
Total
Socio Economic Weightage
Educational Qualification cum Special Experience marks
Category

a.In Non-Tribal sub plan blocks 03 marks - applicant For BDSP 23

belonging to any one position,

i. +2 ll2th / Intermediate pass: 33Yo to
less than 60% marks -5 marks, or more or all of the experience as

60Yo and above marks - 10 marks following categories. Internal CRP/

Poor/EPVG (SECC Senior CRPs-
b. In Tribal sub blocks & GPs 20ll Census data) (minimum 2 and
with PVTG ponulation in other blocks
/Ration card holder/ above rounds) /
+2 ll2th / Intermediate pass: 33olo to less BPL/ Annual Income CRP-CM/ MBK/
than50oh marks -5 marks,
less than Rs. 60,000/- Bank Mitra (for
50Yo and above marks- 10 marks / SC /ST / Minority continuous 6

c. Additional and marks

/Orphan / PWD I months and

PVTG above) 4
i. +3/ Graduation qualification -
marks
Additional2 marks,

ii. Post-Graduation qualification -

Additional2 marks

iii. ITy 2 years vocational degree/

Diploma or Degree in any trade from
gort. or private recognized institution. -
Additional2 marks

10

$1:
 In case of tie in weightage of marks between 2 or more candidates at second level of scrutiny,
Candidates shall be prioritized in following order -
a. Qualification (Candidate with higher educational qualification)
b. Age (whoever is older)
c. Higher marks secured in l0th Pass for the position of CRP-CM and Community
Resource Person - Enterprise Promotion (CRP-EP) and in l2thl +2llntermediate for
the position of Master Book Keeper (MBK), Bank Mitra and Business Development
Support Provider (BDSP)
ll. After second level of scrutiny, a list of all candidates shall be prepared by the Selection
Committee, position wise, as per weightage of marks, by the 20ft day from the date of
notification in inviting application. The list of candidates shall be prepared as per Annexure-
VII. The said list shall be displayed in the BLF, GPLF and concerned CLF (only for CRP-CM)
notice board within two days of preparation of such list.
lll Seven days' period will be given for submission of grievances, if any, by candidate/s only, on
the list and weightage of marks to the concerned BDO. Grievances received after 7 days of
display ollist of candidates shall not be considered.
lv The grievances received at the block office shall be examined and disposed of by concerned
BDO within 5 days. On disposal of grievances by the BDO, the hndings on each grievance shall
be communicated to concerned BLF. Basing on the communication of the BDO, the selection
committee shall make necessary updates in the status of the applicants and weightages. The top
six candidates of each position shall be intimated as per the letter format enclosed at Annexure-
VIII, on proper acknowledgement, to attend document verification on a specified date and
time by the BLF. Then, the committee shall go for original document verification of the top six
candidates of each position within 10 days.

v After document verification, the selection committee shall prepare a final merit list of three
candidates for each position by the 45th day from the date of notification in inviting application.

Format for preparing final merit list is enclosed as Annexure-IX. Based on the final merit list,
candidate with highest marks in each position shall be selected.

vl. On the day of preparation of final merit list, the committee shall make a proceedings there of
singed by all members indicating final merit list of three candidates of each position and submit

the same to the concerned BLF on the same day. The sample format of the proceedings is
annexed atAnnexure-X.
vll BLF shall communicate the authenticated copy of the proceedings of the selection committee to
concemed GPLF on proper acknowledgement on the same day.

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 viii. A resolution shall be made at GPLF, within 5 days on receipt of the proceedings of the selection
committee mentioning the position wise selected candidates.
ix. Final merit list shall be displayed in the BLF, GPLF and concemed CLF (only for CRP-CM)
office by 51't day from the date of notification in inviting application for different positions.
x. On completion of selection process, all applications, supporting documents, proceedings of the
selection committee etc. shall be scanned by BPM and soft copy shall be maintained for future
reference. All the applications, supporting documents of all applications, list of candidates with
weightage of marks, intimation on grievance disposal received from BDO, final merit list,
proceedings of the selection committee etc. shall be kept in a Box, provided by concerned GPLF,

duly sealed by all the members of selection committee. GPLF shall receive the sealed Box
containing all the relevant records including applications and supporting documents of the
candidates on the selection of Community Support Staff from the BLF on proper receipt.
Such recordso documents shall be kept and maintained at their level for future reference.
xi. In case of any subsequent selection for any Community Support Staff, all relevant documents
shall be kept in the sealed Box, if used earlier. The Box used earlier for selection process shall
be brought to the concerned BLF office by the GPLF (President and Secretary). On completion

of subsequent selection process, the sealed Box used earlier shall be opened by the selection

committee looking after subsequent selection process. All relevant documents shall be kept in a
separate envelope and kept in the said box. The box shall be sealed again by the selection
committee and GPLF shall take it for safe custody at their level. This aspect shall be recorded
by the selection committee in their proceedings as detailed in the Sample Proceedings at

Annexure-X.
xii. Merit list will remain valid for 2 years from the date of publication of merit list and will be

considered to fill up future vacancy, if any, due to resignation/ termination/death/permanent

migration of selected candidate. In case the candidates in the merit list is exhausted within two
years from the date of display or any vacancy arises after 2 years, similar procedure shall be

followed to fill up the vacant position.

4. OFFER AND ENGAGEMENT

a. After resolution in the GPLF EC and display of final merit list, concerned GPLF,
represented through President/Secretary, shall issue offer letters to the selected candidates

on proper acknowledgement, within 2 days of display of final merit list mentioning to join
within 7 days. A sample copy of the offer letter is enclosed at Annexure-Xl.

v L2
b. The joining leffer of the selected candidates shall be accepted by the concerned GPLF on
the day of her submission ofjoining report.
c. In case the President/Secretary of the GPLF does not accept the joining report of any

community support staff duly selected, she can submit joining report at concemed BLF.
BLF shall communicate such joining report to concemed GPLF & intimate the same to
concerned BDO.

d. In case leader of an SHG or office bearer of a CLF/GPLF,tsLF is selected as Community

Support Staff, she must resign from such position before joining as the Community Support
Staff.
e. In case she is already working as a Community Support Staff, she will resign from that
position before taking up the new assignment.
f. In case selected candidate is working as Business Correspondent (BC) Sakhi, she has to
resign from that position before joining in the selected position of Community Support
Staff.
g. If the selected candidate is a full time or part time employee in any Golt. / Non-Govt.
organization, she has to resign from that position before ioining in the selected position of
Community Support Staff.
h. In case she holds any position in the local self-government or holds any political office, she
has to give resignation from either position.

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 ANNEXURE-I SAMPLENOTICE
..BLF Office, ..Block
Letter no. Date.

invites
application/s from candidates for the following positions of Community Support Staff

Community CLF/GPLF No. of Minimum Performance

Support Staff Vacanc Educational Incentive (Rs.
Y Qualification Per Month)
CRP- CM Name of Cluster Level 10th Pass Rs.3000/-
Forum
Name of Village
Name of GPLF
Master Book Name of GPLF tztw Rs.6000/-
Keeper (MBK) Name of GP Intermediate/
*2 Pass
Bank Mitra Name of Bank l2th Rs.6000/-
Service Area GP/GPs /Intermediate/
+2 Pass
CRP-EP Name of Nodal 10th Pass Rs.1000/-
GPLF/BRC
Name of Block
Name of GP-2
BDSP Name ofNodal GPLF 12thllntermedia Rs,2000/- fixed pay
tel+2 Pass and up to Rs.1000i-
Name of Block
per enterprise as
variable pay

Other Eligibility Criteria:

o Should be a woman and an SHG member

. Should be able to read and write Odia
o Well conversed with local language/dialect
o Age: minimum l8 years
o Domicile: Residence of the same village/cluster in case of CRP-CM; same GP in case of
MBK; GP/GPs coterminous with the service area of the concerned Bank for Bank Mitra;
same block in case of BDSP and CRP-EP.

v 1.4
GENERAL TERMS & CONDITIONS

1) Application form and work description for each position are available at GPLF/BLF office.
Candidate may download the Application Form and job profile from the website of Chief
Development Officer-cum- Executive Officer .

2) Self-attested documents in support of identity, qualifications, experience, etc. as per the

checklist have to be submitted along with application form at BLF Office within the timeline.
Original documents shall be produced as and when required.

3) The selection process will consist of short listing of candidates on basis of minimum
eligibility criteria, academic qualifications, experience and other socio-economic cum
special category.

4) The prescribed eligibility conditions viz. age, qualification and experience, etc. should have
been acquired as on date of notice. Qualification should be from approved recognized
institutions.

5) In case of false or insufficient information/lack of proof to ascertain the eligibility of the

applicant, their candidature will be rejected at any stage of the selection process.

6) Applicants shall mention the correct and active mobile number and email-id in the
application form.

7) CLF/ GPLF/ BLF have all the rights to cancel selection process at any level of selection
process.

8) The candidate has no right to claim for permanent job with concerned CLF/ GPLF/
BLF/Government.

9) The last date of receipt of application is

sd/-

President/Secretary
Block Level Federation (BLF)

15 q
 ANNEXURE.II APPLICATION FORM FOR COMMUNITY SUPPORT STAFF

Position applied for -

Name of the CLF: Name of the GPLF:

Name of the Bank Branch (Bank Mitra): Name of the Block:

A Personal Information
I Full Name of the Applicant

2 Sex
Paste recent
3 Full Name of Father/ Husband
passport size
4 Full Name of Mother colour photograph

5 Date of Birth (DD/MM/YYYY)

6 Age as on date of issue of notice

(in Completed Years)
Social Category (Please tick valid ySEBC( ySC( yST()/Minority()
7
Gen(
option)
8 Economic Category (Please tick Poor ( ) / EPVG ( ) I Ration Card holder ( )/ BPL
valid option) ()tAnnual Income less than Rs.60,000/- ( )
9 Special Category (Please tick valid
PwD( )/orphan( Y/PVTG( )
option)
10 Current Address with name of
Village, GP, Post Office, Police
Station, Block, District, State, Pin
11 Permanent Address with name of
Village, GP, Post Office, Police
Station, Block, District, State, Pin
t2 Telephone/mobile Number
(Mandatory)
13 Alternate telephone/mobile Number
(Optional)
t4 Email ID (optional )

B. Educational Qualific ation (Se lf attested photocopy of Certfficates & Mark sheets ta be

attached)

16

v
r
sl. Degree/Diploma/ Total "h of Institution
Total University Year of
No. Certificate Course/ Marks marks I Collegel
Marks / Board Passing
Any other secured secured School

I lOth Class

2 72thl Intermediate/
+2
3 Graduation
+3
4 Post Graduate
(Specifu)
Any other qualification, ITl/additional degree, diploma/ degree/ certificate course. If
Yes, mention below
5

C. Experienc e (Se lf attested photocopy of experience certijicotes and relevont documents to be

attached)

Name and address

of SHG/ CLFI PERIOD

sl. Area of GPLF/Department/ Total Period

Experience Organization/ govt. To
(In Years/
recognized Months)
(MI\,{/YYYY)
Institution (Mlvl/YYYY)
associated with
I
)

D. Language Profieiency (Put Tick Mark in appropriate column)

17
sP
 Sl. No. Language Read Write Speak

I Odia

) Hindi

3 English

4 Any Other (Speciff)

Documents attached (refer to Annexure-Ill to know type of documents to be attached)

Sl No. Name of Document attached Sl No. Name of Document attached

1 7

2 8

3 9

4 10

5 11

6 t2

Declaration
I do hereby, declare that iryformation submitted by me is true to the best of my knowledge. I understand
that, in case of.false information, my candidature will be rejected at any given point of time and I am
also liable .for appropriate act ion.

Date Place Signature

\y 18
a

Cut from Here $<

Acknowledgement
Application No:

I Ms/9mt.... acknowledge receipt of application of

cLF ...... GPLF......

Full Name & Signature of receiver

With seal and stamp

19

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 ANNEXURE.III CHECKLIST OF DOCUMENTS TO BE SUBMITTED
Sl. No. Parameter Self-Attested Documents to be submitted
a. b. c.
Resident Certifi catelAadhaar Card/ Voter ID/
i Address Proof
Electricity/ Water Bill/ Ration Card
Aadhaar Card/Voter ID/PAN Cardl Driving
2. Identity Proof
License/ Ration Card with Photo
a
J Age Proof Birth Certifrcatel 1Oth class certificate
Mark sheet/ Board Certificate/
Diploma/Degree Certificatel Post graduate
4 Educational Qualifi cation
certificate/ Any other qualification certificate
from approved recognized institution
Letter from President/Secretary of concemed
5 SHG Member
SHG
6. Social Category (SC/STA4inority) Caste Certiflrcate
Economic Category @oor/EPVG
7 PIP Under OLM as per SECC-2011
(SECC 2011 Census data)
8 Ration card holder Ration card issued by Competent Authority
9 BPL BPL card issued by Competent Authority
10 Annual Income less than Rs. 60.000/ Income Certificate issued by Tahasildar
Disability Certificate from concerned
11 Person with Disability
government department
Orphan certificate from concerned
12. Orphan Tahasildar (staying at home)/ DCPO (staying
at child care institution)
13 PVTG Caste Certificate
Letter from concerned CLF
President/Secretary (in
case of CRP-CM),
Community Cadre in intensive village/ GPLF President/Secretary in case of MBK,
t4.
GP under OLM Bank Mitra, CRP-EP mentioning period for
which candidate is/was engaged in intensive
village/ GP under OLM

CRP for mobilization round/ Senior CRP

Letterl Certificate from
15 BMMU/DMMU/SMMU, OLM mentioning
under OLM
the period of engagement

v 20
ANNEXURE.IV TIMELINE FOR SELECTION OF COMMUNITY SUPPORT STAFF
SI. No Activity Timeline Date Responsibility

a. b. c. d. e.
1 Notification at Block Office, CDPO Day I BLF/GPLF EC
Offrce, BLF Offrce, GPLF Office, GP
Office, Anganwadi centre of concemed OLM + Chief
Development
village for CRP-CM position and all
Anganwadi centers of GP for concemed Officer-Cum-
Executive Officer
Community Support Staff from website of
Chief Development Officer-Cum- for publication in
the website
Executive Offi cer (CDO-cum-EO)

2. Last date of receipt of Applications Dav 15 BLF

3 Recording of all applications in prescribed Day 1 to BLF

register day 15

4 Preparation of list of candidates Day 20 BLF

5 Display of list of candidates at BLF, GPLF Day 22 Selection

and CLF (for CRP-CM) Committee

(at BLF)
6. Submission of grievance (at Block Office) Day 23 to BDO
day 29

7 Hearing of grievances of candidate/s By the day BDO

30 to day
34
8 Document Verification by selection By the day Selection
committee 35 to day Committee
44
(at BLF)
9 Preparation of Final merit list (at BLF) By the day Selection
45 Committee

(at BLF)
10. Resolution made at GPLF By the day GPLF
50
ll Display of Final merit list at BLF, GPLF By the day BLF and GPLF
and CLF (for CRP-CM only) 5l
12. Issue of Offer letter By the day GPLF
53

21
P
 ANNEXURE. V REGISTER FOR RECEIPT OF APPLICATIONS
Position applied for ...... (Separate pages shall be maintained for each positions)
sl. Name of the Address Mobile Application Date of Date of Docum ents Subm itted (Yes/lt{o) Signature of
Applicant (Village, GP, Number Number issue of receipt of recipient
No notice application
PO, PS
Identity Age Educational Experience
form
Block, proof proof qualification certificate
District)

a. b. c. d. e. f. (t h. t. J k.
1

6.

l
8

10.

k 22
 ANNEXURE. VI SCRUTINY OF APPLICATIONS AND WEIGHTAGE OF MARKS
Name of the Position

Name of CLF: Name of GPLF Name of BLF

A. First level of scrutiny based on eligibility criteria:

sl. Applica Meeting of

Name of Address Fulfillment of Eligibility Criteria
No. tion no. Eligibility
Applicant with Mobile SHG Age Residence of same Educational Qualifi cation
Criteria
number Member Village/ GP/Service
Sex (Yes/|.{o)
( Yes/|.{o) area of Bank
branch/Block(Yes/
No)
a. b. c. d. e. f. h. t. j

N.B: Applicants who meet oll eligibility criteria will be shortlistedfor 2"d level of Scrutiny

v
--/
23
B. Second level of scrutiny based on Weightage of marks:

i. For CRP-CM

Educational Qualification and weightage of marks Socio Economic Experience Total

cum Special Weightage
sl. Appl Category (Weightage Marks-4) Marks
Name of
No. icati (Weightage Marks-
Applicant
on 3)
num a.In Non-Tribal sub 72rh +3 PG Total Category Marks Experience Marks
ber plan blocks Pass Pass Pass Marks AS

lOth Pass:
33Yo<*600 :5marks
> *60oh:10 marks
b.In Tribal sub plan
blocks & GPs in
(Mar (Mar (Marks-
exclusive PVTG
ks-2) ks-2) z)
Blocks
lOth Pass :

33Yo < 50o/o:5 marks

> 50%:10 marks
Total % Marks
Marks
a. b. c. d. e. f. o h. l. J. k. l. m. n. o.

&
24
 ii. For Community Resource Person - Enterprise Promotion (CRP-EP)

Educational Qualification and weightage of marks Socio Economic Experience Total

a. In Non-Tribal sub l2th +3 PG lTll 2 years otal cum Special Weightage
sl. Appl plan blocks Pass Pass Pass vocational Category (Weightage Marks-4) Marks
Name of
No. icati 1Oth Pass: degree/ (Weightage Marks-
Applicant
on 33oA < *60%o: 5 Diploma or 3)
num marks Degree in
ber > *60oh:10 marks any trade Category Marks Experien Marks
b.In Tribal sub plan (Mar (Mar from govt. ce as
blocks & GPs in or private
ks-2) ks-2) (Marks-
exclusive PVTG recognized
2)
Blocks institution
lOth Pass: (Marks-2)
33Yo< 50Yo:5 marks
> 50o/o:10 marks
Total % Marks
Marks
a. b. c. d. e. f. (t h. t. j. k. t. m. n. o. p.

\c
25
--/
 iii. For Master Book Keeper (MBK)

Appl Educational Qualification &Weightage Marks Socio Economic Experience Total

sl. icati cum Special Weightage
Name of (Weightage Marks- Marks
No on Category
Applicant
num 4)
ber (Weightage Marks-
3)
a. In Non-Tribal sub +3 PG Total Categor Marks Experien Marks
plan blocks Pass Marks v ce as
12th Pass:
33Yo<*60%o:5
marks > *60Yo:I0
marks
b.In Tribal sub plan (Marks- (Marks-
blocks & GPs in 2) 2)
exclusive PVTG
Blocks
l2th Pass:
33Yo < 50o/o:5 marks
> 5004:10 marks
Total % Marks
Marks
a. b. c. d. e. f. (t h. l. j. k. t. m. n.

26

&
 iv. For Bank Mitra

Appl Educational Qualification &Weightage Marks Socio Economic Experience Total

sl. icati cum Special Weightage
Name of
No. on Category (Weightage Marks- Marks
Applicant
num 4)
ber (Weightage Marks-
3)
a. In Non-Tribal sub +J PG Pass Total Categor Marks Experien Marks
plan blocks Pass Marks v ce as
l2th Pass:
33o <*600A:5
marks > *60oh:10
marks
b.In Tribal sub plan (Marks- (Marks-
blocks & GPs in
2) 2)
exclusive PVTG
Blocks
12th Pass:
33Yo < 50oh:5 marks
> 50oA:10 marks
Total % Marks
Marks
o. p. q. r. s. t. u. v w x. v Z. ilil. bb.

27

g"
 v For Business Development Support Provider (BDSP)

Appl Educational Qualification &Weightage Marks Socio Economic Experience Total

sl. icati a.In Non-Tribal sub +3 PG Pass ITI/ 2 years Total cum Special Weightage
Name of
No. on plan blocks Pass vocational Marks Category (Weightage Marks- Marks
Applicant
num l2th Pass: degree/ Diploma 4)
ber 33Yo < *60%o: 5 or Degree in any (Weightage Marks-
marks > *60%o:10 trade from govt. 3)
marks or private Catego Marks Experien Marks
b.In Tribal sub plan (Marks- (Marks- recognized ry ce as
blocks & GPs in institution
2) 2)
exclusive PVTG (Marks-2)
BIocks
12th Pass:
33Yo < 50%:5 marks
> 50Yo:10 marks
Total % Marks
Marks
a. b. c. d. e. f. o h. t. j k. t. m. n. o.

28

&
 N.B: 1. In case of Socio Ecoromic cum Special Category- 03 marks - applicant belonging to rny one or more or sll ofthe following categories.
Poor/EPVG (SECC 201I Census data) /Ration card holder/ BPL/ Amual lncome less than R3. 60,000/, / SC/ST/ Minority/Orphan/ PWD/ PVTG
2. In ctse of erperience- Applicant having work expelience as lntemal CRP/ Senior CRPs- (minimum 2 and above rounds) and/ or CRP-CN,I/MBIV
Bank Mitra / rudyog Mitra,/CRP-EP (for cortinuous 6 months and above) will get 4 ma*s.

3. I[ cr3G of qpericnce. In case of tie in marks between 2 or more candidates at second level of scrutiny, Candidaies shall bc prioritizod in
following order -
i. Qualificatiou (Candidate with higher educational qualitrcation);
ii. Age (whower is older)
iii. Higher marks secured in lOm Pass for the position of CRP-CM and Community Resourc,e Pemon - Enterprise Promotion (CRP-EP and in
126l +21l ,xmediate for the position of Master Book Keeper (MBK), Ba.k Mitra and Businoss Development Support Provider (BDSP)

Name and designation of the Selection Committee Member Signature of Members

1. President/Nominated EC Member, BLF

2. Secretary/ Nominated EC Member, BLF

J. President/ Nominated EC Member, GPLF

4. Secretary / Nominated EC Member, GPLF

5. Presidenti Nominated EC Member, CLF (only for CRP-CM)

6. Secretary / Nominated EC Member, CLF (only for CRP-CM)

Counter signature, BPM Counter signature, BPC

&
29
a

AITNEXURE-VII LIST OF CANDIDATES FOR DIFFERENT POSITIONS

..BLF O{Iice, .........B1ock
Letter no. Date.
Name of the Position: CPM-CM, MBK, Bank Mitra, CRP-EP & BDSP (Separate sheet shall be
prepared for each position)

sl. Name of the Address Application Total Weightage

No. Applicant No. Weightage Marks
Marks secured

a. b. c. d. e. f.

The above list of candidate is prepared basing on the documents as enclosed by the candidates in their

application forms in support of educational qualifications, experience, social category and age etc.
Only candidate/s having any objection in the list may submit their grievance at Block Office by Dt.

Full name, designation and signature of the Selection Committee Members

1. PresidentA.lominated EC Member, BLF

2. Secretary/ Nominated EC Member, BLF

J. President/ Nominated EC Member, GPLF

4. Secretary / Nominated EC Member, GPLF

5. President/ Nominated EC Member, CLF (only for CRP-CM)

6. Secretary / Nominated EC Member, CLF (only for CRP-CM)

30
g
a'-

AI\NEXURE. VIII SAMPLE LETTER FOR INTIMATION FOR DOCUMENT

VERIFICATION
.BLF Office, .........B1ock

Letter No: t....... t20 Date

To,
Ms. ..
(Detailed Address)

Sub: Regarding intimation for original document verification

Madam,

I am pleased to inform you that you have been shortlisted in top six list of candidates for selection
AS for the CLF
GP Block District.
You are, hereby, requested to come to the BLF office on dated at AM/PM
in the below mentioned address with all required original documents in support of age, social
category, educational qualification, experience etc. for verification, as submitted by you along with
the application form.
Name & Address of BLF

Yours faithfully,

Name of the PresidenV Secretary

BLF
(With Seal/ Stamp)

Cutfrom Here $<

Acknowledqement (ln case intimation given phvsicallv)

Received the intimation for original document veriJication of top sk candielotes for the
position..

Signature of Candidote

Full Name

Date

31
P
 a

ANNEXURE.IX FINAL MERIT LIST OF CANDIDATES FOR DIFFERENT POSITIONS

...BLF Office...... ...........81ock

Letter No. Date.

Sl. No. Name of the Applicant Address Application Weightage Merit List
Number Marks

a. b. c. d. e. f.

1 l.t

2. 2nd

1
J 3t.J

Full name, designation and signature of the Selection Committee Members

1. PresidentA.lominated EC Member, BLF

) Secretary/ Nominated EC Member, BLF

3. President/ Nominated EC Member, GPLF

4. Secretary / Nominated EC Member, GPLF

5 President/ Nominated EC Member, CLF (only for CRP-CM)

6. Secretary / Nominated EC Member, CLF (only for CRP-CM)

v 32
I

ANNEXURE- X SAMPLE FORMAT OF PROCEEDINGS OF THE SELECTION

COMMITTEE
BLF Office --------------- Date:

Today, a meeting of the Selection Committee for the selection of Community Support Staff under the
BLF in block of district was
held at (venue to finalize the merit list of the candidates for the
positions notified. Based on the resolution received from -----------------GPLF/s, notification
was/were published on dt at Block Office, CDPO Office, BLF Ofhce, GPLF
Office, GP Office, Anganwadi centre of concerned village for CRP-CM position and all Anganwadi
Centres of GP for other positions, Website of Chief Development Officer-cum- Executive Officer
for selection of Community Support Staff for different positions.
A total of applications received; out of which for CRP-
for MBK, for Bank Mitra, for CRP-EP and
for BDSP

After second level of scrutiny, a list of all candidates was prepared and the list of candidates
along with their weightage marks was displayed at the BLF and concemed CLF (only for CRP-CM),
GPLF notice board on dt.
In total number of grievances were received & disposed of by the BDO,
.Basing on the intimation of the BDO on the grievances, a list of the top six candidates for each
positions was prepared.

The selection committee has given intimation to top six candidates for each positions for
document verification & carried out document verification from dt. to dt.
Based on document verification, final merit lists of 3 candidates with higher weightage marks in each
position are prepared. A total of candidates kept in the final merit list; out of which
for CRP-CM,_ for MBK, for Bank Mitra, for CRP-EP
and for BDSP

Full name, designation and signature of the Selection Committee Members

1. , President/\lominated EC Member, BLF

2. Secretary/ Nominated EC Member, BLF

J. President/ Nominated EC Member, GPLF

4. Secretary / Nominated EC Member, GPLF

5. President/ Nominated EC Member, CLF (only for CRP-CM)

6. Secretary / Nominated EC Member, CLF (only for CRP-CM)

33
P
 t
ANNEXURE. XI SAMPLE OFFER LETTER FOR ENGAGEMENT OF COMMUNITY
SUPPORT STAFF

.........GPLF office, ..GP

Letter No: t.......120 Date

To,
Ms.

(Detailed Address)

Sub: Ensasement as

Madam,

I am pleased to inform you that you have been selected as for the

CLF V GPLF

GP Block District. Your engagement is on incentive basis and

valid for a period of 12 months. Further engagement in the position is subject to your satisfactory
performance. You will be entitled for a consolidated performance incentive of Rs l- per
month.

You are hereby requested to sign and return one copy of this letter as your acceptance to this offer.
You are required to join in CLF/GPLF Office on or before

Yours faithfully

Name of the President/ Secretary

GPLF

(With Seal/ Stamp)

34

$/