1

No.174/RC/SSB/TECH/10-11
SASHASTRA SEEMA BAL
MINISTRY OF HOME AFFAIRS
(GOVT. OF INDIA)
RECRUITMENT NOTICE
Applications are invited from male Indian citizens who fulfill the eligibility conditions
for filling up the following Group 'C" non-gazetted non-ministerial combatised posts in the
SASHASTRA SEEMA BAL. The posts are temporary, but likely to become permanent in the pay scale as
mentioned below against each post plus usual and admissible allowances as applicable to Central
Government employees from time to time. In addition, ration allowance; medical assistance, free
uniform, free accommodation, free leave pass etc. are admissible to SSB personnel. The posts have
all India posting liability and selected candidates can be posted anywhere in India and even abroad.
The last date of receipt of application form is 20/06/2011 for all States except North-
Eastern States, Sikkim, Pangi Sub-Division of Chamba, Lahaul & Spiti and Kinnaur Districts of
Himachal Pradesh, Ladakh Division, Kashmir of J & K State and the Union Territories of Andaman
and Nicobar Islands and the Lakshadweep for which last date is
27-06-2011.
(A) TECHNICAL CADRE
Post Name of post, Pay Scale + GP Gen SC ST OBC Total
code
01. Sub-Inspector (Telecom.) 15 11 02 12 40
9300-34800+ 4200 in PB-II

02. Sub- Inspector (Pioneer) 16 03 04 07 30

9300-34800+ 4200 in PB-II
03. ASI (Telecom.) 21 09 06 13 49
5200-20200+ 2800 in PB-I
04. Head-Constable (Electrician) 01 03 00 02 06
5200-20200+2400 in PB-I
05. Head-Constable (Workshop) 31 11 04 12 58
5200-20200+2400 in PB-I
06 Head-Constable (Telecom.) 96 34 16 58 204
5200-20200 +2400 in PB-I
07 Constable (Telecom.) 09 22 10 43 84
5200-20200+2000 in PB-I
(C) VETERINARY CADRE
08 Constable (Vety) 07 02 00
5200-20200+2000 in PB-I
03 12
NOTE: -

1. 10% of vacancies in the post are reserved for Ex-Servicemen, which may later be filled up by fresh
candidates, if suitable Ex-Servicemen do not turn-up.

2. Number of vacancies may increase or decrease depending upon the position at the time of final selection
without any notice.

3. The posts are temporary but likely to become permanent.

4. The recruitment will be conducted on all India basis.

5. Selected candidates are liable to be posted any where within as well as outside the Territory of India according
to transfer policy of the force.
 2

2. ELIGIBILITY CONDITIONS FOR ABOVE POSTS ARE AS UNDER:

(A)
SL Posts
No Eligibility
Condition SI /ASI SI (Pioneer) HC (Telecom.)/ HC (Elect.) HC (Workshop)
(Telecom) Constable
(Telecomm)/
Constable (Vety)

1. Age. As on 18 to 25 20 to 25 18 to 23 years 18 to 25 18 to 25 years

20-06-2011 years. years years

Relaxation:
(a) There will be relaxation in age for SC/ST/OBC (i. e. 5 years for SC/ST & 3 years for OBC).

(b) The upper age limit up to 05 years is also relaxable in case of candidate is already in Govt. service.

[c] The above concession will be admissible only where an Government employee has rendered
not less than 3 (three) years’ Continuous service in Govt. Deptt.

(d) Every Ex-Serviceman who has put in not less than six months continuous service in the Armed
Forces of the Union, shall be allowed to deduct the period of such service from his actual age and if
the resultant age does not exceed the maximum age limit by more than three years he shall be
deemed to satisfy the condition regarding age limit. However, break in service should not be more
than two years.

I) Ex-Servicemen holding the higher rank may also compete in this recruitment for lower
post provided they fulfill the eligibility criteria and also they furnish their willingness in
writing that in the event of their selection they will not claim the post equivalent to the
rank they were holding in the Defence Forces.
II) Character certificate : Minimum requirement will be Exemplary/Very Good/Good
category certificate
III) Medical Category : “A”(AYE)/SHAPE-ONE, at the time of discharge. They should
possess to pass the same medical standards prescribed for direct recruits for the post of
Asstt. Sub-Inspector/Steno and Head Constable/Ministerial in Central Armed Police
Force.

(e) The Relaxation in upper age limit of 5 years shall also be admissible to all posts mentioned in Para-1
for the candidates who had ordinarily been domiciled in the state of J&K during the period from
01/01/1980 to 31/12/1989. The candidate will have to produce a certificate from the concerned
District Collector to claim relaxation in age.

(f) Five years of age relaxation will also be granted to the children and dependent family members of
those killed in the 1984 riots and 2002 communal riots of Gujarat, SC/ST/OBC relaxation, as per
Govt. instructions, will be in addition to this relaxation. Children mean (a) Son (including adopted
son): or (b) Daughter (including adopted daughter) Dependent family members mean: (a) Spouse;
or (b) Children; or Brother or Sister in the case of unmarried Govt. servant who was wholly
dependent on the Govt. servant at the time of his killing in the riot. The candidate will have to
produce a certificate to the effect, issued by the concerned District Collector to claim relaxation in
age.

(g) Children and dependent family members of those killed in the riots (1984 riots and 2002
communal riots of Gujarat) will also produce a certificate from the concerned District Collector.

(h) ) Relaxable for Government Servants upto the age of 40 years in the case of General
Candidates, upto 43 years for OBC candidates and upto 45 years in the case of candidates
belonging to SC/ST for the post of Constable (Veterinary) only.
(i) Relaxable upto 35 years for Government Servants ( Departmental candidates ) as per
instructions / orders issued by Central Government for the post of Sub- Inspector ( Pioneer),
Head Constable (Workshop) and HC (Electrician).
 3

2. EDUCATIONAL QUALIFICATION
SI (Telecom.) SI(Pioneer) ASI (Telecom.) Constable
(Telecom.)/Vety
Degree in 1) Should have Matric with Diploma in
Electronics passed 10+2 (with Electronics Matric or equivalent with
Or Science subjects) Or Telecommunication from Science from a recognized
Telecommuni- from a recognized an Institution recognized by Board/ Institute or
cation Board/ University. the State equivalent.
Or Government or equivalent; Desirable for
Science with 2) Degree or Or Contable (Vety):
Physics, Diploma in Civil ii) 10+2 Or Intermediate with One year experience in
Chemistry, and Engineering from a aggregate marks of fifty percent treatment of different
Mathematics recognized with selective subject being species of animals in a
from a University or Physics, Chemistry and recognized Veterinary
recognized Institution Mathematics from a recognized Hospital.
University Or Board or Institution or
Institute Or equivalent.
equivalent.

HC (Electrician) HC (Workshop) HC (Telecom)

i) 10+2 or Matric or i) Passed Matriculation from a recognized Board or Matric or
equivalent from a equivalent. equivalent with two
recognized board. years I.T.I.
ii) Passed the Diploma in automobile or motor mechanical Certificate in
ii) Certificate/Diploma engineering or two years certificate course in automobile or Electronics or
in the trade of motor mechanical engineering from a Government recognized Intermediate or
Electrician from a Govt. Industrial Training Institute (ITI) or equivalent. 10+2 with Physics,
recognized Institution Chemistry and
/Industrial Training iii) Must possess valid driving license for heavy vehicles. Mathematics from
Institutes. a recognized board
Desirable
or institution or
Two years experience in an authorized garage or Workshop.
equivalent.

3 PHYSICAL STANDARD
.
SI (Telecom), ASI (Telecom), SI (Pioneer) , HC (Telecom), HC (Elect.), HC (Workshop) / CT (Tele) :
Height: i) 170 Cms for all except the categories shown below.

ii) M i n i m u m height 165 Cms in respect of the persons belonging to the races namely Garhwalis,
Kumaonis, Gorkhas, Dogras, Marathas, Sikkimese, persons hailing from Leh & Ladakh, Kashmir
Valley, North Eastern States and the State of Himachal Pradesh.

iii) 162.5 Cms for the candidates belonging to ST, Tribal/ Adivasi including Mizos & Nagas.

Chest: i) 80 Cms (Un-Expanded), 85 Cms (Expanded) for all except the categories shown below.
ii) ) Relaxation in Chest 78 -83 Cm in respect of the persons beloning the case of candidates
belonging to the races namely Garhwalis, Kumaonis, Gorkhas, Dogras, Marathas, Sikkimese, persons
hailing from Leh & Ladakh, Kashmir Valley, North Eastern States and the State of Himachal Pradesh.
iii) 76-81 Cm. for ST, Tribal/ Adivasi including Mizo and Naga candidates.
Weight- Proportionate to height as per Medical standard.

Eye Sight- Distant Vision-

Should not be less than 6/6 in one eye and 6/9 in other i.e. 6/6 for right eye in right handed
individual and 6/6 for left eye in left handed individual without glasses.
 4

CT(Vety) :

Height: i) 170 Cms for all except the categories shown below.

ii) M i n i m u m height 165 Cms in respect of the persons belonging to the races namely Garhwalis,
Kumaonis, Gorkhas, Dogras, Marathas, Sikkimese, persons hailing from Leh & Ladakh, Kashmir
Valley, North Eastern States and the State of Himachal Pradesh.

iii) 162.5 Cms for the candidates belonging to ST, Tribal/ Adivasi including Mizos & Nagas.

Chest: i) 80 Cms (Un-Expanded),

85 Cms (Expanded) for all except the categories shown below.

ii) 77-82 Cm. for ST, Tribal/ Adivasi including Mizo and Naga candidates.

Weight- Proportionate to height as per Medical standard.

Eye Sight- ( without correction)

Distant Vision Near Vision
Better Worse Better worse
Eye Eye Eye Eye
6/6 6/12 JI JII
or
Should not be less than 6/6 in one eye and 6/9 in other i.e. 6/6 for right eye in right handed individual
and 6/6 for left eye in left handed individual without glasses.

Note: - The candidates must not have knock-knee, flat foot, varicose vein or squint in eyes and they
should possess high colour vision. The candidates will be tested for colour vision by Ishahara's test as
well as Edrich-Green Lantern test. They must be in good mental and bodily health and free from any
physical defect likely to interfere with the efficient performance of the duties.

4. PHYSICAL EFFICIENCY TEST

SI (Telecom), ASI (Telecom), SI(Pioneer), HC (Telecom), CT (Tele) & CT(Vety)
HC (Elect.), HC (Workshop),
Sl. Name of PET Event Time /Chances
No. i) One Mile Race- to
1. 100 Metres Race To be completed in 16 seconds be completed in 6 ½
Mins.
2. Long Jump 11 feet (03 chances)
ii) Long Jump-11 Feet
3. High Jump 3’ 6” (03 chances)
(03 chances).
4. 800 Metres Race To be completed in 4 Minutes
iii) High Jump- 3’
Note :- No separate mark will be allotted for PET. A candidate 6” (03 chances)
must qualify in all the above events. Failure to qualify in ANY of
the events will render the candidate disqualified to appear in
Written Examination.
The candidates who qualify in the Physical Efficiency Test will be required to appear in a
written examination in the following subjects, which will consist of subjective as well as
narrative tests.
 5

5. WRITTEN TEST: All candidates who qualify PET will be eligible for written test which will consist of
objective as well as narrative tests.

SUB-INSPECTOR SI (PIONEER) HC (TELECOMM.)

(TELECOMMUNICATION)/ASI
(TELECOMMUNICATION)

One Paper Max. Marks Paper-I Max. Marks One Paper

Part-I Max. Marks
i) General English 20 i) General English 50 General English 30
ii) General Knowledge 20 ii) Gen. Knowledge 50
iii) Physics, Chemistry, 100 Part-II
Mathematics and General Knowledge 30
Telecommunication 60 Duration- 2 Hours
Total 100 Part-III
Paper-II Physics, Chemistry &
Duration- 2 Hours General Engineering Mathematics 40
(Civil & Structural) 100 Total marks 100
i) The minimum qualifying
marks of written test are Duration- 2 Hours Duration- 2 Hours
50% for General/Ex-
servicemen and 40% for The minimum qualifying marks in
The minimum qualifying
SC/ST/OBC categories. Written test will be 50% for General
marks of written test are 50%
ii) The standard of written for General/Ex-Servicemen /Ex-Servicemen and 40% for
test would be as per and 40% for SC/ST/OBC SC/ST/OBCs categories.
required minimum categories.
educational qualification.

HC Paper Max. Marks Duration

(Electrician) i) General English 30 2 hours
ii) General Knowledge 30
iii) Electrical Subject
(ITI level) 40
TOTAL 100
The minimum qualifying marks of written test are 50% for General/ Ex-servicemen category and
40% for SC/ST/OBC categories.

Head Paper Max. Marks Duration

Constable i) General English 30 2 hours
(Workshop) ii) Gen. Knowledge 30
iii) General Mechanical Subjects 40
TOTAL 100
The minimum qualifying marks of written test are 50% for General/Ex-servicemen and 40% for
SC/ST/OBC categories
PRACTICAL TEST – 50 Marks
The candidate who qualify written test will be called for practical test in “General mechanism of
vehicles".
Constable
(Telecom) Paper Max. Marks Duration
i) General English 30 2 hours
ii) General Knowledge 30
iii) Physics, Chemistry & 40
Mathematics
TOTAL 100

The minimum qualifying marks of written test are 50 % for General/Ex-servicemen and 40 % for
SC/ST/OBC categories.

Constable
(Vety) OnePaper (Objective Type) Max. Marks Duration
Science, Hygiene, General Physiology 100 2 hours

The minimum qualifying marks of written test are 35% for General category/Ex-Servicemen and
33% for SC/ST/OBC categories.
 6

6. INTERVIEW

SL.NO. NAME OF POST INTERVIEW MARKS

1. Sub-Inspector (Telecommunication) 50

2. Asstt. Sub Inspector (Telecommunication) 50

3. Sub-Inspector (Pioneer) 100
4. HC (Telecommunication) 50
5. HC (Electrician) 50
6. HC (Workshop) 25
7. Constable (Telecommunication) 25 (15+10**)

8. Constable (Vety) 25 (15+10**)

Note:- (i) The candidate who will be declared qualified in the written test / Practical Test and Interview will be
called for detailed medical examination and merit list will be prepared accordingly to fill up the vacancy advertised.

(ii) 10**:- A maximum of 10 marks will be awarded to candidates having credible achievements in sports, Scouts &
Guides and extra curricular activities. Claims of achievements should be supported by the documents and the
participation should be at least at state level.

iii) The interview is qualifying in nature. However, the candidate will have to score aggregate 50%
marks in written, practical test and interview for General Category and Ex-Serviceman and 40%
marks for SC/ST/OBC for all post except for the post of CT(Vety). The aggregate marks in written and
interview for the post of CT(Vety) will be 35% for General category & Ex-Serviceman and 33% for
SC/ST/OBC category.

7. SELECTION PROCEDURE FOR MEDICAL EXAMINATION:-

The final selection of the candidates will be made in order of merit in each Category. The qualifying aggregate
percentage of marks in written examination, practical test and interview for the posts are as under: -
SI (Telecommn), ASI (Telecommn) , SI (P), HC (Telecommn) / HC
(Electrician) & HC (Workshop) CT.(Telecommn)
General & Ex-Servicemen: 50 %
SC/ST/OBC: 40 %
Constable (Vety)
General & Ex-Servicemen: 35 %
SC/STs & OBC 33 %

8. MEDICAL EXAMINATION :-
Candidates who qualify the Written test, Practical test and interview will be put through detailed
medical as per the vacancies and average failure rate strictly on the basis of merit.

9. APPEAL AGAINST FINDINGS OF MEDICAL EXAMINATION :-

If a candidate is declared unfit in the detailed medical examination, the grounds for rejection will be
communicated to him by the Chairman. The rejected candidates will obtain Form 4, 5 & 6 from the Chairman
concerned, if not satisfied with the findings of the Medical Officer, to prefer an appeal for Review-medical
examination to Inspector General (Pers.), SSB Force HQ, R.K.Puram, New Delhi, within 1 5 days from the date of
issue of communication in which the findings of the Medical Officer is communicated to the candidate. The appeal
should necessarily contain the following; (a) Review Medical Examination fee of Rs.25/-(Rupees twenty five) only non
refundable, through a Bank Draft/ IPO in favour of “PAO, SSB (MHA), New Delhi” , (b) Appeal Form 4, 5 & 6
issued by the Initial Medical Board declaring the candidate as Unfit, (c) One self addressed envelope with Rs.22/-
postage stamp duly affixed on it. Certificate other than Medical Form – 6 (provided by the Chairman of
Recruitment Board to the Candidates) to submit appeal for Review Medical Examination will not be considered
and rejected straightway. The fitness certificate on Form-6 is essential to consider their cases for review
medical examination and not for any other purpose.
 7

Those candidates whose appeal found in order will be issued call letters to appear for Review
Medical Examination and their list will also be uploaded in the SSB Website www.ssbrectt.gov.in . They may
keep in touch to know their date of appearing in review medical examination and venue by visiting our website
and our helpline No. 011-26193929.

The decision of the Review Medical Board of SSB will be final and no 2nd appeal will be entertained as
per Govt. instructions and also no reply of the correspondence / 2nd appeal will be given / entertained.
Note: -
a) It should, however, be clearly understood that the Selection board reserves absolute discretion to reject or accept
any candidate after considering the report of the medical board.
b) No Physical efficiency test will be held for Ex-Servicemen. However, Ex-Servicemen will be required to pass the
Written Test, Practical Test, Interview and requisite Medical Examination.

10. APPLICATION FEE:- FOR ALL POSTS

Application fee will be Rs. 50/- (Rupees fifty only)-Non-refundable for candidates belonging to General
and OBC categories. They shall attach Non-refundable Bank Draft or Indian Postal Order drawn in favour of
authority mentioned at Coloumn. No.4 of Para No.11 below. No fee will be charged from SC/ST/Ex-
Servicemen.

11. HOW TO APPLY:

Eligible and desirous candidates should send their applications BY POST in the prescribed proforma as
given in Annexure-I with attested passport size photographs duly affixed on the application form and admit card
duly completed in all respect, on or before the closing date as per the following details

Name of post Post code Application Receiving Centre IPO / Bank DD should be in
and application should be favour of following officer and
addressed to the following Bank.
officer. (Col. 1) (Col. 2)
(1) (2) (3) (4)
Sub- Inspector 01 THE Staff Officer (Admn.), O/O The THE ACCOUNTS OFFICER, FTR Hqrs.,
( Telecomm.)
Inspector General, Frontier Hqr. SSB, SSB Guwahati, (Assam)
Sub – Inspector 02 Guwahati, Nikita Complex, 345, ( DD payable at SBI Guwahati)
( Pioneer) G.S.Road, Reserch Gare , Guwahati-22,
Constable ( Telecomm.) 07 ASSAM

Asstt. Sub-Inspector The Staff Officer (Admn.), O/O The THE ACCOUNTS OFFICER, FTR Hqrs.,
( Telecommn.) O3
Inspector General, Frontier Hqrs SSB, SSB Lucknow, UP
Lucknow Sankalp Bhawan, Vibhuti ( DD payable at SBI Lucknow)
Constable ( Veterinary) 08 Khand, Plot No.TC/35-V-2, Lucknow-
226010 ( UP)
Head Constable 04 The Dy. Inspector General, SHQ THE ACCOUNTS OFFICER SSB, SHQ
( Electrician) Gorakhpur, Marketing Bhavan, F.C.I Gorakhpur (UP)
Head Constable 05 Complex, PO-Fertilizer Factory,
Urvarak Nagar, Gorakhpur (UP)-
( DD payable at SBI Gorakhpur)
( Workshop)
237007
Head Constable 06
( Telecommn.)

The envelope containing the application should be superscribed in block letters as “APPLICATION FOR
THE POST OF (Name of Post), POST CODE NO”…………… along with the Bank draft/IPO of Rs.50/- as
application fee, attested copies of testimonials and admit card duly filled in. Two self-addressed envelopes with postage
stamps of Rs.6/- (Six) each should also be attached with the application form. The application received after the
last date will not be entertained and summarily rejected. No correspondence will be entertained on this account.

Note: - (i) DD / IPOs may be sent in favour of address as given above only.
(ii) Application must be sent to above address only.
(iii) Applications addressed to FHQ, SSB or any other offices of SSB shall not be entertained at any stage.
 8

12. DOCUMENTS TO BE ATTACHED WITH THE APPLICATION I.E. ATTESTED COPIES.

a) Educational/Technical qualification Certificate(s)

b) b) Date of birth certificate (Matriculation or 10+2 Class certificate.
c) Scheduled Caste/Scheduled Tribe/OBC certificate on the format as A n n e x u r e - I I I f o r S C / S T &
A n n e x u r e - I V f o r O B C prescribed in the Central Govt. order. (May be down loaded from SSB Website
-www.ssbrectt.gov.in)
d) Ex-Servicemen must submit Photostat copies of discharge/release certificate in support of claim of
Ex-Servicemen & Caste Certificate, if belongs to SC/ST/OBC on the format as prescribed in the Central
Govt. order.
e) Departmental/ Government service candidates must enclose N.O.C.
f) Certificate of achievements in Sports, adventure sports, NCC, Scout & Guides and other extra curricular
activities, if held by the candidate.
g) Demand Draft/IPO of Rs.50/- (Non-Refundable).
h) 2 (Two)- Self addressed envelopes with postage stamps worth Rs. 6/- (Six) each.
i) Certificate of bonafide/Domicile/Permanent resident of that State from designated revenue authorities not
below rank of Tehsildar for verification of citizenship of India.
j) West Pakistani Refugees settled in J&K are exempted to produce domicile certificate, they will produce
certificate issued by the village Sarpanch/ Numberdar along with a copy of the Electoral Roll showing
the name of the candidates in voter list for election to the Parliamentary Constituency.

13. IMPORTANT INSTRUCTIONS: -

i) Applications submitted on a format, which is not the same, as published in this advertisement, are liable
to be rejected summarily.

ii) Candidates applying for more than one post should send separate application for each post.

iii) Candidate should note that the Date of Birth as recorded in the Matriculation, 10+2/Secondary
Examination certificate OR an equivalent certificate on the date of submission of application, will be
accepted by the Recruitment Board and no subsequent request for its change will be considered or
granted.
iv) If the above documents are not submitted along with the application, it will be rejected summarily or at
any stage of the recruitment process and no request for reconsideration will be entertained.
v) Incomplete or unsigned applications, applications without attested photographs, late applications
will be rejected summarily.
vi) All candidates in Govt. service whether in a permanent or in temporary capacity etc. will be required to
submit their application through proper channel along with NOC. Application shall be rejected if received
late and/or are not complete in all respects as provided in the rules.
vii) Any wrong attestation so as to mislead the Recruitment board or to gain access to our examination
would lead to criminal/debar action against the candidate besides cancellation of his candidature.
viii) No separate admit cards/ call letters will be issued to the qualified candidates called for
written examination/ Practical Test/ interview and Final Medical Examination. The list of
qualified candidates called for above test will be displayed in the notice board at the
Recruitment venue.
viii) In case any candidate is found ineligible or suppressing facts on any ground after his
selection/appointment, his services will be terminated without assigning any reason.
ix) The Government shall not be responsible for damage /injury/loss to the individual, if any, sustained
during the entire recruitment process and journey.
x) The DG SSB has full rights to make changes or cancel /postpone the recruitment without assigning
any reason.
xi) Candidates canvassing in any form or bringing outside influence /pressure, offering illegal gratification,
blackmailing or threatening to blackmail any person connected with recruitment will be disqualified.
Xii] Candidates impersonating and submitting the fabricated/forged documents are also liable to be
disqualified.
xiii) It should, however, be clearly understood that the Selection Board reserves to itself, absolute
discretion to reject or accept any candidate at any stage.
xiv) As the applications are to be processed by a computerized system, it is essential that the application is
strictly in accordance with the prescribed format is properly and completely filled and contains no
correction/alteration/overwriting.
xv) Mere qualifying all the prescribed tests in SSB recruitment does not confer the right of selection of the
candidate but they should have to stand in merit keeping in view the available vacancies. The vacancies
are subject to change.
 9

14. NO TA/DA WILL BE ADMISSIBLE:-

However, TA f o r o n w a r d a n d r e t u r n j o u r n e y t o SC/ST candidates will be paid as per

G.O.I instructions to those who appear in written test subject to production of Rail/ Bus tickets,
original caste certificate, non-employment certificate from MP or MLA or any Gazetted Officer of
the locality in case they are not employed in Central /State Government.
15. Application Forms are liable to be rejected summarily, if they are
i) Incomplete
ii) Application not as per format
iii) Without IPO/Bank Draft/Banker’s Cheque of Rs.50/-
iv) Undervalued IPO/Bank Draft/Banker’s attached( In case of General and OBC Category)
v) Incorrect Paying Authority mentioned or Wrong address on IPO/Bank Draft/Bankers’ Cheque.
vi) Received without attested copy of caste certificate in case of SC/ST/OBC and discharge certificate in
case of Ex-Servicemen.
vii) Received without attested copies of educational testimonials/certificate
viii) Received without self-addressed envelops or without postage stamps affixed on the envelops
ix) Without photograph
x) Application Form not signed by the candidate
xi) Received after last date of receipt of application
xii) Without signature/seal of H.O.O.(In case of serving candidates)
xiii) SC/ST & OBC certificate not in prescribed format.

(B.S. RAWAT)
ASSISTANT DIRECTOR (RECTT.)
 10

ANNEXURE-IV

FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER
THE CENTRAL GOVERNMENT OF INDIA.

(G. I. Dept. of Per.& Trg. O. M. No.36033/28/94-Estt.(Res).dated 2-7-1997)

This is to certify that ………………………… son of …………………. Village …………………….. District/Division…………………….

In the …………………… State…………………… belongs to the……………………….. Community, which is recognized as a Backward
Class under: –

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

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

*(iii) Government of India, Ministry of Welfare, Resolution No.12011/7/95-BCC, dated the 24th May, 1995, published in
the Gazette of India, Extraordinary, Part-I, Section I, No. 88, dated the 25th May, 1995.

*(iv) Government of India, Ministry of Welfare, Resolution No.12011/44/96-BCC, dated the 9th March, 1996, published in
the Gazette of India, Extraordinary, Part-I, Section I, No. 60, dated the 11th March, 1996.

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

*(vi) Government of India, Ministry of Welfare, Resolution No.12011/13/97-BCC, dated the 3rd December, 1997,
published in the Gazette of India, Extraordinary, Part-I, Section I, No. 239, dated the 17th December, 1997.

*(vii) Government of India, Ministry of Welfare, Resolution No.12011/99/94-BCC, dated the 11th December 1997,
published in the Gazette of India, Extraordinary, Part-I, Section I, No. 236, dated the 12th December 1997.

*(viii) Government of India, Ministry of Welfare, Resolution No.12011/68/98-BCC, dated the 27 Oct., December, 1999,
published in the Gazette of India, Extraordinary, Part-I, Section I, No. 241, dated the 27th Oct, 1999.

*(ix) Government of India, Ministry of Welfare, Resolution No.12011/88/98-BCC, dated the 06th December 1999,
published in the Gazette of India, Extraordinary, Part-I, Section I, No. 270, dated the 06th December 1999.

*(x) Government of India, Ministry of Welfare, Resolution No.12011/36/99-BCC, dated the 4th April 2000, published in
the Gazette of India, Extraordinary, Part-I, Section I, No. 71, dated the 4th December 2000.

*(xi) Government of India, Ministry of Welfare, Resolution No.12011/44/99-BCC, dated the 21st December 2000,
published in the Gazette of India, Extraordinary, Part-I, Section I, No. 210, dated the 21st December 2000.

*(xii) Government of India, Ministry of Welfare, Resolution No.12011/44/99-BCC, dated the 6th September, 2001,
published in the Gazette of India, Extraordinary, Part-I, Section I, No.246, dated the 6th September, 2001

Shri……………………………………..and/or his family ordinarily reside(s) in the ……………………. District/

Division of the …………………………… State. This is also to certify that he/she does not belong to the persons/sections
(Creamy Layer) mentioned in Column 3 of the schedule to the Government of India, Department of Personnel, and
Training, O. M. No. 36012/22/93-Estt. (SCT), dated 8-9-1993.

DISTRICT MAGISTRATE/DEPUTY COMMISSIONER/

Dated: TEHSILDAR ETC.

OFFICE SEAL

Strike out which ever is not applicable

 ANNEXURE-I
GOVERNMENT OF INDIA, MINISTRY OF HOME AFFAIRS (SASHASTRA SEEMA BAL)
APPLICATION FORM FOR THE POST OF………………………………………………………..
Paste a recent
(a) Post code
Colour
Photograph of 3.5 x
4.5Cms size with in
(b) Advertisement No. the box attested by a
(c) Name of the Post applied for: (Write in capital letters only) Gazetted Officer
(d) Bank Draft / IPO No. and date Amount

1. Name in BLOCK LETTERS (as recorded in Matriculation Certificate)

FIRST NAME MIDDLE SURNAME

2. Father’s name (as entered in Matriculation Certificate)

3. (a) Date of birth (as in Matriculation certificate) (b) Age as on _20/6/2011

D D M M Y Y Y Y Y Y M M D D
1 9

4. Educational Qualification (Attach attested copy of Education/Tech. Qualification certificate(s) & Typing etc.
Exam. Name of Subject Studied Aggregate
Passed School/Board/University/Institute percentage of
Marks

5. Religion:
Hindu Muslim Sikh Christian Buddhist Jain If others, specify

6. Whether belongs to-

Gen SC ST OBC

(If SC/ST/OBC attach certificate true copy as per Central Govt.instructions).

7. Whether -
Gorkhas Dogras Marathas Garhwalis Kumaonis

(Attach true copy of certificate)

8. Whether belonging to North Eastern States, if so, specify.

(Attach true copy of certificate)

9. (i) Whether Tribal/Adivasi -
Tribal Adivasi If other, specify

(Attach true Copy of Certificate)

(ii) Whether belonging to -
Mizo Naga

(iii) Whether

Domiciled ordinarily in J&K during 1980- Affected in 1984 Affected in 2002 communal
89 riots riots of Gujarat

(Attach certificate true copy)

Contd. Page-2-
 -: 2: -
10. (a) Whether Ex-Serviceman, if so, indicate:-
Gen SC ST OBC

(b) If, Ex-Serviceman, mention following details.(Attach CTC Discharge)

Date of Date of Medical Award or Reasons for Education
Enrolment retirement/ category Decoration release/discharge Qualification
Discharge Civil Military

11. Permanent address:

Village/Town
Post Office Police Station
Tehsil.
District
State P I N
Contact No: E-Mail ID.

12. Present address:

Village/Town
Post Office
Tehsil Police station
District
State P I N
Contact No: E-Mail ID.

13. Whether employed in SSB 14. Govt. Service

If so, mention following details.

Name of present Date since when Post held Name and designation of authority
employer issuing N.O.C.

15. Achievements in Sports:

Name of sports Distt.. Level University level State Level National Level

16. NCC (Sr. Div.) Certificates: if so, indicate. YES/NO.

‘A’ Certificate ‘B’ Certificate ‘C’ Certificate

NOTE: - Candidates should apply only if they fulfill all the physical standard & Educational/Technical qualifications
as mentioned in the advertisement to avoid any disappointment at later stage.

17. IDENTIFICATION MARK (Please write in the box)

(Unsigned application received if any will be rejected ). Strike out whichever is not applicable*.

DECLARATION

I hereby declare that all statements made in this application are true and complete to the best of my knowledge
and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the test
and interview, my candidature will stand cancelled and all my claims of the recruitment will stand forfeited.

SIGNATURE OF THE CANDIDATE

 ANNEXURE-II
ADMIT CARD

(TO BE PRINTED/TYPED/WRITTEN IN SEPARATE PAPER)

(Candidate will not be allowed to appear in the recruitment test without production of this
admit card)

Affix your recent passport

Size photograph duly

attested by the

Gazetted Officer

To be filled by the candidate

Name (Capital Letter)

Fathers name;

Name of post for which applied and code No.

Signature of the candidate

(TO BE FILLED BY THE APPLICATION RECEIVING AUTHORITY)

Roll No.

Post for which appearing for test

Date of birth

Whether direct/departmental candidate:

Whether SC/ST/OBC/General/Ex-Serviceman

Name of Recruitment Centre with complete address:

Date and time on which the candidate is required to appear:

Date Time

Signature of Nodal Officer ARC With

seal
 Annexure-III
FORM OF CERTIFICATE TO BE PRODUCED BY A CANDIDATE BELONGING TO
SCHEDULED CASTE OR SCHEDULED TRIBE
This is to certify that Shri_________________________________ Son of Shri __
_______________________________of village/Town_______________________in District/ Division
_____________________ of the State/Union Territory _____________________ belongs to the
_____________ caste/Tribe which is recognized as a Schedule Caste/Scheduled Tribe under.

The Constitution (Scheduled Castes) order, 1950.

The Constitution (Scheduled Tribes) order, 1950.
The Constitution (Scheduled Castes)(Union Territory) order, 1951.
The Constitution (Scheduled Tribes) (Union Territory) order, 1951.

(As amended by the Scheduled Castes and Scheduled Tribes (Modification) Order 1956, the Bombay
Reorganization Act, 1960, the Punjab Reorganization Act, 1966, The State of Himachal Pradesh Act,
1970, the North Eastern Areas (Reorganization Act, 1971) and the Scheduled Castes and Scheduled
Tribes orders (Amendment) Act, 1976.)

*The constitution (Jammu & Kashmir) Scheduled Caste Order, 1956;

*The Constitution (Andaman and Nicobar Islands) Scheduled Tribes, 1959, as amended by the
Scheduled Castes and Scheduled Tribes orders (Amendment) Act. 1976;
*The Constitution ( Dadra and Nagar Haveli) Scheduled Castes Order 1962;
*The Constitution (Dadra & Nagar Haveli) Scheduled Tribes Order, 1962;
*The Constitution (Pondichery) Scheduled Castes Order, 1964;
*The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967;
*The Constitution (Goa, Daman & Dieu) Scheduled Castes Order, 1968;
*The Constitution (Goa, Daman & Dieu) Scheduled Tribes Order, 1968;
*The Constitution (Nagaland) Scheduled Tribes Order, 1970;
*The Constitution (Sikkim) Scheduled Castes Order, 1978;
*The Constitution (Sikkim) Scheduled Tribes Order, 1978;
*The Constitution (Scheduled Castes) Orders (Amendment) Act, 1990.
*The Constitution (Scheduled Tribes) Order, (Amendment) Ordinance, 1991.
*The Constitution (Scheduled Tribes) Order, (Second Amendment) Act, 1991.
The Constitution (Scheduled Tribes) Ordinance, 1996
*2. This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes Certificate issue to Shri
_____________________________________Father of Shri _________________________ ______of
village/town________________________ in District/Division _____________________ of the State/UT
_________________ _____________who belong to the ____________ caste/Tribe which is recognized as a
SC/ST in the State/Union Territory __________________________ issued by the
_______________________________ ( name of the prescribed issuing authority) vide their No.
______________________________________ dated _____________ or Shri ____________
__________________ and or his/her family ordinarily reside(s) in Village/Town _____________of
____________ District/Division of the State/Union Territory of _______________.

Place______________ Signature______________

Date_______________ Designation ____________

(With seal of Office)

NOTE:- The terms ordinarily reside(s) used here will have the same meaning as in Section 20 of the
Representation of the People Act, 1950.

LIST OF AUTHORITIES EMPOWERED TO ISSUE CASTE/TRIBE CERTIFICATE:

1. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner /Additional Deputy

Commissioner/Dy. Collector/ 1st Class Stipendiary Magistrate/Sub Divisional Magistrate/Extra Assistant
Commissioner/ Taluka Magistrate/Executive Magistrate.

2. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.

3. Revenue Officers not below the rank of Tehsildar.

4. Sub-Divisional Officers of the area where the candidate and/or his family normally resides.

NOTE: -ST candidates belonging to Tamil Nadu State should submit caste certificate only from the Revenue
Division Officer.