अखिल भारतीय आयुर्विज्ञान संस्थान (एम्स) कल्यानी

All India Institute of Medical Sciences (AIIMS) Kalyani

(स्वास्थ्य एवं पररवार कल्याण मंत्रालय, भारत सरकार के तत्वावधान में एक सांर्वर्धकर्नकाय)
(A Statutory Body under the Aegis of Ministry of Health and Family Welfare, GOI)
राष्ट्रीय राजमार्ि – 34, बसन्तपु र, सार्ूना, कल्याणी, र्िला – नर्िया, पर्िम बंर्ाल – 741245
NH – 34 Connector, Basantapur, Saguna, Kalyani, District Nadia, West Bengal – 741245
No.1854/E-12014/4/23- (NON-FAC) Date: 13.09.2023

ADVERTISEMENT FOR RECRUITMENT OF VARIOUS GROUP- ‘A’ POSTS ON REGULAR

BASIS AT AIIMS KALYANI

All India Institute of Medical Sciences, Kalyani, an Autonomous Institute of National

Importance, is one of the new AIIMS and apex healthcare Institute being established by the
Ministry of Health & Family Welfare, Government of India under the Pradhan Mantri Swasthya
Suraksha Yojana (PMSSY) with the aim of correcting regional imbalance in quality tertiary level
healthcare in the country and attaining self-sufficiency in graduate, postgraduate and higher
medical education and training.

1. Online applications from Indian/other citizens as permissible under the applicable

Act/Rules are invited for the following posts on Regular basis in All India Institute of Medical
Sciences, Kalyani, West Bengal.

2.1. DETAILS OF VACANCIES

Pay Level
Sl. Name of the Post Group (as per 7th Total SC ST OBC EWS UR
CPC)
Assistant Nursing
1 A Level-10 8 1 0 2 0 5
Superintendent
2 Blood Transfusion Officer A Level-11 1 0 0 0 0 1
3 Child Psychologist A Level-10 1 0 0 0 0 1
4 Clinical Psychologist A Level-10 1 0 0 0 1 0
Tutor/Clinical Instructor in
5 A Level-10 2 0 0 2 0 0
Nursing

Abbreviation Used: UR- Un-Reserved, OBC- Other Backward Class, SC-Schedule Caste, ST-
Schedule Tribe, EWS- Economically Weaker Section.

2.2. IDENTIFICATION OF POSTS FOR PERSONS WITH BENCHMARK DISABILITIES

(PwBD):

Identification of suitability in respect of post under benchmark disabilities shall be governed

by the notification no. 38-16/2020-DD-III dated 04.01.2021 and any further amendment issued
by the Department of Empowerment of Persons with Disabilities (Divyangjan), Ministry of Social
Justice and Empowerment, Govt. of India and four percent of vacancies in the cadre strength
shall be reserved for Persons with Benchmarked Disabilities as per instructions of Government
of India.

Advt. No. 1854/E-12014/4/23-(NON-FAC), Dated: 13.09.2023 Page |1

3. ELIGIBILITY CONDITIONS

Sl. Post Age Limit Essential Educational and other Qualification

Essential:

i. B.Sc Nursing (4 year course) from a recognised

institute/university.

OR

B.Sc (Post Certificate) or equivalent such as B.Sc Nursing

(Post-basic) (2 year course) from a recognised
institute/university.

ii. Should be registered with the Indian Nursing

Assistant Between
Council/State Nursing Council
1 Nursing 21-35
Superintendent years
Experience:

Six years’ experience in 200 bedded healthcare organization

after obtaining Degree or equivalent from a recognized
University/Institution.

Desirable:

i. MSc (Nursing) from a recognized institute/university.

ii. Ability to use Computers-Hands on experience in

office applications, spread sheets and presentations.
A recognized medical qualification included in I or II
Schedule or Pan II of the 3rd Schedule (other than the
licentiate qualifications) to the Indian Medical Council Act
1956 Holders of educational qualifications included in Part
II of the 34d Schedule should fulfil the conditions stipulated
Between in subsection (3) of the Section 13 of the Indian Medical
Blood
21-40 Council Act. 1956. With 5 years’ experience in Blood Bank
2 Transfusion
years of with component separator.
Officer
age
OR

M.D. in Blood Transfusion Medicine with 1-year experience

in Blood Bank with component separator during the PG
course
M.A. / M.Sc. in Psychology with M.Phil. in Clinical
Psychology

And
Between
Child 21-35 At least 2 years' experience in Child & Adolescence mental
3
Psychologist years of health.
age
Desirable:

Ph.D. in Clinical Psychology from recognized University /

Institution

Advt. No. 1854/E-12014/4/23-(NON-FAC), Dated: 13.09.2023 Page |2

Sl. Post Age Limit Essential Educational and other Qualification
M.A. / M.Sc. in Psychology with M.Phil. in Clinical
Psychology

And
Between
Clinical 21-35
4 At least 2 years' experience in Clinical Psychology
Psychologist years of
age
Desirable:

Ph.D. in Clinical Psychology from recognized University /

Institution
1. B.Sc. Nursing Degree from a recognized
Tutor/Clinical
Up to 35 Institution/University. OR
5 Instructor in
Years Registered Nurse and Midwife with sister Tutors Diploma.
Nursing
2. Three years’ experience in teaching Institution.

4. GENERAL TERMS & CONDITIONS:

a) The above vacancies are provisional and subject to variation. The Executive Director,
AIIMS, Kalyani reserves the right to vary the vacancies including reserved vacancies as
per the Govt. of India Rules/Circulars and requirements.

b) Reservation will be as per Government of India Policy.

c) The cut-off date to determine the maximum age limit, essential qualifications &
experiences will be 30 days from the date of publication of the advertisement in
Employment News/ Rojgar Samachar. However, separate notification shall be published
in the Institute website regarding online application.

d) The period of experience, wherever prescribed, shall be counted after obtaining the
prescribed essential qualifications.

e) Age Relaxation:

i. No age relaxation would be available to SC/ST/OBC candidates applying for

unreserved vacancies.

ii. Age relaxation permissible to various categories is as under: -

Age Relaxation permissible beyond the upper age

Sl. Category
limit
1. SC/ST 05 Years
2. OBC 03 Years
3. PwBD 10 Years
Government Servant*
4. 05 Years
(As per DoPT instruction)

* The age relaxation will be admissible to only those employees working under Central
Government not under Autonomous Body/State Government/PSU and working in
posts which are in the same line or allied cadres and here a relationship could be
established that the service already rendered in a particular post will be useful for the

Advt. No. 1854/E-12014/4/23-(NON-FAC), Dated: 13.09.2023 Page |3

 efficient discharge of the duties of the post(s) to which has been advertised. Decision in this
regard will rest with the Competent Authority of AIIMS, Kalyani. In addition, they have to
submit Annexure -II for claiming age relaxation.

Age relaxation to other categories of the candidates will also be applicable as per the DoPT
instructions. The age relaxation will be regulated as per the DoPT instructions.

f) Reservation:

i. Reservation for SC/ST/OBC/EWS/PwBD will be as per the Policy of Government of

India.

ii. Candidates, who will apply against any of the reserved category posts, viz.
SC/ST/OBC/PwBD/EWS, will be considered on the production of valid
Caste/PwBD/EWS Certificate issued by the Appropriate/Competent Authority on
the prescribed format.

iii. For OBC Candidates:

a) Candidates applying under OBC category must produce the valid caste certificate in
the format provided by DoPT vide O.M. No. 36036/2/2013-Estt. (Res.) dated
30.05.2014 and as amended from time to time.

b) OBC candidate’s eligibility will be based on the caste(s) borne in the Central List of
Government of India.

c) The vacancies are being advertised in the Financial year 2023-2024, therefore, valid
NCL-OBC certificate issued after 01.04.2023 will be considered valid. Candidature
who have NCL-OBC certificate issued before this period (i.e. 01.04.2023) will not be
considered valid for this advertisement. Therefore, OBC candidate must ensure
that they have a valid OBC certificate.

d) OBC candidate(s) should not belong to Creamy Layer and their sub-caste should
match with the entries in the Central List of OBC, failing which their candidature will
not be considered for OBC post. They will however be treated as UR candidate (if UR
posts advertised).

e) In addition to above, OBC candidates have to submit declaration in prescribed

proforma attached at Annexure-III.

iv. For EWS Candidates:

a) The vacancies advertised under EWS category are as per the instructions issued
by DoPT, Ministry of Personal, Public Grievances & Pension, Govt. of India, Vide
OM No 36039/1/2019-Estt(Res) dated 31.01.2019. Application under EWS
category will be considered subject to submission of Income and Assets certificate
in the prescribed format issued by the Competent Authority and subject to
verification of genuinity of the certificate by the issuing authority. Therefore, EWS
candidate must ensure that they have valid EWS certificate showing the income
from all sources for the financial year prior to the year of application as per DoPT
OM No 36039/1/2019-Estt (Res) dated 31.01.2019.

b) Candidates who fail to produce valid EWS certificate will not be considered for
reservation under this category. They will however, be considered as UR candidate.
In case suitable Economically Weaker Sections (EWSs) candidates are not found,
Advt. No. 1854/E-12014/4/23-(NON-FAC), Dated: 13.09.2023 Page |4
 these posts will not be carried forward/or considered as backlog vacancy, hence
Unreserved (UR) candidates are also be allowed provisionally to apply against
EWSs posts advertised through above referred advertisement who may be
considered incase suitable EWSs candidate are not found to fill up these posts
reserved for EWSs.

c) All candidates are permitted to apply against posts earmarked for EWS subject to
the following conditions:

(i) That their candidature will be considered only if EWS applicants are not
available.

(ii) That their candidature will be as UR candidates only, which means, there shall
be no relaxations which are otherwise permitted under their specific categories.

(iii) Under no circumstance, the fees will be refunded.

d) As per DoPT OM No 36039/1/2019-Estt (Res) dated 31.01.2019, the crucial date

for submitting income and asset certificate by the candidates is the closing date
for receipt of application for the post. Therefore, EWS candidate must ensure that
they have a valid EWS certificate for the financial year 2023-24.

v. Reservation for PwBD will be as per the guidelines /Instruction contained in DoP&T
OM No. 36035/02/2017-Estt (Res) dated 15.01.2018 with regard to reservation for
persons with disabilities. Only such persons would be eligible for reservation under
PwBD quota in service/posts who suffer from not less than 40% of physical
disability. Person who wants to avail the benefit of reservation would have to submit
a Disability Certificate as issued by a Competent Authority in prescribed format.
However, the candidature of PwBD applicant is subject to evaluation by a Medical
Board duly constituted by the Executive Director, AIIMS, Kalyani. This Medical
Board will evaluate suitability of candidates for the post he/she is being considered
for. All the instructions of Govt. of India as amended and as applicable in this matter
will be followed.

g) No Objection Certificate (NOC):

i. No Objection Certificate from the present employer (in case of candidates working in
Government/Semi or Quasi Government/PSUs/Autonomous Bodies or any
institution funded by Government) is mandatory, otherwise, candidature will not be
considered for any post. Therefore, candidates are requested to kindly upload the
same while applying. Further, it is mandatory to produce the same NOC at the time
of Document Verification.

ii. Candidates who are working as contractual employee in Government/Semi

Government/PSUs/Autonomous Bodies or any institution funded by Government,
also have to produce NOC mandatorily.

iii. In case of change in employment status on or before selection process due to any
reasons, they have to take fresh permission from their new employer before Skill
Test/interview/document verification, if any, and they also have to submit fresh
NOC from their new employer.

iv. Candidates need to submit NOC for this advertisement only. NOC obtained against
other advertisement and/or issued before publication of this advertisement in the
Institute website/News Paper, will not be considered.

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 h) APPLICATION FEES:

i. For Unreserved/OBC candidates is Rs.1500/-

For SC/ST/EWS/Woman candidates is Rs.750/-
Persons with Disabilities – Fees Exempted.

ii. The candidates should pay the prescribed application fee online by clicking in the
link (SBI Collect) provided in the website. After payment of application fees, the SBI
Collect transaction number should be mentioned in Online application form and a
copy of the receipt in support of depositing the application fees is to be forwarded
along with the application form. Candidates are advised to mention transaction no.
of SBI Collect, while applying online application.

iii. Application fee once remitted shall not be refunded under any circumstances.

iv. Incomplete application(s) and application received without the prescribed fee would
not be considered and summarily rejected. The decision of the Competent Authority
of AIIMS, Kalyani in this regard will be final.

5. HOW TO APPLY:

a) The aspiring applicants satisfying the eligibility criteria in all respect should submit
their application through ON-LINE mode followed by submission of the hard copy
of the online form, duly signed at designated place. Candidates are required to fill
up the application form attached at Annexure – I and subsequently upload the scan
copy of duly filled application along with the attested copies of certificates in support
of date of birth, educational qualification, experience, caste certificate & other
relevant documents, proof of paid application fee etc. during online application.

b) The On-line of application will be made available on AIIMS, Kalyani official website
i.e. https://aiimskalyani.edu.in and https://recruitments.aiimskalyani.edu.in.
The link for submission of online applications in respect of above said posts along
with other relevant information will be activated on the date of advertisement on
Employment News/ Rojgar Samachar or earlier (as posted on the website).
c)

Cut Off date 30 days from the date of

publication of the advertisement
Last date of Online application in Employment News/ Rojgar
Samachar.
Last date of receipt of the hard copies of online
Applications, duly signed, along with self- 15 days from the last date of
attested copies of relevant documents as per receipt of online application.
terms and conditions of the advertisement

d) In case the last date falls on weekly off or holidays, then the last date of submission
of hard copy of application will be shifted to the next working days (up to 5.00 PM).

e) Failure to submit Hard Copy of on-line application along with all supporting
documents as mentioned in this advertisement, by the due date will lead to
cancellation of candidature. Uploading of illegible document will also lead
cancellation of candidature and hence candidates are required to be careful while
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 uploading the documents/credentials. Hard Copy of application should be forwarded
through Speed Post/Courier etc. only & will not be received physically. Institute will
not be responsible for delay in delivery.

f) Hard Copy of application without online application will not be accepted.

g) The hard copy of on-line application, duly signed at designated place, have to be sent
with the following documents to the address mentioned below within 15 days from
the last date of receipt of online application:

(i) self-attested copies of Matriculation Certificate, Degree & Post Graduate or

equivalent qualification certificates & Mark sheets, Teaching, Research and Others
Experiences Certificates etc. (as applicable). The Experience Certificate should
clearly show the period of experience, duration of experience (“from” to “to”),
Nature of experience (either teaching or research) etc.

(ii) SBI Collect Transaction Slip

h) Candidates are instructed to forward their application with relevant documents as

mentioned above in a suitable envelop (size A-4 or above), mentioning the following
format in the top of the envelop.

Advertisement No………………………………………………………………………………………
Application No…………………………………………………………………………………………..
Application for Post & Department……………………………………………………………….
Category………………………………………….

From: To,
The Recruitment Cell,
All India Institute of Medical Sciences, Kalyani,
NH-34 Connector, Basantapur, Saguna,
Nadia, West Bengal - 741245

i) The applicants applying in response to this advertisement should satisfy themselves

regarding their eligibility for the post applied for. They must be fulfilling eligibility criteria as
on the cut-off date of online applications failing which their application will be rejected. They
must possess the educational qualification and experiences as recognized by the Govt. of
India. Their candidature will be cancelled at any stage if it is found that their educational
qualification or experiences is not recognized by the Govt. of India.

j) The aspiring applicants satisfying the eligibility criteria in all respect can apply through
ON-LINE application mode only. The On-line registration of application will be made
available on official website of AIIMS, Kalyani i.e. https://www.aiimskalyani.edu.in.

k) The candidature of such applicants who fails to complete the online application
submission by the stipulated date and time will not be considered and no correspondence
in this regard will be entertained. Candidate must apply through the registered website of
AIIMS Kalyani i.e. https://www.aiimskalyani.edu.in only. Applications received through any
other mode will not be accepted and summarily rejected.

l) Candidates must fill all the fields of the online application form correctly. There is no
provision for correcting the details after the submission of online application form. Request
for change in any information at later stage will not be considered and summarily be rejected.
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 m) Candidates are advised to fill their correct and active e-mail ID in the online application,
as all correspondences will be made by the Institute through e-mail.

n) If any document/certificate furnished is in a language other than Hindi or English, a

transcript of the same in English duly attested by a Gazetted officer is to be submitted.

o) The candidate must ensure that their latest photo and signature should be clearly visible
in preview at the time of filling of application in online mode. If photo/signature image is
displayed small or not visible in preview on website, that means photo/signature is not as
per the AIIMS, Kalyani prescribed guidelines and in that case, their application will be
rejected. So, candidates are advised to be careful while uploading their photo and signature.
Both must be visible clearly on Online Application Form.

p) In case a candidate wishes to apply for more than one post, he/she is required to fill in
the form separately through Online mode and separate application fees as applicable is to
be paid. Multiple Applications for a single post are prohibited.

q) Any query regarding technical problem of on-line application mode may be sent through
email to: itsupport_recruitment@aiimskalyani.edu.in (Only for Online Application Form
Related Query).

6. SHORTLISTING AND METHOD OF SELECTION:

a) Short Listing/Methods of the Selection: The prescribed qualification is minimum and

mere possessing the same does not entitle any candidate to be called for interview or for
selection. Based on bio-data, the Screening Committee may short list candidates for
interview. In the event of large no of application received, Competent Authority reserves
right to exercise any method of short listing as may be deemed fit. The candidate should,
mention all his/her qualifications and experience over and above the minimum
qualifications. Candidates called for interview will have to produce all relevant original
documents in proof of details furnished in their application at the time of interview. They
may also be asked to submit an affidavit/declaration as decided by the AIIMS, Kalyani at
time of Interview. The methodology of Selection will be decided by the Selection Committee
as deemed fit besides any other matter relating to the selection process.

b) Site of Interview: Interviews will be held at AIIMS Kalyani or any other place as decided
by the Executive Director, AIIMS, Kalyani. No TA/DA will be paid for appearing in the
interview. The Summoning of candidates for interview convey no assurance whatsoever that
they will be selected.

c) AIIMS, Kalyani decision is final:

The decision of the AIIMS, Kalyani in all matters relating to eligibility, acceptance or
rejection of the applications, penalty for false information, mode of selection,
methodologies for the selection, selection and allotment of posts to selected candidates will
be final and binding on the candidates and no enquiry/ correspondence will be entertained
in this regard.

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7. IMPORTANT INSTRUCTIONS TO THE CANDIDATES:

a) The All India Institute of Medical Sciences is an autonomous body established under Act
of Parliament.

b) Service under the Institute is governed by that Act and the Rules & Regulations framed
thereunder.

c) The Institute strives to have a workforce which reflects gender parity and women
candidates are encouraged to apply.

d) All the posts carry usual allowances as admissible to Central Government Employees of
similar status at Kalyani, West Bengal.

e) Probation period: The period of probation is two years.

f) The employees of the Institute will be governed by the New Pension Scheme as per the
provision contained in the Ministry of Finance, Department of Economic Affairs (ECB &
PR Division). Notification No. 5/7/2003-ECB&PR dated 22.12.2003.

g) The post(s) is/are whole time and private practice of any kind is prohibited.

h) The candidates are likely to be posted at rural health and urban health centres or other
centres attached with the Institute for the period to be decided by the Institute as
applicable.

i) While every effort will be made to provide residential accommodation at the Institute
subject to availability but in view of the paucity of the residential accommodation in the
campus it may not be possible to provide accommodation in every case. In the event that
no accommodation is provided, necessary H.R.A. as admissible to Central Government
Servants of similar status stationed at Kalyani, West Bengal will be provided.

j) Incomplete application(s) will be summarily rejected. Applications received after the last
date of submission will not be considered.

k) Multiple Applications for the same post are prohibited. In case of multiple applications
for the same post, last application may be considered. However, it will be the discretion
of the Competent Authority to accept/reject any applications.

l) Decision of the Competent Authority, AIIMS, Kalyani regarding joining period and
extension of joining period after selection will be final and binding to all.

m) Canvassing of any kind will be a disqualification.

n) The candidate should not have been convicted by any Court of Law.

o) In case any information given or declaration by the candidate is found to be false or if

the candidate has willfully suppressed any material information relevant to this
appointment, he/she will be liable to be removed from the service and any action taken
as deemed fit by the Appointing Authority.

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 p) Disqualification for Appointment on Medical Grounds: - Candidate shall be appointed to
the Service, only if, after such medical examination as the Institute may prescribe is
found to be in good mental or bodily health and free from any mental or physical defect
likely to interfere with the discharge of the duties of the Service.

q) The Competent Authority reserves the right of any amendment, cancellation and
changes to this advertisement as a whole or in part without assigning any reason or
giving notice.
r) The decision of the AIIMS, Kalyani in all matters relating to eligibility, acceptance or
rejection of the applications, penalty for false information, mode of selection,
methodologies for the selection, and allotment of posts to selected candidates will be
final and binding on the candidates and no enquiry / correspondence will be entertained
in this regard.

s) Any corrigendum or revision and addendum, if so, of the advertisement or any other
information regarding this recruitment will be posted on the Official website of AIIMS,
Kalyani only in due course. Candidates are advised to visit our website regularly for
updated information in this regard.

t) In case of any inadvertent mistake in the process of selection which may be detected at
any stage of recruitment even after the issue of the Appointment Letter, the institute
reserves the right to modify/withdraw any communication made to the Candidate.
u) All disputes will be subject to jurisdiction of Court of Law at Kolkata/Kalyani.

CANDIDATES ARE ADVISED TO VISIT OUR WEBSITE i.e. WWW.AIIMSKALYANI.EDU.IN

REGULARLY TO GET VARIOUS UPDATES ABOUT THE SELECTION PROCESS FROM
TIME TO TIME.

Clarification & Enquiries:

Email to: recruitment@aiimskalyani.edu.in

By order of the Executive Director

Sd/-

Recruitment Cell
AIIMS Kalyani

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 ANNEXURE-I

अखिल भारतीय आयुर्विज्ञान संस्थान (एम्स) कल्यानी

All India Institute of Medical Sciences (AIIMS) Kalyani
(स्वास्थ्य एवं पररवार कल्याण मंत्रालय, भारत सरकार के तत्वावधान में एक सांर्वर्धकर्नकाय)
(A Statutory Body under the Aegis of Ministry of Health and Family Welfare, GOI)
राष्ट्रीय राजमार्ि – 34, बसन्तपु र, सार्ूना, कल्याणी, र्िला – नर्िया, पर्िम बंर्ाल – 741245
NH – 34 Connector, Basantapur, Saguna, Kalyani, District Nadia, West Bengal – 741245

Affix here a
recent
Advertisement No: passport
size colour
Post applied for: photograph

1. Name of the Applicant : _________________________________________________________

2. Gender : Male/Female/Others

3. Category : EWS/SC/ ST/OBC(NCL)/GEN

4. Whether belong to PwBD : Yes/No

5. Marital Status : Married/Unmarried/Divorced/Widow

6. Father's /Spouse Name : __________________________________________________________

7. Date of Birth (DD/MM/YYYY): __________________________________________________________

8. Age as on DD/MM/YYYY (cut off date) :

9. Address for Communication: ____________________________________________________________

: PIN _______________________

Mobile No.: _____________________________________________________

Email: __________________________________________________________

Advt. No. 1854/E-12014/4/23-(NON-FAC), Dated: 13.09.2023 P a g e | 11

 10. Permanent Address : ________________________________________________________________

PIN _______________

Telephone No.___________________________________________________

Mobile No.: _____________________________________________________

11. Nationality :

12. Educational Qualification: (Enclose self-attested photocopies of degree/diploma

certificates & mark sheets)

Board/ Month & Year of

Examination Subjects
Council/ Passing
University
Xth
(HSC)

XIIth
(HSSC)

Diploma

Under-Graduation

Post-Graduation

Others

13. Current Activities:

____________________________________________________________________________________________

____________________________________________________________________________________________

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____________________________________________________________________________________________

14. Experience:

Name of the Period Scale of Pay

Organization/Institut Post & Gross Pay Nature of Work
ion where worked From To Drawn

(Use separate sheet if space is inadequate)

15. Present Place of Work:

________________________________________________________________________________________

16. Name and address of two referees well known with the applicant's work:

Name Occupation or Address with telephone No. & e-

Position mail
1.

2.

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 17. Any other information you wish to add:

18. Amount of application fees paid _________________UTR no. ______________________________

DECLARATION

I, declare that the information furnished above is true

and correct to the best of my knowledge and belief and no related information has been
concealed. I am aware that if any of the above statements are found to be incorrect or false or
any material information or particulars of relevance have been misstated, suppressed or
omitted, I am liable to be disqualified for appointment and if appointed, my appointment will be
liable to be terminated.”

Place: ..................................

Date: ....................................

(Signature of the applicant)

Full Name:

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 ANNEXURE-II

The form of certificate to be produced by Government Servants for

Claiming Age Concession

(Letter Head of the Institute/Issuing Authority)

This is to certify that Shri/Ms./Dr._________________________ S/o, D/o, W/o.

__________________________ is regularly appointed employee of this
Organization/Department/ministry and duties performed by him/her during the
period(s) are as under

Certified that:

*(a) Shri/Ms./Dr. _____________holds substantively a permanent post of

___________ in the Office/Department of _______________________with the effect
from__________________.

*(b) Shri/Ms./Dr. _________________ has been continuously in temporary

service on a regular basis under the Central Government in the post of
___________________ in the Office/Department _____________________ with
effect from____________.

Signature: _____________________

Name: _________________________

Designation: ___________________

Ministry/Office: ________________

Address: _______________________

Office Seal: _____________________

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 ANNEXURE-III

DECLARATION TO BE SIGNED BY OBC CANDIDATES ONLY

I ____________________________ son/daughter/wife of _______________________________ resident of

Village / Town/City/ District _______________________________State___________________________
Community _______________________________ (certificate enclosed) hereby declare that I belong
to the ___________________________ community which is recognized as a backward class by the
Govt. of India for the purpose of reservation in services as per orders contained in Department
of Personnel and Training Office Memorandum No.36012/22/93-Estt (SCT) dated 08.09.1993.
It is also declared that I do not belong to the persons / sections (creamy layer) mentioned in
Column-3 of OM No.36012/22/93.Estt (SCT) dated 08.09.1993 and modified vide Govt. of India,
Department of Personnel and Training OM No.36033/3/2004-Estt (Res) dated 09.03.2004.

Place: (Signature of applicant)

Date: (in running handwriting)

* Note: The closing date for receipt of application will be treated as the date of reckoning the
OBC status of the candidate and also, for assuming that the candidate does not fall in the
creamy layer.

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