INSTRUCTIONS FOR FILLING UP THE APPLICATION
1.0 Please read the instructions given in the Notice of Examination carefully before filling up the application form, in your own interest.
2.0 Use only blue/black ball pen to write in the boxes. i.e.
3.0 Instructions have been given for most items in the application itself which should be gone through carefully before filling up the boxes. For items for which instructions are not available, further instructions given below may be gone through carefully.
4.0 Please go through the instructions given below for filling up each item numbered in the application form:-
Column 1 and 2: Name of the Examination Centre and Code Refer to para-8 of the Notice of the Examination.
Column 12.1: Code for seeking age relaxation.
Refer to para 5 (C) of the Notice of the Examination.
Column 13: Preference for Posts
Candidates should carefully indicate preference for Posts (refer para-2 of Notice). Option once exercised will be final and no change addition will be allowed under any circumstance.
Column 15: Minority communities notified by Govt. namely, Muslims, Christians, Sikhs, Buddhists or Zoroastrians (Parsees). Write 8 in the box if you belong to any of the Minority community. Otherwise leave it blank.
Column 17: Educational Qualification from Degree or Equivalent onwards:
See Annexure –X for Codes. Use OTHERS[ code-35] for any other qualification.
Column 17: Subject Code :See Annexure – X for codes. Use OTHERS (Code No.48) for other subjects. If marks are not available equivalent marks may be filled or marks column may be left blank.
Column 19: Postal Address
Write your complete communication address including your Name in English in capital letters or in Hindi with blue/black ball pen. Do not forget to write 6 digits PIN Code in the boxes. All the correspondence will be made to this address.
Column 20: Photograph
Paste your recent photograph of size 4cmx5cm. Do not staple and do not get the photo attested. Please note that your application shall be rejected summarily without photograph or with mutilated / defaced photograph.
Box in the Application form for Roll Number to be left unfilled (blank) by the candidate.
Column 21 & 22: Signature of Candidate is required. Unsigned application shall also be rejected.
IMPORTANT (i)-It is in the interest of the candidates to furnish e-mail ID and mobile number to enable the Commission at its option, to send the call letter / inform about venues for Written Examination through email/SMS.
(ii) Procedure for online submission of application is also available on
http://ssconline.nic.in and http://ssconline2.gov.in
Annexure-II B
Procedure for Online Submission of Application
1. On-line application facility will be available from 02.05.2015 to 28.05.2015 (5:00PM) for Part –I Registration and up to 01.06.2015 (5:00 PM) for Part - II Registration.
2. Online submission of the application may be made at website http://ssconline.nic.in. and http://ssconline2.gov.in Instructions are available at the site. Candidate should read the instructions carefully before making any entry or selecting options. Candidate should supply all the required details while filling up the online form. Mandatory fields are marked with * (asterisk) sign. The filling of online application contains two parts :
Part I Registration
Part II Registration
3. In Part I registration, candidate will have to fill basic information. On submission of details, candidate will be prompted to check the details and make any correction in the application.
4. Candidate may press “I agree” button after declaration once he/she finds that information supplied by him/her is in order and no correction is required. Thereafter no correction/modification etc. will be allowed.
5. A page with Registration No. will now be generated. Note down the registration number or take out the print out of the page. The application procedure is incomplete without part II registration. Part II registration requires filling of payment details, uploading of photograph and scanned signature. Candidates may note that the Registration number given by the Commission and Transaction ID of the Bank should be properly entered in the relevant space, failing which it will not be possible to link the payment with Part I registration. On-line application will be complete only if scanned signature and photo are uploaded as per instructions. Incomplete online application will be rejected summarily.
6. The candidates submitting their applications On-Line should pay the requisite fee only through State Bank of India either in the form of challan or online payment through SBI Net Banking/any Credit or Debit Card. Challan form will be generated on-line.
7. To pay fee in cash, candidate should take print out of challan generated online after completion of part I registration. Deposit the requisite fee in pay branch of State Bank of India and then continue with the Part II registration.
8. Those who want to pay online through SBI net banking, can go directly to part II registration after completion of part I. Candidate will have to supply registration number and date of birth to continue to Part II registration.
9. Those who are exempted from payment of fee can skip steps 6 to 8.
10. Then upload a recently taken scanned photograph in 8 – bit JPG format. The digital size of the file must be less than 12 kb and greater than 4 kb and of resolution 100 pixel widths by 120 pixels height.
11. Then upload your scanned signature in JPG format. The digital size of the file must be less than 12 kb and greater than 1 kb and of resolution 140 pixel width by 60 pixels height
12. Emails will be received by the candidates on completion of Part-II Registration. Copy of email may be retained to produce before the Regional Office in the event of any discrepancy.
13. Candidates are advised to go through the instructions carefully before filling up the application form.
14. Request for change/correction in any particulars in the Application Form shall not be entertained under any circumstances. The Staff Selection Commission will not be responsible for any consequences arising out of non acceptance of any correction/addition/deletion in any particular filled in application form whatever the reasons may be.
15. Copy of challan through which fee is paid or details of online payment must retained and produced on demand.
ANNEXURE-III
FORM OF CERTIFICATE TO BE SUBMITTED BY CENTRAL GOVERNMENT CIVILIAN EMPLOYEES SEEKING
AGE-RELAXATION
( To be filled by the Head of the Office or Department in which the candidate is working ).
(Please see Para 5(C) of the Notice )
It is certified that *Shri/Smt./Km. ______________________ is a Central Government
Civilian employee holding the post of ---------------------------------- in the pay scale of Rs.___________________ with 3 years regular service in the grade as on 01.06.2015.
There is no objection to his appearing for Combined Graduate Level Examination, 2015 and/or Interview/Skill Test/CPT.
Signature ___________________
Name ___________________ Office seal
Place: Date :
( *Please delete the words which are not applicable. )
ANNEXURE- IV
Form of Certificate for serving Defence Personnel (Please see Para-5(F)) of Notice for the
Examination)
I hereby certify that, according to the information available with me ( No. ) __________________________________ (Rank) ___________________ ( Name ) ___________________________ is due to complete the specified term of his engagement with the Armed Forces on the (Date) ____________________.
Place:
( Signature of Commanding Officer ) Date:
Office Seal:
UNDERTAKING TO BE GIVEN BY THE CANDIDATE COVERED UNDER PARA 5( F ) OF NOTICE.
I understand that, if selected on the basis of the recruitment/examination to which the application relates, my appointment will be subject to my producing documentary evidence to the satisfaction of the Appointing Authority that I have been duly released/retired/discharged from the Armed Forces and that I am entitled to the benefits admissible to Ex-Servicemen in terms of the Ex-Servicemen (Re-employment in Central Civil Services and Posts rules, 1979, as amended from time to time).
I also understand that I shall not be eligible to be appointed to a vacancy reserved for Ex-S in regard to the recruitment covered by this examination, if I have at any time prior to such appointment, secured any employment on the civil side (including Public Sector Undertakings, Autonomous Bodies/Statutory Bodies, Nationalized Banks, etc.) by availing of the concession of reservation of vacancies admissible to Ex-S, except as per Department of Personnel and Training OM No. 36034/1/2014-Estt(Res) dated 14.08.2014.
I further submit the following information:
a) Date of appointment in Armed Forces __________________
b) Date of discharge ____________________
c) Length of service in Armed Forces __________________
d) My last Unit / Corps ____________________
( Signature of the Candidate )
Place:
Date:
ANNEXURE-VI FORMAT FOR SC/ST CERTIFICATE
A candidate who claims to belong to one of the Scheduled Caste or the Scheduled Tribes should submit in support of his claim an attested/certified copy of a certificate in the form given below, from the District Officer or the sub-Divisional Officer or any other officer as indicated below of the District in which his parents(or surviving parent) ordinarily reside who has been designated by the State Government concerned as competent to issue such a certificate. If both his parents are dead, the officer signing the certificate should be of the district in which the candidate himself ordinarily resides otherwise than for the purpose of his own education. Wherever photograph is an integral part of the certificate, the Commission would accept only attested photocopies of such certificates and not any other attested or true copy.
(The format of the certificate to be produced by Scheduled Castes and Scheduled
Tribes candidates applying for appointment to posts under Government of India)
This is to certify that Shri/Shrimati/Kumari* __________________________ son/daughter of ___________________________________ of village/town/* in
District/Division *_______________________ of the State/Union Territory* ________ belongs to the Caste/Tribes_______________ which is recognized as a Scheduled Castes/Scheduled Tribes* under:-
The Constitution (Scheduled Castes) order, 1950 ___________________
The Constitution (Scheduled Tribes) order, 1950 ________________
The Constitution (Scheduled Castes) Union Territories order, 1951 * _______________ The
Constitution (Scheduled Tribes) Union Territories Order, 1951*______________
As amended by the Scheduled Castes and Scheduled Tribes Lists(Modification) order, 1956, the Bombay Reorganization Act, 1960 & the Punjab Reorganization Act, 1966, the State of Himachal Pradesh Act 1970, the North-Eastern Area(Reorganization) Act, 1971 and the Scheduled Castes and Scheduled Tribes Order(Amendment) Act, 1976.
The Constitution (Jammu & Kashmir) Scheduled Castes Order, 1956___________
The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the Scheduled Castes and Scheduled Tribes order (Amendment Act), 1976*.
The Constitution (Dadra and Nagar Haveli) Scheduled Castes order 1962.
The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order 1962@.
The Constitution (Pondicherry) Scheduled Castes Order 1964@
The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967 @
The Constitution (Goa, Daman & Diu) Scheduled Castes Order, 1968@
The Constitution (Goa, Daman & Diu) 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 (Jammu & Kashmir) Scheduled Tribes Order 1989@
The Constitution (SC) orders (Amendment) Act, 1990@
The Constitution (ST) orders (Amendment) Ordinance 1991@
The Constitution (ST) orders (Second Amendment) Act, 1991@
The Constitution (ST) orders (Amendment) Ordinance 1996
The Scheduled Caste and Scheduled Tribes Orders(Amendment)Act,2002
The Constitution (Scheduled Caste) Orders (Amendment) Act,2002
The Constitution (Scheduled Caste and Scheduled Tribes) Orders (Amendment)Act,2002
%2. Applicable in the case of Scheduled Castes, Scheduled Tribes persons who have migrated from one State/Union Territory Administration.
This certificate is issued on the basis of the Scheduled Castes/ Scheduled tribes certificate issued to Shri/Shrimati __________________________Father/mother
_____________________________ of
Shri/Srimati/Kumari*___________________________ of village/town*____________
___________________ in District/Division* ______________________of the State/Union Territory*_________
_____________________ who belong to the _________________________________
Caste/Tribe which is recognized as a Scheduled Caste/Scheduled Tribe in the State/Union Territory* issued by the_______________________________
____dated____________________________.
%3. Shri/Shrimati/Kumari and /or * his/her family ordinarily reside(s) in village/town*________________________________________ of ________________ District/Division* _________________of the State/Union Territory of ____________________________
Signature__________________________
** Designation________________________ ( with seal of office )
Place______________
Date_______________
* Please delete the words which are not applicable @ Please quote specific presidential order
% Delete the paragraph which is not applicable.
NOTE: The term 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 Certificates:
(FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES
APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA)
Essential Educational Qualification Code
Subject Code for Educational Qualification
(FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES
APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA)
| |Affix here recent attested Photograph Showing the disability duly attested by the chairperson of the Medical Board |
| Educational Qualification | Code |
| Certificate | 03 |
| Diploma | 04 |
| BA | 05 |
| BA (Hons.) | 06 |
| B. Com. | 07 |
| B.Com. (Hons.) | 08 |
| B.Sc. | 09 |
| B.Sc. (Hons.) | 10 |
| B. Ed. | 11 |
| LLB | 12 |
| BE | 13 |
| B. Tech | 14 |
| AMIE (Part A & Part B) | 15 |
| B.Sc. (Engg.) | 16 |
| BCA | 17 |
| BBA | 18 |
| Graduation issued by Defence (Indian Army, Air Force, Navy) | 19 |
| B. Lib. | 20 |
| B. Pharm. | 21 |
| ICWA | 22 |
| CA | 23 |
| PG Diploma | 24 |
| MA | 25 |
| M.Com. | 26 |
| M. Sc. | 27 |
| M.Ed. | 28 |
| LLM | 29 |
| ME | 30 |
| M. Tech. | 31 |
| M. Sc. (Engg.) | 32 |
| MCA | 33 |
| MBA | 34 |
| Others | 35 |
| Subject of Educational Qualification | Code |
| History | 01 |
| Political Science | 02 |
| Economics | 03 |
| English Literature | 04 |
| Hindi Literature | 05 |
| Geography | 06 |
| Commerce | 07 |
| Law | 08 |
| Physics | 09 |
| Chemistry | 10 |
| Mathematics | 11 |
| Statistics | 12 |
| Botany | 13 |
| Zoology | 14 |
| Agriculture Science | 15 |
| Civil Engineering | 16 |
| Electrical Engineering | 17 |
| Mechanical Engineering | 18 |
| Electronics Engineering | 19 |
| Electronics & Power Engineering | 20 |
| Electronics & Communication Engineering | 21 |
| Electronics & Instrumentation Engineering | 22 |
| Agriculture Engineering | 23 |
| Computer Science | 24 |
| Computer Application | 25 |
| Information Technology | 26 |
| Library Science | 27 |
| Accountancy | 28 |
| Work Accountancy | 29 |
| Business Administration | 30 |
| Mass Communication | 31 |
| Journalism | 32 |
| Mass Communication & Journalism | 33 |
| Pharmacy | 34 |
| Photography | 35 |
| Printing Technology | 36 |
| Nursing | 37 |
| Assamese | 38 |
| Bengali | 39 |
| Malyalam | 40 |
| Telgu | 41 |
| Kannada | 42 |
| Tamil | 43 |
| Marathi | 44 |
| Gujrati | 45 |
| Urdu | 46 |
| Sanskrit | 47 |
| Others | 48 |
(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Dy.Collector/Ist Class Stipendiary Magistrate/Sub-Divisional Magistrate/Extra-Assistant Commissioner/Taluka Magistrate/Executive Magistrate.
(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.
(iii) Revenue Officers not below the rank of Tehsildar.
(iv) 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 DIVISIONAL OFFICER.
ANNEXURE-VII
This is to certify that Shri /Smt./Kumari _________________________son/daughter of _______________________________ of village/town _________________________ in District/Division ________________________________ in the State/Union Territory ____________________________ belongs to the __________________ Community which is recognized as a backward class under the Government of India, Ministry of Social Justice and Empowerment’s Resolution No. _________________________ dated _________________*. Shri/Smt./Kumari __________________________ and/or his/her family ordinarily reside(s) in the ______________________ District/Division of the ____________________________ State/Union Territory. 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 & Training O.M. No. 36012/22/93-Estt (SCT) dated 8.9.1993**.
District Magistrate: ________________________________________ Deputy Commissioner etc.: __________________________________ Dated:
Seal:
* The authority issuing the certificate may have to mention the details of Resolution of Government of India, in which the caste of the candidate is mentioned as OBC. ** As amended from time to time.
Note: The term ”Ordinarily” used here will have the same meaning as in Section 20 of the Representation of the People Act,1950.
ANNEXURE-VIII
NAME & ADDRESS OF THE INSTITUTE/HOSPITAL
Certificate No. ——————- Date——————DISABILITY CERTIFICATE
This is certified that Shri/Smt/Kum _____________________ son/wife/daughter of Shri ________ ___________ age _____________sex ______________identification mark(s) ______________ is suffering from permanent disability of following category :A. Locomotor or cerebral palsy :
(i) BL-Both legs affected but not arms.
(ii) BA-Both arms affected (a) Impaired reach
(b) Weakness of grip
(iii) BLA-Both legs and both arms affected
(iv) OL-One leg affected (right or left) (a) Impaired reach
(b) Weakness of grip
(c) Ataxic
(v) OA-One arm affected ( a) Impaired reach
(b) Weakness of grip
(c) Ataxic
(vi) BH-Stiff back and hips (Cannot sit or stoop)
(vii) MW-Muscular weakness and limited physical endurance. B. Blindness or Low Vision : (i) B-Blind
(ii)PB-Partially Blind
C. Hearing Impairment : (i) D-Deaf
(ii)PD-Partially Deaf
( DELETE THE CATEGORY WHICHEVER IS NOT APPLICABLE )
2. This condition is progressive/non-progressive/likely to improve/not likely to improve. Re-assessment of this case is not recommended/is recommended after a period of _____ years ____ months.*
3. Percentage of disability in his/her case is ..................... percent.
4. Sh./Smt./Kum ............................. meets the following physical requirements for discharge of his /her duties :-
(i) F-can perform work by manipulating with fingers. Yes/No
(ii) PP-can perform work by pulling and pushing. Yes/No
(iii) L-can perform work by lifting. Yes/No
(iv) KC-can perform work by kneeling and crouching. Yes/No
(v) B-can perform work by bending. Yes/No
(vi) S-can perform work by sitting. Yes/No
(vii) ST-can perform work by standing. Yes/No
(viii) W-can perform work by walking. Yes/No (ix) SE-can perform work by seeing. Yes/No (x) H-can perform work by hearing/speaking. Yes/No
(xi) RW-can perform work by reading and writing. Yes/No
(Dr.______________) (Dr._________________) (Dr.___________________)
Member, Medical Board Member, Medical Board Chairperson, Medical Board
Couuntersigned by the Medical Superintendent/
CMO/Head of Hospital (with seal) *Strike out which is not applicable.
ANNEXURE-IX
FORM OF CERTIFICATE TO BE SUBMITTED BY THOSE CANDIDATES WHO
INTEND TO AVAIL RELAXATION IN HEIGHT OR CHEST MEASUREMENT
( Please see Note below Para 11 of the Notice for the Examination )
Certified that Shri ________________________ S/o Shri ___________________ is permanent resident of village ____________________, Tehsil/Taluka ____________ District___________________ of _____________________ State.
2. It is further certified that :
* Residents of entire area mentioned above are considered as______________
( Garhwali, Kumaoni, Dogras, Marathas, Sikkimies ) for relaxation in height measurement for recruitment in the para military forces of the Union of India.
* he / she belongs to Himachal Pradesh / Leh and Ladakh / Kashmir Valley / North-Eastern States which is considered for relaxation in height measurement for recruitment in the para military forces of Union of India.
* he / she belongs to Scheduled Tribe.
Signature
District Magistrate / Sub-Division Magistrate / Tehsildar
Date:
Place:
* Delete whichever is not applicable.
ANNEXURE - X
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