NATIONAL INSTITUTE OF TECHNICAL TEACHERS

TRAINING AND RESEARCH, KOLKATA

T T
R

N I

OL

K AT

(Under Ministry of HRD, Govt. of India)

Block - FC, Sector - III, Salt Lake City, Kolkata - 700 106
Tel: +91-33-23370479 /4125 Fax: +91-33-23376331
Website: http://www.nitttrkol.ac.in

FACULTY RECRUITMENT
Applications are invited for the posts of Professor,
Associate Professor and Assistant Professor in various
departments of the Institute. For Application Form and
details visit : www.nitttrkol.ac.in
Last date for receiving duly filled application(s) is
19.12.2014 up to 5.00 pm, by registered/ speed post
only. Incomplete application(s) and application(s)
received after the last date will not be considered.
Advt. No. 17/2014-15
Director
H-6 x W-8
13/10/14

INFORMATION
BROCHURE
&
APPLICATION FORM
Advt. No.17/2014-2015

N I

T T

A
O L
KAT

NATIONAL INSTITUTE OF TECHNICAL TEACHERS

TRAINING AND RESEARCH,
KOLKATA
(Formerly Technical Teachers Training Institute, Calcutta)
(Established by the MHRD, Government of India)

Block FC
Sector III
Salt Lake City
Kolkata 700106
Tel. No.: +91 (033) 2337-0479/4125
Fax No.: +91 (033) 2337-6331
Website: www.nitttrkol.ac.in

I.

GENERAL INFORMATION:

National Institute of Technical Teachers Training and Research (NITTTR), Kolkata (formerly
Technical Teachers Training Institute, Calcutta) is one of the four key Institutions set up by the
Government of India, Ministry of Human Resource Development, New Delhi to pioneer the
development of Technical Education System in India. This Institute is unique in the sense that it
is the first such Institute established in South Asia for pre-service and in-service training of staff
of technical institutes. The major objective of the Institute is to take up various activities,
including training, to serve as a catalyst for overall improvement of the quality of technical
education.
The raised status of the Institute is associated with a new mandate, which includes amongst
others:
Offering quality training programmes for teachers as per need of client systems, covering
the entire gamut of technical education including polytechnics, engineering / technical
institutes / Universities, vocational and management education at regional as also at
national levels.
Undertaking systemic research and action research for development of innovative
methods, process and practices for improvement of teaching-learning environment in
technical and vocational education institutions.
Offering courses / programmes for technical and vocational teachers to suit overseas
demand especially in SAARC and ASEAN countries.
Collaborating with community and industry in organizing continuing and non-formal
vocational education programmes and providing extension and consultancy services.
II.

SERVICE CONDITIONS:
1

The Institute is an autonomous body registered under Societies Act and is fully funded by
the Ministry of Human Resource Development, Government of India. The service
conditions will be governed by the Rules and Regulations of the Institute.
2 Appointment to all posts will be made on a temporary basis in the first instance. Higher
initial pay may be granted to specially qualified and experienced candidates. Pay,
Dearness and other allowances will be admissible as per rules of the Institute in force
from time to time. Candidates not found adequately suitable for the prescribed pay scale
can be offered lower pay scale if found otherwise suitable.
3 Reservations will be applicable as per Government of India norms.
III.

GENERAL INSTRUCTIONS:
1.
2.
3.
4.
5.
6.
7.
8.

9.

Please read carefully all instructions before filling up the form.

Applicants are advised to submit only self attested certificates.
The selection process involves screening followed by presentation cum Interview.
Mere eligibility does not mean that a candidate will be called for interview.
Applicants not found suitable for higher position may be considered for lower position in
the same area of specialization.
Incomplete applications or applications received after the last date are liable to be
rejected summarily.
Outstation candidates called for interview shall be paid AC II Tier to and fro Railway
fare by the shortest route, subject to production of proof of journey.
A candidate who is found to have knowingly furnished particulars, which are false, or to
have suppressed information will be disqualified and if appointed, will be liable to
dismissal.
Application Form may be downloaded from this website <www.nitttrkol.ac.in>. While
submitting the duly filled in Application Form along with all the listed enclosures a sum

10.

of Rs.400/- (Rs.100/- for SC / ST / OBC(NCL) / PH(PWD)) through Bank draft payable

in favour of the Director, NITTTR, Kolkata, payable at Kolkata should be remitted as
application fee.
The envelope containing the filled up application form shall be superscripted as
"Application for the post of __________________Against Advt. No. 17/2014-15.

IV. ADDITIONAL INFORMATION

1. Candidates applying for more than one position are required to use separate application
forms including testimonials and application fees.
2. The desired particulars are to be filled in the Application Form by the candidate
supported by certificates and documentary proofs (wherever necessary).
3. Separate sheet(s) used, if any, for a sub-heading should be referred in the column
provided in the Application Form.
4. All pages including Application Form must bear full name and signature of the candidate
at the bottom.
5. Besides pay, posts carry allowances according to the Institute rules which at present
correspond to those admissible to the Central Government employees.
6. Higher initial pay/ upper age limit relaxation is admissible to exceptionally qualified and
deserving candidates.
7. Applicants who are employed in Government, Semi-Government Organizations or
Institutions should send their applications THROUGH PROPER CHANNEL; else they
will be required to produce a NO OBJECTION CERTIFICATE from their employer at
the time of interview.
8. No information will be sent to those candidates who are not short listed for interview. It
is expected that the entire selection process will be over within six months of the issue of
the advertisement.
V. OTHER NOTES:

1. The Institute reserves the right to withdraw any advertised post(s) at any time without
2.

3.
4.
5.

assigning any reason.

The Institute reserves the right to call only the requisite number of candidates for
interview after screening with reference to candidates' qualification, suitability,
experience, etc.
The Institute reserves the right to set higher norms than the minimum while short-listing.
The short-listing norms may not be uniform across the departments.
Any dispute with regard to any issue relating to the selection / recruitment process of the
posts will be subject to the High Court of Kolkata.
All recruitments will be done by the Institute only on the recommendations of duly
constituted Selection Committee.

Application form, duly filled in and signed by the candidate, along with copies of
testimonials, certificates and application fee should reach the Director, National
Institute of Technical Teachers Training and Research, Kolkata, Block FC,
Sector III, Salt Lake City, Kolkata 700 106 on or before 19-12-2014.

NATIONAL INSTITUTE OF TECHNICAL TEACHERS'

TRAINING AND RESEARCH, KOLKATA
BLOCK FC, SECTOR III, SALT LAKE CITY, KOLKATA 700106
Applications are invited from Indian nationals for the posts of Assistant Professors/ Associate
Professors/ Professors in the various departments including interdisciplinary ones of the
Institute. Appointments for these interdisciplinary departments are made in the relevant
departments as mentioned in the following table,
Sl.
No.

Department

Inter-disciplinary, if any

No.
of
Post
1

Mechanical
Engineering

2.

Education

3.

Computer
Science &
Engineering

Educational Technology

4.

Computer
Science &
Engineering

Continuing Education

5.

Science

Mathematics

6.

Mechanical
Engineering

Industrial Consultancy & 1

Entrepreneurship

7.

Civil
Engineering

1*

8.

Educational
Planning &
Management

1*

Basic Qualification

BE/ B Tech and/ ME/M Tech in

Mechanical Engineering with First
Class or equivalent either in BE/ B
Tech or ME/ M Tech
B Sc/ M Sc with First class & M Ed
and PhD in appropriate discipline
BE/ B Tech and ME/M Tech in
Computer Science & Engineering /
Electrical Engineering / Electronics
Engineering or equivalent with First
Class or equivalent either in BE/ B
Tech or ME/ M Tech
BE/ B Tech and ME/M Tech in
Computer
Science
&
Engineering/Electrical Engineering /
Electronics Engineering or equivalent
with First Class or equivalent either
in BE/ B Tech or ME/ M Tech
M Sc in Mathematics / Statistics with
First class and Ph D in Appropriate
discipline or BE/ B Tech and ME/M
Tech in any branch of engineering
with First Class and having field of
research work in applied mathematics
/ statistics
BE/ B Tech and/ ME/M Tech in Civil
Engineering/ Computer Science &
Engineering
/
Mechanical
Engineering with First Class or
equivalent either in BE/ B Tech or
ME/ M Tech
BE/ B Tech and/ ME/M Tech in Civil
Engineering with First Class or
equivalent either in BE/ B Tech or
ME/ M Tech
BE/ B Tech and/ ME/M Tech in
Computer Science & Engineering /
Electrical Engineering / Electronics
Engineering or equivalent with First
Class or equivalent either in BE/ B
Tech or ME/ M Tech and MBA or
equivalent

9.

Community
Development
& Rural Tech

1*

10.

Educational
Planning &
Management

1**

BE/ B Tech and/ ME/M Tech in any

Engineering discipline with First
Class or equivalent either in BE/ B
Tech or ME/ M Tech
BE/ B Tech and/ ME/M Tech in any
Engineering discipline or equivalent
with First Class or equivalent either
in BE/ B Tech or ME/ M Tech and
MBA
Or
BE/ B Tech in any Engineering
discipline and/ ME/M Tech in
Management or equivalent with First
Class or equivalent either in BE/ B
Tech or ME/ M Tech
Or
M Sc with First class, Ph D in
Science and MBA/ M Ed

*Only for the post of Associate Professor/ Assistant Professor

** Only for the post of Assistant Professor

Desirable Qualification (for all faculty positions):

Ph.D. with first class or equivalent (in terms of grades, etc.) at the preceding degree in
the appropriate branch, with a very good academic record throughout.
Salary:
Pay Band (PB), Academic Grade Pay (AGP) of Professor/ Associate Professor/ Assistant
Professor are as follows:
Post

AGP

Pay Band(Rs.)

Professor

Rs. 10000 PB-4 (37400-67000)

Associate Professor Rs. 9000

PB-4 (37400-67000)

Assistant Professor Rs. 6000

PB-3 (15600-39100)

The pay carries all other allowances as admissible to a Central Government employee
stationed at Kolkata. The fringe benefits, such as HRA, LTC, medical re-imbursement,
education allowance for children, contribution towards New Pension Scheme (NPS),
financial support towards national and international conferences etc. shall be permitted as
per the Institute norms.
Higher start of pay is possible for deserving candidates.
Essential Experience:
Professor: Minimum of 10 years teaching with high quality research / industrial
experience of which at least 5 years at the level of Associate Professor or equivalent.
Associate Professor: Minimum of 5 years teaching out of which 3 years with AGP of
Rs.8,000/- with high quality research / industrial experience and having at least 2 years
post Ph D experience.
Assistant Professor: For those with three or more years of teaching/research/industrial
experience, higher AGP can be offered.

Additional Note:
Candidates should have interest to work in the fields like Education Technology,
Curriculum Development, Community Development & Rural Technology etc. To
encourage the research in these fields, the Institute has the provision of providing the
initiation grant for three years to the newly recruited candidates subject to fulfilment of
laid down terms and conditions.
Period of Probation:
It is generally Two Years. However it may be extended by the Board of Governors on
recommendation of the Director.

NATIONAL INSTITUTE OF TECHNICAL TEACHERS TRAINING

AND RESEARCH, KOLKATA
(Formerly Technical Teachers Training Institute, Calcutta)
Block-FC, Sector-III, Salt Lake City, Kolkata 700 106

CHECK LIST
(Advt. No. 17 /2014 15)

_____________________________________________________________________________
Ensure that
1. No column is either wrongly filled or kept blank. [Note that the information furnished by the
candidate will be used for determining the eligibility of candidates to be called for interviews].
2. Candidate has written his/ her name and signed at the bottom of each page.
3. Following self attested copies of certificates are enclosed in support of claims made
a) Age proof,
b) documents/certificates along with mark sheets of all years in support of educational
qualifications,
c) Experience Certificate(s), if any.
d) Order/ letter in respect of equivalence of the Educational Qualifications/Experience
claimed, if any.
e) Caste and Category certificates in prescribed Proforma, if any.
f) Physically Handicapped certificate in prescribed Proforma, if any.

Signature
Name of the Candidate:

NATIONAL INSTITUTE OF TECHNICAL TEACHERS TRAINING

AND RESEARCH, KOLKATA
Block-FC, Sector-III, Salt Lake City, Kolkata 700 106

APPLICATION FORM
(Advt. No. 17 /2014 15)
(to be filled by the applicant in black or blue ink only)
Strike off the portion which does not apply in your case

FOR OFFICE USE ONLY

Receipt No....................

Date of Receipt:

/2014

Demand Draft attached:

Yes/No

--------------------------------------------------------------------------------------------------------------Demand Draft Details No. .................Date : / / 2014Amount: `Rs. _______/Issuing Bank & Branch..........................................................................................
Self attested
recent passport
size photograph.

1.

Application For
[a] Name of Department .....
[b] Post

..................................

[c] Interdisciplinary Department, if any ..

2.

Personal Information
[a] Full Name of the Candidate .....
[in block letters]
[b] Fathers/ Husband's Name .....
[c] Date of Birth

[e] Nationality

D D

M M Y

____________

[d] Gender
[f] Religion

Male/ Female
___________

[g] Marital Status: Married/ Single

[h] Category [UR/OBC(Non-Creamy layer)/SC/ST]....
[Enclose a self attested copy of the category certificate issued in the Central Govt. format]

[i] Person with Disabilities [PWD]

If yes, form of Disability: OH/ HH/ VH

Yes/No
DisabilityPercentage.%

[Enclose certified copy of document in support of your claim]

____________________________________________________________________________
Name:

Signature

3.

Address
Correspondence

Permanent

Name:......

Name: .

Address:.....

Address:...

........................................

.......................................................

........................................................

PIN Code: ...........

PIN Code: ......

Phone [R]: ...........

Phone:

......

Phone [O]: .
Mobile:
Email :.............
4. Educational Qualifications
[a] Details of Examinations passed
Examination Year of
Passed
Passing

Board/ University

Discipline/
Class/
Specialization Division

% of
marks/
grades

[b] Title of Ph. D. Thesis:

[c]Any other earned academic degree .
[d] Upgradation of further knowledge
Title

Duration

Organized at

Short-term/Refresher course attended

Conferences/Seminar/Workshop attended
____________________________________________________________________________
Name:

Signature

5.

Employment Record[Chronologically, starting from present employment]

[a]. Details of employment

Sl.
No.
1.

Period
From
To

Position
Held

Pay Scale, AGP &

last/present basic

Organization

Nature of work

2.
3.
4.
5.

[b]
6.

Name and address of present employer ..

Teaching Experience [attach separate sheet, if required]

[a] Details of Theory Course[s] taught at Diploma/ Undergraduate (UG) level

Sl.
No.

Name of the Course

(Diploma/ UG/ PG)

Contact hours engaged per

week

No. of
years

Contact hours engaged per

week

No. of
years

[b] Details of Practical class[es] engaged

Sl. No.

Name of the Course

[c] Details of experimental or computational projects added to teaching laboratory

Sl. No.

Diploma/ Undergraduate

Postgraduate

[d] Details of new courses developed/ existing courses revised

Sl. No.

Diploma/ Undergraduate

Postgraduate

____________________________________________________________________________
Name:

Signature

7.

Thesis Supervision [attach separate sheet, if required]

[a] Details of Diploma/ Undergraduate Projects supervised
Sl.
No.

Title of Project

Institute

CoYear
Supervisor[s], if
any

[b] Details of PG Thesis supervised

Sl.
No.

Title of Thesis

Institute

Co-Supervisor[s], Year
if any

[c] Details of Ph.D. Thesis supervised/on-going

Sl.
No.

Title of Ph.D.
Thesis

Institute

CoSupervisor[s],
if any

Year

Status
[Complete/
ongoing]

____________________________________________________________________________
Name:

Signature

8.

Scholarly Contributions

[a]

Publications [Enclose copy of best (according to your own assessment) two papers published
in SCI Journals] [Attach as separate annexure in the following format]

[i] Papers published/accepted in SCI Journals

Sl.
No.

Author (s)

Title of the paper

Name of
Journal

Vol.
No.

Page No.
From To

Year

Name of
Journal

Vol.
No.

Page No. Year

From To

[ii] Papers published/accepted in Non-SCI Journals

Sl.
No.

Author (s)

Title of the paper

[iii] Papers published/accepted in Conference Proceedings [full papers only]

Sl. Author(s)
No.

Title of the paper

Name of Conference Year

ISBN/ISSN
No.

____________________________________________________________________________
Name:

Signature

[b] [i]Text or Reference Books[s] published

Sl. No.

Author(s)

Year

Book Title

ISBN/ISSN
No.

Publisher

[ii] Book Chapters published/accepted in edited books

Sl. Author(s)
No.

Title of
Chapter

Title of
Book/Edited
by

Year of
Page No.
Publication From To

ISBN

Publisher

[c] Invited Lecture[s] delivered

Sl.
No.

Title of Lecture

Short Term Course/

Conference/Organisation

Date

Organisation

[d] Patent[s] held

Sl.
No.

Name of Patent

Registration
No.

Date of
Award/
Application

Awarding
Country

Co-Awardee[s],
if any

____________________________________________________________________________
Name:

Signature

[e] Sponsored Research Project[s]

Sl.
No.

Title of Project

Period

Sponsoring
Organisation

Amount
[`in lakhs]

Organisation

Amount
[`in lakhs]

Co-Investigator[s],
if any

[f] Consultancy/Testing Project(s)

Sl.
No.

9.

Details

Period

Co-Investigator[s],
if any

Other Academic Activities [as Coordinator/Organising Secretary/General Chair]

[a] Short-term courses organised

Sl.
No.

In the
Capacity
of

Title

Duration Organised
at

Sponsors

Amount
[`in lakhs]

CoCoordinator[s],
if any

[b] Conference/Seminar/ Workshop organised

Sl.
No.

In the
Capacity of

10.

Title

Duration

Organised at

Sponsors

Amount
[`in lakhs]

Administrative Experience

Sl. No.

Designation

Period

Nature of
Responsibility

Organisation

____________________________________________________________________________
Name:
Signature

11. Membership of Professional Bodies

Sl. No.

Name of the Professional Bodies

12.

Field of Research:-

13.

Your Research Plan at NITTTR Kolkata [in 250 words]

Period

14. Any other relevant information including interest / exposure in interdisciplinary

area(s): ....
15.

Referees
[Referees should be distinguished persons from appropriate fields and not related to the
candidate and at least one of them should be familiar with the work of the candidate]
1

Name:.
Address:

PIN Code: ..
Phone

Fax:
Email:

Name:
Address:

PIN Code: ..
Phone

Fax:
Email: .

Name:
Address:

PIN Code:
Phone ..
Fax:
Email: .

16. List of enclosures

Sr. No. Type of Certificate

Annexure #

Page #

1
2
3
4
5
6
7
8
9
10
____________________________________________________________________________
Name:
Signature

Declaration

I hereby declare that the information furnished above is true to the best of my knowledge and
belief. If at any time it is found that I have concealed any information or have given any
incorrect data, my candidature/ appointment, may be cancelled/terminated, without any notice or
compensation.
There are _____ number of enclosures with _____ pages attached alongwith this form.

Date: ..
Place: .

[Signature of applicant with date]

PRESCRIBED PROFORMA
Proforma-I
The form of certificate to be produced by Scheduled Castes and Scheduled
Tribes candidates applying for appointment to posts under the Government of
India
This is to certify that Shri/Shrimati* ________________________________ son/daughter* of
_____________________________ of village/town* ____________________ in District/
Division* _________________ of the State/Union Territory* __________________ belongs to
the caste/ tribe* which is recognized as a Scheduled Caste/Scheduled Tribe* 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 List (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, the
Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976., the State of Mizoram
Act, 1986, the State of Arunachal Pradesh Act, 1986 and the Goa, Daman and Diu
(Reorganization) Act, 1987.]
@ The Constitution (Jammu and 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 (Dadar and Nagar Haveli) Scheduled Castes Order, 1962
@ The Constitution (Dadar and Nagar Haveli) Scheduled Tribes Order, 1962
@ The Constitution (Pondicherry) Scheduled Castes Order, 1964
@ The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967
@ The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968
@ The Constitution (Goa, Daman and 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) Order (Amendment) Act, 1990
@ The Constitution (ST) Order (Amendment) Act, 1991
@ The Constitution (ST) Order (Second Amendment) Act, 1991
@ The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act 2002
@ The Constitution (Scheduled Castes) Order (Amendment) Act, 2002
@ The Constitution (Scheduled Castes and Scheduled Tribes) Orders (Amendment) Act, 2002
@ The Constitution (Scheduled Castes) Orders (Second Amendment) Act, 2002

2. Applicable in the case of Scheduled Castes/Scheduled Tribes persons who have migrated
from one State/Union Territory Administration to another.
This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes certificate issued
to Shri/Shrimati* ___________________________________ father/Mother of Shri/Shrimati
________ _______________ of village/town* _____________________ in ________________
District/Division ______________________ of the State/Union Territory* _________________
who belongs to the caste/tribe* which is recognized as a Scheduled Caste/Scheduled Tribe in the
State/Union Territory* of ______________________ issued by the _______________________
dated 24 09 2014.

3. Shri/Shrimati* ___________________________ and/or* his/her* family ordinarily resides in

________________________ village/town* ___________________ of ___________________
District/Division* of the State/Union Territory* of _________________

Date : Signature
Place : **Designation
(With Seal of Office) State/Union Territory*
*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 Scheduled Caste/Scheduled Tribe Certificate.
a. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/
Additional Deputy Commissioner/Deputy Collector/First Class Stipendiary Magistrate/
Sub-Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant
Commissioner. (not below of the rank of 1st Class Stipendiary Magistrate).
b. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency
Magistrate.
c. Revenue Officers not below the rank of Tehsildar.
d. Sub Divisional Officer of the area where the candidate and/or his/her family normally
resides.
e. Administrator/Secretary to Administrator/Development Officer (Lakshadweep)

Proforma-II
The form of certificate to be produced by Other Backward Classes candidates
applying for appointment to posts under the Government of India (NOT more than
ONE years old).
This is to certify that Shri/Shrimati ____________________________ son/daughter* of Shri
__________________________________of

village/town*

_____________

in

District/

Division* ______________ of the State/Union Territory* ____________________ belongs to

the Community ___________ which is recognised as a backward class under:
@ Government of India, Ministry of Welfare Resolution No. 1201i/68/93-BCC (C) dated
10 September, 1993 published in the Gazette of India Extraordinary Part-I, Section-i, No.
186 dated 13 September, 1993.
@ Government of India, Ministry of Welfare Resolution No. 12011/9/94-BCC dated 1910-94, published in the Gazette of India Extraordinary Part-I, Section-i, No. 163 dated
20-10-1994.
@ Government of India, Ministry of Welfare Resolution No. 12011/7/95-BCC dated 245-95, published in the Gazette of India Extraordinary Part-I, Section-i, No. 88 dated 255-1995.
@ Government of India, Ministry of Welfare Resolution No. 12011/96/94-BCC dated 9
March, 1996 published in the Gazette of India Extraordinary Part-I, Section-i, No.60
dated 11 March, 1996.
@ Government of India, Ministry of Welfare Resolution No. i2011/44/96-BCC dated 6
December, 1996 published in the Gazette of India Extraordinary Part-I, Section-i, No.
210 dated 11 December, 1996.
@ Government of India, Ministry of Welfare Resolution No. i2oii/99/94-BCC dated 11
December, 1997 published in the Gazette of India Extraordinary Part-I, Section-I, No.
236 dated 12 December, 1997.
@ Government of India, Ministry of Welfare Resolution No. 12011/i3/97-BCC dated 3
December, 1997 published in the Gazette of India Extraordinary Part-I, Section-i, No.
239 dated 17 December, 1997.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No.
i2011/68/98-BCC dated the 27 October, 1999 published in the Gazette of India
Extraordinary Part-I, Section-i, No. 241 dated the 27 October, 1999.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No.
i2011/88/98-BCCdated 6 December, 1999 published in the Gazette of India
Extraordinary Part-I, Section-i, No. 270 dated 6 December, 1999.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No.
i2011/36/99-BCC dated 4 April, 2000 published in the Gazette of India Extraordinary
Part-I, Section-i, No. 71dated 4 April, 2000.

@ Government of India, Ministry of Social Justice and Empowerment Resolution No.

i2011/44/99-BCC dated the 21 September, 2000 published in the Gazette of India
Extraordinary Part-I, Section-i, No. 210 dated the 21 September, 2000.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No.
120i5/ 9/ 2000-BCC dated 6 September, 2001 published in the Gazette of India
Extraordinary Part-I, Section-i, No. 246 dated 6 September, 2001.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No.
1201i/1 /200i-BCC dated 19 June, 2003 published in the Gazette of India Extraordinary
Part-I, Section, 1 No. 151dated 20 June, 2003.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No.
12011/4/2002-BCC dated 13 January, 2004 published in the Gazette of India
Extraordinary, Part-I Section-i, No. 9 dated 13 January, 2004.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No.
12011/i4/2004-BCC dated 12 March, 2007 published in the Gazette of India
Extraordinary, Part-I, Section-i, No. 67 dated 12 March, 2007.
Shri/Shrimati/Kumari* _________________________ and/or* his/her* family ordinarily resides
in village/town* ___________________ of District/Division* _______________ of the State/
Union Territory* of ______________________.
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 O.M. No. 36033/3/2004-Estt. (Res.)
dated 9 March, 2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14 October, 2008.
Signature
**Designation
Place
Date
*Please delete the words which are not applicable.
@ Strike out whichever is not applicable.
(With seal of Office) State/Union Territory
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 OBC Certificate

(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/
Additional Deputy Commissioner/Deputy Collector/First Class Stipendiary Magistrate/f
Sub-Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant
Commissioner.-I-(not below of the rank of 1st Class Stipendiary Magistrate).
(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency
Magistrate.
(iii) Revenue Officers not below the rank of Tehsildar.
(iv) Sub Divisional Officer of the area where the candidate and/or his/her family
normally resides.
(v) Administrator/Secretary to Administrator/Development Officer (Lakshadweep)
Note 1: Candidates claiming to belong to OBCs should note that the name of their caste
(including its spellings) as indicated in their certificates, should be exactly the same as published
in the lists notified by the Central Government from time to time. A certificate containing any
variation in the caste name will not be accepted.
Note 2: The OBC claim of a candidate will be determined in relation to the State (or part of the
State) to which his/her father originally belongs. A candidate who has migrated from one State
(or part of the State) to another should, therefore, produce an OBC certificate which should have
been issued to him/her based on his/her fathers OBC certificate from the State to which he
(father) originally belongs.
Note 3: No change in the community status already indicated by a candidate in his/her simplified
application form for this examination will ordinarily be allowed by the Commission.

Proforma-III
Form of declaration to be submitted by the OBC (Non-Creamy Layer) candidate
(in addition to the community certificate)
I ______________________________ Son/daughter of Shri _________________________
resident of village/town/city ____________________ District ____________________ state
__________________________

hereby declare that I belong to the community which is

recognized as a backward class by the Government of India for the purpose of reservation in
services as per orders contained in Department of Personnel and Training Office Memorandum
No 36102/22/93-Estt. (SCT) dated 8-9-1993. It is also declared that I do not belong to
persons/sections/sections (Creamy Layer) mentioned in column 3 of the Schedule to the above
referred Office Memorandum dated 8-9-1993, O.M. No. 3603313/2004-Estt. (Res.) dated 9
March, 2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14 October, 2008.

Signature
Full Name
Address

Proforma-IV
The form of certificate to be produced by Physically Handicapped candidates
applying for appointment to posts under the Government of India
NAME & ADDRESS OF THE INSTITUTE/HOSPITAL _______________________________
This is certified that Shri/Smt. ________________________________ son/wife/daughter of Shri
___________________________ Age ___ Yrs, sex Male/ Female having identification mark(s)
___________________________________________ is suffering from permanent disability of following
category: Strike out whichever is not applicable.
A. Locomotor or Cerebral Palsy (OH):
i.
Both legs affected but not arms
ii.
Both arms affected
(a) Impaired reach
(b) Weakness of grip
iii.
Both legs and both arms affected
iv.
One leg affected (right or left)
(a) Impaired reach; (b) Weakness of grip; (c) Ataxic
v.
One arm affected (right or left)
(a) Impaired reach (b) Weakness of grip (c) Ataxic
vi.
Stiff back and hips (cannot sit or stoop)
vii.
Muscular weakness and limited physical endurance.
B. Blindness or Low Vision (Visual Impairment):
(a) Blind
(b) Partially blind
C. Hearing Impairment:
(a) Deaf
(b) Partially deaf
(Delete the category whichever is not applicable)

Candidate's
Recent
Photograph

duly attested
by Chairperson of
the Medical
Board

2. This condition is progressive/non-progressive/likely to improve/not likely to improve. Reassessment of

this case is not recommended/is recommended after a period of ____ months.
3. Percentage of disability in his/her case is _______ Percent.
4. Shri/Smt._________________________________ meets the following physical requirements for
discharge of his/her duties:
i.
ii.
iii.
iv.
v.
vi.

by manipulating with fingers.

Yes/No
by pulling and pushing.
Yes/No
by lifting.
Yes/No
by kneeling
Yes/No
bybending.
Yes/No
by sitting.
Yes/No

(Dr
Member
Medical Board

(Dr
Member
Medical Board

vii.
viii.
ix.
x.
xi.

by standing.
by walking.
by seeing.
by hearing/speaking.
by reading and writing.

Yes/No
Yes/No
Yes/No

(Dr
Chairman
Medical Board

Countersigned by the Medical Superintendent/CMO/Head of Hospital (With seal)

Yes/No
Yes/No