PUBLIC
SERVICE COMMISSION, UTTAR PRADESH
Advt.
No. A-2/E-1/2013 Dated 23-05-2013
U.P.
JUDICIAL SERVICE CIVIL JUDGE (JUNIOR DIVISION) EXAMINATION - 2013
Last
Date for Deposit of Examination Fees in the Bank
22
June, 2013
Last
Date for Submission of Application
26 June, 2013
"SPECIAL
NOTICE : Applications will be accepted only when fee
is deposited in the Bank upto prescribed last date for fee deposition. If the
fee is deposited in Bank after prescribed last date for fee deposition, the
candidature of the candidate will be rejected and application will not be
accepted. Once fee deposited in the Bank will not be refunded to the candidate
in any condition. It will be responsibility of the candidate to deposit fee in
the Bank upto prescribed last date for fee deposition and submit the
application upto prescribed last date for submission of applications."
NECESSARY
INFORMATION FOR APPLICANTS FILLING THEIR APPLICATION THROUGH ON-LINE
This
advertisement is also available on the Commission's website http://uppsc.up.nic.in.
The On-line application system is applicable for applying against this
advertisement. Application sent by any other mode shall not be entertained.
Candidates are advised to apply On-line only. In connection with On-line
application, candidates are advised to:-
Go
through thoroughly the instruction given as under and apply accordingly.
1. When the candidate clicks "ALL
NOTIFICATION/ADVERTISEMENT DETAILS" on the Commission's website
http://uppsc.up.nic.in the 'On-line advertisement' only shall be available.
"On-line
advertisement" shall be in 3 stages given as below:
1. User Instruction
2. View Advertisement
3. Apply
A list of all the advertisements
will be displayed in which "On-line System" is applicable. The
Instructions for filling "On-line form" have been given in User
Instruction. The Candidates desirous to see the advertisement will have to
click before' View Advertisement' to which they are desirous to see. The full
advertisement will be displayed. Click on "Apply" for On-line Application.
On-line
application will be completed in three stages:
First
Stage:- Basic Registration form (Appendix-2) will be displayed on clicking the
'Candidate Registration' respective to Examination in Appendix-1, in which
there shall be type of Recruitment (Select type of Rectt.) General, After
filling the form on clicking the 'submit' button the registration of first
stage shall be over. Thereafter 'Candidate Registration Acknowledgment
(Appendix-3) shall be displayed which can be printed by Clicking the 'Print' button.
Second
stage:- There shall be two options for depositing the fees which are E-challan
and I-collect, which can be deposited in State Bank of India or Punjab National
Bank. The candidates having Net Banking facility in any of these two Banks may
deposit the fees through I-Collect. After taking the option of E-Challan or
I-Collect Examination fees payment
details will be displayed which is on Appendix-4 On selecting the Bank to
deposit the fees through E-Challan the E-Challan of concerned Bank SBI - (Appendix-5)
AND PNB (Appendix-6) will be displayed in which there shall be Candidates
Registration No., Name, Date of Birth and Fee Amount. The candidates will have
to go with E-Challan (in the Bank which is opted by the Candidate themselves)
to any branch of the Bank and deposit the fees and take one copy of E-Challan
and keep with them safely. On the copy of the E-Challan given by the Bank
transaction ID/ Journal No. and date shall be mentioned which shall be used at
the time of filling the form at third stage.Third stage:- After depositing the
fee in the Bank, the candidate two day after on the next working day (after
2.00 pm) shall enter information On-line in the format, available on
Commission's website by clicking “Submit Application Form”. The photo and
signature, duly scanned shall be uploaded also. The specimen of the same is
given at Appendix-7 The candidate should scan his photograph and signature in
the prescribed size (the size will be mentioned at the specified spot in the
On-line application). This should also be kept in notice that the photo must be
latest passport size. In case the photo and signature, scanned in the
prescribed size, are not uploaded, then the On-line system will not accept it.
The procedure related to scanning of the photo and signature is laid down in
the Appendix- 7A. After filling in all entries in the format, the candidate may
click “View application form” to see for themselves that all entries and
informations are correctly entered and after satisfying themselves should click
"Submit" to forward the same to the Commission. It is essential that
the candidate should fill all informations On-line correctly according to the
instructions given and click the 'Submit' button by the last date prescribed
for submission of the application form. If the candidate does not click the
"Submit" button, the application shall not be completed finally and
the candidate shall be accountable for this. After clicking the 'Submit'
button, the candidates may take a print-out of the application (Appendix-7B) to
preserve it with them. In the event of any discrepancies, the candidate will be
required to submit the said print-out in the office of the Commission.
Otherwise his request shall not be entertained.
4.
The Application once submitted,
will not be allowed to be modified.
5.
Application Fee : After filling in
the 'Candidate Registration' format of
the On-line application, the candidate shall procure the print-out of the
E-challan in duplicate. The E-Challan will be used to deposit the fee in any of
the branches of State Bank of India or Punjab National Bank by the candidate
according to his category. The fee will not be allowed to be deposited by any
other mode except E-Challan/I-Collect The above fee, for Preliminary
Examination according to the category, is as under:-
1.
Unreserved (General) -Exam fee Rs. 100/- + On-line processing
fee Rs. 15/- Total = Rs. 115/-
2.
Other Backward Class -Exam fee Rs. 100/- + On-line processing
fee Rs. 15/- Total = Rs. 115/-
3.
Scheduled Caste -Exam fee Rs. 40/- + On-line
processing fee Rs. 15/- Total = Rs. 55/-
4.
Scheduled Tribe -Exam fee Rs. 40/- + On-line
processing fee Rs. 15/- Total = Rs. 55/-
5.
Handicapped -Exam fee NIL + On-line processing fee Rs. 15/-
Total = Rs. 15/-
Physically
Handicapped Candidates are eligible for UP Judicial Service on the basis of
their merit against Unreserved Posts only
provided they must pass any
Medical Examination under Rule 14 of U.P. Judicial Service Rules 2001.
read with the Govt. letter dated 27.12.2012.
6.
Dependants of the -According
to the original category freedom fighters mentioned from Sl. Nos. 1 to 4.
7.
Ex-Serviceman -According to the original
category mentioned from Sl. Nos. 1 to 4.
8.
Women -According to the original category
mentioned from Sl. Nos. 1 to 4.
6.
If the claims of the candidates
given in their applications are not found true, they can be debarred from all
the future examinations and selections made by the Commission including other
appropriate penalties.
7.
If the candidates want some
correction or change in their submitted applications, they can submit another
fresh complete applications with desired corrections along with prescribed fee
within the last notified dates of the advertisement. The application fee
deposited with the prior application will neither be returned nor adjusted in
any condition. In the aforesaid condition the last modified application will be
entertained only.
8. The U.P. Public Service Commission
shall hold a Preliminary Examination at various centres of Allahabad,
Gorakhpur, Lucknow and Meerut to select suitable candidates for admission to
Civil Judge (Jr. Division) Main Examination, 2013. The Dates and venue of
Examination shall be informed to the candidates through their Admission
Certificates.
9. Vacancies: No. of Vacancies are 125
these Posts are temporary but likely to be continued.
Vertical Horizontal
General - 63 DFF - 02
OBC - 34 Women - 25
SC - 26
ST - 02
Note:-
(1) The Candidates clamining the benefit of reservation must obtain, in support
of their category a certificate issued by the competent authority on the
proforma available on the Website & in this
detailed advertisement (Appendix-10) and shall submit the same to the
Commission when asked for. (2) All Reserve candidates of U.P. must mention
their Category / Sub Category in the Application Form. (3) Candidates claiming
reservation in more than one categories will be entitled to only one concession
whichever is more beneficial to them. (4) The Scheduled Caste, Scheduled
Tribes, Other Backward Class and Dependents of Freedom Fighters and women
candidates who are not the permanent resident of U.P. shall not be given the
benefit of reservation. Such candidates shall be treated as the candidates of
the General Category.
10. Scale of Pay: 27700-770-35090-920-40450-1080-44770
11. Educational Qualification: (A) Till Last
Date for submitting the application the Candidate must be a Bachelor of Laws of
a University established by Law in U.P. or any other University of India
recognised for this purposes by the Governor, Or (B) Must be an Advocate
enrolled under the provisions of the Advocate Act 1961 or a Barrister of
England or Northern Ireland or a Member Faculty of Advocates in Scotland and is
entitled to practice in the Court or Courts subordinate thereto; (C) Must
possess thorough Knowledge of Hindi in Devnagri Script.
12. Age Limit:- A candidate for direct
recruitment to the service must have attained the age of 22 years and must not
have attained the age more than 35 years on the first day of July next
following the year i.e. 01.07.2014. They must not have born after 1st July,
1992 and not before 2nd July, 1979
Provided that the upper age limit
shall be higher by five years in the case of Candidates belonging to Scheduled
Castes, Scheduled Tribes, OBC, DFF, Ex-Serviceman/ECO/SSCO/CO of Army Skilled
players of U.P. i.e. they must not have born before 02.07.1974 but Fifteen
years for Physically Handicapped candidates according to Go Dated 03.02.2008.
i.e. they must not have born before 02.07.1964
Provided also that the maximum
number of chances a candidates is permitted to take will be four.
"The Hon'ble Court has not
adopted the (U.P. Recruitment to Service (Age Limit) (Tenth Amendment) Rules,
2012 issued by Govt. of U.P. with regard to increase in the upper age limit
from 35 years to 40 years.
13.
Important Instructions: (1)
Incomplete application and application without signature even if within time
shall be rejected summarily (2) Emergency Commissioned/Short Service
Commissioned Officers who have not been released from Army but whose period of
Army Service have been extended for rehabilitation, may also apply for this
examination on the following conditions in accordance with G.O. No.
22/10/1976-Karmik-2/1985 dated 30-01-85 (A) Applicants will have to submit a
certificate in this respect from the competent authority of Army, Navy, Air
Force, that their period of Service has been extended for rehabilitation and no
disciplinary action is pending against them. (B) Applicants will have to submit
a written undertaking with their application that in case they are selected for
the post applied for, they will get themselves released immediately from the
Army Service. The above facilities will not be admissible to Short Service
Commissioned/Emergencey Commissioned Officer if: (a) he gets permanent
Commission in the Army or (b) Has been released from the Army on tendering
resignation or (c) Has been released from the Army on grounds of misconduct.
(4) Character: The Character of a candidate for recruitment to the service must
be such as to render him suitable in opinion of the Governor in all respects
for employment in the service. Persons dismissed from the service by the Union
Government or a State Govt. or debarred from practice as an Advocate by the Bar
Council of India or a State or convicted and sentenced for imprisonment on any
offence under the Indian Penal Code or any other Law for the time being in
force involving moral turpitude shall not be eligible for appointment to the
Service. (5) Marital Status: A Male candidate who has more than one wife living
or a female candidate who has married a man already having a wife living shall
not be eligible for appointment to a post in the Service. (6) Physical Fitness:
No Candidate shall be appointed to a post in the service unless he/she be in
good mental and bodily health and free from any physical defect likely to
interfere with the efficient performance of his duties. Before a candidate is
finally approved for appointment shall be required to pass an Examination by a
Medical Board. (7) Only those candidates will be called for Main Examination
(Written Examination) who obtain such minimum marks as may be fixed by the
Commission for the purpose on the basis of preliminary exam. They will be
required to fill up requisite forms etc. determined by the Commission for main
examination and will have to deposit fee also for main exam.
Examination
Fees for General, OBC of UP
Exam
Fee Rs. 200/- + Online Processing Fee Rs. 15 = Rs. 215/- only and Scheduled
Cast and Scheduled Tribe Candidates of UP Exam Fee Rs. 80/- + Online processing
Fee Rs. 15 = Rs. 95/- The Candidates under Horizontal Reservation shall deposit
fees according to their main category but Physically Handicapped Candidates
will deposit only Rs. 15/- as on line processing fees.
(8)
Candidates will have to produce their all original certificates, two
photographs duly attested by Gazetted Officer, one plain photograph and other
required documents at the time of interview. (9) The candidates working in Central
or State Govt. will have to produce No Objection Certificate from their
Employer. (10) The Commission do not give any advice to the candidates
regarding their eligibility. Therefore they should go through the advertisement
carefully and apply for the post only when they are satisfied that they are
eligible according to the terms and conditions of advertisement. They should
also go through the syllabus of the examination printed at Appendix-9 of the
advertisement. Fee will not be refunded in case of candidates being overage,
underage, ineligible or rejected due to violation of rules or procedure. (11)
The Commission may allow any candidate provisionally on summarily checking of
application but in later stages if it is found that the candidates was not eligible
or his application was not fit for admission or he should have been rejected at
initial stage his candidature will be cancelled and his recommendation shall be
withdrawn even if he has been recommended. (12) Malpractices i.e. copying in
the Examination Hall, Indiscipline, Misbehavior or canvassing is prohibited.
Candidature of such candidates can be rejected by the Commission suo motto.
(13) The candidates who qualify in the written examination shall have to appear
compulsorily in Personality Test (Viva-voce) (14) In every correspondence with
the Commission, the name of Examination, Advertisement No., Registration No.,
Name of Candidate, Date of Birth & Roll No. (If communicated) Should be
mentioned. (15) The candidates for the main examination shall be declared
successful in the ratio of 1:10 according to order of Hon'ble S.C. and for
interview in the ratio of 1:3. (16) If a candidate gives such information which
can not be substantiated by any certificate, he/she can be debarred for the
next five years.
APPENDIX-8
Plan
of Examination
There
shall be three stages of Competitive Examination Viz. (1) Preliminary
Examination (Objective and Multiple Choice Type) (2) Main Examination (Written
Conventional Type and (3) Viva voce (Personality Test).
APPENDIX-9
Syllabus
for U.P. Judicial Service Civil Judge
(Junior
Division) Preliminary Examination
Paper-I Time-2
hours MM-150
GENERAL
KNOWLEDGE
This
paper may include questions based on topics relating to History of India and
Indian Culture, Geography of India, Indian Polity, Current National Issues and
topics of Social relevance, India and the world, Indian Economy, International
Affairs and Institutions and development in the field of Science and
Technology, Communications and Space.
The
nature and standards of questions in this paper will be such that a well
educated person will be able to answer them without any specialised study.
Paper-II Time-2
hours M.M.: 300
LAW
This
paper will include day to day happenings around India and the world, particularly
in Legal spheres, Acts and Laws.
(i) Jurisprudence (ii) International
Organisations
(iii) Current International Affairs (iv) Indian
Constitution
(v) Transfer of Property Act (vi) Indian
Evidence Act
(vii) Indian Penal Code (viii) Civil Procedure
Code
(ix) Criminal Procedure Code (x) Law of
Contract
Syllabus
for U.P. Judicial Service Civil Judge
(Junior
Division) Main Examination (Written Examination)
The
Examination shall include the following Subjects:-
Paper
No: 1 General Knowledge: M.M.:
200
This
paper may include questions based on topics relating to History of India and
Indian Culture, Geography of India, Indian Polity, Current National Issues and
topics of Social relevance, India and the World, Indian Economy, International
Affairs and Institutions and development in the field of Science and
Technology, Communications and Space.
The
nature and standard of questions in this paper will be such that a well
educated person will be able to answer them without any specialized study.
Paper
No. 2 Language:-
This
paper will be of 200 marks. It shall comprise four questions as specified
below:-
(i) Essay to be written in English - 60
marks
(ii) English Precis writing - 60 marks
(iii) Translation of passage from Hindi to
English - 40 marks
(iv) Translation of Passage from English to
Hindi - 40 marks
Paper
No. 3 Law - I (Substantive Law):-
This
paper will be of 200 marks. The questions set will be restricted to the field
covered by:- The law of contracts, the law of Partnership, the law concerning
easements and torts, the Law relating to transfer of property including the
principles of equity, specifically applicable thereto, the principal of Equity
with special reference to the Law of trust and specific relief, Hindu Law and
Mohammedan Law, and Constitutional Law. There shall be questions of 50 marks in
relation to Constitutional Law alone.Paper No. 4 Law-II (Procedure and
Evidence):
This
paper will be of 200 marks.
Questions
set will be restricted to the field covered by-the law of evidence, the
Criminal Procedure Code and Code of Civil Procedure, including the principles
of pleading. The questions set will relate mainly to practical matters such as
the framing of charges and issues the methods of dealing with the evidence of
witnesses the writing of judgement and the conduct of cases generally but will
not be restricted to them.
Paper
No. 5 Law-III (Penal, Revenue and Local Laws)
This
paper will be of 200 marks.
Questions
set will be restricted to the field covered by-Indian Penal Code, the Uttar
Pradesh Zamindari Abolition and Land reforms Act 1951, Uttar Pradesh, Urban
Buildings (Regulation of Letting, Rent and Eviction) Act, 1972, Uttar Pradesh
Municipalities Act, U.P. Panchayat Raj Act, U.P. Consolidation of Holdings Act,
1953, Uttar Pradesh Urban (Planning and Development) Act 1973, together with
rules framed under the aforesaid Acts.
Answer
to the questions of Local Laws will be compulsory Questions pertaining to Penal
Laws will be of 50 marks, whereas, that of Revenue and Local Laws will be of
150 marks.
6.
Interview: The interview will be
of 100 marks. The suitability of candidates for employment in the Uttar Pradesh
Judicial Service will be tested with reference to his merit giving due regard
to his ability, character, personality and physique.
Clarification:
The candidates will have a choice to answer General Knowledge and Law papers
either in Hindi or in English.
Notes:
(i) The marks obtained in the interview will be added to the Marks obtained in
the written papers and the candidates place will depend on the aggregate of
both (ii) The Commission reserves the right to refuse to call for interview any
candidate who has not obtained such marks in the Law Papers as to justify such
refusal.
GENERAL
INSTRUCTIONS
1. In no circumstances, applications shall
be accepted after the last prescribed date and time. Applications found without
requisite informations and without photograph and signature, even when received
in time, will be summarily rejected.
2. In the On-line system the Candidates
must click the submit Button by the Last Date & Time. They must take the
Printout and keep it safely. In any discrepancy they will have to produce the
printout otherwise no request shall be entertained.
3. Those candidates, willing to take the
benefit of the reservation may obtain a certificate, issued by the competent
authority, in support of the reserved category, in the prescribed format
printed in this detailed advertisement and submit the same to the Commission, whenever required to do so. Those
claiming more than one reservetion will be given only one such concession,
which will be more beneficial. The candidates who are not originally domiciled
of U.P. belonging to SC, ST, O.B.C., dependants of freedom fighters,
handicapped, Ex-servicemen and women are not entitled to benefit of
reservation. Such candidates will be treated as general candidates. In case of
the women candidates, the certificate issued from father side will be treated
valid.
4. The Commission do not advise to
candidates about their eligibility. Therefore, they should carefully read the
advertisement and when satisfied about their eligibility canditions of the
advertisement, then only apply.
5. In the category of dependants of the
freedom fighters only sons, daughters, grand-sons (son's son) and grand daughter
are covered. Only such relationships with the freedom fighters is not adequate
but the candidate should remain actually dependant of the freedom fighter.
Drawing the attention of the candidates towards Govt. orders dated 22.01.1982,
08.03.1983 and Govt. Order No. 3014, Personnel-2, 1982 dated 18.10.1982 read
with Govt. Order No. 6/1972 Personnel-2, 1982 dated 15.01.1983, it is advised
that now the candidates may obtain the reservation, certificate from the
District Magistrate in terms of Govt. Order No. 4/3/82-Ka-2-97 dated 26.12.1997
in the prescribed format and submit the same.
6.
In the event of involvement of a
candidate in the concealment of any important information, pendency of any
case/criminal case, conviction, more than a husband or wife being alive,
submission of facts in a distorted manner, canvassing for selection etc. The
Commission reserves the right to reject the candidature and debar from
appearing in the examinations and selections.
7.
In case the candidates face any
problem in the "On-line Application" they may get their problem
resolved by contacting over phone or Website clicking 'Contact us'.
8. The name of Districts for Preliminary
Examination are available in the advertisement. In the same way the plan of
Examination on Appendix-8, the syllabus for Preliminary Examination and the
Main Examination is on Appendix-9.
Note:
Detailed instructions to fill in the On-line Applications", have been
given from Appendix- 1 to 7B.
Detailed
Application Form:
At the top of the page, there is a Declaration
for the candidates they are advised to go through the content of the
Declaration carefully. Candidate has the option to either agree or disagree
with the content of Declaration by clicking on 'I Agree' or 'I do not agree'
buttons. In case the candidate opts to disagree, the application will be
dropped, and the procedure will be terminated. Accepting to agree only will
submit the candidate's Online Application.
Notification
Details
This section shows information
relevant to Notification
Personel
Details
This section shows information about
candidate personel details i.e. Registration Number, candidate name,
Father/Husband name, Gender, DOB, UP domicile, Category, Marital status, email
and contact number.
Other
Details of candidate
Other details of candidate show the
information about UP Freedom Fighter, Ex Army, service duration and physical
deformity.
Education
& Experience Details
It shows educational and experience
details of the candidate.
Candidate
address, photo & signature details
It shows communication address and
photo with signature of the candidate
Declaration
segment
At the bottom of the page there is a
'Declaration' for the candidates. Candidates are advised to go through the
content of the Declaration carefully.
After filling all above particulars
there is provision for preview candidates detail before final submission of
application form on clicking on “Preview” button.
Preview page will display all
facts/particulars that the candidates have mentioned on entry time if they are
sure with filled details then click on “Submit” button to finally push data
into server with successfully submission report that they can print.
Otherwise using “Back” button the
details can be modified..
[CANDIDATES
ARE ADVISED TO TAKE A PRINT OF THIS PAGE BY CLICKING ON THE “Print” OPTION
AVAILABLE]
For
other information candidates are advised to select desired option in 'Home
Page' of Commission's website http:\\uppsc.up.nic.in in CANDIDATE SEGMENT
CANDIDATE
SEGMENT
All
Notification / Advertisements
Candidate
Registration (First Stage)
Generate
E-Challan/I-Collect (Second Stage)
Submit
Application Form (Third Stage)
View
Application Status
List
of Applications Having photo related Objections
Download
Forms for Eligibility Checking
Download
Interview Letter
Duplicate
Regi. Slip & Application form
Download
Syllabus
LAST
DATE FOR RECEIPT OF APPLICATIONS: On-line Application process must be completed
(including filling up of Part-I, Part-II and Part-III of the Form) before last
date of form submission according to Advertisement, after which the web-link
will be disabled.
Appendix-7A
The Procedure relating to upload
Photo & Signature.
Guide
Lines for Scanning Photograph with Signature
1. Paste the Photo on any white paper as
per the above required dimensions. Sign in the Signature Space provided. Ensure
that the signature is within the box.
2. Scan the above required size containing
photograph and signature. Please do not scan the complete page.
3. The entire image (of size 3.5 cm by 6.0
cm) consisting of the photo along with the signature is required to be scanned,
and stored in *.jpg, .jpeg, .gif, .png formate on local machine.
4. Ensure that the size of the scanned
image is not more than 50 KB.
5. If the size of the file is more than
50KB, then adjust the settings of the scanner such as the DPI resolution, no.
colours etc., during the process of scanning.
6. The applicant has to sign in full in
the box provided. Since the signature is proof of identity, it must be genuine,
and in full; initials are not sufficient. Signature in CAPITAL LETTERS is not
permitted.
7. The signature must be signed only by
the applicant and not by any other person.
8. The signature will be used to put on
the Hall Ticket and wherever necessary. If the Applicant's signature on answer
script, at the time of the examination, does not match the signature on the
Hall Ticket, the applicant will be disqualified.
Sample
Image & Signature:-
परिशिष्ट-10
उ0प्र0,
की अनुसूचित
जाति तथा
अनुसूचित, जन
जाति के
लिए जाति
प्रमाण-पत्र
प्रमाणित किया
जाता है
कि श्री/श्रीमती/कुमारी
...........................................................................................................................................
सुपुत्र/सुपुत्री
श्री
................................................................................
निवासी ग्राम
..................................................................................
तहसील
........................................................... नगर
.......................................................................... जिला
........................................................उत्तर
प्रदेश राज्य
की
...................................................................... जाति
के व्यक्ति
है जिसे
संविधान (अनुसूचित
जाति) आदेश,
1950 (जैसा कि
समय-समय)
पर संशोधित
हुआ)/संविधान
(अनुसूचित जनजाति,
उत्तर प्रदेश)
आदेश, 1967 के
अनुसार अनुसूचित
जाति/अनुसूचित
जनजाति के
रूप में
मान्यता दी
गई है।
श्री/श्रीमती/कुमारी
.....................................................................................................
तथा अथवा
उनका परिवार
उत्तर प्रदेश
के
.................................................................... ग्राम
...................................................................... तहसील
......................................................... नगर
........................................................................ जिला
.............................................................. में
सामान्यता रहता
है।
स्थान
................................................... हस्ताक्षर
..........................................
दिनांक
................................................. पूरा
नाम
..........................................
मुहर
...................................................... पद
का नाम
....................................
जिलाधिकारी/अतिरिक्त
जिलाधिकारी/िसटी
मजिस्ट्रेट/परगना
मजिस्ट्रेट/तहसीलदार/
अन्य वेतन
भोगी मजिस्ट्रेट
यदि कोई
हो/जिला
समाज कल्याण
अधिकारी
उत्तर प्रदेश
के अन्य
पिछड़ा वर्ग
के लिए
जाति प्रमाण-पत्र
प्रमाणित किया
जाता है
कि श्री/श्रीमती/कुमारी
....................................................................................................................
सुपुत्र/सुपुत्री
श्री
............................................................ निवासी
ग्राम ...........................................................................
तहसील
......................................................... नगर
....................................... जिला
.................................................... उत्तर
प्रदेश राज्य
की
............................................ पिछड़ी
जाति के व्यक्ति
हैं। यह
जाति उत्तर
प्रदेश लोक
सेवा (अनुसूचित
जातियों, अनुसूचित
जन जातियों
तथा अन्य
पिछड़े वर्गों
के लिये
आरक्षण) अधिनियम,
1994 (यथासंशोधित) की
अनुसूची एक
के अन्तर्गत
मान्यता प्राप्त
है।यह भी
प्रमाणित किया
जाता है
कि श्री/श्रीमती/कुमारी
........................................................ पूर्वोक्त
अधिनियम, 1994 (यथासंशोधित)
की अनुसूची-दो
(जैसा कि
उत्तर प्रदेश
लोक सेवा)
(अनुसूचित जातियों,
अनुसूचित जन
जातियों और
अन्य पिछड़े
वर्गों के
लिये आरक्षण)
(संशोधन) अधिनियम,
2001 द्वारा प्रतिस्थापित
किया गया
है एवं
जो उत्तर
प्रदेश लोक
सेवा (अनुसूचित
जातियों, अनुसूचित
जन जातियों
और अन्य
पिछड़े वर्गों
के लिये
आरक्षण) (संशोधन)
अधिनियम, 2002 द्वारा
संशोधित की
गयी है,
से आच्छादित
नहीं है।
इनके माता-पिता
की निरंतर
तीन वर्ष
की अवधि
के लिये
सकल वार्षिक
आय पाँच
लाख रूपये
या इससे
अधिक नहीं
है तथा
इनके पास
धनकर अधिनियम,
1957 में यथा
विहित छूट
सीमा से
अधिक सम्पत्ति
भी नहीं
है।
श्री/श्रीमती/कुमारी
............................................................................. तथा/अथवा
उनका परिवार
उत्तर प्रदेश
के ग्राम
................................................... तहसील
............................................. नगर
..................................... जिला
.................................... में
सामान्यतया रहता
है।
स्थान
............................................. हस्ताक्षर
.................................................
दिनांक
........................................... पूरा
नाम
.................................................
मुहर ............................................... पद
का नाम
..........................................
जिलाधिकारी/अतिरिक्त
जिलाधिकारी/िसटी
मजिस्ट्रेट/परगना
मजिस्ट्रेट/तहसीलदार
उ0प्र0
के विकलांगों
के लिये
प्रमाण-पत्र
CERTIFICATE FOR PHYSICALLY HANDICAP OF
U.P.
NAME
& ADDRESS OF THE INSTITUTE/HOSPITAL
Certificate
No.......................................
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 of 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-Musculer weakness and limited physical endurance.
B. Blindness or Low Vision:
(i) B-Blind
(ii) PB-Partialy
Blind
C. Hearing Impairment:
(i) D-Deaf
(ii) PD-Partialy
Deaf
(Delete the category whichever is
not applicable)
2. This condition is
progressive/non-progressive/likely to improve /not likely to improve.
Re-assessn of this case is not recommended/is recommended after a period of
..................................................... year
..................................... months.
3. Percentage of disability in his/her
case is ......................................... percent.
4. Sh./Smt./Kum.
................................................................ meets the
following physical requirements discharge of his/her duties:
(i) F-can
perform work by manipulating with figers. 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 couching. 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 Member Chairperson
Medical Board Medical
Board Medical Board
Countersigned
by the
Medical
Superintendent/
CMO/HQ
Hospital
(with seal)
Strike
out which is not applicable.
उ0प्र0
के स्वतंत्रता
संग्राम सेनानियों
के आश्रितों
के लिए
प्रमाण-पत्र
प्रमाणित किया
जाता है
कि श्री/श्रीमती/कुमारी
........................................................................ निवासी
...................................................................................
ग्राम
................................................. तहसील
.................................................. नगर
...................................................... जिला
....................................................................... उत्तर
प्रदेश लोक
सेवा (शारीरिक
रूप से
विकलांग, स्वतंत्रता
संग्राम सेनानियों
के आश्रित
और भूतपूर्व
सैनिक के
लिए आरक्षण)
अधिनियम 1993 के
अनुसार स्वतंत्रता
संग्राम सेनानी
हैं और
श्री/श्रीमती/कुमारी
(आश्रित)
................................................................. पुत्र/पुत्री/पौत्र/पौत्री
उपरांकित अधिनियम
1993 के ही
प्रावधानों के
अनुसार उक्त
श्री/श्रीमती
(स्वतंत्रता संग्राम
सेनानी)
.................................................................... के
आश्रित हैं।
हस्ताक्षर
....................................पूरा नाम
.............................................
स्थान
.........................................मुहर
..................................................
दिनांक
.......................................जिलाधिकारी
....................................
सील
..................................................
कुशल
खिलाडि़यों के
लिये प्रमाण-पत्र
जो उ0प्र0
के मूल
निवासी हैं
शासनादेश
संख्या-22/21/1983-कार्मिक-2
दिनांक 28 नवम्बर,
1985
प्रमाण-पत्र
के फार्म
- 1 से 4 प्रारूप
- 1
(मान्यता
प्राप्त क्रीड़ा/खेल
में अपने
देश की
ओर से
अन्तर्राष्ट्रीय प्रतियोगिता
में भाग
लेने वाले
खिलाड़ी के
लिये)
सम्बन्धित
खेल की
राष्ट्रीय फेडरेशन/राष्ट्रीय
एसोिसएशन का
नाम
..................................................................................
राज्य सरकार
की सेवाओं/पदों
पर नियुक्ति
के लिए
कुशल खिलाडि़यों
के लिए
प्रमाण-पत्र
प्रमाणित
किया जाता
है कि
श्री/श्रीमती/कुमारी
.......................................... आत्मज/पत्नी/आत्मजा
श्री
........................................... निवासी
....................................... पूरा
पता
................................................ ने
दिनांक
............................................... से
दिनांक ......................... तक
............................................ (स्थान
का नाम)
में आयोजित
..................................................................... (क्रीड़ा/खेल-कूद
का नाम)
की प्रतियोगिता/टूर्नामेन्ट
में देश
की ओर
से भाग
लिया।
उनके
टीम के
द्वारा उक्त
प्रतियोगिता/टूर्नामेन्ट
में
................................................ स्थान
प्राप्त किया
गया।
यह
प्रमाण-पत्र
राष्ट्रीय फेडरेशन/राष्ट्रीय
ऐसोिसएशन/(यहाँ
संस्था का
नाम दिया
जाये)
.................................................................. में
उपलब्ध रिकार्ड
के आधार
पर दिया
गया है।
स्थान
...........................................हस्ताक्षर
..........................................
दिनांक
........................................नाम
.................................................
पद
..................................................
संस्था
का नाम
..............................
मुहर
................................................
नोट:
यह प्रमाण-पत्र
नेशनल फेडरेशन/नेशनल
ऐसोिसएशन के
सचिव द्वारा
व्यक्तिगत रूप
से किये
गये हस्ताक्षर
होने पर
ही मान्य
होगा।
प्रारूप-2
(मान्यता
प्राप्त क्रीड़ा/खेल
में अपने
प्रदेश की
ओर से
राष्ट्रीय प्रतियोगिता
में भाग
लेने वाले
खिलाड़ी के
लिये)
सम्बन्धित
खेल की
प्रदेशीय एसोिसएशन
का नाम)
............................................................... राज्य
सरकार की
सेवाओं/पदों
पर नियुक्ति
के लिए
कुशल खिलाडि़यों
के लिये
प्रमाण-पत्र
प्रमाणित
किया जाता
है कि
श्री/श्रीमती/कुमारी
.......................................आत्मज/पत्नी/आत्मजा
श्री
.................................... निवासी
(पूरा पता)
........................................ ने दिनांक
.................................... से
दिनांक .......................................
तक में
(क्रीड़ा/खेल-कूद
का नाम)
की प्रतियोगिता
(टूर्नामेन्ट स्थान
का नाम
........................................... आयोजित
राष्ट्रीय
.................................. में उनके
टीम के
द्वारा उक्त
प्रतियोगिता/टूर्नामेन्ट
में ..........................................................
स्थान प्राप्त
किया गया।
यह
प्रमाण-पत्र
................................ (प्रदेशीय
संघ का
नाम) में
उपलब्ध रिकार्ड
के आधार
पर दिया
गया है।
स्थान
............................................... हस्ताक्षर
............................................
दिनांक
............................................ नाम
...................................................
पद
.....................................................
संस्था
का नाम
.................................
पता
....................................................
मुहर
...................................................
नोट:
यह प्रमाण-पत्र
प्रदेशीय खेल-कूद
संघ के
सचिव द्वारा
व्यक्तिगत रूप
से किये
गये हस्ताक्षर
होने पर
ही मान्य
होगा।
प्रारूप-3
(मान्यता
प्राप्त क्रीड़ा/खेल
में अपने
विश्वविद्यालय की
ओर से
अन्र्तविश्वविद्याल
प्रतियोगिता में
भाग लेने
वाले खिलाड़ी
के लिये)
विश्वविद्यालय का
नाम
................................................................... राज्य
स्तर की
सेवाओं/पदों
पर नियुक्त
के लिये
कुशल खिलाडि़यों
के लिए
प्रमाण-पत्र
प्रमाणित किया
जाता है
कि श्री/श्रीमती/कुमारी
.............................................................. आत्मज/पत्नी/आत्मजा
श्री
...................................................... निवास
(पूरा नाम)
.............................................. विश्वविद्यालय
की कक्षा
............................ के विद्यार्थी
ने दिनांक
....................................... से
दिनांक
....................................... तक
..............................(स्थान का
नाम) में
आयोजित अन्तविश्वविद्यालय
............................................... (क्रीडा/खेल-कूद
का नाम)
प्रतियोगिता/टूर्नामेन्ट
में
................................................ विश्वविद्यालय
की ओर
से भाग
लिया। उनके
टीम के
द्वारा उक्त
प्रतियोगिता/टूर्नामेन्ट
में ........................................
स्थान प्राप्त
किया गया।
यह प्रमाण-प्रत्र
डीन ऑफ
स्पोर्टस् अथवा
इंचार्ज खेल
कूद
................................... विश्वविद्यालय
में उपलब्ध
रिकार्ड के
आधार पर
दिया गया
है।
स्थान
....................................... हस्ताक्षर
............................................
दिनांक ........................ नाम
...................................................
पद
.....................................................
संस्था
का नाम
.................................
मुहर
......................................
नोट:
यह प्रमाण-पत्र
विश्वविद्यालय के
डीन ऑफ
स्पोर्ट्स या
इंचार्ज खेल-कूद
द्वारा व्यक्तिगत
रूप से
किये गये
हस्ताक्षर होने
पर ही
मान्य होगा।
प्रारूप-4
(मान्यता
प्राप्त क्रीड़ा/खेल
में अपने
स्कूल की
ओर से
राष्ट्रीय खेल-खूद
में भाग
लेने वाले
खिलाड़ी के
लिये)
डाइरेक्ट्रेट
आफ पब्लिक
इन्सट्रशन्स/निदेशक,
शिक्षा, उत्तर
प्रदेश
............................................................ राज्य
स्तर की
सेवाओं/पदों
पर नियुक्ति
के लिये
कुशल खिलाडि़यों
के लिये
प्रमाण-पत्र
प्रमाणित
किया जाता
है कि
श्री/श्रीमती/कुमारी
.................................................. आत्मज/पत्नी/आत्मजा
श्री
................................... निवासी
(पूरा पता)
.................................................... में
................................................. स्कूल
में कक्षा
........................................... के
विद्यार्थी ने
दिनांक
.......................................................... से
दिनांक
........................................ तक
................................................... (स्थान
का नाम)
में आयोजित
स्कूलों के
नेशनल ग्रेम्स
की
.............................................................. (क्रीड़ा/खेल-कूद
का नाम)
की प्रतियोगिता/टूर्नामेन्ट
में
............................................ स्कूल
की ओर
से भाग
लिया। उनके
टीम के
द्वारा उक्त
प्रतियोगिता/टूर्नामेन्ट
में
......................................... स्थान
प्राप्त किया
गया।
यह
प्रमाण-पत्र
डायरेक्ट्रेट ऑफ
पब्लिक इन्सट्रक्शन्स/शिक्षा
में उपलब्ध
रिकार्ड के
आधार पर
दिया गया
है।
स्थान ................................................ हस्ताक्षर
..............................................
दिनांक
.............................................. नाम
.....................................................
पद
......................................................
संस्था
का नाम
....................................
पता
......................................................
मुहर
.....................................................
नोट:
यह प्रमाण-पत्र
निदेशक/या
अतिरिक्त/संयुक्त
या उपनिदेशक
डाइरेक्ट्रेट ऑफ
पब्लिक इन्स्ट्रक्शन्स/शिक्षा
....................................................... द्वारा
व्यक्तिगत रूप
से हस्ताक्षर
होने पर
मान्य होगा।
Secretary
