STATE LEVEL POLICE RECRUITMENT BOARD ANDHRA PRADESH, HYDERABAD, Additional Public Prosecutors Vacancies

Addl. PP & APP Rect. 2013 – 169/R&T/Rect.1/2013 dt 08-03-2013
STATE LEVEL POLICE RECRUITMENT BOARD
ANDHRA PRADESH, HYDERABAD
Rc. No. 169/R&T/Rect.1/2013 Dated: 08-03-2013
1. Applications are invited from the eligible candidates for recruitment to the following
posts. The number of vacancies indicated is only provisional and is liable to alteration.
Sl.
No.
Post
Code No.
Name of the post
No. of
vacancies
01 41 Additional Public Prosecutors Grade II in Andhra Pradesh
State Prosecution Service
13
02 42 Assistant Public Prosecutors in Andhra Pradesh State
Prosecution Service
64
A) For post code no. 41: Distribution of vacancies in General recruitment category wise is
given below:-
OC BC-A BC-B BC-C BC-D BC-E SC ST OH
G W G W G W G W G W G W G W G W G W
4 2 2 1 1 1 1 1
B) For post code no. 42: Distribution of vacancies in General and Limited recruitment zone
wise and category wise is given below:-
Distribution of vacancies in the different zones:
Sl. No. Name of the Zone Limited recruitment General recruitment
01 Zone – I 0 7
02 Zone – II 1 9
03 Zone – III 1 9
04 Zone – IV 1 9
05 Zone – V 2 6
06 Zone – VI 1 18
Total 6 58
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General Recruitment: Category wise break up
OC BC-A BC-B BC-C Zone BC-D BC-E SC ST OH
G W G W G W G W G W G W G W G W G W
Zone I 2 1 1 1 1 1
Zone II 3 1 1 1 1 1 1
Zone III 2 1 1 1 1 1 1 1
Zone IV 2 1 1 2 1 1 1
Zone V 2 1 1 1 1
Zone VI 5 3 2 2 1 2 1 2
Limited Recruitment: Category wise break up
Zone OC BC-A BC-B BC-C BC-D SC ST OH
G W G W G W G W G W G W G W G W
Zone II 1
Zone III 1
Zone IV 1
Zone V 1 1
Zone VI 1
OH - Orthopaedically handicapped G – General W – Women
All the vacancies under limited recruitment for the post code no. 42 will be filled with
the local candidates of the respective zone only.
2. This recruitment is being made as per the provisions of the Andhra Pradesh State
Prosecution Service Rules, 1992 issued by the Government of Andhra Pradesh in G.O. Ms.
No 188 Home (Courts.C) Department dated 30-03-1992 and the amendments thereon.
3. The quota earmarked for physically handicapped persons in the said rules, shall,
however, be filled in only by orthopaedically handicapped persons whose speech, hearing and
sight are not impaired.
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4. The recruitment is being made to the posts of Assistant Public Prosecutors in Andhra
Pradesh State Prosecution Service on zonal basis and it is subject to out come of S.L.P. Nos.
28458-60 of 2008 and other SLPs/WPs/OAs pending, if any.
5. Relaxation in upper age limit (as given in para 8 (A) (b) (i)) and / or reservation
to ‘BC-E group’ or ‘any category in BC-E group’ will be subject to the adjudication of
the litigation pending before the Honourable Courts.
6. Government have issued in G.O.Ms.No. 3, Backward Classes Welfare (C2)
Department dated 04-04-2006, laying down the criteria to determine Creamy Layer
among Backward Classes in order to exclude from the provisions of reservations.
Government of Andhra Pradesh has adopted all the criteria to determine the Creamy
Layer among Backward Classes as fixed by the Government of India. The Government
of Andhra Pradesh have fixed the annual income limit at Rs. 4,00,000/-.
a) The candidates belonging to Backward Classes should submit the Community
certificate in the format given in Annexure - III to avail relaxation in age. The
certificate must have been issued by the competent revenue authority in terms of G.O.
Ms. No. 58 SW (J) Dept., dated 12-05-1997.
b) Only those candidates belonging to Backward Classes who do not belong to ‘Creamy
layer’ as defined in G.O.Ms.No. 3, Backward Classes Welfare (C2) Department dated
04-04-2006 will be eligible to avail reservation. They should submit the certificate in
the format given in Annexure - IV regarding their exclusion from the Creamy Layer
from the competent authority (Tahasildar) along with the Community certificate in the
format given in Annexure - III.
c) Candidates belonging to Backward Classes who belong to ‘Creamy layer’ are eligible
to avail relaxation in age but not the quota for reservation. They should submit the
Community certificate in the format given in Annexure - III.
7. The requisite educational qualification, experience, age and procedure to be followed
for selection are given below. The candidates must read the instructions given in this
notification as well as “instructions for filling the application form” (issued along with the
application form) carefully in their own interest.
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8. Eligibility Conditions:
A. Age Limit:
a)
i) For post code no. 41: A candidate must not have attained the age of 35
years as on 1st July, 2013 i.e., he/ she must have been born not earlier than
2nd July, 1978.
ii) For post code no. 42: A candidate must not have attained the age of 33
years as on 1st July, 2013 i.e., he/ she must have been born not earlier than
2nd July, 1980.
b) The upper age limit prescribed in para (a) above will be relaxable as under;
i) upto a maximum of five years if a candidate belongs to a Backward Class
or a Scheduled Caste or a Scheduled Tribe
ii) upto a maximum of ten years if a candidate is Orthopaedically
Handicapped Person
iii) length of regular service limited upto a maximum of five years if a
candidate is an employee of A.P. State Government (Employees of
APSEB, APSRTC, Corporations, Municipalities, Local bodies etc. are not
entitled for age relaxation)
iv) three years in addition to the length of service rendered in the Army, Naval
or Air Force of the Union for the candidates who served in the Armed
Forces
v) three years in addition to the length of service rendered as a whole time
Cadet Corps Instructor in NCC provided the candidate rendered a
minimum service of 6 months as a whole time Cadet Corps Instructor in
NCC.
vi) upto a maximum of three years if a candidate is a retrenched temporary
employee in the State Census Department with a minimum service of 6
months during 1991
Save as provided above, the age limits prescribed can in no case be relaxed.
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NOTE: The date of birth accepted by the SLPRB is that entered in the Secondary School
Certificate or Matriculation or an equivalent examination certificate. No other document
relating to age like horoscopes, affidavits, birth extracts from Municipal Corporation, service
records and the like will be accepted.
B. Minimum Educational Qualification: The candidate must possess, as on the date of
notification i.e., 08-03-2013, a Bachelor degree in any subject along with a Bachelor’s
Degree in Law awarded by any University in India, established or incorporated by or under a
Central Act, Provincial Act or a State Act or of any Institution recognised by the University
Grants Commission or any other equivalent qualification. The candidates who have passed
five year course in law after Intermediate are also eligible
C. Experience:
i) For post code no. 41: The candidate must have practiced as an advocate for
not less than seven (7) years as on date of notification i.e., 08-03-2013.
ii) For post code no. 42: The candidate must have practiced as an advocate for
not less than three (3) years active practice in Criminal Courts in the State
as on date of notification i.e., 08-03-2013.
Note: As per sub section 9 of Section 24 of the Code of Criminal Procedure, 1973, the
period during which a person has been in practice as a Pleader or has rendered (whether
before or after the commencement of this Code) service as a Public Prosecutor or as an
Additional Pubic Prosecutor or Asst. Public Prosecutor or other Prosecuting Officer, by
whatever name called, shall be deemed to be the period during which such person has been in
practice as an advocate.
D. Medical Standards:
i) The candidate should possess sound health and be free from any bodily defect
or infirmity which will render him unfit for service
ii) Candidates whose speech or hearing or sight are impaired are not eligible for
service
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9. Application forms: Candidates must apply in the Application Form devised by the
Board for the examination, which can be download from website www.apstatepolice.org in
the recruitment folder. They are requested to go through the notification thoroughly and it is
available on the website. The application form and notification are not issued from the
respective range offices.
10. LAST DATE FOR RECEIPT OF APPLICATIONS: Eligible candidates should
submit duly filled in application form along with the copies of the necessary certificates and
prescribed fee of Rs. 100/- (Rupees hundred only) through crossed Demand Draft drawn on
any nationalised bank by Registered Post at any of the places mentioned below on or
before 27-04-2013 by 1700 hours. The Demand Draft should be drawn in favour of the
officer as given below where the candidate submits the application. Application shall not
be received in person.
Sl. No. Place / Demand Draft in favour of
01 Deputy Inspector General of Police, Visakhapatnam Range, Visakhapatnam
02 Deputy Inspector General of Police, Eluru Range, Eluru
03 Inspector General of Police, Guntur Range, Guntur
04 Deputy Inspector General of Police, Kurnool Range, Kurnool
05 Deputy Inspector General of Police, Karimnagar Range, Karimnagar
06 Deputy Inspector General of Police, Hyderabad Range, Hyderabad
Note: Applications submitted other than the above offices including the Board is not
valid and no further action will be taken on such applications.
11. Those who intend to apply need to submit only one application. Submission of more
than one application for this recruitment will lead to cancellation of both the applications at
any stage.
12. APPLICATIONS RECEIVED AFTER 1700 HRS ON 27-04-2013 WILL NOT
BE ACCEPTED. ONLY THE APPLICATIONS RECEIVED IN TIME WILL BE
CONSIDERED AND THE BOARD WILL NOT BE RESPONSIBLE FOR POSTAL
LOSS OR TRANSIT DELAY.
13. Incomplete applications or applications without prescribed enclosures also will
not be entertained.
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14. CANDIDATES TO ENSURE THEIR ELIGIBILITY FOR THE EXAMINATION: The
candidates applying for the examination should ensure that they fulfill all eligibility
conditions for admission to the examination. Their admission at all the stages of the
examination will be purely provisional and subject to satisfying the prescribed eligibility
conditions
Mere issue of identity card to the candidate will not imply that his/her
candidature has been finally cleared by the Board.
The board will take up verification of eligibility conditions with reference to
original documents only after the candidate has finally qualified.
15. Selection Procedure/Scheme: The Selection Procedure/Scheme of the Exam will be
as follows:
A) Written Examination: Candidates will be required to appear for a written examination in
two papers (each of three hours duration). Both papers will be set in English language only.
The syllabus is given in Annexure I. The date of written examination is proposed to be on
09-06-2013 from 0900 hours to 1200 hours for Paper I and from 1400 hours to 1700
hours for Paper II.
Paper Subject Max. Marks for
Paper I
Indian Constitution; the Code of Criminal Procedure 1973 and
Criminal Rules of practice and circular orders, 1990; Indian
Evidence Act, 1972; The Indian Penal Code; Minor Acts
200
Paper II Indian Constitution; the Code of Criminal Procedure 1973 and
Criminal Rules of practice and circular orders, 1990; Indian
Evidence Act, 1972; The Indian Penal Code; Minor Acts
200
Note: i) Paper I will be objective in nature containing 200 questions.
Candidates have to answer the questions on an OMR answer sheet using Blue / Black
Ball Point pen only. For this purpose candidates should bring Blue / Black Ball Point
pens along with them.
ii) Paper II will be descriptive in nature. The candidates have to answer
the questions using blue / black pen in the question cum answer booklet which will be
supplied by SLPRB.
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iii) The minimum marks to be secured by candidates in order to qualify in
the written examination is 40% for OCs; 35% for BCs; and 30% for SCs and STs. in each
paper.
B) Interview:
i) For post code no. 41: The candidates shall be called for interview in the ratio
of 1:2 with reference to the number of vacancies based on their marks in
written examination out of 400 (200 in paper I and 200 in paper II) duly
following the special representation as laid down in Rule 22 and sub rule 2 of
Rule 22-A of Andhra Pradesh State and Subordinate Service Rules. As per the
provisions of “The Andhra Pradesh Public Employment (Organisation of
Local cadres and regulation of direct recruitment) Order, 1975”, the rule of
reservation to local candidates is not applicable. Interview will carry a
maximum of 25 marks.
ii) For post code no. 42: The candidates shall be called for interview in the ratio
of 1:2 with reference to the number of vacancies based on their marks out of
400 (200 in paper I and 200 in paper II) duly following the special
representation as laid down in Rule 22 and sub rule 2 of Rule 22-A of Andhra
Pradesh State and Subordinate Service Rules and as per para 4 above.
Interview will carry a maximum of 25 marks.
When two or more candidates in a particular category obtain equal marks, preference
will be given to the candidate who was born earlier.
Note: If he/she does not attend for interview, his /her case is not considered for final
selection.
C) Selection:
i) For post code no. 41: The final selection will be strictly on relative merit of the
candidates in each category, obtained by them based on their total score in the
written examination in papers I and II (400 marks) and interview (25 marks) duly
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following the special representation as laid down in Rule 22 and sub rule 2 of Rule
22-A of Andhra Pradesh State and Subordinate Service Rules. As per the
provisions of “The Andhra Pradesh Public Employment (Organisation of Local
cadres and regulation of direct recruitment) Order, 1975”, the rule of reservation
to local candidates is not applicable.
ii) For post code no. 42: The final selection will be strictly on relative merit of the
candidates in each category, obtained by them based on their total score in the
written examination in papers I and II (400 marks) and interview (25 marks) duly
following the special representation as laid down in Rule 22 and sub rule 2 of
Rule 22-A of Andhra Pradesh State and Subordinate Service Rules and as per para
4 above. As per G.O. Ms. No. 124 General Administration (SPF.A) Dept., dated
07-03-2002 while filling up the vacancies, the first 30% of posts should be filled
following combined merit list of locals and non-locals and thereafter, the
remaining 70% of the posts shall be filled up by locals only.
When two or more candidates in a particular category obtain equal marks, preference
will be given to the candidate who was born earlier.
16. Reservation to local candidates: Reservation to local candidates is applicable as
provided in the Rules and as amended from time to time as in force on the date of notification.
The candidates claiming reservation as local candidates should enclose the required Study
certificates (from IV class to X class or SSC). Residence Certificate in the proforma only
should be enclosed for those candidates who have not studied in any Educational Institutions.
Definition of local candidate:
(i) “Local Candidate” means a candidate for direct recruitment to any post in relation to that
Local area where he/she has studied in Educational Institution(s) for not less than four
consecutive academic years prior to and including the year in which he/she appeared for SSC
or its equivalent examination. If however, he/she has not studied in any educational
institution during the above four years period, it is enough if he/she has resided in that area
which is claimed as his/her local area during the above said period.
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(ii) In case the candidate does not fall within the scope of the above it will be considered if
he/she has studied for a period of not less than seven years prior to and inclusive of the year
in which he/she has studied for the maximum period out of the said period of seven years and
where the period of his/her study in two or more local areas are equal such local area where
he/she has studied last (in such local area) will be taken for determining the local candidature.
Similarly, if he/she has not studied during the above said period in any Educational
Institution(s) the place of residence during the above period will be taken into consideration
and local candidature determined with the reference to the maximum period of residence or in
the case of equal period where he/she has resided last.
(iii) If the claim for local candidature is based on study, the candidate is required to produce a
certificate from the Educational Institution (s) where he /she has studied during the said 4/7
year period Annexure-II (A). If, however, it is based on residence, a certificate should be
submitted as prescribed in Annexure-II (B) obtained from an officer of the Revenue
Department not below the rank of a Mandal Revenue Officer in independent charge of a
Mandal.
(iv) If, however, a candidate has resided in more than one Mandal during the relevant
four/seven years period but within the same Zone separate certificates from the Mandal
Revenue Officers exercising jurisdiction has to be obtained in respect of different areas.
Note: a) Single certificate, whether of study or residence would suffice for enabling the
candidate to apply as a “Local Candidate”
b) Residence certificate will not be accepted, if a candidate has studied in any
educational institution upto SSC or equivalent examination. Such candidates have to produce
study certificates only invariably. The candidates, who acquired Degree from Open
Universities without studying SSC/Matriculation or equivalent in educational institutions,
have to submit residence certificate only.
c) The Zones comprise the districts mentioned against each as given below:
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Zones Districts
I Srikakulam, Vizianagaram, Visakhapatnam
II East Godavari, West Godavari, Krishna
III Guntur, Prakasam, Nellore
IV Chittoor, Anantapur, Kurnool, Kadapa
V Adilabad, Karimnagar, Warangal, Khammam
VI Mahaboobnagar, Nalgonda, Ranga Reddy, Hyderabad, Medak, Nizamabad
17. Board will take finger prints of both left and right thumb of the candidates and photo
at the time of attending written examination for each paper.
18. The selection of the candidates will be provisional and subject to verification of the
original certificates, antecedents and medical examination.
19. Antecedents verification: No person shall be eligible for appointment to any service
by direct recruitment unless he satisfies the selection authority as well as the appointing
authority that his character and antecedents are such as to qualify him for such service.
20. Suppression of material facts or withholding any factual information either in the
application or in the attestation form (which would be supplied to the candidates who
provisionally qualify for interview) will disqualify the candidate from being considered for
appointment. In the event of any information being found false or incorrect or ineligibility
being detected at any time even after appointment, he/she will be discharged from service
forthwith by the appointing authority without giving any notice.
21. Scale of pay: (a) For Post Code No. 41: Rs. 23,650 – 49,360/-
(b) For Post Code No. 42: Rs. 18,030 – 43,630/-
22. The employees who are appointed on or after 01-09-2004 are covered by the
Contributory Pension Scheme. The existing Pension Scheme as per A.P. Revised Pension
Rules, 1980 will not be applicable to them.
23. Check List
a) The candidates are requested to check their eligibility carefully and fill in all the
relevant columns in the application form
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b) Copies of the following documents must be enclosed in support of the information given
in the form where necessary. Failure to enclose the same will lead to rejection of the
application form.
i) Secondary School / Matriculation certificate or equivalent certificate in support of the
date of birth
ii) Educational qualification
iii) Certificate issued by the Bar Council of the State of Andhra Pradesh / any State or Bar
Council of India regarding enrollment as Advocate
iv)
1) For post code no. 41: Certificate(s) of practice not less than seven (7) years as
on date of notification in Courts issued by the Bar Association(s) / presiding
Officer of the concerned Court(s) where he practiced
2) For post code no. 42: Certificate(s) of active practice not less than three (3)
years as on date of notification in Criminal Courts in the State of Andhra
Pradesh issued by the local Bar Association(s) / presiding Officer of the
concerned Court(s) where he practiced
v) Study certificate issued by the School authorities or Residence certificate issued by
M.R.O. (Annexure - II (A) or Annexure - II (B))
vi) Community/Caste certificate for BCs: The candidates who wish to claim concession
in age and also reservation specified for the Backward Classes should submit the
Community certificate in the format given in Annexure - III and also Annexure - IV
and the certificate(s) must have been issued by the competent revenue authority.
vii) Community/Caste certificate for SCs/STs: Community/Caste certificate in the format
given in Annexure - III, if the candidate claims reservation and / or age concession as
SC or ST and the certificate must have been issued by the competent revenue
authority.
viii) Certificate from the Superintendent, Government General Hospital /
Superintendent of District Head Quarters Hospital in respect of orthopaedically
handicapped persons if the candidate claims reservation and / or age concession
(Annexure - V)
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ix) Certificate from the competent authority in respect of State Government employees /
those who worked in the Army, Naval or Air Force of the Union / NCC Instructors /
retrenched temporary employee in the State Census Department claiming age
concession.
x) Crossed Demand draft of Rs. 100/- (Rupees hundred only)
xi) One self addressed envelop of the size of 12 x 28 cms. with postage stamp worth Rs.25/-
24. The Board will not entertain any correspondence from any candidate
(M.MALAKONDAIAH I.P.S.)
CHAIRMAN,
STATE LEVEL POLICE RECRUITMENT BOARD,
ANDHRA PRADESH, HYDERABAD
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ANNEXURE - I
SYLLABUS FOR WRITTEN EXAMINATION OF PAPER I AND PAPER II
1) The Constitution of India
2) The Code of Criminal Procedure 1973
3) Criminal Rules of Practice and Circular Orders, 1990
4) The Indian Evidence Act, 1872
5) The Indian Penal Code, 1860
6) Minor Acts
a) Central Acts
i) The Arms Act, 1959
ii) The Explosives Act, 1884
iii) The Explosive Substances Act, 1908
iv) The Dowry Prohibition Act, 1961
v) The Child Marriage Restraint Act, 1929
vi) The Schedule Castes and Scheduled Tribes (POA) Act, 1989
vii) The Protection of Civil Rights Act, 1955
viii) The Criminal Law Amendment Act , 2006
ix) The Prevention of Corruption Act, 1988
x) The Indecent Representation of Women (Prohibition) Act, 1986
xi) The Protection of Women from Domestic Violence Act, 2005
xii) The Immoral Traffic (Prevention) Act, 1956
xiii) The Juvenile Justice (Care & Protection of Children) Act, 2000
xiv) The Child Labour (Prohibition & Regulation) Act, 1986
xv) The Negotiable Instruments Act, 1881
xvi) The Information Technology Act, 2000
xvii) The Right to Information Act, 2005
xviii) The Unlawful Activities Prevention Act, 1967
b) State Acts
i) The A.P. Excise Act, 1968 and Rules
ii) The A.P. Gaming Act, 1974
iii) The A.P. Gaming Rules, 1976
iv) The A.P. Chit Funds Act, 1971
v) The A.P. Forest Act, 1967
vi) The A.P. Towns Nuisances Act, 1889
vii) The A.P. Pawn Brokers Act, 2002
viii) The Andhra Pradesh (Andhra Area) District Police Act, 1859
ix) The Andhra Pradesh (Telangana Area) District Police Act, 1329-F
x) The Hyderabad City Police Act, 1348-F
xi) The A.P. Protection of Depositors of Financial Establishments Act,
1999
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ANNNEXURE – II (A)
SCHOOL STUDY CERTIFICATE
Name of the student:
Father’s Name:
Class Name and Place of School District Duration of study
giving month & year
IV
V
VI
VII
VIII
IX
X or SSC
Note: Should be obtained from the Educational Institution(s)
Name of the School(s):
Village / Town:
Mandal:
District:
Station: Signature of the Head of the
Date: Educational Institute(s) with seal
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ANNNEXURE – II (B)
CERTIFICATE OF RESIDENCE
(To be produced by such candidates who have not studied in any educational Institution
during the whole or part* of the relevant 4/7 years period but claim to be local candidates by
virtue of residence for which there is reservation for local candidates.)
It is hereby certified
(a) that Sri/Smt./Kum _________________________________________________________
son/daughter/wife of _________________________________________________________
appeared for the first time for the Matriculation (S.S.C.) Examination in _____________
(Month) ____________ (year).
(b) that he/she has not studied in any educational Institution during the whole or part* of the
4/7 consecutive academic years ending with the academic year in which he/she first appeared
for the aforesaid examination.
(c) that in the 4/7 years immediately preceding the commencement of the aforesaid
examination he/she resided in the following place/places namely;
Sl.No. Village Mandal District Period
01
02
03
04
05
Office Seal:
Station: Officer of Revenue Department not below the rank
Dated: of M.R.O. holding independent Charge of a Mandal
* Strike off whole/part as the case may be.
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ANNEXURE – III
FORM FOR COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE
Serial No.
S,C. District Code:
S.T. Mandal Code:
B.C. Village Code:
Certificate No:
COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE
(1) This is to certify that Sri/Smt./Kum ________________________________________
Son/Daughter of Sri ________________________________________________________ of
Village/Town ______________________________ Mandal ____________________ District
_______________________ of the State of Andhra Pradesh belongs to _________________
Community which is recognised as S.C./S.T./B.C. sub-group _______________________
The Constitution (Scheduled Castes) Order, 1950
The Constitution (Scheduled Tribes) Order, 1950
G.O. Ms. No. 1793, Education, dated 25-09-1970 as amended from time to time (BCs) /
S.Cs., S.Ts. list ( modification) Order, 1956 S.Cs. and S.Ts. (Amendment) Act, 1976.
(2) It is certified that Sri/Smt./Kum ________________________________________ is a native
of ____________________________ Village/Town ________________________ Mandal
____________________ District of Andhra Pradesh.
(3) It is certified that the place of birth of Sri/Smt./Kum ___________________________ is
____________________________ Village/Town ________________________ Mandal
____________________ District of Andhra Pradesh.
(4) It is certified that the date of birth of Sri/Smt./Kum ___________________________ is day
________________ month _________________ year ____________ (in words)
__________________________________________________ as per the declaration given by his/her
father / mother / guardian and as entered in the school records where he/she studied.
Signature:
Date :
Name in Capital Letters:
Designation:
(Seal)
Explanatory Note: - While mentioning the community, the competent authority must mention the subcaste
(in case of Scheduled Castes) and sub-tribe or sub-group ( in case of Schedules Tribes) as listed
out in the S.Cs. and S.Ts (Amendment) Act, 1976.
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ANNEXURE – IV
APPLICATION CUM CERTIFICATE TO DECIDE THE CREAMY LAYER
STATUS OF A PERSON BELONGING TO BC/OBC CATEGORY
1. Name of the Applicant:
2. Date of Birth:
3. Caste and Group:
(Certificate issued by the competent authority
should be enclosed)
4. Religion:
5. Address :
a) Present Address: ________________________________________________
________________________________________________
________________________________________________
________________________________________________
b) Permanent Address: _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
6. Occupation of the Applicant:
7. Name of the Father:
8. Date of Birth of Father:
9. PAN No. / TAN No. of the Father:
10. Name of the Mother:
11. Date of Birth of Mother:
12. PAN No. / TAN No. of the Mother :
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OCCUPATION / INCOME / WEALTH STATUS OF PARENTS AND FAMILY
Father Mother
A) Constitutional posts
i) Holding / held any Constitutional post
ii) If yes, Name of the post holding /
held
B) Government Employment
i) Holding / held any Government
Employment
ii) If yes, Employment under Central
Govt. / State Govt. / Public Sector
Undertaking
iii) Designation of initial appointment
iv) Status of initial appointment
(Group-I or II or III or IV)
v) Designation of present post held and
status of the post
vi) If the initial appointment is of Group
II Category and the individual was
promoted to Group-I category, date of
promotion and age at which promoted
to Group-I category
C) Military/Paramilitary forces
i) Designation of the post holding or
held
ii) Is the post holding or held Is
equivalent to Colonel or above
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D) Land holdings possessed by the family (Father, Mother and unmarried children)
i) Extent of double crop irrigated land
i) Extent of single crop irrigated land
ii) Extent of unirrigated / dry land
iii) Nature of Crops / Plantations raised
iv) If the entire land possessed by the
family is irrigated land, does the
extent of irrigated land exceed 85%
of the Ceiling limit as per Land
Ceiling Act:
v) If the land possessed by the family is
both irrigated and unirrigated land
and after conversion of unirrigated
land into irrigated land on the basis of
conversion formula, does the extent
of irrigated land so obtained exceed
80% of the Ceiling Limit as per Land
Ceiling Act.
vi) If the plantations like Rubber, Coffee,
Tea etc. are raised, the annual income
from them during last three years.
E) Income from other sources - Private employment, Professional Services, Business,
Commerce, Rents etc.
i) Sources of income to the Family with full details of source:
Private employment
Professional Services
Business
Commerce
Rents
Others
ii) The annual income during last three years year wise:
(enclose income tax returns)
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F) Wealth Tax for having vacant land and / or building (s) in urban areas and urban
agglomeration
i) Location of property and value
ii) Details of property
iii) Use to which it is put
iv) Whether Wealth Tax is being paid and Tax paid per annum
DECLARATION BY THE APPLICANT AND PARENTS OF THE APPLICANT
It is certified that the above mentioned particulars are true to the best of our
knowledge and belief.
Signature of Mother Signature of the Father Signature of the Applicant
CERTIFICATE BY THE ISSUING AUTHORITY
The particulars mentioned above have been verified and found that
a) The applicant does not come under creamy layer of BCs/OBCs under any of the
categories.
b) The applicant comes under creamy layer of BCs/OBCs under the category of
__________ (A/B/C/D/E/F) mentioned above
Signature of the Issuing Authority
Addl. PP & APP Rect. 2013
22
ANNEXURE – V
MEDICAL CERTIFICATE IN RESPECT OF ORTHOPAEDICALLY HANDICAPPED CANDIDATE
Issued under authority vide G.O.Ms.No. 109, Women’s Development,
Child Welfare and Labour Department, dated 15-06-1992
For all the purpose of assistance the Orthopedically Handicapped are those who have
physical defect or deformity which cause an interference with the normal functioning of bones,
muscles and joints.
Certified that the Medical Board have this …………………………………….Day of
………………20…………have examined the applicant whose particulars are given below and that
he/she falls within the above definition.
1. Name of the Candidate :
2. Father’s Name :
3. Sex :
4. Approximate Age :
5. Identification Marks :
6. (a) Name of Disability :
(Tick the relevant from following list)
Post-Polio Paralysis, Hemiplegia, Quadra-Rlegia Malunitied
fracture, Nerve paralysis, Upper extremity, Lower Extremity
Limp Painful shortening, Deformity Congenital Acquired
above knee, below knee, Hip Hemipeelvectomy, Symes
cheoparts, Writ Fingers, Below elbow, Above elbow,
Shoulders, Fore quarter, Unilateral Bilateral.
(b) Extent Disability:
Estimate in percentage (Me-Bride-scale) on Anatomical
functional, (Patient’s Assessment, Examiner’s Assessment)
Economical Basis mention a percentage
(Specific Percentage has to be mentioned)
(c) Use of appliance:
(Tick relevant from following list)
Calliper, Crutch, above knee, Below knee, Prosthesis, Cans,
Unilateral, Bilateral Shoulder Dis-Articulation
(d) Any Operation done or Indicated:
(e) Photograph (Attested)
To show the nature of disability and any appliance if used
7. Any other particulars to clarify the nature and extent of
disability that the Surgeon Might like to point out.
SIGNATURE OF APPLICANT
Signature of Orthopedic Surgeon,
Medical Board (with seal)
Signature of Medical Superintendent,
Medical Board (with seal)
Passport size
Photograph of
the candidate
with the
attestation of
the issuing
authority

Notification and Application Form