Government of India
Ministry of Home Affairs
Sashastra Seema Bal
RECRUITMENT NOTICE: HEAD CONSTABLE (MINISTERIAL) – 2013
Applications are invited from eligible male/female candidates for filling up
the following vacancies of Group-C Non-Gazetted (Combatised), Head Constable
(Ministerial) in Sashastra Seema Bal. They will be governed under SSB Act and
Rules applicable to other members of the Force and other Rules applicable from
time to time. On appointment they shall be entitled for the pension benefits as per
the “New Restructured Defined Contributory Pension Scheme” applicable for
the new entrants to the Central Government Services w.e.f. 01-01-2004. The last
date of receipt of application is 30-11-2013. However the closing date for receipt
of applications (by post) for the candidates from North-Eastern States, Sikkim,
Pangi Sub-Division of Chamba, Lahaul & Spiti and Kinnaur Districts of Himachal
Pradesh, Ladakh Division, Kashmir of J&K State and the Union Territories of
Andaman and Nicobar Islands and the Lakshadweep will be 07-12-2013.
Nationality/citizenship:
(a) A citizen of India, or
(b) A subject of Nepal, or
(c) A subject of Bhutan
Provided that a candidate belonging to categories (b) & (c) above shall be a
person in whose favour a certificate of eligibility has been issued by the Govt. of
India.
Post Pay Band +
Grade Pay
UR SC ST OBC Total
HC
(Ministerial)
5200-20200+ GP
2400 (PB-I)
46 +14 (Ex-
Servicemen)
15 08 27 96+ 14 (Ex-
Servicemen)
= 110
Note:-
1. Vacancies reserved for Ex-Servicemen will be filled by the candidates of open
category within the respective quota if suitable candidates of Ex-Servicemen are
not available.
2. The number of vacancies are subject to change without any notice and may
increase or decrease depending upon the position at the time of final selection.
3. The posts are temporary but likely to be permanent.
4. The recruitment will be conducted on all India basis.
5. Any candidate appointed to the said post shall be liable to serve anywhere in
India or abroad and perform any work & duty assigned to him there-so.
2. ELIGIBILITY CONDITIONS FOR ABOVE POSTS ARE AS UNDER:-
(A) Age: 18 to 25 years (As on 01/08/2013)
Note:-i) The crucial date to determine age will be 01.08.2013. The
candidates must fulfill all eligibility conditions and should be in possession
of all certificates as on 30-11-2013 i.e. the closing date of receipt of
application.
-2-
ii) Candidates not in possession of requisite educational, experience
certificate or appearing in the examination/awaiting result need not to apply.
Relaxation:
(a) There will be relaxation in age for SC/ST/OBC (i.e. 5 years for SC/ST & 3
years for OBC candidates).
(b) The upper age limit for departmental candidates shall be 40 years for
General and OBC candidates and 45 years for Scheduled Caste/Scheduled
Tribes candidates.
(c) The upper age limit up to 05 years is relaxable in case of candidates already
in Govt. service. Govt. employees / servants claiming age relaxation should be
in possession of certificate in prescribed format from their office in respect of the
length of continuous service which should not be less than 03 years in the
immediate period preceding the date of recruitment / closing date of receipt of
application. They should continue to have the status of Govt. servant / employee
till the time of appointment, in the event of their selection. The candidate will
have to produce NOC from his parent department at the time of applying for the
post / recruitment in SSB. However, departmental candidate may forward their
application through proper channel from their head of offices. The concession
will be admissible only where a Govt. employee has rendered not less than
3 (three) years regular and continuous service in Govt. Deptt as on closing
date of application.
(d) The Relaxation in upper age limit of 5 years shall also be admissible for the
candidates who had ordinarily been domiciled in the state of J&K during the
period from 01/01/1980 to 31/12/1989. The candidate will have to produce a
certificate from the concerned District Collector to claim such relaxation in age.
(e) Five years of age relaxation will also be granted to the children and
dependent family members of those killed in the 1984 riots and 2002 communal
riots of Gujarat.
Children mean (a) Son (including adopted son): or (b) Daughter (including
adopted daughter) Dependent family members mean: (a) Spouse; or (b)
Children; or Brother or Sister in the case of unmarried Govt. servant who was
wholly dependent on the Govt. servant at the time of his killing in the riot. The
candidate will have to produce a certificate to the effect, issued by the concerned
District Collector to claim relaxation in age. Children and dependent family
members of those killed in the riots (1984 riots 2002 communal riots of Gujarat)
will also produce a certificate from the concerned District Collector.
(f) The above relaxation in age as mentioned in para 2 (b) to (d) is in addition
to relaxation of 5 years in age for SC/ST and 3 years for OBC candidates as per
Govt. orders.
Note: - Candidates claiming benefits under OBC category shall be in
accordance with Castes notified in the Central List. The certificates should
be in the prescribed format issued by the Competent Authority empowered
for the purpose. No other certificate will be accepted as proof.
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DEFINITIONS / RELAXATION AND SPECIAL I NSTRUCTIONS FOR EXSERVICEMEN
i) Relaxation to the extent of military service plus 3 years as provided in
DOP&T Notification No. 39016/10179-Rectt(c) dated 15.12.1979.
ii) Every Ex-Servicemen who has put in not less than six months continuous
service in the Armed Forces of the Union, shall be allowed to deduct the
period of such service from his actual age and if the resultant age does not
exceed the maximum age limit by more than three years he shall be deemed to
satisfy the condition regarding age limit. However, break in service should not
be more than two years.
iii) Ex-Servicemen holding the higher rank may also compete in this
recruitment for lower post provided they fulfill the eligibility criteria and also they
furnish their willingness in writing that in the event of their selection they will
not claim the post equivalent to the rank they were holding in the Defence
Forces.
iv) Character certificate: Minimum requirement will be Exemplary/Very
Good/Good category certificate.
v) Medical category: “A” (AYE)/SHAPE-ONE, at the time of discharge. They
should possess to pass the same medical standards prescribed for direct
recruits.
vi) “Ex-servicemen” means a person who has served in any rank(whether as
a combatant or as a non-combatant ) in the Regular Army, Navy and Air Force of
the Indian Union but does not include a person who has served in the Defence
Security Corps, the General Reserve Engineering Force, the Lok Sahayak Sena
and the paramilitary forces; and
vii) Who has retired from such service after earning his/her pension; this
would also include persons who are released/retired at their own request but
after having earned their pension or
who has been released from such service on medical grounds attributable to
military service or circumstances beyond his control and awarded medical or
other disability pension or
who has been released, otherwise than on his own request, from such service as
a result of reduction in establishment; or
who has been released from such service after completing the specific period of
engagement, otherwise than at his own request or by way of dismissal or
discharge on account of misconduct or inefficiency, and has been given a
gratuity, and includes personnel of the Territorial Army, of the following
categories, namely:-
(i) pension holders for continuous embodied services;
(ii) pension with disability attributable to military service; and
(iii) gallantry award winners
-4-
3. EDUCATIONAL QUALIFICATION:
(i) Intermediate or Senior Secondary School Certificate (10+2) examination
from a Recognized board/University or equivalent.
(ii) Skill Test norms on computer
English Typing with minimum speed of 35 words per minute on computer;
or Hindi Typing with minimum speed of 30 words per minute on computer.
(35 words per minute in English or 30 words per minute in Hindi corresponding
to 10500 KDPH in English/9000 KDPF in Hindi with average of 5 key
depressions for each word on computer) Note :- All Educational / Technical certificates other than State
Board/Central Board should be accompanied with Govt. notification
declaring such qualification equivalent to Matric /10th class pass or as the
case may be, for service under Central Govt.
4. PHYSICAL STANDARD FOR MALE CANDIDATES
DESCRIPTION HEIGHT CHEST WEIGHT
For all except Scheduled Tribe
candidates
165 Cms 77cms
(Unexpanded)
82 cms
(Expanded)
Proportion
ate to
height and
age as per
medical
standard
Relaxable for candidates falling in
the categories of Garhwalis,
Kumaonis, Gorkhas, Dogras,
Marathas and candidates belonging
to the Sates of Sikkim, Nagaland,
Arunchal Pradesh, Manipur,
Tripura, Mizoram, Meghalaya,
Assam, Himachal Pradesh and
Jammu & Kashmir
162.5
Cm
77 Cms
82 Cms
All candidates belonging to
Scheduled Tribes categories
162.5
Cms
76 Cms 81 Cms
FOR FEMALE CANDIDATES
DESCRIPTION HEIGHT CHEST WEIGHT
For all except Scheduled Tribe candidates 155Cms Not
Applicable
Proportion
ate to
height and
age as per
medical
standard
Relaxable for candidates falling in the
categories of Garhwalis, Kumaonis,
Gorkhas, Dogras, Marathas and
candidates belonging to the Sates of
Sikkim, Nagaland, Arunchal Pradesh,
Manipur, Tripura, Mizoram, Meghalaya,
Assam, Himachal Pradesh and Jammu &
Kashmir
150Cms
Not
Applicable
All candidates belonging to Scheduled
Tribes categories
150
Cms
Not
Applicable
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5. PHYSICAL EFFICIENCY TEST (PET):- Those who are found fit in the
Physical Standard Test (PST), will be put through the following physical efficiency
test (PET):-
6. MEDICAL STANDARD:
i) Eye Sight- The minimum distant vision should be 6/6 in one eye and 6/9
in other eye without correction i.e. without wearing glasses or lenses. Visual
correction of any kind is not permitted.
ii) The candidates must not have knock-knee, flat foot, varicose vein or squint
in eyes and they should possess high colour vision i.e. CP III by ISIHARA. They
must be in good mental and bodily health and free from any physical defect likely
to interfere with the efficient performance of the duties. The candidate must meet
all the medical standards required for efficient performance of the duties to a
Combatised post in SSB.
7. METHOD OF RECRUITMENT: - The selection process shall consist of
following stages:-
I) Documentation
II) Physical Standard Test ( PST)
III) Physical Efficiency Test ( PET)
IV) Written Examination
V) Skill Test (Typing Test) on computer
VI) Final Medical Examination
VII) Review Medical Examination
7.1. DOCUMENTATION (CHECKING OF ORIGINAL DOCUMENTS /
CERTIFICATES FOR ELIGIBILITY CRITERIA):-
All the candidates who repot for the recruitment test will be asked to
produce original documents / certificates pertaining to age, education,
Caste, community certificate, NOC / Discharge Certificate (in case of Ex-
Servicemen), Proof to avail age relaxation etc. The actual age of the
candidate will be determined from his Matriculation / Higher Secondary
School Certificate. The candidates must ensure that their name, father’s
name and date of birth mentioned in all documents must be same as in the
matriculation/Higher Secondary certificate. Candidates must bring all their
original certificates and two attested copies of each with them.
For Male For Female
800 Mtrs race to be completed in 3
minutes.
800 Mtrs race to be completed in 4
minutes.
11 feet long jump (three chances to be
given)
8 feet long jump (three chances to be
given)
3 ½ feet high jump (three chances to
be given)
3 feet high jump (three chances to be
given)
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7.2. PHYSICAL STANDARD TEST (PST):- The candidates who are found
eligible in documentation will be put through Physical measurement as
prescribed in the eligibility conditions i.e. para-4 above. Ex-Servicemen are
exempted from PST. However, their actual height, weight and chest
measurement will be recorded at the time of PST.
7.3. PHYSICAL EFFICIENCY TEST (PET) The candidates qualifying Physical
Standard Test (PST) will be required to pass Physical Efficiency Test (PET) as per
para-5 above, which is qualifying in nature :-
Note: PET will be qualifying in nature and a candidate must qualify in all the
above events. Failure to qualify in ANY of the events of PET will render the
candidate disqualified to appear in Written Examination. Ex-Servicemen are
exempted from PET. However, they will have to appear in Written
Examination, Skill test (Typing Test) on computer and Final Medical
Examination.
7.4. WRITTEN EXAMINATION:-
Those candidates who qualify the PST and PET including Ex-Servicemen
shall be eligible to appear in the Written Test to be conducted as under:-
Max. Marks
Hindi/English 25
General Knowledge 25
Arithmetic 25
Clerical aptitude 25
Total 100
i) Candidates may note that no separate call letters will be issued for
appearing in the written examination.
ii) The written examination will be held on OMR based Answer Sheets. The
duration of written examination will be 2 hours. Candidates will be required to
record their answer in OMR sheet with blue/black ball point pen.
iii) The OMR answer sheet of written test will be processed/scanned in an
electronic machine. Any wrong entry of roll number, name, question booklet
number, question paper series will render the OMR sheet invalid and the same
will not be evaluated. The concerned candidate will be responsible for such
mistake on their part.
Minimum qualifying marks will be 50% for General, OBC & Ex-Servicemen
and 45% for SC/ST candidates.
Note: Candidates appearing in written test will not be allowed to carry
electronic equipments like mobile phone, calculator, pager, digital wrist
watch having calculator etc. Any candidate found indulging in any unfair
practice will be summarily removed from the written test and will be
debarred from further recruitment process.
-7-
7.5 SKILL TEST NORMS ON COMPUTER
The candidates who qualify the written test will be required to appear in
the Skill Test (Typing Test) on computer, which is only qualifying in nature. A
minimum speed of 35 words per minute in English Typewriting or 30 words per
minute in Hindi Typewriting on computer.
( 35 words per minute in English or 30 words per minute in Hindi corresponding
to 10500 KDPH in English/9000 KDPF in Hindi with average of 5 key depressions
for each word on computer)
Note: - Failure to qualify the event of typing speed test will render the
candidate disqualified for selection.
7.6. FINAL MEDICAL EXAMINATION:-
Candidates who qualify Written Examination, Skill Test (Typing Test) and
transcription on Computer will be put through detailed medical examination
strictly on the basis of merit of written examination as per the vacancies and
average failure rate.
Note:-
(i) The candidates will be called for medical examination three times over
and above the number of vacancies advertised so that if some
candidates high up in the merit list (category wise) do not make it
through medical examination, candidates lower in merit list could be
considered for appointment strictly based on merit.
(ii) Being called for medical examination will in no way give any legal
claim or right to any candidate for final appointment in Govt. service.
7.7. APPEAL AGAINST FINDINGS OF MEDICAL EXAMINATION:-
If a candidate is declared unfit in the detailed medical examination, the grounds
for rejection will be communicated to him by the Chairman. If the rejected
candidate is not satisfied with the findings of the Medical Officer, he/she will
apply and obtain Form-4, 5 & 6 from the Chairman Recruitment Board
concerned to prefer an appeal for Review Medical Examination to Inspector
General (Pers), SSB, Force HQ R.K. Puram, New Delhi -110066, within 15 days
from the date of issue of communication in which the findings of the Medical
Officer is communicated to him/her. The appeal should necessarily contain the
following; (a) Review Medical Examination fee of ` 25/- (Rupees Twenty five only)
non refundable, through a Bank Draft in favour of “PAO, SSB (MHA), New
Delhi”, (b) Appeal Form 4, 5 & 6 issued by the initial Medical Board declaring the
candidate as Unit, (c) One self addressed envelope with ` 25/- postage stamps
duly affixed on it. Certificate other than Medical Form-6 (provided by the
Chairman of Recruitment Board to the Candidates) to submit appeal for Review
Medical examination will not be considered and rejected straightway. The
fitness certificate on Form-6 is essential to consider their cases for review
medical examination and not for any other purpose.
The candidates whose appeal is found in order will be issued call
letters to appear for Review Medical Examination and their list will also be
uploaded in the SSB Website www.ssbrectt.gov.in. They may keep in touch
to know their date of appearing in review medical examination and venue
by visiting our website.
-8-
The decision of the Review Medical Board of SSB will be final and no
2nd appeal will be entertained as per Govt. instructions and also no reply of
the correspondence/2nd appeal will be given/entertained.
Note:- It should, however, be clearly understood that the Selection Board
reserves absolute discretion to reject or accept any candidate after
considering the report of the medical board.
8. FINAL SELECTION:-
The final selection list will be prepared in order of merit, category wise,
after completion of Review Medical Examination. It is hereby emphasized that
the candidates who merely secure the qualifying percentage marks and found
medically fit, may not be considered for final selection since the cut off marks will
be determined according to number of vacancies as well as after completion of
whole recruitment process. Where equal marks have been obtained by candidates
their merit will be fixed as per date of birth and the older candidate will be given
preference.
The result of provisionally selected candidates will be uploaded in SSB
website i.e. www.ssbrectt.gov.in as per availability of vacancies. The
selected candidates will be issued offer of appointment. No further
extension will be given except in deserving cases. The provisional
appointment of the candidates will be subject to verification of their Caste
and other Certificates related to recruitment through proper channel and if
the verification reveals that the certificates are false at any stage, the
candidate’s service will be terminated forthwith without assigning any
further reasons and without prejudice to such further action as may be
taken under the provisions of Indian Penal Code for production of false
Certificates.
9. APPLICATION FEE:-
Application fee will be ` 50/- (Rupees fifty only) Non-refundable for
candidates belonging to General and OBC categories. They shall attach Bank
Draft/IPO (Non-refundable) drawn in favour of Authority mentioned at para-10
at column No. 3 below. No application fee will be charged from SC/ST, Ex-
Servicemen and Female candidates.
10. HOW TO APPLY:-
Eligible and desirous candidates should send their applications BY
POST in the prescribed proforma given in Annexure-I and II with two self
attested passport size photographs duly affixed on application form and
admit card at the space provided for the purpose, along with application fee
of ` 50/- in the form of DD/IPO and self attested copies of the testimonials
as in Para-11. The applications should be typed or neatly hand written.
Two self-addressed envelopes of 4”x9” size with ` 25/- postage stamps duly
affixed should also be attached with the application form. The candidates
belonging to different States/UTs should send their application forms to the
address as shown at Column No.2 of the table below on or before closing
date.
-9-
The envelope containing the application should be super scribed in block
letters as APPLICATION FOR THE POST OF “HEAD CONSTABLE
(MINISTERIAL)”. The incomplete applications and applications received
after the last date will not be entertained and will be summarily rejected.
SSB will not be responsible for postal delay, if any. No correspondence will
be entertained on this account. The details for sending the application are
as under:-
Name of
Post
Application Receiving Centre and
application should be addressed to the
following officer
Bank Draft/IPO
should be
prepared in
favour of
1. 2. 3.
HC
(Ministerial)
THE DY INSPECTOR GENERAL,
SECTOR HQ, SSB RANIDAGA, POST
OFFICE : MATIGARA, DIST:
DARJEELING (WEST BENGAL)
PIN : 226 010
“Accounts
Officer, SSB, SHQ
HQ,
RANIDANGA,”
payable at SBI
Branch, Siliguri
(WB) Code-0184
Note: - (i) DDs/IPOs may be prepared in favour of addressee as above only.
(ii) Application must be sent to above address only.
(iii) Applications addressed to FHQ SSB or any other offices of SSB shall not
be entertained at any stage.
11. SELF ATTESTED COPIES OF DOCUMENTS TO BE ATTACHED WITH
APPLICATION:-
a) Educational qualification Certificate(s) i.e. (Matriculation and 10+2 pass
certificate).
b) Date of birth certificate (Matriculation or 10+2 pass certificate).
c) Scheduled Caste/Scheduled Tribe/OBC certificates should be on the
format as Annexure-III for SC/ST and Annexure –IV for OBC prescribed in
the Central Govt. order. (May also be down loaded from SSB Website
www.ssbrectt.gov.in). Applications of candidates without OBC
certificate on prescribed format will not be considered and
summarily rejected.
d) Ex-Servicemen must submit Photostat copies of discharge/release
certificate in support of claim of Ex-Servicemen & Caste Certificate, if
belongs to SC/ST/OBC on the format as prescribed in the Central Govt.
order.
e) Departmental candidates should apply through proper channel.
f) Government employees applying for the post must enclose N.O.C with their
application form.
g) Demand Draft/Indian Postal Order worth ` 50/- (Non-Refundable)
h) 2 (Two) self addressed envelopes with postage stamps worth ` 25/- each.
i) Certificate of bonafide/Domicile/Permanent resident of that State from
designated revenue authorities not below rank of Tehsildar for verification
of citizenship of India.
-10-
j) West Pakistani Refugees settled in J&K are exempted to produce domicile
certificate, they will produce certificate issued by the village Sarpanch/
Numbardar along with a copy of the Electoral Roll showing the name of the
candidates in voter list for election to the Parliamentary Constituency.
k) Annexure-V (if applicable for relaxation in height and chest)
12. IMPORTANT INSTRUCTIONS: -
i) Applications submitted on a format other than published in this
advertisement, are liable to be rejected summarily.
ii) Candidate should note that the Date of Birth as recorded in the
Matriculation, 10+2/Sr. Secondary Examination Certificate OR an
equivalent Certificate on the date of submission of application, will be
accepted.
iii) If the above documents are not submitted along with the application, it will
be rejected summarily or at any stage of the recruitment process and no
request for reconsideration will be entertained.
iv) Incomplete or unsigned applications, applications without attested
photographs, applications received after closing date will be rejected
summarily.
v) All candidates in Govt. service whether in a permanent or in temporary
capacity etc. will be required to submit their application through proper
channel along with NOC. Application shall be rejected if received late or is
not complete in all respect as provided in the rules.
vi) Any wrong attestation so as to mislead the Recruitment board or to gain
access to examination would lead to criminal action against the candidate
besides cancellation of his candidature.
vii) No separate admit cards / call letter will be issued to the qualified
candidates called for written examination, Skill Test norms on
Computer and final medical examination. The same will be apprised
to the candidate by the recruitment board and the list of qualified
candidates called for above test will be displayed on the notice board
at the recruitment venue as well as uploaded in SSB Recruitment
Website i.e. www.ssbrectt.gov.in.
viii) In case any candidate is found ineligible or suppressing facts on any
ground after his selection/appointment, his services will be terminated
without assigning any reason.
ix) The Government shall not be responsible for damage /injury/loss to the
individual, if any, sustained during the recruitment process and journey.
x) The DG SSB has full rights to make changes or cancel /postpone the
recruitment without assigning any reason.
xi) Candidates canvassing in any form or bringing outside influence /pressure,
offering illegal gratification, blackmailing or threatening to blackmail any
person connected with recruitment will be declared disqualified.
xii] Candidates impersonating and submitting the fabricated/forged documents
are also liable to be disqualified.
xiii) It should, however, be clearly understood that the Selection board
reserves itself, absolute discretion to reject or accept any candidate at
any stage.
-11-
xiv) It is in the interest of the candidates that the application is filled up
properly and completely without correction/alteration/overwriting.
xv) Mere qualifying the prescribed tests in SSB recruitment does not confer
any right of selection to the candidate.
xvi) The candidates provisionally selected for the above posts should
qualify the training or courses as prescribed by the Director General,
Sashastra Seema from time to time during probation period failing
which services are liable to be terminated.
xvii) The candidates will not be considered for recruitment if
involved/convicted/arrested in any criminal case under IPC or any
other Act of the Central or State Government.
13. NO TA/DA WILL BE ADMISSIBLE:-
However, TA for onward and return journey to SC/ ST candidates will be
paid as per GOI instructions to those who appear in written test subject to
production of rail/ Bus tickets, original cast certificate, non employment
certificate from MP or MLA or any Gazetted Officer of the locality in case they are
not employed in Central / State Government.
14. APPLICATION FORMS ARE LIABLE TO BE REJECTED SUMMARILY, IF
THEY ARE:-
i) Incomplete.
ii) Not on prescribed format.
iii) Without Bank Draft/ Banker Cheque/IPO of ` 50/-.
iv) Accompanied with under valued Bank Draft/ Bankers cheque/IPO.
v) Accompanied with Bank Draft/ Bankers cheque/IPO drawn in favour of wrong
paying authority or wrong address of Bank draft/ Banker cheque/IPO.
vi) Received without self attested copy of caste certificate and discharge certificate
in case of Ex-Servicemen.
vii) Received without self attested copies of educational certificate/testimonials.
viii)Received without self addressed envelops and without postage stamps affixed
on the envelopes.
ix) Received without photograph.
x) Received without signature & thumb impression of the candidate.
xi) Received after last date of receipt of the application.
xii) Received directly & without signature/seal of H.O.O. in case of serving
candidates.
xiii)Received with SC/ ST/ OBC certificates not on prescribed format.
ASSISTANT DIRECTOR (RECTT)
THE TERMS AND CONDITIONS GIVEN IN THIS ADVERTISEMENT ARE
SUBJECT TO CHANGE AND SHOULD THEREFORE BE TREATED AS
GUIDELINES ONLY
ANNEXURE-I
GOVERNMENT OF INDIA, MINISTRY OF HOME AFFAIRS (SASHASTRA SEEMA
BAL) APPLICATION FORM FOR THE POST OF HEAD CONSTABLE
(MINISTERIAL)
a) Post Code
1.
Name in BLOCK LETTERS (as recorded in Matriculation
Certificate)
FIRST NAME MIDDLE
SURNAME
2. Father’s name (as entered in Matriculation certificate)
3. (a) Date of birth(as in Matriculation
certificate)
c) Age as on 01/08/2013
4. Educational Qualification (Attach self attested copy Education/Tech.
Qualification & Typing etc.) Qualification certificate(s) etc.
Exam
Passed
Name of School/ Board/
University/ Institute
Subject Studied Aggregate
percentage of
Marks
5. Sex: Male or Female
6. Religion:
Hindu Muslim Sikh Christian Buddhist Jain If others,
specify
Paste a recent
colour self
attested
photograph of
3.5 x 4.5 cms.
size with in the
box
b) Bank Draft/IPO No.
and date
Amount
D D M M Y Y Y Y
Y Y M M D D
7. Whether belongs to:-
General SC ST OBC Ex-Serviceman
(If SC/ST/OBC attach self attested true copy certificate as per Central Govt.
instructions)
8. Whether belongs to
Gorkhas Dogras Marathas Garhwalis Kumaonis
(Attach self attested true copy of certificate for height relaxation)
9. Whether:-
Domiciled ordinarily in
J&K during 1980 to
1989
Affected in
1984 riots
Affected in 2002
communal riots of Gujarat
(Attach self attested true copy of certificate)
10. (a) Whether Ex-serviceman, if so, indicate :-
(b) If, Ex-serviceman, mention following details. (Attach CTC Discharge)
Date of
Enrolme
nt
Date of
retirement
/
Discharge
Medical
category
Award of
Decoration
Reasons
for
release/
discharge
Education
qualification
Civil Military
11. Permanent address:
Village/Town
Post Office
Tehsil
Police
Station
District
State
Pin Code
12. Correspondence address:
Village/Town
Post Office
Tehsil
Police
Station
District
State
Pin Code
Gen SC ST OBC
13. Contact Number/Mobile No.
14. Whether employed in SSB 15. Govt. Service
If so, mention following details.
Name of present
employer
Date since
when
Post held Name and designation of
authority issuing N.O.C
15. Have you ever been debarred by UPSC, SSC or SPSC or any recruitment
board from appearing in any exam? Yes/No
16. Criminal Proceeding details, if any:
(a) Whether any FIR or criminal case(s) gas ever been registered against you?
Yes/No
(b)Whether any criminal complaint case or FIR or criminal case(s) is pending
against you in Court of Law, or with police at the time of submitting the
application form? Yes/No
(c) Have you ever been arrested/detained in any criminal case(s)? Yes/No
(d) Have you ever been tried & convicted or acquitted by a Court of Law in
any criminal case(s)? Yes/No
(e) Have you ever been tried & convicted by the Court by filling any bond for
good behavior etc.? Yes/No
17. Case reference: If the answers to any of the above mentioned questions is
“YES” then give full particulars of the Criminal complaint case, FIR No. & Date,
Under Section, District and present status of the case at the time of filling up this
application form.
_________________________________________________________________________________
________________________________________________________________________________.
18. If after submission of this application form, any criminal case(s) is registered
against you or arrested/detained by Police in any criminal case relevant details of
same should be communicated immediately to the concerned Chairman of
Recruitment Board conducting recruitment failing which it shall be deemed to be
suppression of factual information.
19. Identification mark (Please write in the box)
20. Thumb impression of candidate:
21. DECLARATION: I hereby declare and confirm that all the entries/information in
the application form is correct. I undertake that, in case any information furnished by
me is found to be false or incomplete or any material information concealed by me, my
candidature may be cancelled.
Place: Signature of Candidate………………………..
Date:
NOTE: Candidates should apply only if they fulfill all the physical standard &
Educational qualifications as mentioned in the advertisement to avoid any
disappointment at later stage.
ANNEXURE- II
ADMIT CARD
(TO BE PRINTED/TYPED/WRITTEN IN SEPARATE PAPER)
(Candidate will not be allowed to appear in the recruitment test without
production of this admit card)
To be filled by the candidate
Name of candidate: …………………………………………
Father’s Name: …………………………………………….
Date of birth: ................................................
Sex: …………………………….
Name of post for which applied: Head Constable (Ministerial)
(Signature of Candidate)
(TO BE FILLED BY THE APPLICATION RECEIVING
AUTHORITY)
Roll Number______________________________________
Post for which appearing for Test: ______________________________________
Date of Birth ________________________________________
Whether direct/ departmental candidate ________________________________
Whether SC/ST/OBC/General/Ex-Serviceman_____________________________
Name of Recruitment Centre with complete address:
__________________________________________________________________
__________________________________________________________________
Date and time on which the candidate is required to appear:
Date: _______________________Time: ____________________
Signature of Nodal Office, ARC
With seal
Affix your self
attested recent
passport size
photograph
Annexure-III
FORM OF CERTIFICATE TO BE PRODUCED BY A CANDIDATE BELONGING TO
SCHEDULED CASTE OR SCHEDULED TRIBE
This is to certify that Shri/Mrs/Ms/Miss_________________________________ Son/daughter of Shri
_________________________________of village/Town_______________________ in District/ Division
_____________________ of the State/Union Territory _____________________ belongs to the _____________
caste/Tribe which is recognized as a Schedule Caste/Scheduled Tribe under.
The Constitution (Scheduled Castes) order, 1950.
The Constitution (Scheduled Tribes) order, 1950.
The Constitution (Scheduled Castes)(Union Territory) order, 1951.
The Constitution (Scheduled Tribes) (Union Territory) order, 1951.
(As amended by the Scheduled Castes and Scheduled Tribes (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) and the Scheduled Castes and Scheduled
Tribes orders (Amendment) Act, 1976.)
*The constitution (Jammu & Kashmir) Scheduled Caste Order, 1956;
*The Constitution (Andaman and Nicobar Islands) Scheduled Tribes, 1959, as amended by the Scheduled
Castes and Scheduled Tribes orders (Amendment) Act. 1976;
*The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order 1962;
*The Constitution (Dadra & Nagar Haveli) Scheduled Tribes Order, 1962;
*The Constitution (Pondichery) Scheduled Castes Order, 1964;
*The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967;
*The Constitution (Goa, Daman & Dieu) Scheduled Castes Order, 1968;
*The Constitution (Goa, Daman & Diu) Scheduled Tribes Order, 1968;
*The Constitution (Nagaland) Scheduled Tribes Order, 1970;
*The Constitution (Sikkim) Scheduled Castes Order, 1978;
*The Constitution (Sikkim) Scheduled Tribes Order, 1978;
*The Constitution (Scheduled Castes) Orders (Amendment) Act, 1990.
*The Constitution (Scheduled Tribes) Order, (Amendment) Ordinance, 1991.
*The Constitution (Scheduled Tribes) Order, (Second Amendment) Act, 1991.
The Constitution (Scheduled Tribes) Ordinance, 1996
*2. This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes Certificate issue to Shri
_____________________________________Father of Shri/Mrs/Ms/Miss _________________________ ______of
village/town________________________ in District/Division _____________________ of the State/UT
_________________ _____________who belong to the ____________ caste/Tribe which is recognized as a SC/ST in
the State/Union Territory __________________________ issued by the _______________________________ ( name of
the prescribed issuing authority) vide their No. ______________________________________ dated _____________ or
Shri ____________ __________________ and or his/her family ordinarily reside(s) in Village/Town _____________of
____________ District/Division of the State/Union Territory of _______________.
Place______________ Signature______________
Date_______________ Designation ____________
(With seal of Office)
NOTE:- The terms ordinarily reside(s) used here will have the same meaning as in Section 20 of the
Representation of the People Act, 1950.
LIST OF AUTHORITIES EMPOWERED TO ISSUE CASTE/TRIBE CERTIFICATE:
1. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner /Additional Deputy
Commissioner/Dy. Collector/ 1st Class Stipendiary Magistrate/Sub Divisional Magistrate/Extra Assistant
Commissioner/ Taluka Magistrate/Executive Magistrate.
2. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.
3. Revenue Officers not below the rank of Tehsildar.
4. Sub-Divisional Officers of the area where the candidate and / or his/her family resides.
NOTE:- ST candidates belonging to Tamil Nadu State should submit caste certificate only from the Revenue
Division Officer.
ANNEXURE-IV
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING
FOR APPOINTMENT TO POSTS UNDER THE CENTRAL GOVERNMENT OF INDIA
(G. I. Dept. of Per.& Trg. O. M. No.36033/28/94-Estt.(Res).dated 2-7-1997)
This is to certify that ………………………… son/daughter of ………………….
Village …………………….. District/Division……………………. In the ……………………
State…………………… belongs to the……………………….. Community, which is
recognized as a Backward Class under: –
* (i) Government of India, Ministry of Welfare, Resolution, No.12011/68/93-BCC (C),
dated the 10th September, 1993, published in the Gazette of India, Extraordinary,
Part-I, Section-I, NO. 186, dated the 13th September, 1993.
*(ii) Government of India, Ministry of Welfare, Resolution No.12011/9/94-BCC, dated
the 19th October, 1994, published in the Gazette of India, Extraordinary, Part-I,
Section, No. 163 dated the 20th October, 1994.
*(iii) Government of India, Ministry of Welfare, Resolution No.12011/7/95-BCC, dated
the 24th May, 1995, published in the Gazette of India, Extraordinary, Part-I,
Section I, No. 88, dated the 25th May, 1995.
*(iv) Government of India, Ministry of Welfare, Resolution No.12011/44/96-BCC,
dated the 9th March, 1996, published in the Gazette of India, Extraordinary,
Part-I, Section I, No. 60, dated the 11th March, 1996.
*(v) Government of India, Ministry of Welfare, Resolution No.12011/44/96-BCC,
dated the 6th December 1996, published in the Gazette of India, Extraordinary,
Part-I, Section I, No. 210, dated the 11th December 1996.
*(vi) Government of India, Ministry of Welfare, Resolution No.12011/13/97-BCC,
dated the 3rd December, 1997, published in the Gazette of India, Extraordinary,
Part-I, Section I, No. 239, dated the 17th December, 1997.
*(vii) Government of India, Ministry of Welfare, Resolution No.12011/99/94-BCC,
dated the 11th December 1997, published in the Gazette of India, Extraordinary,
Part-I, Section I, No. 236, dated the 12th December 1997.
*(viii) Government of India, Ministry of Welfare, Resolution No.12011/68/98-BCC,
dated the 27 Oct., December, 1999, published in the Gazette of India,
Extraordinary, Part-I, Section I, No. 241, dated the 27th Oct, 1999.
*(ix) Government of India, Ministry of Welfare, Resolution No.12011/88/98-BCC,
dated the 06th December 1999, published in the Gazette of India, Extraordinary,
Part-I, Section I, No. 270, dated the 06th December 1999.
*(x) Government of India, Ministry of Welfare, Resolution No.12011/36/99-BCC,
dated the 4th April 2000, published in the Gazette of India, Extraordinary, Part-I,
Section I, No. 71, dated the 4th December 2000.
*(xi) Government of India, Ministry of Welfare, Resolution No.12011/44/99-BCC,
dated the 21st December 2000, published in the Gazette of India, Extraordinary,
Part-I, Section I, No. 210, dated the 21st December 2000.
*(xii) Government of India, Ministry of Welfare, Resolution No.12011/44/99-BCC,
dated the 6th September, 2001, published in the Gazette of India, Extraordinary,
Part-I, Section I, No.246, dated the 6th September, 2001
Shri……………………………………..and/or his family ordinarily reside(s) in the
……………………. District/ Division of the …………………………… State. 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, and Training, O. M. No. 36012/22/93-Estt. (SCT),
dated 8-9-1993.
DISTRICT MAGISTRATE/
Dated: DEPUTY COMMISSIONER/
TEHSILDAR ETC.
Office Seal
Strike out which ever is not applicable
ANNEXURE-V
FORM OF CERTIFICATE TO BE SUBMITTED BY THE CANDIDATE THOSE
WHO INTEND TO AVAIL RELAXATION IN HEIGHT OR CHEST MEASUREMENT
Certified that Shri/Mrs/Ms/Miss________________________
______________Son/daughter of Shri _________________________ is permanent
resident of village_______________________Tehsil/Taluka__________________________
District________ of ______ __State.
2. It is certified that:-
*Residents of entire are mentioned above are considered as (Garhwali,
Kumauni, Gorkhas, Dogras, Marathas) for relaxation in height and chest
measurement for recruitment in the Para Military Forces of the Union of India.
Place: Signature________
District Magistrate/ Sub-Divisional
Date: Magistrate/ Tehsildar
*Delete whichever is not applicable
davp 19114/11/0044/1314
http://www.ssbrectt.gov.in/docs/HC_Min%20%202013.pdf
