Girt Yair aration arear/afarar frame Gt Ho 001/2020-21/aifea fers: 09.03.2021 aearpt faprat On line svat % aa 4 fate 3 09.03.2021 On line ara we BF Ft fale c 31.03.2021 (Ga Ste aret Fatt H oe feats 07.04.2021 we ap arergare a a aac ® ) fava: sifta ure 1961 % aenla wae atfea wire BG 1 wis we 1961 % Fieger So wads argh areart, vara 4 frafafaa 22 FH apfta sefeart at after BA ar wera Fo are senfiat } ata corer ster va feare 31.03.2021 #1 17.00 ast ae Sort Vai aghttiecr ararn, veare-147003 st snfearite aaa www.dmw.indianrailways.gov.in % sycos fraiftr arret wa siretar 4 cirex fem are | Sat are ae few seyaees (inactive) a TI aa as ere feare 31.07.06 #1 are fet va Ho F (THotto) 2006/6/ 10 % agar Prafafaa at d2nfeat sr cise fafer Ret FH aiet a 3 feet aren fear Set ar wrt eI 1. ga/feain yaad af, ae aft at emf aaa Fo ga/fawair ga ar aad aa Fat arked aft & get ark a afrarttat a ar ye ahr aa até are feria 15.05.06 Hr ort fea va FE (eH )/ 2005/6/11 % agar fats 22 F dict we favain aaftaat & fee aft 03 after arent fear St eT WaT & | SAHT SA TL SAAT TTB weep fege 1 £8 neta[SN | Trade | SC | ST | OBC] UR | Total Slots | PWD*| EXSM* 1. | Electrician | 11 05 | 19 | 35 70 02 02 2. | Mechanic | 06 | 03 | 11 | 20, 40 o1 o1 (Diesel) 3. | Machinist | 05 | 02 | 09 | 16 32 or 01 4 Fitter (0395 025 | oc ID 230 «| OL o1 5. Welder | 03 | 01 | 05 | 08 17 01 o1 (G&E) | Total 255 [AS 0.Ra 91 2 | LOG 06 *The extant provisions of reservation to the extent of 3% for Persons with Disabilities (PWD) and 3% for Ex-Servicemen shall be followed. The quota slots in the said categories are included in the overall slots and hence are not to be filled up outside the n ied slots. frat aeat Fo ore der aafet Annexure-VII % ate am qatar # farcina war va erat arte | For differently abled _Applicants/Persons with Disability (PWD) the Trades Maximum Disability for Orthopedically Handicaped (OH) Fitter Lower limb partially damaged from one side can be accommodated Welder (G&E) | A person without leg and without three finger of one hand ean be accommodated Electrician Partially lower limb students can be accommodated =| Machinist ‘Only small finger damaged can join i ~| Mechanic Diesel i. Upper limb partially damaged (Little finger and ring finger) can be accommodated for both hands Lower limb partially damaged only one side can be accommodated. Trades Maximum Disability for Visually Handicapped (VH) Fitter Low vision means a person with impairment of vision less than 6/18 to 6/60 reser with best correction in the better eye or impairment of field in any one of the LE following categories: Machinist Mechanic Diesel i) Reduction of fields less than 50 degrees, ii) Heminaopia with macular involvement, iii) Altitudinal defect involving lower fields. Trades Maximum Disability for Hearing Handicapped (HH) Fitter i) Deaf | ii) Dumb | elder (CEE) iii) Deaf & Dumb Electrician Machinist Mechanic Diesel fume aaee tafe aaa wet spre aati aaa = wa |e aria thafire aaat spr at arr) 1. | eaafiferer 10+2 finer wate seerie fas wa ators | Fae eaeAfires be | Pret & are ee SH 50% FH st FT| soe ososnto a 104 ver or were wer wa 2, | AeRe (Gat) | 1042 fren ala & seis ae Bae 50% | ban ABS Gam) Bee We sit Sere 104 wer or awe weM| soe. Ay onbo Te a afer 10+2 fara afer % arena Para wa afore | Fae aati /aetio(meiaz) fat $ are sa By 50% Ga seit FT | 36H afore aMéo TH z Loe war ay per we TT 4. | firex 1O+2 fret water seve Paar wa aoa | a5 fae be wolomto Peat ara ae aH 50% a sidt Hara Lut 2] LOS pet ar ane Bam Te te a (5. [ae 84 eer Sat faa Ses 3s Ht otbofiomto (ire et wage) ae arg ater: fear 31.03.2021 at sarfifres, fr (Sora), afre wa frex 3s % few ong ater 15 & 24 ad &, ae (ita od zafaze) 3s % fo arg Are feate 31.03.2021 41 15 & 22 ate) ait 22% aqafaa onfa (SC), sqafaa oa orfa (ST) # area #5 at cat ara fto at (OBC) % area F 3 at ae oat ag den H a fea WA aT waar @ | weg ae ge sat Sohteart ar ta enh fae oe aes HA AT aifen fet om aa safe wart oa er 1 wren vite: ater aed ara aes ar aati dee eT He 100 + any far ware ar aT eT ST | rar fess set far | aqahat cifavargafaa sat cif serafer ea faraivatear sefteart gar fart were Bee eT a eT RTT ATF ae aaa a aati da} yar at wie wart F wat enfhy sa wea F aeaest F aaa ANT ao) fara ates F ara wafer sr FH apa at atte et rf, seat safreart er ged aeige ae fear area | wat FA FT fad ae sacar Gf waer va wt feat oa fee 31.03.2021 a TWottodtofto (NCVT) art art asia ts warrsa (NTC) at #8 & aH afen (afar) asta t= warn (PNTC) (sqerre-1/T/TV/IV/V ae dors sirarat FH star) Sr) Yaar FE art at RBE No. 54/2017 ert Rf Ministry of Skill Development and Entrepreneurship ¥ WtTt SRREAT Ho VAMP. 186 (2) FEAF 02.03.2017 % aga aifea Fam, 1992 4 Schedule-l # Fite 5 H @fS1 HF NCVT approved, SCVT approved si1< Apprenticeship 22 #1 fear ataT @ | pan Ps afort safteartt are arse arf. Alo ato & cari airar ew at 8, aa HE F fete 810.2002 % after % ayere Bhim site Bhi wale ‘ae % fare aar att aed 3g atee Ft Aare satcart st sak ome fea H acre & ort & fe ae fares Hea at aa & as Tl we oe ae afte & fe a oter A aver At wd gt ae & aa ooh oT wet % aaa ait afer cera , at 8 3 ONLINE arere & sitter % Sit TET oraet By dare fee ae Pram ae Byes Peafaters arrari/eaasit wT TT oe dae TL 1. e-mail id. 2. aererrat ar ASAT JPEG H aa Far gor VAY, ars 100 kb & afer a er 3. feet or sitet H secre aft PEG wae H cea fae A, aS 25 kT afer + ar 4. HIGH FT Bio-data, ITH ATA site Prat at ae aH AX Gt sae Ais Ta aaa. waa FH ot aT . Age wes are AL’, war wat Hoare stat ar afeert 6. AigR/aaat Hat FH sie AAS Atovitotfiove (CGPA) HF a Atosffottotto Br 9.5 Fon ae wins F ahaha ae ote eae ae | 7. FY Bar srKaTT Fr ATH | 8, Alatect Fo | 9. za afigan & ant H aaet a4 H TF Ministry of Skill Development and Entrepreneurship % Wa (www.apprenticeship.gov.in) © FATA Registration #4 Apply FX :- © “Apprentices” button ® dropdown menu # “Candidate Registration” option we wi aarp fare “Submit” HCH trea Ft A Registration Number yrat Fae FF | © Jt: “Apprentices” button dropdown menu # “Apply for Apprenticeship” % option we Prangare eit race Paawor wt: State—Select—+ Punjab, District— Select —+ Patiala, Type of Establishment— Select» Central Government. “Search” FE “Diesel Loco Modernisation Works Patiala” 4% “Apply” | & fa_Aazst_A_Ministry of Skill Development and Entrepreneurship # AAE WEA oe det # siete ae tg oe Aa wt ed a at we fran aa far re ga aes Hoda oe cote she got eT Ae foo fie see sae oe oe ater ee 10. af tore wa H Se HT Tar * at east faacT 11. Gra wey fare Hfse/ Bfae ars senfe 1 ater een eel asweetet ate trafirs aaa ct ar wt yh aa ae safteare aaa ate aa fa Saaz www.dmw.indianrailways.gov.in % avi Departments 474 Personnel % sia Mise Activities fem aa-fir Engagemement of Act Apprentices ‘APPLY ONLINE? W% f¥a% FF | Wr Sai ater wat a faa fear orem st za afer } es za inet & srtes afra Saaree fee} arene & wet Bir ONLINE Apply ®t er:- see #1 ONLINE APPLY #4 3g renga weit A yeh Rear a > ‘New User Registration’ 7 f%F FX | Login Name, Name, City, Mobile No. & email ID # | Save Fae FEL > System ZT Login Name 31% Passward HATH FT email ID W Aa Rar ‘STT | > TAF SHIFT User Login ¥ HTT User Name 3% Passward AL AL GO aA A fram Fe | > Fill Form o% Fee BT AT HTT Form aga et aT eH AE | > amet Haare St ont @ ae se Pao ph eT a at oa sa Submit FTF EA Save Data % Faw ax A sie Submit we FRE FT preview =a @| Data dm Fea % fee reset option Siasr #1 sa aA FT ar vat are fi WH ae ‘SUBMIT? FRA} ale aATH HHT Bio-data A preview a Reset a # a | > HATH System ZT Generated ‘Application Number’ FW Fava Ae a AL > fie amest a dain te wie adhe et ‘suBMID a a ae aT fie ame oar an Fees # Payment Prager Feit & > fort artes & safer wire atafarr & sae for Submit azar We Pee FST FH AE System area Via wet} fey Aas 48 sz F soca alts Login FA FT Message ATU | > FAH WA HTISH FT Click Here For Payment fee H Sta war Fett Fe | > Click Here For Payment # State of Corporate/Institution % Punjab %T Select FL HT Type of Corporate/Institution % Government Department ¥ Select FE SR GO azar Pere FEI > Government Department 4 DMW Indian Railways Patiala %T Select FL Ae Submit 1 fram FE } Ha Select Payment Category # Apprentice Recruitment # Select FL tT Application Number (cit 4 areca a irda FT Resgistration Number & &) ea F SHIT Submit W fae FE | lee Pape 5S LE> saitcax Fo Bio-data Ht HiT Ft ont fay aaeH HTT Name, Date of Birth, Mobile Number 421 % STITT Submit FUT | > SAF TT ATF Payment % fee ae seHT Options Frat Hr gre Sta AT weit ent fie aeest & Wahi vie stirs & ot owt wet va fic wee Fat Online Fee Payment #1 e-Receipt BH FZ ae Fae TA Ta afer FH gant ty wan eo ANS a, Saeae online wore er wer A war dere ah sree BF fae ea frtter ah Susy. were ot fat oft wae oer at Rafa & ars fader ae ath wet ates % ates safieare A six & ang a gf A 2. AACE FT on line We FU aR a fie we se a A we Rw oe wana tat 8g za wataa eer gam at we se waren ate ae Rar wr aH fee fie arse % fait oft safteare $1 e18ot verification at At TAT 3. arren ft wafer Ve (where applicable) % quart st wie drat & wer eh zara + aa Fe aa are) er aren ore aR Ae Fas At wits at ehh, st gee sete ax Rar eT 4, faa_sTzH_F_GTA Ministry of Skill Development and Entrepreneurship % Aaa We NCVT MIS éa ae doiteeT oh ea & st ga ferent fie ase adi dm, 3 gi aehige | ax fara pi ene ieee || swat wfsear:- Ake gh aes aro Aes war sit wioFomés Art whens Hwa fre_ww_wfeert aot tt staat % saree (ait FH aaa weer 2a gu) Gare Ht aah | (Sareea: fe sree % AieH/aardt H 70% see TAT ASortoMe. H 80% sm F at at vderat % steerer sat HY tert (70+80)/2=75% Brit) ae ah vee Pe faenfte atet A dear sik wafers REF agar aqaher ante, agafan seonfe, wer fot ai, gays aah war eaie cattadt eens tq RA oy are areeror ae aft arenfeat eri Acee(ira wa xahige) 2s Hot ARE GH Ae wer a arhoftomo Art whait H sare fin me wfrere siatt at otter & arare oe (rit St aeae wees BA gu) dae A omott | ga dew afe tet fenit at @ fe afew aa wae Qe aM fr oa FA aT Pratt merst aaeat a sa Pract ver va argodtosr§o FB ura wet FH aA farare fear sea | tar afte safc & yraie un aa a at fala How Hae (as per date of birth) sata a grafra & ome) oer ore wart ar dt ta aa i fir softeare 3 ‘Aea/cadt war At ater vec ore Ft at a vee fara fear ae | pana Peyee gsBeat At Safe far aa wa weet a Ae & aa we, we wR art Wet BLS yo sai (Grea GA Houmosyo A anfirmfes Faas we A art ‘wrupft) #r Aaarzz 4 Departments 441 % Personnel # st Mise Activities AF ‘% aa-feie Engagement of Act Apprentices % f20, 71 schedule * aya seas At ake ae ght aaarec 1 feaiw 30.04.2021 ae aenfaa aaits az ' [ate Saenz www.dmw.indianrailways.gov.in % grea Ta & fafa we ott gat (9a, SMS anfe) art adi at omeefh) aa: saftear Sata aaaIee FT WAS wHT Ww Baa | wer ar aera sree va safee:— fiero er aerfaa are June/July 2021 err) site we, 1961 % sania Zhi aafy % Paifte ge fe way} wart waafiftas, ae (ort), afeee, eee ut aes (te wa eae) 2-H uw aE aT after vara fare ot ar raat & 1 BARE Notification no. GSR 686 (E) dated 25.09.2019 of Ministry of Skill Development and Entrepreneurship [forwarded by Railway Board vide RBE No. 202/2019] % gftera wftrert % eta oragter Ft ax ea ware ef Year of training Rate of stipend Designated Trade(s) (a) During the I year of | €7000/ per month | -Not applicable- training: (b) During the 2™ year of | & 7700/- per month | Welder (Gas & Elect.) and Mech, Diesel training: | trade [for candidates who have completed O1 year training from ITI affiliated by NCVT or SCVT] (National or State Certificate Holder) (© During the 3” year of | ©8050 per month | Machinist, Electrician and Fitter [for training: candidates who have completed 02 years training from ITI affiliated by NCVT or | SCVT] (National or State Certificate | Holder) | ardfte avaar- wwaara vc a thfaa sifea ure, 1961 site sitfeatire fam, 1902 awe ah ater afineror re A A fee ara ar, St separ we site Rentt H cwar Prater eres ava & =garr wrest war ater 38h steve fer, Prater art at a eae BI e candidates must bring medical certificate signed by Government Authorised Doctor (Gazatted) not below the rank of Asstt. Surgeon of Central/State Hospital, at the time of documents verification. (Prescribed Proforma is available as Annexure- VILL). i fet oh oe & outs Pent seni eee ote A seer at a ay Ssefheare, pear ya are 7 FE | eS hye 8fire: sfeean ft sath & are Fe B afe easr & agit afer ghar ferent, Sat are ate mcire gear arenes wftreror urge acter feror fear ST | SER - stifeer wre H fafa Rat F agar sia ged & aa aH SRT Ae ATA sae safer war aaa we orf singers & gare arrenr site Seger ar rea er fae aren A sedan fore hate & fired wag &, seh adore ar ert ane afearnPat a ary erm | RU :- afta a otter wre, 1961. gente wae ae wee HA ATL BURT : sricare or wfiraror % fern gar srr site afar yer Ae sear see a toa ta Se agftteer aearn, sare i Rafer} fae ae met at Fa sftraror St &, tor aftreronfdatt at tome BH ware Hana at Footer e ae aa or TH Moiese, frase faferer ghtamt nfs aé 4 sunt) seicart at oy aa we ara Feit anf | fait weare Ft were Be Fat stax ae ae Par a waa Bs 01752396734, 01752396754 Calling Time: Monday to Friday (09:30 hrs to 13:00 hrs & 14:00 hrs to 17:00 hrs) only. einer afte anfite afaara Ho 220//DMW eae stfea/amt-XXIX feats: 09.03.2021 wfafefer- sora oer 7 fer anit fiter tore sates 1 PCAO % afva : PCAO % GrTF 1 wt after , fun seq afearent 1-0, HET 36-A, TETS-160036 wiht ato aime afte te Gortostlte Hommosqo sara | agra afaa, wart aftee fowstoseyo/afearar | WA, AfoWo Ut WAoHo FEAT (oMATFo) | Incharge, #4 arta, a8 feet 1 wit Gat eI SaenNe eeaxngeg seek fey ete QwreANNEXURE-1 PROVISIONAL NATIONAL TRADE CER‘ (FOR REGULAR CANDIDATES) (PARTICULARS OF THE STATE DIRECTORATE/DGE&T OFFICES) PROVISIONAL NATIONAL TRADE CERTIFICATE ICATE Sh. /Smt/ Kumari Son/wife/daughter of Sh. Roll N having completed the course of training at (Name of Institute & place ) and passed the prescribed trade test the trade of held in the month of is awarded this certificate provisionally. The National Trade Certificate will be issued by the National Council for Vocational Training. Period of Training from to. Character Trade Test Marks Subject Max. Marks obtained. Marks. Total Date of Birth as recorded in the School Certificate Prepared by Checked by Signature of Principal Of (Facsimile Signature) Incharge CTS of Secretary S.C.V.T DGE& T Inst. With Seal) Head of DGEST Instt. (Signature of Certificate Holder) foreSAMPLE ANNEXURE-I PROVISIONAL NATIONAL TRADE CERTIFICATE (FOR REGULAR CANDIDATES) (Particulars of the State Directorate/DGET Offices) PROVISIONAL NATIONAL TRADE CERTIFICATE ‘Shri/Shrimati/Kumar Son/Wife/Daughter of Shri Roll No. has completed the training programme at (Name of institute and Place) in trade. ‘She/he was admitted during August/February session at SN. out of total admitted against Unit(s) affliated to National Council for Vocational Training vide order No. DGET dated, She/He has passed the All India Trade Test for Cradftsmen Training Scheme held in the month of __20__. Character during the period of training was found to be A Trade Test Marks: Subject Max Marks Marks obtained 7 2. 3, a 5. Total = Date of birth as recorded in the School Certificate Prepared by Checked by Signature of Principal of ITI ( Facsimile Signature) (in-charge CTS of DGET Instt./with Seal) Secretary 8.C.V.1/ Head of DGET Instt (Signature of certificate holder) Date _ DozeSAMPLE ANNEXURE-III PROVISIONAL NATIONAL TRADE CERTIFICATE ‘) (PARTICULARS OF THE STATE DIRECTORATE) PROVISIONAL NATIONAL TRADE CERTIFICATE ShJ/Smt/Kumari Son/wife/daughter of having passed the held in the month of is awarded this certificate provisionally. The National Trade Certificate will be issued by the National Council for Vocational Training. Tot 2 * No consessional marks for Private candidates) Date of Birth as recorded in the School Certificate, Prepared by ‘Checked by Signature of Principal Of ITI (Facsimile Signature) Incharge CTS of Secretary $.C.V.T DGE& T Inst. (With Seal) Head of DGE&T Instt. (Signature of Certificate Holder) Pwrag 2Xq pasndoag NSU] LAD Jo Peay Jo aanyeusig Tee LA‘0'S Aaejauaag Jo aanjeusig LLLJO [edisutzg Jo aanyeusig (ON/SPAM VY) wadde-ay 07 214181)" i 9o9-soded wondesg Ur PUL %Op SI JoIsoUTIs [[e UI ({]] Jadeg pur J] Jadeg ‘| Jadeg) A109y] opeay, Ul sxreur ssed wmuTTULA, TOL ALPISSUIDS TIPEISOUINg T-asouIEg Fra IsaUIg U1 or 6 8 L 9 5 r € z pamasg | Suey | painsog | Sey | painsag | Suey | pamaag | Spey | pamoag | Spey SHE sew | sxe | xen | sueW xe | soy | xe | sy |e “ON [2 a Inodeg Tiedeg Pode wolgns | 1S ‘sopeiy, SuLMoUTsuy 10] -awopipuea AV INA & se owaypg Sune, uewsyjes; 19pun se “pen aq Joy" {Jo geoKiapuout 2yp Ur poy 39], pe] eIPU ITY AUN es pure (a9e|q pu OWEN |. ae ye Buuren ouoduopun Busey" “aqwoyjni99 [ooyps Ur papso9dx Se yaa Jo 2eCI ‘ON 110% “Hyg Jo ag yuaysineq/uog”* “LBUUNSY/ TUG /LAKS £4 pautLAgo SEAL ape.y ay Jo saa;sautag [LV 40} payepyosUO> ALVOILLYAD IAVUL TVNOLLVN ‘TVNOISIAOUd LAON dO SAIDAV FHL WAGNA CALINGNOD LLIV HOd SMAVIN AO INAWALVLS (SGOMAO LYADWALVUOLIAMIG ALVIS AHL AO SUV MOA APaRIXANNV9p 10H aye 91495 Jo aanqEUsIS, LEA‘O'S aryaunag Jo aunqeutiig “HSU] LAD JO Pua} Jo aanveUais (on/SA (Ve) svodde-9y 01 91Q:51G/""* co eid UL pue oop St Aorsattias [Je UE jf] J9deq pur J] 1odeg “| zodeq) S10oqj], apes, Ur sxeut ssed uMUTTUNYA aeq 24q poswdosd yeas ype LLLJO Iedouyag Jo aangeusig, qegsseg 3INs2y, re i - a TeIoL - Zz AIISSUIDg | F 7 iasauiag | ¢ | = Irtasauing |Z — fe vey UL m7 6 8 L 9 s v € z TIE pamoag} Sep] pamoag | Seay} pamoag | Se] pamoag | onep | pamoag | SEPT . Syey “xe SUEY “xP SUE xe SEY “xe sy “xe “ON ~ TOL TeaHoeI Todeg 1reded pedeg wafang | Is ‘Soptay, Supaursuy 10g r Ec “onepipues ALWATYd ® se owoyog Surured| ueWIsyesD Jopun” a “open au 10} ; Jo.rkaK UO ay Ut Pay Isa], apeLy, eIPUy |TV ay) UL eT pur (20v|q pur aurey, 1.1) ye Surures auoRapun Survey ~awaya90 [ooyos ut popuooay se Yuta JO eT Hyg Jo aLA\jio1ysneq/uog UBUINY "THUG /LAYS Aq pauTEIgo SHEP apeay ay} Jo SAdBSOUIIG [TV 40J Payep!OsUOD ALY. MAD AGVUL TVNOLLVN ‘TVNOISIAOUd LAON dO SAIDAV FHL WANA GA.LINGNOD LLIV YOd SMAVIN AO LNSIWALV.LS SIMA LFADTALVUOLIAM ALVIS AHL AO SUV OTA “ON IS aX ANNYANNEXURE-VI ane War vata fagita & fairer war at are see fost ait spafiat gare feu SA area waa eT ae warfore fran ara & fae eftyafterctt/ gare T/T TT BA oeeeeene A TM ATA css TIA TR cose & frat & oi. agar & & fa are ae, wenfsee wae va aeraiee ware % fears, e ae Fe amis fet at Foe A aa wa & seit trent gare. war Sra GRA AAAS... T/T TT BAT Be frorisa % frardt & 1 ae aft wenfora fear ara & fe A art acer, aif site vite fram & fears 8.9.1903** & aataa ama aw 36012/22/93-eaT. (Waa!) Ft aga F are 3-H sfeafaa aleaaiaat (ware ani) ft Soh eater aah Be srg serie alet sgarorra a FET are afer Tet ACHE H AaeT FH aA aT serra wer @ fred safieare at soft ar aa faser at Bet H seca Per war z1 oe aa aaa Te saree feenft:-aet waa wee “Cararaaan” ar aét oh err sit tt oranfahataet afar, 1950 4 art 207% 1ANNEXURE-VII NAME & ADDRESS OF THE INSTITUTE/HOSPITAL Certificate No. Date DISABILITY CERTIFICATE. Recent Photograph of the candidate showing the disability duly attested by the Chairperson of the Medical Board. This is certified that Shri/Smt./Kum, Son/wife/daughter of Shri age Sex, identification mark(s) is suffering from permanent disability of following category: A. Locomotor or cerebral palsy: (i) BL- Both legs affected but not arms. (ii) BA-Both arms affected (a) Impaired reach (b)Weakness of grip (iii) BLA-Both legs and both arms affected. (iv) OL-One leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic (v) OA-One arm affected (a) Impaired reach (b) Weakness of grip (c) Ataxic (vi) BH- Stiff back and hips (Cannot sit or stoop) (vii) MW- Muscular weakness and limited physical endurance. B. Blindness or Low Vision: (i) B- Blind (ii) PB- Partially Blind Cont... fouC. Hearing impairment: (i) D- Deaf (ii) PD-Partially deaf (Delete the category whichever is not applicable) 2. This condition is Progressive/ non progressive/ likely to improve/ not likely to improve. Re- assessment of this case is not recommended/ is recommended/ after a period of years ___months.* 3. Percentage of disability in his/her case is --~ ---percent. 4. Sh/Smt/Kum__ __meets the following physical requirements for discharge off his/her duties:- (i) F-can perform work by manipulating with fingers. Yes/No (ii) PP-can perform work by pulling and pushing. Yes/No (iii) L-can perform work by lifting. Yes/No (iv) KC-can perform work by kneeling and crouching. Yes/No (v) B-can perform work by bending. Yes/No (vi) S-can perform work by sitting. Yes/No (vii) ST-can perform work by standing. Yes/No (viii) W-can perform work by walking. Yes/No (ix) SE-can perform work by seeing. Yes/No (x) H-can perform work by hearing/speaking. Yes/No (xi) RW-can perform work by reading and writing, Yes/No (Dr__) (r__) (Dr. a) Member Member Chairperson Medical Board Medical Board Medical Board Countersigned by the Medical Superintendent/CMO/Head of Hospital ( with seal) * Strike out which is not applicable. FooseANNEXURE-VIIT Medical Fitness Certificate for Engagement of Act Apprentices in DMW/Patiala No... Dated:... Name of Hospital: ... Place It is certified that Sh./Smt./Ms. /D/o /Wio Sh.. on date.. S/o .. was medically examined and was found Physically & Mentally fit to be engaged as an Apprentice as per Apprentices Act, 1961 and Para-4 of Apprenticeship Rules 1992. Paste recent passport size & a Signature of Doctor ( Gazatted ) photograph here Name of the Doctor Designation:........ Stamp: Signature of the Candidate In the presence of Medical Examiner Verified by Medical Examiner Stamp: ose