Gllej ØeosMe YetlelJe SJeb Keefvekeâce&
UTTAR PRADESH PUBLIC SERVICE COMMISSION
efveosMeeueÙe DeOeervemLe ØeeefJeefOekeâ mesJee
LAST DATE FOR THE PAYMENT OF ONLINE APPLICATION FEE IN THE BANK : 15.04.2023
LAST DATE FOR SUBMISSION OF ONLINE APPLICATIONS : 17.04.2023
LAST DATE FOR SUBMISSION OF HARD COPY OF APPLICATION: 03.05.2023 TILL 5.00 PM.
IMPORTANT - (1) "Incomplete Online Application-
Form shall be rejected and no communication in this
regard shall be entertained."
(2) "If at any stage, it comes to the knowledge of the
commission that the candidate has concealed or
misrepresented any information, his candidature shall
be rejected and proceeding to debar him from future
examinations and selections shall be initiated."
(3) "The candidates are directed to ensure at the time of
online application the preservation of information
regarding all the stages (i.e. Registration, Fee
payment, Final submission etc.) in Soft/Hard copy for
future references."
NOTE- Candidates after submitting their applications
through online shall send self attested photo copies of
their all academic required documents regarding their
claims along with printout of online form till 03.05.2023
at 17:00 hrs through registered/speed post or personally
in the office of the Commission. For this purpose
proforma of Address Slip is as below:-
Advertisement No. : D-2/E-1/2023
Post Name : Ayurved, Reservation:- According to the existing Govt.
Deptt. No. : Orders, Department No.- S-9/02, Pay Scale:- Pay Matrix
Registration No. : Level-11 (Rs. 67700-208700), Academic Qualification
To,
The Secretary,
Uttar Pradesh Public Service Commission
10, Kasturba Gandhi Marg, Prayagraj, U.P.
Pin Code-211018
From
Name & Address of the Candidate
The candidates are advised to paste the above
mentioned address slip on the envelope containing
documents. In absence of required relevant
documents/records, the claim made by the candidates
shall not be tenable and relevant documents/records
received after due date in the office of the Commission
will not be accepted.
SPECIAL NOTICE :- (a) "Applications will be accepted
only when fee is deposited in the Bank upto prescribed last
date for fee payment. If the fee is deposited in bank after the
last date prescribed for fee payment, the on-line application
of the candidate will not be accepted and the fee deposited
in the bank will not be refunded in any condition. It will be
responsibility of the candidates to pay fee in the bank upto
last date prescribed for fee payment and 'submit' the
application upto last date prescribed for submission of
applications. It is also informed that less or more amount
deposited in the form of application /examination fee shall
not be refunded in any condition." (b) In Online Application
System, the candidates have to provide their registered
Mobile No. and e-mail ID in prescribed column failing which
their Basic Registration shall not be completed. All relevant
information/ instructions shall be sent through sms on that
mobile number and e-mail through their registered e-mail
ID. This is also directed to the candidates to check the
Commission's website continuously for further updates.
NECESSARY INFORMATION TO APPLICANTS
FILLING THEIR APPLICATIONS THROUGH ON-LINE
This advertisement is also available on the
Commission's website https://uppsc.up.nic.in. The
On-line application system is applicable for applying
against this advertisement. Applications sent by any
other mode shall not be entertained hence candidates
are advised to apply On-line only. In connection with
On-line application, candidates are advised to go
through the instructions thoroughly given as under
and apply accordingly:-
1. When the candidate clicks "ALL NOTIFICATIONS/
ADVERTISEMENTS" on the Commission's website
https://uppsc.up.nic.in the On-line advertisements shall
be automatically displayed, wherein there shall be 3 parts
given as below :
(i) User instructions
(ii) View Advertisement
(iii) Apply
The Instructions for filling "On-line form" have been given in
User Instruction. The Candidates desirous to see the
respective advertisement will have to click on 'View
Advertisement'. Thereafter, a full advertisement will be
displayed alongwith sample snapshots of On-line
Application procedure. Click on "Apply" for On-Line
Application.
On-line application will be completed in three stages :
First Stage:- On clicking "Apply" Candidate Registration
will be displayed. Basic Registration form will be displayed
on clicking the 'Candidate Registration' in respect to the
Direct Recruitment. After filling the Basic Registration form,
the candidates must check all the informations filled by
them. If any correction/modification is required, click on
'Edit' button option and ensure the required corrections/
modifications. After being fully satisfied with all the
informations filled, click on 'Submit Application'
consequently, the registration of first stage shall be over.
Thereafter 'Print Registration Slip' shall be displayed and
Print of Registration Slip must be taken by Clicking on Print
Registration Slip.
Second Stage:- After the completion of the procedure of
first stage, 'Fee to be deposited [in INR]' shall be displayed
with caption "Click here to proceed for payment". After
clicking the above caption of "Click here to proceed for
payment", home page of State Bank MOPS (Multi Option
Payment System) shall be displayed comprising of 03
modes of payment viz.
(i) NET BANKING (ii) CARD PAYMENTS and (iii) OTHER
PAYMENT MODES.
After payment of the required fee by any one of the above
prescribed modes, "Payment Acknowledgement Receipt
(PAR)" shall be displayed alongwith detail of fee payment,
the print of which must be taken by clicking on "Print
Payment Receipt".
Third stage :- On completion of the procedure of second
stage click on "Proceed for final submission of application
form" as a result of which 'format' shall be displayed. The
candidates are required to enter all the required
informations in the format. The photo and signature duly
scanned shall be uploaded also. The candidate should
scan his/her photograph and signature in the prescribed
size (the size will be mentioned at the specified spot in the
On-line application). This should also be kept in notice that
the photo must be latest passport size. In case the photo
and signature, scanned in the prescribed size, are not
uploaded, then the On-line system will not accept it. The
procedure related for scanning of the photo and signature is
laid down in the Appendix-1. After filling in all entries in the
format, the candidates may click “PREVIEW” to see for
themselves that all entries and informations are correctly
entered and after satisfying themselves should click
"Submit" button to forward the same to the Commission. It
is essential that the candidate should fill all informations On-
line correctly according to the instructions given and click
the 'Submit' button by the last date prescribed for
submission of the application form. If the candidate does
not click the "Submit" button, the On- Line application
process shall not be completed finally and the candidate
shall be accountable for this. After clicking the 'Submit'
button, the candidate may take a print of the application to
preserve it with them. In the event of any discrepancies, the
candidate will be required to submit the said print in the
office of the Commission, otherwise his/her request shall
not be entertained.
2. Application Fee : In the ON-LINE Application process
after completing the procedure of first stage, category wise
prescribed fee is to be deposited as per instructions
provided in second stage. The prescribed fee for different
categories is as under:-
(i) Unreserved/ - Application fee Rs. 80/- + On-line
Economically processing fee Rs. 25/- Total =
Weaker Sections/ Rs. 105/-
other Backward
Classes
(ii) Scheduled Castes/ - Application fee Rs. 40/- + On-line
Scheduled Tribes processing fee Rs. 25/- Total =
Rs. 65/-
(iii) Handicapped - Application fee NIL/- + On-line
processing fee Rs. 25/- Total =
Rs. 25/-
(iv) Ex-Servicemen - Application fee Rs. 40/- + On-line
processing fee Rs. 25/- Total =
Rs. 65/-
(v) Dependents of the - According to their original
Freedom Fighters/ category
Women
3. If the claims of the candidates made in their applications
are not found true, they can be debarred from all the future
examinations and selections made by the Commission
including other appropriate penalties.
4. Modify Submitted Application: If a candidate comes to
know about any error/errors in the submitted application
form except in the name of exam and type of recruitment.
Registered Mobile Number, E-mail ID, Aadhaar Number
and such cases where prescribed fee for modified category
is higher (in case of error in these entries, candidate may
submit new online application with prescribed fee only as
previously deposited fee will neither be adjusted nor
refunded) he/she will be given only one opportunity to
modify it/them according to the following procedure before
the last date of the submission of application form.
"Candidate has to click on 'Modify Submitted Application'
under Online application process' in Candidate Segment.
After that ' Candidate Personal Details' will be displayed on
the screen to fill in Registration No., Date of Birth, Gender,
Page-1
Advertisement. No.
D-2/E-1/2023
Date: 17-03-2023
Domicile and Category. After filling the Verification code the
candidate has to click on the 'proceed' button following
which for Authentication of the candidate OTP (One Time
Password) will be sent on the registered mobile no. of the
candidate and the Option-Box will be displayed on the
screen to fill in the OTP. After the candidate has filled in the
OTP and clicks on the 'proceed' button his/her previously
submitted on line application from will be displayed on the
screen. The candidate can submit his/her on line
application form after making required modifications in it.
This facility will be available to the candidates only one time
within the last date of submission of application form."
Note: After scrutiny of online application if it is found by
the commission that the candidate has submitted more
than one application form, in such a case, only last
submitted application form of the candidate will be
accepted and the remaining application forms will
automatically stand cancelled as application
modification option has already been provided in
foregoing para, therefore, in this regard no claim of the
candidate will be accepted.
Uttar PradeshAyush Department
01 Post (SC-01) of Reader Agad Tantra Evam Vidhi
(A) Essential Qualification- 1. Five years Degree in
Ayurveda from a University established by law, or Five years
degree from the Board of Indian Medicine, Uttar Pradesh, or
any other State Board or Faculty which is registrable under
the United Provinces Indian Medicine Act, 1939. 2. Seven
years Teaching experience of the Subject (Five years for a
Post-Graduate) in a recognized Institution. 3. Working
knowledge of Hindi, English and Sanskrit. (B) Preferential -
1. Post Graduate qualification from a recognized Institution.
2. Research work and publication of Original Papers and
books. (C) Preferential Qualification- 1. Served in the
territorial Army for a minimum period of two years; or 2.
Obtained a "B" certificate of National Cadet Corps; shall
other things being equal, be given preference in the matter of
direct recruitment. Note- (1) Candidates will have to mention
their obtained marks and total marks of all semesters in
online application and annex all semesters mark sheet (in
which maximum marks/minimum marks/obtained marks
should be clearly mentioned) essentially along with other
certificates, at the time of demand of records. (2) Candidates
must necessarily attach a copy of the certificate/marks sheet
relating to the confirmation of working knowledge of Hindi,
English and Sanskrit inessential Qualification No.-3, (3)
Experience certificate should be of full time paid post in an
institution recognized by Government and issued by
appointing authority and it should be countersigned by
Registrar/Director of State Ayurvedic Medical Council or by a
competent authority of the Government. Experience of
unpaid or part time post will not be acceptable. Age Limit:-
Minimum 28 years, Maximum 45 years (age relaxation as
per Rules).
Uttar PradeshAyush Department
03 Post (UR-02, SC-01) of Reader Kriya Shareer
Reservation:- According to the existing Govt. Orders,
Department No.- S-9/03, Pay Scale:- Pay Matrix Level-11
(Rs. 67700-208700), Academic Qualification :- (A)
Essential Qualification- 1. Five years Degree in Ayurveda
from a University established by law, or Five years degree
from the Board of Indian Medicine, Uttar Pradesh, or any
other State Board or Faculty which is registrable under the
United Provinces Indian Medicine Act, 1939. 2. Seven
years Teaching experience of the Subject (Five years for a
Post-Graduate) in a recognized Institution. 3. Working
knowledge of Hindi, English and Sanskrit. (B) Preferential -
1. Post Graduate qualification from a recognized Institution.
2. Research work and publication of Original Papers and
books. (C) Preferential Qualification- 1. Served in the
territorial Army for a minimum period of two years; or 2.
Obtained a "B" certificate of National Cadet Corps; shall
other things being equal, be given preference in the matter
of direct recruitment. Note- (1) Candidates will have to
mention their obtained marks and total marks of all
semesters in online application and annex all semesters
mark sheet (in which maximum marks/minimum
marks/obtained marks should be clearly mentioned)
essentially along with other all certificates, at the time of
demand of records. (2) Candidates must necessarily attach
a copy of the certificate/marks sheet relating to the
confirmation of working knowledge of Hindi, English and
Sanskrit in essential Qualification No.-3, (3) Experience
certificate should be of full time paid post in an institution
recognized by Government and issued by appointing
authority and it should be countersigned by Registrar/
Director of State Ayurvedic Medical Council or by a
competent authority of the Government. Experience of
unpaid or part time post will not be acceptable. Age Limit:-
 Minimum 28 years, Maximum 45 years (age relaxation as recognized by Government and issued by appointing
per Rules). authority and it should be countersigned by Registrar/ marks assigned to that question will be deducted as
Director of State Ayurvedic Medical Council or by a penalty.
Uttar PradeshAyush Department competent authority of the Government. Experience of (ii) If a candidate gives more than one answer, it will be
01 Post (UR-01) of Reader Shalya Tantra, Reservation:- unpaid or part time post will not be acceptable. Age Limit:- treated as a wrong answer even if one of the given answer
According to the existing Govt. Orders, Department No.- Minimum 28 years, Maximum 45 years (age relaxation as happens to be correct and there will be same penalty as
S-9/04, Pay Scale:- Pay Matrix Level-11 (Rs. 67700- per Rules). above for that question.
208700), Academic Qualification:- (A) Essential Medical Education (Allopathy) Deptt. U.P. (iii) If a question is left blank i.e. no answer is given by the
Qualification- 1. Five years Degree in Ayurveda from a 03 Post (UR-02, OBC-01) of Principal (Allopathy) candidate, there will be no penalty for that question.
University established by law, or Five years degree from the (General recruitment) Deptt., No. S-8/01 Nature of post- 8. The original certificates are required for verification at
Board of Indian Medicine, Uttar Pradesh, or any other State Gazzetted/Temporary, Reservation:- According to the the time of interview. Candidate will then also be required
Board or Faculty which is registrable under the United existing Govt. orders; Pay Scale- Rs. Academic Level 14, to submit his/her passport size photograph attested by
Provinces Indian Medicine Act, 1939. 2. Seven years Initial Pay Rs. 1,44,200/- Essential Qualification- MD/MS head of department or head of the institution, where he/she
Teaching experience of the Subject (Five years for a Post- or an equivalent qualification recognized by Medical Council received last education or by a Gazetted Officer.
Graduate) in a recognized Institution. 3. Working of India (ii) Atleast 10 years Teaching experience as 9. Candidates serving under Central or State Government
knowledge of Hindi, English and Sanskrit. (B) Preferential - professor/ Associate Professor in a recognized Medical will have to produce "NO OBJECTION CERTIFICATE"
1. Post Graduate qualification from a recognized Institution. College/Institution out of which atleast five years should be from their employer at the time of interview.
2. Research work and publication of Original Papers and as professor in a department. General Norms regarding 10. The decision of the Commission as to the eligibility or
books. (C) Preferential Qualification- 1. Served in the Foreign Postgraduate Qualifications for Equivalence 1. otherwise of a candidate will be final.
territorial Army for a minimum period of two years; or 2. In the case of a person with Postgraduate medical 11. The candidate coming under the reserved category,
Obtained a "B" certificate of National Cadet Corps; shall qualifications awarded in United Kingdom, United States of desiring benefit of the reservation, must indicate in the
other things being equal, be given preference in the matter America, Canada, Australia and New Zealand, his prescribed column of the on-line application the category/
of direct recruitment. Note- (1) Candidates will have to qualifications can be considered as equivalent sub category (one or more than one) whatever may be, and
mention their obtained marks and total marks of all qualifications with MD/MS/DM/MCh, as the case may be, if if they fail to do so, they will be treated like a general
semesters in online application and annex all semesters he fulfils the following criteria in those countries. United candidate and the benefit of reservation will not be
mark sheet (in which maximum marks/minimum Kingdom: He should have completed Certificate of admissible to them.
marks/obtained marks should be clearly mentioned) Completion of Specialist Training (CCST) or equivalent 12. Till the last date and time of the submission of the on-
essentially along with other all certificates, at the time of training with final FRCS/FRCP degree and registered in that line application, it is must to click the 'Submit Button'. The
demand of records. (2) Candidates must necessarily attach country to practice in that specialty. United States of candidate must take a print out of the application duly filled
a copy of the certificate/marks sheet relating to the America and Canada: He should have MD qualification in and keep it safe and secure. In the event of any
confirmation of working knowledge of Hindi, English and with Residency Training Certificate in the relevant specialty discrepancy, the candidate will be required to submit the
Sanskrit in essential Qualification No.-3, (3) Experience in USA. For Super specialties, successful completion of print-out to the office of the Commission otherwise the
certificate should be of full time paid post in an institution Residency Training Programme along with completion of request of the candidate shall not be entertained.
recognized by Government and issued by appointing accredited Fellowship programme in the relevant super
13. With regard to claims made in the 'On-line Application',
authority and it should be countersigned by Registrar/ specialty is essential. Australia and New Zealand: He
the candidate shall submit the following original certificate/
Director of State Ayurvedic Medical Council or by a should have completed supervised training programme
certificates in the prescribed format, when asked for by the
competent authority of the Government. Experience of culminating in the Fellowship of the respective Specialty
Commission. If the certificates are not submitted in time,
unpaid or part time post will not be acceptable. Age Limit:- (FRACS/FRACP). For Super Specialties, minimum two
the candidature shall be cancelled.
Minimum 28 years, Maximum 45 years (age relaxation as years of supervised sub specialty Fellowship programme in
per Rules). 13.1 Only Higher Secondary/High School Certificate for
the respective Sub Specialty is essential. 2. He should have proof of the age shall be treated valid.
Uttar Pradesh Ayush Department done his complete duration of training in those countries and 13.2 Proof of degree/diploma or its equivalent
04 Post (UR-02, OBC-01, SC-01) of Reader Ras Shastra be registered there to practice in that specialty. 3. In such qualifications to confirm the prescribed essential and
Evam Bhaishajya Kalpana, Reservation:- According to cases he will be eligible for the post of Assistant Professor in preferential qualifications.
the existing Govt. Orders, Department No.- S-9/05, Pay the respective department and his subsequent promotions 13.3 In the case of physically handicapped candidates, the
Scale:- Pay Matrix Level-11 (Rs. 67700-208700), would be as per Teachers "Eligibility Qualifications in certificate issued by the competent authority in the format-
Academic Qualification :- (A) Essential Qualification- 1. Medical Institutions Regulations-2022". 4. Other 1 to the Govt. Order No. 05/2022/18/1/2008/47/ka-2/2022
Five years Degree in Ayurveda from a University qualifications will be evaluated by the NMC as and when dated 18th April 2022.
established by law, or Five years degree from the Board of reference is received. Age Limit:- Minimum 50 years and
13.4 In the case of the skilled players of the classified
Indian Medicine, Uttar Pradesh, or any other State Board or maximum 62 years. No Private Practice is permissible but
sports, a certificate issued by the competent authority will
Faculty which is registrable under the United Provinces an allowance will be given in lieu thereof as per government
be required in terms of the Government Order No. – 22/21/
Indian Medicine Act, 1939. 2. Seven years Teaching orders. Selected candidates can be appointed/transferred
1983-Ka-2 dated 28th November 1985.
experience of the Subject (Five years for a Post-Graduate) in public interest in any of the Govt. Medical Colleges of U.P.
in a recognized Institution. 3. Working knowledge of Hindi, Note:- Essential qualification is required to be recognized 13.5 Under any reserved category/categories, for the
English and Sanskrit. (B) Preferential - 1. Post Graduate by M.C.I. otherwise candidature will not be considered. confirmation of the claim for reservation, the caste
qualification from a recognized Institution. 2. Research work certificate issued by District Magistrate/Additional District
and publication of Original Papers and books. (C) GENERAL INSTRUCTIONS Magistrate (Executive)/City Magistrate/SDM/Tehsildar in
Preferential Qualification- 1. Served in the territorial Army LAST DATE FOR THE PAYMENT OF the prescribed format prescribed under Govt. Order No.
for a minimum period of two years; or 2. Obtained a "B" APPLICATION FEE IN THE BANK : 15-04-2023 22/16/92-TC-III/Ka-2/2002 dated 22nd October, 2008
certificate of National Cadet Corps; shall other things being LAST DATE FOR SUBMISSION OF ONLINE in respect of candidates belonging to the SC/ST/OBC, will
equal, be given preference in the matter of direct be accepted .
APPLICATIONS : 17-04-2023
recruitment. Note- (1) Candidates will have to mention their 1.The candidate must carefully study the detailed 13.6 mRrj izns'k 'kklu] dkfeZd vuqHkkx&2 ds i=kad 1@2019@
obtained marks and total marks of all semesters in online advertisement and may apply for the post only when he/ she 4@1@2002@dk&2@19 Vh-lh-&AA fnukad 18 Qjojh 2019 esa
application and annex all semesters mark sheet (in which is eligible for the concerned post. fufgr izkfo/kkuksa ds vuqikyu esa mRrj izns'k jkT; ds ewy fuoklh ,oa
maximum marks/minimum marks/obtained marks should 2. In no circumstance, applications shall be accepted after vkfFkZd :i ls detksj oxksZa ds ,sls O;fDr;ksa tks vuqlwfpr tkfr]
be clearly mentioned) essentially along with other all the last prescribed date and time. Applications found without vuqlwfpr tutkfr rFkk vU; fiNM+s oxksZa ds fy, vkj{k.k dh orZeku
certificates, at the time of demand of records. (2) requisite informations and without photograph and O;oLFkk ls vkPNkfnr ugha gSa] dks mRrj izns'k ljdkj dh yksd
Candidates must necessarily attach a copy of the signature, even when received in time, will be summarily lsokvksa vkSj inksa dh lHkh Jsf.k;ksa esa lh/kh HkrhZ ds izØe ij 10
certificate/marks sheet relating to the confirmation of rejected. izfr'kr dk vkj{k.k fu;ekuqlkj ns; gksxkA
working knowledge of Hindi, English and Sanskrit in 3. The knowledge of Hindi is essential. 13.7 Those candidates, willing to take the benefit of the
essential Qualification No.-3, (3) Experience certificate 4. The date of calculation of age (except where reservation may obtain a certificate, issued by the
should be of full time paid post in an institution recognized indicated otherwise) is 1st July, 2023. The maximum age- competent authority, in support of the reserved category, in
by Government and issued by appointing authority and it limit shall be relaxable by five years for the candidates the prescribed format printed in this detailed advertisement
should be countersigned by Registrar/Director of State belonging to Scheduled Caste, Scheduled tribe, Other and submit the same to the Commission, whenever
Ayurvedic Medical Council or by a competent authority of backward class, Skilled players of U.P. of Classified required to do so. Those claiming more than one reserved
the Government. Experience of unpaid or part time post will games (for the post of Group 'B' and 'C' only) (Only category will be given only one such concession, which will
not be acceptable. Age Limit:- Minimum 28 years, domiciled persons of U.P. are entitled for such age be more beneficial. The candidates not originally domiciled
Maximum 45 years (age relaxation as per Rules). in U.P. belonging to SC, ST, O.B.C., dependants of
relaxation) and State Govt. Employees of U.P. including freedom fighters, handicapped and Ex-servicemen are not
Uttar Pradesh Ayush Department Teachers/ Staff of the Basic Shiksha Parishad of U.P. entitled to benefit of reservation. Such candidates will be
02 Post (SC-01, OBC-01) of Reader Dravya Guna, according to G.O. No. 1648/79-5-2015, dated 19 June, treated in general category.
Reservation:- According to the existing Govt. Orders, 2015 and Teachers/Staff of the Government Aided veesš:- (1) G0Øe0 kesâ meceepe kesâ efoJÙeebie DeYÙeefLe&ÙeeW kesâ efueÙes Meemeve Éeje
Department No.- S-9/06, Pay Scale:- Pay Matrix Level-11 Madhyamik Vidyalayas of U.P. as per G.O. No. 1508/15- DeefOemetefÛele ( efÛeefvnle) efkeâÙes ieÙes heoeW hej ÛeÙeve kesâ mebyebOe ceW peejer keâeÙee&ueÙe
(Rs. 67700-208700), Educational Qualification :- (A) 8-2015-3057, dated 16 September, 2015. The upper age %eehe meb0-5/2022/18/1/2008/47/keâe-2/2022, efoveebkeâ- 18 DeØewue 2022 kesâ
Essential Qualification- 1. Five years Degree in Ayurveda limit shall also be greater by 3 years + period of service efyevog-5 (Deveejef#ele efjefòeâÙeeW hej efveÙegefòeâ) ceW ØeeefJeOeeve efvecveevegmeej efkeâÙee ieÙee
from a University established by law, or Five years degree rendered in army for the emergency commissioned nw- efoJÙeebielee mes «emle JÙeefòeâÙeeW kesâ efueÙes GheÙegòeâ efÛeefvnle efkeâÙes ieÙes heoeW ceW,
from the Board of Indian Medicine, Uttar Pradesh, or any officers/short service commission officers/ commissioned efoJÙeebielee mes «emle JÙeefòeâ keâes efkeâmeer Deveejef#ele efjefkeäle hej efveÙegefòeâ kesâ efueÙes
other State Board or Faculty which is registrable under the officers/Ex-Army personnels of U.P. It is essential to be ØeeflemheOee& keâjves mes cevee vener efkeâÙee pee mekeâlee nw DeLee&le efoJÙeebielee mes «emle
United Provinces Indian Medicine Act, 1939. 2. Seven years discharged from army upto the last date of receipt of JÙeefòeâ keâes efkeâmeer Deveejef#ele efjefòeâ hej efveÙegòeâ efkeâÙee pee mekeâlee nw yeMelex efkeâ heo
Teaching experience of the Subject (Five years for a Post- application. Relaxation of 15 years in the upper age limit mebiele ßesCeer keâer efoJÙeebielee mes «emle JÙeefòeâÙeeW kesâ efueÙes efÛeefvnle efkeâÙee ieÙee nes~
Graduate) in a recognized Institution. 3. Working knowledge will be admissible to P.H. candidates. MeemeveeosMe mebKÙee-39 efjš/keâe-2/2019 efoveebkeâ - 26 petve, 2019 Éeje
of Hindi, English and Sanskrit. (B) Preferential - 1. Post 5. After receipt of application in the Commission, any MeemeveeosMe mebKÙee- 18/1/99/ keâe-2/2006 efoveebkeâ 09 peveJejer, 2007 kesâ Øemlej-
Graduate qualification from a recognized Institution. 2. request for change in the qualification and category will not 4 ceW efoÙes ieÙes ØeeefJeOeeve, ‘‘Ùen Yeer mhe° efkeâÙee peelee nw efkeâ jepÙeeOeerve ueeskeâ
Research work and publication of Original Papers and be entertained. mesJeeDeeW Deewj heoeW hej meerOeer Yeleea kesâ Øe›eâce hej ceefnueeDeeW keâes DevegcevÙe Ghejesòeâ
books. (C) Preferential Qualification- 1. Served in the 6. Minimum educational qualification is not sufficient for Deej#eCe kesâJeue Gòej ØeosMe keâer cetue efveJeemeer ceefnueeDeeW keâes ner DevegcevÙe nw’’ keâes
territorial Army for a minimum period of two years; or 2. being called for interview. Mere eligibility does not entitle a efjš ÙeeefÛekeâe mebKÙee- 11039/2018 efJeefheve kegâceej ceewÙee& Je DevÙe yeveece Gòej
Obtained a "B" certificate of National Cadet Corps; shall candidate to be called for interview or for selection. ØeosMe jepÙe Je DevÙe leLee mecyeæ 6 DevÙe efjš ÙeeefÛekeâeDeeW ceW cee0 GÛÛe vÙeeÙeeueÙe,
other things being equal, be given preference in the matter Intimation for interview will be sent later on. Fueeneyeeo Éeje efoveebkeâ 16.01.2019 keâes DeefOekeâejeleerle (Ultra Vires)
of direct recruitment. Note- (1) Candidates will have to 7. In case of large number of applicants for the post/ posts, Ieesef<ele keâjves mecyevOeer efveCe&Ùe kesâ Devegheeueve ceW MeemeveeosMe efoveebkeâ 09.01.2007 mes
mention their obtained marks and total marks of all the Commission may hold screening test, which will Øemlej-04 keâes efJeueesefhele efkeâS peeves keâe efveCe&Ùe efueÙee ieÙee nw~ Gòeâ efveCe&Ùe Meemeve
semesters in online application and annex all semesters be communicated in due course of time. Under the Éeje cee0 GÛÛe vÙeeÙeeueÙe kesâ DeeosMe efoveebkeâ 16.01.2019 kesâ efJe™æ oeÙej efJeMes<e
mark sheet (in which maximum marks/minimum conditions of holding screening test (Objective Type), Deheerue ([er) mebKÙee-475/2019 ceWb cee0 vÙeeÙeeueÙe Éeje heeefjle nesves Jeeues Deefvlece
marks/obtained marks should be clearly mentioned) penalty (Negative Marking) shall be imposed for wrong efveCe&Ùe kesâ DeOeerve nesiee~
essentially along with other all certificates, at the time of answers given by the candidates in the manner given
14. The Commission do not advise to candidates about
demand of records. (2) Candidates must necessarily attach below--
their eligibility. Therefore, they should carefully read the
a copy of the certificate/marks sheet relating to the (i) There are four alternatives for the answer to every
advertisement and apply only when satisfied about their
confirmation of working knowledge of Hindi, English and question. For each question for which a wrong answer has
qualifications in terms of the advertisement.
Sanskrit in essential Qualification No.-3, (3) Experience been given by the candidate, one third (0.33) of the
certificate should be of full time paid post in an institution 15. In the category of dependants of the freedom fighters

Page-2
only sons, daughters, grand-sons (son's son/daughter's
son) and grand daughters (son's daughter/daughter's
daughter, married/ unmarried) are covered. Only such
relationships with the freedom fighters are not adequate but
the candidate should remain actually dependant of the
freedom fighter. It is advised that now the candidates may
obtain the reservation, certificate from the District
Magistrate in terms of Govt. Order No. 453/79-V-1-15-
1(Ka)/14-2015 dated 07-04-2015 in the prescribed format
and submit the same.
16. In the event of involvement of a candidate in the
concealment of any important information, pendency of any
case/criminal case, conviction, more than a husband or wife
being alive, submission of facts in a distorted manner,
canvassing for selection etc. The Commission reserves the
right to reject the candidature and debar from appearing in
the examinations and selections.
17. The change of address intimation may be sent
immediately to the Commission. In order to make any
correspondence with the Commission, it is essential to
mention the name of the post applied for, advertisement
number, Deptt. No., date of birth and registration number.
18. Candidates are required to hold essential qualification
till the last date of receipt of On-line application.
19. The claim of category, subcategory, domicile, gender,
date of birth, name and address will be valid only till the last
date of online application. In this regard no application for
error correction/modification shall be acceptable.
Incomplete application form shall be summarily rejected
and no correspondence shall be entertained in this regard.
On submission of false/misleading information, the
candidature will be cancelled.
20. In case the candidates feel any problem in the "On-line
Application" they may get their problem resolved by sending
their quarries to the 'Mail Box' of the Commission.
Appendix-1 The procedure relating to upload photo &
signature.
Detailed Application Form:
At the top of the page there is a 'Declaration' for the
candidates. Candidates are advised to go through the
contents of the Declaration carefully. Candidate has the
option to either agree or disagree with the contents of
Declaration by clicking on 'I Agree' or 'I do not agree'
buttons. In case the candidate opts to disagree, the
application will be dropped and the procedure will be
terminated. Accepting to agree only will submit the
candidate's Online Application.
Notification Details:-
This section shows information relevant to Notification i.e.
Notification number, selection type, directorate/ department
name and post name.
Personnel Details :-
This section shows information about candidate personnel
details i.e. Registration Number, candidate name, Father/
Husband name, Gender, DOB, UP domicile, Category,
Marital status, email and contact number.
OTHER DETAILS OF CANDIDATE :-
Other details of candidate shows the information details
about UP Freedom Fighter, Ex Army, service duration and
your physical challenges
Education & Experience details :-
It shows your educational and experience details.
Candidate address, photo & signature details :-
Here you will see your complete communication address
and photo with your signature.
Declaration segment
At the bottom of the page there is a 'Declaration' for the
candidates. Candidates are advised to go through the
contents of the Declaration carefully.
After filling all above particulars there is provision for
preview your detail before final submission of application
form on clicking on “Preview” button.
Preview page will display all facts/particulars that you have
mentioned on entry time if you are sure with filled details
then click on “Submit” button to finally push data into server
with successfully submission report that you can print.
Otherwise using “Back” button option you can modify
your details.
[CANDIDATES ARE ADVISED TO TAKE A PRINT OF
THIS PAGE BY CLICKING ON THE “Print” OPTION
AVAILABLE]
For other information candidates are advised to select
desired option in 'Home Page' of Commission's website
http://uppsc.up.nic.in in CANDIDATE SEGMENT
CANDIDATE SEGMENT
NOTIFICATIONS / ADVTS.
All Notification / Advertisements
ONLINE FORM SUBMISSION
1. Candidate Registration
2. Fee Deposition /Reconciliation
3. Submit Application Form
APPLICATION FORM STATUS
Update your transaction ID by Double Verification mode
View Application Status
List of Applications Having photo related Objections
Print Duplicate Registration Slip
Print Detailed Application Form
EXAMINATION SEGMENT
Print Address Slip for sending documents to Commission ifjokj mRrj izns'k ds xzke --------------------------- rglhy --------------------------
[Only for Direct Recruitment ] uxj ------------------------ ftyk ------------------------ esa lkekU;r;k jgrk gSA
DOWNLOAD SEGMENT LFkku -------------------------- gLrk{kj -----------------------------
Download Document of Verification for this Examination fnuakd ----------------------- iwjk uke -----------------------------
Download Admit Card eqgj --------------------------- in uke -----------------------------
Download Interview Letter : After Examination ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVsªV@ijxuk
Download Interview Letter : Direct Recruitment eftLVsªV@rglhynkjA
Download Syllabus ¼çi=&I½
Know your Registration No. mRrj çn'sk ljdkj
Click here to view Key Answer Sheet dk;kZy; dk uke----------------------------------------------
Latest Tenders vkfFkZd :i ls detkjs oxZ ds lnL; }kjk izLrqr fd;k tkus
LAST DATE FOR RECEIPT OF APPLICATIONS : On- line okyk vk; ,oa ifjlEifRr izek.k&i=
Application process must be completed (including filling çek.k i= l[a;k------------------- fnukd
a --------------------
up of Part-I, Part-II and Part-III of the Form) before last foRrh; o"kZ ---------------- ds fy, ekU;
date of form submission according to Advertisement, after çekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh-----------------------------
which the weblink will be disabled. ------------ iq=@ifr@iq=h----------------------------------- xzke@dLck----------------------------
Appendix-1 iksLV vkWfQl ---------------------------- Fkkuk ------------------------------ rglhy ------------------
The Procedure relating to upload Photo & Signature. ---------- ftyk ------------------------------------ jkT; -------------------------- fiu dksM -------------
Guide Lines for Scanning Photograph and Signature ---------- ds LFkk;h fuoklh gSa] ftudk QksVksxzkQ uhps] vfHkçekf.kr
1. Paste the Photo on any white paper as per the required
gS] vkfFkZd :i ls detksj oxZ ds lnL; gSa] D;ksafd foRrh; o"kZ ----------
---------- esa buds ifjokj dh dqy okf"kZd vk; 8 yk[k ¼vkB yk[k :i;s
dimensions. Sign in the Signature Space provided. Ensure ek=½ ls de gSA buds ifjokj ds LokfeRo esa fuEufyf[kr esa ls dksbZ
that the signature is within the box. Hkh ifjlEifRr ugha gS%&
2. Scan the required size photograph and signature. Please I. 5 ¼ikWap½ ,dM+ d`f"k ;kXs; Hkfwe vFkok mlls ÅijA
do not scan the complete page. II. ,d gtkj oxZ QhVvFkok bll]s vf/kd {k= s Qy dk ¶ySVA
3. The required image dimensions is W*H (3.5 cm by 4.5 III. vf/klfwpr uxjikfydk ds vr a xZr 100 oxZ xt vFkok
cm) blls vf/kd dk vkoklh; Hk[wk.MA
4. Ensure that the size of the scanned image is not more IV.vf/klfwpr uxjikfydk ls brj 200 oxZ xt vFkok blls
than 35 KB and stored in jpeg, jpeg, extension file only. vf/kd dk vkoklh; Hk[wk.MA
5. lf the size of the file is more than 25 KB, then adjust the 2- Jh@Jherh@dqekjh -------------------------------------- tkfr -------------------
settings of the scanner such as the DPI resolution, no ds lnL; gSa tks vuqlwfpr tkfr] vuqlwfpr tutkfr rFkk vU;
colours etc., during the process of scanning. fiNMs+ oxkZsa ds :i eas vf/klfwpr ugha gSAa
6. The application has to sign in full in the box provided. gLrk{kj ------------------¼dk;kZy; dk eqgj lfgr½
Since the signature is proof of identity, it must be genuine, ijwk uke ------------------------------------------------------------------
and in full, initials are not sufficient. Signature in CAPITAL inuke --------------------------------------------------------------------
LETTERS is not permitted. vkosnd dk ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh
7. The signature must be signed only by the application and ikliksVZ lkbt eftLVªVs@ijxuk eftLVªVs@rglhynkjA
not by any other person. dk vfHkizekf.kr
8. The signature will be used to put on the Hall Ticket and QksVksxzkQ
wherever necessary. If the Applicant’s signature on answer
script, at the time of the examination, does not match the
¼çi=&II½
signature on the Hall Ticket, the applicant will be vkfFkZd :i ls detkjs oxZ ds ykHkkFkZ Lo;a ?kk"sk.kk i=
disqualified. Lo;a ?kk"sk.kk i=
Upload your Photograph and Signature:- eSa ------------------ iq=@iq=h@iRuh ------------------- xzke@dLck ----------
1. Please upload only. jpeg, jpg extention file.
-------- ikLsV vkWfQl ------------------------------ Fkkuk ----------------------- Cykd -------------
----- rglhy ----------------------------- ftyk ----------------------- jkT; ---------------------------
2. Size of the scanned image is not more that 35 KB. ------------ us vkfFkZd :i ls detkjs oxZ ds çek.k i= grsq vkonsu fn;k
3. Image dimension W*H (3.5 CM* 4.5 CM).
gS] ,rn~ }kjk ?kk"sk.kk djrk@djrh g¡wA
4. Scan and upload the Signature. 1. eSa -------------------------------------------- tkfr ls lEcU/k j[krk@j[krh g¡w]
Sample Image & Signature :- tks mRrj izn'sk grsq vf/klfwpr vuqlwfpr tkfr] vuqlwfpr tutkfr] ,oa
vU; fiNMk+ oxZ dh lp w h eas lp w hc) ugha gSA
Select a Latest Select a Latest
Colored Signature 2- ejss ifjokj dh dqy Jkrskas ¼orsu] d`f"k] O;olk;] i'skk bR;kfn½
Colored Photo
witdh= 3.5 cm ls dqy okf"kZd vk; : ------------------------ ¼'kCnkas e½as gSA
witdh= 3.5 cm
3- ejss ifjokj ds ikl mfYyf[kr vk; ds flok; vFkok blds
Height= 1.5 cm
vfrfjDr vU;= dkbsZ ifjlEifRr ugha gSA
Height= 4.5 cm
vFkok
dbZ LFkkukas ij fLFkr ifjlEifRr;kas dks tkM s u+s ds i'pkr Hkh eSa ¼uke½ --
Photo ------------------------------- vkfFkZd :i ls detkjs oxZ ds nk;js eas
vkrk@vkrh g¡wA
4- eSa ?kk"sk.kk djrk@djrh g¡w fd ejss ifjokj dh lHkh
ifjlEifRr;kas dks tkM s u+s ds i'pkr~ fuEufyf[kr eas ls fdlh Hkh
lhek ls vf/kd ugha gSA
I. 5 ¼ikWap½ ,dM+ d`f"k ;kXs; Hkfwe vFkok mlls ÅijA
II. ,d gtkj oxZ QhV vFkok bll]s vf/kd {k= s Qy dk ¶ySVA
ifjf'k"V III. vf/klfwpr uxjikfydk ds vr a xZr 100 oxZ xt vFkok blls
m0iz0 dh vuqlwfpr tkfr rFkk vuqlwfpr tutkfr ds fy;s vf/kd dk vkoklh; Hk[wk.MA
tkfr izek.k&i= ¼izk#i&II½
IV. vf/klfwpr uxjikfydk ls brj 200 oxZ xt vFkok blls
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ------------------ vf/kd dk vkoklh; Hk[wk.MA
lqiq=@lqiq=h Jh ------------------------ fuoklh ----------------- xzke -------- rglhy -
--------------- uxj ------------------------ ftyk -------------------------- mRrj izns'k jkT; eSa çekf.kr djrk@djrh g¡w fd ejss }kjk mijkDsr tkudkjh ejss Kku vkSj
dh ------------------------- tkfr ds O;fDr gSa ftls lafo/kku ¼vuqlwfpr tkfr½ fo'okl ds vuqlkj lR; gS vkSj eSa vkfFkZd :i ls detkjs oxZ ds fy,
vkns'k] 1950 ¼tSlk fd le;&le; ij la'kksfèkr gqvk½@lafo/kku vkj{k.k lqfo/kk çkIr djus grsq ik=rk /kkj.k djrk@djrh g¡wA ;fn ejss }kjk
¼vuqlwfpr tutkfr] mRrj izns'k½ vkns'k] 1967 ds vuqlkj vuqlwfpr nh xbZ tkudkjh vlR;@xyr ik;h tkrh gS rks eSa i.wkZ :i ls tkurk
tkfr@vuqlwfpr tutkfr ds :i esa ekU;rk nh xbZ gSA g¡wW@tkurh g¡w fd bl vkonsu i= ds vk/kkj ij fn;s x;s çek.k i= ds }kjk
'kS{kf.kd lLaFkku eas fy;k x;k ço'sk@ykd s loskvkas ,oa inkas eas izkIr dh xbZ
Jh@Jherh@dqekjh ------------------------------------------------- rFkk@vFkok fu;qfDr fujLr dj nh tk;x s h@dj fn;k tk;x s k vFkok bl çek.k i= ds
mudk ifjokj mRrj izns'k ds xzke ---------------------- rglhy ---------------------- vk/kkj ij dkbsZ vU; lqfo/kk@ykHk çkIr fd;k x;k gS mlls Hkh ofapr fd;k
uxj -------------------------- ftyk ---------------------- esa lkekU;r;k jgrk gSA tk ldx s k vkSj bl lEcU/k eas fof/k ,oa fu;ekas ds v/khu ejss fo:) dh tkus
LFkku -------------------------- gLrk{kj--------------------------- okyh dk;Zokgh ds fy, eSa mRrjnk;h jg¡wxk@jg¡wxhA
fnuakd ----------------------- iwjk uke-------------------------- uksV%& tks ykxw ugha gks mls dkV nsaA
eqgj --------------------------- in uke----------------------------
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVsªV@ijxuk LFkku %& vkonsd@vkofsndk dk gLrk{kj rFkk ijwk ukeA
eftLVsªV@rglhynkj@vU; osru Hkksxh eftLVsªV] ;fn dksbZ
gks@ftyk lekt dY;k.k vf/kdkjhA Form-II
mÙkj izns'k ds vU; fiNM+s oxZ ds fy, tkfr izek.k&i= Certificate of Disability
¼izk#i&I½ (In cases of amputation or complete permanent paralysis
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ------------------ lqiq=@ of limbs or dwarfism and in case of blindness) (Name and
Address of the Medical Authority issuing the Certificate)
lqiq=h ------------------ fuoklh ------------------ rglhy ------------------ uxj -------------
ftyk ----------------- mRrj izns'k jkT; dh -------------------- fiNM+h tkfr ds Recent passport size
O;fDr gSaA ;g tkfr m0iz0 yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr
attested photograph
tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ vf/kfu;e] 1994
¼;Fkkla'kksf/kr½ dh vuqlwph&,d ds vUrxZr ekU;rk izkIr gSA (showing face only) of
;g Hkh izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh -------------- the person with disabiliy
-------------- iwoksZDr vf/kfu;e] 1994 ¼;Fkkla'kksf/kr½ dh vuqlwph&nks Certificate No. Date:
tSlk fd m0iz0 yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa This is to certify that I have carefully examined
vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ ¼la'kks/ku½ vf/kfu;e] 2001 Shri/Smt./Kum._____________son/wife/daughter of
}kjk izfrLFkkfir fd;k x;k gS ,oa tks m0iz0 yksd lsok ¼vuqlwfpr Shri__________Date of Birth (DD/MM/YY)________Age
tkfr;ksa] vuqlwfpr tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ ____years, male/female___________ registration No.
¼la'kks/ku½ vf/kfu;e] 2002 }kjk la'kksf/kr dh x;h gS] ls vkPNkfnr __________permanent resident of House No.
ugha gSA buds ekrk&firk dh fujarj rhu o"kZ dh vof/k ds fy;s ldy _ _ _ _ _ _ _ _ Wa r d / Vi l l a g e / S t r e e t _ _ _ _ _ _ _ _ _ P o s t
okf"kZd vk; vkB yk[k #i;s ;k blls vf/kd ugha gS rFkk buds ikl office_________ District________State__________.
èkudj vf/kfu;e] 1957 esa ;Fkk fofgr NwV lhek ls vf/kd lEifRr Hkh
whose photograph is affixed above, and am satisfied that:
ugha gSA (A) he/she is a case of:
Jh@Jherh@dqekjh ------------------------------- rFkk@vFkok mudk
Page-3
 Iocomotor
n disability # - e.g. Single eye mÙkj izns'k yksd lsok ¼'kkjhfjd :Ik ls fodykax] Lora=rk laxzke
dwarfism
n £ - e.g. Left/Right/both ears lsukfu;ksa ds vkfJrksa vkSj HkwriwoZ lSfudksa ds fy;s vkj{k.k½]
n blindness 4. The applicant has submitted the following document vf/kfu;e] 1993 ¼;Fkkla'kksf/kr½ ds vuqlkj Lora=rk laxzke lsukuh
(Please tick as applicable) as proof of residence:- ds vkfJr ds izek.k&Ik= dk izi=A
(B) The diagnosis in his/her case is_________ izek.k&i=
Nature of Date of Details of authority
(A) he/she has ________% (in figure)________percent issuing certificate izekf.kr fd;k tkrk gS fd Jh@Jherh ------------------------ fuoklh
Document Issue
(in words) permanent locomotor disability/ xzke& --------------- uxj& ------------------- ftyk& ---------------- mÙkj izns'k
dwarfism/blindness in relation to his/her______ (part
of body) as per guidelines (.............number and date 5. Signature and seal of the Medical Authority.
yksd lsok ¼'kkjhfjd :Ik ls fodykax] Lora=rk laxzke lsukfu;ksa ds
of issue of the guidelines to be specified). vkfJrksa vkSj HkwriwoZ lSfudksa ds fy;s vkj{k.k½ vf/kfu;e] 1993 ds
2. The applicant has submitted the following document vuqlkj Lora=rk laxzke lsukuh gSa vkSj Jh@Jherh@dqekjh
as proof of residence:- Name and Seal Name and Seal Name and Seal ¼vkfJr½ ----------- iq=@iq=h@ikS= ¼iq= dk iq= ;k iq=h dk iq=½ rFkk
of the Chairperson
ikS=h ¼iq= dh iq=h ;k iq=h dh iq=h½ ¼fookfgr vFkok vfookfgr½
of Member of Member
Nature of Date of Details of authority mijkafdr vf/kfu;e] 1993 ¼;Fkkla'kksf/kr½ ds izkfo/kkuksa ds vuqlkj
Document Issue Issuing certificate mDr Jh@Jherh ¼Lora=rk laxzke lsukuh½ ----------------ds vkfJr gSaA
Countersigned by the
LFkku% gLrk{kj -----------------------------------
Chief Medical Officer
3. Signature and seal of the Medical Authority. fnukad% iwjk uke -----------------------------------
(with seal) inuke -------------------------------------
(Dr...............) (Dr...............) (Dr...............)
Member Member Chairperson eqgj ------------------------------------------
Medical Board Medical Board Medical Board ftykf/kdkjh
with seal with seal with seal
Form-IV ¼lhy½
Certificate of Disability
Countersigned by the (In cases of other than those mentioned in Forms dq'ky f[kykfM+;ksa ds fy;s izek.k&i= tks m-iz- ds ewy fuoklh
Chief Medical Officer II and III ) gSa
(with seal) (Name and Address of the Medical Authority/Board 'kklukns'k la[;k&22@21@1983&dkfeZd&2
issuing the Certificate) fnukad 28 uoEcj] 1985
Form-III Recent passport size izek.k&i= ds QkeZ & 1 ls 4
Certificate of Disability attested photograph
izk:i &1
(In cases of multiple disabilities) ¼ekU;rk izkIr ØhM+k@[ksy esa vius ns'k dh vksj ls vUrjkZ"Vªh;
(showing face only) of
(Name and Address of the Medical Authority/Board issuing izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
the person with disabiliy lEcfU/kr [ksy dh jk"Vªh; QsMjs'ku@jk"Vªh; ,lksfl,'ku dk
the Certificate)
Signature/thumb Cerficate No. Date: uke --------------------------- jkT; ljdkj dh lsokvksa@inksa ij fu;qfDr ds
impression of the Recent passport size This is to certify that we have carefully examined fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i= izekf.kr fd;k tkrk gS
person in whose attested photograph
(showing face only) of
Shri/Smt./Kum.___________son/wife/daughter of fd Jh@Jherh@dqekjh ------------------------ vkRet@iRuh@vkRetk
favour certificate of Shri _____________ Date of birth (DD/MM/ YY) _______ Jh --------------------- fuoklh ---------------------- iwjk irk ----------------- us fnukad --
disability is issued the person with disabiliy
age_____ years, male/ female__________. ----------------- ls fnukad ------------------ rd --------------------- ¼LFkku dk uke½ esa
Cerficate No. Date: Registration No.__________permanent resident of House vk;ksftr------------------------ ¼ØhM+k@[ksy&dwn dk uke½ dh
This is to certify that we have carefully examined No. ________ Ward/Village/ Street________Post izfr;ksfxrk@VwukZesUV esa ns'k dh vksj ls Hkkx fy;kA
Shri/Smt./Kum.___________son/wife/ daughter of Office_______District________ State_______, whose muds Vhe ds }kjk mDr izfr;ksfxrk@VwukZesUV esa -------------------------
Shri _____________ Date of birth (DD/MM/ YY) _______ photograph is affixed above, and am satisfied that he/she LFkku izkIr fd;k x;kA
age_____ years, male/ female__________. is a case of ___________ Disability. His/her extent of ;g izek.k&i= jk"Vªh; QsMjs'ku@jk"Vªh; ,lksfl,'ku@¼;gk¡ laLFkk
Registration No.__________ permanent resident of House percentage physical impairment/disability has been dk uke fn;k tk;s½ --------- esa miyC/k fjdkMZ ds vk/kkj ij fn;k x;k
N o . _ _ _ _ _ _ _ _ _ Wa r d / Vi l l a g e / S t r e e t _ _ _ _ _ _ _ _ evaluated as per guidelines (......number and date of issue gSA
Post Office_______District________ State_______, of the guidelines to be specified) and is shown against the LFkku -------------------------- gLrk{kj --------------------------------------
whose photograph is affixed above, and am satisfied that: relevant disability in the table below fnuakd ----------------------- uke ---------------------------------------------
(A) he/she is a case of Multiple Disability. His/her extent of
Permanent in -----------------------------------------------
Permanent Affected physical laLFkk dk uke ---------------------------
Affected physical eqgj --------------------------------------------
S. Diagno impairment/ S. part of Diagno impairment/
part of N. Disability sis mental disability uksV % ;g izek.k&i= us'kuy QsMjs'ku@us'kuy ,lksfl,'ku ds
N. Disability sis mental disability body
body (in%) lfpo }kjk O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU;
(in%)
1. Locomotor disability @ 1. Locomotor disability @
gksxkA
izk:i & 2
2. Muscular Dystrophy 2. Muscular Dystrophy ¼ekU;rk izkIr ØhM+k@[ksy esa vius izns'k dh vksj ls jk"Vªh;
3. Leprosy cured 3. Leprosy cured izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
4. Dwarfism 4. Cerebral Palsy lEcfU/kr [ksy dh izns'kh; ,lksfl,'ku dk uke -------------------jkT;
5. Cerebral Palsy 5. Acid attack Victim ljdkj dh lsokvksa@inksa ij fu;qfDr ds fy, dq'ky f[kykfM+;ksa ds
6. Acid attack Victim
6. Low Vision #
fy, izek.k&i=
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------- vkRet@
7. Low Vision # 7. Deaf £ iRuh@vkRetk Jh ----------------------- fuoklh ¼iwjk irk½ -----------------------us
8. Blindness # 8. Hard of Hearing £ fnuka d ----------------ls fnuka d -------------------rd-------------------es a
9. Deaf £ 9. Speech and ¼ØhM+k@[ksy&dwn dk uke½ dh izfr;ksfxrk ¼VwukZesUV LFkku dk
10. Hard of Hearing £ Language disability uke½--------------------vk;ksftr jk"Vªh;--------------- esa ¼ØhM+k@[ksy&dwn dk
11. Speech and 10. Intellectual Disability
uke½ dh izfr;ksfxrk@ VwukZesUV esa izns'k dh vksj ls Hkkx fy;kA
Language disability muds Vhe ds }kjk mDr izfr;ksfxrk@VwukZesUV esa -------------------------
11. Specific Learning
12. Intellectual Disability Disability
LFkku izkIr fd;k x;kA
Specific Learning
;g izek.k&i= ------------------------------------- ¼izns'kh; la?k dk uke½ esa
13. 12. Autism Spectrum
Disability
miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
Disorder
LFkku -------------------------- gLrk{kj --------------------------------------
14. Autism Spectrum 13. Mental illness fnuakd ----------------------- uke ---------------------------------------------
Disorder in ---------------------------------------------
14. Chronic Neurological
15. Mental illness Conditions laLFkk dk uke ---------------------------
16. Chronic Neurological 15. Multiple sclerosis eqgj --------------------------------------------
Conditions 16. Parkinson's disease uksV % ;g izek.k&i= izns'kh; [ksy&dwn la?k ds lfpo }kjk
17. Multiple sclerosis 17. Haemophilia O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU; gksxkA
18. Parkinson's disease 18. Thalassemia çk:i & 3
19. Haemophilia 19. Sickle Cell disease
¼ekU;rk izkIr ØhM+k@[ksy esa vius fo'ofo|ky; dh vksj ls
vUrfoZ'ofo|ky; izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
20. Thalassemia Please strike out the
disabilities which is not applicable) fo'ofo|ky; dk uke -------------------- jkT; Lrj dh lsokvksa@inksa
21. Sickle Cell disease ij fu;qfDr ds fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i=
2. The above condition is progressive/non-progressive/
permanent physical impairment/disability has bee likely to improve/not likely to improve. izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------------
evaluated as per guidelines (......number and date of issue 3. Reassessment of disability is:- vkRet@iRuh@vkRetk Jh ---------------------------- fuokl ¼iwjk uke½ -------
of the guidelines to be specified) for the disabilites ticked (i) not necessary, or -------------------------------- fo'ofo|ky; dh d{kk ---------------------------- ds
below, and is shown against the relevant disability in the (B)
(ii) is recommended/after............years............ fo|kFkhZ us fnukad ----------------------- ls fnukad --------------------- rd ---------------
months, and therefore this certificate shall be -------- ¼LFkku dk uke½ esa vk;ksftr vUrfoZ'ofo|ky; --------------------------
In the light of the above, his/her over all permanent physical valid till.... ...... ..... (DD) (MM) (YY)
impairment as per guidlines (.......number and date of issue -- ¼ØhM+k@ [ksy&dwn dk uke½ izfr;ksfxrk@VwukZesUV esa --------------------
@ - e.g. Left/right/both arms/legs
of the guidelines to be specified), isfollows:In # - e.g. Single eye/both eyes
------ fo'ofo|ky; dh vksj ls Hkkx fy;kA muds Vhe ds }kjk mDr
figures................percent. £ - e.g. Left/Right/both ears izfr;ksfxrk@VwukZesUV esa ------------------------- Lfkku izkIr fd;k x;kA ;g
In words............................................................percent izek.k&i= Mhu vkWQ LiksV~lZ vFkok bapktZ [ksy dwn -----------------
2. This condition is progressive/non-progressive/likely to fo'ofo|ky; esa miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
Name and Seal Name and Seal Name and Seal LFkku -------------------------- gLrk{kj --------------------------------------
improve/not likely to improve.
3. Reassessment of disability is:-
of Member of Member of the Chairperson fnuakd ----------------------- uke ---------------------------------------------
(i) not necessary, in ----------------------------------------------
Signature/thumb
or impression of the
4. Countersigned by the laLFkk dk uke ---------------------------
(ii) is recommended/ after............ years............ months, person in whose Chief Medical Officer eqgj --------------------------------------------
and therefore this certificate shall be valid till.... ...... ..... favour certificate of (with seal) uksV % ;g izek.k&i= fo'ofo|ky; ds Mhu vkWQ LiksV~lZ ;k bapktZ
(DD) (MM) (YY) disability is issued [ksy&dwn }kjk O;fDrxr :i ls fd;s x;s gLrk{kj gksus ij gh ekU;
@ -e.g. Left/right/both arms/legs Signature and seal of the gksxkA
Medical Authority.

Page-4
 izk:i & 4
¼ekU;rk izkIr ØhM+k@[ksy esa vius Ldwy dh vksj ls jk"Vªh;
[ksy&dwn esa Hkkx ysus okys f[kykM+h ds fy;s½
MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@funs'kd] f'k{kk] mÙkj
izns'k ------------------------------ jkT; Lrj dh lsokvksa@inksa ij fu;qfDr
ds fy, dq'ky f[kykfM+;ksa ds fy, izek.k&i=
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh -----------------------------------
-- vkRet@iRuh@vkRetk Jh ------------------------------------------- fuoklh
¼iwjk irk½ ------------------------------------ esa ----------------------------- Ldwy esa d{kk ------
--------- ds fo|kFkhZ us fnukad ------------------- ls fnukad ------------------- rd ------
------------¼LFkku dk uke½ esa vk;ksftr Ldwyksa ds us'kuy xsEl dh ----------
-------------- ¼ØhM+k@[ksy&dwn dk uke½ izfr;ksfxrk@VwukZesUV esa ----------
----------------- Ldwy dh vksj ls Hkkx fy;kA muds Vhe ds }kjk mDr
izfr;ksfxrk@ VwukZesUV esa ------------------------- LFkku izkIr fd;k x;kA
;g izek.k&i= MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@f'k{kk esa
miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gSA
LFkku -------------------------- gLrk{kj -------------------------------------
fnuakd ----------------------- uke ---------------------------------------------
in ----------------------------------------------
laLFkk dk uke --------------------------
eqgj -------------------------------------------
uksV % ;g izek.k&i= funs'kd@;k vfrfjDr@la;qDr ;k
mifuns'kd MkbjsDVªsV vkWQ ifCyd bUlVªD'kUl@f'k{kk --------------------
}kjk O;fDrxr :i ls gLrk{kj gksus ij ekU; gksxkA
Secretary

Page-5