vkuykbu foLr`r vkosnu izi=k ds fy, vuqns'kInstructions for Online Detailed Application Form

flfoy lsok (iz/ku) ijh{kk] 2011Civil Services (Main) Examination, 2011

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Important

1- mEehnokjksa dks lykg nh tkrh gS fd os Hkkjr ljdkj ds jkti=k fnukad 19 iQjojh] 2011 esa izdkf'kr mDr ijh{kk dh fu;ekoyh ftlesa ik=krk dh 'krks± vkfn dk mYys[k gS] dks lko/kuh ls i<+ ysa A

1. Candidates are advised to read carefully the Rules of the Examination, which include conditions of eligibility etc. as published in the Gazette of India dated 19th February, 2011.

2- mEehnokj ;g lqfuf'pr dj ysa fd vkosnu&izi=k ds lHkh dkWyeksa dks vius gkFk ls L;kgh ls ;k ckWy IokbaV isu ls Bhd izdkj ls Hkj fn, x,gSa A vkosnu&izi=k esa dh xbZ izfof"V;ksa esa ifjorZu laca/h mEehnokjksa ds i=kkpkj ij vk;ksx }kjk fopkj ugha fd;k tk,xkA 'kwU; tkudkjh dh fLFkfr dsekeys esa mEehnokj lacf/r dkWye esa Li"V :i ls 'kwU; fy[ksaA dksbZ Hkh dkWye [kkyh u NksMk tk,A

2. Candidates should ensure that all modules of the Online Application Form are filled in correctly. No correspondencewill be entertained by the Commission from candidates to change any of the entries made in the Application Form. In caseof NIL information, candidates are advised to clearly write NIL or NA or "0"in the relevant module. No module should beleft blank.

3- 'kSf{kd ;ksX;rk] vk;q] tkfr] 'kkjhfjd v{kerk bR;kfn ls lEcfU/r lHkh laxr layXud izi=k ds lkFk yxk fn, tk;sa A3. All relevant enclosures relating to educational qualifications, age, community, Physical disability etc. should beenclosed with the printed copy of the Application Form sent to the Commission.

4- iw.kZ :i ls Hkjk gqvk vkosnu&izi=k vafre rkjh[k ( 09.09.2011) rd ;k mlls igys voj lfpo (flfoy lsok iz/ku)] la?k yksd lsokvk;ksx] /kSyiqj gkmQl] 'kkgtgka jksM] ubZ fnYyh&110069 dks igqap tkuk pkfg, A vkosnu&izi=k ds fyiQkiQs ij ¶flfoy lsok (iz/ku) ijh{kk 2011ds fy, vkosnu&izi=k¸ fy[ksa A vkosnu&izi=k la?k yksd lsok vk;ksx ds dkm.Vj ij nLrh :i ls Hkh tek fd;k tk ldrk gS A vk;ksx ds fdlh vU;inkf/dkjh dks tek djkus ds fy, fn, x, vkosnu&izi=kksa ds fy, vk;ksx mÙkjnk;h ugha gksxk A

4. The printed copy of Online application form must reach the Under Secretary (CSM), Union Public Service Commission,Dholpur House, Shahjahan Road, New Delhi-110069 on or before 9th September 2011. The envelope containing theapplication should be superscribed “Application for Civil Services (Main) Examination, 2011”. Application can also bedelivered at Union Public Service Commission counter by hand. The Commission will not be responsible for the applicationsdelivered to any other functionary of the Commission.

5. mEehnokj vius vkosnu&izi=k] mEehnokjh vkfn ds laca/ esa fdlh izdkj ds ekxZn'kZu@lwpuk@Li"Vhdj.k ds laca/ esa la?k yksd lsok vk;ksx dsifjlj esa xsV ^lh* ds fudV lqfo/k dkm.Vj ij Lo;a vkdj ;k nwjHkk"k la- 011&23385271@011&23381125@011&23098543 ij dk;Z&fnolksa esaizkr% 10-00 cts ls lk;a 17-00 cts rd laidZ dj ldrs gSa A mEehnokj vius lk{kkRdkj dk;ZØe] ifj.kke vkfn ds fo"k; esa vk;ksx ds osclkbZV(Website) http://www.upsc.gov.in ls Hkh tkudkjh izkIr dj ldrs gSa A

5. In case of any guidance/information/clarification regarding their applications, candidature etc. candidates cancontact UPSC's Facilitation Counter near Gate ‘C’ of its campus in person or over Telephone No. 011-23385271/011-23381125/011-23098543 on working days between 10.00 hrs. and 17.00 hrs. CANDIDATES CAN ALSO OBTAININFORMATION ABOUT THEIR INTERVIEW PROGRAMME, RESULTS ETC. ON THE COMMISSION’SWEBSITE AT THE ADDRESS :— http://www.upsc.gov.in.

6. la?k yksd lsok vk;ksx ds ijh{kk Hkouksa ds ifjlj esa eksckbZy iQksu o£tr gS A

6. The mobile phones are banned in the Campus of UPSC Examination Halls.

2763 UPSC/2010

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UNION PUBLIC SERVICE COMMISSION

INSTRUCTIONS TO CANDIDATES OF CIVILSERVICES (MAIN) EXAMINATION, 2011

1. The Main Examination in the scheme of the CivilServices Examination, 2011 for the services and postsmentioned in preamble to the Rules will be held in October/November, 2011. The detailed Time Table of Examinationwill be sent to you along with the Admission Certificate.

.2. The Main Examination will be held at followingcentres :—

Ahmedabad, Allahabad, Bangalore, Bhopal, Chandigarh,Chennai, Cuttack, Delhi, Dispur (Guwahati), Hyderabad, Jaipur,Jammu, Kolkata, Lucknow, Mumbai, Patna, Shillong, Shimlaand Thiruvananthapuram.

In the interest of coordinated and secured logistics, theCommission may not operate centres where the number ofcandidates is very low. In such cases, the Commission mayallot nearest centres to the candidates. The decision of theCommission in this regard will be final and no furthercorrespondence will be entertained from candidates.

3. The centres and the dates of holding the MainExamination as mentioned above are liable to be changed atthe discretion of the Commission. While every effort will bemade to allot the candidate to the centre of his choice, theCommission may, at their discretion allot a different centre ora new centre that may be opened when circumstances sowarrant. Facilities for the examination of the blind candidates,however, are available ONLY AT ANY ONE OF THE SEVENCENTRES VIZ. CHENNAI, DELHI, DISPUR, HYDERABAD,KOLKATA, LUCKNOW AND MUMBAI CENTRES ONLY.The decision of the Commission in this regard will be final andno further correspondence will be entertained from candidates.

4. (i) Candidate seeking admission to the Civil Services(Main) Examination must apply to Under Secretary (CSM),Union Public Service Commission, Dholpur House,Shahjahan Road, New Delhi-l10069 on the prescribed formof application form after dully filling in information Online andfurther submitting the printed copy of the Online applicationto the Commission.

(ii) The completed application form along with all theenclosures, including fees (if applicable) must reach the UnderSecretary (CSM), Union Public Service Commission, DholpurHouse, Shahjahan Road, New Delhi-ll0069 on or before 9thSeptember 2011.

Application can also be delivered at Union PublicService Commission counter by hand. The Commission willnot be responsible for the application delivered to any otherfunctionary of the Commission.

Note I.—Candidates should clearly note that theCommission will in no case be responsible for non-receipt oftheir application or any delay in receipt thereof on any accountwhatsoever. No application received after the prescribed last

date will be entertained under any circumstances and all thelate applications will be summarily rejected. They should,therefore, ensure that their applications reach the Commission'sOffice on or before the prescribed last date.

Note II.—Applications received through Couriers orCourier Services of any type shall be treated as having beenreceived 'By hand' at the Commission's Counter.

NO REQUEST FOR WITHDRAWAL OFCANDIDATURE RECEIVED FROM A CANDIDATE AFTERHE/SHE HAS SUBMITTED HIS/HER APPLICATION WILLBE ENTERTAINED.

5. FEE

A candidate seeking admission to examination must payto the Commission a fee of Rs. 200.00 (Rupees Two Hundredonly) through Central Recruitment Fee Stamps. CentralRecruitment Fee Stamps (NOT postage stamps) may beobtained from the post office and affixed on the applicationform in the space provided therein. The stamps may be gotcancelled from the issuing Post Office with the date stamp ofthe Post Office in such a manner that the impression of thecancellation mark partially overflows on the application formitself. The impression of the cancellation mark should be clearand distinct to facilitate the identification of date and the PostOffice of issue.

Candidates residing abroad should deposit theprescribed fee in the office of India's High Commissioner,Ambassador or Representative abroad as the case may be forcredit to account head "051-Public ServiceCommission-Examination Fees" and attach the receipt withthe application.

FEMALE CANDIDATES AND CANDIDATESBELONGING TO SCHEDULED CASTES/SCHEDULEDTRIBES ARE NOT REQUIRED TO PAY ANY FEE. NO FEEEXEMPTION IS, HOWEVER, AVAILABLE TO OBCCANDIDATES AND THEY ARE REQUIRED TO PAY THEFULL PRESCRIBED FEE.

Physically disabled persons are exempted from thepayment of fee provided they are otherwise eligible forappointment to the Service/posts to be filled on the results ofthis examination on the basis of the standards of medicalfitness for these Services/posts (including any concessionsspecifically extended to the physically disabled). A physicallydisabled candidate claiming fee concession must submit alongwith his/her Detailed Application Form a certified copy of thecertificate from a Medical Board in support of his/her claim forbeing physically disabled duly indicating the percentage ofdisability. [Refer para 22] .

Note.—Notwithstanding the aforesaid provision for feeexemption, a physically disabled candidate will be consideredto be eligible for appointment only if he (after such physicalexamination as the Government or the appointing authority,as the case may be, may prescribe) is found to satisfy therequirements of physical and medical standards for the

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concerned Services/posts to be allocated to physicallydisabled candidates by the Government.

‘Postage Stamps’ will in no case be accepted in lieu ofCentral Recruitment Fee Stamps.

Candidates should note that the fee sent through IndianPostal Orders, Bank Draft, Money Order, Crossed Cheque,Currency Notes or Treasury Challan etc. will not be acceptedby the Commission and such applications will be treated aswithout fee and will be summarily rejected.

NOTE I : Applications not accompanied by the prescribedfee (unless remission of fee is claimed) shall be summarilyrejected.

NOTE II : Fee once paid shall not be refunded underany circumstances nor can the fee be held in reserve for anyother examination or selection.

6. Candidates are advised to read carefully the Rulesof the Examination which include the detailed scheme of theexamination, as published in the Govt. of India Gazette(Extraordinary) dated 23rd February, 2011 (copy can bedownloaded from UPSC website). They should note that nocorrespondence will be entertained by the Commission fromcandidates to change any of the entries made in theapplication form. They should, therefore, take special careto fill up the application form correctly. No column of theonline application form should be left blank.

Candidates should note that under no circumstanceswill they be allowed a change in any of the Optional Subjects,Indian Language paper (Paper-I) and Medium of Examinationthey have indicated in their application form for the MainExamination.

Candidates should also note that no request for changeof centre will be entertained under any circumstances.

If any candidate appears,—

(i) at a centre other than the one indicated by theCommission in his Admission Certificate; or

(ii) in an optional subject other than the one indicatedby the Commission in his Admission Certificate; or

(iii) in an Indian language paper other than the oneindicated by the Commission in his AdmissionCertificate.

papers of such a candidate will not be valued, and thecandidature will be liable to cancellation.

7. In case of Online application, the receipt of the hardcopy/printout of the final DAF shall be acknowledgedelectronically by sending e-mail by the Commission. Onlineapplicationor which is incomplete or is incorrectly filled in or giveswrong code numbers in any of the columns is liable to be rejected,

Candidates admitted to the examination will be sent anattendance sheet alongwith their admission certificate

permitting them to take the examination. They will be requiredto bring that attendance sheet alongwith the admissioncertificate to their examination centre after filling up thecolumns of the attendance sheet and affixing thereon a copy oftheir duly attested photograph, identical to the one pasted onthe application form. Candidates who do not bring theadmission certificates and the attendance sheet as duly filledin with a copy of photograph affixed thereon, will not be allowedto appear at the examination.

8. Every candidate for this examination will be informedat the earliest possible date of the result of his application. Itis not however, possible to say when the result will becommunicated. But if a candidate does not receive from theUnion Public Service Commission a communication regardingthe result of his application two weeks before thecommencement of the Examination, he should at once contactthe Commission for the result. Failure to comply with thisprovision will deprive the candidate of any claim toconsideration.

Candidates admitted to the examination will be sentadmission certificate permitting them to take the examination.On receipt of the admission certificate, candidates should checkit carefully to ensure that the particulars printed on theadmission certificate are correct. In case there is any mistakein printing of the admission certificate on account ofprocessing error, the admission certificate should be returnedat once to the Commission with a request to issue the correctadmission certificate. Candidates may note that they will notbe allowed to take the examination on the strength of anadmission certificate issued in respect of another candidate.

9. Candidates are required to specify clearly in theService Preference Module of the Online Application Formtheir order of preference for various Services/posts for whichthey would like to be considered for appointment in case theyare recommended for appointment by the Commission.

For example, if Indian Administrative Service is his firstpreference he should write 1 against “Indian AdministrativeService”. Similarly, if Indian Police Service is his/her thirdpreference, he should write 3 against "Indian PoliceService”.

In case he does not want to give any preference to aparticular Service/post he should write 0 against that,Service/post.

Important : No box should be left blank.

Note I :—No request for revision, alteration or changeof preferences for Services/posts indicated by a candidate inhis/her application would be considered at any subsequentstage under any circumstances.

Note II :—The candidate is also advised to indicateall the services/posts in the order of preference in his/herapplication form. In case he/she does not give his/herpreference for any service/post, it will be assumed that he/she

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has no specific preference for those services/posts. If he/sheis not allotted anyone of the services/posts for which he/shehas indicated preference, he/she shall be allotted to any of theremaining services/posts in which there are vacancies afterallocation of all the candidates who can be allocated to aservice/post in accordance with their preferences.

10. Candidates who wish to be considered for IAS/IPS are required to indicate in State Cadre Preference Moduleof the online application form their order of preference forvarious State Cadres separately for IAS and IPS.

11. The information earlier given by candidates in theapplication form for the Preliminary Examination will becross-checked with the information given by them in theapplication form for the Main Examination. If there are anyserious discrepancies, candidates are liable to be refusedadmission to the Main Examination in such cases.

12. The Roll No. of the candidate for the MainExamination will be the same as the Roll Number given to him/her for the Preliminary Examination.

13. Attention is invited to Notes I and IV under Rule 7of the Rules for the Civil Services Examination 2011. Allcandidates who are declared qualified by the Commission fortaking the Civil Services (Main) Examination should producethe proof of passing the requisite qualifying Examinationalongwith their application for the Main Examination failingwhich such candidates will not be admitted to the MainExamination and their candidature will be cancelled.

Note :—Candidates who have passed the finalprofessional MBBS or any other Medical Examination buthave not completed their internship by the time of submissionof their applications for the Civil Services (Main) Examination,will be provisionally admitted to the Examination providedthey submit alongwith their application a copy of the certificatefrom the concerned authority of the University/lnstitution thatthey had passed the requisite final professional medicalExamination. In such cases the candidates will be required toproduce at the time of their interview original Degree or acertificate from the concerned competent authority of theUniversity/ Institution that they had completed allrequirements (including completion of internship) for the awardof the Degree.

14. Persons in Government service whether in apermanent or temporary capacity or as work chargedemployees other than casual or daily rated employees or thoseserving under Public Enterprises are required to submit anundertaking (as in the Declaration printed in the ApplicationForm) that they have informed in writing their Head of Office/Department that they have applied for the Examination.

Candidates should note that in case a communication is

received from their employer by the Commission withholdingpermission to the candidates applying for/appearing at theExamination, their applications willbe liable to be rejected/candidature will be liable to becancelled.

15. A candidate applying for admission to the MainExamination should paste a recent photograph (4 cm.×5 cm.) in the space provided for it in the application form. Thephotograph pasted in Application Form should be duly attestedby a Gazetted Officer/Principal of the College last attended.

In addition candidates should keep ready with them onemore copy of their passport size photogaraph Identical tothe one pasted on application form for being affixed on theattendance sheet which will later be sent by the Commissionto the admitted candidates alongwith their AdmissionCertificates.

A candidate appearing at the examination should alsobring with him/her to the examination hall an extra copy ofthe photograph similar to the one affixed on the applicationform.

Photocopies of the photographs are not acceptable.

16. Two self-addressed unstamped envelopes ofapproximately 11.5 cms × 27.5 cms size will have to beenclosed by the candidate indicating name of examinationand Roll No along with his/her printed version of theapplication form.

17. A candidate who claims to belong to one of theScheduled Castes/Scheduled Tribes or the Other BackwardClasses (OBCs) should submit in support of his/her claim anAttested/certified copy of a certificate in the form given belowfrom the District Officer or the Sub-Divisional Officer or anyother Officer as indicated below, of the district in which his/her parents (or surviving parent) ordinarily reside, who hasbeen designated by the State Government concerned ascompetent to issue such a certificate. If both his/her parentsare dead, the officer signing the certificate should be of thedistrict in which candidate himself/herself ordinarily residesotherwise than for the purpose of his/her own education.

(A) The form of certificate to be produced by ScheduledCastes/Scheduled Tribes candidates applying forappointment to posts under the Government of India.

'This is to certify that Shri/Shrimati/Kumari*................................son/daughter* of. ....................of village/town* ..................................................in District/Division * .................ofthe State/Union Territory *..........................................................................belongs to the caste/tribe*which is recognised as Scheduled Caste/Scheduled Tribe*under :—

the Constitution (Scheduled Castes) Order, 1950@.

5

the Constitution (Scheduled Tribes) Order, 1950@.

the Constitution (Scheduled Castes) (Union Territories)

Order, 1951@.

the Constitution (Scheduled Tribes) (Union Territories) Order,1951@.

[as amended by the Scheduled Castes and Scheduled TribesList (Modification) Order, 1956; the Bombay ReorganisationAct, 1960; the Punjab Reorganisation Act, 1966; the State ofHimachal Pradesh Act, 1970; and the North Eastern Areas(Reorganisation) Act, 1971 and the Scheduled Castes andScheduled Tribes Orders (Amendment) Act, 1976, the State ofMizoram Act, 1986 the State of Arunachal Pradesh Act, 1986and the Goa, Daman and Diu (Reorganisation) Act, 1987.]

the Constitution (Jammu and Kashmir) Scheduled Caste Order,1956(@.

the Constitution (Andaman and Nicobar Islands) ScheduledTribes Order, 1959 as amended by the Scheduled Castes andScheduled Tribes Order (Amendment) Act, 1976. @

the Constitution (Dadra and Nagar Haveli) Scheduled CastesOrder,1962.@

the Constitution (Dadra and Nagar Haveli) Scheduled TribesOrder,1962.@

the Constitution (Pondicherry) Scheduled CastesOrder, 1964.@

the Constitution (Uttar Pradesh) Scheduled TribesOrder, 1967.@

the Constitution (Goa, Daman and Diu) Scheduled CastesOrder, 1968.@

the Constitution (Goa, Daman and Diu) Scheduled TribesOrder, l968.@ .

the Constitution (Nagaland) Scheduled TribesOrder, 1970.@

the Constitution (Sikkim) Scheduled Castes Order, 1978.@ theConstitution (Sikkim) Scheduled Tribes Order, 1978.@

the Constitution (Jammu & Kashmir) Scheduled Tribes Order,1989.@

the Constitution (SC) Order (Amendment) Act, 1990.@

the Constitution (ST) Order (Amendment) Act, 1991.@

the Constitution (ST) Order (Second Amendment)Act, 1991.@

the Scheduled Castes and Scheduled Tribes Orders(Amendment) Act, 2002.@

the Constitution (Scheduled Castes) Order (Amendment) Act,2002.@

the Constitution (Scheduled Castes and Scheduled Tribes)Orders (Amendment)Act, 2002.@

The Constitution (Scheduled Castes) Orders (SecondAmendment) Act, 2002.@

%2. Applicable in the case of Scheduled Castes/ScheduledTribes persons who have migrated from one State/UnionTerritory Administration to another.

This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes certificate* issued to Shri/Shrirnati*......................................father/mother of................. Shri/Shrimati/Kumari*.................................................. of village/town*.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . inDistrict/Division*..................................................................... ofthe State/Union Territory*...............................................whobelongs to the..................................................................caste/tribe*which is recognised as a Scheduled Caste/ScheduledTribe* in the State/Union Territory.......................issued bythe......................................................................dated.....................................................................................................................% 3. Shri/Shrimati/Kumari*......................................................

and/or* his/her* family ordinarily reside(s) in village/.town*..................................................................................... ofDistrict/Division*.....................................of the State/UnionTerritory* of.....................................

Signature. . . . .. . . . . . . . . . . . .

**Designation. . . . . . . . . . . . . . .

(With Seal of Office)

Place: ...................................

State/Union Territory * ................................

Date:................................

*Please delete the words which are not applicable.@ Please quote specific Presidential order.

% Delete the paragraph which is not applicable.

NOTE: The term "Ordinarily reside(s)" used here will havethe same meaning as in Section 20 of theRepresentation of the People Act, 1950.

**List of authorities empowered to issue ScheduledCaste/Scheduled Tribe/OBC Certificates.

(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional DeputyCommissioner/Deputy Collector/1st Class StipendiaryMagistrate/Sub-Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner. (notbelow the rank of 1st Class Stipendiary Magistrate).

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(ii) Chief Presidency Magistrate/Additional ChiefPresidency Magistrate/Presidency Magistrate.

(iii) Revenue Officers not below the rank of Tehsildar.

(iv) Sub Divisional Officer of the area where the candidateand/or his family normally resides.

(B) The form of certificate to be produced by Other BackwardClasses candidates applying for appointment to posts underthe Government of India.

This is to certify that Shri/Shrimati/Kumari* ............. ..........son/daughter* of Shri..................................................................................of village/town*.........................inDistrict/Division* :....................................of the State/UnionTerritory *.....................................belongs to the....................community which is recognised as a backward classunder :—

@Government of India, Ministry of Welfare ResolutionNo. 120l1/68/93-BCC(C) dated 10th September, 1993 publishedin the Gazette of India Extraordinary Part I, Section I, No. 186dated the 13th September, 1993.

@Govemment of India, Ministry of Welfare ResolutionNo. 12011/9/94-BCC dated 19-10-94, published in the Gazetteof India Extraordinary Part I, Section I, No. 163 dated20-10-1994.

@Govemment of India, Ministry of Welfare ResolutionNo. 120l1/7/95-BCC dated 24-5-95, published in the Gazette ofIndia Extraordinary Part I, Section I, No. 88 dated25-5-1995.

@Government of India, Ministry of Welfare ResolutionNo. 12011/96/94-BCC dated 9th March, 1996 published inGazette of India Extraordinary Part I, Section I, No. 60 dated11th March,1996.

@Government of India, Ministry of Welfare ResolutionNo. 12011/44/96-BCC dated 6th December, 1996 published inthe Gazette of India Extraordinary Part I, Section I, No. 210dated 11th December,1996.

@Government of India, Ministry of Welfare ResolutionNo. 12011/13/97-BCC dated 3rd December, 1997 published inthe Gazette of India Extraordinary Part-I, Section-I, No. 239dated the 17th December, 1997.

@Govemment of India, Ministry of Welfare ResolutionNo. 12011/99/94-BCC dated the 11th December, 1997 publishedin the Gazette of India Extraordinary Part I, Section I, No. 236dated the 12th December,1997.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 12011/68/98-BCC dated the 27thOctober, 1999 published in the Gazette of India ExtraordinaryPart I, Section I, No. 241 dated the27th October, 1999.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 1201l/88/98-BCC dated the 6thDecember, 1999 published in the Gazette of India Extraordinary

Part I, Section I, No. 270 dated the6th December, 1999.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 1201l/36/99-BCCdated the 4th April, 2000 published in the Gazette ofIndia Extraordinary Part I, Section I, No. 71 dated the4th April, 2000.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 12011/44/99-BCC dated the 21stSeptember, 2000 published in the Gazette of India ExtraordinaryPart I, Section I, No. 210 dated the 21st September, 2000.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 12015/9/2000-BCC dated the6th September, 2001 published in the Gazette of IndiaExtraordinary Part I, Section I, No. 246 dated the 6th September,2001.

@Government of India. Ministry of Social Justice andEmpowerment Resolution No. 12011/l/2001-BCC dated 19thJune, 2003 published in the Gazette of India Extraordinary PartI, Section I, No. 151 dated 20th June, 2003.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 12011/4/2002-BCC dated 13thJanuary, 2004 published in the Gazette of India Extraordinary,Part I, Section I, No.9 dated 13th January, 2004.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 12011/9/2004-BCC dated 16thJanuary, 2006 published in the Gazette of India Extraordinary,Part I, Section I, No. 10 dated 16th January, 2006.

@Government of India, Ministry of Social Justice andEmpowerment Resolution No. 12011/14/2004-BCC dated 12thMarch, 2007 published in the Gazette of India Extraordinary,Part I, Section I, No. 67 dated 12th March, 2007.

Shri/Shrimati/Kumari *...........................................and/ or*his/her* family ordinarily reside(s) in village/town*..................................of District/Division* of the........................State/Union Territory * of................................................This isalso to certify that he/she* does not belong to the persons/sections* (Creamy Layer) mentioned in column 3 of theSchedule to the Government of India, Department of Personnel& Training O.M. No. 36012/22/93-Estt.(SCT) dated 8-9-1993,O.M. No. 36033/3/2004-Estt. (res.) dated 9th March, 2004 andO.M. 36033/3/2004-Estt. (Res) dated 14-10-2008.

Signature................................

* *Designation............................

(with seal of office)

Place...................

Date...................

(B-1) The format of undertaking to be furnished along withthe DAF as per Annexure-VI by Other Backward Classcandidates applying for appointment to post under theGovernment of India.

*Please delete the words which are not applicable.

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Note: The term “ordinarily reside( s)” used here will have thesame meaning as in Section 20 of the Representation ofthe People Act, 1950.

**List of Authorities empowered to issue OtherBackward Classes certificate will be the same as thoseempowered to issue Scheduled Caste/Scheduled Tribecertificates.

@Strike out whichever is not applicable.

Note l : Candidates claiming to belong to OBCs should notethat the name of their caste (including its spellings)as indicated in their certificates, should be exactlythe same as published in the lists notified by theCentral Government from time to time. A certificatecontaining any variation in the caste name will notbe accepted.

Note 2 : The OBC claim of a candidate will be determined inrelation to the State (or part of the State) to which hisfather originally belongs. A candidate who hasmigrated from one State (or part of the State) toanother should, therefore, produce an OBC certificatewhich should have been issued to him based on hisfather's OBC certificate from the State to which he(father) originally belongs.

Note 3 : No change in the community status indicated by acandidate in his/her application form for the CivilServices (Preliminary) Examination will ordinarily beallowed by the Commission.

18. A candidate must submit alongwith this form anattested/certified copy of a certificate showing that he hasone of the qualification prescribed in Rule 7. The certificatesubmitted must be one issued by the authority (i.e. Universityor other examining body) awarding the particularqualification.

19. A candidate must enclose with his printed versionof application an attested/certified copy of certificate of age(indicating his date of birth).

The date of birth accepted by the Commission is thatentered in the Matriculation or Secondary School LeavingCertificate or in a certificate recognised by an Indian Universityas equivalent to Matriculation or in an extract from a Registerof Matriculates maintained by a University which extract mustbe certified by the proper authority of the University. Acandidate who has passed the Higher Secondary Examinationor an equivalent Examination may submit, an attested/certifiedcopy of the Higher Secondary Examination certificate or anequivalent certificate.

No other document relating to age, like horoscopes,affidavits, birth extracts from Municipal Corporation, ServiceRecords and the like, will be accepted.

The expression Matriculation/Higher SecondaryExamination certificate in this part of the instruction includesthe alternative certificates mentioned above.

Sometimes the Matriculation/Higher SecondaryExamination Certificate does not show the date of birth oronly shows the age by completed years or completed yearsand months. In such cases a candidate must send in additionto the attested/certified copy of the Matriculation/HigherSecondary Examination certificate an attested/certified copyof the certificate from the Headmaster/Principal of theInstitution from where he passed the Matriculation/HigherSecondary Examination showing date of his birth or his exactage as recorded in the Admission Register of theInstitution.

Candidates are warned that unless complete proof ofage as laid down in these instructions is sent with anapplication, the application will be rejected.

Note l : A candidate who holds a completed secondary schoolcertificate need submit only an attested/certifiedcopy of the page containing entries relating to age.

Note 2 : Candidates should note that only the date of birth asrecorded in the Matriculation/Higher Secondaryexamination certificate or an equivalent certificateon the date of submission of Appication will beaccepted by the Commission and no subsequentrequest for its change will be considered or granted.

Note 3 : Candidates should also note that once a date of birthhas been claimed by them and entered in therecords of the Commission for the purpose ofadmission to an examination, no change will beallowed subsequently or at a subsequentexamination on any ground whatsoever.

Candidates are required to submit alongwith theirapplications only copies of certificates mentioned in Paragraphs18 and 19 above, attested by a Gazetted Officer of theGovernment or certified by candidates themselves as correct.Candidates qualified for interview for the Personality Teston the results of the written part of the Main Examinationwill be required to submit the originals of the certificatesmentioned above. Failure to submit the required certificatesin original at that time will entail cancellation of candidature.

20 (i) A candidate claiming age-relaxation as a domicileof the State of Jammu and Kashmir should produce an attested/

8

certified copy of a certificate from the District Magistrate in theState of Jammu and Kashmir within whose jurisdiction he hadordinarily resided or from any other authority designated inthat behalf by the Government of Jammu and Kashmir to theeffect that he had ordinarily been domiciled in the State ofJammu and Kashmir during the period from the 1st January,1980 to the 31st day of December, 1989.

(ii) A candidate disabled while in the Defence Servicesclaiming age concession should produce an attested/certifiedcopy of the certificate in the form prescribed below from theDirector General Resettlement, Ministry of Defence to showthat he was disabled while in the Defence Services inoperations during hostilities with any foreign country or in adisturbed area and released as a consequence thereof.

THE FORM OF CERTIFICATE TO BEPRODUCED THE CANDIDATE:—

Certified that rank No._________Shri__________________________ of Unit was disabled while in the DefenceServices in operations during hostilities with a ForeignCountry/in a disturbed area* and was released as a result ofsuch disability.

Signature.....................................Desigation..................................Date.............................................

*Strike out whichever is not applicable.

(iii) Ex -servicemen including Commissioned Officersand ECOs/SSCOs claiming age concession in terms of Rule6(b)( v) or 6(b)( vi) of the Rules for the Examination shouldproduce an attested/certified copy of the certificate asapplicable to them, in the form prescribed below, from theauthority concerned.

(A) FORM OF CERTIFICATE APPLICABLE FORRELEASED/RETIRED PERSONNEL.

It is certified that No._________Rank________Name______________whose date of birth is__________has rendered service from __________to __________inArmy/Navy/Air Force and he fulfils ONE of the followingconditions :

(a) Has rendered five or more years military service andhas been released on completion of assignmentotherwise than (i) by way of dismissal or dischargeon account of misconduct or inefficiency; or (ii)* onhis own request.

(b) Has been released on account of physical disabilityattributable to military service or on invalidment

on—————

Name and Designation of theCompetent Authority

Seal

Station ...............................

Date......................................

* Applicable only to persons released on or after 1-7-1987.

(B) FORM OF CERTIFICATE FOR SERVINGPERSONNEL

(Applicable for serving personnel who are due to bereleased within one year).

I hereby certify that, according to the informationavailable with me (No.)________________ ( R a n k )______________ Name_________________ is serving inthe Army/Navy/Air Force from_______________________and is due to complete the specified term of his engagementwith the Armed Forces on thedate______________________

Place : Signature of Commanding Officer

Date: Office Seal

Candidates furnishing certificate (B) as above will haveto give the following undertaking :—

UNDERTAKING TO BE GIVEN BY THECANDIDATE

I understand that if selected on the basis of therecruitment/Examination to which this application relates, myappointment will be subject to my producing documentaryevidence to the satisfaction of the appointing authority that Ihave been duly released/retired/discharged from the ArmedForces and that I am entitled to the benefits admissible toEx-servicemen in terms of the Ex-servicemen (Re-employmentin Central Civil Services and Posts) Rules, 1979, as amendedfrom time to time.

Place :

Date: Signature of Candidate

(C) FORM OF CERTIFICATE APPLICABLE FORSERVING ECOs/SSCOs WHO HAVE ALREADY COMPLETEDTHEIR INITIAL ASSIGNMENT AND ARE ON EXTENDEDASSIGNMENT.

It is certified that No.________Rank__________Name____________ whose date of birth is _________ isserving in the Army/Navy/Air Force from __________

9

2. He has already completed his initial assignment offive years on _________and is on extended assignment till_____________

3. There is no objection to his applying for civilemployment and he will be released on three months notice onselection from the date of receipt of offer of appointment.

Station: Name and Designation of theCompetent Authority

Date: SEAL

Authorities who are competent to issue certificates areas follows :

(a) In the case of Commissioned Officers includingECOs/SSCOs.

Army—Military Secretary’s Branch, Army Hqrs.,New Delhi.

Navy—Directorate of Personnel, Naval Hqrs., NewDelhi.

Air Force—Directorate of Personnel (Officers), AirHqrs., New Delhi.

(b) In case of JCO/ORs and equivalent of the Navy andAir Force.

Army—By various Regimental Record Offices.Navy—BABS, Bombay.

Air Force—Air Force Records NERW, New Delhi.

21. Candidates who hail from Arunachal Pradesh,Manipur, Meghalaya, Mizoram, Nagaland or Sikkim will berequired to submit a certificate to that effect from the sameauthorities as are empowered, to issue certificates in regard toSC/ST/OBC candidates (see para 17 above). These certificateswill have to be issued by the competent authorities of theabove States only.

The form of the certificate will be as under :—

“This is to certify that Shri/Shrimati/Kumari* ...............son/daughter* of Shri................ Village/Town*............. inDistrict/Division * .............................................hails from* *Arunachal Pradesh/Manipur/Meghalaya/Mizoram/Nagaland/Sikkim.

Date.................... Signature..............................

Place................... Designation.........................

(Seal of Office)

*Please delete the words which are not applicable.* *Strike off the names of States not applicable.

22. A candidate claiming to belong to physicallychallenged category shall be required to meet one or more ofthe physical requirements/abilities, as laid down in Rule 22 ofthe rules for the Civil Services Examination, 2011. He/she mustsubmit a certified copy of the certificate issued by MedicalBoard duly constituted by the Central/State Government inthe format given below :—

Annexure I

NAME AND ADDRESS OF THE INSTITUTE/HOSPITAL

Certificate No................... Date .........................

DISABILITY CERTIFICATE

Recent Photograph ofthe candidate showingthe disability dulyattested by theChairperson of theMedical Board.

This is certified that Shri/Smt./Kum ................................son/wife/daughter of Shri ................................ age ............... Sex............................ identification mark (s) ............................. issuffering from permanent disability of following category :

A. Locomotor Disability or cerebral palsy :

(i) BL-Both legs affected but not arms.

(ii) BA-Both arms aftected (a) Impaired reach(b) Weakness of grip(c) A taxic

(iii) BLA-Both legs and both arms affected

(iv) OL-One leg affected (a) Impaired reach(right or left). (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 physicalendurance.

B. Blindness or Low Vision:

(i) B-Blind

(ii) PB-Partially Blind

C. Hearing impairment:

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(i) D-Deaf

(ii) PD-Partially Deaf .

(Delete the category whichever is not applicable)

2. This condition is progressive/non-progressive/likely toimprove/not likely to improve. Re-assessment of this caseis not recommended/is recommended after a period of..........years .............months. *

3. Percentage of disability in his/her case is ........per cent.

4. Sh./Smt/Kum........................ meets the following physicalrequirements for discharge of his/herduties :

(i) F-can perform work by manipulating Yes/Nowith fingers.

(ii) PP-can perform work by pulling and Yes/Nopushing.

(iii) L-can perform work by lifting. Yes/No

(iv) KC-can perform work by kneeling Yes/Noand crouching.

(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 Yes/Nowriting.

(Dr................ ) (Dr................ ) (Dr................ )

Member Member ChairpersonMedical Medical MedicalBoard Board Board

22A. Orthopeadically Handicapped candidates withlocomotor disability and cerebral palsy who wish to avail ofextra time of 20 minutes per hour in the Civil Services (Main)Examination in accordance with para (ii), under the Generalinstructions to candidates (Preliminary as well as MainExamination) at Appendix-I below Section-II of the Rules ofCivil Services Examination, 2011 will have to produce, inaddition to the ‘Disability Certificate’ given in Annexure-I ofthe DAF, another Certificate in the Proforma given in Annexure-IA of the DAF, to establish that their dominant (writing)

extremity is affected. The authority competent to issue thisCertificate will be the same as the authority competent to issuethe Certificate at Annexure-I of the DAF.

Annexure IA

NAME AND ADDRESS OF THE INSTITUTE/HOSPITAL

Certificate No. .................... Date........................

Certificate of Disability in Dominant (Writing) Extremity

Recent Photograph of theCandidate showing thedisability, duly attested by theChairperson of the MedicalBoard.

This is to certify that Shri/Smt./Kum ................................... son/daughter of Shri................................... Age ................... Sex................ Identificationmark(s) ................................... is suffering from locomotordisability/cerebal palsy in the dominant (writing) extremity tothe extent of slowing the perfonnance of function (minimum40% impairment).

(Dr................ ) (Dr................ ) (Dr................ )

Member Member ChairpersonMedical Medical MedicalBoard Board Board

23. Any application form received without all or some ofthe enclosures is liable to be summarily rejected. Any missingenclosures sent subsequently by the candidates will not beentertained. Thus candidates must ensure that the applicationform is properly filled in and is accompanied by all the relevantenclosures. Commission’s decision with regard to theacceptance of the application of a candidate and his eligibilityor otherwise for admission to the examination shall be final.

24. Candidates must note that they use onlyinternational form of Indian numerals in the filling of theapplication form and writing the Code Numbers e.g. 1, 2, 3, 4,5, 6, etc. Only the Code Numbers as thus filled in will be takeninto account. They should take special care to see that theentries made in the application form are clear and legible. Incase there are any illegible or misleading entries, the candidateswill responsible for the consequences thereof. Corrections ifany, should be legible and attested by the candidate.

25. Admission Certificates issued for admission to theMain Examination are liable to be cancelled, at thediscretion of the Commission for valid reasons such asmisrepresentation or serious deficiencies in the candidatureof the candidate.

26. (i) Candidates have to choose one of the languagesmentioned in the Annexure for various columns. in theApplication form appended herewith. In regard to ExaminationModule of the Online Application Form they have to choose

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an Indian Language for Paper I(Not applicable for candidateshailing from Arunachal Pradesh/Manipur/ Meghalaya/Mizoram/Nagaland/Sikkim).

(ii) In regard to the language in which the Essay, GeneralStudies and Optional Papers have to be answered (viz. PapersIll, IV, V, VI, VII, VIII and IX) candidates should note that theyare at liberty to select anyone of the languages shown in dropdown menu of the Online Application Form.

(iii) Before filling in Examination Module of the OnlineApplication Form candidates should therefore decide in whatlanguage medium they want to answer the Essay, GeneralStudies and Optional Papers and the Interview Test and selectthe language, medium of their choice from drop down menu. Itis not essential that a candidate necessarily chooses the samelanguage for answering Paper I and for answering Papers IIIto IX. For instance a candidate may choose Telugu for PaperI and Hindi for Papers III to IX. Alternatively a candidate maychoose Hindi for Paper I and English for Papers III to IX.

CANDIDATES SHOULD HOWEVER NOTE THAT ONLYONE LANGUAGE CAN BE SELECTED BY THEM FORANSWERING PAPERS III TO IX.

(iv) Where a candidate has chosen one of theoptionals relating to literature of various languages, thelanguage medium for answering the paper on the Literatureof language will be as prescribed in the Rules (see pp. 149-175 of Printed Rules).

(v) In the case of optionals relating to Literature ofLanguages, candidates should answer in the samelanguage they have selected in drop down menu, the questionsnot required to be answered in a specific language. Thus acandidate answering a paper on Literature of AssameseLanguage should use (where he is not required to answer inAssamese) the language selected in drop down menu. Thepaper on Literature of English Language should be answeredin English.

(vi) If any language or script other than the oneindicated by the candidate in the application form is used inthe examination for answering any paper or part thereof, thepaper(s) of such candidates will not be valued.

(vii) In respect of Sindhi language they have to clearlyindicate in words whether they will write Sindhi in Devanagariscript or Arabic script. Similarly for Santali languagecandidates should clearly indicate whether they will writeSanthali in Devanagari or Olchiki script. Candidates may alsonote that the question papers of Santhali language will beprinted in Devanagari script only.

27. Candidates are required to select from drop downmenu about the language medium in which they would like tobe interviewed at the time of Interview for Personality Test as

below:-

(a) The candidates, opting for Indian Language mediumfor the written part of the Civil Services (Main) Examination,may choose either the same Indian Language or English orHindi as the medium for the interview.

(b) The candidates, opting to write the Civil Services (Main)Examination in English, may choose as the medium forinterview either English, or Hindi, or any other Indian Languageopted by them for the compulsory Indian Language Paper in thewritten part of the Civil Services (Main) Examination. However,the candidates, who are exempted from the compulsory IndianLanguage Paper, will have to choose either English or Hindi asmedium of Interview for Personality Test.

28. Candidates should note that in no circumstanceswill they be allowed a change in the script or languagemedium of the Examination for Essay, General Studies andoptional subjects or language medium for Interview forPersonality Test which they have indicated in theirApplication Form for the Main Examination.

29. Evaluation of papers, namely , 'essay' 'General studies'and Optional Subjects of all the candidates would be donesimultaneously along with evaluation of their qualifyingpapers on 'Indian Languages' and 'English' but the papers on'Essay'. General studies and Optional Subjects of only suchcandidates will be taken cognizance of as attain such minimumstandard as may be fixed by the Commission at their discretionfor the qualifying papers on 'Indian Language' and. 'English'and 'therefore, the marks in 'Essay' 'General Studies andOptional subjects' will not be disclosed to those candidateswho fail to obtain such minimum qualifying standard in 'IndianLanguage' and English.'

30. In all communications with the Commission regardinghis/her application the candidate should mention the name of theExamination, his/her Roll Number, Name and his/her Date of birth.

A candidate must see that communications sent to himat the address stated in his application are redirected, ifnecessary. Change in address should be communicated to theCommission at the earliest opportunity. Although theCommission make every effort to take account of such changes,they cannot accept any responsibility in the matter.

31. The Candidates should note that their candidature at allthe stages of the Civil Services (Main) Examination will be purelyprovisional, subject to their satisfying the prescribed eligibilityconditions. If on verification at any stage before or after the Main(Written) examination and Interview Test, it is found that they donot fulfil any of the eligibility conditions, their candidature forthe examination will be cancelled by the Commission.

32. Candidates are advised to ensure that all the copiesof photographs affixed by them on the application form areidentical. If, on verification at any stage any variation is foundin the copies of Photographs affixed by a candidate on the

12

application form for the Preliminary Examination and on theapplication form of Main exmination, his candidature willbe liable to be cancelled by the Commission.

33. Candidates should also ensure that the signaturesappended by them in all the places, viz. in their applicationform, on the attendance list in the examination hall and in allthe correspondence with the Commission, should be identicaland there should be no variation of any kind. If any variationis found in the signatures appended by a candidate at differentplaces, his candidature will liable to be cancelled by theCommission.

34. Enclosures to the application form to be sent tothe Commission by the candidate are as follows :

(1) Central Recruitment Fee Stamps for the prescribedfee.

(2) Attested/certified copy of certificate of age.

(3) Attested/certified copy of the certificate ofeducational qualifications.

(4) Attested/certified copy of certificate in support ofclaim to belong to Scheduled Castes/ScheduledTribes/Other Backward Classes (where applicable).

(5) Undertaking by the candidate seeking relaxation asOBC candidates in support of claim not belonging tocreamy layer, to be given in format as mentioned inpara B-1 of instruction no.17.

(6) Attested/certified copy of certificate in support ofclaim for age concession (where applicable).

(7) A certificate in original to show that the candidatehails from Arunachal Pradesh, Manipur, Meghalaya,Mizoram, Nagaland or Sikkim (where applicable).

(8) Attested/certified copy of certificate in support ofclaim to being physically challenged (whereapplicable).

NOTE 1:—Candidates are required to sign the attested/certified copies of all the certificates sent along withapplication form and also to put the date.

NOTE II:—The Central Rectt. Fee stamps should bepasted on the first page of the Application form in the spaceprovided for the purpose.

ANNEXURE

I. CENTRES OF EXAMINATION (Examination Module)

Centre

1. Ahmedabad

2. Allahabad

3. Bangalore

4. Bhopal

5. Mumbai

6. Kolkata

7. Cuttack

8. Delhi

9. Dispur (Guwahati)

10. Hyderabad

11. Jaipur

12. Chennai

13. Patna

14. Shillong

15. Shimla

16. Thiruvananthapuram

17. Lucknow

18. Jammu

19. Chandigarh

II. Indian Languages for Paper I (Examination Module)

Languages included in the Eighth Schedule to the Constitutionof India

Assamese

Bengali

Bodo

Dogri

Gujarati

Hindi

Kannada

Kashmiri

Konkani

Maithili

Malayalam

Manipuri

Marathi

Nepali

Oriya

Punjabi

Sanskrit

Santali

Sindhi (Devanagari Script)

Sindhi (Arabic Script) Tamil

Telugu

Urdu

III. Optional Subjects( Examination Module)

List of optional subjects

13

1. Agriculture

2. Animal Husbandry & Veterinary Science

3. Anthropology

4. Botany

5. Chemistry

6. Civil Engineering

7. Commerce & Accountancy

8. Economics

9. Electrical Engineering

10. Geography

11. Geology

12. History

13. Law

14. Management

15. Mathematics

16. Mechanical Engineering

17. Medical Science

18. Philosophy

19. Physics

20. Political Science & International Relations

21. Psychology

22. Public Administration

23. Sociology

24. Statistics

25. Zoology

26. Literature of Arabic Language

27. Literature of Assamese Language

28. Literature of Bengali Language

29. Literature of Bodo Language

30. Literature of Chinese Language

31. Literature of Dogri Language

32. Literature of English Language

33. Literature of French Language

34. Literature of German Language

35. Literature of Gujarati Language

36. Literature of Hindi Language

37. Literature of Kannada Language

38. Literature of Kashmiri Language

39. Literature of Konkani Language

40. Liferature of Maithili Language

41. Literature of Malayalam Language

42. Literature of Manipuri Language

43. Literature of Marathi Language

44. Literature of Nepali Language

45. Literature of Oriya Language

46. Literature of Pali Language

47. Literature of Persian Language

48. Literature of Punjabi Language

49. Literature of Russian Language

50. Literature of Sanskrit Language

51. Literature of Santali Language

52. Literature of Sindhi (Devanagari Script) Language

53. Literature of Sindhi (Arabic Script) Language

54. Literature of Tamil Language

55. Literature of Telugu Language

56. Literature of Urdu Language

Note (1) : Only two optional subjects are to be selected fromthe above list one for Papers VI and VII and thesecond for Papers VIII and IX (as given in the Planof Main Examination).

Note (2) : Candidates will not be allowed to offer the followingcombinations of subjects :

(a) Political Science and International Relations andPublic Administration;

(b) Commerce and Accountancy and Management;

(c) Anthropology and Sociology;

(d) Mathematics and Statistics;

(e) Agriculture and Animal Husbandry and VeterinaryScience;

(f) Management and Public Administration;

(g) Of the Engineering subjects, viz. Civil Engineering,Electrical Engineering and Mechanical Engineering,not more than one subject;

(h) Out of subjects on Literature of languages not morethan one subject can be offered.

(i) Animal Husbandry and Veterinary Science andMedical Science.

Note (3) : Candidates will have the option to answer all thequestion papers, except the language papers, viz.Papers I and II in anyone of the languages includedin the Eighth Schedule to the Constitution or in

Languages included in the Eighth Schedule to the Constitutionof India—Contd.

List of optional subjects—Contd.

14

English.

IV. MEDIUM OF EXAMINATION (Examination Module)

Language-Script

Assamese—Assamese.

Bengali—Bengali.

Bodo—Devanagari.

Dogri—Devanagari.

English—English.

Gujarati—Gujarati.

Hindi—Devanagari.

Kannada—Kannada.

Kashmiri—Persian.

Konkani—Devanagari.

Maithili—Devanagari.

Malayalam—Malayalam.

Manipuri—Bengali.

Marathi—Devanagari.

Nepali—Devanagari.

Oriya—Oriya.

Punjabi—Gurmukhi.

Sanskrit—Devanagari.

Santali—Devanagari or Olchiki.

Sindhi—Devanagari or Arabic

Tamil—Tamil.

Telugu—Telugu.

Urdu—Persian.

V. CITIZENSHIP STATUS (Personal Module)

Code Description

1 -a citizen of India.

2 -a subject of Nepal.

3 -a subject of Bhutan.

4 -a Tibetan refugee who came over to India before the1st January, 1962, with the intention of permanentlysettling in India.

5 -a person of Indian origin who has migrated fromPakistan, Burma, Sri Lanka, East African countries ofKenya, Uganda, the United Republic of Tanzania,Zambia, Malawi, Zaire and Ethiopia and Vietnam withthe intention of permanently settling in India.

VI. FORMAT OF UNDERTAKING TO BE FURNISHED BY

OBC CANDIDATES

UNDERTAKING

"I,........................................................son / daughter of Shri

........................................................ Resident of village/town/

city............................................................district.....................................state

.................................................Hereby declare that I belong to

the ..........................................................community which is

recognized as a backward class by the Government of India

for the purpose of reservation in services as per orders

contained in Department of Personnel and Training Office

Memorandum No.36012/22/93-Estt.(SCT), dated 8.9.1993. It

is also declared that I do not belong to persons/sections

(Creamy layer) mentioned in Column 3 of the Schedule to

the above referred Office Memorandum, dated 8.9.1993.

Signature

Name of the Candidate..................................

Roll No.............................................................

15

vuqyXud-VIIANNEXURE-VII

izksiQkekZ v-fi-Js- ds mEehnokjksa }kjk Hkjk tk,PROFORMA TO BE FILLED BY OBC CANDIDATES

1- mEehnokj dk uke %Name of the candidate —————————————————————

2- vuqØekad %Roll No.

3- (d) firk dk uke %(a) Name of Father —————————————————————

([k) firk ds tUe dh rkjh[k %(b) Date of birth of Father —————————————————————

4- (d) ekrk dk uke %(a) Name of Mother —————————————————————

([k) ekrk ds tUe dh rkjh[k %(b) Date of birth of mother —————————————————————

5- (d) firk dk O;olk; %(a) Profession of father —————————————————————

([k) (i) ;fn ukSdjh esa gSa] D;k os dsanzh; ljdkj@jkT; ljdkj@lkoZtfud {ks=k ds miØe@Lok;Ùk'kklh fudk;@futhlaLFkk vFkok vU; fdlh txg esa dk;Zjr gSa@Fks%

(b) (i) If in service, whether he is/was working under —————————————————————Central Govt./State Govt./Public SectorUndertaking/Autonomous Body/Privateorganisation or somewhere else

(ii) in dk uke ftl ij lh/h HkrhZ }kjk fu;qDr gq, Fks %Name of the post to which he was appointedby direct recruitment —————————————————————

16

(iii) in dk xzqi (vFkkZr~ xzqi d] [k] x ;k ?k) ftlij oslh/h HkrhZ }kjk fu;qDr gq, Fks %Group of the post (viz. group A, B, C or D) to —————————————————————which he was appointed by direct recruitment

(iv) ;fn laLFkk esa inksa dks xzqi d] [k] x ;k ?k ds :i esaoxhZÑr ugha fd;k x;k gS] rks D;k firk lh/h HkrhZ }kjkftl in ij fu;qDr gq, Fks og in ljdkjh inksa dsfdlh Hkh xzqi d] [k] x ;k ?k in ds rqY; ;k led{kgSA ;fn gk¡] rks fdl in ds rqY; gSaAIf posts in the organisation are not classified as —————————————————————Group A, B, C or D, whether the post to whichthe father was appointed by direct recruitmentis comparable or equivalent to any group A,B, C or D post in Govt. If yes, to which it iscomparable.

(v) firk }kjk /kfjr lHkh inksa dk fooj.k %Details of all the post held by Father

in dk uke ,oa in dk xzqi rFkk in in dk osrueku in ij fu;qfDr@inksUufr fu;qfDr@inksUufr ds le; vk;qdh led{krk dh rkjh[kName of the post and group of Pay Scale of the post Date of Appointment/ Age at the time of appointment/the post & equivalence of post promotion to the post promotion

(vi) D;k firk ;w-,u-] vkbZ-,e-,iQ-] fo'o cSad tSlh fdlhvarjkZ"Vªh; laLFkk ds jkstxkj esa gSa ;k Fks A ;fn gk¡] rks,sls jkstxkj dh vof/ %Whether the father has/had been inemployment in any International Organisation —————————————————————like U.N., IMF, World Bank. If yes, durationof such employment.

(vii) ;fn firk dh eR;q gks xbZ gS] rks mudh eR;q dh rkjh[k %If father is dead, date of his demise —————————————————————

17

(vii) ;fn firk LFkk;h fodykaxrk ls ihfM+r gSa] rks og rkjh[ktcls os ihfM+r gSa %If father suffers from permanent imcapacitation,date from which he so suffers

6- (d) D;k mEehnokj ds firk fdlh laoS/kfud in ij gSa vFkokdHkh fdlh laoS/kfud in ij Fks %

(a) Whether father of the candidate holds or has everheld a Constitutional post

([k) ;fn gk¡] in (inkas) dk uke rFkk in (inkas) dks /kj.kdjus dh vof/ %

(b) If yes, name of the post (s) and duration of holdingthe post(s)

7- ;fn firk l'kL=k lsuk ;k v¼ZlSfud lsok eas gSa@Fks] lsokfuo`fÙk@ukSdjh NksM+us ds le; os fdl in ij gSa@fdl in ijFks %If father is/was in armed forces or in para military service,the post which he is/was holding or held at the time ofretirement/leaving the job.

8- (d) ekrk dk O;olk;(a) Profession of mother

([k) (i) ;fn ukSdjh eas gSa] D;k os dsanzh; ljdkj@jkT; ljdkj@lkoZtfud {ks=k ds miØe@Lok;Ùk'kklh fudk;@futhlaLFkk vFkok vU; fdlh txg eas dk;Zjr gSa@Fkha %If in service, whether she is/was working underCentral Govt./State Govt./Public SectorUndertaking Autonomous Body/Privateorganisation or Somewhere else

(ii) in dk uke ftl ij os lh/h HkrhZ }kjk fu;qDr gqbZ Fkha %Name of the post to which she was appointed bydirect recruitment

(iii) in dk xzqi (vFkkZr~ xzqi d] [k] x] ;k ?k) ftlij os lhèkhHkrhZ }kjk fu;qDr gqbZ Fkha %Group of the post (viz. group A, B, C or D) to whichshe was appointed by direct recruitment

18

(iv) ;fn laLFkk eas inksa dks xzqi d] [k] x ;k ?k ds :i easoxhZÑr ugha fd;k x;k gS] rks D;k ekrk lh/h HkhrhZ }kjkftl in ij fu;qDr gqbZ Fkha og in ljdkjh inkas ds fdlhHkh xzqi d] [k] x ;k ?k in ds rqY; ;k led{k gS A ;fngk¡] rks fdl in ds rqY; gSa AIf posts in the organisation are not classified asGroup A, B, C or D, whether the post to which themother was appointed by direct recruitment iscomparable or equivalent to any group A, B, C orD post in Govt. If yes, to which it is comparable.

(v) ekrk }kjk /kfjr lHkh inkas dk fooj.k %Details of all the posts held by mother :—

(vi) D;k ekrk ;w- ,u-] vkbZ- ,e- ,iQ-] fo'o cSad tSlh fdlhvarjkZ"Vªh; laLFkk ds jkstxkj eas gSa ;k Fkha A ;fn gk¡] rks ,slsjkstxkj dh vof/ %Whether the mother has/had been in employmentin any International Organisation like U. N., IMF,World Bank. If yes, duration of such employment.

(vii) ;fn ekrk dh e`R;q gks xbZ gS] rks mudh e`R;q dh rkjh[k %If mother is dead, date of her demise

(viii) ;fn ekrk LFkk;h fodykaxrk ls ihfM+r gSa] rks og rkjh[ktcls os ihfM+r gSa %If mother suffers from permanent imcapacitation,date from which she so suffers

in dk uke ,oa in dk xzqi rFkk in in dk osrueku in ij fu;qfDr@inksUufr fu;qfDr@inksUufr ds le; vk;qdh led{krk Pay Scale of the post dh rkjh[k Age at the time of appointment/Name of the post and group of Date of Appointment/ promotionthe post & equivalence of post promotion to the post

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9-(d) D;k mEehnokj dh ekrk fdlh laoS/kfud in ij gSa vFkokdHkh fdlh laoS/kfud in ij Fkha %

(a) Whether mother of the candidate holds or hasever held a Constitutional post

([k) ;fn gk¡] in (inksa) dk uke rFkk in (inksa) dks /kj.k djus dhvof/ %If yes, name of the post (s) and duration of holdingthe post(s)

10- ;fn ekrk l'kL=k lsuk ;k v¼ZlSfud lsok esa gSa@Fkha] lsok fuo`fÙk@ukSdjhNksM+us ds le; os fdl in ij gSa@fdl in ij Fkha %If mother is/was in armed forces or in para military service,the post which she is/was holding or held at the time ofretirement/leaving the job.

11- (d) D;k mEehnokj ds ekrk&firk ds ikl viuh Ñf"k ;ksX; HkwfegS %

(A) Whether the parents of the candidate ownagricultural land

([k) ;fn gk¡](B) If Yes,

(d) firk] ekrk rFkk cPpksa }kjk feykdj viuh ¯lfpr Hkwfedk {ks=k %

(a) Area of the irrigated land owned by father,mother and children put together

([k) firk] ekrk rFkk cPpksa }kjk feykdj viuh v¯lfprHkwfe dk {ks=k %

(b) Area of the unirrigated land owned by father,mother and children put together

(x) og LFkku tgk¡ ij viuh Hkwfe fLFkr gS dh Hkwfe tksr dhlkafof/d lh¯yx lhek %

(c) Statutory ceiling limit of land holding at theplace where land owned is located

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(?k) ;fn Hkwfe lfpr vkSj v¯lfpr nksuksa gSa rks D;k Mh vks ih,aM Vh dk-Kk- la- 36012@22@93&LFkk- (,l-lh-Vh-)fnukad 8&9&1993 dh vuqlwph V dh /kjk ([k) (i)ykxw gksrh gS A fooj.k nsa A

(d) If the land is both irrigated and unirrigated,indicate whether condition given in clause (b) (i)of Schedule V to the DOP&T O.M. No. 36012/22/93-Estt.(CST), dated 8-9-1993 applies. Givedetails.

12- foxr rhu o"kks± (o"kZokj) dh firk dh ok£"kd vk; %Annual income of father for last three years (year-wise)

(d) osru ls vk; %(a) Income from salary

([k) Ñf"k ls vk; %(b) Income from agriculture

(x) vU; L=kksrksa ls vk; %(c) Income from other sources

(uksV % vk;dj fooj.kh layXu djsa)(Note : Attach income-tax returns)

13- foxr rhu o"kks± (o"kZ okj) dh ekrk dh ok£"kd vk; %Annual income of mother for last three years (Year-wise)

(d) osru ls vk; %(a) Income from salary

([k) Ñf"k ls vk; %(b) Income from agriculture

(x) vU; L=kksrksa ls vk; %(c) Income from other sources

(uksV % vk;dj fooj.kh layXu djsa)(Note : Attach income-tax returns)

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14- (d) ekrk&firk }kjk vftZr laifÙk dk fooj.k %(a) Details of wealth held by parents

([k) D;k v£tr dh xbZ laifÙk] lEifÙk dj vf/fu;e esa;Fkk fuèkkZfjr NwV&lhek ls mQij gS+ \

(b) Whether the wealth held is above in exemptionlimit as prescribed in Wealth Tax Act ?

15- D;k ekrk&firk }kjk lsok@fLFkfr@Hkwfe tksr@fofHkUuL=kksrksa }kjk vk;@v£tr laifÙk ds leFkZu esa nLrkosthizek.k layXu fd;k x;k gS \Whether documentary proof in support ofservice/ status/land holding/income fromdifferent sources/ property held by parentshave been attached ?

mi;qZDr nh xbZ tkudkjh esjs Kku ls lgh gS rFkk eSaus dksbZ laxr tkudkjh dks ugha fNik;k gSA eSa 'kiFkiwoZd dgrk gw¡ fd ;fn esjs }kjk nhxbZ tkudkjh fdlh Hkh Lrj ij vlR; ikbZ tkrh gS vFkok eSaus fdlh laxr tkudkjh dks fNik;k gS rks flfoy lsok ijh{kk] 2011 ds vk/kj ij fdlhHkh lsok ds fy, fu;qfDr ds nkos ls oafpr gks tkmQ¡xk A

Information furnished above is true to the best of my knowledge and I have not concealed any relevant information.I swear that if it is found at any stage that information furnished by me is false or that I have concealed some relevantinformation, I will forfeit the claim to appointment to any service on the basis of Civil Services Examination, 2011.

LFkkuPlace : Signature of the Candidate

fnukadDate :

MGIPRRND—2763 UPSC/10