railway recruitment cell

19
 WESTERN RAILWAY RAILWAY RECRUITMENT CELL Parcel Depot, Alibhai Premji Marg, Grant Road (East), Mumbai – 400007. Website : www.rrc-wr.com RECRUITMENT TO THE POSTS IN PAY BAND- I OF RS.5200- 20200 WITH GRADE PAY OF RS.1800/- IN WESTERN RAILWAY EMPLOYMENT NOTICE NO. RRC/WR/02/2013 DATED : 30/11/2013 Closing Date and Time for Receipt of Application 14/01/2014 17.00 HOURS Closing Date & Time for residents of Assam, Meghalaya, Arunachal Pradesh, Mizoram, Nagaland, Tripura, Sikkim, Jammu & Kashmir, Lahaul & Spiti Districts and Pangi Sub-Division of Chamba District of Himachal Pradesh, Andaman & Nicobar and Lakshadweep Island and candidates residing abroad 29/01/2014 17.00 HOURS Applications are invited in the prescribed format from the citizens of India and from such of those persons declared eligible by Ministry of Home Affairs, Govt. of India to fill up 5775 posts from Open Market in Pay Band I of Rs.5200-20200 with grade pay Rs. 1800/- in Division(s) and Workshop(s) of Western Railway. Important:- Candidates may please note that Written Examination and Physical Efficiency Test (PET) will be conducted during the same period simultaneously by all the Railway Recruitment Cell of various Zonal Railways. 1. Name and Number of posts for which recruitment is to be conducted along with reservation details. Sr. No. Post Medical Classifi -cation UR SC ST OBC Total No of vacant posts Ex- servicemen (Out of Total Vacancies) Persons With Disabilities (PWD) (Out of Total Vacancies) Suitability of Persons with Disabilities (PWD) OH HH VH Total 1. Gangman / Trackman B 1 1879 501 2 51 903 3534 707 0 2. Helper / Khallasi (Engg / Mech / Elect / S&T /Comml./ Optg. Deptt. Of Divisions ) B 1 570 110 56 196 932 186 34 33 33 100 OL, OA, BL, LV, HH 3. Helper – II /Khallasi (Engg/ Mech./ Elect./ S&T Workshop) C 1 386 81 43 152 662 132 25 24 24 73 OL, OA, BL, LV, HH 4. Helper – II / Khallasi (TMC Organisation) B 1 26 8 4 14 52 10 0 5. Platform Porter A 2 336 80 39 140 595 119 0 TOTAL 3197 780 393 1405 5775 1154 59 57 57 173 Note : i. a) 3% of 5775 vacancies i.e. 173 vacancies are reserved for Persons with Disabilities (PWD). b) 20% of 5 775 vacancies i.e. 1154 are reserved for Ex-Servicemen. ii. Vacancies notified are provisional and will be subject to upward / downward revision. iii. The vacancies reserved for Per sons with Disabilities and Ex-Servicemen are not separate but included in the total number of vacancies.

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Page 1: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 119

WESTERN RAILWAYRAILWAY RECRUITMENT CELLParcel Depot Alibhai Premji Marg

Grant Road (East) Mumbai ndash 400007

Website wwwrrc-wrcom

RECRUITMENT TO THE POSTS IN PAY BAND- I OF RS5200-20200 WITH GRADE PAY OF RS1800- IN WESTERN RAILWAY

EMPLOYMENT NOTICE NO RRCWR022013 DATED 30112013

Closing Date and Time for Receipt of Application140120141700 HOURS

Closing Date amp Time for residents of Assam Meghalaya ArunachalPradesh Mizoram Nagaland Tripura Sikkim Jammu amp KashmirLahaul amp Spiti Districts and Pangi Sub-Division of Chamba District ofHimachal Pradesh Andaman amp Nicobar and Lakshadweep Island and

candidates residing abroad

290120141700 HOURS

Applications are invited in the prescribed format from the citizens of India and from suchof those persons declared eligible by Ministry of Home Affairs Govt of India to fill up

5775 posts from Open Market in Pay Band I of Rs5200-20200 with grade pay Rs1800- in Division(s) and Workshop(s) of Western Railway

Important- Candidates may please note that Written Examination and PhysicalEfficiency Test (PET) will be conducted during the same period simultaneously byall the Railway Recruitment Cell of various Zonal Railways

1 Name and Number of posts for which recruitment is to be conducted along withreservation details

SrNo

Post MedicalClassifi

-cation

UR SC ST OBC TotalNo of

vacantposts

Ex-servicemen

(Out of TotalVacancies)

Persons WithDisabilities (PWD)

(Out of TotalVacancies)

Suitabilof Perso

withDisabilit

(PWD

OH HH VH Total

1Gangman Trackman

B 1 1879 501 251 903 3534 707 0

2

Helper

Khallasi (Engg Mech Elect

SampTComml

Optg DepttOf Divisions )

B 1 570 110 56 196 932 186 34 33 33 100OL OA

BL LV

3

Helper ndash II

Khallasi(EnggMech Elect

SampTWorkshop)

C 1 386 81 43 152 662 132 25 24 24 73OL OA

BL LV

4

Helper ndash II Khallasi

(TMCOrganisation)

B 1 26 8 4 14 52 10 0

5Platform

PorterA 2 336 80 39 140 595 119 0

TOTAL 3197 780 393 1405 5775 1154 59 57 57 173

Note i a) 3 of 5775 vacancies ie 173 vacancies are reserved for Persons withDisabilities (PWD)

b) 20 of 5775 vacancies ie 1154 are reserved for Ex-Servicemen

ii Vacancies notified are provisional and will be subject to upward d d i i

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 219

iv Western Railway reserves the right of not filling up any of the notifiedvacancies against posts mentioned above due to administrative reasons at alater stage also

ABBREVIATIONS

RRC Railway Recruitment Cell WR Western Railway

UR Unreserved OBC Other Backward Class

SC Scheduled Caste ST Scheduled Tribe

PWD Persons with Disabilities OH Orthopedically HandicappedVH Visually Handicapped HH Hearing Handicapped

LV Low Vision OL One leg

OA One arm BL Both legs

Ex-SM Ex-Servicemen TMC Track Machine

2 ELIGIBILTIY CRITERIA

2 1 Age Limit

Age as on 01-01-2014

Category UR OBC SCST

Age 18 to 33 years 18 to 36 years 18 to 38 years

22 Special Relaxations of Age Limit221 Serving Railway

EmployeesServing RailwayEmployees includingCasual Labourers andSubstitutes who haveput in a minimum of 3years service

UR Upto 40years

OBC Upto 43years

SCST Upto 45years

222 Staff of QuasiAdministrativeOffices of RlyOrganisations

Such as RailwayCanteens RailwayInstitutes and RailwayCo-op Societies whohave put in 3 years

service

Relaxation of age will begiven to the extent ofservice rendered by themsubject to a maximum of 5years and upper age limit

of 38 years223 Ex-Servicemen Relaxation of age will be

to the extent of servicerendered by them inDefense Service plus 3years provided they haveput in a minimum of 6months service afterattestation

224 Widow amp Divorcedor JudiciallySeparated Women

UR Upto 35 years

OBC Upto 38 years

SCST Upto 40 years

225 Persons withDisability

UR Upto 43 years

OBC Upto 46 years

SCST Upto 48 years

226 Residents ofJammu amp Kashmir

Who have ordinarilydomiciled in theKashmir Division ofState of Jammu ampKashmir during theperiod from 1st January1980 to 31st December1989

UR Upto 38 years

OBC Upto 41 years

SCST Upto 43 years

23 Proof of Age

i Birth Certificate issued by appropriate authority or

ii MatricSSCSSLC certificate or mark sheet indicating Date of Birth issued byBoa d o

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 319

30 Educational Qualification

31 Minimum 10th Pass ITI Pass or equivalent at the time of applying Academicqualification must be from a recognized Educational Institution Boardotherwise candidature will be rejected

32 Candidates having higher educational qualification may also apply

40 Recruitment Process -

411 The recruitment process consists of a Written Examination followed byPhysical Efficiency Test (PET)and Medical Examination

412 The Candidates whoever fulfils all the eligible conditions will be called forWritten Test Call Letter indicating Date Time amp Venue will be issued to allthe eligible candidates separately for Written Test

42 Written Examination-

421 The Question paper for the Written Test shall be of Class 10 th standardconsisting of 100 multiple-choice (four) objective type questions mainlyaimed to assess general knowledgeawareness mathematics general

science and reasoning etc The duration of Written Test shall be of 90minutes

422 Question paper shall be printed in Hindi English Urdu Marathi and Gujarationly

423 There will be Negative marking for wrong answers 13 rd Mark shall bededucted for each wrong answer ie one mark shall be deducted for everythree wrong answers

43 PHYSICAL EFFICIENCY TEST (PET)-431 Based on performance in the Written Examination eligible candidates equal

to three times the number of vacancies will be called for PET A separateadvice indicating Date Time and Venue for PET will be communicated to theeligible candidates

432 Passing the Physical Efficiency Test is mandatory and the same will bequalifying in nature The criterion for the PET will be as under-

For Male Candidates For Female Candidates

Should be able to run for a distance of1000 meters in 4 minutes and 15seconds in one chance

Should be able to run for a distance of400 metres in 3 minutes and 10seconds in one chance

44 Selection is made strictly based on merit Shortlisted candidates will becalled for Document Verification based on their merit position availability ofvacancies and reservation rules The candidates may note that merequalifying in Written examination and PET does not entitle them for

appointment in Railways45 Only those candidates who submit the original CertificatesDocuments

during Document Verification in support of their eligibility will be directed forMedical Examination

46 MEDICAL EXAMINATION-

The candidate should be FIT in the Medical Examination conducted by RailwayMedical authorities in the medical standards prescribed for various posts Onlythose candidates who are found fit will be considered for inclusion in the FinalMerit List (with communal break- up) in the order of merit to the extent ofvacancies available under different categories

50 Examination Fees Rs 100- (Rupees One Hundred only)

51 Mode of Payment The fee shall be paid only in the form of CrossedIndian Postal Order drawn in favour of lsquoAssistant Personnel Officer(R it t) RRC WRrsquo d bl t M b i

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 419

52 The IPO should have been obtained on or after the date of issue ofthis Employment Notification ie 30112013 and not before thedate of issue

The candidates are advised to write their name and address on the backsideof the ORIGINAL IPO and enclose it with the application form The details ofexamination fee may be written in application form

53 Applications without Examination Fee will be summarily rejected

54 The amount remitted as Examination Fee will not be refunded under any

circumstances55 Applications received with Demand Draft Cash Cheque Central

Recruitment stamps Money orders or any mode of payment other than IPOwill be rejected and amount forfeited

56 Fee Concession

Candidates belonging to SCST Ex-servicemen Persons with Disabilities WomenMinority communities and Economically Backward Classes are exempted frompayment of Examination Fee

Note

i

Minority Communities will mean Muslims Christians Sikhs Buddhists andZorastrians (Parsis)a

For claiming waiver of Examination Fee Minority candidates shouldfurnished a lsquoself declarationrsquo as mentioned in Annexure - 7 along withApplication Form ( lsquoProformarsquo is also available on the website )

b At the time of Document verification such candidates claiming waiver ofExamination Fee will be required to furnish lsquoMinority CommunityDeclarationrsquo affidavit on non judicial stamp paper that heshe belongs anyof the above Minority community If the affidavit is not produced duringDocument verification the candidature will be rejected

ii

Economically Backward Classes will mean the candidates whose familyincome is less than Rs 50000- per annum

The income certificate issued by the authorities mentioned below would have

to be on Annexure - 8 which is enclosed herewith (lsquoProformarsquo is also availableon the website ) This would have to be issued on the letter head of theissuing authority

Authorities competent to issue income certificate for the purpose ofindentifying Economically Backward Classes

a

District Magistrate or any other Revenue Officer upto the level ofTehsildar

b Sitting Member of Parliament of Lok Sabha for persons of their ownconstituency

c Below Poverty Line (BPL) Card or any other certificate issued by CentralGovernment under a recognized poverty alleviation programme or Izzat

MST issued by Railwaysd Union Minister may also recommend for any persons from anywhere in

the country

e Sitting Member of Parliament of Rajya Sabha for persons of the district inwhich these MPs normally reside

60 Community Certificate

61 SCST Candidates Candidates claiming to belong SC ST communities arerequired to submit Community Certificate from the Competent Authority inthe prescribed format (Annexure - 2) (lsquoProformarsquo is available on thewebsite)

62 OBC Candidates

a Candidates claiming to belong to Other Backward Classes are required tosubmit Community Certificate from the Competent Authority in the

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 519

non-creamy layer certificate should be valid for 2013-14 (Annexure - 3)(lsquoProformarsquo is available on the website )

b Candidates claiming to belong to Other Backward Classes are also requiredto submit a self declaration in the prescribed format (Annexure - 4)(lsquoProformarsquo is available on the website)

List of Authorities empowered to issue Caste Certificates

District Magistrate Additional District Magistrate Collector Deputy Commissioner

Deputy Collector Ist Class Stipendiary Magistrate City Magistrate Sub DivisionalMagistrate Taluka Magistrate Executive Magistrate Extra Assistant Commissioner(Not below the rank of Ist Class Stipendiary Magistrate) 2 Chief Presidency Magistrate Additional Chief Presidency Magistrate Presidency Magistrate 3 Revenue Officersnot below the rank of Tehsildar 4 Sub Divisional Officer of the area where thecandidate and or his family ordinarily resides 5 Administrator Secretary toAdministrator Development Officer (Lakshadweep islands)

70 Persons With Disabilities (PWD) 71 Definition of Disabilities - Definition of categories of the disabilities for the

purpose of reservation in the employment are as under-

711 Orthopedically Handicapped (OH)-

a)

Locomotor disability means disability of the bones joints or muscles leadingto substantial restriction of the movement of the limbs or any form ofcerebral palsy

b)

Cerebral Palsy means a group of non-progressive conditions of a personcharacterized by abnormal motor control posture resulting from brain insultor injuries occurring in the pre-natal peri-natal or infant period ofdevelopment

c) All the cases of orthopedically handicapped persons would be covered under

the categories of ldquoLocomotors disability or Cerebral Palsyrdquo

712 Hearing Handicapped (HH)- ldquoHearing Handicappedrdquo means loss of sixty

decibels or more in the better ear in the conversational range of frequencies

713

Visually Handicapped (VH)-

a) Blindness refers to a condition where a person suffers from any of the

following conditions viz-

1) Total absence of sight or

2) Visual acuity not exceeding 660 or 20200 (snellen) in the better eye with

correcting lenses or

3) Limitation of the field of vision subtending at an angle of 20 degrees orworse

b) Low Vision ldquoPerson with low vision means a person with impairment of

visual functioning even after treatment of standard refractive correction but

who uses or is potentially capable of using vision for the planning ofexecution of a task with appropriate assistance device

(Please enclose the attested copies of the certificates)

72 Degree of disability of reservation - Only such persons would be

eligible for reservation of servicesposts who suffers from not less than 40 ofrelevant disability

73 Candidate should submit a Disability Certificate in the prescribed format(Annexure ndash 5 ) issued by the Competent Authority The Competent Authority shallbe a Medical Board duly constituted by the Central or State Government TheMedical Board shall consists of at least three members out of which at least oneshall be a Specialist in the particular field for assessing Locomotor Cerebral

Visual Hearing disability as the case may be

74 Scribe for Visually Handicapped Candidates

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 619

behalf For engaging the SCRIBE the candidate will have to suitably inform theRRC in advance as per Annexure - 6

The engagement of SCRIBE will be subject to the following conditions

(a) The candidates will have to arrange their own SCRIBES at their own costduring the examination Separate Admit Cards will be issued to theSCRIBES accompanying the Visually Handicapped candidates Admit cardsshould contain the particulars and photograph of the SCRIBE duly signed byhimher

(b) The candidates as well as the SCRIBE will have to give a suitableundertaking (Annexure - 6) along with the application conforming that theSCRIBE fulfills all the stipulated eligibility criteria for a SCRIBE as mentionedabove In case it transpires later that heshe did not fulfill any of the laiddown eligibility criteria or there has been suppression of material facts thecandidature of the applicant will stand cancelled irrespective of the result ofthe examination The Visually Handicapped candidate shall be responsiblefor any misconduct on the part of the scribe brought by himher Theundertaking as given in the Annexure - 6 should be submitted by theVisually Handicapped candidatescandidates whose writing speed is affectedby Cerebral Palsy along with hisher application

(c) Candidates availing the assistance of a SCRIBE shall be eligible for extratime of 20 minutes for every hour of the examination

75

All one eyed candidates and VH candidates whose visual degree of disability is lessthan 40 shall not be considered as Visually Handicapped persons and theprovision for engaging SCRIBE shall not be applicable to them

76 Persons with Disabilities are exempted from PET forrecruitment to the posts identified suitable for them After

qualifying in the Written Examination such candidates will have to pass MedicalExamination prescribed for Persons with Disabilities before empanelment

80 EX-SERVICEMEN CANDIDATES

81 The term Ex-Servicemen means a person who has served in any rank(whether as a combatant or nonndashcombatant) in the regular Army Navy orAir Force of the Indian Union and

i who has retired from such services after earning hisher pension or

ii who has been released from such service on medical grounds attributable tomilitary service or circumstances beyond his control and awarded militaryservice or other disability pension or

iii who has been released otherwise than on his own request as a result ofreduction in such establishment or

iv who have been released from such service after completing the specificperiod of engagement otherwise than at his own request or by way of

dismissal or discharge on account of misconduct or inefficiency and hasbeen given a Gratuity and includes personnel of the Territorial Army of thefollowing categories viz

(a)

Pension holders for continuous embodied service

(b) Persons with disability attributable to Military service and

(c)

Gallantry award winners

Explanation The persons serving in the Armed Forces of the Union who onretirement from service would come under the category of Ex-Serviceman may bepermitted to apply for re-employment one year before the completion of thespecific terms of engagement and avail themselves of all concessions available toEx-Servicemen but shall not be permitted to leave the Uniform until they complete

the specified terms of engagement in the Armed Forces of the Union

82 Ex-Servicemen does not include a person who has served in the Defence

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 719

83 Service Personnel who are likely to be discharged from militaryservice on or before 29112014 are eligible to apply against thisemployment notice

84 Ex-servicemen are required to clearly indicate all required particularsincluding community in the application form

85 Ex-servicemen candidates who have already secured employment under theex-servicemen quota in Central State Government in Group lsquoCrsquo or lsquoDrsquocategories will be given only age relaxation but will not be considered under

ex-servicemen quota

86 Discharge Certificate for Ex-Servicemen Candidates claiming the upper agerelaxation under the category of Ex-servicemen shall enclose a copy ofDischarge Certificate issued by the Competent Authority along withApplication Form

90 Serving Employees of Government Public Sector

Undertaking

91 A candidate serving under any Government or Public SectorEnterpriseUndertaking including Railways or Quasi AdministrativeGovernment officesOrganizations and institutions should either applythrough proper channel with duly certified service details by the employer or

directly to RRC-WR with ldquoNo Objection Certificaterdquo from the employerconcerned

92 In addition an advance copy of such application complete in all respectsmay be sent superscribing on the top of the application ldquoADVANCE COPYrdquo soas to reach RRC-WR before the closing date and time specified Advancecopy of the application will be entertained provided the application throughproper channel is received in the RRC-WR Office within 15 days from theclosing date for which the entire responsibility would be of the candidate

100 General Instructions for the candidates 101 The candidates should carefully read all the instructions before applying for

the posts

102 Before applying to the post the candidate should ensure that heshe fulfilsthe eligibility and other criteria The RRC-WR shall reject applications notfulfilling the requisite criteria at any stage of recruitment and iferroneously appointed such candidates shall be liable to be summarilyremoved from service

103 The candidatersquos admission at all stages of recruitment will be purelyprovisional subject to satisfying the prescribed eligibility conditions

104 Certificates in languages other than English or Hindi should be accompaniedby an attested translation in English Hindi

105 Mere issue of call letter for appearing in Written Examination PET by RRC-WR does not confer any right to candidates to be called for subsequent

stages of recruitment process or placing name on the panel106 The RRC-WR at itrsquos discretion may hold additional Written examination

andor PET or re-examination or cancel part or whole of the writtenexamination andor PET at any stage without assigning any reason

107 Date and venue of written examination Physical Efficiency Test andDocuments Verification will be fixed by the RRC-WR and intimated to eligiblecandidates by post Examination schedule may be published on Website andNews papers taking 1st Alphabet of their Name as written in the ApplicationForm or any other variable as criteria Therefore candidates are requestedto keep photocopies of relevant documents with them for further reference

108 Request for postponement of the examination andor change ofcentrevenue will not be entertained

109 FREE JOURNEY RAILWAY PASS

A free Second Class Railway pass from nearest railway station to the placeof examination and back will be issued to the candidates belonging to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 819

written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 919

(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1119

160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

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8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

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Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

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Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 2: Railway Recruitment Cell

8102019 Railway Recruitment Cell

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iv Western Railway reserves the right of not filling up any of the notifiedvacancies against posts mentioned above due to administrative reasons at alater stage also

ABBREVIATIONS

RRC Railway Recruitment Cell WR Western Railway

UR Unreserved OBC Other Backward Class

SC Scheduled Caste ST Scheduled Tribe

PWD Persons with Disabilities OH Orthopedically HandicappedVH Visually Handicapped HH Hearing Handicapped

LV Low Vision OL One leg

OA One arm BL Both legs

Ex-SM Ex-Servicemen TMC Track Machine

2 ELIGIBILTIY CRITERIA

2 1 Age Limit

Age as on 01-01-2014

Category UR OBC SCST

Age 18 to 33 years 18 to 36 years 18 to 38 years

22 Special Relaxations of Age Limit221 Serving Railway

EmployeesServing RailwayEmployees includingCasual Labourers andSubstitutes who haveput in a minimum of 3years service

UR Upto 40years

OBC Upto 43years

SCST Upto 45years

222 Staff of QuasiAdministrativeOffices of RlyOrganisations

Such as RailwayCanteens RailwayInstitutes and RailwayCo-op Societies whohave put in 3 years

service

Relaxation of age will begiven to the extent ofservice rendered by themsubject to a maximum of 5years and upper age limit

of 38 years223 Ex-Servicemen Relaxation of age will be

to the extent of servicerendered by them inDefense Service plus 3years provided they haveput in a minimum of 6months service afterattestation

224 Widow amp Divorcedor JudiciallySeparated Women

UR Upto 35 years

OBC Upto 38 years

SCST Upto 40 years

225 Persons withDisability

UR Upto 43 years

OBC Upto 46 years

SCST Upto 48 years

226 Residents ofJammu amp Kashmir

Who have ordinarilydomiciled in theKashmir Division ofState of Jammu ampKashmir during theperiod from 1st January1980 to 31st December1989

UR Upto 38 years

OBC Upto 41 years

SCST Upto 43 years

23 Proof of Age

i Birth Certificate issued by appropriate authority or

ii MatricSSCSSLC certificate or mark sheet indicating Date of Birth issued byBoa d o

8102019 Railway Recruitment Cell

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30 Educational Qualification

31 Minimum 10th Pass ITI Pass or equivalent at the time of applying Academicqualification must be from a recognized Educational Institution Boardotherwise candidature will be rejected

32 Candidates having higher educational qualification may also apply

40 Recruitment Process -

411 The recruitment process consists of a Written Examination followed byPhysical Efficiency Test (PET)and Medical Examination

412 The Candidates whoever fulfils all the eligible conditions will be called forWritten Test Call Letter indicating Date Time amp Venue will be issued to allthe eligible candidates separately for Written Test

42 Written Examination-

421 The Question paper for the Written Test shall be of Class 10 th standardconsisting of 100 multiple-choice (four) objective type questions mainlyaimed to assess general knowledgeawareness mathematics general

science and reasoning etc The duration of Written Test shall be of 90minutes

422 Question paper shall be printed in Hindi English Urdu Marathi and Gujarationly

423 There will be Negative marking for wrong answers 13 rd Mark shall bededucted for each wrong answer ie one mark shall be deducted for everythree wrong answers

43 PHYSICAL EFFICIENCY TEST (PET)-431 Based on performance in the Written Examination eligible candidates equal

to three times the number of vacancies will be called for PET A separateadvice indicating Date Time and Venue for PET will be communicated to theeligible candidates

432 Passing the Physical Efficiency Test is mandatory and the same will bequalifying in nature The criterion for the PET will be as under-

For Male Candidates For Female Candidates

Should be able to run for a distance of1000 meters in 4 minutes and 15seconds in one chance

Should be able to run for a distance of400 metres in 3 minutes and 10seconds in one chance

44 Selection is made strictly based on merit Shortlisted candidates will becalled for Document Verification based on their merit position availability ofvacancies and reservation rules The candidates may note that merequalifying in Written examination and PET does not entitle them for

appointment in Railways45 Only those candidates who submit the original CertificatesDocuments

during Document Verification in support of their eligibility will be directed forMedical Examination

46 MEDICAL EXAMINATION-

The candidate should be FIT in the Medical Examination conducted by RailwayMedical authorities in the medical standards prescribed for various posts Onlythose candidates who are found fit will be considered for inclusion in the FinalMerit List (with communal break- up) in the order of merit to the extent ofvacancies available under different categories

50 Examination Fees Rs 100- (Rupees One Hundred only)

51 Mode of Payment The fee shall be paid only in the form of CrossedIndian Postal Order drawn in favour of lsquoAssistant Personnel Officer(R it t) RRC WRrsquo d bl t M b i

8102019 Railway Recruitment Cell

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52 The IPO should have been obtained on or after the date of issue ofthis Employment Notification ie 30112013 and not before thedate of issue

The candidates are advised to write their name and address on the backsideof the ORIGINAL IPO and enclose it with the application form The details ofexamination fee may be written in application form

53 Applications without Examination Fee will be summarily rejected

54 The amount remitted as Examination Fee will not be refunded under any

circumstances55 Applications received with Demand Draft Cash Cheque Central

Recruitment stamps Money orders or any mode of payment other than IPOwill be rejected and amount forfeited

56 Fee Concession

Candidates belonging to SCST Ex-servicemen Persons with Disabilities WomenMinority communities and Economically Backward Classes are exempted frompayment of Examination Fee

Note

i

Minority Communities will mean Muslims Christians Sikhs Buddhists andZorastrians (Parsis)a

For claiming waiver of Examination Fee Minority candidates shouldfurnished a lsquoself declarationrsquo as mentioned in Annexure - 7 along withApplication Form ( lsquoProformarsquo is also available on the website )

b At the time of Document verification such candidates claiming waiver ofExamination Fee will be required to furnish lsquoMinority CommunityDeclarationrsquo affidavit on non judicial stamp paper that heshe belongs anyof the above Minority community If the affidavit is not produced duringDocument verification the candidature will be rejected

ii

Economically Backward Classes will mean the candidates whose familyincome is less than Rs 50000- per annum

The income certificate issued by the authorities mentioned below would have

to be on Annexure - 8 which is enclosed herewith (lsquoProformarsquo is also availableon the website ) This would have to be issued on the letter head of theissuing authority

Authorities competent to issue income certificate for the purpose ofindentifying Economically Backward Classes

a

District Magistrate or any other Revenue Officer upto the level ofTehsildar

b Sitting Member of Parliament of Lok Sabha for persons of their ownconstituency

c Below Poverty Line (BPL) Card or any other certificate issued by CentralGovernment under a recognized poverty alleviation programme or Izzat

MST issued by Railwaysd Union Minister may also recommend for any persons from anywhere in

the country

e Sitting Member of Parliament of Rajya Sabha for persons of the district inwhich these MPs normally reside

60 Community Certificate

61 SCST Candidates Candidates claiming to belong SC ST communities arerequired to submit Community Certificate from the Competent Authority inthe prescribed format (Annexure - 2) (lsquoProformarsquo is available on thewebsite)

62 OBC Candidates

a Candidates claiming to belong to Other Backward Classes are required tosubmit Community Certificate from the Competent Authority in the

8102019 Railway Recruitment Cell

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non-creamy layer certificate should be valid for 2013-14 (Annexure - 3)(lsquoProformarsquo is available on the website )

b Candidates claiming to belong to Other Backward Classes are also requiredto submit a self declaration in the prescribed format (Annexure - 4)(lsquoProformarsquo is available on the website)

List of Authorities empowered to issue Caste Certificates

District Magistrate Additional District Magistrate Collector Deputy Commissioner

Deputy Collector Ist Class Stipendiary Magistrate City Magistrate Sub DivisionalMagistrate Taluka Magistrate Executive Magistrate Extra Assistant Commissioner(Not below the rank of Ist Class Stipendiary Magistrate) 2 Chief Presidency Magistrate Additional Chief Presidency Magistrate Presidency Magistrate 3 Revenue Officersnot below the rank of Tehsildar 4 Sub Divisional Officer of the area where thecandidate and or his family ordinarily resides 5 Administrator Secretary toAdministrator Development Officer (Lakshadweep islands)

70 Persons With Disabilities (PWD) 71 Definition of Disabilities - Definition of categories of the disabilities for the

purpose of reservation in the employment are as under-

711 Orthopedically Handicapped (OH)-

a)

Locomotor disability means disability of the bones joints or muscles leadingto substantial restriction of the movement of the limbs or any form ofcerebral palsy

b)

Cerebral Palsy means a group of non-progressive conditions of a personcharacterized by abnormal motor control posture resulting from brain insultor injuries occurring in the pre-natal peri-natal or infant period ofdevelopment

c) All the cases of orthopedically handicapped persons would be covered under

the categories of ldquoLocomotors disability or Cerebral Palsyrdquo

712 Hearing Handicapped (HH)- ldquoHearing Handicappedrdquo means loss of sixty

decibels or more in the better ear in the conversational range of frequencies

713

Visually Handicapped (VH)-

a) Blindness refers to a condition where a person suffers from any of the

following conditions viz-

1) Total absence of sight or

2) Visual acuity not exceeding 660 or 20200 (snellen) in the better eye with

correcting lenses or

3) Limitation of the field of vision subtending at an angle of 20 degrees orworse

b) Low Vision ldquoPerson with low vision means a person with impairment of

visual functioning even after treatment of standard refractive correction but

who uses or is potentially capable of using vision for the planning ofexecution of a task with appropriate assistance device

(Please enclose the attested copies of the certificates)

72 Degree of disability of reservation - Only such persons would be

eligible for reservation of servicesposts who suffers from not less than 40 ofrelevant disability

73 Candidate should submit a Disability Certificate in the prescribed format(Annexure ndash 5 ) issued by the Competent Authority The Competent Authority shallbe a Medical Board duly constituted by the Central or State Government TheMedical Board shall consists of at least three members out of which at least oneshall be a Specialist in the particular field for assessing Locomotor Cerebral

Visual Hearing disability as the case may be

74 Scribe for Visually Handicapped Candidates

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 619

behalf For engaging the SCRIBE the candidate will have to suitably inform theRRC in advance as per Annexure - 6

The engagement of SCRIBE will be subject to the following conditions

(a) The candidates will have to arrange their own SCRIBES at their own costduring the examination Separate Admit Cards will be issued to theSCRIBES accompanying the Visually Handicapped candidates Admit cardsshould contain the particulars and photograph of the SCRIBE duly signed byhimher

(b) The candidates as well as the SCRIBE will have to give a suitableundertaking (Annexure - 6) along with the application conforming that theSCRIBE fulfills all the stipulated eligibility criteria for a SCRIBE as mentionedabove In case it transpires later that heshe did not fulfill any of the laiddown eligibility criteria or there has been suppression of material facts thecandidature of the applicant will stand cancelled irrespective of the result ofthe examination The Visually Handicapped candidate shall be responsiblefor any misconduct on the part of the scribe brought by himher Theundertaking as given in the Annexure - 6 should be submitted by theVisually Handicapped candidatescandidates whose writing speed is affectedby Cerebral Palsy along with hisher application

(c) Candidates availing the assistance of a SCRIBE shall be eligible for extratime of 20 minutes for every hour of the examination

75

All one eyed candidates and VH candidates whose visual degree of disability is lessthan 40 shall not be considered as Visually Handicapped persons and theprovision for engaging SCRIBE shall not be applicable to them

76 Persons with Disabilities are exempted from PET forrecruitment to the posts identified suitable for them After

qualifying in the Written Examination such candidates will have to pass MedicalExamination prescribed for Persons with Disabilities before empanelment

80 EX-SERVICEMEN CANDIDATES

81 The term Ex-Servicemen means a person who has served in any rank(whether as a combatant or nonndashcombatant) in the regular Army Navy orAir Force of the Indian Union and

i who has retired from such services after earning hisher pension or

ii who has been released from such service on medical grounds attributable tomilitary service or circumstances beyond his control and awarded militaryservice or other disability pension or

iii who has been released otherwise than on his own request as a result ofreduction in such establishment or

iv who have been released from such service after completing the specificperiod of engagement otherwise than at his own request or by way of

dismissal or discharge on account of misconduct or inefficiency and hasbeen given a Gratuity and includes personnel of the Territorial Army of thefollowing categories viz

(a)

Pension holders for continuous embodied service

(b) Persons with disability attributable to Military service and

(c)

Gallantry award winners

Explanation The persons serving in the Armed Forces of the Union who onretirement from service would come under the category of Ex-Serviceman may bepermitted to apply for re-employment one year before the completion of thespecific terms of engagement and avail themselves of all concessions available toEx-Servicemen but shall not be permitted to leave the Uniform until they complete

the specified terms of engagement in the Armed Forces of the Union

82 Ex-Servicemen does not include a person who has served in the Defence

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83 Service Personnel who are likely to be discharged from militaryservice on or before 29112014 are eligible to apply against thisemployment notice

84 Ex-servicemen are required to clearly indicate all required particularsincluding community in the application form

85 Ex-servicemen candidates who have already secured employment under theex-servicemen quota in Central State Government in Group lsquoCrsquo or lsquoDrsquocategories will be given only age relaxation but will not be considered under

ex-servicemen quota

86 Discharge Certificate for Ex-Servicemen Candidates claiming the upper agerelaxation under the category of Ex-servicemen shall enclose a copy ofDischarge Certificate issued by the Competent Authority along withApplication Form

90 Serving Employees of Government Public Sector

Undertaking

91 A candidate serving under any Government or Public SectorEnterpriseUndertaking including Railways or Quasi AdministrativeGovernment officesOrganizations and institutions should either applythrough proper channel with duly certified service details by the employer or

directly to RRC-WR with ldquoNo Objection Certificaterdquo from the employerconcerned

92 In addition an advance copy of such application complete in all respectsmay be sent superscribing on the top of the application ldquoADVANCE COPYrdquo soas to reach RRC-WR before the closing date and time specified Advancecopy of the application will be entertained provided the application throughproper channel is received in the RRC-WR Office within 15 days from theclosing date for which the entire responsibility would be of the candidate

100 General Instructions for the candidates 101 The candidates should carefully read all the instructions before applying for

the posts

102 Before applying to the post the candidate should ensure that heshe fulfilsthe eligibility and other criteria The RRC-WR shall reject applications notfulfilling the requisite criteria at any stage of recruitment and iferroneously appointed such candidates shall be liable to be summarilyremoved from service

103 The candidatersquos admission at all stages of recruitment will be purelyprovisional subject to satisfying the prescribed eligibility conditions

104 Certificates in languages other than English or Hindi should be accompaniedby an attested translation in English Hindi

105 Mere issue of call letter for appearing in Written Examination PET by RRC-WR does not confer any right to candidates to be called for subsequent

stages of recruitment process or placing name on the panel106 The RRC-WR at itrsquos discretion may hold additional Written examination

andor PET or re-examination or cancel part or whole of the writtenexamination andor PET at any stage without assigning any reason

107 Date and venue of written examination Physical Efficiency Test andDocuments Verification will be fixed by the RRC-WR and intimated to eligiblecandidates by post Examination schedule may be published on Website andNews papers taking 1st Alphabet of their Name as written in the ApplicationForm or any other variable as criteria Therefore candidates are requestedto keep photocopies of relevant documents with them for further reference

108 Request for postponement of the examination andor change ofcentrevenue will not be entertained

109 FREE JOURNEY RAILWAY PASS

A free Second Class Railway pass from nearest railway station to the placeof examination and back will be issued to the candidates belonging to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 819

written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 919

(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1119

160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

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8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

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Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

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Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

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Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 3: Railway Recruitment Cell

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30 Educational Qualification

31 Minimum 10th Pass ITI Pass or equivalent at the time of applying Academicqualification must be from a recognized Educational Institution Boardotherwise candidature will be rejected

32 Candidates having higher educational qualification may also apply

40 Recruitment Process -

411 The recruitment process consists of a Written Examination followed byPhysical Efficiency Test (PET)and Medical Examination

412 The Candidates whoever fulfils all the eligible conditions will be called forWritten Test Call Letter indicating Date Time amp Venue will be issued to allthe eligible candidates separately for Written Test

42 Written Examination-

421 The Question paper for the Written Test shall be of Class 10 th standardconsisting of 100 multiple-choice (four) objective type questions mainlyaimed to assess general knowledgeawareness mathematics general

science and reasoning etc The duration of Written Test shall be of 90minutes

422 Question paper shall be printed in Hindi English Urdu Marathi and Gujarationly

423 There will be Negative marking for wrong answers 13 rd Mark shall bededucted for each wrong answer ie one mark shall be deducted for everythree wrong answers

43 PHYSICAL EFFICIENCY TEST (PET)-431 Based on performance in the Written Examination eligible candidates equal

to three times the number of vacancies will be called for PET A separateadvice indicating Date Time and Venue for PET will be communicated to theeligible candidates

432 Passing the Physical Efficiency Test is mandatory and the same will bequalifying in nature The criterion for the PET will be as under-

For Male Candidates For Female Candidates

Should be able to run for a distance of1000 meters in 4 minutes and 15seconds in one chance

Should be able to run for a distance of400 metres in 3 minutes and 10seconds in one chance

44 Selection is made strictly based on merit Shortlisted candidates will becalled for Document Verification based on their merit position availability ofvacancies and reservation rules The candidates may note that merequalifying in Written examination and PET does not entitle them for

appointment in Railways45 Only those candidates who submit the original CertificatesDocuments

during Document Verification in support of their eligibility will be directed forMedical Examination

46 MEDICAL EXAMINATION-

The candidate should be FIT in the Medical Examination conducted by RailwayMedical authorities in the medical standards prescribed for various posts Onlythose candidates who are found fit will be considered for inclusion in the FinalMerit List (with communal break- up) in the order of merit to the extent ofvacancies available under different categories

50 Examination Fees Rs 100- (Rupees One Hundred only)

51 Mode of Payment The fee shall be paid only in the form of CrossedIndian Postal Order drawn in favour of lsquoAssistant Personnel Officer(R it t) RRC WRrsquo d bl t M b i

8102019 Railway Recruitment Cell

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52 The IPO should have been obtained on or after the date of issue ofthis Employment Notification ie 30112013 and not before thedate of issue

The candidates are advised to write their name and address on the backsideof the ORIGINAL IPO and enclose it with the application form The details ofexamination fee may be written in application form

53 Applications without Examination Fee will be summarily rejected

54 The amount remitted as Examination Fee will not be refunded under any

circumstances55 Applications received with Demand Draft Cash Cheque Central

Recruitment stamps Money orders or any mode of payment other than IPOwill be rejected and amount forfeited

56 Fee Concession

Candidates belonging to SCST Ex-servicemen Persons with Disabilities WomenMinority communities and Economically Backward Classes are exempted frompayment of Examination Fee

Note

i

Minority Communities will mean Muslims Christians Sikhs Buddhists andZorastrians (Parsis)a

For claiming waiver of Examination Fee Minority candidates shouldfurnished a lsquoself declarationrsquo as mentioned in Annexure - 7 along withApplication Form ( lsquoProformarsquo is also available on the website )

b At the time of Document verification such candidates claiming waiver ofExamination Fee will be required to furnish lsquoMinority CommunityDeclarationrsquo affidavit on non judicial stamp paper that heshe belongs anyof the above Minority community If the affidavit is not produced duringDocument verification the candidature will be rejected

ii

Economically Backward Classes will mean the candidates whose familyincome is less than Rs 50000- per annum

The income certificate issued by the authorities mentioned below would have

to be on Annexure - 8 which is enclosed herewith (lsquoProformarsquo is also availableon the website ) This would have to be issued on the letter head of theissuing authority

Authorities competent to issue income certificate for the purpose ofindentifying Economically Backward Classes

a

District Magistrate or any other Revenue Officer upto the level ofTehsildar

b Sitting Member of Parliament of Lok Sabha for persons of their ownconstituency

c Below Poverty Line (BPL) Card or any other certificate issued by CentralGovernment under a recognized poverty alleviation programme or Izzat

MST issued by Railwaysd Union Minister may also recommend for any persons from anywhere in

the country

e Sitting Member of Parliament of Rajya Sabha for persons of the district inwhich these MPs normally reside

60 Community Certificate

61 SCST Candidates Candidates claiming to belong SC ST communities arerequired to submit Community Certificate from the Competent Authority inthe prescribed format (Annexure - 2) (lsquoProformarsquo is available on thewebsite)

62 OBC Candidates

a Candidates claiming to belong to Other Backward Classes are required tosubmit Community Certificate from the Competent Authority in the

8102019 Railway Recruitment Cell

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non-creamy layer certificate should be valid for 2013-14 (Annexure - 3)(lsquoProformarsquo is available on the website )

b Candidates claiming to belong to Other Backward Classes are also requiredto submit a self declaration in the prescribed format (Annexure - 4)(lsquoProformarsquo is available on the website)

List of Authorities empowered to issue Caste Certificates

District Magistrate Additional District Magistrate Collector Deputy Commissioner

Deputy Collector Ist Class Stipendiary Magistrate City Magistrate Sub DivisionalMagistrate Taluka Magistrate Executive Magistrate Extra Assistant Commissioner(Not below the rank of Ist Class Stipendiary Magistrate) 2 Chief Presidency Magistrate Additional Chief Presidency Magistrate Presidency Magistrate 3 Revenue Officersnot below the rank of Tehsildar 4 Sub Divisional Officer of the area where thecandidate and or his family ordinarily resides 5 Administrator Secretary toAdministrator Development Officer (Lakshadweep islands)

70 Persons With Disabilities (PWD) 71 Definition of Disabilities - Definition of categories of the disabilities for the

purpose of reservation in the employment are as under-

711 Orthopedically Handicapped (OH)-

a)

Locomotor disability means disability of the bones joints or muscles leadingto substantial restriction of the movement of the limbs or any form ofcerebral palsy

b)

Cerebral Palsy means a group of non-progressive conditions of a personcharacterized by abnormal motor control posture resulting from brain insultor injuries occurring in the pre-natal peri-natal or infant period ofdevelopment

c) All the cases of orthopedically handicapped persons would be covered under

the categories of ldquoLocomotors disability or Cerebral Palsyrdquo

712 Hearing Handicapped (HH)- ldquoHearing Handicappedrdquo means loss of sixty

decibels or more in the better ear in the conversational range of frequencies

713

Visually Handicapped (VH)-

a) Blindness refers to a condition where a person suffers from any of the

following conditions viz-

1) Total absence of sight or

2) Visual acuity not exceeding 660 or 20200 (snellen) in the better eye with

correcting lenses or

3) Limitation of the field of vision subtending at an angle of 20 degrees orworse

b) Low Vision ldquoPerson with low vision means a person with impairment of

visual functioning even after treatment of standard refractive correction but

who uses or is potentially capable of using vision for the planning ofexecution of a task with appropriate assistance device

(Please enclose the attested copies of the certificates)

72 Degree of disability of reservation - Only such persons would be

eligible for reservation of servicesposts who suffers from not less than 40 ofrelevant disability

73 Candidate should submit a Disability Certificate in the prescribed format(Annexure ndash 5 ) issued by the Competent Authority The Competent Authority shallbe a Medical Board duly constituted by the Central or State Government TheMedical Board shall consists of at least three members out of which at least oneshall be a Specialist in the particular field for assessing Locomotor Cerebral

Visual Hearing disability as the case may be

74 Scribe for Visually Handicapped Candidates

8102019 Railway Recruitment Cell

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behalf For engaging the SCRIBE the candidate will have to suitably inform theRRC in advance as per Annexure - 6

The engagement of SCRIBE will be subject to the following conditions

(a) The candidates will have to arrange their own SCRIBES at their own costduring the examination Separate Admit Cards will be issued to theSCRIBES accompanying the Visually Handicapped candidates Admit cardsshould contain the particulars and photograph of the SCRIBE duly signed byhimher

(b) The candidates as well as the SCRIBE will have to give a suitableundertaking (Annexure - 6) along with the application conforming that theSCRIBE fulfills all the stipulated eligibility criteria for a SCRIBE as mentionedabove In case it transpires later that heshe did not fulfill any of the laiddown eligibility criteria or there has been suppression of material facts thecandidature of the applicant will stand cancelled irrespective of the result ofthe examination The Visually Handicapped candidate shall be responsiblefor any misconduct on the part of the scribe brought by himher Theundertaking as given in the Annexure - 6 should be submitted by theVisually Handicapped candidatescandidates whose writing speed is affectedby Cerebral Palsy along with hisher application

(c) Candidates availing the assistance of a SCRIBE shall be eligible for extratime of 20 minutes for every hour of the examination

75

All one eyed candidates and VH candidates whose visual degree of disability is lessthan 40 shall not be considered as Visually Handicapped persons and theprovision for engaging SCRIBE shall not be applicable to them

76 Persons with Disabilities are exempted from PET forrecruitment to the posts identified suitable for them After

qualifying in the Written Examination such candidates will have to pass MedicalExamination prescribed for Persons with Disabilities before empanelment

80 EX-SERVICEMEN CANDIDATES

81 The term Ex-Servicemen means a person who has served in any rank(whether as a combatant or nonndashcombatant) in the regular Army Navy orAir Force of the Indian Union and

i who has retired from such services after earning hisher pension or

ii who has been released from such service on medical grounds attributable tomilitary service or circumstances beyond his control and awarded militaryservice or other disability pension or

iii who has been released otherwise than on his own request as a result ofreduction in such establishment or

iv who have been released from such service after completing the specificperiod of engagement otherwise than at his own request or by way of

dismissal or discharge on account of misconduct or inefficiency and hasbeen given a Gratuity and includes personnel of the Territorial Army of thefollowing categories viz

(a)

Pension holders for continuous embodied service

(b) Persons with disability attributable to Military service and

(c)

Gallantry award winners

Explanation The persons serving in the Armed Forces of the Union who onretirement from service would come under the category of Ex-Serviceman may bepermitted to apply for re-employment one year before the completion of thespecific terms of engagement and avail themselves of all concessions available toEx-Servicemen but shall not be permitted to leave the Uniform until they complete

the specified terms of engagement in the Armed Forces of the Union

82 Ex-Servicemen does not include a person who has served in the Defence

8102019 Railway Recruitment Cell

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83 Service Personnel who are likely to be discharged from militaryservice on or before 29112014 are eligible to apply against thisemployment notice

84 Ex-servicemen are required to clearly indicate all required particularsincluding community in the application form

85 Ex-servicemen candidates who have already secured employment under theex-servicemen quota in Central State Government in Group lsquoCrsquo or lsquoDrsquocategories will be given only age relaxation but will not be considered under

ex-servicemen quota

86 Discharge Certificate for Ex-Servicemen Candidates claiming the upper agerelaxation under the category of Ex-servicemen shall enclose a copy ofDischarge Certificate issued by the Competent Authority along withApplication Form

90 Serving Employees of Government Public Sector

Undertaking

91 A candidate serving under any Government or Public SectorEnterpriseUndertaking including Railways or Quasi AdministrativeGovernment officesOrganizations and institutions should either applythrough proper channel with duly certified service details by the employer or

directly to RRC-WR with ldquoNo Objection Certificaterdquo from the employerconcerned

92 In addition an advance copy of such application complete in all respectsmay be sent superscribing on the top of the application ldquoADVANCE COPYrdquo soas to reach RRC-WR before the closing date and time specified Advancecopy of the application will be entertained provided the application throughproper channel is received in the RRC-WR Office within 15 days from theclosing date for which the entire responsibility would be of the candidate

100 General Instructions for the candidates 101 The candidates should carefully read all the instructions before applying for

the posts

102 Before applying to the post the candidate should ensure that heshe fulfilsthe eligibility and other criteria The RRC-WR shall reject applications notfulfilling the requisite criteria at any stage of recruitment and iferroneously appointed such candidates shall be liable to be summarilyremoved from service

103 The candidatersquos admission at all stages of recruitment will be purelyprovisional subject to satisfying the prescribed eligibility conditions

104 Certificates in languages other than English or Hindi should be accompaniedby an attested translation in English Hindi

105 Mere issue of call letter for appearing in Written Examination PET by RRC-WR does not confer any right to candidates to be called for subsequent

stages of recruitment process or placing name on the panel106 The RRC-WR at itrsquos discretion may hold additional Written examination

andor PET or re-examination or cancel part or whole of the writtenexamination andor PET at any stage without assigning any reason

107 Date and venue of written examination Physical Efficiency Test andDocuments Verification will be fixed by the RRC-WR and intimated to eligiblecandidates by post Examination schedule may be published on Website andNews papers taking 1st Alphabet of their Name as written in the ApplicationForm or any other variable as criteria Therefore candidates are requestedto keep photocopies of relevant documents with them for further reference

108 Request for postponement of the examination andor change ofcentrevenue will not be entertained

109 FREE JOURNEY RAILWAY PASS

A free Second Class Railway pass from nearest railway station to the placeof examination and back will be issued to the candidates belonging to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 819

written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 919

(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1119

160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

1

2

3

4 983123C 983123983124 983119BC 983125983122

5 983119983112 983112983112 983126983112

6

7

8

9

10

11

983123983156983137983156983141 983120983145983150

12

13

14

15

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8102019 Railway Recruitment Cell

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Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

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Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

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Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

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Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

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Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 4: Railway Recruitment Cell

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52 The IPO should have been obtained on or after the date of issue ofthis Employment Notification ie 30112013 and not before thedate of issue

The candidates are advised to write their name and address on the backsideof the ORIGINAL IPO and enclose it with the application form The details ofexamination fee may be written in application form

53 Applications without Examination Fee will be summarily rejected

54 The amount remitted as Examination Fee will not be refunded under any

circumstances55 Applications received with Demand Draft Cash Cheque Central

Recruitment stamps Money orders or any mode of payment other than IPOwill be rejected and amount forfeited

56 Fee Concession

Candidates belonging to SCST Ex-servicemen Persons with Disabilities WomenMinority communities and Economically Backward Classes are exempted frompayment of Examination Fee

Note

i

Minority Communities will mean Muslims Christians Sikhs Buddhists andZorastrians (Parsis)a

For claiming waiver of Examination Fee Minority candidates shouldfurnished a lsquoself declarationrsquo as mentioned in Annexure - 7 along withApplication Form ( lsquoProformarsquo is also available on the website )

b At the time of Document verification such candidates claiming waiver ofExamination Fee will be required to furnish lsquoMinority CommunityDeclarationrsquo affidavit on non judicial stamp paper that heshe belongs anyof the above Minority community If the affidavit is not produced duringDocument verification the candidature will be rejected

ii

Economically Backward Classes will mean the candidates whose familyincome is less than Rs 50000- per annum

The income certificate issued by the authorities mentioned below would have

to be on Annexure - 8 which is enclosed herewith (lsquoProformarsquo is also availableon the website ) This would have to be issued on the letter head of theissuing authority

Authorities competent to issue income certificate for the purpose ofindentifying Economically Backward Classes

a

District Magistrate or any other Revenue Officer upto the level ofTehsildar

b Sitting Member of Parliament of Lok Sabha for persons of their ownconstituency

c Below Poverty Line (BPL) Card or any other certificate issued by CentralGovernment under a recognized poverty alleviation programme or Izzat

MST issued by Railwaysd Union Minister may also recommend for any persons from anywhere in

the country

e Sitting Member of Parliament of Rajya Sabha for persons of the district inwhich these MPs normally reside

60 Community Certificate

61 SCST Candidates Candidates claiming to belong SC ST communities arerequired to submit Community Certificate from the Competent Authority inthe prescribed format (Annexure - 2) (lsquoProformarsquo is available on thewebsite)

62 OBC Candidates

a Candidates claiming to belong to Other Backward Classes are required tosubmit Community Certificate from the Competent Authority in the

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non-creamy layer certificate should be valid for 2013-14 (Annexure - 3)(lsquoProformarsquo is available on the website )

b Candidates claiming to belong to Other Backward Classes are also requiredto submit a self declaration in the prescribed format (Annexure - 4)(lsquoProformarsquo is available on the website)

List of Authorities empowered to issue Caste Certificates

District Magistrate Additional District Magistrate Collector Deputy Commissioner

Deputy Collector Ist Class Stipendiary Magistrate City Magistrate Sub DivisionalMagistrate Taluka Magistrate Executive Magistrate Extra Assistant Commissioner(Not below the rank of Ist Class Stipendiary Magistrate) 2 Chief Presidency Magistrate Additional Chief Presidency Magistrate Presidency Magistrate 3 Revenue Officersnot below the rank of Tehsildar 4 Sub Divisional Officer of the area where thecandidate and or his family ordinarily resides 5 Administrator Secretary toAdministrator Development Officer (Lakshadweep islands)

70 Persons With Disabilities (PWD) 71 Definition of Disabilities - Definition of categories of the disabilities for the

purpose of reservation in the employment are as under-

711 Orthopedically Handicapped (OH)-

a)

Locomotor disability means disability of the bones joints or muscles leadingto substantial restriction of the movement of the limbs or any form ofcerebral palsy

b)

Cerebral Palsy means a group of non-progressive conditions of a personcharacterized by abnormal motor control posture resulting from brain insultor injuries occurring in the pre-natal peri-natal or infant period ofdevelopment

c) All the cases of orthopedically handicapped persons would be covered under

the categories of ldquoLocomotors disability or Cerebral Palsyrdquo

712 Hearing Handicapped (HH)- ldquoHearing Handicappedrdquo means loss of sixty

decibels or more in the better ear in the conversational range of frequencies

713

Visually Handicapped (VH)-

a) Blindness refers to a condition where a person suffers from any of the

following conditions viz-

1) Total absence of sight or

2) Visual acuity not exceeding 660 or 20200 (snellen) in the better eye with

correcting lenses or

3) Limitation of the field of vision subtending at an angle of 20 degrees orworse

b) Low Vision ldquoPerson with low vision means a person with impairment of

visual functioning even after treatment of standard refractive correction but

who uses or is potentially capable of using vision for the planning ofexecution of a task with appropriate assistance device

(Please enclose the attested copies of the certificates)

72 Degree of disability of reservation - Only such persons would be

eligible for reservation of servicesposts who suffers from not less than 40 ofrelevant disability

73 Candidate should submit a Disability Certificate in the prescribed format(Annexure ndash 5 ) issued by the Competent Authority The Competent Authority shallbe a Medical Board duly constituted by the Central or State Government TheMedical Board shall consists of at least three members out of which at least oneshall be a Specialist in the particular field for assessing Locomotor Cerebral

Visual Hearing disability as the case may be

74 Scribe for Visually Handicapped Candidates

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behalf For engaging the SCRIBE the candidate will have to suitably inform theRRC in advance as per Annexure - 6

The engagement of SCRIBE will be subject to the following conditions

(a) The candidates will have to arrange their own SCRIBES at their own costduring the examination Separate Admit Cards will be issued to theSCRIBES accompanying the Visually Handicapped candidates Admit cardsshould contain the particulars and photograph of the SCRIBE duly signed byhimher

(b) The candidates as well as the SCRIBE will have to give a suitableundertaking (Annexure - 6) along with the application conforming that theSCRIBE fulfills all the stipulated eligibility criteria for a SCRIBE as mentionedabove In case it transpires later that heshe did not fulfill any of the laiddown eligibility criteria or there has been suppression of material facts thecandidature of the applicant will stand cancelled irrespective of the result ofthe examination The Visually Handicapped candidate shall be responsiblefor any misconduct on the part of the scribe brought by himher Theundertaking as given in the Annexure - 6 should be submitted by theVisually Handicapped candidatescandidates whose writing speed is affectedby Cerebral Palsy along with hisher application

(c) Candidates availing the assistance of a SCRIBE shall be eligible for extratime of 20 minutes for every hour of the examination

75

All one eyed candidates and VH candidates whose visual degree of disability is lessthan 40 shall not be considered as Visually Handicapped persons and theprovision for engaging SCRIBE shall not be applicable to them

76 Persons with Disabilities are exempted from PET forrecruitment to the posts identified suitable for them After

qualifying in the Written Examination such candidates will have to pass MedicalExamination prescribed for Persons with Disabilities before empanelment

80 EX-SERVICEMEN CANDIDATES

81 The term Ex-Servicemen means a person who has served in any rank(whether as a combatant or nonndashcombatant) in the regular Army Navy orAir Force of the Indian Union and

i who has retired from such services after earning hisher pension or

ii who has been released from such service on medical grounds attributable tomilitary service or circumstances beyond his control and awarded militaryservice or other disability pension or

iii who has been released otherwise than on his own request as a result ofreduction in such establishment or

iv who have been released from such service after completing the specificperiod of engagement otherwise than at his own request or by way of

dismissal or discharge on account of misconduct or inefficiency and hasbeen given a Gratuity and includes personnel of the Territorial Army of thefollowing categories viz

(a)

Pension holders for continuous embodied service

(b) Persons with disability attributable to Military service and

(c)

Gallantry award winners

Explanation The persons serving in the Armed Forces of the Union who onretirement from service would come under the category of Ex-Serviceman may bepermitted to apply for re-employment one year before the completion of thespecific terms of engagement and avail themselves of all concessions available toEx-Servicemen but shall not be permitted to leave the Uniform until they complete

the specified terms of engagement in the Armed Forces of the Union

82 Ex-Servicemen does not include a person who has served in the Defence

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83 Service Personnel who are likely to be discharged from militaryservice on or before 29112014 are eligible to apply against thisemployment notice

84 Ex-servicemen are required to clearly indicate all required particularsincluding community in the application form

85 Ex-servicemen candidates who have already secured employment under theex-servicemen quota in Central State Government in Group lsquoCrsquo or lsquoDrsquocategories will be given only age relaxation but will not be considered under

ex-servicemen quota

86 Discharge Certificate for Ex-Servicemen Candidates claiming the upper agerelaxation under the category of Ex-servicemen shall enclose a copy ofDischarge Certificate issued by the Competent Authority along withApplication Form

90 Serving Employees of Government Public Sector

Undertaking

91 A candidate serving under any Government or Public SectorEnterpriseUndertaking including Railways or Quasi AdministrativeGovernment officesOrganizations and institutions should either applythrough proper channel with duly certified service details by the employer or

directly to RRC-WR with ldquoNo Objection Certificaterdquo from the employerconcerned

92 In addition an advance copy of such application complete in all respectsmay be sent superscribing on the top of the application ldquoADVANCE COPYrdquo soas to reach RRC-WR before the closing date and time specified Advancecopy of the application will be entertained provided the application throughproper channel is received in the RRC-WR Office within 15 days from theclosing date for which the entire responsibility would be of the candidate

100 General Instructions for the candidates 101 The candidates should carefully read all the instructions before applying for

the posts

102 Before applying to the post the candidate should ensure that heshe fulfilsthe eligibility and other criteria The RRC-WR shall reject applications notfulfilling the requisite criteria at any stage of recruitment and iferroneously appointed such candidates shall be liable to be summarilyremoved from service

103 The candidatersquos admission at all stages of recruitment will be purelyprovisional subject to satisfying the prescribed eligibility conditions

104 Certificates in languages other than English or Hindi should be accompaniedby an attested translation in English Hindi

105 Mere issue of call letter for appearing in Written Examination PET by RRC-WR does not confer any right to candidates to be called for subsequent

stages of recruitment process or placing name on the panel106 The RRC-WR at itrsquos discretion may hold additional Written examination

andor PET or re-examination or cancel part or whole of the writtenexamination andor PET at any stage without assigning any reason

107 Date and venue of written examination Physical Efficiency Test andDocuments Verification will be fixed by the RRC-WR and intimated to eligiblecandidates by post Examination schedule may be published on Website andNews papers taking 1st Alphabet of their Name as written in the ApplicationForm or any other variable as criteria Therefore candidates are requestedto keep photocopies of relevant documents with them for further reference

108 Request for postponement of the examination andor change ofcentrevenue will not be entertained

109 FREE JOURNEY RAILWAY PASS

A free Second Class Railway pass from nearest railway station to the placeof examination and back will be issued to the candidates belonging to

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written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

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(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

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(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

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160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

1

2

3

4 983123C 983123983124 983119BC 983125983122

5 983119983112 983112983112 983126983112

6

7

8

9

10

11

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983123983145983143983150983137983156983157983154983141 983151983142 983156983144983141 983139983137983150983140983145983140983137983156983141

(983118983151983156 983145983150 983139983137983152983145983156983137983148 983148983141983156983156983141983154983155)

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(983113983118 B983116983119C983115 983116E983124983124E983122983123)

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F983151983154 983119983142983142983145983139983141

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983118983137983149983141983123983157983154983150983137983149983141

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1419

Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

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Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 5: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 519

non-creamy layer certificate should be valid for 2013-14 (Annexure - 3)(lsquoProformarsquo is available on the website )

b Candidates claiming to belong to Other Backward Classes are also requiredto submit a self declaration in the prescribed format (Annexure - 4)(lsquoProformarsquo is available on the website)

List of Authorities empowered to issue Caste Certificates

District Magistrate Additional District Magistrate Collector Deputy Commissioner

Deputy Collector Ist Class Stipendiary Magistrate City Magistrate Sub DivisionalMagistrate Taluka Magistrate Executive Magistrate Extra Assistant Commissioner(Not below the rank of Ist Class Stipendiary Magistrate) 2 Chief Presidency Magistrate Additional Chief Presidency Magistrate Presidency Magistrate 3 Revenue Officersnot below the rank of Tehsildar 4 Sub Divisional Officer of the area where thecandidate and or his family ordinarily resides 5 Administrator Secretary toAdministrator Development Officer (Lakshadweep islands)

70 Persons With Disabilities (PWD) 71 Definition of Disabilities - Definition of categories of the disabilities for the

purpose of reservation in the employment are as under-

711 Orthopedically Handicapped (OH)-

a)

Locomotor disability means disability of the bones joints or muscles leadingto substantial restriction of the movement of the limbs or any form ofcerebral palsy

b)

Cerebral Palsy means a group of non-progressive conditions of a personcharacterized by abnormal motor control posture resulting from brain insultor injuries occurring in the pre-natal peri-natal or infant period ofdevelopment

c) All the cases of orthopedically handicapped persons would be covered under

the categories of ldquoLocomotors disability or Cerebral Palsyrdquo

712 Hearing Handicapped (HH)- ldquoHearing Handicappedrdquo means loss of sixty

decibels or more in the better ear in the conversational range of frequencies

713

Visually Handicapped (VH)-

a) Blindness refers to a condition where a person suffers from any of the

following conditions viz-

1) Total absence of sight or

2) Visual acuity not exceeding 660 or 20200 (snellen) in the better eye with

correcting lenses or

3) Limitation of the field of vision subtending at an angle of 20 degrees orworse

b) Low Vision ldquoPerson with low vision means a person with impairment of

visual functioning even after treatment of standard refractive correction but

who uses or is potentially capable of using vision for the planning ofexecution of a task with appropriate assistance device

(Please enclose the attested copies of the certificates)

72 Degree of disability of reservation - Only such persons would be

eligible for reservation of servicesposts who suffers from not less than 40 ofrelevant disability

73 Candidate should submit a Disability Certificate in the prescribed format(Annexure ndash 5 ) issued by the Competent Authority The Competent Authority shallbe a Medical Board duly constituted by the Central or State Government TheMedical Board shall consists of at least three members out of which at least oneshall be a Specialist in the particular field for assessing Locomotor Cerebral

Visual Hearing disability as the case may be

74 Scribe for Visually Handicapped Candidates

8102019 Railway Recruitment Cell

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behalf For engaging the SCRIBE the candidate will have to suitably inform theRRC in advance as per Annexure - 6

The engagement of SCRIBE will be subject to the following conditions

(a) The candidates will have to arrange their own SCRIBES at their own costduring the examination Separate Admit Cards will be issued to theSCRIBES accompanying the Visually Handicapped candidates Admit cardsshould contain the particulars and photograph of the SCRIBE duly signed byhimher

(b) The candidates as well as the SCRIBE will have to give a suitableundertaking (Annexure - 6) along with the application conforming that theSCRIBE fulfills all the stipulated eligibility criteria for a SCRIBE as mentionedabove In case it transpires later that heshe did not fulfill any of the laiddown eligibility criteria or there has been suppression of material facts thecandidature of the applicant will stand cancelled irrespective of the result ofthe examination The Visually Handicapped candidate shall be responsiblefor any misconduct on the part of the scribe brought by himher Theundertaking as given in the Annexure - 6 should be submitted by theVisually Handicapped candidatescandidates whose writing speed is affectedby Cerebral Palsy along with hisher application

(c) Candidates availing the assistance of a SCRIBE shall be eligible for extratime of 20 minutes for every hour of the examination

75

All one eyed candidates and VH candidates whose visual degree of disability is lessthan 40 shall not be considered as Visually Handicapped persons and theprovision for engaging SCRIBE shall not be applicable to them

76 Persons with Disabilities are exempted from PET forrecruitment to the posts identified suitable for them After

qualifying in the Written Examination such candidates will have to pass MedicalExamination prescribed for Persons with Disabilities before empanelment

80 EX-SERVICEMEN CANDIDATES

81 The term Ex-Servicemen means a person who has served in any rank(whether as a combatant or nonndashcombatant) in the regular Army Navy orAir Force of the Indian Union and

i who has retired from such services after earning hisher pension or

ii who has been released from such service on medical grounds attributable tomilitary service or circumstances beyond his control and awarded militaryservice or other disability pension or

iii who has been released otherwise than on his own request as a result ofreduction in such establishment or

iv who have been released from such service after completing the specificperiod of engagement otherwise than at his own request or by way of

dismissal or discharge on account of misconduct or inefficiency and hasbeen given a Gratuity and includes personnel of the Territorial Army of thefollowing categories viz

(a)

Pension holders for continuous embodied service

(b) Persons with disability attributable to Military service and

(c)

Gallantry award winners

Explanation The persons serving in the Armed Forces of the Union who onretirement from service would come under the category of Ex-Serviceman may bepermitted to apply for re-employment one year before the completion of thespecific terms of engagement and avail themselves of all concessions available toEx-Servicemen but shall not be permitted to leave the Uniform until they complete

the specified terms of engagement in the Armed Forces of the Union

82 Ex-Servicemen does not include a person who has served in the Defence

8102019 Railway Recruitment Cell

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83 Service Personnel who are likely to be discharged from militaryservice on or before 29112014 are eligible to apply against thisemployment notice

84 Ex-servicemen are required to clearly indicate all required particularsincluding community in the application form

85 Ex-servicemen candidates who have already secured employment under theex-servicemen quota in Central State Government in Group lsquoCrsquo or lsquoDrsquocategories will be given only age relaxation but will not be considered under

ex-servicemen quota

86 Discharge Certificate for Ex-Servicemen Candidates claiming the upper agerelaxation under the category of Ex-servicemen shall enclose a copy ofDischarge Certificate issued by the Competent Authority along withApplication Form

90 Serving Employees of Government Public Sector

Undertaking

91 A candidate serving under any Government or Public SectorEnterpriseUndertaking including Railways or Quasi AdministrativeGovernment officesOrganizations and institutions should either applythrough proper channel with duly certified service details by the employer or

directly to RRC-WR with ldquoNo Objection Certificaterdquo from the employerconcerned

92 In addition an advance copy of such application complete in all respectsmay be sent superscribing on the top of the application ldquoADVANCE COPYrdquo soas to reach RRC-WR before the closing date and time specified Advancecopy of the application will be entertained provided the application throughproper channel is received in the RRC-WR Office within 15 days from theclosing date for which the entire responsibility would be of the candidate

100 General Instructions for the candidates 101 The candidates should carefully read all the instructions before applying for

the posts

102 Before applying to the post the candidate should ensure that heshe fulfilsthe eligibility and other criteria The RRC-WR shall reject applications notfulfilling the requisite criteria at any stage of recruitment and iferroneously appointed such candidates shall be liable to be summarilyremoved from service

103 The candidatersquos admission at all stages of recruitment will be purelyprovisional subject to satisfying the prescribed eligibility conditions

104 Certificates in languages other than English or Hindi should be accompaniedby an attested translation in English Hindi

105 Mere issue of call letter for appearing in Written Examination PET by RRC-WR does not confer any right to candidates to be called for subsequent

stages of recruitment process or placing name on the panel106 The RRC-WR at itrsquos discretion may hold additional Written examination

andor PET or re-examination or cancel part or whole of the writtenexamination andor PET at any stage without assigning any reason

107 Date and venue of written examination Physical Efficiency Test andDocuments Verification will be fixed by the RRC-WR and intimated to eligiblecandidates by post Examination schedule may be published on Website andNews papers taking 1st Alphabet of their Name as written in the ApplicationForm or any other variable as criteria Therefore candidates are requestedto keep photocopies of relevant documents with them for further reference

108 Request for postponement of the examination andor change ofcentrevenue will not be entertained

109 FREE JOURNEY RAILWAY PASS

A free Second Class Railway pass from nearest railway station to the placeof examination and back will be issued to the candidates belonging to

8102019 Railway Recruitment Cell

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written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

8102019 Railway Recruitment Cell

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(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

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(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

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160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

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(983150983151983156 983145983150 983139983137983152983145983156983137983148)

983122983141983148983145983143983145983151983150

983123983141983160

983118983141983137983154983141983155983156 983122983137983145983148983159983137983161 983123983137983156983145983151983150

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983120983137983161 9831229831551800983085 983145983150 983127983141983155983156983141983154983150 983122983137983145983148983159983137983161

E983149983152983148983151983161983149983141983156 983118983151983156983145983139983141 983118983157983149983138983141983154 983085983122983122C983127983122 022013

F983151983154 983119983142983142983145983139983141

983157983155983141 983151983150983148983161983085

C983151983150983156983154983151983148 983118983157983149983138983141983154 983085

A983140983140983154983141983155983155 983142983151983154 983139983151983149983149983157983150983145983139983137983156983145983151983150 (983145983150 E983150983143983148983145983155983144 983151983150983148983161 983145983150 983139983137983152983145983156983137983148 983148983141983156983156983141983154983155)

983118983137983149983141983123983157983154983150983137983149983141

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

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Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

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Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

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Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

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Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 6: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 619

behalf For engaging the SCRIBE the candidate will have to suitably inform theRRC in advance as per Annexure - 6

The engagement of SCRIBE will be subject to the following conditions

(a) The candidates will have to arrange their own SCRIBES at their own costduring the examination Separate Admit Cards will be issued to theSCRIBES accompanying the Visually Handicapped candidates Admit cardsshould contain the particulars and photograph of the SCRIBE duly signed byhimher

(b) The candidates as well as the SCRIBE will have to give a suitableundertaking (Annexure - 6) along with the application conforming that theSCRIBE fulfills all the stipulated eligibility criteria for a SCRIBE as mentionedabove In case it transpires later that heshe did not fulfill any of the laiddown eligibility criteria or there has been suppression of material facts thecandidature of the applicant will stand cancelled irrespective of the result ofthe examination The Visually Handicapped candidate shall be responsiblefor any misconduct on the part of the scribe brought by himher Theundertaking as given in the Annexure - 6 should be submitted by theVisually Handicapped candidatescandidates whose writing speed is affectedby Cerebral Palsy along with hisher application

(c) Candidates availing the assistance of a SCRIBE shall be eligible for extratime of 20 minutes for every hour of the examination

75

All one eyed candidates and VH candidates whose visual degree of disability is lessthan 40 shall not be considered as Visually Handicapped persons and theprovision for engaging SCRIBE shall not be applicable to them

76 Persons with Disabilities are exempted from PET forrecruitment to the posts identified suitable for them After

qualifying in the Written Examination such candidates will have to pass MedicalExamination prescribed for Persons with Disabilities before empanelment

80 EX-SERVICEMEN CANDIDATES

81 The term Ex-Servicemen means a person who has served in any rank(whether as a combatant or nonndashcombatant) in the regular Army Navy orAir Force of the Indian Union and

i who has retired from such services after earning hisher pension or

ii who has been released from such service on medical grounds attributable tomilitary service or circumstances beyond his control and awarded militaryservice or other disability pension or

iii who has been released otherwise than on his own request as a result ofreduction in such establishment or

iv who have been released from such service after completing the specificperiod of engagement otherwise than at his own request or by way of

dismissal or discharge on account of misconduct or inefficiency and hasbeen given a Gratuity and includes personnel of the Territorial Army of thefollowing categories viz

(a)

Pension holders for continuous embodied service

(b) Persons with disability attributable to Military service and

(c)

Gallantry award winners

Explanation The persons serving in the Armed Forces of the Union who onretirement from service would come under the category of Ex-Serviceman may bepermitted to apply for re-employment one year before the completion of thespecific terms of engagement and avail themselves of all concessions available toEx-Servicemen but shall not be permitted to leave the Uniform until they complete

the specified terms of engagement in the Armed Forces of the Union

82 Ex-Servicemen does not include a person who has served in the Defence

8102019 Railway Recruitment Cell

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83 Service Personnel who are likely to be discharged from militaryservice on or before 29112014 are eligible to apply against thisemployment notice

84 Ex-servicemen are required to clearly indicate all required particularsincluding community in the application form

85 Ex-servicemen candidates who have already secured employment under theex-servicemen quota in Central State Government in Group lsquoCrsquo or lsquoDrsquocategories will be given only age relaxation but will not be considered under

ex-servicemen quota

86 Discharge Certificate for Ex-Servicemen Candidates claiming the upper agerelaxation under the category of Ex-servicemen shall enclose a copy ofDischarge Certificate issued by the Competent Authority along withApplication Form

90 Serving Employees of Government Public Sector

Undertaking

91 A candidate serving under any Government or Public SectorEnterpriseUndertaking including Railways or Quasi AdministrativeGovernment officesOrganizations and institutions should either applythrough proper channel with duly certified service details by the employer or

directly to RRC-WR with ldquoNo Objection Certificaterdquo from the employerconcerned

92 In addition an advance copy of such application complete in all respectsmay be sent superscribing on the top of the application ldquoADVANCE COPYrdquo soas to reach RRC-WR before the closing date and time specified Advancecopy of the application will be entertained provided the application throughproper channel is received in the RRC-WR Office within 15 days from theclosing date for which the entire responsibility would be of the candidate

100 General Instructions for the candidates 101 The candidates should carefully read all the instructions before applying for

the posts

102 Before applying to the post the candidate should ensure that heshe fulfilsthe eligibility and other criteria The RRC-WR shall reject applications notfulfilling the requisite criteria at any stage of recruitment and iferroneously appointed such candidates shall be liable to be summarilyremoved from service

103 The candidatersquos admission at all stages of recruitment will be purelyprovisional subject to satisfying the prescribed eligibility conditions

104 Certificates in languages other than English or Hindi should be accompaniedby an attested translation in English Hindi

105 Mere issue of call letter for appearing in Written Examination PET by RRC-WR does not confer any right to candidates to be called for subsequent

stages of recruitment process or placing name on the panel106 The RRC-WR at itrsquos discretion may hold additional Written examination

andor PET or re-examination or cancel part or whole of the writtenexamination andor PET at any stage without assigning any reason

107 Date and venue of written examination Physical Efficiency Test andDocuments Verification will be fixed by the RRC-WR and intimated to eligiblecandidates by post Examination schedule may be published on Website andNews papers taking 1st Alphabet of their Name as written in the ApplicationForm or any other variable as criteria Therefore candidates are requestedto keep photocopies of relevant documents with them for further reference

108 Request for postponement of the examination andor change ofcentrevenue will not be entertained

109 FREE JOURNEY RAILWAY PASS

A free Second Class Railway pass from nearest railway station to the placeof examination and back will be issued to the candidates belonging to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 819

written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 919

(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

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160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

1

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983118983137983149983141983123983157983154983150983137983149983141

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

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Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

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Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

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Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 7: Railway Recruitment Cell

8102019 Railway Recruitment Cell

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83 Service Personnel who are likely to be discharged from militaryservice on or before 29112014 are eligible to apply against thisemployment notice

84 Ex-servicemen are required to clearly indicate all required particularsincluding community in the application form

85 Ex-servicemen candidates who have already secured employment under theex-servicemen quota in Central State Government in Group lsquoCrsquo or lsquoDrsquocategories will be given only age relaxation but will not be considered under

ex-servicemen quota

86 Discharge Certificate for Ex-Servicemen Candidates claiming the upper agerelaxation under the category of Ex-servicemen shall enclose a copy ofDischarge Certificate issued by the Competent Authority along withApplication Form

90 Serving Employees of Government Public Sector

Undertaking

91 A candidate serving under any Government or Public SectorEnterpriseUndertaking including Railways or Quasi AdministrativeGovernment officesOrganizations and institutions should either applythrough proper channel with duly certified service details by the employer or

directly to RRC-WR with ldquoNo Objection Certificaterdquo from the employerconcerned

92 In addition an advance copy of such application complete in all respectsmay be sent superscribing on the top of the application ldquoADVANCE COPYrdquo soas to reach RRC-WR before the closing date and time specified Advancecopy of the application will be entertained provided the application throughproper channel is received in the RRC-WR Office within 15 days from theclosing date for which the entire responsibility would be of the candidate

100 General Instructions for the candidates 101 The candidates should carefully read all the instructions before applying for

the posts

102 Before applying to the post the candidate should ensure that heshe fulfilsthe eligibility and other criteria The RRC-WR shall reject applications notfulfilling the requisite criteria at any stage of recruitment and iferroneously appointed such candidates shall be liable to be summarilyremoved from service

103 The candidatersquos admission at all stages of recruitment will be purelyprovisional subject to satisfying the prescribed eligibility conditions

104 Certificates in languages other than English or Hindi should be accompaniedby an attested translation in English Hindi

105 Mere issue of call letter for appearing in Written Examination PET by RRC-WR does not confer any right to candidates to be called for subsequent

stages of recruitment process or placing name on the panel106 The RRC-WR at itrsquos discretion may hold additional Written examination

andor PET or re-examination or cancel part or whole of the writtenexamination andor PET at any stage without assigning any reason

107 Date and venue of written examination Physical Efficiency Test andDocuments Verification will be fixed by the RRC-WR and intimated to eligiblecandidates by post Examination schedule may be published on Website andNews papers taking 1st Alphabet of their Name as written in the ApplicationForm or any other variable as criteria Therefore candidates are requestedto keep photocopies of relevant documents with them for further reference

108 Request for postponement of the examination andor change ofcentrevenue will not be entertained

109 FREE JOURNEY RAILWAY PASS

A free Second Class Railway pass from nearest railway station to the placeof examination and back will be issued to the candidates belonging to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 819

written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 919

(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

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160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

1

2

3

4 983123C 983123983124 983119BC 983125983122

5 983119983112 983112983112 983126983112

6

7

8

9

10

11

983123983156983137983156983141 983120983145983150

12

13

14

15

16 17

18 D983141983139983148983137983154983137983156983145983151983150 983138983161 983156983144983141 983139983137983150983140983145983140983137983156983141 (983120983148983141983137983155983141 983139983151983152983161 983156983144983141 983142983151983148983148983151983159983145983150983143 983140983141983139983148983137983154983137983156983145983151983150 983145983150 983156983144983141 983155983152983137983139983141 983152983154983151983158983145983140983141983140 983138983141983148983151983159 983145983150 983154983157983150983150983145983150983143 983144983137983150983140 983159983154983145983156983145983150983143 983118983151983156 983145983150 983139983137983152983145983156983137983148 983148983141983156983156983141983154983155)983085

983123983145983143983150983137983156983157983154983141 983151983142 983156983144983141 983139983137983150983140983145983140983137983156983141

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8102019 Railway Recruitment Cell

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Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

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Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

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Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 8: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 819

written examinationPhysical Efficiency Test etc No reimbursement of travelexpenses will be made on any account

1010 In the interest of the Administration selected candidates are likely to beposted anywhere on any Post Category Department on Western Railwayafter successful completion of training wherever prescribed No particularplace or Department or Division of posting can be assured or assumed Thedecision of Railway Administration will be final No request representationwill be entertained in this regard

1011 Candidates who have been debarred from appearing in any of the RailwayRecruitment Cell Board exams should not apply unless the debarmentperiod expires before the closing date

1012 Female candidates are also eligible They may however note that the natureof duties may be arduous and may involve outdoor duties

1013 Candidate should send hisher Application Form complete in all respectsalong with xerox copies of relevant Certificates sufficiently in advancebefore the closing date to the RRC-WR

Any certificate photograph etc sent separately after subsequent receipt ofApplication Form will not be entertained Railway Recruitment Cell will notbe responsible for any postal delaywrong delivery whatsoever at anystage of the selection process

1014 All candidates irrespective of community will be considered for URvacancies However against vacancies of specific community quota onlycandidates of that particular community will be considered and anysubsequent representation for change of community status will not beentertained under any circumstances

110 Action against candidates found guilty of Misconduct

111 Candidates are warned that they should not furnish any particulars that arefalse or suppress any material information while filling in the applicationform

112 Candidates are also warned that they should in no case attempt to alter orotherwise tamper with any entry in a document or its attestedcertified copy

submitted by them nor should they submit a tamperedfabricateddocument If there is any inaccuracy or any discrepancy an explanationregarding such discrepancy should be submitted

113 Misconduct on the part of the candidate at any stage of the recruitmentprocess is strictly prohibited

114 Candidates shall not bring or attempt to bring any political or otherinfluence to further his her interest in respect of recruitment Attempting insuch practice will be viewed seriously and their candidature shall be rejectedwithout any notice

115 A candidate found by the Railway Recruitment Cell (or found earlier by anyRailway Recruitment Board) to be guilty of

(i) Canvassing support for his candidature by any means or

(ii) Impersonating or

(iii) Procuring impersonation or

(iv) Submitting fabricatedtampered documents or

(v) Making statements which are incorrect or false or suppressing materialinformation or

(vi) Resorting to any other irregular or improper means for furtherance of hiscandidature for the selection or

(vii) Using unfair means during the examination or possessing carrying orusing mobile phone calculator or any other such instrument or

(viii) Writing irrelevant matter including obscene language or pornographicmatter in the script(s) or

(ix) Committing mischief in any other manner in the examination hall or

(x) Harassing or doing bodily harm to the staff employed by the RRC-WR for

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 919

(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

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160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

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983120983137983161 9831229831551800983085 983145983150 983127983141983155983156983141983154983150 983122983137983145983148983159983137983161

E983149983152983148983151983161983149983141983156 983118983151983156983145983139983141 983118983157983149983138983141983154 983085983122983122C983127983122 022013

F983151983154 983119983142983142983145983139983141

983157983155983141 983151983150983148983161983085

C983151983150983156983154983151983148 983118983157983149983138983141983154 983085

A983140983140983154983141983155983155 983142983151983154 983139983151983149983149983157983150983145983139983137983156983145983151983150 (983145983150 E983150983143983148983145983155983144 983151983150983148983161 983145983150 983139983137983152983145983156983137983148 983148983141983156983156983141983154983155)

983118983137983149983141983123983157983154983150983137983149983141

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1419

Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1519

Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 9: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 919

(a) be disqualified by the RRC-WR from selection for which he is acandidate or

(b) be debarred either permanently or for a period decided by the RRC-WR from any examination or selection conducted by any of theRailway Recruitment Cells Railway Recruitment Boards

(c) be taken up for disciplinary action under the appropriate rules if heis already in service

120 How to Apply

121 Application Format (Annexure ndash 1) published along with this Employmentnotification alone should be used Application Format can also bedownloaded from the website of RRC-WR ie wwwrrc-wrcom

122 Each candidate should send only one application Candidates submittingmultiple applications will not be considered Even if such a candidate getsselected inadvertently he she will not be offered appointment later on

123 The candidates have to fill up Application Form with Black or Blue BallPoint pen in hisher own legible handwriting The application should befilled either in English or Hindi and not in any other languageAnnexure for Community Income certificate etc shall be in English Hindi language format of the same are available in theEmployment News Paper and RRC ndash WR website ie wwwrrc-wrcom The application has to be duly dated and signed by the candidateApplication filled in any language other than HindiEnglish and by anyperson other than the applicant and having any change in the format willbe rejected summarily

124 The candidates should write any clear visible marks of identification on theirbody in the column lsquoPersonal marks of Identification (Mere mentioning ofMole Cut mark etc will be treated as INVALID and such applications will berejected)

125 The candidates should affix their Left Thumb Impression at the spaceprovided in Application Form Persons not having Left Thumb can affix RightThumb The thumb impression should be clear and visible Otherwise theApplication is liable for rejection

126 It is important to note that following para (Declaration) should be copiedout by candidate in hisher own handwriting in running letters (not inCapital Letters) in the space provided at column no 18 of the applicationform Applications with incomplete declaration will be rejected

I hereby declare that the facts and evidences given by me in the aboveapplication are true complete and correct to the best of my knowledge andbelief In the event of any mis-statement discrepancy in the particularsbeing detected at any stage my candidature service may be cancelled terminated without any notice

127 Candidate should sign in the column prescribed for signature Signatureshould not be in Capital Block letters

128 Candidate should properly PASTE their recent (not older than 3 months)colored passport size photograph on the Application Form In addition theymust submit one identical photograph with Name and Date of Birth writtenon the backside of Photograph

130 ENCLOSURES

The enclosures in the following order only are to be firmly stitched along with theApplication Form Original Certificates should not be enclosed Self AttestedPhotocopies Xerox copies of the certificates should be enclosed

(i) IPO if applicable

(ii)

Application Form

(iii) Proof of Date of Birth

(iv)

Educational Qualification(v)

Community Certificate in case of SC ST (Annexure ndash 2) OBC(Annexure ndash 3 4) OBC Certificate should contain that they do not belong to

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1119

160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

1

2

3

4 983123C 983123983124 983119BC 983125983122

5 983119983112 983112983112 983126983112

6

7

8

9

10

11

983123983156983137983156983141 983120983145983150

12

13

14

15

16 17

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(983118983151983156 983145983150 983139983137983152983145983156983137983148 983148983141983156983156983141983154983155)

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983118983137983149983141983123983157983154983150983137983149983141

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

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Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

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Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

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Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

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Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 10: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1019

(vii)

Income certificate for waiver of examination fee

(viii) Discharge Certificate in case of Ex-Servicemen

(ix)

Physical Disability Certificate in case of Persons with Disabilities

(x) Filled in Proforma for engaging SCRIBE in case of Visually Handicappedpersons

(xi)

In the case Government Servants Quasi Administrative staff of Railwayorganisation copy of Certificate from the appropriate authority giving theirlength of regular service etc

(xii)

No Objection Certificate from the employer if already employed

(xiii)

Copy of Decree from the competent Court of Law having divorced judiciallyseparated together with Affidavit that she has not remarried since

(xiv)

In case of widow death certificate of her husband together with Affidavitthat she has not remarried since

(xv) Two Passport size coloured photographs (not older than 3 months) withoutwearing cap amp gogglescoloured glasses One photo is to be pasted on theApplication Form with signature across the photographThe photographshould be neatly pasted and not stapled or pinned The other photographwith name date of birth and signature on the back side should be clippedwith the Application Form

The photograph is to be scanned by a machine The machine recognizesonly good quality photograph with light colour background

140 Applications complete in all respects along with all relevant enclosures in anenvelope superscribed as Application for the Posts in Pay Band I GPndashRs1800- of Western Railway shall be sent by ordinary post to ldquoAssistantPersonnel Officer (Recruitment) Railway Recruitment Cell WesternRailway Parcel Depot Alibhai Premji Marg Grant Road (East) Mumbai-400 007rdquo The application can also be dropped in the Drop Box kept at RRC WROffice

150 INVALID APPLICATIONS

The applications having any of the following deficiencies discrepancies orirregularities will be summarily rejected

(i) Applications not submitted in prescribed format as given in this employmentnotice

(ii) Incomplete or illegible applications or applications with overwriting cuttingor erasing marks

(iii) Unsignedundated Applications Applications without clearsmudged LeftThumb impressions Applications without clear Marks of Identification

(iv) Under aged Over aged candidates

(v) Applications without copy of proof for Date of Birth and EducationalQualification

(vi) Applications without IPOs of requisite value and validity whereverapplicable

(vii) Applications without copy of Community Certificate in prescribed format inrespect of SCST candidates (Annexure - 2) and OBC candidates(Annexure -3 amp 4)

(viii) Applications without Disability certificate if applicable (Annexure ndash 5)

(ix) Submitting more than one application in one Name

(x) Applications received after 1700 hrs on closing date by any meansmodes

(xi) Applications without Coloured photograph or affixing attaching BampWphotograph or Xerox copy of Photograph

(xii) Applications without Declaration (para - 18) of Application Form written incandidatersquos own handwriting or incomplete declaration

(xvi)

Applications not filled in English or Hindi or not filled by candidate in his ownhand writing

(xvii)

Applications of candidates figuring in debarred list of RRB RRC shall bej t d

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1119

160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

1

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8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1419

Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1519

Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 11: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1119

160 All male candidates are liable for active Territorial Army Service in Railway Units orsuch other units as may be laid down in this behalf from time to time

170 For any legal issues arising out of this Employment Notice the Jurisdiction shall beunder Honrsquoble Central Administrative Tribunal Mumbai only

180 In case of any doubts English version of the employment notice will be treated asvalid

190 Candidates are advised to periodically check the website wwwrrc-wrcom for thelatest information updates in connection with this recruitment

200 RAILWAY RECRUITMENT CELLrsquoS DECISION FINAL

The decision of RRC-WR in all matters relating to eligibility acceptance or rejectionof the applications issue of free rail passes penalty for false information mode ofselection conduct of examination(s) allotment of examination centre allotment ofpostsplaces to selected candidates and all other matters related with conduct ofrecruitment process will be final and binding on the candidates and no enquiry orcorrespondence will be entertained in this connection

IMPORTANT Railway Recruitment Cell Western Railway have not appointed any agents orcoaching centers for acting on its behalf Candidates are warned against any such claimsbeing made by personsagenciesOMR answer sheets shall be used for the written

examination and computer evaluation shall be resorted to Candidates are selectedpurely as per merit PLEASE BEWARE OF UNSCRUPULOUS ELEMENTS AND DO NOT FALLIN THEIR TRAP

NOTE Notification was scheduled to be notified on 14122013 but Employment News hadinadvertently published it in their edition dt 30112013 In the said publication the dateof notification is shown as 11122013 the date on which it was scheduled to be notifiedon RRCWRrsquos website wwwrrc-wrcom Since it has already been notified in EmploymentNews on 30112013 the date of notification may please be read as 30112013 Otherfacts and procedures except Para 83 described in the said notification dt 30112013are correctly published and those will be applicable for the recruitment process

ChairmanRailway Recruitment Cell

Western Railway

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1219

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8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

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Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

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Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

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Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

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Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

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Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

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Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 12: Railway Recruitment Cell

8102019 Railway Recruitment Cell

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1

2

3

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E983140983157983139983137983156983145983151983150983137983148 983121983157983137983148983145983142983145983139983137983156983145983151983150983155

983122983137983145983148983159983137983161 E983149983152983148983151983161983141983141E983160983085 983123983141983154983158983145983139983141983149983141983150

983122983151983148983148 983118983157983149983138983141983154983085

983120983137983155983156983141 (983140983151 983150983151983156 983152983145983150 983151983154 983155983156983137983152983148983141) 983144983141983154983161983151983157983154 983154983141983139983141983150983156 983152983137983155983155983152983151983154983156 983155983145983162983141 983139983151983148983151983157

983152983144983151983156983151 983151983142 983155983145983162983141 4983139983149 983160 5 983139983149

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983152983144983151983156983151983143983154983137983152983144

(983150983151983156 983145983150 983139983137983152983145983156983137983148)

983122983141983148983145983143983145983151983150

983123983141983160

983118983141983137983154983141983155983156 983122983137983145983148983159983137983161 983123983137983156983145983151983150

A983152983152983148983145983139983137983156983145983151983150 F983151983154983149 983142983151983154 983122983141983139983154983157983145983156983149983141983150983156 983145983150 983120983137983161 B983137983150983140 983122983155 5200 983085 20200 983085 G983154983137983140983141

983120983137983161 9831229831551800983085 983145983150 983127983141983155983156983141983154983150 983122983137983145983148983159983137983161

E983149983152983148983151983161983149983141983156 983118983151983156983145983139983141 983118983157983149983138983141983154 983085983122983122C983127983122 022013

F983151983154 983119983142983142983145983139983141

983157983155983141 983151983150983148983161983085

C983151983150983156983154983151983148 983118983157983149983138983141983154 983085

A983140983140983154983141983155983155 983142983151983154 983139983151983149983149983157983150983145983139983137983156983145983151983150 (983145983150 E983150983143983148983145983155983144 983151983150983148983161 983145983150 983139983137983152983145983156983137983148 983148983141983156983156983141983154983155)

983118983137983149983141983123983157983154983150983137983149983141

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1419

Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1519

Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 13: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1319

Annexure - 2

PROFORMA FOR CASTE CERTIFICATE FOR SCST CANDIDATES

(Format of certificate to be produced by a candidate belonging to Scheduled Castes or Scheduled Tribes in support ofClaim)

This is to certify that Shri Smt Kum ______________________________ Son Daughter of

___________________________ of village town _________________ District Division___________________

of State Union Territory ___________ belongs to the ___________________ Caste Tribe which is recognized asa Scheduled Caste Scheduled Tribe under

bull The Constitution (Scheduled Caste) (Scheduled Tribes) Order 1950

bull

The Constitution (Scheduled Caste) (Union Territories) Order 1951

bull The Constitution (Scheduled Tribes) (Union Territories) order 1951 (as amended by the Scheduled Caste and

Scheduled Tribes Lists Modification) Order 1956 The Bombay Re-organisation Act 1960 The Punjab Re-

organisation Act 1966 The State of Himachal Pradesh Act 1970 The North Eastern Areas Re-organisation

Act 1971 and the Scheduled Caste Scheduled Tribes Order (Amendment) Act 1976

bull The Constitution (Jammu and Kashmir) Scheduled Caste Scheduled Tribe Order 1956

bull The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order 1959

bull The Constitution (Dadra and Nagar Haveli) Scheduled Castes Scheduled Tribes Order 1962

bull The Constitution (Pondicherry) Scheduled Castes Order 1964

bull The Constitution Scheduled Tribes (Uttar Pradesh) Order 1967

bull The Constitution (Goa Daman and Diu) Scheduled Castes Scheduled Tribes Order 1968

bull

The Constitution (Nagaland) Scheduled Tribes Order 1970bull The Constitution (Sikkim) Scheduled Caste Scheduled Tribes Order 1978

bull The Constitution (Jammu and Kashmir) Scheduled Tribes Order 1989

bull The Constitution (SC) Orders (Amendment) Act 1990

bull The Constitution (ST) Orders (Amendment) Act Ordinance 1991

bull The Constitution (ST) Orders (Second Amendment) Act 1991

bull The Constitution (ST) Orders (Amendment) Ordinance 1996

2 Application in the case of Scheduled Caste Scheduled Tribe Persons who have migrated from One State

Union Territory Administration

This certificate is issued on the basis of Scheduled Caste Scheduled Tribe certificate issued to Shri Smt

Kum _______________________ Father Mother of Shri Smt Kum ______________________ of Village

town in District Division _____________________ of State Union Territory _________________

who belongs to the ________________ Caste Tribe which is recognized as a Scheduled Caste ScheduledTribe in State Union Territory __________________issued by the __________________(Name of prescribed

authority) vide their No _____________ dated _______________

3 Shri Smt Kum____________and or his her family ordinarily reside(s) in village

town________________________________________of____________________District Division of State

Union Territory of________________ Place ____________________ State Union Territory of

Signature __ __________

Designation

(with seal of office) ______

() Please delete the words which are not applicable () Please quote specific presidential offer () Delete the

Paragraph which is not applicable ()

Please Note The term Ordinarily resides used will have the same meaning as in Section 20 of the Representation ofthe People Act 1950

List of Authorities empowered to issue caste tribe certificates

1 District Magistrate Additional District Magistrate Collector Deputy Commissioner Additional Deputy

Commissioner Deputy Collector 1st Class Stipendiary Magistrate Sub Divisional Magistrate Taluka

Magistrate Executive Magistrate Extra Assistant Commissioner2 Chief Presidency Magistrateadditional Chief Presidency MagistratePresidency Magistrate3 Revenues Officers not below the rank of Tehsildar4 Sub Divisional Officer of the area where the candidate and or his family normally resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1419

Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1519

Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 14: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1419

Annexure - 3

Format of Certificate to be produced by Other Backward Classesapplying for appointment to posts under the Government of India

This is to certify that Shri Smt Kum __________________________________ ____ son

daughter of Shri Smt Kum_______________________________ of village town _______________

district _______________ in _______________ state belongs to _______________ community which is

recognised as a backward class under (indicate the Sub Caste)

1) Resolution No120116893-BCC dated 10th September 1993 published in the Gazette of India - Extraordinary -part 1 Section 1 No186 dated 13th September 1993

2) Resolution No12011994-BCC dated 19th October 1994 published in the Gazette of India - Extraordinary ndash part1 Section 1 No163 dated 20th October 1994

3) Resolution No12011795-BCC dated 24th May 1995 published in Gazette of India - Extraordinary - part 1Section 1 No88 dated 25th May 1995

4) Resolution No120114496-BCC dated 6th December 1996 published in Gazette of India - Extraordinary - part 1Section 1 No210 dated 11th December 1996

5) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 129 dated the 8th July 1997

6)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 164 dated the 1st Sept1997

7) Resolution No120119994-BCC published in Gazette of India - Extraordinary - No 236 dated the 11th Dec

19978) Resolution No120111397-BCC published in Gazette of India - Extraordinary - No 239 dated the 3rd Dec 1997

9)

Resolution No120111296-BCC published in Gazette of India - Extraordinary - No 166 dated the 3rd Aug 1998

10) Resolution No120116893-BCC published in Gazette of India - Extraordinary - No 171 dated the 6th Aug 1998

11) Resolution No120116898-BCC published in Gazette of India - Extraordinary - No 241 dated the 27th Oct1999

12) Resolution No120118898-BCC published in Gazette of India - Extraordinary - No 270 dated the 6th Dec 1999

13)

Resolution No120113699-BCC published in Gazette of India - Extraordinary - No 71 dated the 4th April 2000

Shri Smt Kum ____________________________________ and or his her family ordinarilyreside(s) in the ________________________ District of the ________________________ State This is also to certify that heshe does not belong to thepersonssections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of IndiaDepartment of Personnel amp Training OM NO360122293 -Estt (SCT) dated 891993 amp modified videGovernment of India department of Personnel and Training O M No 3603332004Estt(RES) dated09032004

Signature of District Magistrate Deputy Commissioner etc with stamp

PlaceDate (With seal of office)

NB(a) The term lsquoordinarilyrsquo used here will have the same meaning as in section 20 of the Representation of Peoples

Act 1950 (b) The Authorities competent to issue certificate are indicated below (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments They

should be in the same from but countersigned by the District Magistrate or Dy Commissioner (Certificatesissued by Gazetted Officers and attested by District Magistrate Dy Commissioner are not sufficient

(c) The OBC certificate from the authorities only will be accepted(i) District Magistrate Additional Magistrate Collector Deputy Commissioner Additional Deputy Commissioner

Deputy Collector 1st Class Stipendiary MagistrateSub Divisional Magistrate Taluka Magistrate ExecutiveMagistrate Extra Assistant Commissioner (Not below the rank of 1st class Stipendiary Magistrate)

(ii) Chief Presidency MagistrateAdditional Chief Presidency MagistratePresidency Magistrate(iii)

Revenue Officer not below the rank of Tehsildar and(iv)

Sub Divisional Officer of the area where the candidate and or his family ordinarily resides

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1519

Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 15: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1519

Annexure ndash 4

PROFORMA FOR DECLARATION TO BE SUBMITTED BY OTHER BACKWARD CLASS

CANDIDATES ALONGWITH THE APPLICATION WHILE APLYING FOR THE POST AGAINST

EMPLOYMENT NOTICE NO 22013 OF WESTERN RAILWAY

DECLARATION

ldquo I _____________________________ son daughter of Shri _____________________________

resident of Village Town City _____________ District ________________ State _________________

hereby declare that I belong to the ______________ ( Indicate your sub caste) community which is recognizedas 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 360122293-Estt(SCT) dated

08091993 It is also declared that I do not belong to person sections ( Creamy Layer) mentioned in column 3

of the Scheduled to the above referred Office Memorandum dated 08091993 and its subsequent through O MNo 3603332004-Estt(Res) dated 09032004rdquo

Place ______________ Signature of the Candidate ____________________________

Date ______________ Name of the Candidate ____________________________

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 16: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1619

Annexure - 5

FORM OF MEDICAL CERTIFICATE FOR PERSONS WITH DISABILITIES (PWD)

NAME amp ADDRESS OF THE INSTITUTEHOSPITAL

DISABILITY CERTIFICATE

Certificate No ______________ Date _____________

1 This is to certify that Smt Shri Kum

____________________________________________

Son daughter of Shri ____________________________________ age ____ Male Female

having identification marks as below ________________________________________ is

suffering from Permanent disability of following category

A Loco motor or cerebral palsy

(i) BL-Both legs affected but not arms

(ii) BA-Both arms affected (a) Impaired reach (b) Weakness of grip

(iii) OL-one leg affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(iv) OA-One arm affected (right or left) (a) Impaired reach (b) Weakness of grip (c) Ataxic

(v) BH-Stiff back and hips (cannot sit or stoop)

(vi) MW - Muscular weakness and limited physical endurance

B

Blindness or Low Vision (i) B-Blind (ii) PB-Partially BlindC Hearing Impairment (i) D-Deaf (ii) PD- Partially Deaf

(Delete the category whichever is not applicable)2 This condition is progressivenon-progressivelikely to improvenot likely to improve Re-assessment of this

case is not recommendedis recommended after a period of _________ year ______months

3 Percentage of disability in hisher case is_________ Percent

4 SmtShriKum __________________ meets the following physical requirement for discharge of hisher duties

(i) F-can perform work by manipulating with fingers Yes No

(ii) PP-can perform work by pulling and pushing Yes No

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

(iv) KC-can perform work by kneeling and crouching Yes No

(v) B-can perform work by bending Yes No

(vi) S-can perform work by sitting Yes No

(vii) ST-can perform work by standing Yes No

(viii) W-can perform work by walking Yes No

(ix) SE-can perform work by seeing Yes No

(x) H-can perform work by hearing speaking Yes No

(xi) RW-can perform work by reading and writing Yes No

(Signature of Doctor) (Signature of Doctor) (Signature of Doctor)

Name Name Name

Registration No Registration No Registration No

Member Medical Board Member Medical Board MemberChairperson Medical Board

Please delete the words which are not applicable

Place

Date Counter signature of the Medical

SuperintendentCMO Head of Hospital(with seal)

Note

(i) according to the persons with Disabilities (Equal Opportunities Protection of Rights and full participation) Rules 1996 notifiedon 31121996 by the Central Government in exercise of the powers conferred by sub-Section(1) and(2) of Section 73 of the Personswith Disabilities (Equal Opportunities Protection of Rights and Full Participation) Act 1995 (1 0f 1996) authorities to givedisability Certificate will be a Medical Board duly constituted by the Central or the State Government The State Government may

constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular fieldfor assessing locomotors hearing and speech disability mental retardation and leprosy cured as the case may be

(ii) The certificate would be valid for a period of 5 years for those whose disability is temporary For those who acquiredpermanent disability the validity can be shown as permanent

(Paste here recent

passport size

colour

photograph of the

candidate of size4 cm x 5 cm

Signature of

candidate

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 17: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1719

Annexure - 6

DECLARATION TO BE SUBMITTED BY VISUALLY HANDICAPPED CANDIDATES THOSECANDIDATES WHOSE WRITING SPEED IS AFFECTED BY CEREBRAL PALSY

PARTICULARS OF THE SCRIBE PROPOSED TO BE ENGAGED BY THE CANDIDATES

Paste here recent colour

passport size photograph ofthe Scribe of size 4 cm x 5

cm (The colour photographshould not be more than 3

month old)

Signature of the SCRIBE inthe above space

1 Name of the candidate _______________________________

2

Date of birth of the candidate _______________________________

3 Name of the Scribe _______________________________

4

Fatherrsquos name of the scribe _______________________________

5 Address of the scribePermanent address _______________________________

_______________________________

_______________________________

Present Address _______________________________

_______________________________

_______________________________

6

Educational qualification of the _______________________________scribe

7

Relation if any of the scribe with _______________________________the candidate

8

DELCARATION

We hereby declare that all the statements made in this application are true complete andcorrect to the best of my knowledge and belief We have readbeen read out the instructionsin the notification regarding conduct of the visually challenged candidates scribes at thisexamination and hereby undertake to abide by them We also declare that-

a) The academic qualification of the scribe is below the qualification prescribed for the post appliedfor

b) The academic discipline of the scribe is as same of the candidate since the application is for Generalpost the academic discipline of the scribe is different from that of the candidates as theapplication is for a special posts (Delete the version not applicable)

c)

Strike out which is not applicable

______________________ ___________________

(Signature of the candidate) (Signature of the scribe)

Left hand thumb impression of thecandidate in the box given above

Left hand thumb impression of the Scribein the box given above

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 18: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1819

Annexure ndash 7

SELF DECLARATION OF MINORITY CANDIDATES FOR WAIVER OF EXAMINATION FEE

FOR RRC EXAMINATION

(Proforma for declaration to be submitted by Minority Candidates along with the application)

Declaration

Proforma for declaration to be submitted by Minority Community candidates along with theapplication while applying for the Employment Notice No 22013 for claiming waiver of examinationfee for RRC ndash WR examination

ldquo I ______ _______________________ rdquo Son Daughter of Shri __ _____________________residing at village town city ______________ district _____________ State _____________hereby declare that I belong to the _______________________ (Indicate minority community

notified by Central Government ie Muslim Sikh Christian Buddhist Parsis

Date _____________ Signature of Candidate ______________________

Place _____________ Name of the Candidate ______________________

Note

At the time of document verification such candidates claiming waiver of examination fee willbe required to furnish lsquominority community declarationrsquo affidavit on non ndash judicial stamp

paper that he she belongs to any of the minority community notified by CentralGovernment ie Muslim Sikh Christian Buddhist Parsis

- - 0 - -

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside

Page 19: Railway Recruitment Cell

8102019 Railway Recruitment Cell

httpslidepdfcomreaderfullrailway-recruitment-cell 1919

Annexure - 8

INCOME CERTIFICATE FOR WAIVER OF EXAMINATION FEES FOR RRC EXAMINATION

1

Name of Candidate

2

Fatherrsquos Husbandrsquos Name

3

Age

4

Residential Address

5 Annual Family Income

(In words and Figures)

6

Date of Issue

7

Signature of issuing authority

8

Stamp of issuing authority

_______________________

Name of issuing authority

NB

Economically Backward Classes will mean the candidates whose family income is less than 50000-per annum

The following authorities are authorized to issue income certificate for the purpose of identifyingeconomically backward classes

(i) District Magistrate are any other Revenue Officer up to the level of Tehsildar

(ii) Sitting Member of Parliament of Lok Sabha for person of their own constituency

(iii)

BPL Card or any other Certificate issued by Central Government under a recognized povertyalleviation programme or Izzat MST issue of Railways

(iv)

Union Minister for any person from anywhere in the country

(v) Sitting Member of parliament of Rajya Sabha for persons of the district in which these MPs

normally reside