Appendix A

MILITARY COLLEGE OF TELECOMMUNICATION ENGINEERING

MHOW (MP) 453 441
EMPLOYMENT NOTICE

Notice No : 471/DR 2021/Est

1. Applications are invited for the following posts from citizens of India, who are
fulfilling the requisite qualifications/specifications as mentioned below on prescribed
format. Applications duly completed in all respect along with a self-addressed (address
should be same as per application) envelope duly affixed with Rs. 22 postal stamp along
with all the requisite documents, duly self-attested should be addressed to The
Presiding Officer,Scrutiny Cell, Cipher Wg, Military College ofTelecommunication
Engineering, Mhow (MP) 453 441and sent by Regdpost/Speed post.
Name of the post & No of Category wise Distribution Remarks
Level in pay matrix posts (vertical)
UR EWS SC ST OBC
Painter Reserved for
01 01 - - - -
Level -2 (Rs 19900 – 63200) PwBD#
Carpenter Reserved for
01 01 - - - -
Level -2 (Rs 19900 – 63200) PwBD#
Chowkidar
(Multi Tasking Staff) 06 05 - - - 01
Level – 1 (Rs 18000 – 56900)
Civilian Motor Driver 02 posts reserved
(Ordinary Grade) 06 04 - 01 - 01 for ESM
Level -2 (Rs. 19900 – 63200)
Equipment Repairer Reserved for ESM
Level -1 (Rs. 18000 - 56900) 01 01 - - - -
Groundsman
01 01 - - - -
Level -1 (Rs. 18000 - 56900)
Messenger
(Multi Tasking Staff) 01 01 - - - -
Level -1 (Rs. 18000 - 56900)
Storekeeper Grade II 01 post reserved
Level -2 (Rs 19900 – 63200) 02 02 - - - - for ESM
Tailor Reserved for
Level -1 (Rs. 18000 - 56900) 01 01 - - - - PwBD#
Telecommunication 01 post reserved
Mechanic 02 02 - - - - for ESM
Level -4 (Rs. 25500 - 81100)
Cook 01 post reserved
Level -2 (Rs 19900 – 63200) 02 - - 01 - 01 for ESM
Daftary (Multi Tasking Staff)
01 01 - - - -
Level -1 (Rs. 18000 - 56900)
Gardener
(Multi Tasking Staff) 01 01 - - - -
Level -1 (Rs. 18000 - 56900)
Fatigueman
03 02 - - - 01
Level -1 (Rs. 18000 - 56900)
LDC
08 05 01 01 - 01
Level -2 (Rs 19900 – 63200)
Total 37 28 01 03 - 05 -
Note:-

(a) The number of vacancies are provisional. The Commandant, Military College of
Telecommunication Engineering, Mhow (MP) reserve all the rightsin respect of
recruitment.
#
(b) Vacancies reserved for Persons with Benchmark Disability (PwBD)(disability of
40% and above) are for the following categories:-

Name of the Functional Reserved Category of Benchmark Disability

post Requirement
Painter S, BN,MF, RW, (a) ASD (M), SLD, MI
SE and/or
(b) MD involving D/HH, OA/OL/Dw/AAV
Carpenter S, ST, BN, KC, (a) ASD (M), SLD, MI
MF, SE and/or
(b) MD involving LV, D/HH, OL/Dw/AAV
Tailor S, ST, W, BN, (a) ASD (M, MoD), ID, SLD, MI
MF, RW, SE, H and/or
(b) MD involving LV, D/HH, OL/CP/LC/Dw/AAV
Functional Requirement Abbreviation Used:- S – Sitting, ST – Standing,
W - Walking, BN – Bending, KC – Kneeling &Crouching, MF – Manipulation with
Fingers, RW – Reading & Writing, SE – Seeing, H – Hearing.
Category Abbreviation Used:-ASD – Autism Spectrum Disorder (M – Mild,
MoD- Moderate), ID – Intellectual Disability, SLD – Specific Learning Disability,
MI – Mental Illness,MD – Multiple Disabilities, LV – Low Vision, D – Deaf,
HH – Hard of Hearing, OA- One Arm, OL – One Leg, CP- Cerebral Palsy,
LC – Leprosy Cured, Dw – Dwarfism, AAV – Acid Attack Victim.
2. Qualifications.

Trade Criteria
th
Painter (i) Class 12 or equivalent.
(ii) Conversant with the painting work.

Carpenter (i) Class 12th or equivalent.

(ii) Conversant with duties of Carpenter.

Chowkidar Essential - Matriculation pass or equivalent from a recognized

(Multi Tasking Staff) Board.
Desirable- Conversant with the duties of Chowkidar with one year
experience in the trade.

Civilian Motor (i) Matriculation.

Driver (Ordinary (ii) Must possess the Civilian Driving License for heavy
Grade) vehicles and have two year experience* of driving such vehicles.

Equipment Repairer (i) Matriculation pass or equivalent from a recognized Board.

(ii) Should be able to carry out all canvas, textile and leather
repair & replacement of equipment and boots.

Groundsman (i) Matriculation pass or equivalent from a recognized Board.

(ii) Must be conversant with the duties of Groundsman.
Messenger Essential - Matriculation pass or equivalent from a recognized
(Multi Tasking Staff) Board.
Desirable- Conversant with the duties of Messenger with one year
experience in the trade.
Storekeeper Class 12th or equivalent.
Grade II
Tailor (i) Class 10th or equivalent.
(ii) Conversant with duties of Tailor.
Telecommunication (i) Higher Secondary/Matriculation or equivalent qualification
Mechanic with science as a subject
(ii) Certificate in the trade from a recognised Technical
Training Institute or 3 years training and/or experience* in actual
work in the trade or in the allied trade in a Government workshop
in a private firm of repute
Cook (i) Matriculation (10th Class pass) from a recognized Board.
(ii) Must have knowledge of Indian Cooking and proficiency in
trade.
Daftary (Multi Essential - Matriculation pass or equivalent from a recognized
Tasking Staff) Board.
Desirable- Conversant with the duties of Daftary with one year
experience in the trade.
Gardener Essential - Matriculation pass or equivalent from a recognized
(Multi Tasking Staff) Board.
Desirable- Conversant with the duties of Gardener with one year
experience in the trade.
Fatigueman (i) Matriculation pass or equivalent from a recognized Board.
(ii) Must be conversant with the duties of Fatigueman with one
year experience*.
Lower Division (i) 12th class pass from a recognized Board or University.
Clerk (ii) Typing speed of 35 words per minute in English on
computer or a typing speed of 30 words per minute in Hindi on
computer (35 words per minute and 30 words per minute
correspond to 10500/9000 key depressions per hour on an
average of 5 key depressions for each word).

(*) - Must enclose self-attested copy of experience certificate with your application.

3. Age Limit.

(a)18-25 yearsfor the posts of ‘Painter’, ‘Carpenter’ ‘Chowkidar (MTS)’,

‘Equipment Repairer’, ‘Groundsman’, ‘Messenger (MTS)’, ‘StorekeeperGrade II’,
‘Tailor’, ‘Telecommunication Mechanic’, ‘Cook’, ‘Daftary (MTS)’, ‘Gardener (MTS)’,
‘Fatigueman’ and ‘Lower Division Clerk’.
(b)18-27 years for the posts of ‘Civilian Motor Driver (Ordinary Grade)’.

(c)Relaxation in Age Limit

SC/ST SC/ST candidates applying for their reserved post will

be given age relaxation up to 5 years.
OBC (Non-creamy OBC (Non-creamy layer) candidates applying for their
layer) reserved post will be given age relaxation up to 3
years.
 Persons with Persons with Benchmark Disability will be given age
Benchmark relaxation up to 10 yearsapplying for UR posts (13
Disability years applying for OBC posts and 15 years applying
for SC/STposts)
Ex-Servicemen For ESM, resultant age after deducting period of
(ESM) service from actual age should not exceed prescribed
age limit by more than 3 years. Calculation of age
shall be as per the category for which the application
has been made.
Govt Employees Departmental candidates with three years continuous
service in Central Govt will be given age relaxation up
to 40 years of age (45 years for SC/ST)

Note:- (i) SC/ST/OBC candidates who apply against unreserved post will
not be given age relaxation and other concessions meant for
SC/ST/OBC.
(ii) The crucial date for determining the age limit shall be the last date of
receipt of application.

(iii) The age relaxation will be applied only in case of those candidates
who produce valid certificates of caste / category.

4. Fees.Crossed Indian Postal Order (IPO) of value of Rs. 50/- (Rupees Fifty only)
for each application in favour of the Commandant, Military College of
Telecommunication Engineering, Mhow (MP) 453 441. Candidates belonging toSC or
PwBDapplying in their category are fully exempted from payment of fees. The Postal
Order should be issued on or after the date of publication of the advertisement.The
application fee is non-refundable.No DD/Cheque/Cash will be acceptable.

5. Photographs.Recent passport size self-attestedphotographs(not more than

three months old) are to be affixed on the space earmarked on the application form and
Admit Cards.

6. Closing Date of Receipt of the Application. 28 days from the date of

publication ofadvertisement.

7. Scheme of Examination. The examination will be conducted as per the following

scheme:-

(a) For the Post of LDC. The examination will consist of Tier-I, Tier-II and
Tier-III tests as given below:-

(i) Tier-I Test.Tier-I test will comprise ofmultiple choice type questions
and OMR based answer sheets. The question paper other than English
Language will be bilingual i.e. English and Hindi. Tier-I testwill comprise of
four parts as given below as per the standard of Education Qualification:-
 Parts Subject No of Marks
(Multiple Choice Questions) Questions
Part-I General Intelligence & Reasoning 25 50

Part-II English Language 25 50

Part-III Quantitative Aptitude 25 50

Part-IV General Awareness 25 50

Time durationof the test will be of 60 minutes. Negative marks of

0.50 markswill be awarded for each wrong answer.

(ii) Tier-II Test. Candidates will be shortlisted for the Tier-II test on the
basis of their performance in Tier-Ias may fixed by the Commandant,
MCTE, Mhow at its discretion. Tier-II testwill be a Descriptive Paper of
100 Marks in Pen and Paper Mode. The duration of the paper would be for
one hour. The Paper would comprise writing of an Essay of 200-250
words and Letter / Application writing of approximately 150-200 words. The
minimum qualifying marks in Tier-II would be 33 per cent. The
performance in Tier II would be included for preparing merit. The paper will
have to be written either in Hindi or in English. Part paper written in Hindi
and Part in English will not be evaluated.

(iii) Tier-III Test. Tier-III test will be Typing Test conducted in English
or Hindi. Typing Test will be of qualifying in nature.Candidates opting for
English medium should have typing speed of 35 words per minute and
those opting for Hindi medium should have typing speed of 30 words per
minute. The speed will be adjudged on the accuracy of typing on the
Computer of a given text passage in 10 minutes.

(iv) Tier–III testwill be conducted immediately after Tier-II test as per

administrative requirements. However, Tier- III test will be evaluated only
for those candidates who secure minimum qualifying marks in the Tier-II
test. Commandant, MCTE, Mhow may also at his discretion, fix qualifying
marks in each component of the examination.

(v) The final merit of the successful candidates would be determined on

the basis of total score obtained by them in Tier-I and Tier-II.

(vi) Only such candidates who qualify in the Typing Test will be eligible
for being recommended for appointment as per their position in the merit
list.

(b) For the Posts of Chowkidar (MTS), Messenger (MTS), Daftary (MTS)
and Gardener (MTS).The examination will consist of Tier-Iand Tier-II tests as
given below:-

(i) Tier-I Test. Tier-I test will comprise of multiple choice type
questions and OMR based answer sheets. The question paper other than
General English will be bilingual i.e. English and Hindi. Tier-I testwill
comprise of four parts as given below as per the standard of Education
Qualification:-
 Parts Subject No of Marks
(Multiple Choice Questions) Questions
Part-I General Intelligence & Reasoning 25 25

Part-II Numerical Aptitude 25 25

Part-III General English 50 50

Part-IV General Awareness 50 50

Time duration of the test will be of 120 minutes. Negative marks of 0.25
marks will be awarded for each wrong answer.

(ii) Tier-II Test.Candidates will be shortlisted for the Tier-II test on the
basis of their performance in Tier-I test. Tier-II test will be only of qualifying
nature. Tier-II test will be a Descriptive Paper in Pen and Paper Mode as
given below:-

Subject Maximum Total

Marks Duration
Short Essay/ Letter in English or Hindi 50 30 minutes

(iii) Candidates will be finally selected based on their performance in

Tier-I test, subject to their meeting basic qualifying standards fixed in Tier-II
test as may be fixed by Commandant, MCTE, Mhow at its discretion.

(c) For the Posts of Painter, Carpenter, Civilian Motor Driver (Ord Gde),
Telecommunication Mechanic, Equipment Repairer, Groundsman,
Fatigueman, Cook, Storekeeper Grade II, Tailor. The examination will
consist of Tier-I and Tier-II tests as given below:-

(i) Tier-I Test.Tier-I test will comprise of multiple choice type questions
and OMR based answer sheets. The question paper other than General
English will be bilingual i.e. English and Hindi. Tier-I testwill comprise of
four parts as given below as per the standard of Education Qualification:-

Parts Subject No of Marks

(Multiple Choice Questions) Questions
Part-I General Intelligence & Reasoning 25 25

Part-II Numerical Aptitude 25 25

Part-III General English 25 25

Part-IV General Awareness 25 25

Time duration of the test will be of 90 minutes. Negative marks of 0.25

marks will be awarded for each wrong answer.

(ii) Tier –II Test. Candidates qualifying Tier –I test will be shortlisted to
appear for the Tier-II test. Tier-II test will be of qualifying nature. Tier-II test
will be Skill test / Practicaltestas per institution’s requirement.
 (iii) Candidates will be finally selected based on their performance in
Tier-I test, subject to their meeting basic qualifying standards fixed in Tier-II
test as may be fixed by Commandant, MCTE, Mhow at its discretion.

8. Fixing of Benchmark. If the number of applications received in any category

in response to the advertisement is large, Commandant, MCTE, Mhow reserves the right
to restrict the number of candidates by fixing benchmark percentage of marks obtained
in the prescribed essential qualification.
9. Important Instructions to the Applicants.
(a) In case, a candidate wishes to apply for more than one post, separate
application should be filled for every post applied by the candidate.

(b) Candidate shouldclearly mention “APPLICATION FOR THE POST

OF…………..” with category (UR/EWS/SC/OBC) if any including ESM/PwBD on
top of the application and also on the envelope addressed to MCTE in Capital
letters.

(c) Each application will be forwarded along withself-attestedcopyof

documentsvizdate of birth certificate/ class 10th marksheet, Aadhar Card,
Educational Qualification, Technical Qualification, Experience etc. A self-
addressed (address should be same as per application) envelope duly affixed with
Rs. 22 postal stamp along with all the requisite documents must also be enclosed.

(d) Application received from candidates working in Central/State Govt/PSU

must apply through proper channel and should be accompanied by “No Objection
Certificate” (NOC)and disciplinary / vigilance certificate from their establishment.

(e) Candidates who belong to SC/ST or OBC category and applying for UR
post will not be given any age relaxation or any other concession meant for SC/ST
or OBC.

(f) Candidates applying against a reserved post of OBC must enclose

undertaking given at Appendix I and also enclose self-attested copy of non-
creamy layer certificate issued from the competent authority.

(g) Self-attested photocopy of complete discharge book alongwith undertaking

in the format as given at Appendix II be enclosed by the
Ex-servicemen (ESM)candidates.

(h) Candidates belonging to Economically Weaker Section (EWS) are

required to provide self-attested copy of income / asset certificate from the
competent authority as per format given at Appendix III.

(j) Candidates belonging to Persons with Benchmark Disability (PwBD)

(disability of 40% and above)are required to provide self-attested copy of disability
certificate, duly mentioning specified disability/disabilities as mentioned at Para 1
(b) above, issued from the Competent Medical Authority. If the PwBD candidate
has physical limitation to write the exam, candidate has his/her discretion of opting
for his/her own scribe (whose qualification should be below the qualification of the
candidate taking the examination) or request MCTE for the same on production of
an additional certificate from the competent authority as format given at Appendix
IV. Compensatory time of 20 minutes per hour will be given to PwBD candidates
for their reserved post.
 (k) Dates of examinations will be intimated to the eligible candidates after
scrutiny of their application.

(l) Only those candidates who obtain minimum qualifying marks in the
Tier –I test as may be prescribed by the Commandant, MCTE will be called
to appear for next tier(s) of examination. Representation regarding non
receipt of intimation from non-shortlisted candidates in any part of
examination will be summarily rejected.
(m) Representation for non-receipt of application or call letter due to postal
delay or any other reason will not be entertained

(n) Multi-Tasking Staff(MTS) – In addition to the charter of duties of their

respective posts, MTS posts are subjected to charter of duties of MTS also and
their tasks are interchangeable.

10. Applications will be Rejected in the Following Cases.

(a) In absence of the self-attested copies of requireddocuments, certificates or
enclosing forged certificates, the application will be summarily rejected.

(b) Incomplete applications in any manner (vizmissing entries, incorrect entries,

unsigned, without Thumb Impression, without self-attested photographsetc) will be
summarily rejected.

(c) The applications received before publication of advertisement or after the

last date of receipt of application or without enclosed IPO(if applicable) or with IPO
issue date of before publication of advertisement will be summarily rejected

(d) Candidates must also ensure to fill the Admit Card with self-attested
photographs in duplicate as per the application form filled, otherwise, their
application will be rejected.

(e) Candidates will not be intimated in case of rejection of their application and
no correspondence in this regard will be entertained.

11. Caution to all Applicants. Some unscrupulous elements may approach the
candidate with the assurance of procuring appointment in the Military College of
Telecommunication Engineering, Mhow through illegal gratification. Candidate must
not fall prey to such false assurances or exploitation and must not entertain or encourage
such elements in any way. It is emphasized and reassured that the selection will be done
on merit only in a transparent manner.
Commandant, MCTE
 Performa of Application

FOR OFFICE USE ONLY : Appln Regn No : ______________________________________

Application for the post of: …………………………

Post Category (UR/EWS/SC/OBC)……………………
Additional Category(ESM/ PwBD)…………………….

Refer: Newspaper ……………………..Advertisement No: 471/DR 2021/Est Dated ………….

To
Affix recent
passport size
The Commandant photo duly
Military College of Telecommunication Engineering self-attested
Mhow (MP) 453 441

Note: All the fields are mandatory and to be filled in Block Letters and numerals only.

1. Full Name (in block letters) : ………………………………………………….……

(As written in 10th / SSC Certificate)

2. Father’s / Husband’s Name : …………………..……………………………………

3. Date of Birth (as per the 10th Certificate): ……………………………………..

(dd-mm-yy)

4. Age as on last date of receipt of application: ….…Years………months………days

5. Whether Age Relaxation claimed? (Yes/No) .........................If Yes, write category as per
Para 3(c) of the advertisement…………………………………

6. Category to which candidate actually belongs to (UR/EWS/SC/ST/OBC): ………………

7. Category in which applied for (UR/EWS/SC/OBC): ………………….

8. Whether ex-servicemen, if yes give details i.e. length of service alongwith copy of service
discharge certificate ……………………………………………………..

9. Whether Person with Benchmark Disability (disability of 40% and above), if yes, provide
self attested copy of disability certificate and write category of Benchmark Disability as per
Para 1(b) of the advertisement …………………………………

10. Whether PwBD candidate has physical limitation to write examination?...........

(Provide certificate as per Appendix IV). If Yes, then whether scribe is required from
MCTE?...............

11. Whether Govt Servant? If yes, give details of post held, department/organization name,
Pay level and Date of entry in Govt Service (provide NOC):
………………………………………………………………………………..……………………………

12. Nationality: ………………………………………………………….

13. Religion: …………………………………………………………….

14. Gender (Male/Female/Transgender): ……………………………

15. Details of Academic / Technical / Professional Qualifications (From 10 th standard
onwards):

Name of the Year of Name of % of marks Division Remarks

Exam Passing Recognized obtained
Passed University/Board
of Examination

(Self-attested copies of certificate in support of above are to be enclosed)

16. Experience, if any: ……………………………………. (provide self attested copy)

17. Address with Pin code in full for communication (Block letters)
______________________________________________________________

District - _______________ State- _______________________Pin Code - ________

18. Mobile No.

19. Aadhar No.

20. Email ID.

Declaration

I hereby declare that all the statements made in this application are true, complete
and correct to the best of my knowledge and belief. In the event of any information being
found false/incorrect or ineligibility being detected before or after the written test/skill
test/practical test my candidature will stand automatically cancelled.

Signature of the candidate:___________________

Name:____________________________________

Encl: 1. Postal Order(s) No………………& Date …………… for Rs. 50/-

2. Self-attested copies of certificate (s): ( ) sheets

Left/Right Thumb Impression in the box above

 (TO BE PRINTED ON A-4 SIZE PAPER ONLY)

ADMIT CARD (IN DUPLICATE)

(For office use only)

Roll no ……………………. ………………………………….

(To be completed by Candidates)

Affix recent
passport size
photo duly self-
1. Name of Post applied for ______________________________________ attested
2. Name of Candidate__________________________________________
3. Father’s Name______________________________________________
4. Category belongs to : UR / EWS / SC / ST / OBC : ______________________
5. Category applied for: UR / EWS / SC/ OBC _________________________________
6. Additional Category: ESM/PwBD/Not Applicable ____________________________
7. Mobile /Tele No with STD Code:- _______________________________________________
8. Communication address with PIN Code No :- ______________________________________

ADMIT CARD (IN DUPLICATE)

(For office use only)

Roll no ……………………. ………………………………….

(To be completed by Candidates)

Affix recent
passport size
photo duly self-
1. Name of Post applied for ______________________________________ attested
2. Name of Candidate__________________________________________
3. Father’s Name______________________________________________
4. Category belongs to : UR / EWS / SC / ST / OBC : ______________________
5. Category applied for: UR / EWS / SC/ OBC _________________________________
6. Additional Category: ESM/PwBD/Not Applicable ____________________________
7. Mobile /Tele No with STD Code:- _______________________________________________
8. Communication address with PIN Code No :- ______________________________________
 Appendix I

Declaration by OBC Candidates only

(Similar endorsement should be given in the caste certificate from the competent
authority)

“I….............................................Son/Daughter of Shri……………………………….
Resident of Village/Town/City……………..District.....................State…………….
hereby declare that I belong to the ……………..community which is recognized as a
backward class by the Government of India for the purpose of reservation in services as
per orders applicable to the concerned State. It is also declared that I do not belong to
privileged /sections/ Creamy Layer.

Place: (Signature of the candidate)

Date: Name:

Appendix II

FORM OF UNDERTAKING TO BE GIVEN BY CANDIDATES APPLYINGFOR CIVIL

POSTS UNDER EX-SERVICEMEN CATEGORY

I understand that, if selected on the basis of the recruitment/examination to which

this application relates, my appointment will be subject to my producing documentary
evidence to the satisfaction of the appointing authority that I have been duly
released/retired/discharged from the Armed Forces and that I am entitled to the benefits
admissible to Ex-Servicemen in terms of the Ex-Servicemen (Re-employment in Central
Civil Service and Post) Rules, 1979, as amended from time to time.
I also understand that I shall not be eligible to be appointed to a vacancy reserved
for Ex-Servicemen In regard to the recruitment covered by this examination, if I have at
any time prior to such appointment secured any employment on the Civil side (including
Public Sector Undertaking, autonomous Bodies/Statutory Bodies, Nationalized Banks,
etc) by availing of the concession of reservation of vacancies admissible to Ex-
Servicemen.

Place: (Signature of Candidate)

Date:
 Appendix III
GOVERNMENT OF ……………………………………………………
(Name & Address of the authority issuing the certificate)

INCOME & ASSET CERTIFICATE TO BE PRODUCED BY ECONOMICALLY

WEAKER SECTIONS

Certificate no.………………….
Date……….......
Valid for the year…………………..

1. This is to certify the

Shri/Smt/Kumari……………………………………………………..
Son/daughter/wife of…………………… permanent resident
of …………………………………… village/street……………………………… pin
code……………. Whose photograph is attested below belongs to economically
weaker section, since the gross annual income* of his/her* family”** is below
belongs to (rupees eight lakh only) for the financial year…………….. his/ her
family does not own or possess any of the following assets***:
I. 5acres of agricultural land and above;
II. Residential flat of 1000sq.ft.and above:
III. Residential plot of 100sq. yards and above in notified municipalities:
IV. Residential plot of 200sq. yard and above in areas other than the notified
municipalities.

2. Shri/Smt/Kumari……………………………… belongs to the …………………..caste

which is not recognized as a scheduled tribe and other backward classes (central
list).

Present self
Signature with seal of office………….
attested (front
side) Passport Name …………………………………..
Size photo not
more than 03 Designation…………………………
months old.

Note 1 : Income covered all sources i.e. salary, agriculture, business, profession etc.

Note 2 : The term “family” for this purpose include the person, who seeks benefit of
reservations ,his/her parents and siblings below the age of 18 years as also his /her
spouse and children below the age of 18 years.

Note : 3 The property help by a “family” in different location of different places/cities have
been clubbed while applying the land or property holding test to determine EWS status.
 Appendix IV

CERTIFICATE REGARDING PHYSICAL LIMITATION

IN AN EXAMINEE TO WRITE

This is to certify that, I have examined Mr/Ms/Mrs ________________________

(name of the candidate with disability), a person with ______________________
(nature and percentage of disability as mentioned in the certificate of disability) S/o /
D/o ________________________________ a resident of _______________
(Village/District/State) and to state that he/she has physical limitation which hampers
his/her writing capabilities owing to his/her disability.

Signature with seal of office……….……….

Chief Medical Officer/Civil Surgeon/ Medical

Superintendent of Government Health Care
institution

Name and Designation:

Name of Government Hospital/Health Care

Centre with Seal:

Place:
Date:

Note: Certificate should be given by a specialist of the relevant stream/disability (eg

Visual impairment-Ophthalmologist, Locomotor disability – Orthopaedic specialist/PMR
etc)

CBC-10616/11/0002/2324