1 THE NEW INDIA ASSURANCE COMPANY LTD Wholly Owned By Govt. of India Regd. & Head Office: New India Assurance Building, 87, M.G., Road, Fort, Mumbai- 400001 www.newindia.co.in RECRUITMENT OF 300 ADMINISTRATIVE OFFICERS (GENERALISTS) (SCALE-I) The New India Assurance Company Ltd., a leading Public Sector General Insurance Company & wholly owned by Government of India, invites applications for recruitment of 300 Officers (Generalist) in Scale I cadre from open market. Vacancies Total SC ST OBC* UR PWD HI VI OC 300 43 15 84 158 3 3 3 UR: Un-reserved; SC: Scheduled Caste; ST: Scheduled Tribe; OBC: Other Backward Classes. PWD: persons with disabilities; HI: Hearing Impaired; VI: Visually Impaired; OC: Orthopedically Challenged The above vacancies are provisional and may vary according to the actual requirements of the Company at the material time. *Candidates belonging to OBC category but coming in the ‘CREAMY LAYER’ are not entitled to OBC reservation and age relaxation. They should indicate their category as GENERAL. The reservation under various categories will be as per prevailing Government Guidelines at the time of finalization of result. Nationality A candidate applying for recruitment in the Company must be either- (a) a citizen of India, or (b) a subject of Nepal, or (c) a subject of Bhutan, or (d) a Tibetan refugee who came over to India before 1st January, 1962 with the intention of permanently settling in India, or (e) a person of Indian origin who has migrated from Pakistan, Burma, Sri Lanka, East African countries of Kenya, Uganda, the United Republic of Tanzania, Zambia, Malawi, Zaire, Ethiopia and Vietnam with the intention of permanently settling in India. Please note that the eligibility criteria specified herein are the basic criteria for applying for the post. At the time of interview the Candidates must necessarily produce the relevant documents in original and a self-attested photocopy in support of their identity and eligibility pertaining to category, nationality, age, educational qualifications etc as indicated in the online application form. Please note that no change of application data will be permitted at any stage after completion of registration process of the online application. Merely applying for the post and being shortlisted in the online examination and/ or in the subsequent interview and/ or subsequent processes does not imply that a candidate will necessarily be offered employment in the Company. No request for considering the candidature under any category / post other than the one in which applied will be entertained. Provided that a candidate belonging to categories (b), (c), (d) and (e) shall be a person in whose favour a certificate of eligibility has been issued by the Government of India. Please note the Important Dates- On-line registration and payment of application fees 14 Oct-01 Nov 2016 Phase-I Online Examination (Objective) 17 th December 2016 Phase-II Online Examination (Objective + Descriptive) January 2017 (Tentative) Candidates should apply through On-Line mode only. No other means/mode of application will be accepted. 1. Service Conditions The service conditions will be applicable as per the prevalent rules of the Company from time to time. Selected candidates on appointment may be posted or transferred to any place in India as may be decided by the Company. Please note that most of the aforesaid vacancies are in Mumbai and its suburbs, Ratnagiri, Raigad & Sindhudurg districts of Maharashtra and the states of Goa & Gujarat. The minimum stay at the initial place of posting will be 5 years. 2. Probation A candidate appointed in the Officers’ cadre on regular pay rolls of the Company shall be on probation for a period of one year from the date of joining the duty. The probation period may be extended twice by a further period of six months at a time stretching up to one year. During the probation period the Officers would be required to pass the non-life “Licentiate Examinati on” conducted by Insurance Institute of India. Only after passing the said examination the Officer will be eligible for confirmation of his/her services in the Company. Failure to pass the said Examination within the extended probation period will render the officer liable to be terminated from service on expiry of the period so specified. The Company reserves the right to terminate the services of the candidate if found unsuitable at any time during the probation period or the extended probation period without any notice or assigning any reason thereof. 3. Guarantee Bond Before joining as probationer, the selected candidates will be required to give an undertaking to serve the Company for a minimum period of four years including probation period. In the event of their resigning from the Company before the expiry of the bond period, they will be liable to pay liquidated damages equivalent to one year’s gross salary paid to them during the year of CIN No: U99999MH1919GOI000526 IRDA Reg No: 190 REF NO: CORP.HRM/AO/2016. 10 October 2016
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THE NEW INDIA ASSURANCE COMPANY LTD...The New India Assurance Company Ltd., a leading Public Sector General Insurance Company & wholly owned by Government of India, invites appli cations
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1
THE NEW INDIA ASSURANCE COMPANY LTD
Wholly Owned By Govt. of India
Regd. & Head Office: New India Assurance Building, 87, M.G., Road, Fort, Mumbai- 400001 www.newindia.co.in
RECRUITMENT OF 300 ADMINISTRATIVE OFFICERS (GENERALISTS) (SCALE-I)
The New India Assurance Company Ltd., a leading Public Sector
General Insurance Company & wholly owned by Government of
India, invites applications for recruitment of 300 Officers (Generalist) in
Scale I cadre from open market.
Vacancies
Total SC ST OBC* UR PWD
HI VI OC
300 43 15 84 158 3 3 3
UR: Un-reserved; SC: Scheduled Caste; ST: Scheduled Tribe; OBC: Other
Backward Classes. PWD: persons with disabilities; HI: Hearing Impaired; VI:
Visually Impaired; OC: Orthopedically Challenged
The above vacancies are provisional and may vary according to the actual
requirements of the Company at the material time.
*Candidates belonging to OBC category but coming in the ‘CREAMY LAYER’
are not entitled to OBC reservation and age relaxation. They should indicate
their category as GENERAL.
The reservation under various categories will be as per prevailing Government
Guidelines at the time of finalization of result.
Nationality
A candidate applying for recruitment in the Company must be either-
(a) a citizen of India, or (b) a subject of Nepal, or (c) a subject of Bhutan, or (d)
a Tibetan refugee who came over to India before 1st January, 1962 with the
intention of permanently settling in India, or (e) a person of Indian origin who
has migrated from Pakistan, Burma, Sri Lanka, East African countries of Kenya,
Uganda, the United Republic of Tanzania, Zambia, Malawi, Zaire, Ethiopia and
Vietnam with the intention of permanently settling in India.
Please note that the eligibility criteria specified herein are the basic criteria
for applying for the post. At the time of interview the Candidates must
necessarily produce the relevant documents in original and a self -attested
photocopy in support of their identity and eligibility pertaining to category,
nationality, age, educational qualifications etc as indicated in the online
application form. Please note that no change of application data will be
permitted at any stage after completion of registration process of the online
application. Merely applying for the post and being shortlisted in the online
examination and/ or in the subsequent interview and/ or subsequent
processes does not imply that a candidate will necessarily be offered
employment in the Company. No request for considering the candidature
under any category / post other than the one in which applied will be
entertained.
Provided that a candidate belonging to categories (b), (c), (d) and (e) shall be
a person in whose favour a certificate of eligibility has been issued by the
Government of India.
Please note the Important Dates-
On-line registration and payment of
application fees 14 Oct-01 Nov 2016
Phase-I Online Examination (Objective) 17th
December 2016
Phase-II Online Examination (Objective +
Descriptive) January 2017 (Tentative)
Candidates should apply through On-Line mode only. No other means/mode of
application will be accepted.
1. Service Conditions
The service conditions will be applicable as per the prevalent rules of the
Company from time to time. Selected candidates on appointment may be posted
or transferred to any place in India as may be decided by the Company. Please
note that most of the aforesaid vacancies are in Mumbai and its suburbs,
Ratnagiri, Raigad & Sindhudurg districts of Maharashtra and the states of Goa
& Gujarat. The minimum stay at the initial place of posting will be 5 years.
2. Probation
A candidate appointed in the Officers’ cadre on regular pay rolls of the Company
shall be on probation for a period of one year from the date of joining the duty.
The probation period may be extended twice by a further period of six months
at a time stretching up to one year.
During the probation period the Officers would be required to pass the non-life
“Licentiate Examination” conducted by Insurance Institute of India. Only after
passing the said examination the Officer will be eligible for confirmation of
his/her services in the Company. Failure to pass the said Examination within
the extended probation period will render the officer liable to be terminated
from service on expiry of the period so specified.
The Company reserves the right to terminate th e services of the candidate
if found unsuitable at any time during the probation period or the extended
probation period without any notice or assigning any reason thereof.
3. Guarantee Bond
Before joining as probationer, the selected candidates will be required to give
an undertaking to serve the Company for a minimum period of four years
including probation period. In the event of their resigning from the Company
before the expiry of the bond period, they will be liable to pay liquidated
damages equivalent to one year’s gross salary paid to them during the year of
CIN No: U99999MH1919GOI000526
IRDA Reg No: 190
REF NO: CORP.HRM/AO/2016. 10 October 2016
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probation which could be proportionately reduced depending on the length of
service rendered. Besides, he/she will have to submit a stamped Bond duly
executed by two sureties (not blood relatives) of sound financial standing for
an amount equivalent to one year’s gross salary.
Candidates resigning from the Company during the probation period and
candidates whose services are terminated by the Company during the
probation period shall be liable to pay the salary received by them during
their entire service in the Company in addition to an amount of Rs.25,000/-
towards partial cost of training.
No lien/bond executed to retain a substantive post with present employer will
be binding upon the Company and no Leave Salary or Pension Contribution will
be made.
4. Emoluments & Benefits
Basic pay of Rs. 32,795/- in the scale of Rs. 32795-1610(14)-55335-1745(4)-
62315 and other admissible allowance as applicable. Total emoluments will be
approximately Rs.51,000/- p.m. in Metropolitan Centers. Other benefits such as
coverage under National Pension System governed by PFRDA, Gratuity, LTS,
Medical Benefits, Group Personal Accident Insurance etc. shall be as per rules.
The Officers are also entitled for Company’s / leased accommodation as per
norms.
5. Educational Qualification (as on 01.10.2016)
A candidate must possess the minimum qualification of a graduate/post
graduate in any discipline from a recognised University or any equivalent
qualification recognised as such by Central Government with at least 60% marks
in either of the degree examination for General candidates and at least 55%
marks for SC/ST/PWD candidates.
Candidate should possess certificate in proof of passing the qualifying
examination as on 01.10.2016.
Note
a) Educational qualifications should be from a University/ Institution/
Board recognised by Govt. Of India/ approved by Govt. Regulatory
Bodies and the result should have been declared on or before
01.10.2016.
b) Proper document from Board / University for having declared the result
on or before 01.10.2016 has to be submitted at the time of interview.
c) The candidate must possess valid Mark-sheet / Degree Certificate of
the necessary qualification as on 01.10.2016.
d) The percentage marks shall be arrived at by dividing the total marks
obtained by the candidate in all the subjects in all semester(s)/year(s)
by aggregate maximum marks in all the subjects irrespective of honours
/ optional / additional optional subject, if any. This will be applicable for
those Universities also where Class / Grade is decided on basis of
Honours marks only. The fraction of percentage so arrived will be
ignored i.e. 59.99% will be treated as less than 60%.
e) Where CGPA / OGPA are awarded, the candidate will have to produce a
certificate issued by the appropriate authority inter alia stating the norms
of the University regarding conversion of grade into percentage and the
percentage of marks scored by the candidate in terms of norms
6. Age (as on 01.10.2016)
Minimum Age: 21 years Maximum Age: 30 years, as on 01.10.2016
i.e. a candidate must have been born not earlier than 2nd Oct-1986 and not later
than 1st Oct-1995 (both dates inclusive).
Relaxation in upper age limit shall be as follows:
S.
No. Category
Age
relaxation
1 Scheduled Caste/Scheduled Tribe 5 years
2 Other Backward Classes (Non creamy layer) 3 years
3 Persons With Disability 10 years
4 Ex-servicemen including Commissioned Officers and ECOs/SSCOs
who have rendered at least five years Military Service as on
01.10.2016 and have been released; (a) on completion of
assignment (including those whose assignment is due to be
completed within one year from 01.10.2016) otherwise than by
way of dismissal or discharge on account of misconduct or
inefficiency; or (b) on account of physical disability attributable
to Military Service; or (c) on invalidment.
The ECOs/SSCOs who have completed an initial period of
assignment of five years of Military Service as on 01.10.2016 and
whose assignment has been extended beyond five years and in
whose case the Ministry of Defence issues a certificate that they
can apply for civil employment and that they will be released on
three months’ notice on selection from the date of receipt of
offer of appointment.
5 Years
5 Defence service personnel disabled in operation during the
hostilities with any foreign country or in a disturbed area and
released as consequence thereof
3 years
6 Persons ordinarily domiciled in the State of Jammu & Kashmir
during the period 1-1-80 to 31.12.1989 5 years
7 Existing Confirmed Employees of Public Sector General Insurance
Companies (including GIC & Agriculture Insurance Company of
India Ltd.)
8 years
Note
i. In case of a candidate who is eligible for relaxation under more than one of
the above categories, the age relaxation will be available on a cumulative
basis based on Govt. guidelines & Company Rules.
ii. Candidates seeking age relaxation will be required to submit copies of
necessary certificate(s) and produce the original certificate(s) for
verification at the time of interview and /or any subsequent stage of
recruitment process.
iii. If a person with disability is entitled to age concession by virtue of being an
Existing Confirmed Employee of Public Sector General Insurance
Companies (including GIC & Agriculture Insurance Company of India Ltd.),
concession to him/her will be admissible either as a ‘person with disability’
or as a ‘Existing Confirmed Employee of Public Sector General Insurance
Companies (including GIC & Agriculture Insurance Company of India Ltd.)’
whichever may be more beneficial to him/her.
iv. In case of an Ex-serviceman who has once joined in a Govt. job on the civil
side after availing the benefits given to him as an Ex-serviceman for his re-
employment, his Ex-servicemen status for the purpose of re-employment
in Government ceases. However he/she will be eligible for age relaxation
as applicable to ex-servicemen.
v. An Ex- serviceman, who applies for various vacancies before joining any
civil employment, can avail the benefit of reservation as ex-serviceman for
any subsequent employment. However, to avail of this benefit, an ex-
serviceman, as soon as he/she joins any civil employment, should give self
declaration/undertaking to the concerned employer about the date-wise
details of application for various vacancies for which he/she had applied
3
for before joining the initial civil employment. Further, this benefit would
be available only in respect of vacancies which are filled on direct
recruitment and wherever reservation is applicable to the ex-servicemen.
vi. There is no reservation for Ex-servicemen in Officers’ Cadre.
7. Definitions
A. EX-SERVICEMEN (EXSM): Only those candidates shall be treated as Ex-
servicemen who fulfill the revised definition as laid down in Government
of India, Ministry of Home Affairs, Department of Personnel &
and O.M. No. 36033/3/2004-Estt.(Res.) dated 14th October, 2008.”
c) For Persons with Disabilities: Authorized certifying authority will be
the Medical Board at the District level consisting of Chief Medical
Officer, Sub-Divisional Medical Officer in the District and an
Orthopaedic / Ophthalmic / ENT Surgeon.
d) Please refer to Annexure for the prescribed formats of (SC, ST, OBC,
PWD, EX-Servicemen) certificates to be submitted at the time of
interview etc. Candidates belonging to these categories are required
to produce the certificates strictly in these formats only.
14. General Information
a) The possibility for occurrence of some problem(s) in administration
of the examination cannot be ruled out completely which may
impact test delivery and/or result from being generated. In that
event, every effort will be made to rectify the problem, which may
include shifting the candidates to other centres or conducting
another examination if considered necessary. Decision of the
Company in this regard shall be final. Candidates not willing to
accept such change shall lose their candidature for this exam.
b) Decision of the Company in all matters relating to recruitment will
be final and binding on the candidates. No correspondence or
personal enquiries shall be entertained in this regard.
c) If examination is held in more than one session, the scores across
various sessions will be equated to adjust for slight differences in
difficulty level of different test batteries used across sessions. More
than one session are required if the nodes capacity is less or some
technical disruption takes place at any centre or for any candidate.
d) The responses (answers) of individual candidates will be analyzed &
compared with those of other candidates to detect patterns of
similarity of right and wrong answers. If in the analytical procedure
adopted in this regard , it is inferred/ concluded that the responses
have been shared and scores obtained are not genuine/ valid, the
Company reserves the right to cancel the candidature of the
concerned candidates and the result of such candidates
(disqualified) will be withheld.
e) Instances of providing incorrect information and/or process violation
by a candidate detected at any stage of the selection process will
lead to disqualification of the candidate from the selection process
and he/she will not be allowed to appear in any NIA (The New India
Assurance Company Ltd.) recruitment process in the future. If such
instances go undetected during the current selection process but are
detected subsequently, such disqualification will take place with
retrospective affect.
f) While applying on-line for the post, the applicant should ensure that
10
he/she fulfils the eligibility and other norms mentioned above as on
the specified dates and that the particulars furnished by him/her are
correct in all respects. In case it is detected at any stage of
recruitment that a candidate does not fulfill the eligibility norms
and/or that he/she has furnished any incorrect/false information
or has suppressed any material facts, his/her candidature will
stand cancelled. If any of these shortcomings is/are detected even
after appointment, his/her services are liable to be terminated.
g) Candidates are advised in their own interest to apply online much
before the closing date and not to wait till the last date to avoid
the possibility of disconnection/inability/failure to log on to the
website on account of heavy load on internet or website jam.
h) Company does not assume any responsibility for the candidates not
being able to submit their applications within the last date on
account of any reason whatsoever.
i) Applicants are advised to register online themselves and to keep
their e-mail id alive during the recruitment exercise. The candidates
should give their mobile number in the application form for SMS
service from the company.
j) The selection of the candidates will be on the basis of Online Tests &
Interview. The Company reserves the right to hold any other test
wherever deemed necessary as well as the right to add, delete or
allot any centre at its discretion.
k) Admission to Online Tests will be purely provisional without
verification of age / qualification / category (SC/ST/OBC/PWD/XS)
etc. of the candidates with reference to documents.
l) Documents relating to Age/Qualification/Category etc. will have to
be submitted at the time of Interview by the candidates called for
Interview. Caste certificate accompanied with caste validity
certificate must be submitted by candidates seeking reservation as
SC/ST/OBC in the prescribed proforma from the competent
authority indicating clearly the candidate’s caste, the Act/Order
under which the caste is recognised as SC/ST/OBC and the
village/town the candidate is originally a resident of.
m) At any stage if falsification of caste certificate is noticed, the
candidature will stand cancelled automatically.
n) Candidates serving in Government / Quasi Government Offices,
Public Sector undertakings including Nationalised Banks and financial
institutions will be required to submit ‘No Objection Certificate’
from their employer at the time of Interview, failing which their
candidature may not be considered and travelling expenses, if any
otherwise admissible, will not be paid. Candidates who are selected
are required to submit discharge letter / relieving letter from the ir
employer (Govt/Public sector / Private) at the time of joining the
company, WITHOUT WHICH THEY WILL NOT BE ALLOWED TO JOIN.
o) The candidates will have to appear for the tests at their own cost.
Candidates called for INTERVIEW are entitled to sleeper class to &
fro railway fare/bus fare by shortest route, from their place of
residence, on production of evidence of travel (Rail/bus
ticket/receipt etc.)
p) Appointment of selected candidates is subject to their being found
medically fit as per the requirements of the Company. Such
appointment will also be subject to the service and conduct rules
of the Company.
q) Decisions of the Company in all matters regarding eligibility, conduct
of online examinations, other tests, interview and selection would
be final and binding on all candidates. No representation or
correspondence will be entertained by the Company in this regard.
r) The Company reserves the right to transfer any candidate anywhere
in India even before the expiry of 5 year period at the initial place of
posting.
s) Any legal proceedings in respect of any matter of claim or dispute
arising out of this advertisement and/ or an application in responses
thereto can be instituted only in Mumbai. Courts/ Tribunals/Forums
at Mumbai only shall have sole and exclusive jurisdiction to try any
cause/dispute.
t) Selected candidates will be governed by the terms and conditions of
the Service Regulations of the Company in force.
u) Use of Mobile Phones, calculator or any such devices is strictly
prohibited inside the examination hall. Candidates, before entering
examination premises, are likely to be frisked to ensure compliance
with the following:
i) Mobile phones or any other communication devices are not allowed
inside the premises where the examination is being conducted. Any
infringement of these instructions shall entail cancellation of
candidature and disciplinary action including ban from future
examinations.
ii) Candidates are advised in their own interest not to bring any of the
banned items including mobile phones to the venue of the
examination, as no arrangement for safekeeping will be available.
v) Candidate’s admission to the test/Interview is strictly provisional.
The mere fact that the call letter has been issued to the candidate
does not imply that his candidature has been finally cleared by the
Company.
w) The Company reserves the right to cancel the above Recruitment
Exercise at any stage of the process without assigning any reason
thereof.
IN CASE OF ANY DISCREPANCIES, ENGLISH VERSION OF THE DETAILED
ADVERTISEMENT PUBLISHED IN THE RECRUITMENT SECTION OF OUR
WEBSITE HTTP://NEWINDIA.CO.IN SHALL BE FINAL.CANDIDATES ARE
ADVISED TO VISIT THE RECRUITMENT SECTION OF OUR WEBSITE FOR
DETAILED ADVERTISEMENT, TO APPLY ONLINE AND FOR FURTHER
UPDATES ON THE RECRUITMENT EXERCISE.
CANVASSING IN ANY FORM WILL BE A DISQUALIFICATION
DEPUTY GENERAL MANAGER
Corporate HRM
Mumbai
10.10.2016
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FORM OF CERTIFICATE TO BE PRODUCED BY A
CANDIDATE BELONGING TO SCHEDULED CASTE OR
SCHEDULED TRIBE IN SUPPORT OF HIS / HER CLAIM
1. This is to certify that Sri / Smt / Kum*_______________________________________________ son / daughter*
of______________________________________________________ of village / town* ____________________________ in
District / Division*_______________________of the State / Union Territory*__________________belongs to the ___________________Caste/Tribe* which is recognized as a Scheduled Caste/ Scheduled Tribe* under: * The Constitution ( Scheduled Castes) Order, 1950 ; * The Constitution ( Scheduled Tribes) Order, 1950 ; * The Constitution (Scheduled Castes)(Union Territories)Orders, 1951 ; * The Constitution (Scheduled Tribes)(Union Territories)Order, 1951 ;
[as amended by the Scheduled Castes and Scheduled Tribes lists Modification) Order,1956; the Bombay Reorganisation Act, 1960;
the Punjab Reorganisation Act 1966, the State of Himachal Pradesh Act, 1970, the North-Eastern Areas (Reorganisation)Act, 1971,
the Constitution (Scheduled Castes and Scheduled Tribes) Order (Amendment) Act,1976]:
* The Constitution (Jammu and Kashmir) Scheduled Castes Order,1956 ; * The Constitution (Andaman and Nicobar Islands) Scheduled
Tribes Order, 1959 as amended by the Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 1976 ;
* The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order, 1962 ; * The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order, 1962 ; * The Constitution (Pondicherry) Scheduled Castes Order 1964; * The Constitution (Uttar Pradesh) Scheduled Tribes Order,1967; * The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968 ; * The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968 ; * The Constitution (Nagaland) Scheduled Tribes Order, 1970 ; * The Constitution (Sikkim) Scheduled Castes Order, 1978 ; * The Constitution (Sikkim) Scheduled Tribes Order, 1978 ; * The Constitution (Jammu and Kashmir) Scheduled Tribes Order, 1989 ; * The Constitution (Scheduled Castes) Orders (Amendment)Act, 1990; * The Constitution (ST) Orders (Amendment) Ordinance, 1991 ; * The Constitution (ST) Orders (Second Amendment) Act,1991 ; * The Constitution (ST) Orders (Amendment) Ordinance, 1996.
………2
12
:: 2 ::
# 2. Applicable in the case of Scheduled Castes / Scheduled Tribes persons , who have migrated from one State / Union Territory Administration.
This certificate is issued on the basis of the Scheduled Castes / Scheduled Tribes* Certificate issued to Shri / Smt / Kumari* _________________________________________Father /Mother* of Sri / Smt / Kumari*________________- ____________________________________of village / town______________________in
District/Division*____________________of the State/Union Territory*_________________________________ who belong to
the______________________ Caste / Tribe* which is recognized as a Scheduled Caste/Scheduled Tribe* in the State/Union
Territory* issued by the ____________________________________[Name of the authority] vide their order No. ___________________________ dated _______________________.
3.Shri/Smt/Kumari*____________________________________________and/or* his/her* family ordinarily reside(s) in village/town*__________________________ of____________________ Disctict / Division* of the State / Union Territory* of _____________________
Signature _____________________
Designation ___________________
Place: [With seal of Office]
Date : State/Union Territory
Note : The term "Ordinarily resides" used here will have the same meaning as in Section 20 of the Representation of the Peoples
Act, 1950. ----------------------------------------------------------------------------------------------------------------------------------------- * Please delete the words which are not applicable. # Delete the paragraph which is not applicable.
List of authorities empowered to issue Caste / Tribe Certificates :
1. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner /
his/her family ordinarily reside (s) in the …………………………………………….. District/ Division of the
………………………………………….. State/Union Territory. This is also to certify that he/she does not belong to the
persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of India, Department of Personal &
Training O. M. No. 36012/22/93 – Estt.(SCT) dated 08.09.1993**.
District Magistrate
Deputy Commissioner etc.
Dated: Seal *- The authority issuing the certificate may have to mention the details of Resolution of Government of India, in which the caste of the candidate is mentioned as OBC. **- As amended from time to time. Note:- The term “Ordinarily” used here will have the same meaning as in Section 20 of the Representation of the people Act, 1950.
14
FORM-II
Disability Certificate
(In cases of amputation or complete permanent paralysis of limbs and in cases of blindness)
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFICATE)
Recent PP size Attested
Photograph
(Showing face only) of the
person with
disability
Certificate No. : Date :
This is to certify that I have carefully examined
Shri/Smt./Kum. _____________________________________________________________ son/wife/daughter of Shri
___________________________________________________ Date of Birth (DD / MM / YY) ____ ____ ____
Age ________ years, male/female Registration No. __________________________ permanent resident of House
No.______________________ Ward/Village/Street ___________________________________________ Post Office
___________________________________District __________ State ____________, whose photograph is affixed
above, and am satisfied that :
(A) he/she is a case of :
� Locomotor disability
� Blindness
(Please tick as applicable) (B) The diagnosis in his/her case is _________ (A) He/She has ______________% (in figure) ________________________ percent (in words) permanent physical
impairment/blindness in relation to his/her _________ (part of body) as per guidelines (to be specified)
2. The applicant has submitted the following documents as proof of residence :-
Nature of Document Date of Details of authority issuing certificate
Issue
Signature/Thumb
impression of the
person in whose
favour disability
certificate is
issued.
(Signature and Seal of Authorised Signatory of notified Medical Authority)
15
FORM - III
Disability Certificate
(In case of multiple disabilities)
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFICATE)
Recent PP size
Attested
Photograph (Showing face
only) of the person with
disability
Certificate No. : Date :
This is to certify that we have carefully examined
Shri/Smt./Kum. _____________________________________________________________ son/wife/daughter of Shri
___________________________________________________ Date of Birth (DD / MM / YY) ____ ____ ____
Age ______ years, male/female ___________ Registration No. __________________________ permanent resident of
House No.______________________ Ward/Village/Street ___________________________________________ Post
Office ___________________________________District __________ State ____________, whose photograph is
affixed above, and are satisfied that :
(A) He/she is a Case of Multiple Disability. His/her extent of permanent physical impairment/disability has been
evaluated as per guidelines (to be specified) for the disabilities ticked below, and shown against the relevant
disability in the table below :
Sr. Disability Affected Part of Diagnosis Permanent physical
No. Body impairment/mental disability (in %)
1 Locomotor disability @
2 Low vision #
3 Blindness Both Eyes
4 Hearing impairment £
5 Mental retardation X
6 Mental-illness X
(B) In the light of the above, his/her over all permanent physical impairment as per guidelines (to be specified), is as follows
:-
In figures :- ____________________ percent
In words :- __________________________________________________________________ percent
2. This condition is progressive/non-progressive/likely to improve/not likely to improve.
3. Reassessment of disability is :
(i) not necessary,
Or
16
:: 2 ::
(ii) is recommended / after __________ years __________ months, and therefore this certificate shall be valid till (DD / MM
/ YY) ____ ____ ____
@ - e.g. Left/Right/both arms/legs
# - e.g. Single eye / both eyes
£ - e.g. Left / Right / both ears
4. The applicant has submitted the following documents as proof of residence :-
Nature of Document Date of Details of authority issuing certificate
Issue
5. Signature and Seal of the Medical Authority
Name and seal of Member Name and seal of Member Name and seal of Chairperson
Signature/Thumb
impression of the
person in whose
favour disability
certificate is issued.
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FORM - IV
Disability Certificate
(In cases other than those mentioned in Forms II and III)
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFICATE)
Recent PP size
Attested
Photograph
(Showing face
only) of the person
with disability
Certificate No. : Date :
This is to certify that I have carefully examined
Shri/Smt./Kum. _____________________________________________________________ son/wife/daughter of Shri
___________________________________________________ Date of Birth (DD / MM / YY) ____ ____ ____
Age ________ years, male/female __________Registration No. __________________________ permanent resident of
House No.______________________ Ward/Village/Street ___________________________________________ Post
Office ___________________________________District __________ State ____________, whose photograph is
affixed above, and am satisfied that he/she is a Case of _________________________ disability. His/her extent of
percentage physical impairment/disability has been evaluated as per guidelines (to be specified) and is shown
against the relevant disability in the table below :
Sr. Disability Affected Part of Diagnosis Permanent physical
No. Body impairment/mental disability (in %)
1 Locomotor disability @
2 Low vision #
3 Blindness Both Eyes
4 Hearing impairment £
5 Mental retardation X
6 Mental-illness X
(Please strike out the disabilities which are not applicable.)
2. The above condition is progressive/non-progressive/likely to improve/not likely to improve.
3. Reassessment of disability is :
(i) not necessary,
Or (ii) is recommended / after __________ years __________ months, and therefore this certificate shall be valid till (DD / MM
/ YY) ____ ____ ____
@ - e.g. Left/Right/both arms/legs # - e.g. Single eye / both eyes £ - e.g. Left / Right / both ears
18
:: 2 ::
4. The applicant has submitted the following documents as proof of residence :-
Nature of Document Date of Details of authority issuing certificate
Issue
(Authorised Signatory of notified Medical Authority)
(Name and Seal)
Countersigned
{Countersignature and seal of the CMO/Medical Superintendent/Head of
Government Hospital, in case the certificate is issued by a medical
authority who is not a government servant (with seal)}
Signature/Thumb
impression of the
person in whose
favour disability
certificate is issued.
Note : In case this certificate is issued by a medical authority who is not a government servant , it shall be valid only if countersigned by the Chief medical Officer of the District. Note: The principal rules were published in the Gazette of India vide Notification number S.O.908 (E), dated the 31st December , 1996.
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PROFORMA - A
Form of Certificate applicable for Released/Retired Personnel
It is certified that No. ____________ Rank __________ Name ______________________
whosedate of Birth is __________has rendered Service from _________to ________ in
Army/Navy/Air Force.
2. He has been released from military services :
% a) on completion of assignment otherwise than
(i) by way of dismissal, or
(ii) by way of discharge on account of misconduct or inefficiency, or
(iii) on his own request, but without earning his pension, or
(iv) he has not been transferred to the reserve pending such release.
%b) on account of physical disability attributable to Military Service.
%c) on invalidment after putting in at least five years of Military service
3. He is covered under the definition of Ex-Serviceman (Re-employment in Central Civil Services and Posts) Rules, 1979 as amended from time to time.
Place : Signature, Name and Designation of the
Competent Authority **
Date: SEAL
% Delete the paragraph which is not applicable.
** Authorities who are competent to issue certificate to Armed Forces Personnel for availing Age concessions are as follows :
(a) In case of Commissioned Officers including ECOs/SSCOs: Army: Military Secretary Branch, Army Hqrs., New Delhi; Navy :
Directorate of Personnel, Naval Hqrs., New Delhi; Air Force : Directorate of Personnel Officers, Air Hqrs., New Delhi.
(b) In case of JCOs/ORs and equivalent of the Navy and Air Force : Army : By various Regimental Record Offices; Navy : BABS, Mumbai; Air Force : Air Force Records, New Delhi.
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PROFORMA - B
Form of Certificate for Serving Personnel (Applicable for serving personnel who are due to be released within one year)
It is certified that No. ____________ Rank __________ Name __________________________________ is serving in the
Army/Navy/Air Force from ________________.
2. He is due for release/retirement on completion of his specific period of assignment
on or before 30.09.2017.
3. No disciplinary case is pending against him
Place : Signature, Name and Designation of the Competent Authority **
Date: SEAL
** Authorities who are competent to issue certificate to Armed Forces Personnel for availing Age concessions are as follows :
(a) In case of Commissioned Officers including ECOs/SSCOs: Army: Military Secretary Branch, Army Hqrs., New Delhi; Navy :
Directorate of Personnel, Naval Hqrs., New Delhi; Air Force : Directorate of Personnel Officers, Air Hqrs., New Delhi.
(b) In case of JCOs/ORs and equivalent of the Navy and Air Force : Army : By various Regimental Record Offices; Navy : BABS, Mumbai; Air Force : Air Force Records, New Delhi.
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PROFORMA - C
Undertaking to be given by serving Armed Force personnel who are due to be released within one year
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 Posts) Rules, 1979, as amended from time to time.
Place :
Date : Signature and Name of Candidate
22
PROFORMA - D
Form of Certificate applicable for Serving Armed Force Personnel who have already completed their initial assignment and
are on extended assignment
It is certified that No _____________ Rank _____________ Name ____________________________ whose date of birth is
_____________ is serving in the Army/Navy/Air Force from _____________
2. He has already completed his initial assignment of five years on _____________ and is on extended assignment till
_____________
3. There is no objection to his applying for civil employment and he will be released on three months notice on selection from the
date of receipt of offer of appointment.
Place : Signature, Name and Designation of the
Competent Authority **
Date : SEAL
** Authorities who are competent to issue certificate to Armed Forces Personnel for availing Age concessions are as follows :
(a) In case of Commissioned Officers including ECOs/SSCOs: Army: Military Secretary Branch, Army Hqrs., New Delhi; Navy : Directorate of
Personnel, Naval Hqrs., New Delhi; Air Force : Directorate of Personnel Officers, Air Hqrs., New Delhi.
(b) In case of JCOs/ORs and equivalent of the Navy and Air Force : Army : By various Regimental Record Offices; Navy : BABS, Mumbai; Air Force : Air Force Records, New Delhi.
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SCRIBE DECLARATION FORM
GUIDELINES REGARDING PERSONS WITH DISABILITIES
Those candidates who are visually impaired or affected by cerebral palsy with loco-motor impairment and whose writing speed is affected can use own
scribe at own cost during the online examination. In all such cases where a scribe is used, the following rules will apply:
· Please ensure you are eligible to use a scribe as per the Government of India rules governing the recruitment of Persons with Disabilities.
· The candidate will have to arrange his / her own scribe at his/her own cost.
· The scribe may be from any academic stream.
· Those candidates who use a scribe shall be eligible for compensatory time of 20 minutes for every hour of the examination
· Compensatory time of twenty minutes per hour shall be permitted for the candidates with locomotor disability and cerebral palsy where
dominant (writing) extremity is affected to the extent of slowing the performance of function (minimum of 40% impairment)
· Visually Impaired candidates (who suffer from not less than 40% of disability) may opt to view the contents of the test in magnified font and
all such candidates will be eligible for compensatory time of 20 minutes for every hour of examination.
· The facility of viewing the contents of the test in magnified font will not be available to Visually Impaired candidates who use the services of
a Scribe for the examination. These guidelines are subject to change in terms of GOI guidelines/ clarifications, if any, from time to time
· The same scribe cannot be used by more than one candidate. In addition, the scribe arranged by the candidate should not be a candidate for the examination. If violation of the above is detected at any stage of the process, candidature of both the candidate and the scribe will be cancelled. Candidates eligible for and who wish to use the services of a scribe in the examination should invariably carefully indicate the same in the online application form. Any subsequent request may not be favorably entertained.
· The Scribe should not be an active employee of The New India Assurance Co Ltd.
· Both the candidate as well as scribe will have to give a suitable undertaking confirming that the scribe fulfils all the stipulated eligibility
criteria for a scribe mentioned above. Further in case it later transpires that he/she did not fulfill any laid down eligibility criteria or
suppressed material facts, the candidature of the applicant will stand cancelled, irrespective of the result of the examination.
We, the undersigned, Shri/Smt/Kum. __________________________________________ eligible candidate for the
_____________________________________________________ examination and Shri/Smt/Kum. ___________________________________
eligible writer (scribe) for the eligible candidate, do hereby declare that :
1. The scribe is identified by the candidate at his/her own cost and as per own choice.
The candidate is blind/low vision or affected by cerebral palsy with loco-motor impairment and his/her writing speed is affected and s/he needs
a writer (scribe) as permissible under the Government of India rules governing the recruitment of Persons with Disabilities.
2. As per the rules, the candidate availing services of a scribe is eligible for compensatory time of 20 minutes for every hour of the examination.
3. In view of the importance of the time element and the examination being of a competitive nature, the candidate undertakes to fully satisfy the Medical
Officer of the Organization that there was necessity for use of a scribe as his/her writing speed is affected by the disabilities mentioned in Paragraph
‘1’ above.
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4. In view of the fact that multiple appearance / attendance in the examination are not permitted, the candidate undertakes that he/she has not appeared
/ attended the examination more than once and that the scribe arranged by him/her is not a candidate for the examination. If violation of the above is
detected at any stage of the process, candidature of both the candidate and the scribe will be cancelled.
5. We declare that the scribe is not an active employee of The New India Assurance Co Ltd.
6. We hereby declare that all the above statements made by us are true and correct to the best of our knowledge and belief. We also understand that in
case it is detected at any stage of recruitment that we do not fulfill the eligibility norms and/or that the information furnished by us is incorrect/false or
that we have suppressed any material fact(s), the candidature of the applicant will stand cancelled, irrespective of the result of the examination. If any
of these shortcoming(s) is/are detected even after the candidate's appointment, his/her services are liable to be terminated. In such circumstances,
both signatories will be liable to criminal prosecution.