ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

NOTIFICATION NO. 02/2007 SPECIAL RECRUITMENT FOR DISABLED / PHYSICALLY CHALLENGED PERSONS OF JUNIOR LECTURERS IN GOVERNMENT JUNIOR COLLEGES/ LECTUERS IN GOVERNMENT POLYTECHNICS IN APTES / ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H. & M.E. SERVICE

Para 1:
Applications are invited for Direct Recruitment from eligible candidates with effect from 25/04/2007 in the prescribed Application Form on all working days up to 5-00 PM on 25/05/2007 FOR DISABLED / PHYSICALLY CHALLENGED PERSONS to the following services; I. Post Code 01 02 03 04 05 06 07 08 09 JUNIOR LECTURERS IN A.P. INTERMEDIATE EDUCATION SERVICE Name of the Subject ENGLISH TELUGU ECONCOMICS COMMERCE MATHEMATICS PHYSICS CHEMISTRY BOTANY ZOOLOGY TOTAL No. of provisional vacancies HH-1 VH-1(W) HH-2 HH-2 HH-2 HH-1 HH-1 VH-1(W) HH-3 VH-1(W) VH-1(W) HH-2 VH-1(W) 19 Age as on 01/07/2007 Scale of Pay Rs.

18-43 (See Para-3)

9285-19775 (Revised Pay Scales 2005)

II. LECTURERS IN GOVERNMENT POLYTECHNICHS (ENGINEERING) IN A.P. TECHNICAL EDUCATION SERVICE Post Name of the Subject No. of provisional Age as on Code vacancies 01/07/2007 10 FOOTWEAR OH-1 TECHNOLOGY 11 BIO-MEDICAL OH-1 ENGINEERING 12 ELECTRONICS AND OH-1 18-45 INSTRUMENTATION (See Para-3) ENGINEERING 13 PLASTIC AND OH-1 POLYMERS 14 MINING ENGINEERING OH-1 TOTAL 05

Scale of Pay Rs.

10845-22955 (Revised Pay Scales 2005)

III. ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H & M.E. SERVICE Post Code 15 Name of the Subject Assistant Executive Engineers in R&B Department Assistant Executive Engineers in P.H. & M.E. Department TOTAL No. of provisional vacancies HH-1 VH-1 HH-1 Age as on 01/07/2007 Scale of Pay Rs.

16

18-33 (See Para-3)

9285-19775 (Revised Pay Scales 2005)

03

The break-up of vacancies is printed in the Annexure-I.

NOTE:
1. THE APPLICATIONS RECEIVED IN THE PRESCRIBED (I.C.R/O.M.R) FORM PRINTED IN THIS SPECIAL BULLETIN AND WITHIN THE TIME SHALL ONLY BE CONSIDERED AND THE COMMISSION WILL NOT BE RESPONSIBLE FOR POSTAL LOSS OR TRANSIT DELAYS. (IF THEY SEND DIRECTLY TO THE COMMISSIONS OFFICE BY POST). 2. APPLICATION (I.C.R./ O.M.R.) FORM: APPLICANT MUST COMPULSORILY FILL UP ALL RELEVANT COLUMNS OF APPLICATION (I.C.R./ O.M.R.) FORM, OTHERWISE APPLICATION FORM WILL BE REJECTED. THE PARTICULARS WRITTEN THEREIN SHALL BE PROCESSED THROUGH THE COMPUTER AND DECIDED THE ELIGIBILITY IN TERMS OF NOTIFICATION AND CONFIRMED ACCORDINGLY

3. 4.

5.

DO NOT ENCLOSE ANY CERTIFICATES TO THE APPLICATION (I.C.R./ O.M.R.) FORM. ALL THE CERTIFICATES ISSUED BY THE COMPETENT AUTHORITY SHALL COMPULSORILY BE KEPT WITH THE CANDIDATES TO PRODUCE AS AND WHEN REQUIRED. THE CANDIDATE SHOULD NOT FURNISH ANY PARTICULARS THAT ARE FALSE, TAMPERED, FABRICATED OR SUPPRESS ANY MATERIAL INFORMATION WHILE FILLING UP THE APPLICATION (ICR/OMR) FORM.

IMPORTANT NOTE: The category of posts and any variation in number of vacancies are subject to clarification from the Government/Departments concerned. The vacancies in zones and categories/subjects may likely to become NIL, and get reduced.
NOTE ON IMPORTANT LEGAL PROVISIONS GOVERNING THE RECRUITMENT PROCESS: 1. Vacancies: There shall be no waiting list as per G.O.Ms.No. 81 G.A. (Ser.A) Department, Dated: 22/02/1997 and Rule 6 of APPSC Rules. The vacancies are subject to variation and confirmation by the Unit Officer, till such time as decided by the Commission and in any case, no cognizance will be taken by Commission of any vacancies arising or reported after the completion of the selection and recruitment process or the last date as decided by the Commission as far as this Notification is concerned, and these will be further dealt with as per Government Order & Rule cited above. 2. The recruitment will be processed as per this Notification and also the rules and instructions issued by the Government and also as decided by the Commission from time to time, with special reference to G.O.Ms.No. 302, EDN(IE-1) dated 30/12/1993, G.O.Ms.No. 178, Higher Education (T.E1-2) Department, dated 09/12/2005, G.O.Ms.No. 168 M.A., Dated 20/02/1965, G.O.Ms.No. 103, Transport, Roads & Buildings (S-II), Dated 22/05/1996, G.O.Ms.No. 230, TR & B (Ser.) department, dated 02/11/2005,and other related Government Orders, Rules etc., applicable in this regard. 3. Community Certificate must be issued by the Competent Authority in terms of G.O.Ms.No. 58, SW(J) Dept., dated 12/05/1997 (See relevant enclosure). 4. Disability Certificate should be issued by District Medical Board in prescribed proforma. The Medical Certificates shall be referred to the State Appellate Medical Board Authority, whenever any doubt aroses and whenever verification is considered necessary for assessing the degree of disability, accurately. 5. Zonal/ Local for PC Nos. 01 to 09 and 15, 16 : In terms of Para-8 of the G.O., A.P. Public Employment (Organisation of Local Cadres) and Regulation of Direct Recruitment) Order, 1975 (G.O.Ms.No. 674, G.A. (SPF-A) Dept., dated: 28/10/1975) read with G.O.Ms.No. 124, GA (SPF-A) Dept., dated: 07/03/2002, 60 percent of posts to be filled by Local candidates and remaining 40 percent of posts are open posts for which Local and Non-Local has to be considered on the basis of combined merit list. For PC Nos. 10 to 14 : Reservation for local candidate is not applicable though the posts are organised into zones. Hence, candidates may apply even if vacancy is not indicated in any zone. Selection shall be made on statewide merit and allotment of zones shall be made as per preference given by candidate, in terms of departmental special/ adhoc rules. 6 General Rule 22 and 22-A of A.P. State and Subordinate Service Rules are applicable to this recruitment. 7. In terms of Departmental Special Rules, Disabled/ Physically challenged persons are only eligible. 8. The Commission is empowered under the provisions of Article 315 and 320 of the Constitution of India read with relevant laws, rules, regulations and executive instructions and all other enabling legal provisions in this regard to conduct examination for appointment to the posts notified herein, duly following the principle of order of merit as per Rule 3(vi) of the APPSC Rules of Procedure read with relevant statutory provisions and ensuring that the whole recruitment and selection process is carried out with utmost regard to maintain secrecy and confidentiality so as to ensure that the principle of merit is scrupulously followed. 9. The Commission is empowered to invoke the penal provisions of the A.P. Public Examinations (prevention of Malpractices) and unfair means Act 25/1997 relating to Public Examinations and for matters connected therewith or incidental there to in respect of this Notification. 10. The candidature of an applicant remains only Provisional till such time and after such satisfaction as decided by the Commission. 11. The persons already in Government Service/ Autonomous bodies/ Government aided institutions etc., whether in permanent or temporary capacity or as work charged employees are however required to inform in writing, their Head of Office/ Department, that they have applied for this recruitment.

Para-2: EDUCATIONAL QUALIFICATIONS:

Applicants must possess the essential Educational qualifications from a recognised University as detailed below or equivalent thereto, subject to various specifications in the relevant service rules as on the date of Notification.

I. Post Code 01 02 03 04 05 06 07 08 09

JUNIOR LECTURERS IN A.P. INTERMEDIATE EDUCATION SERVICE Name of the Subject ENGLISH TELUGU ECONCOMICS COMMERCE MATHEMATICS PHYSICS CHEMISTRY BOTANY ZOOLOGY Educational Qualifications

A second class P.G. Degree in (M.A. or M.Sc., or M.Com., OR B.A.(Hons.) or B.Sc.(Hons.) or B.Com. (Hons.) in the relevant subject/language with a minimum of 50% marks in P.G. Degree Examination as recognised by the U.G.C.

II. LECTURERS IN EDUCATION SERVICE: Post Code 10

GOVERNMENT

POLYTECHNICHS

(ENGINEERING)

IN

A.P.TECHNICAL

Name of the Subject FOOTWEAR TECHNOLOGY BIO-MEDICAL ENGINEERING ELECTRONICS AND INSTRUMENTATION ENGINEERING PLASTIC AND POLYMERS

Educational Qualifications A Degree in Footwear Technology (B.E./ B.Tech.) with not less than 55% of marks for PH candidates belonging to SC/ST. For other PH candidates 1st Class in the Subject. A Degree in Bio-Medical Engineering (B.E./ B.Tech.) with not less than 55% of marks for PH candidates belonging to SC/ST. For other PH candidates 1st Class in the Subject. A Degree in Electronics & Instrumentation Engineering (B.E./ B.Tech.) with not less than 55% of marks for PH candidates belonging to SC/ST. For other PH candidates 1st Class in the Subject. A Degree in Plastics & Polymers (B.E./ B.Tech.) with not less than 55% of marks for PH candidates belonging to SC/ST. For other PH candidates 1st Class in the Subject. OR A Degree in Chemical Engineering and with Post Graduation Degree in Engineering/ Technology with Plastic & Polymers as specialization. In respect of PH candidates belonging to SC/ST a Degree in the above Engineering Branch with not less than 55% of marks. For other PH candidates 1st Class in the Subject. B.E/ B.TECH in Mining Engineering with not less than 55% of marks for PH candidates belonging to SC/ST. For other PH candidates 1st Class in the Subject.

11

12

13

14

MINING ENGINEERING

III. ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H & M.E. SERVICE Post Code 15 Name of the Post Assistant Executive Engineers in R&B Department Assistant Executive Engineers in P.H. & M.E. Department Educational Qualifications B.E/ B.Tech/ AMIE (A&B) Civil Engineering Branch as recognized by UGC or its equivalent qualification. B.E/ B.Tech/ AMIE (A&B)/ B.Sc (Engineering) in Civil or Mechanical Engineering Branch as recognized by UGC or its equivalent qualification.

16

Para-3: AGE: For PC Nos. 01 to 09 and 15, 16: Minimum 18 years & Maximum 43 years and for
Post Code Numbers 10 to 14 Minimum 18 years and Maximum age 45 years as on 01/07/2007

Para-4: FEE: All candidates are exempted from payment of Fee.

PARA-5: PROCEDURE OF SELECTION: THE SELECTION OF CANDIDATES FOR APPOINTMENT TO THE POSTS WILL BE MADE IN TWO SUCCESSIVE STAGES VIZ., i) Written Examination (Objective Type) And ii) Oral Test in the shape of Interview only for those qualified as per rules. THE FINAL SELECTION OF THESE POSTS WILL BE BASED ON THE WRITTEN AND ORAL MARKS PUT TOGETHER. 1. Only those candidates who qualify in the Written Examination by being ranked high will be called for interview in 1:2 ratio. The minimum qualifying marks for interview / selection are 30% or as per rules.

2. The candidates will be selected and allotted to Service/ Department as per their rank in the merit list and as per zonal preference for allotment of candidates against vacancies and for the vacancies available. 3. The appearance in all the papers at the Written Examination and also for interview in case called upon, if qualified, as per rules is compulsory. Absence in any of the above tests will automatically render his candidature as disqualified. 4. Candidates have to produce Original documents and other particulars for verification as and when required and called for. If the particulars furnished in the application do not tally with the Original documents produced by the candidate, the candidature will be rejected. As candidature for the recruitment is processed through Computer/Electronic devices on the particulars furnished in the application form the candidate is advised to fill in all the particulars carefully. 5. While the Commission calls for preference of candidates in respect of posts, zones/ city cadre etc., in the application form, it is hereby clarified that the said preferences are only indicative for being considered to the extent possible but not binding or limiting the Commissions powers enjoyed under Article 315 and 320 of the Constitution of India. Therefore, the Commission has the power to assigning a successful candidate to any of the notified posts for which he is considered by them to be qualified and eligible, subject to fulfilling the selection criterion. Mere claim of preference for any Zone/ City cadre for allotment against vacancy does not confer a right to selection for that Zone/ City cadre in particular or any Zone/ city cadre in general. (City cadre means city of Hyderabad.) 6. The appointment of selected candidates will be subject to their being found medically fit in the appropriate medical classification.

Para-6: SCHEME OF EXAMINATION: The Scheme and Syllabus for the Written Examination has
been shown in Annexure-II. The Written Examination will be in Objective Type. The candidate has to appear for (i) General Studies Paper and (ii) Subject (concerned) Paper for PC Nos. 01 to 14 and for PC Nos. 15 and 16 the candidate has to appear for (i) General Studies Paper (ii) Common paper Civil and Mechanical and (iii) Civil or Mechanical Paper. The appearance at all the papers in the Written Examination is compulsory for considering for Oral Test (Interview) and also for Oral Test(interview), in case called upon, otherwise the candidature is liable for invalidation.

PARA-7: HOW TO APPLY: A) HOW TO OBTAIN APPLICATION (I.C.R. / O.M.R.) FORM: i) Application (I.C.R. / O.M.R.) Forms are available with the APPSC Udyoga Samacharam Special Bulletin. Only this Application Form should be submitted to the Commission. ii) Applicants should obtain the Application (I.C.R. / O.M.R.) Form from any of the Head Post Offices (Annexure-III) in the State or from the Sales Counter of the APPSC Office only. Hand written/ Typed/ Photostat copies/ outside printed Application (I.C.R. / O.M.R.) Form will not be entertained and liable for rejection. Please use only the Application (I.C.R. / O.M.R.) Form as supplied along with the Special Bulletin, for submitting to APPSC/HPO. B) HOW TO SUBMIT YOUR FILLED-IN APPLICATION (I.C.R. / O.M.R.) FORM: i) You can submit your filled-in Application (I.C.R. / O.M.R.) Form at the APPSC Office counter at Prathibha Bhavan, M.J. Road, Nampally, Hyderabad-1 on any working day between 10-30 AM to 5-00 PM till the last date, OR You can also submit your filled in application (I.C.R. / O.M.R.) Form at any of the Head Post Offices as listed in Annexure-III by paying required postal charges (i.e., different from the Head Post Office from which you may have purchased, point of submission can be different from point of purchase), duly taking the acknowledgement and preserve it for future use. Candidates are advised to submit / apply separate application form for each post. Therefore, Post Code Numbers 01 to 14 posts. Single Application Form is enough for Post Code No. 15 and 16. ii) Please do not fold the application form under any circumstances, as the particulars furnished therein shall be processed by computer, otherwise such application may not get admitted. iii) In case you are submitting the filled in application form at APPSC Office counter OR at any Head Post Office, put it in the envelope attached to the Special Bulletin of Udyoga Samacharam duly obtaining the acknowledgement and preserve it for future use. iv) Only candidates willing to serve anywhere in Andhra Pradesh should apply in case of selection against open to all vacancies. v) Please note down the serial number, which is printed on the Application (I.C.R. & O.M.R.) Form as your reference number for future guidance. The Serial number is only to help to locate your application in the Office. Therefore, photocopy/ non-standard/ outside printed forms will not be allowed, as the serial number is unique for each I.C.R. & O.M.R. form. vi) Do not enclose any certificates to the Application (I.C.R. / O.M.R.) Form. vii) Submit only one Application form. If more than one Application is found for one single post, the last Application (I.C.R. / O.M.R.) Form submitted will be taken in consideration, at the discretion of the Commission. viii) Big size pre-printed envelope to be used by the applicant for submitting the Application (I.C.R. / O.M.R.) Form as enclosed with APPSC Special Bulletin.

NOTE: 1. Each envelope should contain only one Application (I.C.R. / O.M.R.) Form. 2. The applicant should send the envelope containing the Application (I.C.R. / O.M.R.) Form by Speed Post. 3. The Commission is not responsible, if un-superscribed envelopes got mixed up with other envelopes. The applicants are, therefore, advised to strictly follow the instructions in their own interest and superscribe the envelope appropriately . 4. The particulars furnished by the applicant in the Application (I.C.R. / O.M.R.) Form will be taken as final, and data entry processed, based on these particulars only by Computer. Candidates should therefore, be very careful in filling the Application (I.C.R. / O.M.R.) Form.
5. INCOMPLETE/INCORRECT APPLICATION (I.C.R. / O.M.R.) FORM AND APPLICATIONS RECEIVED AFTER DUE DATE WILL BE SUMMARILY REJECTED. THE INFORMATION IF ANY FURNISHED BY THE CANDIDATE SUBSEQUENTLY WILL NOT BE ENTERTAINED BY THE COMMISSION UNDER ANY CIRCUMSTANCES. THE COMMISSION WILL NOT BE RESPONSIBLE FOR POSTAL LOSS OR TRANSIT DELAY. APPLICANTS SHOULD BE CAREFUL IN FILLING-UP OF THE APPLICATION AND SUBMISSION. IF ANY LAPSE IS DETECTED DURING THE SCRUTINY, THE CANDIDATURE WILL BE REJECTED EVEN THOUGH HE/SHE COMES THROUGH THE FINAL STAGE OF RECRUITMENT PROCESS OR EVEN AT A LATER STAGE.

6. Before filling Application Form the candidates should carefully ensure his/her eligibility for this examination. NO RELEVANT COLUMN OF THE APPLICATION (I.C.R. / O.M.R.) FORM SHOULD BE LEFT BLANK, OTHERWISE APPLICATION (I.C.R. / O.M.R.) FORM WILL BE REJECTED. 7. If any candidate appears at a centre/Examination Center other than one allotted by the Commission, the answer sheets of such candidates shall not be valued and liable for invalidation. The Commission reserves the right to create centre(s) for exam and also to call the candidates for the test at any other centre. Para-8: ALLOTMENT OF CANDIDATES TO ZONES/ VACANCIES: Reservation of appointments in favour of local candidates for this recruitment is applicable as per Departmental Special Rules and indent for Notification of vacancies to PC Nos. 01 to 09 and 15, 16 only. Each of the following Zones comprises the Districts mentioned against each Zone. Zones: 1. Srikakulam, Visakhapatnam and Vizianagaram. (SKM, VSP, VZM) 2. East Godavari, West Godavari and Krishna. (EG, WG, KST) 3. Guntur, Prakasam and Nellore. (GNT, PKM, NLR) 4. Chittoor, Cuddapah, Anantapur and Kurnool. (CTR, CDP, ATP, KNL) 5. Adilabad, Karimnagar, Warangal and Khammam. (ADB, KRMN, WGL, KMM) 6. Ranga Reddy, Nizamabad, Mahaboobnagar, Medak and Nalgonda. Excluding the area under City of Hyderabad. (RRD, NZB, MBNR, MDK, NLG, HYD) City Cadre: City of Hyderabad consists of Hyderabad Division, Secunderabad Division of Municipal Corporation of Hyderabad, Secunderabad Contonment area, O.U.Campus, Fatehnagar, Bowenpally, Macha Bolarum, Malkajgiri, Uppal Khalsa, Alwal, Balanagar, Moosapet, Kukatpally Panchayat Areas and Zamistanpur and Lallaguda villages. (HYD) Preference 7 means city cadre (city of Hyderabad)

Para-9: Written Examination will be held at HYDERABAD only

Dates for Written Examination will be announced later through Newspapers and candidates are requested to remain alert in this regard.

Para-10: INSTRUCTIONS TO CANDIDATES:

1) The candidates must note that his/her admission to the examination is strictly provisional. The mere fact that an Admission has been issued to him/her does not imply that his/her candidature has been finally cleared by the Commission or that the entries made by the candidate in his/her application have been accepted by the Commission as true and correct. A recent pass port size photograph should be firmly pasted on the Application (I.C.R. & O.M.R.) form. Application (I.C.R. & O.M.R.) form received without photograph and signature will be rejected. Failure to produce the same photograph, if required, at the time of interview/ verification, may lead to disqualification. Hence the candidates are advised not to change their appearance till the recruitment process is complete. 2) The candidates should go through the instructions given on the cover page of test booklet and carefully write his/her Register Number, Centre etc., in the Answer Sheet, which will be provided to him/her in the examination hall.

3) Since the answer sheets are to be scanned (valued) with Optical Mark Scanner system, the candidates have to USE H.B. PENCIL ONLY FOR MARKING THE ANSWERS. The candidates should bring H.B. pencil, Ball pen, and smooth writing pad to fill up relevant columns on the Answer Sheet. The candidate must ensure encoding the Subject, Register No., etc., on the O.M.R. Answer sheet correctly, failing which the Answer sheet will be rejected and will not be valued. 4) The candidates should satisfy the Invigilator of his identity with reference to the signature and photographs. 5) The candidates should take their seats 20 minutes before the commencement of the examination and are not to be allowed after 10 minutes of the scheduled time. They should not leave the examination hall till expiry of fulltime. The candidates are allowed to use the calculators in the examination hall (not programmable calculators). Loaning and interchanging of articles among the candidates is not permitted in the examination hall. Cell phones and Pagers are not allowed in the examination hall. 6) The candidates are expected to behave in orderly and disciplined manner while writing the examination. If any candidate takes away Answer Sheet, the candidature will be rejected and in case of impersonation/ disorder/ rowdy behaviour during Written Examination, necessary F.I.R. for this incident will be lodged with concerned Police Station, apart from disqualifying appointment in future. Merit is the only criteria that decides the selections. Candidates trying to use unfair means shall be disqualified from the selection. No correspondence whatsoever will be entertained from the candidates. The candidature and conditions specified here are subject to latest rules / orders come into force during the process of recruitment. 7) The Commission would be analyzing the responses of a candidate with other appeared candidates to detect patterns of similarity. If it is suspected that the responses have been shared and the scores obtained are not genuine/ valid, the Commission reserves the right to cancel his/ her candidature and to invalidate the Answer Sheet. 8) Wherever Written Examination is held only those candidates who are totally blind and candidate whose writing speed is affected by CEREBRAL PALSY, can use scribe at the Written Examination. In all such cases where a scribe is used, the following rules will apply. (a) the scribe should be from an academic discipline other than that of the candidate and the academic qualification of the scribe should be one grade lower than the stipulated eligibility criteria. (b) the candidate as well as the scribe will have to give a suitable undertaking confirming the rules applicable. 9) If the candidate noticed any discrepancy printed on Hall ticket as to community, date of birth etc., they may immediately bring to the notice of Commissions officials/Chief Superintendent in the exam centre and necessary corrections be made in the Nominal Roll for being verified by the Commissions Office. Para-11: DEBARMENT: a) Candidates should make sure of their eligibility to the post applied for and that the declaration made by them in the format of application regarding their eligibility is correct in all respects. Any candidate furnishing in-correct information or making false declaration regarding his/her eligibility at any stage or suppressing any information is liable TO BE DEBARRED FROM APPEARING FOR ANY OF THE EXAMINATIONS CONDUCTED BY THE COMMISSION, and summarily rejection of their candidature for this recruitment. b) The Penal Provisions of Act 25/97 published in the A.P. Gazette No. 35, Part-IV.B Extraordinary dated: 21/08/1997 shall be invoked if malpractice and unfair means are noticed at any stage of the Recruitment. c) The Commission is vested with the constitutional duty of conducting recruitment and selection as per rules duly maintaining utmost secrecy and confidentiality in this process and any attempt by anyone causing or likely to cause breach of this constitutional duty in such manner or by such action as to violate or likely to violate the fair practices followed and ensured by the Commission will be sufficient cause for rendering such questionable means as ground for debarment. d) Any candidate is or has been found impersonating or procuring impersonation by any person or resorting to any other irregular or improper means in connection with his / her candidature for selection or obtaining support of candidature by any means, such a candidate may in addition to rendering himself/ herself liable to criminal prosecution, will be liable to be debarred permanently from any exam or selection held by the Service Commissions in the country. Para-12: MEMORANDUM OF MARKS: Memorandum of Marks is issued on payment of Rs.25/- (Rupees twenty five only) through crossed Indian Postal Order only drawn in favour of the Secretary, A.P. Public Service Commission, Hyderabad. Request for Memorandum of Marks from candidates, will be entertained within two months from the date of publication of the selections. Such a request must necessarily be

accompanied by a Xerox copy of the Hall-ticket. Request for revaluation or recounting will not be under taken under any circumstances. Invalid, disqualified, ineligible candidates will not be issued any Memorandum of Marks and fees paid by such candidates, if any, will be forfeited to Government account, without any correspondence in this regard. If any candidate fails to mark the Booklet Series, Roll Number etc., in the OMR Answer Sheet, the Commission reserves the right to invalidate such Answer Sheets as Answer Sheets are valued by Optical Mark Scanner. In case of rejection/ invalidation due to omission on the part of the candidate, the decision of the Commission is final and such request for Memorandum of Marks in such cases will be intimated accordingly. No request for reconsideration of such rejected/invalidated cases will be entertained under any circumstances whatsoever. Para-13: COMMISSIONS DECISION TO BE FINAL: The decision of the Commission in all aspects and all respects pertaining to the application and its acceptance or rejection as the case may be, conduct of examination and at all consequent stages culminating in the selection or otherwise of any candidate shall be final in all respects and binding on all concerned, under the powers vested with it under Article 315 and 320 of the Constitution of India. Commission also reserves its right to alter and modify regarding time and conditions laid down in the notification for conducting the various stages up to selection, duly intimating details thereof to all concerned, as necessitated as warranted by any unforeseen circumstances arising during the course of this process, or as deemed necessary by the Commission at any stage.

HYDERABAD. DATE: 30/03/2007

Sd/SECRETARY

ANNEXURE I

ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

NOTIFICATION NO. 02/2007 SPECIAL RECRUITMENT FOR DISABLED / PHYSICALLY CHALLENGED PERSONS OF JUNIOR LECTURERS IN GOVERNMENT JUNIOR COLLEGES/ LECTUERS IN GOVERNMENT POLYTECHNICS IN APTES / ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H. & M.E. SERVICE Zone-wise provisional break-up of vacancies I. JUNIOR LECTURERS IN GOVERNMENT JUNIOR COLLEGES:
Post Code 01 02 03 04 05 06 07 Subject English Telugu Economics Commerce Mathematics Physics Chemistry Zone V VI I II III IV I V III V V I II VI II V IV VI V Total : No. of vacancies HH-1(L) VH-1(L)(W) HH-1(L) HH-1(L) HH-1(L) HH-1(L) HH-1(L) HH-1(L) HH-1(L) HH-1(L) VH-1(L)(W) HH-1(L) HH-1(L) HH-1(L) VH-1(L)(W) VH-1(L)(W) HH-1(L) HH-1(L) VH-1(L)(W) 19

08 09

Botany Zoology

II.

LECTURERS IN GOVERNMENT POLYTECHNICS IN APTES:

Post Code 10 11 12 13 14 Subject Footwear Technology Bio-Medical Engineering Electronics And Instrumentation Engineering Plastic And Polymers Mining Engineering Zone VI IV V I III Total: No. of vacancies OH-1 OH-1 OH-1 OH-1 OH-1 05

III.

ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H & M.E. SERVICE:
Post Code 15 Subject Assistant Executive Engineers in R&B Department Assistant Executive Engineers in P.H. & M.E. Department Zone IV IV I No. of vacancies HH-1(L) VH-1(L) HH-1(L)

16

Total:

03

Note: 1. The vacancies are notified as per indent of the Unit Officer. 2. The vacancies meant for Disabled / Physically challenged persons Limited recruitment are subject to variation, with reference to vacancy position at any time before or at the time of actual selection. 3. There shall be no Waiting List as per G.O.Ms.No.81 and Rule 6 of APPSC Rules of Procedure. 4. Refer to Rule 1 and NOTE ON IMPORTANT LEGAL PROVISIONS GOVERNING THE RECRUITMENT PROCESS therein, as well as 2,3,4,5,6 in particular and other Rules of this Notification in general, inter alia with all other Rules and references cited herein their original, for full understanding of the recruitment and selection process to fill up the vacancies notified herein.

ANNEXURE II

ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

NOTIFICATION NO. 02/2007 I. SCHEME FOR RECRUITMENT TO THE POST OF JUNIOR LECTURERS IN A.P. INTERMEDIATE EDUCATION SERVICE
Papers PART-A: Written Examination (Objective Type) Paper-1: General Studies Paper-2: Concerned Subject (One only) PART-B: Interview (Oral Test) No.of Questions 150 150 Duration (Minutes) 150 150 Maximum Marks 150 300 50

1. The Candidates have to choose one subject from the following for Paper-2: Subject Code 01 03 05 07 09 N.B: 1. 2. Name of the Subject English Economics Mathematics Chemistry Zoology Subject Code 02 04 06 08 Name of the Subject Telugu Commerce Physics Botany

3. 4.

The selections to these posts will be based on the total marks obtained by the candidates at the written examination and oral test taken together subject to the rule of reservation. The eligible candidates will be called for an interview at the ratio of 1:2 with referenced to the number of vacancies duly following the special representation as laid down in General Rule22 and 22-A of A.P. State and Subordinate Service Rules. Appearance to Written Examination and Oral Test is compulsory for final selection. For Paper-2 i.e., concerned subject the candidates have to write the subject of study at Post Graduate level but not other subject

II. SCHEME FOR THE POST OF LECTURERS IN GOVERNMENT POLYTECHNICS (ENGINEERING) IN A.P. TECHNICAL EDUCATION SERVICE

PART-A: Paper-1 Paper-2 PART-B: N.B:

Written (Objective Type) Examination: General Studies Concerned Subject ORAL TEST (Interview) 150 Marks. 300 Marks. 50 Marks 150 Qns. 150 Qns. 150 Minutes 150 Minutes

1. The paper in concerned subject for Engineering streams is of Engineering Bachelors degree standard. 2. The Question papers will be in English only. Subject Code 10 11 12 13 14 Subject Footwear Technology Biomedical Engineering Electronics & Instrumentation Engineering Plastic & Polymers Mining Engineering

III. SCHEME FOR THE POSTS OF ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H. & M.E. ENGINEERING SERVICE
SCHEME:
PART-A WRITTEN (OBJECTIVE TYPE) EXAMINATION

10

PAPER-1: PAPER-2 (Subject) PAPER-3

General Studies Common for Civil & Mechanical Engineering

150 Marks 150 Marks

150 Qns 150 Qns

150 Minutes 150 Minutes

Optional: Civil OR Mechanical Engineering

150 Marks 50 Marks

150 Qns

150 Minutes

PART-B: INTERVIEW

ANNEXURE III

ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

NOTIFICATION NO. 02/2007 LIST OF IDENTIFIED HEAD POST OFFICES FOR SALE OF APPSC APPLICATIONS Sl.No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. Name of the Head Post Office SRIKAKULAM VIZIANAGARAM VISAKHAPATNAM KAKINADA RAJAHMUNDRY ELURU VIJAYAWADA MACHILIPATNAM GUNTUR (ARUNDELPET) ONGOLE NELLORE KURNOOL CUDDAPAH ANANTAPUR CHITTOOR TIRUPATHI MAHABOOBNAGAR SANGAREDDY NALGONDA WARANGAL KHAMMAM NIZAMABAD KARIMNAGAR ADILABAD HYDERABAD SECUNDERABAD Head Office (HO) HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO HO GPO HO

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ANNEXURE-IV LIST OF SCHEDULED CASTES SCHEDULE - I PART A (Substituted with effect from 27-07-1977 through G.O.Ms.No. 838, G.A.(Services-D) Department, dated 15/12/1977)

Scheduled Castes (Definition 28 of rule 2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Adi Andhra Adi Dravida Anamuk Aray Mala Arundhatiya Arwa Mala Bariki Bauri Bedajanagam/ Budga Jangam Bindla Byagara Chachati Chalavadi Chamar, Mochi, Muchi Chambhar Chandala Dakkal, Dokkalwar Dandasi Dhor Dom, Dombara, Paidi, Pano Ellamalwar, Yellammalawandlu Ghasi, Haddi, Relli, Chachandi Godagali Godari Gosangi Holeya Holeya Dasari Jaggali Jambuwulu Kolupulvandlu 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Madasi Kuruva, Madari Kuruva Madiga Madiga Dasu, Mashteen Mahar Mala Mala Dasari Mala Dasu Mala Hannai Malajangam Mala Masti Mala Sale Netkani Mala Sanyasi Mang Mang Garodi Manne Mashti Matangi Mahter Mitha Ayyalvar Mundala Paky, Moti, Thoti Pambada, Pambanda Pamidi Panchama, Pariah Relli Samagara Samban Sapru Sindhollu, Chindollu SC converts to Budhism omitted vide G.O.Ms.No. 476, GA (Ser.D) Department, dt. 15/11/97.

12

LIST OF SCHEDULED TRIBES PART B Scheduled Tribes (Definition 29 of rule 2 of General Rules)
1. Andh 3. Bhil 5. Gadabas 7. Goudu (in the Agency tracts) 9. Jatapus 11. Kattunayakan 13. Konda Dhoras 15. Konda Reddis 2. Bagata 4. Chanchu, Chenchwar 6. Gond, Naikpod, Rajgond 8. Hill Reddis 10. Kammara 12. Kolam, Mannevarlu 14. Konda Kapus 16. Kodhs, Kodi, Kodhu, Desaya, Kondhs, Dongria, Kondhs, Kuttiya, Khonds, Tikiria Khondhs, Yenity Khonds 18. Koya Goud, Rajah, Rasha Koya, Lingadhari Koya (Ordinary), Kottu Koya, Bhine Koya, Raja Koya 20. Malis (excluding Adilabad, Hyderabad, Karimnagar, Khammam, Mahabubnagar, Medak, Nalgonda, Nizamabad and Warangal District) 22. Nayaks (in the Agency tracts) 24. Pardhan 26. Reddi Dhoras 28. Savaras, Kapu Savaras, Maliya Savaras, Khutto Savaras 30. Thoti (in Adilabad, Hyderabad, Karimnagar, Khammam, Mahabubnagar, Medak, Nalgonda, Nizamabad and Warangal Districts) 32. Yenadis

17. Kotia, bentheo, Oriya, Batrika, Dhulia, Dulia, Holva, Paika Putiya, Sanrona, Sidhopaiko 19. Kulia

21. Manna Dhora 23. Mukha Dhora, Nooka Dhora 25. Porja, Parangi Perja 27. Rona, Rena 29. Sugalis, Lambadis

31. Valmiki (in the Agency tracts) 33. Yerukulas

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LIST OF BACKWARD CLASSES PART C BACKWARD CLASSES ( Definition 7 of Rule 2) GROUP- A 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 18-A 19. 19-A 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. Agnikulakshatriya, Palli, Vadabalija, Besta jalari, Gangavar, Gangaputra, Goondla, Vanyakulakshatriya (Vannekapu, Vannereddi, Pallikapu, Pallireddy), Neyyala and Pattapu Balasanthu, Bahurupi Bandara Budabukkala Chopamari Dasari (formerly addicted to crimes and beggary) Dommara Gangiredlavari Gudala Jangam (whose traditional occupation is begging) Jogi Joshinandiwalas Kaikadi Kanjara Bhatta Katipapala Kepamora or Reddika Kalinga (Kinthala) (omitted vide G.O.Ms.No. 701, G.A.(Ser.D) Dept., dated:12/11/1980 w.e.f. 07/03/1980) Korecha Kunapuli ( ) Omitted in G.O.Ms.No. 290, G.A. (Ser.D) Dept., dated: 21/04/1978 w.e.f. 27/07/1977. ( ) Omitted in G.O.Ms.No. 472, G.A. (Ser.D) Dept., dated: 11/11/1983. Mandula Medari or Mahendra Mehator (Muslim) Mondipatta Mondivaru, Mondibanda, Banda Nakkala Nayi Brahmin (Mangali), Mangala Bhoganti Nokkar Odde (Oddulu, Vaddi, Vaddelu) Pambala Pamula Pardhi (Nirshikari) Pariki Muggula Peddammavandlu, Devaravandlu, Yellammavandlu, Mutyalammavandlu Vamsa Raj Rajaka (Chakali, Vannar) Valmiki boya (Boya, Bedar, Kirataka, Nishadi, Yellapi Pedda Boya) Talayari and Chunduvellu Veeramushti (Nettikotala) Yata ( ) Omitted in G.O.Ms.No. 290, G.A. (Ser.D) Dept., dated: 21/04/1978 w.e.f. 27/07/1977. GROUP B (Vocational) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Achukatlavandlu Aryakshatriya, Muchi (Telugu Speaking), Chittari, Ciniyar, Chitrakara, Nakshas. Devanga Dudekula, Laddaf, Pinjari or Noorbash Ediga, Gowda (Gamalla, Kalalee), Goundla, Settibalija of Vishakhapatnam, East Godavari, West Godavari and Krishna districts. Gandla, Telikula Jandra Karikalabhakthula, Kaikolan or Kaikala (Sengundam or sangunther) Karnabhakthulu Kummara or Kulala, Salivahana Kuruba or Kuruma Nagavaddilu Neelakanthi Nossi or Kurni Padmasali (sati, salivan, pattusali, sanapathulu, shogata Sali) Patkar (Khatri) Perika (Perika, balija, Urasirikshatriya) Srisayana (segidi) Swakulasali Thogata, Thogati or Thogataveerakshtriya Viswabrahmin, Ausula or Kamsali, Kummari, Kanchari Vadla or Vadra or Vadrangi and Silpis

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GROUP C Scheduled Castes converts to Christianity and their progeny (Substituted in G.O.Ms.No.159, G.A.(Ser.D) Dept., dt. 02/04/1981)

GROUP D (Other Classes)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30.

31. 32. 33. 34

Agaru Arekatika, Katika Atagara Bhatraju Chippolu (Mera) Gavara Godaba Halkar Jakkala Jingar Kachi Surya Balija, Ganika Kandra Koppulavelama Kosthi Krishanabalija (Dasari, Bukka) Mali Mathura Mudiraj, Mustrasi, Tenugollu Munnurukapu (Telangana) Nagavamsam (Nagavamsa) vide G.O.Ms.No. 53, BC Welfare Dept., dated:19/09/1996 Nelli Passi Polinativelmas of Srikakulam and Visakhapatnam districts Poosala Rangrez or Bhavasarakshtriya Sadhu Chetty Satani (Chattadasrivaishnava) Tammali Turupukapus or Gajula kapus of Srikakulam, Vizianagaram (inserted in G.O.Ms.No. 700, G.A.(Ser.D) Dept., dated: 12/11/1980 w.e.f. 01/06/1979) and Visakhapatnam districts who are subject to Social customs or divorce and remarriage among their women. Uppara or Sagara Vanjara (Vanjari) Yadava (Golla) Are, Arevallu and Arollu of Telangana District (Added vide G.O.Ms.No. 11, Backward Classes Welfare (C-2) Department, dt. 13/5/2003) (Subject to final orders pending W.P. in A.P. High Court)

Note:

On account of any reason whatsoever in case of any doubt/dispute arising in the matter of Community Status (SC/ST/BC/OC) of any candidate, subject to satisfaction with regard to relevant Rules and Regulations in force the decision of the Commission shall be final in all such cases.

15

FORM FOR COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE

Serial No. S.C. S.T B.C Certificate No: Seal of the Issuing Office District Code: Mandal Code : Village Code :

COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE

(1) This is to certify that Sri/Smt./Kum. _____________________________________________

Son/Daughter of Sri _______________________________ of Village/Town _______________________ Mandal _________________ District _____________________ of the State of Andhra Pradesh belongs to ___________ Community which is recognised as (*) S.C./S.T./B.C. sub-group___________________ The Constitution (Scheduled Castes) Order, 1950 The Constitution (Schedule Tribes) Order, 1950 G.O.Ms.No:1793, Education, dated:25.9.1970 as amended from time to time (BCs.) / S.Cs., S.Ts. list (modification) Order, 1956 S.Cs. and S.Ts. (Amendment) Act, 1976. (2) It is certified that Sri/Smt./Kum. ______________________________________ is a native of

________ Village/Town ________ Mandal ________ District of Andhra Pradesh.

(3) It is certified that the place of birth of Sri/Smt./Kum. ____________________________ is ___________ Village/Town _________ Mandal __________ District of Andhra Pradesh.

(4)

It is certified that the date of birth of Sri/Smt./Kum. _________________________________ is words) ________________________ as per the

____________ Day ______ Month ___ Year ______ (in

declaration given by his/her father/mother/guardian and as entered in the school records where he/she studied.

Signature: Date: Name in Capital Letters: Designation: (seal) Explanatory Note:While mentioning the community, the Competent Authority must mention the sub-

caste (in case of Scheduled Castes) and sub-tribe or sub-group (in case of Scheduled Tribes) as listed out in the S.Cs. and S.Ts. (Amendment) Act, 1976.

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DECLARATION BY THE UN-EMPLOYED who claim fee exemption , in the age group of 18 to 43 years

1. Name of the Candidate

2. Fathers Name

3. Date of Birth & Age

4. Centre for Written Examination

5. Full Postal Address

I hereby declare that I am not working in any Government Department/ Quasi Government/Public Sector/Private Sector. I further declare that the information furnished by me is true and correct and my candidature shall be cancelled at any stage if it is found incorrect.

PLACE DATE

FULL SIGNATURE OF THE CANDIDATE. (Declaration not signed by the candidate will be rejected)

17

SCHOOL STUDY CERTIFICATE

NOTE: Should be obtained from the Head of Educational Institution(s).

Class

Name and Place of School

District

Duration of Study giving month and year

IV

VI

VII

VIII

IX

X or SSC.

STATION: DATE:

Signature of the Head of the Educational Institute(s)

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CERTIFICATE OF RESIDENCE
(To be produced by such candidates who have not studied in any educational Institution during the whole or any part* of the relevant 4/7 years period but claim to be local candidates by virtue of residence for Post Codes for which there is reservation for Local candidates.

It is hereby certified. (a) that Sri/Smt./Kum_______________________________________________________________ S/o. W/o. D/o ._________________________________________appeared for the first time for the Matriculation (S.S.C.) Examination in ________________(Month)___________________(Year).

(b) That he/she has not studied in any educational institution during the whole/or part of the 4/7 consecutive academic years ending with the academic year in which he/she first appeared for the aforesaid examination. (c) that in the 4/7 years immediately preceding the commencement of the aforesaid examination he/she resided in the following place/places namely; Sl.No. 1. 2. 3. 4. 5. Village Mandal District Period

OFFICE SEAL: STATION: DATED: Officer of Revenue Department not below the rank of Mandal Revenue Officer holding independent Charge of a Mandal.

* STRIKE OFF "WHOLE"/PART AS THE CASE MAY BE.

19

MEDICAL CERTIFICATE FOR THE BLIND

Issued under authority Vide G.O.Ms.No. 109, Womens Development, Child Welfare & Labour Department, Dt: 15.6.1992.

Certified that the District Medical Board have this day of 20. Examined the candidate whose particulars are given below: 1. 2. 3. 4. 5. 6. Name of Candidate Fathers Name Sex Approximate Age Identification Marks Extent of Residual Vision, if any i) Right Yet ii) Left Eye Onset of blindness (Please state whether blindness is from birth or acquired later, if it has been caused afterwards, the age and cause of blindness may be indicated). (For all the purposes of assistance, the blind are those who suffer from either of the following) a) b) c) Total Absence of sight Visual acquity not exceeding 6/60 of 20/200 (Snellen) in the better eye with correcting lenses. Limitation of the field of vision substanding an angled 20 degrees of Worse.
Pass Port Size Photograph of the Candidate with the Attestation of the Issuing authority

7.

8.

Please state clearly whether the candidate is blind for all purposes of assistance. Specify whether the candidate is totally blind of Partially blind.

9.

SIGNATURE OF APPLICANT

SIGNATURE OF MEDICAL SUPERINTENDENT, (Seal) District Medical Board.

Signature of Ophthalmologist District Medical Board.

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GOVERNMENT E.N.T. HOSPITAL, HYDERABAD

INSTITUTE FOR EAR, NOSE, THROAT AND HEAD & NECK DISEASES

CERTIFICATE OF HEARING DISABILITY

Govt. of India P.W.D.Act.,1995 Govt. of A.P., G.O.Ms.No.27, WD,CW&DW(DW) Dept., 9.8.2000 Govt. of A.P., G.O.Ms.No.109, WD,CW & L (WH. Desk) Dt:15.6.1992.

Name Date

_______________________________________________ Age ___________ Sex ______ O.P. No. ___________ Diagnosis_________________________

___________

_____________________________ Fathers/Husbands Name __________________________ Identification Marks: 1. 2. ___________________________________ ___________________________________

Pass Port Size Photograph of the Candidate with the Attestation of the Issuing authority

Audiological Findings: Pure Tone Threshold of hearing in Conversational Frequencies Rt. Ear: _______ db; Lt. Ear: _______ db Percentage of Disability ________ % (in words) _______________________________________________

Signature/Thumb impression of Disabled Person. Certified that ____________________________________________________ Son/Daughter/Wife of ________________________________________ has ________ % (in words) _____________________ of Hearing Disability. He/She belongs to the category _____________ (in words) _____________________ of MILD/MODERATE/SEVERE/PROFOUND - Hearing Disability.

AUDILOGIST & SPEECH PATHOLOGIST

ENT SURGEON

ENT SURGEON

The details of the benefits offered for each category of the disability are available at the back of the Certificate.

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HEARING ASSESSMENT
Name __________________________________________________ Age _____________ Sex _________ Date: _______________ O.P. No. ________________ AUDIOGRAM FREQUENCY IN HERTZS
125 250 500 750 1000 1500 2000 3000 4000 6000 8000

-10 0 10 20 30 40 50 60 70 80 90 100 110 120

THREE FREQUENCY AVERAGE

HEARING THRESHOLD LEVEL IN dB

Right ear ____ db ____% Left ear _____db ____% Percentage of Hearing Disability _____ % in words

HEARING ASSESSMENT OF THE CHILD

Threshold of Hearing ___ db Percentage of Disability ____% in words _____________

ASSESSMENT OF SPEECH: BENEFITS OFFERED Category I II III Disability Mild Moderate Severe Percentage Less than 40% 40% and above 75% and above Benefits * No special benefits * Hearing aid at free of cost or concessional rates * Hearing aid at free of cost or concessional rates * Job reservation * Benefit of special employment exchange * Scholarships * Single language formula * Hearing aids * Facilities of reservation * special employment exchange * Special facilities in Schools like Scholarships, hearing aids * Exemption from 3 language formula

IV

Profound

100%

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MEDICAL CERTIFICATE IN RESPECT OF ORTHOPAEDICALLY HANDICAPPED CANDIDATES

Issued under authority Vide G.O.Ms.No. 109, Womens Development, Child Welfare & Labour Department, Dt: 15.6.1992. For all the purpose of assistance the Orthopaedically Handicapped are those who have physical defect or deformity which cause an interference with the normal functioning of bones, muscles and joints. Certified that the District Medical Board have this .. day of .20have examined the applicant whose particulars are given below and that he/she falls within the above definition: 1. 2. 3. 4. 5. Name of Candidate Fathers Name Sex Approximate Age Identification Marks
Pass Port Size Photograph of the Candidate with the Attestation of the Issuing authority

6.(a) Name of Disability: Tick the relevant from following list) Post-Polio Paralysis, Hemiplegia, Quadra-Rlegia Malunitied fracture, Nerve paralysis, Upper extremity, Lower Extremity Limp Painful shortening, Deformity Congenital Acquired above knee, below knee, Hip Hemipeelvectomy, Symes cheoparts, Writ Fingers, Below elbow, Above elbow, Shoulders, Fore quarter, Unilateral Bilateral (b) Extent Disability: Estimate in percentage (Me-Bride-scale) on Anatomical functional, (Patient's Assessment, Examiner's Assessment) Economical Basis mention as percentage (Specific Percentage has to be mentioned) (c) Use of appliance: (Tick relevant from following list) Calliper, Crutch, Above knee, Below knee, Prosthesis, Cans, Unilateral, Bilateral Shoulder DisArticulation (d) Any Operation done or indicated: (e) Photograph (Attested) To show the nature of disability and Any appliance if used. 7. Any other particulars to clarify the nature And extent of disability that the Surgeon Might like to point out.

SIGNATURE OF APPLICANT

SIGNATURE OF MEDICAL SUPERINTENDENT, (Seal) Medical Board.

Signature of Orthopedic Surgeon (with seal) Medical Board.