WWW - Nmk.co - In: The New India Assurance Company LTD
WWW - Nmk.co - In: The New India Assurance Company LTD
WWW - Nmk.co - In: The New India Assurance Company LTD
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 DatesOn-line registration and payment of
application fees
SC
ST
OBC*
UR
PWD
HI
VI
OC
300
43
15
84
158
k.
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
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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.
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 t h 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 years gross salary paid to them during the year of
Category
Age
relaxation
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2
3
4
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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.
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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 reemployment, 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 exserviceman, 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
7. Definitions
A.
EX-SERVICEMEN (EXSM): Only those candidates shall be treated as Exservicemen who fulfill the revised definition as laid down in Government
of India, Ministry of Home Affairs, Department of Personnel &
Administrative Reforms Notification No.36034/5/85 Estt. (SCT) dated
27.01.1986 as amended from time to time.
B.
C.
Those candidates who use a scribe shall be eligible for compensatory time
of 20 minutes for every hour of the examination.
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.
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The candidate will have to arrange his / her own scribe at his/her own
cost.
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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.
There is no reservation for Ex-servicemen in Officers Cadre.
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The deaf are those persons in whom the sense of hearing is nonfunctional for ordinary purposes of life i.e. total loss of hearing in both
ears. They do not hear; understand sounds at all even with amplified
speech. Hearing impairment means loss of sixty decibels or more in the
better ear in the conversational range of frequencies.
III. Orthopedically Challenged (OC)
Type of
test
Max.
Marks
English Language
Objective
30
Reasoning Ability
Objective
35
Quantitative Aptitude
Objective
35
Total
Duration
Version
English
1 hour
Eng/Hin
Eng/Hin
Main Examination will consist of Objective Tests for 200 marks and Descriptive
Test for 30 marks. Both the Objective and Descriptive Tests will be online.
Candidates will have to answer Descriptive Test by typing on the computer.
Immediately after completion of Objective Test, Descriptive Test will be
administered.
(I) Objective Test: The Objective Test of 2 hours duration consists of 4 sections
for total 200 marks.
Name of Test (not in
sequence)
50
Eng/ Hindi
Objective
50
Eng
Objective
50
Eng/ Hindi
120
Objective
50
Eng/ Hindi
min
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200
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1 Test of Reasoning
Total (Aggregate)
100
S.
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(ii) Descriptive Test: The Descriptive Test of 30 minutes duration with 30 marks
The candidates are advised to ensure that they fulfill the requirements of age
and qualification (final result for the qualification must have been published on
or before 01.10.2016) before they apply. If a candidate is found ineligible,
his/her candidature will be cancelled at any stage of recruitment. Appearing in
the ONLINE EXAMINATION(S) & INTERVIEW will not automatically confer any
right of being selected for the said post.
Please note that candidates will not be permitted to appear for the online
examination without the following documents:
(1) Valid Call Letter for the respective date and session of Examination
(2) Photo-identity proof (as specified) in original bearing the same name and
other information as it appears on the call letter/ application form and
(3) Photocopy of the above photo-identity proof (as detailed below*)
*IDENTITY VERIFICATION
In the examination hall as well as at the time of interview, the call letter along
with the original and a photocopy of the candidates currently valid photo
identity such as PAN Card/ Passport/ Driving License/ Voters Card/ Bank
Passbook with photograph/ Photo identity proof issued by a Gazzetted Officer
on official letterhead/ Photo identity proof issued by a Peoples Representative
on official letterhead/ valid recent Identity Card issued by a recognized college/
university/ Aadhar card with a photograph/ Employee ID/ Bar Council Identity
card with photograph should be submitted to the invigilator and the original
shall be produced for verification. The candidates identity will be verified with
respect to his/her details on the call letter, in the Attendance List and requisite
ii)
iii) Proof of Date of Birth (Birth Certificate issued by the Competent Municipal
Authorities or SSLC/ Std. X Certificate with DOB)
vi) Caste Certificate, along with caste validity certificate, issued by the
competent authority in the prescribed format as stipulated by
Government of India in the case of SC / ST / OBC category candidates.
In case of candidates belonging to OBC category, certificate should
specifically contain a clause that the candidate does not belong to creamy
layer section excluded from the benefits of reservation for Other Backward
Classes in Civil posts & services under Government of India. OBC caste
certificate containing the Non-creamy layer clause should be valid as on
the date of online registration as given in point no. 13(b) of this
advertisement. Caste Name mentioned in certificate should tally letter by
letter with Central Government list / notification.
Candidates belonging to OBC category but coming under creamy layer
and/ or if their caste does not find place in the Central List are not entitled
to OBC reservation. They should indicate their category as General in the
online application form.
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It has been decided to capture the biometric data (left thumb impression or
otherwise) and the photograph of the candidates on the day of the Main
Examination (Phase-II) for the candidates who qualify after the preliminary
examinations (Phase-I) and appear for the main examination (Phase-II). The
biometric data and photograph will be verified on two occasions - On the day of
interview of qualifying candidates and at the time of joining of provisionally
selected candidates. Decision of the Biometric data verification authority with
regard to its status (matched or mismatched) shall be final and binding upon the
candidates.
Candidates are requested to take care of the following points in order to ensure
a smooth process
If fingers are coated (stamped ink/mehndi/coloured...etc), ensure to
thoroughly wash them so that coating is completely removed before the
exam / interview / joining day
If fingers are dirty or dusty, ensure to wash them and dry them before the
finger print (biometric) is captured
Ensure fingers of both hands are dry. If fingers are moist, wipe each finger to
dry them
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Candidates reporting late i.e. after the reporting time specified on the call
letter for Examination will not be permitted to take the examination. The
reporting time mentioned on the call letter is prior to the start time of the
test(s). Though the duration of the examination is 1 hour for Phase-I & 2 hours
for Phase-II, candidates may be required to be at the venue for a longer duration
for completion of various formalities such as verification and collection of
various requisite data/documents, logging in, giving of instructions, etc.
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Note: Candidates have to produce, in original, the photo identity proof and
submit photocopy of the same along with Examination call letter as well as the
Interview Call Letter while attending the examination/ interview, without which
they will not be allowed to appear for the examination/ interview. Candidates
must note that the name as appearing on the call letter (provided during the
process of registration) should exactly match the name as appearing on the
photo identity proof. Female candidates who have changed first/last/middle
name post marriage must take special note of this. If there is any mismatch
between the name indicated in the Call Letter and Photo Identity Proof the
candidate will not be allowed to appear for the examination.
Persons eligible for age relaxation under point 6 (6) above must produce
the domicile certificate at the time of interview from the District
Jurisdiction where he / she had ordinarily resided or any other authority
designated in this regard by the Government of Jammu & Kashmir to the
effect that the candidate had ordinarily domiciled in the State of J&K
during the period from 01.01.80 to 31.12.89.
Rajahmundry,Srikakulam,Tirupati,Vijaywada,
Vishakhapatnam, Vizianagaram
All candidates
other than SC/ ST / PWD
Arunachal
Pradesh
14
Assam
15
Bihar
16
17
19
Chandigarh
Chhattisgarh
Dadra & Nagar
Haveli
Daman & Diu
20
Delhi
21
Goa
22
Gujarat
23
Haryana
24
Himachal
Pradesh
18
25
26
27
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SC/ ST / PWD
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29
30
31
32
33
34
35
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Note: If sufficient numbers of candidates do not opt for a particular centre for
"Online" examination, Company reserves the right to allot any other adjunct
centre to those candidates OR if the number of candidates is more than the
capacity available for online exam for a centre, Company reserves the right to
allot any other centre to the candidate.
37
40
State
State /UT / NCR Centres (Phase-I)
Code
Andaman &
11
Port Blair
Nicobar
Chirala,Chittoor,Guntur,
12
Andhra Pradesh Hyderabad,Kakinada,Kurnool,
Nellore,Ongole,Puttur,
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Note: Candidate will not be allowed to appear for the interview if he/ she fails
to produce the relevant eligibility documents as mentioned above
38
39
41
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Jammu &
Kashmir
Jharkhand
Itanagar,Naharlagun
Dibrugarh,Guwahati,Jorhat,
Kokrajhar,Silchar,Tezpur
Arrah,Aurangabad,Bhagalpur, Bihar
Sharif,Darbhanga,Gaya,
Hajipur,Muzzafarpur,Patna,
Purnea,Samastipur,Siwan
Chandigarh
Bhilai,Bilaspur,Raipur
Surat
Jamnagar,Surat
Bahadurgarh,Delhi,Faridabad, Ghaziabad,
Greater Noida,Gurgaon
Panaji,Verna
Ahmedabad,Anand,Gandhinagar,Himatnagar,
Jamnagar,Mehsana, Rajkot,Surat,Vadodara
Ambala,Hissar,Karnal,Kurukshetra,Palwal,Panipat,
Sonipat,Yamuna- Nagar
Baddi,Bilaspur,Dharamshala,
Hamirpur,Kangra,Kullu,Mandi,
Shimla,Sirmaur,Solan,Una
Jammu,Kathua,Samba
Bokaro,Dhanbad,Hazaribagh, Jamshedpur,Ranchi
Belgaum,Bengaluru,Bidar,
Karnataka
Gulbarga,Hubli,Mangalore, Mysore,Shimoga,Udipi
Alappuzha,Kannur,Kochi,Kollam,
Kerala
Kottayam,Kozhikode, Malappuram,Palakkad,
Thiruvananthpuram, Thrichur
Lakshwadweep Kavarrati
Madhya
Bhopal,Gwalior,Indore,Jabalpur, Sagar,Satna,Ujjain
Pradesh
Amaravati,Aurangabad, Chandrapur,Dhule,Jalgaon,
Kolhapur,Latur,Mumbai/Thane/ Navi
Maharashtra
Mumbai,Nagpur,Nanded,
Nasik,Pune,Ratnagiri,Sangli, Satara
Manipur
Imphal
Meghalaya
Ri-Bhoi,Shillong
Mizoram
Aizawl
Nagaland
Kohima
Angul,Balasore,Bargarh,Baripada,
Odisha
Berhampur(Ganjam), Bhubaneshwar,Cuttack,
Dhenkanal, Jharsuguda,Rourkela ,Sambalpur
Puducherry
Puducherry
Amritsar,Bhatinda,Fategarh Sahib
Punjab
,Jalandhar,Ludhiana,Mohali,
Pathankot,Patiala,Phagwara, Sangrur
Ajmer,Alwar,Bhilwara,Bikaner,
Rajasthan
Jaipur,Jodhpur,Kota,Sikar,Udaipur
Sikkim
Gangtok
Chennai,Coimbatore,Dindigul,
Krishnagiri,Madurai,Nagercoil,
Tamilnadu
Namakkal,Perambalur,Salem,
Thanjavur,Thiruchirapalli,
Thoothukodi,Tirunelvelli,Vellore
Telangana
Hyderabad,Karimnagar, Khammam,Warangal
Tripura
Agartala
Uttar Pradesh Agra,Aligarh,Allahabad,Bareilly,
46
West Bengal
Application Registration
B.
Payment of Fees
C.
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ii.
5.
The Name of the candidate and his /her Father/ Husband etc. should
be spelt correctly in the application and should be the same as it
appears in the Certificates/ Mark sheets as well as on the photo id.
Any change/alteration found may disqualify the candidature.
6.
Validate your details and Save your application by clicking the 'Validate
your details' and 'Save & Next' button.
7.
8.
9.
Click on the Preview Tab to preview and verify the entire application
form before FINAL SUBMIT.
10.
11.
12.
k.
Candidates can apply online only from 14.10.2016 to 01.11.2016 and no other
mode of application will be accepted.
4.
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Have a valid personal email ID and mobile no., which should be kept
active till the completion of this Recruitment Process. All official
communication will be sent to the registered e-mail id of the candidate.
In case a candidate does not have a valid personal e-mail ID, he/she
should create his/her new e-mail ID and mobile no. before applying online and must maintain that email account and mobile number.
A. Application Procedure
in
Uttarakhand
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45
Bulandhshaher,Gorakhpur,Jhansi,Kanpur,Lucknow,
Mathura, Meerut,Moradabad,
Muzaffarnagar,Unnao,Varanasi
Dehradun,Haldwani,Haridwar, Roorkee
Asansol,Bardhaman,Berhampur,
Durgapur,GreaterKolkata,Hooghly,Howrah,
Kalyani,Kolkata,Siliguri
1.
2.
3.
7. For Credit Card users: All charges are listed in Indian Rupee. If you use a
non-Indian credit card, your bank will convert to your local currency
based on prevailing exchange rates.
8. To ensure the security of your data, please close the browser window
once your transaction is completed.
9. There is facility to print application form containing fee details after
payment of fees.
*Please see point C above for the pixel size+ in the 'Image' menu.
Similar options are available in other photo editor also.
PHOTOGRAPH IMAGE
There will be two separate links for uploading Photograph and Signature.
Click on the respective link "Upload Photograph / Signature".
Browse & Select the location where the Scanned Photo/ Signature file
has been saved.
Select the file by clicking on it.
Click the 'Upload' button
NOTE: Please note that all the particulars mentioned in the online
application including Name of the Candidate, Category, Date of Birth,
Address, Mobile Number, Email ID, Centre of Examination, etc. will be
considered as final and no change/modifications will be allowed after
submission of the online application form. Candidates are hence advised to
fill in the online application form with utmost care as no correspondence
regarding change of details will be entertained. The Company will not be
responsible for any consequences arising out of furnishing of incorrect
and/or incomplete details in the application or omission to provide the
required details in the application form.
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If the file size and format are not as prescribed, an error message will be
displayed.
While filling in the Online Application Form the candidate will be provided
with a link to upload his photograph and signature.
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SIGNATURE IMAGE
The applicant has to sign on white paper with Black Ink pen.
The signature must be signed only by the applicant and not by any other
person.
The Signature will be used to put on the call letter and wherever
necessary.
The Applicants signature obtained on the call letter and attendance
sheet at the time of the examination should match the uploaded
signature. In case of mismatch, the candidate may be disqualified.
Dimensions 140 x 60 pixels (preferred).
Size of file should be between 10kb 20kb.
Ensure that the size of the scanned image is not more than 20KB.
SCANNING THE PHOTOGRAPH & SIGNATURE
Set the scanner resolution to a minimum of 200 dpi (dots per inch).
Set Color to True Color
File Size as specified above.
Crop the image in the scanner to the edge of the photograph/signature,
then use the upload editor to crop the image to the final size (as
specified above).
The image file should be JPG or JPEG format. An example file name is:
image01 .jpg or image01 .jpeg Image dimensions can be checked by
listing the folder files or moving the mouse over the file image icon.
Candidates using MS Windows/MS Office can easily obtain photo and
signature in .jpeg format not exceeding 50KB & 20KB respectively by
using MS Paint or MS Office Picture Manager. Scanned photograph and
signature in any format can be saved in .jpg format by using 'Save As'
option in the File menu and size can be reduced below 50KB
(photograph) & 20KB (signature) by using crop and then resize option
b)
c)
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.
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c)
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b)
c)
d)
e)
f)
While applying on-line for the post, the applicant should ensure that
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)
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)
l)
r)
s)
t)
u)
i)
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ii)
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g)
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m)
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)
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)
w)
Mumbai
10.10.2016
10
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:: 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 ___________________
[With seal of Office]
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Place:
Date :
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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 :
District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner /
Deputy Collector/I Class Stipendiary Magistrate / Sub-Divisional Magistrate / Extra-Asst. Commissioner / Taluka Magistrate /
Executive Magistrate.
2.
3.
4.
Sub-Divisional Officers of the area where the candidate and / or his family normally resides.
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12
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 &
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Dated:
District Magistrate
Deputy Commissioner etc.
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*- 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.
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Note:- The term Ordinarily used here will have the same meaning as in Section 20 of the Representation of the people Act, 1950.
13
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 :
in
Age ________ years, male/female Registration No. __________________________ permanent resident of House
No.______________________ Ward/Village/Street ___________________________________________ Post Office
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(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)
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The applicant has submitted the following documents as proof of residence :Nature of Document
Date of
Issue
2.
Signature/Thumb
impression of the
person in whose
favour disability
certificate is
issued.
(Signature and Seal of Authorised Signatory of notified Medical Authority)
14
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 :
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Disability
Affected Part of
Body
Locomotor disability
Low vision
Blindness
Hearing impairment
Mental retardation
Mental-illness
Permanent
physical
impairment/mental disability (in %)
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Diagnosis
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Sr.
No.
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(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 :
Both Eyes
(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.
3. Reassessment of disability is :
(i) not necessary,
Or
15
:: 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
The applicant has submitted the following documents as proof of residence :Nature of Document
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in
5.
Date of
Issue
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.
4.
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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 :
in
co
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k.
percentage physical impairment/disability has been evaluated as per guidelines (to be specified) and is shown
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Affected Part of
Body
Locomotor disability
Low vision
Blindness
Hearing impairment
Mental retardation
Mental-illness
Diagnosis
Permanent
physical
impairment/mental disability (in %)
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Sr.
No.
Both Eyes
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
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:: 2 ::
4.
The applicant has submitted the following documents as proof of residence :Nature of Document
Date of
Issue
co
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in
Countersigned
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Signature/Thumb
impression of the
person in whose
favour disability
certificate is issued.
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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.
18
PROFORMA - A
Form of Certificate applicable for Released/Retired Personnel
It
is
certified
whosedate of
that
Birth is
No.
____________Rank
__________has
__________
rendered
Service from
Name
______________________
_________to ________ in
Army/Navy/Air Force.
2.
by way of dismissal, or
(ii)
in
co
.
(iv) he has not been transferred to the reserve pending such release.
%b) on account of physical disability attributable to 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.
Date:
Place :
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k.
%c)
Signature,
Name
Competent Authority **
and
Designation
of
the
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 - B
It is certified that No. ____________ Rank __________ Name __________________________________ is serving in the
2.
on
completion
of
his
specific
period
of
assignment
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in
3.
He is
due
for release/retirement
on or before 30.09.2017.
k.
Place :
Competent Authority **
SEAL
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Date:
** 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.
20
PROFORMA - C
in
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.
co
.
Place :
Date :
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k.
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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.
co
.
in
_____________
There is no objection to his applying for civil employment and he will be released on three months notice on selection from the
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k.
SEAL
Date :
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Place :
** 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.
22
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.
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_____________________________________________________________________________________
Please fill up the DECLARATION and submit along with the call letter.
_____________________________________________________________________________________
DECLARATION
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.
23
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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.
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Postal address:
Registration No:
Roll No:
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k.
Educational Qualification
of the Scribe:
Postal address:
PHOTO
OF
THE SCRIBE
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____________________________
Signature of Invigilator
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