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    ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

    N O T I F I C A T I O N N O . 0 2 / 2 0 0 7

    SPECIAL RECRUITMENT FOR DISABLED / PHYSICALLY CHALLENGED PERSONS OFJUNIOR LECTURERS IN GOVERNMENT JUNIOR COLLEGES/ LECTUERS IN GOVERNMENT

    POLYTECHNICS IN APTES / ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERINGSERVICE AND P.H. & M.E. SERVICE

    Para 1:

    Applications are invited for Direct Recruitment from eligible candidates with effect from 25/04/2007 inthe 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. JUNIOR LECTURERS IN A.P. INTERMEDIATE EDUCATION SERVICE

    PostCode

    Name of the Subject No. of provisionalvacancies

    Age as on01/07/2007

    Scale of PayRs.

    01 ENGLISH HH-1VH-1(W)

    02 TELUGU HH-203 ECONCOMICS HH-204 COMMERCE HH-205 MATHEMATICS HH-106 PHYSICS HH-1

    VH-1(W)07 CHEMISTRY HH-3

    VH-1(W)08 BOTANY VH-1(W)09 ZOOLOGY HH-2

    VH-1(W)TOTAL 19

    18-43(See Para-3)

    9285-19775(Revised PayScales 2005)

    II. LECTURERS IN GOVERNMENT POLYTECHNICHS (ENGINEERING) IN A.P.TECHNICAL EDUCATION SERVICE

    PostCode

    Name of the Subject No. of provisionalvacancies

    Age as on01/07/2007

    Scale of PayRs.

    10 FOOTWEARTECHNOLOGY

    OH-1

    11 BIO-MEDICALENGINEERING

    OH-1

    12 ELECTRONICS ANDINSTRUMENTATIONENGINEERING

    OH-1

    13 PLASTIC ANDPOLYMERS

    OH-1

    14 MINING ENGINEERING OH-1TOTAL 05

    18-45(See Para-3)

    10845-22955(Revised PayScales 2005)

    III. ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H &M.E. SERVICE

    PostCode

    Name of the Subject No. of provisionalvacancies

    Age as on01/07/2007

    Scale of PayRs.

    15 Assistant ExecutiveEngineers in R&BDepartment

    HH-1VH-1

    16 Assistant ExecutiveEngineers in P.H. &M.E. Department

    HH-1

    TOTAL 03

    18-33

    (See Para-3)

    9285-19775(Revised PayScales 2005)

    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 THECOMMISSION 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 APPLICATIONFORM WILL BE REJ ECTED. THE PARTICULARS WRITTEN THEREIN SHALL BEPROCESSED THROUGH THE COMPUTER AND DECIDED THE ELIGIBILITY IN TERMS OFNOTIFICATION AND CONFIRMED ACCORDINGLY

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    3. DO NOT ENCLOSE ANY CERTIFICATES TO THE APPLICATION (I.C.R./ O.M.R.) FORM.4. ALL THE CERTIFICATES ISSUED BY THE COMPETENT AUTHORITY SHALL

    COMPULSORILY BE KEPT WITH THE CANDIDATES TO PRODUCE AS AND WHENREQUIRED.

    5. THE CANDIDATE SHOULD NOT FURNISH ANY PARTICULARS THAT ARE FALSE,TAMPERED, FABRICATED OR SUPPRESS ANY MATERIAL INFORMATION WHILE FILLINGUP THE APPLICATION (ICR/OMR) FORM.

    IMPORTANT NOTE: The category of posts and any variation in number of vacancies are subject toclarification from the Government/Departments concerned. The vacancies in zones andcategories/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 bythe Unit Officer, till such time as decided by the Commission and in any case, no cognizance will betaken by Commission of any vacancies arising or reported after the completion of the selection andrecruitment 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 referenceto 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 MedicalCertificates shall be referred to the State Appellate Medical Board Authority, whenever any doubtaroses 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. PublicEmployment (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 40percent of posts are open posts for which Local and Non-Local has to be considered on the basis ofcombined merit list.

    For PC Nos. 10 to 14 : Reservation for local candidate is not applicable though the posts areorganised 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 preferencegiven 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 legalprovisions in this regard to conduct examination for appointment to the posts notified herein, dulyfollowing the principle of order of merit as per Rule 3(vi) of the APPSC Rules of Procedure read withrelevant statutory provisions and ensuring that the whole recruitment and selection process is carriedout with utmost regard to maintain secrecy and confidentiality so as to ensure that the principle ofmerit 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 formatters 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 howeverrequired to inform in writing, their Head of Office/ Department, that they have applied for thisrecruitment.

    Para-2: EDUCATIONAL QUALIFICATIONS:

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

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    I. JUNIOR LECTURERS IN A.P. INTERMEDIATE EDUCATION SERVICE

    PostCode

    Name of the Subject Educational Qualifications

    01 ENGLISH02 TELUGU

    03 ECONCOMICS04 COMMERCE05 MATHEMATICS06 PHYSICS07 CHEMISTRY08 BOTANY09 ZOOLOGY

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

    II. LECTURERS IN GOVERNMENT POLYTECHNICHS (ENGINEERING) IN A.P.TECHNICALEDUCATION SERVICE:

    PostCode

    Name of the Subject Educational Qualifications

    10 FOOTWEARTECHNOLOGY

    A Degree in Footwear Technology (B.E./ B.Tech.) with not less than55% of marks for PH candidates belonging to SC/ST. For other PHcandidates 1st Class in the Subject.

    11 BIO-MEDICALENGINEERING

    A Degree in Bio-Medical Engineering (B.E./ B.Tech.) with not less than55% of marks for PH candidates belonging to SC/ST. For other PHcandidates 1st Class in the Subject.

    12 ELECTRONICS ANDINSTRUMENTATIONENGINEERING

    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.

    13 PLASTIC ANDPOLYMERS

    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 PHcandidates 1st Class in the Subject. ORA Degree in Chemical Engineering and with Post Graduation Degree in

    Engineering/ Technology with Plastic & Polymers as specialization. Inrespect of PH candidates belonging to SC/ST a Degree in the aboveEngineering Branch with not less than 55% of marks. For other PHcandidates 1st Class in the Subject.

    14 MINING ENGINEERING B.E/ B.TECH in Mining Engineering with not less than 55% of marks forPH candidates belonging to SC/ST. For other PH candidates 1st Classin the Subject.

    III. ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H & M.E.SERVICE

    PostCode

    Name of the Post Educational Qualifications

    15 Assistant ExecutiveEngineers in R&BDepartment

    B.E/ B.Tech/ AMIE (A&B) Civil Engineering Branch as recognizedby UGC or its equivalent qualification.

    16 Assistant ExecutiveEngineers in P.H. &M.E. Department

    B.E/ B.Tech/ AMIE (A&B)/ B.Sc (Engineering) in Civil or MechanicalEngineering Branch as recognized by UGC or its equivalentqualification.

    Para-3: AGE: For PC Nos. 01 to 09 and 15, 16: Minimum 18 years & Maximum 43 years and forPost 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 INTWO 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 ANDORAL MARKS PUT TOGETHER.

    1. Only those candidates who qualify in the Written Examination by being ranked high will becalled for interview in 1:2 ratio. The minimum qualifying marks for interview / selection are 30% or asper rules.

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    2. The candidates will be selected and allotted to Service/ Department as per their rank in themerit list and as per zonal preference for allotment of candidates against vacancies and for thevacancies available.3. The appearance in all the papers at the Written Examination and also for interview in casecalled upon, if qualified, as per rules is compulsory. Absence in any of the above tests willautomatically render his candidature as disqualified.

    4. Candidates have to produce Original documents and other particulars for verification as andwhen required and called for. If the particulars furnished in the application do not tally with theOriginal documents produced by the candidate, the candidature will be rejected. As candidature forthe recruitment is processed through Computer/Electronic devices on the particulars furnished in theapplication 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/ citycadre etc., in the application form, it is hereby clarified that the said preferences are only indicativefor being considered to the extent possible but not binding or limiting the Commissions powersenjoyed under Article 315 and 320 of the Constitution of India. Therefore, the Commission has thepower to assigning a successful candidate to any of the notified posts for which he is considered bythem to be qualified and eligible, subject to fulfilling the selection criterion. Mere claim of preferencefor 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 ofHyderabad.)6. The appointment of selected candidates will be subject to their being found medically fit in theappropriate medical classification.

    Para-6: SCHEME OF EXAMINATION: The Scheme and Syllabus for the Written Examination hasbeen shown in Annexure-II. The Written Examination will be in Objective Type. The candidate has toappear for (i) General Studies Paper and (ii) Subject (concerned) Paper for PC Nos. 01 to 14 and for PCNos. 15 and 16 the candidate has to appear for (i) General Studies Paper (ii) Common paper Civil andMechanical and (iii) Civil or Mechanical Paper. The appearance at all the papers in the WrittenExamination is compulsory for considering for Oral Test (Interview) and also for Oral Test(interview), incase 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. Handwritten/ Typed/ Photostat copies/ outside printed Application (I.C.R. / O.M.R.) Form willnot 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 10-30AM to 5-00 PM till the last date,

    ORYou can also submit your filled in application (I.C.R. / O.M.R.) Form at any of the Head PostOffices as listed in Annexure-III by paying required postal charges (i.e., different from theHead Post Office from which you may have purchased, point of submission can be differentfrom 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. 15and 16.

    ii) Please do not fold the application form under any circumstances, as the particulars furnishedtherein 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 anyHead Post Office, put it in the envelope attached to the Special Bulletin of UdyogaSamacharam duly obtaining the acknowledgement and preserve it for future use.

    iv) Only candidates willing to serve anywhere in Andhra Pradesh should apply in case ofselection 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 tolocate your application in the Office. Therefore, photocopy/ non-standard/ outside printedforms 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 thediscretion 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.

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    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 theirown interest and superscribe the envelope appropriately .

    4. The particulars furnished by the applicant in the Application (I.C.R. / O.M.R.) Form will betaken 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 APPLICATIONSRECEIVED AFTER DUE DATE WILL BE SUMMARILY REJ ECTED. THE INFORMATION IF ANYFURNISHED BY THE CANDIDATE SUBSEQUENTLY WILL NOT BE ENTERTAINED BY THECOMMISSION UNDER ANY CIRCUMSTANCES. THE COMMISSION WILL NOT BERESPONSIBLE FOR POSTAL LOSS OR TRANSIT DELAY. APPLICANTS SHOULD BE CAREFULIN FILLING-UP OF THE APPLICATION AND SUBMISSION. IF ANY LAPSE IS DETECTED DURING

    THE SCRUTINY, THE CANDIDATURE WILL BE REJ ECTED EVEN THOUGH HE/SHE COMESTHROUGH 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 thisexamination. NO RELEVANT COLUMN OF THE APPLICATION (I.C.R. / O.M.R.) FORMSHOULD BE LEFT BLANK, OTHERWISE APPLICATION (I.C.R. / O.M.R.) FORM WILL BEREJ ECTED.

    7. If any candidate appears at a centre/Examination Center other than one allotted by theCommission, the answer sheets of such candidates shall not be valued and liable forinvalidation.

    The Commission reserves the right to create centre(s) for exam and also to call thecandidates 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 asper 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 areaunder City of Hyderabad. (RRD, NZB, MBNR, MDK, NLG, HYD)

    City Cadre: City of Hyderabad consists of Hyderabad Division, Secunderabad Division ofMunicipal 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 w ill 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. Themere fact that an Admission has been issued to him/her does not imply that his/her candidaturehas been finally cleared by the Commission or that the entries made by the candidate in his/herapplication have been accepted by the Commission as true and correct. A recent pass port sizephotograph 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 producethe same photograph, if required, at the time of interview/ verification, may lead todisqualification. Hence the candidates are advised not to change their appearance till therecruitment process is complete.

    2) The candidates should go through the instructions given on the cover page of test booklet andcarefully write his/her Register Number, Centre etc., in the Answer Sheet, which will be providedto him/her in the examination hall.

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    3) Since the answer sheets are to be scanned (valued) with Optical Mark Scanner system, thecandidates have to USE H.B. PENCIL ONLY FOR MARKING THE ANSWERS. The candidatesshould bring H.B. pencil, Ball pen, and smooth writing pad to fill up relevant columns on theAnswer Sheet. The candidate must ensure encoding the Subject, Register No., etc., on theO.M.R. Answer sheet correctly, failing which the Answer sheet will be rejected and will not bevalued.

    4) The candidates should satisfy the Invigilator of his identity with reference to the signature andphotographs.

    5) The candidates should take their seats 20 minutes before the commencement of the examinationand are not to be allowed after 10 minutes of the scheduled time. They should not leave theexamination hall till expiry of fulltime. The candidates are allowed to use the calculators in theexamination hall (not programmable calculators). Loaning and interchanging of articles amongthe candidates is not permitted in the examination hall. Cell phones and Pagers are not allowedin the examination hall.

    6) The candidates are expected to behave in orderly and disciplined manner while writing theexamination. If any candidate takes away Answer Sheet, the candidature will be rejected and incase 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 fromthe candidates. The candidature and conditions specified here are subject to latest rules / orderscome into force during the process of recruitment.

    7) The Commission would be analyzing the responses of a candidate with other appearedcandidates to detect patterns of similarity. If it is suspected that the responses have beenshared and the scores obtained are not genuine/ valid, the Commission reserves the right tocancel his/ her candidature and to invalidate the Answer Sheet.

    8) Wherever Written Examination is held only those candidates who are totally blind and candidatewhose writing speed is affected by CEREBRAL PALSY, can use scribe at the WrittenExamination. 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 theacademic qualification of the scribe should be one grade lower than the stipulated eligibilitycriteria.(b) the candidate as well as the scribe will have to give a suitable undertaking confirming therules 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 theexam centre and necessary corrections be made in the Nominal Roll for being verified by theCommissions Office.

    Para-11: DEBARMENT:

    a) Candidates should make sure of their eligibility to the post applied for and that the declarationmade 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/hereligibility at any stage or suppressing any information is liable TO BE DEBARRED FROMAPPEARING 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.BExtraordinary dated: 21/08/1997 shall be invoked if malpractice and unfair means are noticedat any stage of the Recruitment.

    c) The Commission is vested with the constitutional duty of conducting recruitment andselection as per rules duly maintaining utmost secrecy and confidentiality in this process andany 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 andensured by the Commission will be sufficient cause for rendering such questionable meansas ground for debarment.

    d) Any candidate is or has been found impersonating or procuring impersonation by any personor resorting to any other irregular or improper means in connection with his / her candidaturefor selection or obtaining support of candidature by any means, such a candidate may inaddition to rendering himself/ herself liable to criminal prosecution, will be liable to bedebarred permanently from any exam or selection held by the Service Commissions in thecountry.

    Para-12: MEMORANDUM OF MARKS:

    Memorandum of Marks is issued on payment of Rs.25/- (Rupees twenty five only) throughcrossed 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 twomonths from the date of publication of the selections. Such a request must necessarily be

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    accompanied by a Xerox copy of the Hall-ticket. Request for revaluation or recounting will not beunder taken under any circumstances. Invalid, disqualified, ineligible candidates will not be issuedany Memorandum of Marks and fees paid by such candidates, if any, will be forfeited to Governmentaccount, without any correspondence in this regard.

    If any candidate fails to mark the Booklet Series, Roll Number etc., in the OMR AnswerSheet, 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 thecandidate, the decision of the Commission is final and such request for Memorandum of Marks insuch cases will be intimated accordingly. No request for reconsideration of such rejected/invalidatedcases 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 applicationand its acceptance or rejection as the case may be, conduct of examination and at all consequentstages culminating in the selection or otherwise of any candidate shall be final in all respects andbinding on all concerned, under the powers vested with it under Article 315 and 320 of theConstitution 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, dulyintimating details thereof to all concerned, as necessitated as warranted by any unforeseencircumstances arising during the course of this process, or as deemed necessary by theCommission at any stage.

    HYDERABAD. Sd/-DATE: 30/03/2007 SECRETARY

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    ANNEXURE I

    ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

    N O T I F I C A T I O N N O . 0 2 / 2 0 0 7

    SPECIAL RECRUITMENT FOR DISABLED / PHYSICALLY CHALLENGED PERSONS OFJUNIOR LECTURERS IN GOVERNMENT JUNIOR COLLEGES/ LECTUERS IN GOVERNMENTPOLYTECHNICS 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:

    PostCode

    Subject Zone No. of vacancies

    01 English VVI

    HH-1(L)VH-1(L)(W)

    02 Telugu III

    HH-1(L)HH-1(L)

    03 Economics IIIIV

    HH-1(L)HH-1(L)

    04 Commerce IV

    HH-1(L)HH-1(L)

    05 Mathematics III HH-1(L)06 Physics V

    VHH-1(L)

    VH-1(L)(W)07 Chemistry I

    IIVIII

    HH-1(L)HH-1(L)HH-1(L)

    VH-1(L)(W)

    08 Botany V VH-1(L)(W)09 Zoology IV

    VIV

    HH-1(L)HH-1(L)

    VH-1(L)(W)Total : 19

    II. LECTURERS IN GOVERNMENT POLYTECHNICS IN APTES:

    PostCode

    Subject Zone No. ofvacancies

    10 Footwear Technology VI OH-111 Bio-Medical Engineering IV OH-112 Electronics And Instrumentation

    Engineering

    V OH-1

    13 Plastic And Polymers I OH-1

    14 Mining Engineering III OH-1Total: 05

    III. ASSISTANT EXECUTIVE ENGINEERS IN R&B ENGINEERING SERVICE AND P.H & M.E.SERVICE:

    PostCode

    Subject Zone No. ofvacancies

    15 Assistant Executive

    Engineers in R&BDepartment

    IV

    IV

    HH-1(L)

    VH-1(L)

    16 Assistant ExecutiveEngineers in P.H. & M.E.Department

    I HH-1(L)

    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 aresubject to variation, with reference to vacancy position at any time before or at the time of actualselection.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 THERECRUITMENT PROCESS therein, as well as 2,3,4,5,6 in particular and other Rules of thisNotification in general, inter alia with all other Rules and references cited herein their original, forfull understanding of the recruitment and selection process to fill up the vacancies notified herein.

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    9

    ANNEXURE II

    ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

    N O T I F I C A T I O N N O . 0 2 / 2 0 0 7

    I. SCHEME FOR RECRUITMENT TO THE POST OF JUNIOR LECTURERS IN A.P.INTERMEDIATE EDUCATION SERVICE

    Papers No.ofQuestions

    Duration(Minutes)

    MaximumMarks

    PART-A: Written Examination (Objective Type)

    Paper-1: General Studies 150 150 150

    Paper-2: Concerned Subject (One only) 150 150 300

    PART-B: Interv iew (Oral Test) 50

    1. The Candidates have to choose one subject from the following for Paper-2:

    SubjectCode

    Name of theSubject

    SubjectCode

    Name of theSubject

    01 English 02 Telugu03 Economics 04 Commerce05 Mathematics 06 Physics07 Chemistry 08 Botany09 Zoology

    N.B:1. 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.2. The eligible candidates will be called for an interview at the ratio of 1:2 with referenced to thenumber of vacancies duly following the special representation as laid down in General Rule-22 and 22-A of A.P. State and Subordinate Service Rules.

    3. Appearance to Written Examination and Oral Test is compulsory for final selection.4. 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: Written (Objective Type) Examination:

    Paper-1 General Studies 150 Marks. 150 Qns. 150 Minutes

    Paper-2 Concerned Subject 300 Marks. 150 Qns. 150 Minutes

    PART-B: ORAL TEST (Interview) 50 Marks

    N.B: 1. The paper in concerned subject for Engineering streams is of Engineering Bachelors degreestandard.

    2. The Question papers will be in English only.

    Subject

    Code Subject10 Footwear Technology11 Biomedical Engineering12 Electronics & Instrumentation

    Engineering13 Plastic & Polymers14 Mining Engineering

    III. SCHEME FOR THE POSTS OF ASSISTANT EXECUTIVE ENGINEERS IN R&BENGINEERING SERVICE AND P.H. & M.E. ENGINEERING SERVICE

    SCHEME:

    PART-AWRITTEN (OBJECTIVE TYPE) EXAMINATION

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    10

    PAPER-1: General Studies 150 Marks 150 Qns 150 Minutes

    PAPER-2 Common for Civil & Mechanical Engineering(Subject) 150 Marks 150 Qns 150 Minutes

    PAPER-3 Optional:

    Civil OR Mechanical Engineering 150 Marks 150 Qns 150 Minutes

    PART-B: INTERVIEW 50 Marks

    ANNEXURE III

    ANDHRA PRADESH PUBLIC SERVICE COMMISSION: HYDERABAD

    N O T I F I C A T I O N N O . 0 2 / 2 0 0 7

    LIST OF IDENTIFIED HEAD POST OFFICES FOR SALE OF APPSC APPLICATIONS

    Sl.No. Name of the Head Post Office Head Office (HO)

    1. SRIKAKULAM HO2. VIZIANAGARAM HO3. VISAKHAPATNAM HO4. KAKINADA HO5. RAJ AHMUNDRY HO6. ELURU HO7. VIJ AYAWADA HO8. MACHILIPATNAM HO9. GUNTUR (ARUNDELPET) HO10. ONGOLE HO11. NELLORE HO12. KURNOOL HO13. CUDDAPAH HO14. ANANTAPUR HO15. CHITTOOR HO16. TIRUPATHI HO17. MAHABOOBNAGAR HO18. SANGAREDDY HO19. NALGONDA HO

    20. WARANGAL HO21. KHAMMAM HO22. NIZAMABAD HO23. KARIMNAGAR HO24. ADILABAD HO25. HYDERABAD GPO26. SECUNDERABAD HO

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    11

    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 Adi Andhra 31 Madasi Kuruva, Madari Kuruva2 Adi Dravida 32 Madiga3 Anamuk 33 Madiga Dasu, Mashteen4 Aray Mala 34 Mahar5 Arundhatiya 35 Mala6 Arwa Mala 36 Mala Dasari7 Bariki 37 Mala Dasu8 Bauri 38 Mala Hannai9 Bedajanagam/ Budga J angam 39 Malajangam10 Bindla 40 Mala Masti11 Byagara 41 Mala Sale Netkani12 Chachati 42 Mala Sanyasi13 Chalavadi 43 Mang14 Chamar, Mochi, Muchi 44 Mang Garodi15 Chambhar 45 Manne16 Chandala 46 Mashti

    17 Dakkal, Dokkalwar 47 Matangi18 Dandasi 48 Mahter19 Dhor 49 Mitha Ayyalvar20 Dom, Dombara, Paidi, Pano 50 Mundala21 Ellamalwar, Yellammalawandlu 51 Paky, Moti, Thoti22 Ghasi, Haddi, Relli, Chachandi 52 Pambada, Pambanda23 Godagali 53 Pamidi24 Godari 54 Panchama, Pariah25 Gosangi 55 Relli26 Holeya 56 Samagara27 Holeya Dasari 57 Samban28 J aggali 58 Sapru

    29 J ambuwulu 59 Sindhollu, Chindollu30 Kolupulvandlu 60 SC converts to Budhism omitted

    vide G.O.Ms.No. 476, GA (Ser.D)Department, dt. 15/11/97.

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    12

    LIST OF SCHEDULED TRIBES

    PART B

    Scheduled Tribes (Definition 29 of rule 2 of General Rules)

    1. Andh 2. Bagata3. Bhil 4. Chanchu, Chenchwar5. Gadabas 6. Gond, Naikpod, Rajgond7. Goudu (in the Agency tracts) 8. Hill Reddis9. J atapus 10. Kammara11. Kattunayakan 12. Kolam, Mannevarlu13. Konda Dhoras 14. Konda Kapus15. Konda Reddis 16. Kodhs, Kodi, Kodhu, Desaya, Kondhs,

    Dongria, Kondhs, Kuttiya, Khonds, TikiriaKhondhs, Yenity Khonds

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

    18. Koya Goud, Rajah, Rasha Koya,Lingadhari Koya (Ordinary), Kottu Koya, BhineKoya, Raja Koya

    19. Kulia 20. Malis (excluding Adilabad, Hyderabad,Karimnagar, Khammam, Mahabubnagar,Medak, Nalgonda, Nizamabad and WarangalDistrict)

    21. Manna Dhora 22. Nayaks (in the Agency tracts)23. Mukha Dhora, Nooka Dhora 24. Pardhan25. Porja, Parangi Perja 26. Reddi Dhoras27. Rona, Rena 28. Savaras, Kapu Savaras, Maliya Savaras,

    Khutto Savaras29. Sugalis, Lambadis 30. Thoti (in Adilabad, Hyderabad,

    Karimnagar, Khammam, Mahabubnagar,Medak, Nalgonda, Nizamabad and WarangalDistricts)

    31. Valmiki (in the Agency tracts) 32. Yenadis33. Yerukulas

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    13

    LIST OF BACKWARD CLASSES

    PART C

    BACKWARD CLASSES ( Definit ion 7 of Rule 2)

    GROUP- A

    1. Agnikulakshatriya, Palli, Vadabalija, Besta jalari, Gangavar, Gangaputra, Goondla, Vanyakulakshatriya(Vannekapu, Vannereddi, Pallikapu, Pallireddy), Neyyala and Pattapu

    2. Balasanthu, Bahurupi3. Bandara4. Budabukkala5. Chopamari6. Dasari (formerly addicted to crimes and beggary)7. Dommara8. Gangiredlavari9. Gudala10. J angam (whose traditional occupation is begging)11. J ogi

    12. J oshinandiwalas13. Kaikadi14. Kanjara Bhatta15. Katipapala16. Kepamora or Reddika17. Kalinga (Kinthala) (omitted vide G.O.Ms.No. 701, G.A.(Ser.D) Dept., dated:12/11/1980 w.e.f.

    07/03/1980)18. Korecha18-A Kunapuli19. ( ) Omitted in G.O.Ms.No. 290, G.A. (Ser.D) Dept., dated: 21/04/1978 w.e.f. 27/07/1977.19-A ( ) Omitted in G.O.Ms.No. 472, G.A. (Ser.D) Dept., dated: 11/11/1983.20. Mandula21. Medari or Mahendra

    22. Mehator (Muslim)23. Mondipatta24. Mondivaru, Mondibanda, Banda25. Nakkala26. Nayi Brahmin (Mangali), Mangala Bhoganti27. Nokkar28. Odde (Oddulu, Vaddi, Vaddelu)29. Pambala30. Pamula31. Pardhi (Nirshikari)32. Pariki Muggula33. Peddammavandlu, Devaravandlu, Yellammavandlu, Mutyalammavandlu34. Vamsa Raj

    35. Rajaka (Chakali, Vannar)36. Valmiki boya (Boya, Bedar, Kirataka, Nishadi, Yellapi Pedda Boya) Talayari and Chunduvellu37. Veeramushti (Nettikotala)38. Yata39. ( ) 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. Achukatlavandlu2. Aryakshatriya, Muchi (Telugu Speaking), Chittari, Ciniyar, Chitrakara, Nakshas.3. Devanga4. Dudekula, Laddaf, Pinjari or Noorbash5. Ediga, Gowda (Gamalla, Kalalee), Goundla, Settibalija of Vishakhapatnam, East Godavari, West

    Godavari and Krishna districts.6. Gandla, Telikula7. J andra8. Karikalabhakthula, Kaikolan or Kaikala (Sengundam or sangunther)9. Karnabhakthulu10. Kummara or Kulala, Salivahana11. Kuruba or Kuruma12. Nagavaddilu13. Neelakanthi14. Nossi or Kurni15. Padmasali (sati, salivan, pattusali, sanapathulu, shogata Sali)16. Patkar (Khatri)17. Perika (Perika, balija, Urasirikshatriya)18. Srisayana (segidi)

    19. Swakulasali20. Thogata, Thogati or Thogataveerakshtriya21. Viswabrahmin, Ausula or Kamsali, Kummari, Kanchari Vadla or Vadra or Vadrangi and Silpis

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    GROUP C

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

    GROUP D (Other Classes)

    1. Agaru2. Arekatika, Katika3. Atagara4. Bhatraju5. Chippolu (Mera)6. Gavara7. Godaba8. Halkar9. J akkala10. J ingar

    11. Kachi12. Surya Balija, Ganika13. Kandra14. Koppulavelama15. Kosthi16. Krishanabalija (Dasari, Bukka)17. Mali18. Mathura19. Mudiraj, Mustrasi, Tenugollu20. Munnurukapu (Telangana)21. Nagavamsam (Nagavamsa) vide G.O.Ms.No. 53, BC Welfare Dept., dated:19/09/199622. Nelli23. Passi

    24. Polinativelmas of Srikakulam and Visakhapatnam districts25. Poosala26. Rangrez or Bhavasarakshtriya27. Sadhu Chetty28. Satani (Chattadasrivaishnava)29. Tammali30. 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 Socialcustoms or divorce and remarriage among their women.

    31. Uppara or Sagara32. Vanjara (Vanjari)33. Yadava (Golla)34 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 thematter of Community Status (SC/ST/BC/OC) of any candidate, subject tosatisfaction with regard to relevant Rules and Regulations in force the decision ofthe Commission shall be final in all such cases.

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    15

    FORM FOR COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE

    Serial No.

    S.C. Seal of the District Code:

    S.T Issuing Mandal Code :

    B.C Office Village Code :

    Certificate No:

    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, 1950The 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

    ____________ Day ______ Month ___ Year ______ (in words) ________________________ as per the

    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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    16

    DECLARATION BY THE UN-EMPLOYEDwho c laim 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/PublicSector/Private Sector.

    I further declare that the information furnished by me is true and correct and my candidature shall becancelled at any stage if it is found incorrect.

    PLACE FULL SIGNATURE OF THE CANDIDATE.(Declaration not signed by the candidate

    DATE will be rejected)

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    17

    SCHOOL STUDY CERTIFICATE

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

    Class Name and Place of School District Duration of Studygiving month and

    year

    IV

    V

    VI

    VII

    VIII

    IX

    X or

    SSC.

    STATION: Signature of the Head of theDATE: 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 thewhole or any part* of the relevant 4/7 years period but claim to be local candidates by virtue ofresidence 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 4/7consecutive academic years ending with the academic year in which he/she first appeared for theaforesaid examination.

    (c) that in the 4/7 years immediately preceding the commencement of the aforesaid examinationhe/she resided in the following place/places namely;

    Sl.No. Village Mandal District Period

    1.

    2.

    3.

    4.

    5.

    OFFICE SEAL:

    STATION: Officer of Revenue Departmentnot below the rank of Mandal

    DATED: Revenue Officer holdingindependent Charge of a Mandal.

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

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    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 of20.

    Examined the candidate whose particulars are given below:

    1. Name of Candidate

    2. Fathers Name

    3. Sex

    4. Approximate Age

    5. Identification Marks

    6. Extent of Residual Vision, if any

    i) Right Yetii) Left Eye

    7. Onset of blindness (Please state whether blindness is frombirth or acquired later, if it has been caused afterwards, theage and cause of blindness may be indicated).

    (For all the purposes of assistance, the blind are those whosuffer from either of the following)

    a) Total Absence of sightb) Visual acquity not exceeding 6/60 of 20/200

    (Snellen) in the better eye with correcting lenses.c) Limitation of the field of vision substanding an

    angled 20 degrees of Worse.

    8. Please state clearly whether the candidate is blind for allpurposes of assistance.

    9. Specify whether the candidate is totally blind of Partially blind.

    SIGNATURE OF APPLICANT SIGNATURE OF MEDICALSUPERINTENDENT, (Seal)District Medical Board.

    Signature of OphthalmologistDistrict Medical Board.

    Pass Port SizePhotograph ofthe Candidate

    with theAttestation ofthe Issuingauthority

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    GOVERNMENT E.N.T. HOSPITAL, HYDERABADINSTITUTE FOR EAR, NOSE, THROAT AND HEAD & NECK DISEASES

    CERTIFICATE OF HEARING DISABILITY

    Govt. of India P.W.D.Act.,1995Govt. 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 _______________________________________________ Age ___________ Sex ______

    Date ___________ O.P. No. ___________ Diagnosis_________________________

    _____________________________ Fathers/Husbands Name __________________________

    Identification Marks:

    1. ___________________________________

    2. ___________________________________

    Audiological Findings:

    Pure Tone Threshold of hearing in Conversational Frequencies

    Rt. Ear: _______ db; Lt. Ear: _______ db

    Percentage of Disability ________ % (in words)_______________________________________________

    Signature/Thumb impressionof 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.

    Pass Port SizePhotograph ofthe Candidate

    with theAttestation ofthe Issuingauthority

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    HEARING ASSESSMENT

    Name __________________________________________________ Age _____________ Sex _________

    Date: _______________ O.P. No. ________________

    AUDIOGRAMFREQUENCY IN HERTZS

    125 250 500 750 1000 1500 2000 3000 4000 6000 8000

    THREE FREQUENCY AVERAGERight ear ____ db ____%Left ear _____db ____%Percentage of HearingDisability _____ % in words

    HEARING ASSESSMENT OF THECHILD

    Threshold of Hearing ___ db

    Percentage of Disability ____%in words _____________

    ASSESSMENT OF SPEECH:

    BENEFITS OFFERED

    Category Disabilit y Percentage Benefits

    I Mild Less than 40% * No special benefitsII Moderate 40% and above * Hearing aid at free of cost or concessional ratesIII Severe 75% and above * Hearing aid at free of cost or concessional rates

    * J ob reservation* Benefit of special employment exchange* Scholarships* Single language formula

    IV Profound 100% * Hearing aids* Facilities of reservation* special employment exchange* Special facilities in Schools like Scholarships,hearing aids* Exemption from 3 language formula

    HEARINGT

    HRESHOLD

    LEVEL

    IN

    dB

    -100

    102030405060708090100110120

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    MEDICAL CERTIFICATE IN RESPECT OFORTHOPAEDICALLY 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 defector 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 theapplicant whose particulars are given below and that he/she falls within the above definition:

    1. Name of Candidate

    2. Fathers Name

    3. Sex

    4. Approximate Age

    5. Identification Marks6.(a) Name of Disability:

    Tick the relevant from following list) Post-PolioParalysis, Hemiplegia, Quadra-Rlegia Malunitiedfracture, Nerve paralysis, Upper extremity, LowerExtremity Limp Painful shortening, DeformityCongenital Acquired above knee, below knee,Hip Hemipeelvectomy, Symes cheoparts, WritFingers, 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 Basismention as percentage (Specific Percentagehas to be mentioned)

    (c) Use of appliance:(Tick relevant from following list) Calliper,Crutch, Above knee, Below knee, Prosthesis,Cans, Unilateral, Bilateral Shoulder Dis-Articulation

    (d) Any Operation done or indicated:

    (e) Photograph (Attested)To show the nature of disability and Anyappliance if used.

    7. Any other particulars to clarify the nature Andextent of disability that the Surgeon Might like topoint out.

    SIGNATURE OF APPLICANT SIGNATURE OF MEDICALSUPERINTENDENT, (Seal)Medical Board.

    Signature of Orthopedic Surgeon(with seal) Medical Board.

    Pass Port SizePhotograph ofthe Candidate

    with theAttestation ofthe Issuing

    authority