AAYAKAR BHAWAN, P-7, CHOWRINGHEE SQUARE, KOLKATA

Similar documents
At least One year experience of Data Entry operation in personal computer.

ESIC Advt. No. 06/2017, dated WALK IN INTERVIEW ON

IMPORTANT INFORMATION

INDIAN STATISTICAL INSTITUTE 203, BARRACKPORE TRUNK ROAD KOLKATA

GOVT. OF NCT OF DELHI G.B. PANT HOSPITAL: NEW DELHI

Government of Tamil Nadu TEACHERS RECRUITMENT BOARD 4 th Floor, EVK Sampath Maaligai, DPI Campus, College Road, Chennai

Bihar State Milk Co-operative Federation Ltd. - COMFED: P&A: Advertisement No. - 2/2014 Managing Director

Sl. No. Name of the Post Pay Band & Grade Pay No. of Post(s) Category

Advertisement No. 2/2013

HIMACHAL PRADESH NATIONAL LAW UNIVERSITY, SHIMLA GHANDAL, P.O. SHAKRAH, SUB TEHSIL DHAMI, DISTRICT SHIMLA

INDIAN INSTITUTE OF SCIENCE EDUCATION AND RESEARCH KOLKATA Mohanpur Ref.No.: IISER-K/Rectt.NT-01/2016/Admn Date:

KSKV Kachchh University Invites Applications for PhD Program

HIGH COURT OF HIMACHAL PRADESH, SHIMLA No.HHC/Admn.2(31)/87-IV- Dated:

vecsmdj fo'ofo ky; fnyyh

NIMS UNIVERSITY. DIRECTORATE OF DISTANCE EDUCATION (Recognized by Joint Committee of UGC-AICTE-DEC, Govt.of India) APPLICATION FORM.

RAJIV GANDHI SUPER SPECIALITY HOSPITAL TAHIRPUR, DELHI Tel. No. : , Website :

ckcklkgsc Hkhejko vecsmdj fo ofo ky; (dsunzh; fo ofo ky;)

SRI RAMACHANDRA UNIVERSITY (Declared under Section 3 of the UGC Act, 1956)

Indian Statistical Institute Indian Institute of Technology Kharagpur Indian Institute of Management Calcutta

Part - I Particulars of Applicant: 1. Name (Full Name in Block Letters) 2. Date of Birth 3. Place of Birth 4. Address for communication

Recruitment for Teaching posts of RUHS Information Booklet. Refer RUHS website ( for updated and relevant information.

GOVERNMENT ENGINEERING COLLEGE, JHALAWAR (An Autonomous Institute of Govt. of Rajasthan) RECRUITMENT OF NON-TEACHING POSITIONS

RAJASTHAN CENTRALIZED ADMISSIONS TO BACHELOR OF PHYSIOTHERAPY COURSE-2017 (RCA BPT-2017) INFORMATION BOOKLET

JAMIA HAMDARD HAMDARD NAGAR, NEW DELHI

भ रत य व ज ञ न व क ष ए अन स ध न स स थ न वतर पवत

NATIONAL INSTITUTE OF HOMOEOPATHY

JAWAHAR NAVODAYA VIDYALAYA BHILLOWAL, POST OFFICE PREET NAGAR DISTT. AMRITSAR (PUNJAB)

Re-Advertisement No.: 01/2017 Dated:

RASHTRASANT TUKADOJI MAHARAJ NAGPUR UNIVERSITY APPLICATION FORM

INFORMATION BOOKLET. Refer RUHS website ( for updated and relevant information.

Navodaya Vidyalaya Samiti Noida

Employment Advertisement No. 07/2011

RAJASTHAN UNIVERSITY OF HEALTH SCIENCE

STUDY IN INDIA AND SWEDEN, EUROPE

Competition (O.C.) Competition (O.C.) Competition (O.C.)

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here.

MANGALORE UNIVERSITY

DEPARTMENT OF EXAMINATIONS, SRI LANKA GENERAL CERTIFICATE OF EDUCATION (ADVANCED LEVEL) EXAMINATION - AUGUST 2016

RAJASTHAN UNIVERSITY OF HEALTH SCIENCES Kumbha Marg, Sector-18, Pratap Nagar, Tonk Road, Jaipur Phone: ,

PART TIME DIPLOMA PROGRAMMES IN ENGINEERING AND TECHNOLOGY

APPLICATION FOR ADMISSION 20

JOIN INDIAN COAST GUARD

Persons eligible to be employed as Examination Assistants will be:

Faculty of Law Aligarh Muslim University, Aligarh. Local Advertisement No. 01/15 dated

Application for Postgraduate Studies (Research)

University of Massachusetts Amherst

Integrated M.Sc.-Ph.D. Programs in Life Sciences and Physical Science

ADMISSION NOTICE - UNIVERSITY OF CALCUTTA

Mangalagangothri , D.K. District, Karnataka

M-Tech Degree Course PROSPECTUS

For international students wishing to study Japanese language at the Japanese Language Education Center in Term 1 and/or Term 2, 2017

HIGH COURT OF JUDICATURE AT ALLAHABAD

PROSPECTUS DIPLOMA IN CENTRAL EXCISE AND CUSTOMS. iiem. w w w. i i e m. c o m

Application for Admission to Postgraduate Studies

candidates) in aggregate in M.Com./MIB/ MHROD/ MFC/ MBA and other such

Asked Questions (FAQs) and Answers

No.1-32/2006-U.II/U.I(ii) Government of India Ministry of Human Resource Development Department of Higher Education

INDIAN MARITIME UNIVERSITY (A Central University, Govt. of India)

. Town of birth. Nationality. address)

[For Admission Test to VI Class] Based on N.C.E.R.T. Pattern. By J. N. Sharma & T. S. Jain UPKAR PRAKASHAN, AGRA 2

UNIVERSITY OF KASHMIR NAAC Accredited Grade A University Campus, Hazratbal, Srinagar (J&K)

Guidelines for Completion of an Application for Temporary Licence under Section 24 of the Architects Act R.S.O. 1990

ˆ Ö ü ÖÆüÖ üöâ Òü ¾ÖªÖ Ößšü, ÖôûÝÖÖ¾Ö NORTH MAHARASHTRA UNIVERSITY, JALGAON

ARUNACHAL PRADESH RURAL BANK HEAD OFFICE: NAHARLAGUN E- SECTOR, SHIV MANDIR ROAD PAPUM PARE DISTRICT (ARUNACHAL PRADESH) PIN

DETAILED ADVERTISEMENT RECRUITMENT OF IMMEDIATE INTERIM MANPOWER

CIN-SCHOLARSHIP APPLICATION

Hiring Procedures for Faculty. Table of Contents

Anyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or

COMMISSIONER AND DIRECTOR OF SCHOOL EDUCATION ANDHRA PRADESH :: HYDERABAD NOTIFICATION FOR RECRUITMENT OF TEACHERS 2012

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

Kendriya Vidyalaya Sangathan

STUDENT APPLICATION FORM 2016

Please fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities.

Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements

TELANGANA TRIBAL WELFARE RESIDENTIAL EDUCATIONAL INSTITUTIONS SOCIETY HYDERABAD ADMISSION NOTIFICATION

Dar es Salaam Institute of Technology

GOVERNMENT OF TAMIL NADU DIPLOMA IN PHARMACY SESSION

INDEPENDENT STATE OF PAPUA NEW GUINEA.

Department of Social Work Master of Social Work Program

Initial steps to be followed before filling Online Application Form

NAVODAYA VIDYALAYA SAMITI PROSPECTUS FOR JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST- 2015

NAVODAYA VIDYALAYA SAMITI PROSPECTUS FOR JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST- 2015

THE OHIO HIGH SCHOOL ATHLETIC ASSOCIATION

CREATING AWARENESS ABOUT PARLIAMENTARY SYSTEM AND PROCEDURES

EMPLOYMENT APPLICATION Legislative Counsel Bureau and Nevada Legislature 401 S. Carson Street Carson City, NV Equal Opportunity Employer

Verification Program Health Authority Abu Dhabi

FULBRIGHT MASTER S AND PHD PROGRAM GRANTS APPLICATION FOR STUDY IN THE UNITED STATES

International Undergraduate Application for Admission

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University

PUBLIC NOTICE Nº 004/2016 POSTDOCTORAL SCHOLARSHIP POSTGRADUATE PROGRAM IN HUMAN MOVEMENT SCIENCES

Information Pack: Exams Officer. Abbey College Cambridge

Pockets are an award to recognise student achievement and quality participation in a range of school endeavours.

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

KUMAUN UNIVERSITY, NAINITAL

Acrobatic Gymnastics Selection Procedures

CHANAKYA NATIONAL LAW UNIVERSITY NYAYA NAGAR, MITHAPUR, PATNA

Scholarship Application For current University, Community College or Transfer Students

(Effective from )

MASINDE MULIRO UNIVERSITY OF SCIENCE AND TECHNOLOGY ACT

Cy-Fair College Teacher Preparation and Certification Program Application Form

Transcription:

~~ 3fR"Cf ~ GOVERNMENT OF INDIA ~ ~ 3fI"lI'"CR" ~ Cfil<fl(>jll, ~ ~ ~ ~~CfiA 0/0 THE PRINCIPAL CHIEF COMMISSIONER OF INCOME TAX, WEST BENGAL & SIKKlM AAYAKAR BHAWAN, P-7, CHOWRINGHEE SQUARE, KOLKATA -700069 F. No. : le/os12016-17/sports Rec.lRW/2ZDOI Dated: the Qo \ 02-,2017 Subject: Recruitment of meritorious Sportspersons to the posts of Tax Assistant & Multi Tasking Staff against the vacancies for the R.Ys. 2015-16 and 2016-17. Applications are invited from meritorious sportspersons satisfying the requirements as mentioned in Annexure-I for appointment to the posts of Tax Assistant and Multi Tasking Staff. The willing and eligible candidates can send their application in the format given in Annexure-II and addressed to the Joint Commissioner of Income Tax, Headquarters (Personnel & Establishment), l SI Floor, Room No. 14, Aayakar Bhawan, P-7, Chowringhee Square, Kolkata-700069 by postihand so as to reach the office of the undersigned on or before 10.04.2017 (upto 6 p.m.). Mo'L-' 1- (GOUTAM KUMAR MANDAL) Joint Connnissioner of Income Tax, Hqrs. (Personnel & Establishment), Kolkata For the Principal Chief Commissioner of Income Tax, WB & Sikkim

Annexure -1 RECRUITMENT OF MERITORIOUS SPORTSPERSONS IN THE OFFICE OF THE <- PRINCIPAL CHIEF COMMISSIONER OF INCOME TAX, WEST BENGAL & SIKKIM The Principal Chief Commissioner of Income Tax, West Bengal & Sikkim invites applications for the Recruitment of meritorious Sportspersons in different games/ sports as listed below for the posts of Tax Assistant in Pay Level 4 of the pay matrix corresponding to pre-revised Grade Pay of Rs.2400/- in PB-l of Rs.S200-20200/- and Multi-Tasking.Staff in Pay Level I of the pay matrix corresponding to pre-revised Grade Pay of Rs.1800/- In PB-I of Rs.S200-20200/-. The probation period is for 2 years. 02. ELIGIBILITY CONDITIONS SI. Age limit as No. of Name of the Post Educational Qualification No. on 10.04.2017 vacancies (i) Degree of a recognized university or equivalent; and 1. Tax Assistant 18-27 years (ii) Having Data Entry Speed of 8000 02 key depressions per hour. 2. Multi Tasking Matriculation or equivalent pass from 18-25 years Staff a recognized Board/ Council 10 Relaxation of age: (As per Govt. ofindia instructions for meritorious sportspersons) S years for General / OBC candidates. 10 years in case of SC/ST candidates. 8 years for Departmental candidates of General/OBC Category. 13 years for Departmental candidates of SC/ST Category. 03. SPORTS ELIGIBILITY: Appointments can be made of a sportsperson in any of the games/sports (as mentioned in para-os) considered meritorious with reference to the following criteria:- Sports-persons having represented: (i) (ii) (iii) (iv) (v) The Country in an International Competition in any of the games/sports mentioned in the list at para-os with the clearance of the Department of Youth Affairs and Sports; or A State/UT in the Senior or Junior Level National Championships organised by the National Sports Federations recognized by Department of Youth Affairs and Sports or National Games organized by Indian Olympics Association in any of the games/sports mentioned in para-os ; or Their University in the Inter-University Tournaments conducted by Association of Indian Universities or the Inter-University Sports Board in any of the games/sports mentioned in para-os; or The State School Teams in the National Sports/ Games for schools conducted by the All India School Games Federation in any of the games/sports mentioned in para-os; or SpOlispersons who have been awarded National Awards in Physical Efficiency under the National Physical Efficiency Drive. Note:' The mer!t Of. sportspersons, who fulfil the aforesaid eligibility conditions, shall be consldered/ decided In the order of preference given above.

04. SELECTION OF THE CANDIDATES: The applications will be scrutinized and eligible candidates with reference to the requirements mentioned above will be called for Interview-cum-Personality test. On the basis of their performance in Interview-cum-Personality test, eligible candidates will be shortlisted and such shortlisted candidates will be required to appear in the Ground / Proficiency Test (field trial) for final selection. In respect of appointment to the post of Tax Assistant, the candidates are also required to qualify in the Computer Skill Test for the purpose of selection. Success in the above test confers no right to appointment unless Department is satisfied after such enquiry as may be considered necessary that the candidate is suitable in all respects for appointment to the post. Note: In case suitable candidates are not available in any of the Games / Sports as mentioned in para-os, the Department will reserve its right not to consider such games / sports. 05. LIST OF GAMES / SPORTS: Applications from meritorious sports persons in respect of the following games / sports and position/events (wherever applicable) will only be accepted. SINo. Games / Sports Position/Events Men/Women I Football Striker Men Wicket keeper cum batsman 2 Cricket Men Spinner cum batsman..,.) Basketball ---- Men 800 mts. & 1500 mts. Men 4 Athletics 100 mts. & 200 mts. Men 400 mts. & 800 mts. Women 5 Badminton ---- Women / Men 6 Contract Bridge ---- Men 7 Kabaddi ---- Men 8 Chess ---- Men 9 Volleyball ---- Men 10 Swimming 100 mts. & 200 mts. Men II Table Tennis ---- Men 06. now TO APPLY: Applications must be submitted in the format given in Annexure-II and addressed to the Joint Commissioner oftncome Tax, Headquarters (Personnel & Establishment), 1 s l Floor, Room No. 14, Aayakar Bhawan, P-7, Chowringhee Square, Kolkata-700069 by post / by hand so as to reach the office of the undersigned on or before 10.04.2017 (upto 6 p.m.). The envelope containing the application should also be superscripted as follows: "APPLlCA TION FOR THE POST(S) OF................................. UNDER MERITORIOUS SPORTS PERSONS' QUOTA" 07. The candidate on appointment will be liable for posting at any place in West Bengal & Sikkim Region and they are required to submit an undertaking to that effect before joining. 08. Selccted candidates will be required to give an undertaking to the effect that they shall not apply for inter-charge transfer before rendering regular service for a minimum period of 10 years under this charge. 09. Attested (by a Gazetted officer) copies of all documents in support of e1aim regarding the date of birth, educational qualifications, sports eligibility certificates, ca~te certificate, etc. should invariably accompany the application. Further, latest passport size

colour photograph, duly attested by a Gazetted Officer, shall also be pasted on the application form in the space provided for the purpose. 10. Application duly signed and completed in all respects shall reach the office of the undersigned on or before 10.04.2017 (upto 6 p.m.). 11. Applications received after the due date will not be entertained under any circumstances. Incomplete, unsigned applications or applications without the required annexures will be rejected summarily and no correspondence in the matter will be made with the applicant. The date and venue for interview and tests will be intimated to the candidates concerned in due course. 12. Sports achievements certified by the recognized authorities (Annexure-III) in specified forms (specimen forms given in Annexure-V) will only be considered. In this com1ectiqn, the list of recognized National Sports Federations for the sports/games mentioned in para-os is given in Annexure-IV. 13. The candidate must be in possession of the requisite educational qualification for the concerned post as on 10.04.2017. Attested copies of final marks sheet and degree / certificate should be attached with the application. 14. In case, a candidate applies for more than one post then he / she will be considered for appointment in the following order subject to his / her eligibility for appointment to such posts: (i) Tax Assistant (ii) Multi-Tasking Staff p-!;:- l-"/7t (GOUTAM KUMAR MANDAL) Joint Commissioner ofincome Tax, Hqrs. (Personnel & Establishment), Kolkata For the Principal Chief Commissioner of Income Tax. WB & Sikkim

Allnexure-II APPLICATION FOR RECRUITMENT OF MERITORIOUS SPORTSPERSONS IN THE OFFICE OF THE PRINCIPAL CHIEF COMMISSIONER OF INCOME TAX, WEST BENGAL & SIKKIM RECRUITMENT YEAR: 2015-16 AND 2016-17 Post applied for Affix latest pass-port size colour photograph of the candidate duly Tax Assistant attested by a Gazetted Officer I I I Multi Tasking Staff I I Please tick('/) in the above relevant box(es). Mark(x) in the above box(es) which is not applicable. The blank box(es) will be considered as (x) Signature of the candidate (Please fill the form in black ink in Capital letters) A) Full Name First I Middle I Last I I B) Father's Name C) Gender (Male / Female) D) Permanent Residential Address E) Address for Communication F) Date of Birth (DD/MMIYYYY) G) Age (as on 10.04.2017) H) Whether General / OBC / SC / ST I) Educational Qualification J) Sports event I game (Give detailed information including position/event in which playing, wherever applicable, along with certified copies) K) Details of best performance (Please enclose pro00: a) International (mention the name of event, year & month when event was held and position secured) b) National (mention the name of event, year & month when event was held and position secured) c) Inter University (mention the name of event, year & month when event was held and position secured) d) Others (mention the name of event, year & month when event was held and position secured) L) Details of latest performance in sports (All certificates with timings I distance mentioned, wherever applicable, to be enclosed) M) Documents to be submitted: a) Educational Certificate I Mark Sheet [Marks list and Certificate of the University (as applicable)] b) Age proof (as per matriculation certificate) c) Sports Certificates d') Caste Certificate (in case of OBC/SC/ST Candidates) N) Telephone No. 0) E-mailID, if any DECLARATION I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being false or incorrect or ineligibility being detected before or after the tests/interview my candidature/appointment is liable to be cancelled/ terminated. I have not submitted any other application for this post. I am aware that if I contravene this Rule, my application will be rejected summarily by the Department. I further declare that I fulfil all the conditions of eligibility regarding age limit, educational qualification & sports eligibility, etc., prescribed for the post. Place: Signature of the candidate Date: FULL NAME

Annexure - Ill List of Authorities Form in which SI Competition Authority awarding Certificate certificate is to No. be awarded 1. International Secretary of the National Federation of Competition the game concerned 1 Secretary of the National Federation or 2. National Competition Secretary of the State Association of the 2 game concerned 3. Dean of Sports or other Officer in Inter-University overall charge of sports of the Tournaments University concerned 3 4. Director or Additional / Joint or Deputy National / Sports / Director in overall charge of Sports / Games for Schools in the Directorate of Games for Schools Public Instructions I Education of the 4 State Secretary or other officer in overall Physical Efficiency charge of Physical Efficiency in the 5. Drive Ministry of Education & Social 5 Welfare, Government ofindia. Note- Specimens of the forms 1,2,3,4 and 5 referred to above are given in Annexure - V. Annexure - IV LIST OF RECOGNIZED NATIONAL SPORTS FEDERATIONS APPROVED BY THE DEPARTMENT OJ<' YOUTH AFFAIRS AND SPORTS 1. All India Football Federation, "Green Lawns" Talap, Cannanore, Kerala - 670002. 2. Board of Control for Cricket in India, Cricket Association of Bengal, Dr. B.C. Roy Club House, Eden Gardens, Kolkata-700021. 3. Basketball Federation of India, N66, Derawala Nagar, Delhi-II 0031. 4. Amateur Athletic Federation ofindia, Room No. 1148-A, Gate No. 28, Jawaharlal Nehru Stadium, New Delhi - 110003. 5. Badminton Association ofindia, C/o. Jackson Hotel, Civil Line, Jabalpur (MP) - 420001. 6. Bridge Federation ofindia, 125, 6 th Main Road, Malleswaram, Bangalore _ 560003. 7. Amateur Kabaddi Federation ofindia, 119/A, Harish Mukherjee Road, Kolkata - 700026. 8. All India Chess Federation, IIl/37, Nona Manzil, Post Nallalam, Calicut _ 673027. 9. Volleyball Federation ofindia, 6, Nehru Stadium, Chennai _ 600003. 10. Swimming Federation ofindia, 27, Parashkunj Society-I, Setallite Road, Ahmedabad (Gujarat) - 380015. 11. Table Tennis Federation of India, R. No. 1144-A, 1 st Floor, Gate No. 28, lawaharlal Nehru Stadium, New Delhi - 110003. 12. Indian Olympic Association, lawaharlal Nehru Stadium, New Delhi _ 110003. 13. All India Sports Council of Deaf, 8, Northend Complex, Shri Ramakrishna Ashram Marg, New Delhi - 110001.

Annexure - V Specimen forms referred to in Annexure - III above FORM! [For representing India in an International Competition in one of the recognized Games/Sports] NA TIONAL FEDERATION / NATIONAL ASSOCIATION OF.................. Certificate to meritorious sportsman for employment to Groups 'C' and 'D' Services under the Central Government Certified that Shri/Smt.lKumari........... son!wife/daughter of Shri..............., resident of......................... (complete address) represented the Country in the game/event of...................... in................... competition! Tournament held at.................... From... To....... The position obtained by the individual/team in the above-said Competition! Tournament was........ The Certificate is being given on the basis of record available in the Office of the National Federation! National Association of............... Place.................. Signature........................ Date................... Name.................... Designation........................... Name of the FederationlNational Association................... Address............. Seal........................... NOTE. - This Certificate will be valid only when signed personally by the Secretary, National Federation! National Association.

Annexure - V.- Specimen forms referred to in Annexure - III above FORM 2 [For representing a State in India in a National Competition in one o/the recognized Games/Sports} STATE ASSOCIATION OF... IN THE GAME OF.... Certificate to a meritorious sportsman for employment to Groups 'C' and 'D' Services under the Central Government Certified that ShrilSmt.lKumari........... son/wife/daughter of Shri......, resident of........... (complete address) represented the State of... In the game/event of........... in the National Competition/ Tournament held at... From....... To.... The position obtained by the individual/team in the above-said Competition! Tournament was...... The Certificate is being given on the basis of record available in the Office of the State Association of.... Place.... Signature......... Date........... Name............... Designation.................... Name of the State Association Address.... Seal.................. NOTE. - This Certificate will be valid only when signed personally by the Secretary of the State Association.

Annexure- V Specimen forms referred to in Annexure - III above FORM 3 [For representing a University in the Inter- University Competition in one of the recognized Games/Sports] UNIVERSITY OF........................ Certificate to a meritorious sportsman for employment to Groups 'C' and 'D' Services under the Central Government Certified that Shri/Smt./Kumari....................... son/wife/daughter of Shri......................, resident of....................., student of.................. Represented the University of...... In the game/event of........... in Inter-University Competition/ Tournament held at..... From... To The position obtained by the individual/team III the above-said Competition! Tournament was........... The Certificate is being given on the basis of records available in the office of the Dean of Sports or Officer in overall charge of sports in the University of Place................... Signature................. Date................. Name...................... Designation.............. Name of University......... Address........................ Seal............................ NOTE. - This Certificate will be valid only when signed personally by the Dean!Director or other Officer in overall charge of sports in the University.

Annexure- V Specimen forms referred to in Annexure - III above FORM 4 [For representing a State School Teamin the National Games For School in one of the recognized Games/Sports} DIRECTORATE OF PUBLIC INSTRUCTIONS/EDUCATION OF THE STATE OF................... Certificate to a meritorious sportsman for employment to Groups 'C' and 'D' Services under the Central Government Certified that Shri/Kumari............ sonldaughterof Shri..., resident of......,(complete address) student of... Represented the... State School Team in the game/event of........ in the National Games for Schools held at.... from........... To......... The position obtained by the individual/team in the above-said Competition! Tournament was................ The Certificate is being given on the basis of records available in the Office of the Directorate of Public Instruction! Education of......... Place............. Signature.......... Date....... Name............. Designation................... Address.................. Seal........... NOTE. - This Certificate will be valid only when signed personally by the Director or Additional/Joint or Deputy Director in overall charge of sports/games for schools in the Directorate of Public Instruction/Education of the State.

Annexure- V Specimen forms referred to in Annexure - III above FORMS [For the awardees in Physical Efficiency performances conducted by the Ministry of Education and Social Welfare 1 GOVERNMENT OF INDIA / MINISTRY OF EDUCATION AND SOCIAL WELFARE Certificate to a meritorious sportsman for employment to Groups 'C' and 'D' Services under the Central Government Certified that ShrilKumari... son/daughter of Shri..., resident of........ (curnp/ele address), represented the... School Team in the game/event of... in National Competition held at... From... To............ The Certificate is being given on the basis of records available in the Ministry of Education and Social Welfare. Place................... Signature......... Date........... Name................ Designation....... Address.... Seal............ NOTE. - This Celiificate will be valid only when signed personally by the Secretary or other Officer in overall charge of Physical Efficiency in the Ministry of Education and Social Welfare.