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rglhy& ------------------- uxj& -------------------------- ftyk& ---------------------- mÙkj iz n s ' k yks d ls o k ¼'kkjhfjd
Signature
:i ls fodyka x ] Lora = rk la x z k e ls u kfu;ks a ds vkfJrks a vkS j Hkw r iw o Z lS f udks a ds fy, vkj{k.k½
Appendix - 2 vf/kfu;e] 1993 ds vuq l kj Lora = rk la x z k e ls u kuh gS a vkS j Jh@Jherh@ dq e kjh ¼vkfJr½ ---------------
Name of the Examination District- Allahabad/Lucknow. --------- iq = @iq = h@ikS = ¼iq = dk iq = ;k iq = h dk iq = ½ rFkk ikS =h ¼iq = dh iq = h ;k iq = h dh iq = h½
Appendix-3 ¼fookfgr vFkok vfookfgr½ mijka f dr vf/kfu;e] 1993 ¼;Fkkla ' kks f /kr½ ds iz k o/kkuks a ds vuq l kj
m0iz0 dh vuqlwfpr tkfr rFkk vuqlwfpr tutkfr ds fy;s tkfr izek.k&i=
mDr Jh@Jherh ¼Lora = rk la x z k e ls u kuh½ -------------------------------- ds vkfJr gS a A
iz e kf.kr fd;k tkrk gS fd Jh@Jherh@dq e kjh---------------------- lq i q = @lq i q = h Jh--------------------- fuoklh
gLrk{kj --------------------------------------
xz k e ---------------- rglhy ---------------- uxj --------------------- ftyk ------------------- mÙkj iz n s ' k jkT; dh -------------
iw j k uke --------------------------------------
---------- tkfr ds O;fDr gS a ftls la f o/kku ¼vuq l w f pr tkfr½ vkns ' k] 1950 ¼tS l k fd le;≤ ij
LFkku -------------------------- eq g j --------------------------------------------
la ' kks f èkr gq v k½@la f o/kku ¼vuq l w f pr tutkfr] mÙkj iz n s ' k½ vkns ' k] 1967 ds vuq l kj vuq l w f pr
fnua k d ----------------------- ftykf/kdkjh
tkfr@vuq l w f pr tutkfr ds :i es a ekU;rk nh xbZ gS A
lhy
Jh@Jherh@dq e kjh ----------------------- rFkk vFkok mudk ifjokj mÙkj iz n s ' k ds -------------------- xz k e ---------
dq'ky f[kykfM+;ksa ds fy;s izek.k&i= tks m-iz- ds ewy fuoklh gSa
--------- rglhy ----------------------- uxj --------------------------- ftyk ---------------------------- es a lkekU;r;k jgrk gS A
'kklukns'k la[;k&22@21@1983&dkfeZd&2 fnukad 28 uoEcj] 1985
LFkku -------------------------- gLrk{kj -----------------------------
izek.k&i= ds QkeZ & 1 ls 4 izk:i&1
fnua k d ----------------------- iw j k uke -----------------------------
¼ekU;rk izkIr ØhM+k@[ksy esa vius ns'k dh vksj ls vUrjkZ"Vªh; izfr;ksfxrk esa Hkkx
eq g j --------------------------- in uke -----------------------------
ysus okys f[kykM+h ds fy;s½
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVs ª V @ijxuk eftLVs ª V @rglhynkj@
lEcfU/kr [ks y dh jk"Vª h ; Qs M js ' ku@jk"Vª h ; ,lks f l,'ku dk uke ------------------------------ jkT;
vU; os r u Hkks x h eftLVs ª V ;fn dks b Z gks @ ftyk lekt dY;k.k vf/kdkjh
ljdkj dh ls o kvks a @ inks a ij fu;q f Dr ds fy, dq ' ky f[kykfM+ ; ks a ds fy, iz e k.k&i=
mÙkj izns'k ds vU; fiNM+s oxZ ds fy, tkfr izek.k&i= ¼ izk:i&1½
iz e kf.kr fd;k tkrk gS fd Jh@Jherh@dq e kjh ------------------------------------------- vkRet@iRuh@vkRetk
iz e kf.kr fd;k tkrk gS fd Jh@Jherh@dq e kjh --------------- lq i q = @lq i q = h Jh -------------------- fuoklh
Jh ---------------------------------- fuoklh ------------------------- iw j k irk -------------------- us fnuka d ----------------------- ls
xz k e --------------------- rglhy -------------------- uxj ------------ ftyk ----------- mÙkj iz n s ' k jkT; dh ------------
fnuka d ----------------- rd ----------------------- ¼LFkku dk uke½ es a vk;ks f tr ----------------------------
fiNM+ h tkfr ds O;fDr gS a A ;g tkfr mÙkj iz n s ' k yks d ls o k ¼vuq l w f pr tkfr;ks a ] vuq l w f pr
¼ØhM+ k @[ks y &dw n dk uke½ dh iz f r;ks f xrk@Vw u kZ e s U V es a ns ' k dh vks j ls Hkkx fy;kA
tutkfr;ks a rFkk vU; fiNM+ s oxks Z a ds fy;s vkj{k.k½ vf/kfu;e] 1994 ¼;Fkkla ' kks f /kr½ dh
muds Vhe ds }kjk mDr iz f r;ks f xrk@Vw u kZ e s U V es a ------------------------- LFkku iz k Ir fd;k x;kA
vuq l w p h&,d ds vUrxZ r ekU;rk iz k Ir gS A
;g iz e k.k&i= jk"Vª h ; Qs M js ' ku@jk"Vª h ; ,lks f l,'ku@¼;gk¡ la L Fkk dk uke fn;k tk;s ½ -------------------
;g Hkh iz e kf.kr fd;k tkrk gS fd Jh@Jherh@dq e kjh -------------iw o ks Z D r vf/kfu;e] 1994
--------- es a miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gS A
¼;Fkkla ' kks f /kr½ dh vuq l w p h&nks ¼tS l k fd mÙkj iz n s ' k yks d ls o k½ ¼vuq l w f pr tkfr;ks a ] vuq l w f pr
LFkku -------------------------- gLrk{kj----------------------------------------
tu tkfr;ks a vkS j vU; fiNM+s oxksZa ds fy;s vkj{k.k½ ¼la'kks/ku½ vf/kfu;e] 2001 }kjk izfrLFkkfir fd;k
fnua k d ----------------------- uke-----------------------------------------------
x;k gS ,oa tks mÙkj izn'
s k yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr tu tkfr;ksa vkSj vU; fiNM+s oxksZa ds
in -----------------------------------------------
fy;s vkj{k.k½ ¼la'kks/ku½ vf/kfu;e] 2002 }kjk la'kksf/kr dh x;h gS] ls vkPNkfnr ugha gSA buds ekrk&firk
la L Fkk dk uke------------------------------
dh fuja r j rhu o"kZ dh vof/k ds fy;s ldy okf"kZ d vk; vkB yk[k #i;s ;k blls vf/kd ugha gS
eq g j ---------------------------------------------
rFkk buds ikl èkudj vf/kfu;e] 1957 es a ;Fkk fofgr Nw V lhek ls vf/kd lEifÙk Hkh ugha gS A
uksV % ;g iz e k.k&i= us ' kuy Qs M js ' ku@us ' kuy ,lks f l,'ku ds lfpo }kjk O;fDrxr :i ls fd;s
Jh@Jherh@dq e kjh --------------------------- rFkk@vFkok mudk ifjokj mÙkj iz n s ' k ds xz k e -------------
x;s gLrk{kj gks u s ij gh ekU; gks x kA
-------------- rglhy ----------------------------- uxj -------------------ftyk ------------------------ es a lkekU;r;k jgrk gS A
izk:i & 2
LFkku -------------------------- gLrk{kj -----------------------------
¼ekU;rk izkIr ØhM+k@[ksy esa vius izns'k dh vksj ls jk"Vªh; izfr;ksfxrk esa Hkkx
fnua k d ----------------------- iw j k uke -----------------------------
ysus okys f[kykM+h ds fy;s½
eq g j --------------------------- in uke -----------------------------
lEcfU/kr [ks y dh iz n s ' kh; ,lks f l,'ku dk uke ------------------------------ jkT; ljdkj dh
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVs ª V @ijxuk eftLVs ª V @ rglhynkjA
ls o kvks a @ inks a ij fu;q f Dr ds fy, dq ' ky f[kykfM+ ; ks a ds fy, iz e k.k&i=
m-iz- ds fnO;kax O;fDr;ksa ds fy, izek.k&i=
iz e kf.kr fd;k tkrk gS fd Jh@Jherh@dq e kjh ------------------------------------------------- vkRet@iRuh@
CERTIFICATE FOR PHYSICALLY HANDICAP OF U.P. vkRetk Jh ------------------------------------------------- fuoklh ¼iw j k irk½ ------------------------------------------------- us fnuka d
NAME & ADDRESS OF THE INSTITUTE/HOSPITAL
------------------------------ ls fnuka d ------------------------- rd ------------------------- es a ¼ØhM+ k @[ks y &dw n dk uke½ dh
Certificate No. ................. Date ..................
iz f r;ks f xrk ¼Vw u kZ e s U V LFkku dk uke½ -------------------------------- vk;ks f tr jk"Vª h ; -------------------------------- es a
DISABILITY CERTIFICATE
Recent photograph ¼ØhM+ k @[ks y &dw n dk uke½ dh iz f r;ks f xrk@ Vw u kZ e s U V es a iz n s ' k dh vks j ls Hkkx fy;kA
of the candidate
showing the disability muds Vhe ds }kjk mDr iz f r;ks f xrk@Vw u kZ e s U V es a ------------------------- LFkku iz k Ir fd;k x;kA
duly attested by the ;g iz e k.k&i= ------------------------------------- ¼iz n s ' kh; la ? k dk uke½ es a miyC/k fjdkMZ ds vk/kkj ij fn;k
This is to certified that Shri/Smt/Kum....................... son/wife/daughter of Chairperson of the x;k gS A
Shri ............................... age ................ Sex ...................... identification Medical Board LFkku -------------------------- gLrk{kj --------------------------------------
mark (s) .................. is suffering from permanent disability of following category.
fnua k d ----------------------- uke ---------------------------------------------
A. Locomotor or cerebral palsy:
in ----------------------------------------------
(i) BL-Both legs affected but not arms.
(ii) BA-Both arms affected laLFkk dk uke --------------------------------
(vii) MW- Muscular weakness and limited physical endurance izfr;ksfxrk esa Hkkx ysus okys f[kykM+h ds fy;s½
B. Blindness or Low Vision: fo'ofo|ky; dk uke -------------------- jkT; Lrj dh ls o kvks a @ inks a ij fu;q f Dr ds fy, dq ' ky
(i) B-Blind f[kykfM+ ; ks a ds fy, iz e k.k&i=
(ii) PB-Partialy Blind iz e kf.kr fd;k tkrk gS fd Jh@Jherh@dq e kjh --------------------------------------- vkRet@iRuh@ vkRetk
C. Hearing impairment:
Jh ------------------------------------- fuokl ¼iw j k uke½ ------------------------------------ fo'ofo|ky; dh d{kk ------------------
(i) D-Deaf
ds fo|kFkhZ us fnuka d ----------------------- ls fnuka d --------------------- rd ---------------------- ¼LFkku dk uke½ es a
(ii) PD-Partialy Deaf
(Delete the category whichever is not applicable) vk;ks f tr vUrfoZ ' ofo|ky; ---------------------------- ¼ØhM+ k @[ks y &dw n dk uke½ iz f r;ks f xrk@Vw u kZ e s U V es a
2. This condition is progressive/non-progressive/likely to improve/not likely to ----------------------------- fo'ofo|ky; dh vks j ls Hkkx fy;kA muds Vhe ds }kjk mDr iz f r;ks f xrk@
improve. Re-assessn of this case is not recommended/is recommended after a Vw u kZ e s U V es a ------------------------- LFkku iz k Ir fd;k x;kA ;g iz e k.k&i= Mhu vkW Q Liks V ~ l Z vFkok ba p ktZ
period of ......... year ......... months. [ks y dw n ------------------------------ fo'ofo|ky; es a miyC/k fjdkMZ ds vk/kkj ij fn;k x;k gS A
3. Percentage of disability in his/her case is .......... percent. LFkku -------------------------- gLrk{kj ---------------------------------------
4. Sh./Smt./Kum. ................. meets the following physical requirements discharge of
fnua k d ----------------------- uke ----------------------------------------------
his/her duties:
in -----------------------------------------------
(i) F-can perform work by manipulating with fingers. Yes/No
(ii) PP-can perform work by pulling & pushing. Yes/No la L Fkk dk uke ----------------------------
(iv) KC-can perform work by kneeling and crouching. Yes/No uksV % ;g iz e k.k&i= fo'ofo|ky; ds Mhu vkW Q Liks V ~ l Z ;k ba p ktZ [ks y &dw n }kjk O;fDrxr :i
(v) B-can perform work by bending. Yes/No ls fd;s x;s gLrk{kj gks u s ij gh ekU; gks x kA
(vi) S-can perform work by sitting. Yes/No izk:i & 4
(vii) ST-can perform work by standing. Yes/No
¼ekU;rk izkIr ØhM+k@[ksy esa vius Ldwy dh vksj ls jk"Vªh; [ksy&dwn esa Hkkx ysus
(viii)W-can perform work by walking Yes/No
(ix) SE-can perform work by seeing. Yes/No okys f[kykM+h ds fy;s½
(x) H-can perform work by hearing/speaking. Yes/No Mkbjs D Vª s V vkW Q ifCyd bUlVª D 'kUl@funs ' kd] f'k{kk] mÙkj iz n s ' k ------------------------------ jkT; Lrj
(xi) RW-can perform work by reading and writing. Yes/No dh ls o kvks a @ inks a ij fu;q f Dr ds fy, dq ' ky f[kykfM+ ; ks a ds fy, iz e k.k&i=
(Dr. .................) (Dr. .................) (Dr. .................) iz e kf.kr fd;k tkrk gS fd Jh@Jherh@dq e kjh -------------------------------------- vkRet@iRuh@vkRetk Jh
Member Member Chairperson ------------------------------------------- fuoklh ¼iw j k irk½ ---------------------------------- es a ----------------------------- Ldw y es a d{kk
Medical Board Medical Board Medical Board ---------------------------- ds fo|kFkhZ us fnuka d ----------------------- ls fnuka d --------------------- rd -----------------------
Countersigned by the ¼LFkku dk uke½ es a vk;ks f tr Ldw y ks a ds us ' kuy xs E l dh ---------------------------- ¼ØhM+ k @[ks y &dw n dk
Medical Superintendent/ uke½ iz f r;ks f xrk@Vw u kZ e s U V es a ----------------------------- Ldw y dh vks j ls Hkkx fy;kA muds Vhe ds }kjk
CMO/HQ Hospital
mDr iz f r;ks f xrk@Vw u kZ e s U V es a ------------------------- LFkku iz k Ir fd;k x;kA
(with seal)
;g iz e k.k&i= Mkbjs D Vª s V vkW Q ifCyd bUlVª D 'kUl@f'k{kk es a miyC/k fjdkMZ ds vk/kkj ij fn;k
*Strike out which is not applicable.
x;k gS A
mÙkj izns'k yksd lsok ¼'kkjhfjd :i ls fodykax] Lora=rk laxzke lsukfu;ksa ds vkfJrksa
LFkku -------------------------- gLrk{kj---------------------------------------
continued..
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UTTAR PRADESH PUBLIC SERVICE COMMISSION (4)
fnua k d ----------------------- uke---------------------------------------------- ¼5½ ¼d½ fdUgha ik¡ p 'kCnks a dh orZ u h 'kq ) dhft,&& 10 va d
la L Fkk dk uke----------------------------- ¼x½ fdUgha ik¡ p okD;ka ' kks a es a ls iz R ;s d ds fy, ,d&,d 'kCn nhft,&& 10 va d
eq g j -------------------------------------------- ¼6½ ¼d½ fdUgha ik¡ p eq g kojs ,oa yks d ks f Dr;ks a ds vFkZ Li"V djrs gq , mudk vius okD;ks a es a iz ; ks x
uksV % ;g iz e k.k&i= funs ' kd@;k vfrfjDr@la ; q D r ;k mifuns ' kd Mkbjs D Vª s V vkW Q ifCyd dhft,&& 15 va d
bUlVª D 'kUl@f'k{kk --------------------------- }kjk O;fDrxr :i ls gLrk{kj gks u s ij ekU; gks x kA ¼[k½ fdUgha ik¡ p 'kCnks a es a ls iz R ;; vkS j milxZ Nka V dj fyf[k,&& 05 va d
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