1. law, govt and politics
2. government

F No. 11012/2/2013-SSS
GOVERNMENT OF INDIA
Ministry of Statistics and Programme Implementation
Room No. 528, Sardar Patel Bhavan,
Sansad Marg, New Delhi-110001.
All the candidates selected for the post of Junior Statistical Officer (erstwhile Statistical Investigator
Grade II) in the final result of Combined Graduate Level Exam-2013 are hereby informed that out the 512
successful candidates, the Ministry has received dossiers of 511 candidates till date. The dossier of one
candidate (Shri K MURALI; Roll no. 9001013500; Rank- S1_111\382) has not been received from SSC yet.
In view of above, the letters for completion of "Pre-appointment formalities" have been dispatched to
the above mentioned 511 candidates. In case any candidate does not receive this letter till 10th June, 2015,
he/she may visit the website of this Ministry (** SSS -> Personnel Matters -> Recruitment of Statistical
Investigator Grade II (Junior Statistical Officer) -> CGL Exam-2013 -> Pre-appointment formalities)
and download the letter along with the annexures/forms attached to it.
The details of the documents related to pre-appointment formalities uploaded on the website are as
follows1)
2)
3)
4)
5)
6)
Copy of the format of letter dispatched for pre-appointment formalities (2 pages)
Attestation form (6 pages)
Annexure A (2 pages)
Annexure B (1 page)
Annexure C (1 page)
Annexure D (1 page)
After downloading the above documents from the website, the candidate must fill all the required
forms/annexures and send these documents to the address mentioned above as per the time-limit given in
the letter. It is also requested that the candidates who do not receive the above letter by post may intimate
this Ministry in writing enclosing the above documents.
All the candidates are requested to complete the documents related to pre-appointment formalities
and send them to this Ministry at the earliest. For latest updates related to recruitment of CGL Exam-2013,
candidates are advised to visit the website of this Ministry on regular basis.
SPEED POST
F.No.11012/2/2013-SSS
GOVERNMENT OF INDIA
Ministry of Statistics and Programme Implementation
Room No. 528, Sardar Patel Bhavan,
Sansad Marg, New Delhi-110001.
Date : 21-05-2015
To,
«NAME OF THE CANDIDATE»
«So_Do» Shri «Fathers_Name»
«Present_Address of the candidate»
(Roll No: «ROLL», Rank: «RANK»)
Recruitment to the post of Junior Statistical Officer (erstwhile Statistical Investigator GradeII) in Subordinate Statistical Service (SSS) on the basis of Combined Graduate Level
Examination-2013 conducted by SSC.
Subject:
«Sir_Madam»,
I am directed to say that you have been nominated by the Staff Selection Commission for
appointment on the basis of Combined Graduate Level Examination-2013 to the post of Junior Statistical
Officer in the Pay Band-2, Rs 9300-34800/- with Grade Pay Rs 4200 plus allowances as admissible.
2.
I am, therefore, directed to request you to inform this office within 30 days (i.e. till 22nd June,
from
the date of issue of this letter, whether or not you are willing to be considered for appointment to
2015)
the aforesaid post as per Annexure - A enclosed. If willing, you should send the following information/
documents to this office by speed post within the time limit as prescribed above.
(a)
(b)
(c)
(d)
(e)
Attestation Forms (3 copies) duly completed in all respects with recent passport size colour
photograph affixed on each copy.
You may find enclosed a letter addressed to Civil Surgeon/Medical Superintendent of the District
Government Hospital/Medical College for conducting Medical Examination (Annexure -B). You
should present yourself before the Civil Surgeon/Medical Superintendent of the District of your
present address, for medical examination along with this letter. You should bring the medical
report given by the Medical Authorities and submit the same at the time of your joining.
Formats of Identification Certificate (Annexure -C) and Character Certificate (Annexure -D) are
also enclosed and the same may be got completed and sent to the undersigned along with
Annexure A.
Complete address of your employer in case you have been serving or under obligation to serve
another Central/ State Government or Public Sector Undertaking or any other organisation.
You are also requested to send an attested copy of document issued from
University/College which could show that you have studied a paper on Statistics at
degree/graduation level. In some of the mark-sheets/documents the name of the subjects
are mentioned at the back side. In that case you are requested to send the photocopy of
both (front and back) sides of the mark-sheet(s) and highlight/underline with a
pen/highlighter the subject which shows that you have studied statistics at
degree/graduation level.
You are also informed that, SSS is a Central Service and you are liable to be posted/transferred
3.
anywhere in India.
P.T.O.
4.
In case no communication is received from you within 30 days of issue of this letter (i.e. till
22nd June, 2015), it will be presumed that you are not interested in the appointment and your
candidature may be treated as cancelled.
5.
This letter should not be construed as an 'Offer of Appointment' or 'Appointment Order'.
6.
If any declaration given or information furnished is proved to be false or willfully suppressed, you will
be liable for removal from service and such other action, as Government may deem necessary.
7.
You are requested to furnish the name and address of the District Magistrate/ District Collector in
respect of district of your present and permanent residence.
Yours faithfully,
(K. Saraswathy)
Under Secretary to the Government of India
Encls.:
1. Attestation Form (in triplicate)
2. Letter for willingness (Annexure-A)
3. Letter to the Civil Surgeon/Medical Superintendent (Annexure-B)
4. Identity Certificate (Annexure-C)
5. Character Certificate (Annexure-D)
Note-
1. The candidate is requested to fill all the forms in Block/Capital Letters (except signatures)
2. If there is any change in your present or permanent address then it is requested to fill your
latest/new address (with the district mentioned separately in the address) along with Pin
Code in the forms/Annexures mentioned above.
3. You are requested to send the reply to Annexure A even if you are not willing to join this
service. So, that the status of your willingness could be used by this ministry for processing
the recruitment accordingly.
ATTESTATION FORM
fdiFcp71
T t:Et
FOR DETAILED VERIFICATION
61F
TIF4cnt
( 5 i:To1i.rox7
VT-TITP,Trrft T-Ffrif
1.1T4z1ic117-1 IFT4/ATTESTAT ION FORM
'aillci-41/WARMNG
1471-4
r G1=rr -4711* TIT far* M.7:1
)
Affix signed Passport
size (5cm.x7cm. approx)
copy of recent Photograph
facrFil .31-;reaT -B-crTit
RZ1T71;1-1C:fi ZliT7U1
73-411:17411: 7-6). -(TreliTa
7:}7 ft;r7 al-eirre4
7:11-4
1431 ear tl
The furnishing. of false information or suppression of any factual information in the
Attestation Form would be a disqualification and is likely to render the candidate unfit for
employment under the Government.
2.
76"
"Z#1 TIT
•f c', We, t{..R 313:114ZITT
fq7-:CNTr 3TIN fqTzlf 7:117.11T-Ftifff STET r-Irdi *IT arm)
. -IT Et aTErar 3kT 3.-TfircW141- ZET ZMItt2.:%.
7:1-17-Fr
.4,-Tf2;41e-r
-'79. t5rei
1ZTT IA .4-5r 9 TFT--4 TR.
wror 7R-fir fag . 1.-{17k-1tfq-11
If detained, convicted, debarred etc. subsequent to the completion and submission of
this form, the details should be communicated immediately to the authority to whom the
attestation form has been sent earlier, failing which it will be deemed to be a suppression of
factual information.
fOit mraft
7keli
r
TIRIf 'W-EUTtif
iV) 11TVIT'EFT 1.11:rf
.11
-7-1-9-r
TTY
(-icit Tscrra. 4. 7 - •1:1
If the fact that false information has been furnished or that there has been suppression
of any factual information in the' attestation form comes to notice at any time during the
service of a person, his services would be liable to be terminated.
'F-gt Pe.AMIT Tr4T
31;144
TP:19111.
Surname
1.
cuT
T4IcF STF,III ) WIT1:4
Tfra* 3ftt t are 917 'Fir Zir-frict
f;TT-11 1411zI "t-0 Irqrar
qdittl
Ttarr 74-tt
Name in full (in block Capitals) with aliases, if any
(Please indicate If you have added or dropped at any stage,
any part of your name or surname)
LU trill at
-m- r, 1J fit 341T c7fT TIT
II" 9.
11e1 /1:1-4/11Tfi 3441( 7fTfr )
Present address in full(i.e. Village, Thana and District or
House Number, Lane/Street/Road and Town)
3('EI3). tiT
r tOT "1:1711,( 3-fZfk
Tr(ilyt-Lichilmf atrr
afrr fsTCit -Err Howl -t. ("cw.)
.wrrFrrr EFT -;tm)
(a) Home address in full (i.e. Village, Thana and District or (a)
House Number, Lane/Street/Road and Town and name•of
the District Headquarters).
Wf
* IT)" 314'
TR. afIT 1-111
("CI)
TETT 1)'
lic1tut u54.44
•Ktfll:n
(b) If originally a resident of Paldstan, the address in that (b)
tricl the dale ¢A tnigrafion to Incii;1:1 Onion.
9-14
Name
4.
-'.)
T-21-14i z-Er 1*-ZT ( T
-
64 '44 ST-qraTe Te--ff
•:Fr-,. eft -41k It:f4-ylif
Ti ( trrfoi-Rrpr 44-6 ) 4 , ) zire arm' fug tatf art it
-a. rst
,731P-1E17 'Ffrizi 'FIER 21 .Efif
Particulars of
one year
ar14--- TilT,-.
.a'r 7i-f- TerFr 4-,-r 14)--aT ';-Tr
-er-FR 7.7w:
311ET q qtl
arRa er4 .. 4T-q.
li ei
places (with periods, of
where
youabroad
have resided
for more
than
at a time during the preceeding five residences)
years. In case
of stay
(including
Pakistan)
21
years, should
be given.
particulars
of all places
where you have resided for more than one year after attainting the age of
..............._
From
To
-Eft 4* ( 3.441- tom,
a-err fir-g--A
TTRTT, TigT/-4:
-en* if
/1:irri :AT 97R- )
71Tr 7-9.11",* f=iWi
Residential address in full (i.e. Village, Thane and
Ty
.T4
zE1 ;MT
District or House Number, Lane/Street/Road and
Name of the District Headquarters of
Town)
the place mentioned in the preceding
column
trFIT, 7:1--,--A-pr
(a)
"rty711
Relation
'911T
Name
( )4( tp-r9r-q, ztririt
41q
)
TrRIrcir (
44 ah-r 4r/
31faram 44)
T-P.TR ,
%Talfm-4
Nationality Place of birth
err
trar feJcif
(by birth and/or
71R )
by
Occupation (if
domicile)
employed, give
full designation &
official address
EFT 1:1V1
( zrr2; Trd-ER Tit
'RUM 'EMT )
Present postai
address
(if dead, give last
address)
7-9.1141 'FZI 4F1T
Permanent
Home address
Father (Name in .ful
aliases, if any)
( 2 ) 1:11-FIT
Mother
( 3 ) 11-71:frff
Wife/Husband
( 4 ) 1311
Brother(s)
(5)
Sister(s)
7-4-1rg-
(b)
a41/741. TT1- (
TifT4) 41TO.-
9-a- rifr4
foreign
country
: furnished with regard to son(s) and or/daughter(s) -P
In
fortnation
to be
in case
they are studying/living in
era
Name
TIV!.#1-ifT ( ter 14' a-AT/
47- arfbwrft 44)
Nationality (by birth and/
or by domicile)
a
wzr T-err.
Place of birth
kp-r r=1-rr
rub fcro--6 %rm
- 4 -4 1
- 7 17 v.w ,
ii/r6 7t-e triT 9
fw44
RT
TIT
-ftzl 41
- -/T-4Country in which
studying/living with
full address
Date from which studying/
living in the country mentioned in previous column
41611
h.
444,14;:
3
TruffilTlf
Nationality
,7firT .0- 7-frfru (04-Y 14--c4T-0 4
Date of birth (in Christian era)
3TT
Present age
iii-q „4-.
Wig aliii
Age at Matriculation
(a)
(IN )
(b)
-Mil.frq
( Tr)
(c)
741 .1.-24T-T, f41-IT atit TM.f ttaii .4-6 fRa. t
Place of birth, District and State in which situated
arm" fam fir& .3i1T fl ,
"'-1 Z . -;1.
District and State to which you belong
( ZE )
(a)
( ZU )
(b)
:.- 1,7.4; fr-rm -97-i-tau 7:1- f-04 f-, t(. 3TTT Tr- i .. t
District and State to which your father originally belongs
arrqz-Fr vr#
3171-5,
-41- 7-01 -44
(a)
3TRT
)
Are yOu a member of a Scheduled Caste/
Schedule Tribes/Other Backward Class
10,
(c)
( -4-7)
Your Religion
-s-cfr
(TT )
15 =i(ri If% 34M .4 11})-1-ft-n- r-cfisa) 3 IT chicrl.ii
URI u6r
t 1-4(gic) (IA fvr.1-r
Th4ticiTql
(b)
4,-1- chi .mif ZT -ftirvr vrqr 4)i
Educational qualifications showing places of education with years in Schools and
Colleges since 15th year of age :
T-,h;c177:r7
r) re;R"T 9ITT af TTVT ITT-IT
.9*T
VI
)
ca
Name of School/College with full address
Date of entering
11(-,y) 4TT aTTIT
1-Trgf W.--174 TIT 1TW-f
tn. Trri-ft duchcr zir
zTril- V, cif 1=li.i1,)19
'D)
.wl
2
Date of leaving
411 . zff 31 TI i-1(<111( zrr PUTZITaq ITT
Ttwr
Tt"
RTftaf Rird 3.MT9' 1Ktlf
dratrf "cd.WT
Examination Passed
tIT
fichig
riff 4)(4 ft-qr
(a) Ar you holding
or have any time held an appointment under the Central or State Government or a quasi
Government body, or an autonomous body; or a public undertakin g
or a private firm or institution. If so,
give full particulars with dates of employment, up-to-date.
3J:far/Period
TR, Tifti -CM
ITT•q•-,T
ZI-TET
ifZE Designation, emoluments and nature
of employment
From To
144 cicil i TM
. WIT '91IT 1:19T
Full name and address of
employer
11. ( *14 )
-74r FETUA•-4T ITITR +it =WI / t
/1.14>
-cfr 1914itv r z u1f r fair wcrwq , f
r faire. Fava ICIVIrlargri-41a fm
artiri Ylt , •rfq artr-4e ui fiznIm Ault; (
-4-ar) rti414, '1965 atai ~r fir ,sir uwlt
PM* -E*arEr1 r v,ch 4614 7-Er
4-ct-,t 1?/qT ui.q1 zif
za-Er
eh) ar-grnif741 T1 et, zrr 7:11-t antrk *tar
TrRrEa
ft-10 -ill fi fa-Err vu trr A-ra 31W-4 X41
Zi1C-74 -4:rgrqv 1-4 N iruT
=
arm* fa,fir ,41,44
ffft t-4,d1chiUt Trtrrr
(h) If the previous employment was under the Government of India/State
Government/undertakin g owned or controlled by the Government of India or a State
Government/Autonomous Body/University/Local Body. If you had left service on
giving
a month's notice under Rule 5 of the Central Civil Services (Temporary
1905 or any similar corrii=,poridinci wins, were any disci:Ai:Lary
firoc!tirlinris trriiriocl iicrairisl you, or had you hen
your
u
Flier n' fltc ;i1-;t! you ■
,5
tioti;:e ();
:;l113!..1 1.101it (1;1.0,
Ni el
Reasons of leaving
previous service
4
1 2 .(
)11T 3111T -c-fiTrr
tt/71-61 Yes/Nc
'fLiir.!,- T111-? a) Have you ever been arrested?
( )zgli aciti tit W41 yee0-11
TtrtiYes/N,..
t? b) Have you ever been prosecuted?
( TI)-‘4-1. anti_ Ili* :171.71FEC T 1111:? (2) Have you ever been kept under detention eR-6: Yes/No
(Fr) 1-RTT
Yes/No
tst-tig 1R'?
d) Have you over been bound down?
( ) it 3TPT 1 t Ib* 'FUN -'iiziicrZT gill
r icaLIT Trali t?
-477ItY
Yes/No
(c) Have you ever been convicted by a Court of Law for any offence?
1-07 )
aim 'Eli* fcait 3TritTU
-P7 R.
8-6iikt
ai(1
t?
Yes/No
(1) Have you ever been convicted by a Court of Law for any offence?
( 72; ) 7-171 3Tf1 •Wilit 641 trIt4IT ff17 fEraNu
fcETIT fqrciftamw
ti/-W
al-44 th-41-r
urt-t Picnic; 7tR?
(g) Have you over been debarred from any examination or rusticated
Yes/No
by any University or any other educational authority/institution?
( )
3117
•IVEIT 144--;
31-M-17/14-74-alt Li 0.1-1 3TITIFT i t l 397.41 -rw.F41 Tit
Trttarr ira-47reazii
ferciftia .31741-774 -8-0-m;Tt t? •
(h) Have you ever been debarred/disqualified by any Public Service
Commission/Staff Selection Commission for any of its
examination/selection?
Yes/No
($T)
111Tt ich-1 LH 4
rcht-IT • W:frafFzi
31T4T-1 .71
, -TT v--F-T TO' t?
•
(I) Is any case pending against you in any court of law at the time
vesmcb.
of filling up this Attestation Form.
1
-5T4
'WA Wit( 'EMI' ivltfr -FiTfepn 1,-raitran TtR1T 13TitT=F
"PTciTa
c
-6t/;rit
7-al TR 14 iTrr TAT t?
(j) is any case pending against you in any University or any other
educational authority/institution at the time of filling up this
Yes/No
Attestation Form
arnr 1TR-aerr arzfiTt N..41 ITNTZ-PIT TIP-TN s* foRaff
Tr4/-errfcru 110 Try
(k) Whether discharged/expelled/withdrawn from any training
Yes/No
institute under the Government or Otherwise?
r fcroit 131 W-1 VT 7_,J-111- "it" 4 tt Tit it14-101 fztTcRTrrr-mr-c-ar.ra •-TT
(ii) TrNa
1:11TO
-er4 ailT/Tir Tr tFili
31141:1111741114114/1:MIT 311t4
Ti-w--44/RTRA 141E7 t 1-4744 ''Tn
-1401-cf/-91-iticilitiii-f4T-24T "q-c7r
e,'lr,erri
(ii) If the answer to any of the above mentioned questions is "Yes", give
full particulars of the case/arrest/detentions/fine/conviction, sentence/
punishment etc. and/or the nature of the case pending in the Court/
University/Educational Authority etc. at the time of filling up this form,
fzuriaii : (1) 7, p-g-ztr
wcrz- '41- 711 "atria-it" "igt 141 kftnr,i
Tri4ztiew-r- ktir4
Note : Please also see the "Warning" at the top of this Attestation Form.
3T ITr f4-EIT 7IfFff
V 9 c•f 3<it a
i i ) writ-2i% "T"
ramie WiT
(ii) Specific answers to each of the questions should be given by striking out
"Yes" or "No as the each may be.
i.
la. atT4-4 Tcr
9-sq trf4T 714
ItiliZT 674Na-zit
-irn Zfr r r .441-4ctql.
3rnr,ir ~lt•iii DTI
2.
Name of two responsible persons of your locality or two references to
whom you are known
-g4IfiTrEl
tf4.
Tr
tra * RWT fEr4c4tH t, 7tTer TTEIT 1171 *1 tfi
111::7Ni-a 7t-F-:1
1 4174'r -e-t Tr
'moo( t anti
I certify that the foregoing information is correct and complete to the best of my knowledge and
belief. I ern aware of any circumstances which might impair my fitness for employment under Government.
TR MPd+-5 1-TIT
Signaturo of candifiali
14-c4 1-1 uLnui-tri'
IDENTITY CERTIFICATE
foU, :7irr4
"grai-ctilfra.
fuff f+
--1,11 -crcE
Certificate to be signed by any one of the following :( I )
iNtitfcf
1u ZIT tl
alfuwrft;
Gazetted Officers of Central or State Government;
(z)
C1771 TIT
t 317 lei x4-1
TrizirrtraErr sz1$1
di-1-114c111 -627T dt-tcia' 1
:1171-ftiaT/1411TM
(l"4 f41:11-04usci i t-Nt-el;
Members of Parliament or State Legislature belonging to the constituency where the
candidate or his parent/guardian, is ordinarily resident;
(3)
71'4-is al srt ci A piii.4s e aTruwift;
Sub-Divisional Magistrate/Officer;
(4)
1 r
( 5 )
313:11-4-cITT 46ct tr4-ar T T
ytf4t ""T vi r chit
ci
TIT5TTffn6ttlrlclt
fart- 641
Tehsildar or NaiblDy. Tehsildar authorised to exercise magisterial powers;
f4riv--rirywran44.;
t * 441.44c1151ik1
Principal/Headmaster of the recognised School/Collegellnstitution where the candidate
studied last;
(6)
aru cb rci a, I tt 31-51
- Wft;
I3lock Development Officers;
(7)
41i-e.411t-dt; 3i r
Postmaster; and
(8)
gr-114c1
1-1 4TT;
Panchyat Inspectors.
6
TrErrFTra- -4-Err 11c9.1
'NT it 8fi*/-?aird174144.1-ft
Certified that I have known Shri/Shritnati/Kurnari
ftrov..4
7-,,11)"
-T/LP:i.
Son/daughter of Shri
c.(
for the last
7-4T--tir
years
air viii ctch -TO trTfr t aft Fqwciii4 t fa7 di-i4 7). «iii f
a tali ti
months and that to the best of my knowled g
e and belief the particulars furnished by him/her are correct.
TRfikIT
Signature
tIT tfiTtra• 3f1T
Uit
Designation or Status and address
7.- zrr :1
Place
TfR21
Date
wrafmr
gift
\311)
Fri`
(To be filled by the Office)
PFPRT
zfiT
RtIT err raTI
Name, designation and full address of the appointing authority.
11
-4,
1Z.rit-rcii
fr.-17 d “41-4--arz
Trzzr-AT 4 fa wr
ft-4T
Post for which the candidate is being considered.
ITT ti
Annexure-A
-r-The Under Secretary,
SSS Division, Room No.- 528,
Ministry of Statistics & Programme Implementation,
Sardar Patel Bhawan, New Delhi -110001.
Sub: Willingness or otherwise to join the Subordinate Statistical Service-regarding.
Madam,
I fully understand that I have been nominated to Subordinate Statistical Service, Ministry of Statistics &
Programme Implementation.
I am willing/not willing** to join the Service. (— Strike whichever is not applicable. Even if you are not interested
in joining this post then also it is requested to forward the status of your willingness to this ministry)
Choice of State(s) in order of Preference for Posting (list of States/Union Territories given on the next page)
[This Ministry will have the discretion whether to consider the preference of state exercised by the candidate or not]
1.
3.
5
2.
SI.
No.
Languages Known
Language(s)
L
Tick whichever is api licable
Read
Write
Speak
2
3
4
Address (Same as mentioned in the Attestation Form).
[ If there is an chan s e in the address then the latest/new address may be mentioned in
the forms ]
Your Present Address
Your Home/Permanent Ad( ress
PIN Code-
Pin Code-
District of your present address-
District of your permanent address-
Address of the District Magistrate/Collector of the district
of your present address-
Address of the District Magistrate/Collec for of the district
of your permanent address-
PIN Code-
PIN Code-
The attested photocopy of mark-sheet/Degree issued by the University/College, with Statistics as a subject
underlined/highlighted has been attached (Yes/No)
Yours faithfully,
Signature:
Name:
Roll No.:
Rank:
Telephone:
Mobile:
I 1.
1.
2.
2.
Email-Id:
Place:
Date:
P.T.O.
List of States/ Union Territories
SI. no.
1.
States/Union Territories
Andaman and Nicobar
Andhra Pradesh
3.
4.
5.
().
Arunachal Pradesh
7.
Delhi
8.
9
Dadra and Nagar Haveli
10.
Goa
I I.
Gujarat
12.
Haryana
13.
Himachal Pradesh
14.
Jammu and Kashmir
15.
Jharkhand
10.
Karnataka
1 7.
Kerala
I S.
Lakshadweep
10.
Madhya Pradesh
20.
21.
Maharashtra
Manipur
22.
Meghalaya
Assam
Bihar
Chhattisgarh
Daman and Diu
Mizoram
24.
Nagaland
75.
Odisha
20.
Puducherry
27.
Punjab
28.
?0.
Rajasthan
Sikkim
30.
31.
Tamil Nadu
Telangana
3.
Tripura
33.
Uttar Pradesh
34.
35.
Uttarakhand
West Bengal
Annexure -B
F.No.11012/2/2013-SSS
GOVERNMENT OF INDIA
Ministry of Statistics and Programme Implementation
Room No. 528, Sardar Patel Bhavan,
Sansad Marg, New Delhi-110001,
Date: 21-05-2015
The Medical Superintendent/Officer/CMO,
Government Hospital,
District of present address (**mentioned below)
Subject: Medical Examination of «Title_MrMs» «NAME of the candidate» —Regarding
Madam/Sir,
The following candidate who has been recommended by SSC (CGL Exam-2013) for
appointment to the post of Junior Statistical Officer (erstwhile Statistical Investigator Grade-II) of
Subordinate Statistical Service (SSS) may please be subjected to usual medical examination and a
certificate may please be handed over to the candidate in a closed envelope for presentation to this office.
The particulars in respect of the candidate are furnished below.
Name
«NAME OF THE CANDIDATE»
(Roll No.:«ROLL», Rank:«RANK»)
Address (**)
«Present_Address of the candidate»
Date of Birth
«Date_of_Birth»
Employment for
the post of
Junior Statistical Officer ( erstwhile Statistical Investigator Grade-II)
Yours faithfully,
(K. Saraswathy)
Under Secretary to the Government of India
Annexure-C
IDENTITY CERTIFICATE
Certified that I have known Shri / Smt./ Kum.
Son / Daughter of Shri
for the last
years
months
and to the best of my knowledge and belief, the particulars furnished by him/her are
correct.
Date
Signature:
Name:
Desi.gnation / Status and
Address with seal
Place :
NOTE :
THIS CERTIFICATE IS TO BE SIGNED BY ANY ONE OF THE
FOLLOWING.
Gazetted Officers of Central or State Government.
Members of Parliament or State Legislature belonging to the
Constituency where the candidate or his parent /guardian is
Originally a resident
Sub-Divisional Magistrate / Officers
Tahsildars / Deputy T.ahsildars authorized to exercise Magisterial
powers
Principal / Head Master of the recognized School(s) / College(s) /
Institution where the candidate studied last
Block Development Officers
7.
Post Masters
8
Panchayat Inspectors
Annex Li re-D
I. CHARACTER CERTIFICATE
Certified that I have known Shri / Smt. / Kum _
Son / Daughter of Shri
for the last _
_ years
months and to the best of my knowledge and belief, he / she bears reputable
character and has no antecedents which render him / her unsuitable for Government
employment
2.
Shri / Smt. Kum.
riot related to me
_ IS
Date
Signature
Name
Designation
Seal
Place
IL CHARACTER CERTIFICATE
Certified that I have known Shri / Smt. / Kum
Son / Daughter of Shri
for the last
_ years
months and to the best of my knowledge and belief, he / she bears reputable
character and has no antecedents which render him / her unsuitable for Government
employment.
Shri / Smt. Kum.
not related to me.
is
Date
Place •
Signature
Name
Designation
Seal
-------------------------------------NOTE :
---------------------------THESE CERTIFICATES ARE TO BE SIGNED BY ANY ONE OF THE
FOLLOWING (THE ABOVE TWO CHARACTER CERTIFICATE
SIGNED BY TWO DIFFERENT PERSONS).
S SHOULD BE
1
2
3
Gazetted Officers of Central or State Government.
Members of Parliament or State Legislature belonging to the
Constituency where the candidate or his parent /guardian is
Originally a resident
Sub-Divisional Magistrate / Officers.
Anne.y.l.kae. -I
Ministry of Statistics and Programme implementation
Government of India
NOTICE
Subject: Medical Examination of candidates belonging to Delhi Region
It is to inform that all the candidates selected for the post of Junior Statistical
Officer (erstwhile Statistical Investigator Grade II) in CGLE 2013 conducted by SSC and
have their present address ( mentioned in Annexure B of the letter issued to the
candidates for pre-appointment formalities) in Delhi Region are required to get their
Medical Examination done at:
Ram Manohar Lohia Hospital,
Baba Kharak Singh Marg,
Near Gurudwara Bangla Sahib,
Connaught Place, New Delhi- 110001
Under Secretary (SSS)
28.05.2015
A r) ng?0-4 -6€
Ministry of Statistics and Programme implementation
Government of India
NOTICE
Subject: Medical Examination and Police Verification of candidates selected in
CGLE 2013
It is to inform that the candidates selected for the post of Junior Statistical Officer
(erstwhile Statistical Investigator Grade II) in CGLE 2013 conducted by SSC who are
already working in Central Government, PSUs need to get their Medical Examination
and Police Verification done afresh as per the letters issued by this Ministry.
Under Secretary (SSS)
28.05.2015
I
r.
nel..t.raf
z
F. No. 11012/2/2013-SSS
GOVERNMENT OF INDIA
Ministry of Statistics and Programme Implementation
Room No. 528, Sardar Patel Bhavan.
Sansad Marg, New Delhi-110001.
Date: 28-05-2015
-fry\A„(
The Medical Superintendent/Officer/CMO,
Government Hospital,
Ram Manohar Lohia Hospital,
Baba Kharak Singh Marg, Near Gurudwara Bangla Sahib,
Connaught Place, New Delhi-110001
Subject: Medical Examination of the candidates selected through Combined Graduated
Level Exam,2013 -Regarding
Madam/Sir,
The under signed is directed to say that the candidates who have qualified for
the post of Statistical Investigator Grade II (Junior Statistical Officer) have been issued
letters for usual medical examination at the Government hospital of their respective districts
(copy of the format of the letter issued to the candidates enclosed).
It is requested that the candidates who have these letters as per the given format and
have their present address (mentioned in the letter) belonging to Delhi region may please be
subjected to usual medical examination and a certificate may please be handed over to the
candidate in a closed envelope for presentation to this office.
Encl: As above.
Yours faithfully,
(4/
(K. Saraswathy)
Under Secretary to the Government of India
e/ . NO- - O//
7-
2 3 siro