ARMY RECRUITING OFFICE : MHOW (MADHYA PRADESH)

ARMY RECRUITMENT RALLY AT KUSHABHAU THAKRE STADIUM, DEWAS (MADHYA PRADESH)

FROM 20 MAR 2021 TO 30 MAR 2021

1. Army Recruitment Rally will be held for eligible male candidates of districts of Agar Malwa, Alirajpur, Barwani,
Burhanpur, Dewas, Dhar, Indore, Jhabua, Khandwa, Khargone, Mandsaur, Neemuch, Ratlam, Shajapur and Ujjain
in Madhya Pradesh from 20 March 2021 to 30 March 2021 at Kushabhau Thakre Stadium, Dewas (Madhya
Pradesh).Online registration is mandatory and will be open from 20 January 2021 to 05 March 2021. Admit cards for
the rally will be sent through registered e-mail from 06 March 2021 to 15 March 2021. Candidates should reach the
venue on given date and time as mentioned in the Admit Card. Gate will be open at 00:30 AM and closed at 05:00 AM
daily.
2. Candidates will be screened for the following categories and as per qualitative requirements mentioned below :-
Category Age Born Minimum Physical QR Educational Qualification
(Years) Between Height Weight Chest
(Both dates (Cms) (Kg) (Cms)
Inclusive)
(a) (b) (c) (d) (e) (f) (g)
Soldier General 17 ½ - 21 01 Oct 1999 168 50 10th/Matric pass with 45%
Duty to marks in aggregate and 33% in
01 Apr 2003 each subject. For Board
Soldier General 17 ½ - 21 01 Oct 1999 162 48 following grade sys, minimum
Duty (Schedule to of D grade (33-40) in individual
Tribe candidate) 01 Apr 2003 subjects or grade which
contains 33% and overall
aggregate of C2 grade.
Soldier Clerk/ 17 ½ - 23 01 Oct 1997 162 50 10+2/Intermediate Exam Pass
Store Keeper to in any stream (Arts, Commerce
Technical 01 Apr 2003 and Science) with 60% marks
in aggregate and minimum
50% in each subject. Securing
77 50% in English and
(+5 cm Maths/Accounts/Book Keeping
expansion) in Class 12th is mandatory.
Soldier Nursing 17 ½ - 23 01 Oct 1997 167 50 10+2/Intermediate pass in
Assistant /(AMC)/ to Science with Physics,
Nursing Assistant 01 Apr 2003 Chemistry, Biology & English
(Vet) with minimum 50% marks in
aggregate and 40% marks in
each subject
OR
10+2/Intermediate pass in
Science with Physics,
Chemistry, Botany, Zoology
and English with min 50% mks
in aggregate and min 40% mks
in each subject.
Soldier Technical 17 ½ - 23 01 Oct 1997 167 50 10+2/Intermediate pass in
and Soldier to Science with Physics,
Technical Aviation 01 Apr 2003 Chemistry, Maths & English
/ Ammunition with minimum 50% marks in
Examiner aggregate and 40% marks in
each subject.
76
Soldier 17 ½ - 23 01 Oct 1997 168 48 8th Pass. No stipulation in
(+5 cm
Tradesmen 8th to aggregate % but should have
expansion)
Pass 01 Apr 2003 scored minimum 33% in each
subject.
Soldier 17 ½ - 23 01 Oct 1997 168 48 Class 10th/Matric simple pass.
Tradesmen 10th to No stipulation in aggregate %
Pass 01 Apr 2003 but should have scored
minimum 33% in each subject.
@ Relaxation in Physical Standards.

Category Height Chest Weight

(Cms) (Cms) (Kgs)
Sons of Servicemen (SOS)/ Ex-servicemen (SOEX)/ War widows (SOWW)/ 2 1 2
Widows of Ex-servicemen
Adopted son/ son-in-law of a War Widow, if she has no son including a 2 1 2
legally adopted son of Serving Soldier/ Ex-servicemen
Outstanding Sportsmen (International/ National/ State/ District level having 2 3 5
secured 1st /2nd position in last two years
@Note- Relaxation in Physical Standards is either for wards of servicemen/ex-servicemen or
sportsmen (not both) and is in addition to the special physical standards.
 2

3. Candidates will be tested as stated below :-

Physical Fitness Test (At Rally Site) Remarks

1.6 Km Run Beam (Pull Ups) 9 Feet Zig-Zag
Group Marks No of Marks Ditch Balance
Pull Ups
Group - I 60 10 40 Need Need to The following categories only need to
up till 5 Min 30 Sec 9 33 to Qualify qualify in PFT :-
Group - II 5 Min 31 Sec 48 8 27 Qualify
(a) Soldier Technical.
to 5 Min 45 Sec 7 21 (b) Soldier Nursing Assistance/
6 16 (c) Nursing Assistance
Veterinary.
(c) Soldier Clerk / SKT
Physical Measurement (At Rally Site)
Physical measurements will be carried out as per the Physical standards listed at Para 2 above.
Medical Test
(a) As per laid down medical standards at the Rally Site.
(b) Unfit candidates will be referred to MH/ CH/ BH for specialist review. Candidates referred for specialist
review should present themselves to the nominated MH / CH/ BH within 14 days of the referral and report back to
ARO for issue of Admit card for CEE in case declared FIT during review.
Written Test through Common Entrance Examination (CEE)
(a) Will be conducted for medically fit candidates at nominated venue. Location, date and time of written test
will be intimated at rally site and also endorsed in Admit Cards.
(b) Admit card for CEE for the candidates declared FIT at rally site will be issued at Rally Site itself.
(c) Admit card for the CEE for relaxation candidates (i.e. relationship / sports/ NCC cert) will be issued after
verification from issuing authority.
(d) Admit card for CEE for the Review Fit cases will be issued at ARO Mhow (MP) after certified medically fit by
concerned specialist/ specialists at MH/ CH/ BH.

4. Candidates are required to bring following documents / certificates in original with two attested
photocopies with them to the rally site :-

(a) Admit Card. Printed with Laser Printer on good quality paper (Do not shrink the size).

(b) Photograph. Twenty copies of unattested Passport size colour photographs developed on good
quality photographic paper in white background not more than three months old. Computer printouts/
photoshopped photographs will NOT be accepted. (SIKH and SIKH (M&R) candidates photographs should be
with turban/ Patka).
(c) Education Certificates.
(i) Education certificates with marks sheet in original of all educational qualifications achieved by
candidate i.e. Matric / Intermediate/ Graduation etc from recognized School/ College/ Board/ University.
(ii) Provisional/ online education certificate should be certified ink signed by the head of the
educational institution of concerned board/ university.
(iii) Candidates with matric certificate from Open School should bring School Leaving Certificate
countersigned by BEO/ DEO.
(iv) Following Education Board recognized by State Governments/UT administrations will only be
accepted:-
(aa) Board of Secondary Education, Madhya Pradesh, Bhopal.
(ab) MP State Open School Education Board, Bhopal.
(ac) Maharishi Patanjali Sanskrit Sansthan, Bhopal

(d) Domicile Certificate. MP Online Domicile Certificate issued by Tehsilder / District Magistrate.

(e) Caste Certificate.

(i) Caste Certificate affixed with photograph of the candidate issued by Tehsildar /District
Magistrate.
(ii) Caste certificate duly signed and issued by SDM / Tehsildar / Naib Tehsildar if candidate
belongs to SC / ST / OBC / SBC etc in original.

(f) Religion Certificate. Religion certificate issued by the Tehsildar / SDM (if religion as
“SIKH/HINDU/MUSLIM/CHRISTIAN” is not mentioned in caste certificate).

(g) School Character Certificate. School Character Certificate issued by the School/College/Principal/
Headmaster, where the candidate last studied / is presently studying.

(h) Character Certificate. Character Certificate with photographs issued by Village Sarpanch/Municipal
Corporation with in last six months.

(j) Unmarried Certificate. Unmarried Certificate for candidates less than 21 years of a g e with photograph
issued by Village Sarpanch/ Municipal Corporation within last six months.
 3

(k) Relationship Certificate. SOS/SOEX/SOW/SOWW candidates are required to produce to the

following documents:-

(i) Relationship certificate issued from respective Record Office only duly signed by Record Officer
with personal number, rank, name and particular of the Record Officer issuing the relationship certificate
with office seal/stamp is endorsed.

(ii) A declaration to the effect as mentioned in the Affidavit on Ten Rupees Non-Judicial Stamp
paper prepared by the ESM duly signed by 1st Class/Executive/Judicial Magistrate is required to be
submitted by the candidate at rally site. Format of affidavit attach as per Appendix ‘A’.

(iii) Original Discharge Book of Ex-Servicemen also to be produced. Name and date of Birth of the
candidate must have been recorded in it.

(l) NCC Certificate. NCC A / B / C certificates and Republic Day Parade certificate should have
photograph of the candidate duly attested by issuing authority. Provisional NCC A / B / C pass cert will only
be accepted if authenticated by concerned NCC Group Commanders.

(m) Sports Certificate.

(i) Sportsmen who have represented India at International level and State at National level within
the last two years. For list of sports under which relaxation in physical standards is admissible attention
is invited to www.joinindianarmy.nic.in website.

(ii) Sportsmen who have represented District at State level and University team or regional
team at District level with 1st /2nd position within last two years. Sports certificates should be with
registration number and from Govt recognized sports institutes / bodies as per list attached as
Appendix ‘B’.

(n) Affidavit. Duly signed by candidate on Rs 10/- Non-Judicial Stamp Paper as per specimen
duly attested by notary will be submitted by candidate. Format of affidavit attach as per Appendix ‘C’.

(o) Single Bank Account, PAN Card and AADHAR Card. Single Bank account, PAN Card & AADHAR
Card are mandatory documents for final enrolment for purpose of Pay & Allowance and other social benefits
scheme.

Note : Candidates are required to bring their mobile number linked with Aadhar Card to verify details at
rally site.

(p) All candidates will produce a COVID-19 free/asymptomatic certificate and No Risk Certificate
at rally site. Format attach as per Appendix ‘D’ & ‘E’. Asymptomatic certificate should have been issued
with 48 hrs prior to the rally reporting day.

5. Special Instructions :-

(a) Producing of fake certificate will be dealt severely.

(b) Candidates are allowed to take part in a single category only during recruitment rally.

(c) Recruitment is purely based on merit list and vacancies are filled according to merit list. Candidates do
not have any right to claim to be recruited in the Army just because of being selected in recruitment process.

(d) Suggestion and complaint on recruitment can be submitted in writing by candidate through suggestion
box held with Grievance Cell/ Army Recruiting Office, Mhow.

(e) Candidate will report at 00:30 AM at entry gate of rally ground. GATE WOULD CLOSE AT 05:00 AM
EVERYDAY.

(f) Use of Mobile phone is NOT allowed inside the Rally site & written exam premises.

(g) Candidates/ Father/ Mother/ relative of candidate will not have any rights for claiming
compensation or to hold Indian Govt/ Indian Army responsible for any injury, death, disease or disability suffered
during the various physical tests undergone by the candidate at the time of recruitment. All candidates will
be appearing for various tests in their own interests and risk.

(h) Candidates using unfair means will be disqualified and punitive action will be taken against them
Married candidates below 21 Yrs of age are not eligible for enrolment into the Army.

(j) Candidates not in possession of requisite certificates are liable for rejection.

(k) In case of any clarification at rally site, approach Grievance Cell.

(l) Candidate will not get entry without documents mentioned at Para 4 above and will be rejected at
the time of pre height checking itself.

(m) Candidates will not be permitted to leave the rally ground once allowed to enter, so they are advised to
bring their own snacks as required.
 4

(n) WARNING.

(i) Beware of touts and antisocial elements. Touts cannot get you recruited in the Indian Army.
Do not waste your money on touts. Recruitment process has been completely computerized and can’t be
tampered with. Have faith on your hard work.

(ii) Producing fake documents & giving false information result in candidate being expelled from
recruitment process & handed over to Civil Police.

Important Instructions

6. Administration. Candidates are advised to bring sufficient eatables and drinking water with them since
recruitment is a time consuming process.

7. Candidates will be permitted entry into the rally site only on production of Admit Card in duplicate
generated online though the official website www.joinindianarmy.nic.in. Anyone found with fake admit card will
be handed over to Civil Police.

8. Recruitment into the Army is a Free Service. Candidates are advised not to pay bribe to anyone for
recruitment as it is based purely on merit. Selection process during recruitment at all stages is computerized and
transparent. Therefore, candidates are advised to be beware of touts as they cannot help them at any stage.

9. Candidates are advised to check their age & educational qualification before participating in the rally. Candidates
found underage/overage and not meeting educational qualification and eligibility criteria will be disqualified.

10. Giving / taking bribe, production of bogus / fake certificates and indulging in unfair means is a criminal offence
and liable for punishment under law.

11. Certificates with overwriting, tampering of seals or erasing / alteration of any type will not be accepted.

12. All documents submitted by the candidates are verified by government agencies before enrolment in to the
Army. Strong legal action will be taken against individuals submitting fake documents. Even after enrollment in to
the Army, if any Individual is found to have produced fake documents or provided wrong information at the time of
recruitment, Individuals service is liable to be terminated despite the numbers of years of service the Individual may have
rendered.

13 No compensation for Death / injury / loss etc during the rally and no travelling allowance/dearness allowance for
the journey is admissible. Candidates will participate in the rally at their own risk and the participation is totally and
entirely voluntary. The signing of Indemnity Bond is a mandatory requirement.

14. Use of Performance Enhancing Drugs. Use of any kind of performance enhancing drugs is strictly banned.
Candidates having been found to have used the same will be debarred from further screening.

15. Tattoo. Permanent body tattoos are only permitted on inner face of forearms i.e. from inside of elbow
to the wrist and on the reverse side of palm/back (dorsal) side of hand. Permanent body tattoos on any other
part of the body are not acceptable and candidates will be barred from further selection. Candidates belonging
to tribal community/from tribal areas as declared by Govt of India SC and ST order Act/Lists are permitted to
have permanent body tattoos on any part of the body, as per custom and tradition of said tribe to which a
candidate belongs. Such candidates are required to produce a certificate as performa attached as Appendix ‘F’.

16. If 180 days or more lapse between screening medical at the rally and dispatch, medical will be done again and
unfit candidates in this review will not be recruited.

17. Selection is provisional till Rahdari Certificate is issued and candidates are dispatched for training.

18. Mobile phones are not permitted at the rally site and at the time of CEE.

19. Candidates are advised in their own interest to undergo medical exam before coming for selection especially
with respect to flat foot, poor vision, deformities and physical measurements. All are advised to ensure that their ears are
free of wax by getting it cleaned by a doctor prior to the rally.

20. Candidates may have to present themselves at rally site for three to four days. Candidates should make
arrangements for stay under their own arrangements.

21. Negative marking would be applicable in CEE.

22. Result of written examination will be declared on the official website www.joininidanarmy.nic.in. No separate
letter will be sent to the candidate. It is responsibility of candidate to check his result and report to ARO for
documentation accordingly.

23. For more details/any further query contact on:-

(a) Telephone Number (ARO, Mhow) -07324-277151

 5

24. Disclaimer. Terms and conditions, given in the notification and on the website are subject to change and
should therefore, be treated as guidelines only. In case of an ambiguity, the existing policies, rules and regulation of the
Indian Army/ Government of India will be final. Details are also available on website www.joinindianarmy.nic.in.

Sd / xxxxxxxxx
(Baljeet Singh)
Place :Mhow (MP) Colonel
Director Recruiting
Dated : 18 January 2021 Army Recruiting Office, Mhow
 Appendix ‘A’

FORMAT OF AFFIDAVIT
JOINT PHOTO OF
(ONLY FOR SOS/SOEX/SOW/SOWW) CANDIDATE WITH
FATHER/MOTHER/BROTHER

SELF ATTESTED BY
FATHER/MOTHER/
BROTHER
(AS THE CASE MAY BE)

1. I, No _______________ Rank ____________ Name _________________________

Of (unit) _________________ hereby declare that (candidate’s Name)_________________

s/o (Father’s Name) ________________________ (Mother’s Name) __________________

(in case of brother) whose photograph is affixed above is my son / real brother.

2. Date of birth of (Candidate’s Name) ______________________is _______________

As per the Birth Certificate No _____________ issued by ____________ (Issuing Authority)

and as recorded in the Matriculation Certificate No ______________ Issued by __________

(Education Board).

3. I understand that I am liable to be punished under Army Act if the declaration made

by me at paragraph 1 and 2 above are found to be incorrect/false at any stage besides

candidature of my son / brother will be cancelled by the Military Authority.

Date :- (Signature of serving Soldier/Ex-servicemen)

(Army No, Rank and Name & Unit)
 Appendix ‘B’

LIST OF GAMES AND SPORT FOR ENROLMENT

S Description Name of Federation

No
1. Athletics Athletics Federation of India, A-90, 2ND Floor, Naraina
Industrial Area, Phase-I, Main Road, New Delhi-110028
2. Archery Not yet recognized
3. Basketball Basketball Federation of India
No – 14, Sagar Apartment, 6 Tilak Marg, Opposite Tilak
Marg Police Station, New Delhi-110001
4. Boxing Boxing Federation of India
309, Udyog Vihar, Phase-IV, Gurgaon, Haryana
5. Cricket The Board of Control for Cricket in India (BCCI), 4th Floor,
Cricket Centre, Wankhede Stadium, Churchgate,
Mumbai-400020, Maharasthra
6. Cycling Cycling Federation of india
12, Pandit Pant Marg, Near Gol Daakkhana
New Delhi – 110001
7. Equestrian Equestrain Federation of India
c/o B Sqn, 61 Cavalry, Cariappa Marg
Delhi Cantt, Delhi-110010
8. Football All India Football Federation
Football House, Sector 19, Phase-I, Dwarka,
New Delhi-110075
9. Fencing Fencing Association of India
J-52, 2ND Floor, Saket, New Delhi-110017
10. Gymnastics Gymnastic Federation of India
11. Body Building (Best Indian Body Builders Federation
Physique) Pathare Gymco, 280/A, Javalkar Mansion, Dr, B.A, Road,
Parel,
Mumbai, Maharasthra – 400012
12. Golf Indian Golf Union
13. Hockey Hockey India
B1/ E14, Ground Floor, Mohan Co-operative Industrial
Estate, Mathura Road, New Delhi-110044
14. Handball Handball Federation of India
C-1/8, Nirala Nagar, Lucknow-226020
15. Judo Judo Federation of India
WZ-114, E, 3RD Floor, Hari Singh Complex, Todapur Main
Road, New Delhi-110012
16. Kabaddi Amateur Kabaddi Federation of India
2, Aakansha, ‘Gehlot Ka Bangle’, Ajmer Road, Jaipur-
302021 (Rajasthan)
17. Kayaking & Canoeing India Kayaking & Canoeing Association
9-A/1, Flat No . 203, 2ND Floor, Channa Market, W.E.A.
Karol Bagh, New Delhi-110005
 2

18. Karate Karate Association of India

B-2/71, 2ND Floor, Janak Puri, New Delhi-110058
19. Lawn Tennis All India Tennis Association
R.K Khanna Stadium 1, Africa Ave, Deer Park, Hauz Khas,
New Delhi – 110029
20. Rowing Rowing Federation of India
SAI, Elegance, B Wing, Unit 104, 89 Mahakali Cavas
Road, Andheri East Mumbai
Maharashtra – 400093
21. Rugby Indian Rugby Football Union
Nawab House, 2ND Floor, 63, M. Karve Road, Marine
Lines, Mumbai, Maharashtra-400002
22. Swimming, Diving & Swimming Federation of India
Water Polo Krishna Villa, 128, Paraskunj Society-I, Satellite Road
Ahmedabad, Gujarath – 380015
23. Squash Squash Racket Federation of India,
Khivraj Complex-II, 2ND Floor No. 480, Anna Salai,
Nandanam, Chennai
Tamil Nadu – 600035
24. Shooting National Rifle Association of India,
“ NRAI HOUSE”
51-B Tughlakabad Institutional Area,
New Delhi-110062
25. Sailing Not yet Recognised
26. Taekwondo Taekwondo Federation of India
27. Triathlon Indian Triathlon Federation
Khivraj Complex-II, 2ND Floor, No. 480, Anna Salai,
Nandanam, Chennai,
Tamil Nadu – 600035
28. Volleyball Volleyball Federation of India
Room No. 72, Jawaharlal Nehru Stadium, Chennai,
Tamil Nadu – 600003
29. Weight Lifting Indian Weightlifting Federation,
WZ – 78, First Floor, Todapur Village,
Near Pusa Institute, New Delhi-110012
30. Wrestling Wrestling Federation of India
21, Ashoka Road, New Delhi-110001
31. Winter Games (Ice Winter Games Federation of India
Hockey, Biathlon,
Skiing, Ice Skating,
etc.)
32. Wushu Wushu Association of India
524, WAI Chaupatiyan, R.K. Kacer Park, Lucknow-226003
 Appendix ‘C’

NON JUDICIAL STAMP PAPER

(FORMAT FOR AFFIDAVIT)

Rs. 10

1. I, Name ___________________ Son of ____________________ Passport Size

while applying for enrollment in Army sate the following in my respect :- Photo 3.5 x 4.5 cm

(a) I belong to the following Caste / Religion :-

Caste __________ Sub Caste __________ Religion___________

(b) My Residential Address are as under :-

(i) Permanent Home Address.

Fathers Name _____________________ House No ____________

Vill / Mohalla ______________________ Tehsil________________
District ___________________________ State ________________

(ii) Postal Address.

Fathers Name _____________________ House No ____________

Vill / Mohalla ______________________ Tehsil________________
District ___________________________ State ________________

(iii) I fully understand that if enrolled, a detailed verification of my character

and antecedents will be carried out by police and civil administration from
my permanent address submitted above and also places where I have resided in
the last five years.

(iv) My places of residence in the last five years are as stated under :-

S From To Residential Address in full i.e.

No House Number, Lane/ Street/ Road/
Village/Town/ Mohalla, Thana, Post
Office, Tehsil and District
(a)
(b)
(c)

(c) I am married / unmarried.

(d) I hereby certify that I am not involved in any civil / criminal case.

OR
I was involved in following cases but was acquitted :-
(i)

(ii)
OR

Following court cases / FIR are pending against me :-

(i)
(ii)
 2
(e) Consent Certificate. I am below 18 years and my parents give their consent, for
attending the Army Recruitment Rally(if applicable).

Signature of Father _______________

(f) I am authorized to attend UHQ rally because I am son/ brother ofNoName

_________________Regt ________________.

(g) I hereby certify that I, son of No _______________ Name ________________

Regt ___________________ am eligible for claiming bonus marks as none of my brothers
have been enrolled in Army earlier/ I am not eligible to claim bonus marks ( Cut whichever is
not applicable).

2.I am aware that there is only one recruitment rally conducted in a recruiting year (01 April to 31
March) for every district and therefore I am entitled to attend only once every recruiting year from
my home town district based on my nativity/domicile certificate. I fully understand that if I
attend another recruitment rally in the same recruiting year, based on a different district Nativity/
Domicile certificate, my candidature will be cancelled and if enrolled, I will be dismissed from service.

3. I am attending this recruitment rally based on the Nativity / Domicile certificate issued by
__________ (mentioned the state government), details of which are as stated below:-

S No Cert No Date of Issue Validity Issuing Authority

(a)
(b)

4. Details of nativity/domicile certificate held by me in past (if any) are as stated below:-

S No District Issued by Issuing Date Present Status

(Valid/Expired)
(a)
(b)

5. I hereby certify that till date I have attended that following Army Recruitment Rallies :-

S Recruitment Army Month and Category Nativity /

No Rally Venue Recruitment Year Applied for Domicile
Office Certificate
Address
Used
(a)
(b)
(c)

6. I give an undertaking that all documents submitted by me are correct.All documents

issued by Govt Org / offices have been signed by authorized designated and Govtofficials. If any
document at any stage is found fake or wrong info is furnished by me, I am aware that I will be
dismissed from service and FIR will be lodged against me.

Signature of Notary Signature of Candidate

 Appendix ‘D’

MEDICAL CERTIFICATE

COVID-19 FREE/ASYMPTOMATIC CERTIFICATE

I, Dr _____________________ of _________________________ (Name of Government

Hospital) is a registered medical practitioner and holding medical license registered number
_______________ have examined Mr ___________________ S/o ________________________ on
date _________ 2021 and have found Mr _____________________ free from the following diseases
: CORONA VIRUS Disease- COVID-19 currently asymptomatic.

Dated : 2021

Stamp of Government Hospital

__________________________
(Signature of Doctor with Stamp)

Dr ____________________________
Government Hospital _____________
Sector __________ Teh __________

Distt __________ State ___________

PIN __________

Note. Asymptomatic certificate should have proper stamp of Government Hospital and Doctor with
Registration Number of Doctor.

---------------------------------------------------------------------------------------------------------------------------------
Appendix ‘E’
NO RISK CERTIFICATE

1. It is certificate that Mr __________________________ (Name) Roll No _________________

a candidate for ___________ recruitment rally, hereby certify that I have no COVID-19 symptoms. I
fully understand that travel to rally venue is at my own risk and I or my parents/guardians shall not be
entitled to claim any compensation or reconsideration for participation in the same rally or any other
relief from the Government if I am infected with COVID-19 during my transit or during my selection
process in the rally.

Dated : 2021 (Signature of candidate)

COUNTERSIGNED
Station :

Dated :
(Signature of Parent/Guardian)

Name ___________________

Address __________________
 Appendix ‘F’

CERTIFICATE OF (ONE CERTIFICATE FOR EACH TATTOO) FOR PERMANENT BODY

TATTOO IN RESPECT OF CANDIDATES FROM TRIBAL COMMUNITIES

1. This is certify that ___________________________ (Name of Candidate) whose date of birth is

___________________ is the Son / Daughter of _______________________ (Name of Father / Mother
/ Guardian as applicable) and belongs to __________________ (Name of the Tribe) Community
____________________ (Name of the district) in the State of ______________ (Name of the State).

2. This is certify that the permanent body tattoo (s) inked at the following parts of the body of
____________________________________ (Name of candidate) is as per existing customs and
traditions of ________________________ Tribe and is in practice as on date :-

(a)

(b)

(c)

(d)

(Total No of Tattoos – both in figures and words).

3. Post card size photograph of each of the tattoo as given in Paragraph 2 of Appendix B above is
correct and placed as under for any future reference / record hereafter :-

Photographs Tattoo Details of Tattoo

(Post card size to be pasted here duly signed by Size of Tattoo -

(In Cms)
the candidate and official issuing this certificate
Language -
with their respective names. Please do not use
(If Applicable)
staple pins/clips.
Significance of Tattoo-
(If Applicable)

Note :- Each Tattoo will have a separate photograph with details and will be described separately.
Additional pages will be used for the purpose and each page will be attested separately.

Place : (Signature with Name Designation and Stamp of

DC/DM/SDM of the District/ Tehsil) OR
Date : (Signature with Name, Designation if any and address
of Chairman/Secretary or Senior member of the Tribe
to which the candidate belongs to with their stamp)