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PARLIAMENT OF INDIA
RAJYA SABHA SECRETARIAT
(Application Form)
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(To be filled by the candidate after carefully reading the general instructions as laid down in the advertisement no.1/2016 [English/Hindi])
(All fields are mandatory)
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| 01 | Post Group :
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| 02 | Post(s) applied for (Select the post/posts applied for) :
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1 Junior Parliamentary Interpreter (English/Hindi) |
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2 Junior Parliamentary Interpreter (Assamese) |
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3 Junior Parliamentary Interpreter (Marathi) |
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4 Junior Parliamentary Interpreter (Urdu) |
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5 Junior Parliamentary Reporter (Hindi) |
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6 Junior Parliamentary Reporter (English) |
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7 Senior Executive/Legislative/Committee/Protocol Assistant |
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8 Research Assistant |
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9 Stenographer (English) |
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10 Security Assistant Gr. II |
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11 Junior Library Assistant |
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12 Junior Clerk (English) |
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13 Junior Clerk (Hindi) |
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14 Junior Clerk (Urdu) |
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15 Translator |
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16 Junior Proof Reader |
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17 Staff Car Driver (Ordinary Grade) |
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| 03 | Preference of Examination Centre:
(* Examination will be held at the listed centre(s) only if the number of candidates opting for that centre as 1st preference exceeds 300.)
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1st preference
2nd preference
3rd preference
4th preference
5th preference
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| 04 | Name of Candidate
(in full) :
(Abbreviate, only if characters exceed the provided limit.)
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Generate Your Password
(Password length 8. Alphanumeric Only)
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Confirm Password
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| 05 | Date of Birth:
(As per your Matriculation certificate)
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(dd-mm-yyyy)
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| 05a |
Age as on the last date of submission of application :
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| 06 | Gender
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| 07 | Category:
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| 08 | Whether you are an Indian Citizen ?
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| 09 | Father's Name
(in full) :
(Abbreviate, only if characters exceed the provided limit.)
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| 10 | Mother's Name
(in full):
(Abbreviate, only if characters exceed the provided limit.)
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| 11 |
Address for Correspondence :
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Address :
District :
State:
Pin :
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| 12 |
Contact details :
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Phone No. :
Mobile No. :
Email Id :
Confirm E-mail id :
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| 13 | Whether an Ex-Serviceman ?
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| 13a |
Length of Service in Armed Forces:
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- Years
- Months
- Days
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| 13b |
Are you an Ex- Serviceman employed in civil post in Central Govt?
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| 14 | Whether a Persons with disabilities ?
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Yes
No |
| 14a |
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| 14b |
Do you want to avail the facility of scribe ?
(Only for candidates who are visually handicapped with visual disability of 40% and above.)
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Yes
No |
| 15 | Whether presently an employee of Govt./Lok Sabha Secretariat with atleast 3 years of combined regular and continuous service in Govt./ Lok Sabha Secretariat/ Rajya Sabha Secretariat ?
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Yes
No |
| 15a |
Whether presently in regular service of the Rajya Sabha Secretariat?
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Yes
No |
| 16 | Are
you claiming any age relaxation ?
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Yes
No |
| 16a |
If yes, specify category/categories under which claiming age relaxation:
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| 17 | Do
you possess on the last date of submission of application all essential
qualifications prescribed for the post(s) applied for ? |
Yes
No |
| 18 | Are
you eligible in all respects (viz. age, qualifications, skill & physical
standards etc.) for the post(s) applied for ? |
Yes
No |
| 19 | Are
you exempted from payment of fee ?
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Yes
No |
| 20 |
Upload Scanned Passport Size Photograph of Applicant :
(Allowed file size: 20-50KB, Allowed File Type: jpeg/jpg)
Please ensure that the uploaded photograph is clear failing which the application shall be rejected |
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| 21 |
Upload Scanned Signature of Applicant :
(Allowed file size: 10-30KB, Allowed File Type: jpeg/jpg)
Please ensure that the uploaded signature is clear failing which the application shall be rejected
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| Declaration |
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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 the Rajya Sabha Secretariat may cancel/ terminate my candidature/appointment in case any information given in this application form is found to be false or incorrect at any time. I also understand that on the basis of self declaration made by me in this form of my eligibility in all respect including the category applied for and relaxations availed by me, for the post (s) for which I am applying, I shall be provisionally admitted to the various stages of the recruitment process and the Rajya Sabha Secretariat shall undertake detailed scrutiny of my eligibility only at the final stage of the recruitment process/ at the time of joining the post(s) in case I reach that stage. I fully understand that if at any stage of the recruitment process or thereafter, I am found not to be eligible for post(s) or for any reservation/concession availed by me, Rajya Sabha Secretariat shall be at liberty to cancel my candidature/ appointment. I further declare that I have not submitted more than one application for the post(s) for which this application is made.
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Agree
Disagree |
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