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No. 205–20

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4136

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

There shall be 03 (Three) seats reserved for regular in-service (AMO’s / Teachers) candidates of Govt. of

Haryana. These seats will be filled-in on the basis of merit of AIAPGET 2021. In- service candidate has

to produce NOC issued by state Government. In case there is no in-service candidate available, then these

seats shall be filled in from Haryana State merit list based on AIAPGET-2021.

These above mentioned policy of S.No. 2 is for Govt. College only. If any participating college is a

Private Institute of Haryana State or UT Chandigarh or of any Deemed/ Private University, then the rules

of State Govt. or UT Chandigarh or of Private University will be followed accordingly.

3.

Shri Krishna AYUSH University Kurukshetra, is authorized to conduct the counseling as per Merit of

AIAPGET-2021 for admission in Participating College(s) subject to verification of eligibility and

original documents by the Admission Committee constituted by the State Government/ Shri Krishna

AYUSH University, Kurukshetra.

4.

The MD/MS (Ayurveda) Courses are available currently in Shri Krishna Govt. Ayurvedic College &

Hospital, Kurukshetra, subject to the final approval from the NCISM/Govt. of India, Ministry of

AYUSH, New Delhi /State Govt. /Affiliating University. The tentative seat distribution of MD/MS

(Ayurveda) Courses in Shri Krishna Govt. Ayurvedic College & Hospital, Kurukshetra for the Academic

Session 2021-22 is as under –

Sr. No. Name of the Subject

No. of Seats

1

Rachna Sharir

06

2

Kriya Sharir

06

3

Kaumarbhritya- Bal Roga

03

4

Shalya Tantra

06

5

Panchkarma

03

5

a) The tentative seat distribution of MD/MS (Ayurveda) Courses in various college(s)/subjects/

specialties will be displayed on the website before the commencement of counseling process. The

seats in each college(s)/subjects/specialty are subject to the final approval from the NCISM/Govt.

of India, Ministry of AYUSH, New Delhi /State Govt. /Affiliating University. Accordingly, the

final distribution of seats may vary depending upon the sanction/decision of the Govt. of

India/NCISM/State Government/Affiliating University. The conversion and sequence of seat

allocation will be as per (Annexure-II).

b) Distribution of seats is subject to applicability of State/UT reservation policy for higher education

as notified by the State Government from time to time.

c) The State/UT Reservation Policy shall be applicable for admission to all State Quota Seats in

participating college(s).

Reservation for EWS Category shall be provided as per Haryana Government Notification

dated 25.02.2019 (Annexure-III). The candidates will be required to submit Income and Asset/

Income Disclosure Certificate valid for 2021-22 issued from Competent Authority as per

(Annexure-IV) of the said Notification dated 25.02.2019 subject to the enhancement of above

mention existing seats as per Punjab & Haryana High Court order of CWP No. 7283 of 2020 (O &

M) dated 06.05.2020.

d) Roster for all categories of seats including PWD, EWS shall be maintained by Participating

College(s) which will be verified by Shri Krishna AYUSH University, Kurukshetra for allotment

of seats under reserved category.

6.

It is further notified that all the students desirous of seeking admission to MD/MS (Ayurveda) Courses

will have to get registered online through authorized admission web portal. The details of dates for

inviting applications and Counseling schedule shall be duly publicized as well as uploaded on the

website of Shri Krishna AYUSH University, Kurukshetra i.e. www.skau.ac.in.

The candidates are required to regularly visit the website as stated above for updates.

7.

Eligibility Criteria:

A candidate for admission to MD/MS (Ayurveda) Courses in participating college(s) will be

eligible if he/she:

i.

is a citizen of India.

ii.

has passed BAMS examination from the recognized university/institution situated in Haryana as

a bonafide resident of Haryana or has passed BAMS examination from any other Ayurvedic

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4137

College/Institution recognized by the NCISM/Ministry of Ayush, New Delhi and who/whose

parent(s) produce(s) a Haryana Resident Certificate as per Government instructions given in

Annexure-V, VI, VII (A to E) or any modification issued by competent authority from time to

time.

iii.

All candidates belonging to Scheduled caste, Deprived Scheduled caste and Backward

Classes must submit a valid certificate from the competent authority in the format as prescribed

by Haryana Govt. (Annexure-VIII & IX).

iv.

should have completed satisfactorily one year compulsory Rotatory Internship from Institutions

recognized by the NCISM/State Govt./Ministry of AYUSH for this purpose by 31.12.2021,

as per Public Notice issued by NTA dating 17th August 2021.

v.

The candidate should be registered with the State Ayurvedic Council/NCISM New Delhi.

vi.

All candidates (General/SC/D-SC/BC-A/BC-B/Benchmark disabilities/EWS/ESM/FF) desirous

of seeking admissions in any category of seats should fulfill the minimum eligibility

criteria/qualifications/qualifying criteria as prescribed in the information bulletin for

AIAPGET-2021 issued by NTA for the Academic year 2021-22 and as per regulations of

NCISM issued from time to time.

No candidate who has failed to obtain the minimum eligibility marks (as specified in

AIAPGET-2021) shall be eligible for admission to MD/MS (Ayurveda) Courses.

Note:

The candidate shall have to bring, in original, all the relevant certificates/ documents at the time of

document verification without which admission to MD/MS (Ayurveda) Courses shall not be

granted. Attested photocopies of certificates/documents will not be considered valid for the

purpose of counseling and the seat allocated to them online shall be cancelled.

8.

A student who is already admitted to any PG Courses including PG Diploma course in any Institution is

not eligible to apply till the completion of the course. An undertaking to this effect shall be given by

the candidate. Concealment of facts would invite disqualification without assigning any reason.

9.

After commencement of PG courses if a candidate having joined the Institute but leaves the course after

the three days prior to the last date of admission as prescribed by NCISM New Delhi, (e.g. 18.10.2021

as prescribed by NCISM i.e. on/after 15.10.2021), then:-

(i) He/She will be debarred for next three years from applying for admission to any PG Course in the

State.

(ii) He/She will have to pay the Bond Money of Rs. 7,50,000/- (Rs. Seven Lakhs Fifty Thousand only)

for PG Course for which Bond shall be executed at the time of admission by the Institute.

The candidates at the time of admission will be required to execute a bond with two sureties

(on non-judicial stamp duly attested by 1st Class magistrate that he /she will not leave the course

before completion. In case, any one leaves the course midway, he/she will pay Rs. 7,50,000/- (Rs.

Seven Lakhs Fifty Thousand only) to Institution concerned. The student shall also have to return

the whole amount of stipend/emoluments paid to him/her in advance. This rule shall not be

applicable in the condition of death or certified serious illness (by the Medical Board of PGIMS,

Rohtak or equivalent) of the candidate.The Institution reserves the right to recover such money from

the defaulters as per due procedure and there after the candidates will also be debarred for

admission to any PG Course for next 3 years. The Performa of the agreement is given in

Annexure – X.

10.

Procedure for Admission to State Quota seats in Participating College(s) (Haryana)

(i)

The admissions under above stated categories among all the registered candidates on the admission web

portal will be made online on the basis of Haryana State Merit list prepared on the basis of AIAPGET

2021.

(ii)

The schedule of document verification/admissions and start of classes shall be in conformity with the

schedule laid down by NCISM/Ministry of AYUSH, State Government and Government of India.

(iii)

Candidates applying on the basis of AIAPGET 2021 should fulfill the eligibility criteria for being

granted admissions as fixed under AIAPGET 2021.

(iv)

In case of a tie between two or more candidates having equal marks, the inter-se ranking of such

candidates will be based on AIAPGET 2021 rank.

4138

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

(v)

The choice of the college/course/speciality shall be filled by the candidate on the online web

portal. The choices of college/course/speciality in the order of preferences given by the candidate

will be considered final.

(vi)

Before filling up of the college/course/speciality read these points clearly –

i)

Before filling the college/course/speciality first segregate the Govt. and Private

Ayurvedic Colleges.

ii)

Check the availability of speciality in particular college.

iii)

Check the availability of stipend.

iv)

Check their tuition fees.

v)

Check the place of the Institute.

vi)

You need not have to fill all the college/course/speciality. Only filling of one

choice is mandatory. Rest all can be filled as per your preference.

(vii)

The allotment of the college/course/speciality shall be made strictly as per merit prepared/drawn on the

basis of merit of AIAPGET 2021 in case of in-service candidates and the choice/preference of the

college/course/speciality filled up by the candidate on the online portal shall be taken as final.

(viii)

However, the online counseling result shall be provisional and final confirmation of seats and

allotment of college/course/speciality will be done by Admission Committee after physical verification

of eligibility and original documents.

(ix)

The candidates who have been provisionally allocated seat will have to appear in person for document

verification (with all original documents and two sets of self-attested Photostat copies) before the

admission committee at Shri Krishna AYUSH University, Kurukshetra. The detailed schedule will be

announced later on and the candidates are required to regularly visit the website as stated above for

updates.

The provisional allocation of the seat online shall give no legal right to the candidate for the

said seat and the seat shall be confirmed only after document verification as per the specific time period

notified. The Admission Committee reserves the right to cancel the provisional allocation of seat allotted

to a candidate in case of incomplete/invalid documents.

(x)

Following will be the constitution of the Admission Committee:

1

Dean Academic Affairs, Shri Krishna AYUSH University Kurukshetra

Chairperson

2

Principal(s) of Participating college(s)

Member

3

Representative of Director General, AYUSH Department Haryana.

Member

4

Representative of Director, Medical Education & Research

Haryana

Member

5

Assistant Registrar (Legal) Shri Krishna AYUSH University,

Kurukshetra

Member

6

Representative of Director, Welfare of Schedule Caste and

Backward Classes Department, Haryana

Member

7

Draft and Councelling Committee

Members

8

Registrar, Shri Krishna AYUSH University, Kurukshetra

Member Secretary

(xi)

The Admission Committee will be responsible for taking decision for admission related matters like

supervision of admission & conduct of counseling, document verification, allocation of seats etc. in

accordance with existing rules and regulation. Further, the admission Committee is empowered to take

decision in all admission related disputes.

Note:

I.

The Additional Chief Secretary to Government of Haryana, Department of Health & AYUSH,

will be the final Appellate Authority in all admissions related disputes and his decision shall be

the final.

II.

Final number of seats in each college/course/speciality will be available on the website of

Shri Krishna AYUSH University, Kurukshetra (www.skau.ac.in).

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4139

III.

In case there is vacancy after the first round of counseling due to any reason, such seats will be

filled up during the second round of counseling.

a.) Fresh registration shall be allowed for participating in the second round. Fresh candidates will

have to register themselves on the admission web portal. The candidates are advised to

regularly visit the website of Shri Krishna AYUSH University, Kurukshetra- www.skau.ac.in

and the admission web portal for updates.

b.) The candidates, who have already registered themselves for first round and wish to participate

in the second round, shall not be required to register again. However, they shall have to

give their willingness/option to participate in the second round of online counseling by

submitting the previous online form again with the same registration number, the security

fee and change of choices if any.

c.) The candidate who wish to participate in the 2nd round of PG Counseling shall be required to

submit Security Fee of Rs. 10,000/- {Rs. 5,000/- for SC/DSC/BC/EWS/ESM/FF/PwD* of

Haryana State (*if applicable)}, at the time of form filling/ willingness or preference filling

online. The fresh candidates will also have to submit registration fee as per Notification of P.G.

Courses. If a candidate does not deposit the requisite amount then he/she shall not be eligible to

participate in the 2nd round of Counseling. This amount shall be later adjusted in the fee of first

year course and refunded in case no seat is allotted.

d.) The candidate who have been allotted seat in the first round shall have a right to retain already

allotted seat and this shall be changed only if he/she gets an updated and opted seat during

second round. However, the candidates who wish to participate in the 2nd round of online

counseling will have to submit their preferences afresh again. Candidates, who have been

allotted, seat in first round should give the fresh choices in order of preferences for the

College/Course/Speciality in which they wish to upgrade themselves.

e.) The candidates who are allotted seats in the 2nd round of counseling but do not join or leave

after joining, their security fee submitted shall stand forfeited, however they will be eligible to

participate in the 3rd /mop-up round.

f.) If the seats still remain vacant even after the two rounds of counseling then left over seats will

be filled up via 3rd/Mop-Up Round as per direction of Ministry of AYUSH, Government of

India/NCISM/State Government and as per SKAU, Kurukshetra notified Schedule.

g.) Fresh registration shall be allowed for participating in the 3rd/Mop-up round. Fresh candidates

will have to register themselves on the admission web portal. The candidates are advised to

regularly visit the website of Shri Krishna AYUSH University, Kurukshetra-www.skau.ac.in

and the admission web portal for updates.

h.) The candidates who join the seat allotted to them during both round of counseling shall not be

eligible to participate in the 3rd/Mop-up Round. However such candidates can participate in the

3rd/Mop-up Round only after leaving the joined seats.

i.) The candidates, who have already registered themselves in previous rounds and have not been

allotted any seat and wish to participate in the 3rd/Mop-up round, shall not be required to

register again. However, they shall have to give their willingness/option to participate in the

3rd/Mop-up round of online counseling by submitting the previous online form again with the

same registration number and the security fee.

j.) The candidate who wish to participate in the 3rd/Mop-up round of PG counseling shall be

required to submit Security Fee of Rs. 20,000/- {Rs. 10,000/- for SC/DSC/BC/EWS/ESM/

FF/PwD* of Haryana State (*if applicable)}, at the time of form filling/ willingness or

preference filling online. The fresh candidates will also have to submit registration fee as per

Notification of P.G. Courses. If a candidate does not deposit the requisite amount then he/she

shall not be eligible to participate in the 3rd/Mop-up round of counseling. This amount shall be

later adjusted in the fee of first year course and refunded in case no seat is allotted.

k.) If the seats remain vacant even after 3rd/Mop-up Round of Counseling then left over seats

will be filled up by clearing the waiting list, if the cut-off date will not be extended by Ministry

of AYUSH/CCIM, New Delhi.

l.) All Govt. of Haryana in-service candidates who fulfill the eligibility criteria of AIAPGET-2021

and have valid NOC issued by competent authority shall be eligible for counseling. Any

in-service candidate without valid NOC shall not be eligible for counseling to PG for academic

session 2021-22. The in-service candidates will have to bring the original NOC issued by

competent authority at the time of document verification in front of Admission Committee at

Shri Krishna AYUSH University, Kurukshetra, failing which they will not be eligible for

counseling.

4140

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

IV. Shifting to other college/subject/speciality will be allowed only in 2nd round of counseling

and not thereafter.

V. The Registration cum Counseling fee shall be as under: (Non-Refundable)

1) Rs. 2,000/- for Unreserved Category.

2) Rs. 500/- for SC/D-SC/BC/EWS/FF/ESM (All reserved) Category of Haryana.

3) Rs. 500/- for Physically Handicap (PwD).

4) Rs. 2,000/- for all Reserved Category of Other states of India not included in 2) & 3)

The candidates are required to regularly visit the website as stated above for updates.

11

Fee Structure:

(a)

The fee structure for MD/MS (Ayurveda) courses in Shri Krishna Govt. Ayurvedic College &

Hospital, Kurukshetra will be as under :–

i.

1st year

:

Rs. 23,865/- (Tuition fees Rs. 17,000/-)

ii.

2nd year

:

Rs. 36,293/- (Tuition fees Rs. 22,000/-)

iii.

3rd year

:

Rs. 29,293/- (Tuition fees Rs. 25,000/-)

The fee for the first year course shall be deposited by the successful candidates and the mode of payment

will be intimated on the website before filling up of the form.

The fee structure for MD/MS (Ayurveda) Courses of other participating college(s)/subjects/ specialties

will be notified/displayed on the website before the commencement of counseling process.

(b)

The fee shall be payable on annual basis and the college shall not ask the candidates to deposit fee for the

entire course in advance.

(c)

In case of request for withdrawal of admission by a candidate the fee shall be refundable to the

candidate, only if the request is made in person along with original receipt of fee deposition and no

request shall be entertained through e-mail. The candidate will have to make the request at least 03

days prior to the last date prescribed for admission to MD/MS (Ayurveda).

12.

General Instructions:-

a.

List of original documents to be brought at the time of Counseling is at Annexure-XI. Attested

copies of certificates will not be accepted.

b. Admitted students shall pay the fees and other charges for all types of seats as per the fixed fee

and other charges fixed by the Government of Haryana from time to time.

c.

All candidates belonging to the Scheduled Castes/Deprived SC/Backward Classes/EWS/PWD/

ESM/FF etc. must submit a certificate in the prescribed format issued from the competent

authority of the State Government.

d. The admission to Backward Classes will be as per instructions laid in Notification dated

28.08.2018 issued by Welfare of Schedule Caste and Backward Classes Department

(Annexure-XII). The certificates must be issued by the competent authority of the State

Government as defined in the Notification dated 18/11/2016 (Annexure-XIII) issued by

Welfare of Schedule Caste and Backward Classes Department.

e.

The candidate of BC-A & BC-B will be required to submit an income certificate (Current year)

(Annexure-XIV) issued by the competent authority of the Revenue Department like Tehsildar

of the State Government.

f.

The Children of persons of Backward Class having gross annual income upto 6 lakh rupees will

get benefits of reservation in services and admission to educational institutions. The sections

of Backward class above 6 lakh rupees per annum shall be considered as creamy layer under

section 5 of Haryana backward class (Reservation in services and admission in Educational

Institution Act, 2016, 15 of 2016).

g. If the seats from BC-A are not filled up, these may be filled from BC-B & Vice Versa.

h. Further, 3% reservation is also provided to Ex-serviceman/ Freedom Fighter and their

dependents by providing reservation within reservation of 1% of General Category, 1% out

of Scheduled Caste and 1% from Backward Classes category for admission to the various

educational institutions of the Govt. and Govt. aided / Institutes located in Haryana. As far as

Block allocation in Block-A and Block-B of Backward Classes category is concerned year wise

rotational system will be adopted. For example if Block- A of Backward Classes are given seats

in academic year 2014, the next Block i.e. (B) Block of Category of Backward Classes will be

given seats in the next academic year 2015 and so on.

i.

Only Dependents of Freedom Fighters (FF) who wish to be considered for reservation as such

must submit a certificate from the Competent Authority along with undertaking (Annexure-XV).

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4141

j.

The reservation to Ex-servicemen and their wards will be considered as per

F.No.6(1)/2017/D(Res.II) Dated May 21, 2018 (Annexure-XVI).

k. A candidate from reserved category shall have the right to compete for admission in

General/Unreserved category seats as per his/her merit. In case a candidate does not fill up his/

her reserve category in his/ her application form, he/she will not be subsequently considered for

admission against that category.

A candidate belongs to more than one reserved category, he/she shall be required to give

his/her preference at the time of filling up the application form. Preference once given shall not

be changed. A candidate who qualifies for admission in more than one reserved category will

be given as per reservation rules at the time of counseling.

However, if a reserved category candidate has availed of any concession, such as relaxation in

upper age limit, qualification or permitted number of chances in written examination etc., then

he/she cannot be considered against General/ Un-reserved seats.

l.

Benefit of reservation will be given to all the reserved categories upto 3rd counseling according

to the Haryana State reservation policy. In case at the time of 3rd counseling the reserved seats

of various categories remain vacant and no eligible candidates of the reserved categories are

available then these vacant seats may be thrown open to Haryana Open General Category.

m. The admission shall be made to Participating College(s) only after getting recognition/approval

for admission from NCISM/Ministry of Ayush, New Delhi.

n. The flow chart of scheme is attached as Annexure-XVII

o. The Vice-Chancellor of SKAU, Kurukshetra will be competent to issue any corrigendum/

addendum if needed on the recommendation of Draft Counseling Committee /Admission

Committee.

Note: This notification supersedes all earlier notifications issued by Government/procedure for

admission adopted by Shri Krishna AYUSH University, Kurukshetra for MD/MS (Ayurveda)

courses.

*Note – in view of the situation arisen because of Pandemic COVID-19, the schedule of admission including

document verification may be altered. The changes, if any shall be duly publicized as well as uploaded on the

admission web portal as well as website of Shri Krishna AYUSH University, Kurukshetra i.e. www.skau.ac.in and

the candidates are required to regularly visit the websites as stated above for updates.

RAJEEV ARORA,

Additional Chief Secretary to Government Haryana,

Health and AYUSH Department, Chandigarh.

4142

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

LIST OF CENTRES FOR DISABILITY CERTIFICATE

List of Centres from where Disability Certificates can be obtained as per 21 Benchmark Disability given

under RPWD Act-2016.

S. No. Disability Certificate Issuing Centres

City/State

1.

Vardhman Mahavir Medical College & Safdarjung

Hospital, New Delhi – 110029

DELHI/NEW DELHI

2.

All India Institute of Physical Medicine and Rehabilitation (for

Locomotor Disability only), Hazi Ali, Mumbai –100034.

MUMBAI

3.

Institute of Post Graduate Medical Education & Research, Kolkata

– 700020

KOLKATA

4.

Madras Medical College, Park Town, Chennai – 600003

CHENNAI

5.

Grant Government Medical College, J. J. Hospital

Compound, Mumbai, Maharashtra

MUMBAI, MAHARASHTRA

6.

Goa Medical College, NH 17, Bambolim, Tiswadi, Goa- 403202

GOA

7.

Government Medical College, Medical College PO,

Thiruvananthapuram, Kerala State, India PIN - 695 011

THIRUVANANTHAPURAM,

KERALA

8.

SMS Medical College, Jawahar Lal Nehru Marg, Gangawal

Park, Adarsh Nagar, Jaipur, Rajasthan 302004

JAIPUR, RAJASTHAN

9.

Govt. Medical College and Hospital, Sector 32, Chandigarh

CHANDIGARH

10.

Govt. Medical College, Agartala, State Disability Board, Agartala,

Tripura.

AGARTALA, TRIPURA

11.

Institute of Medical Sciences, Banaras Hindu University,

Varanasi, Uttar Pradesh.

VARANASI, UTTAR

PRADESH

12.

Ali Yavar Jung National Institute of Speech and Hearing

Disabilities, Bandra, Mumbai

(for Hearing Disabilities only)

MUMBAI, MAHARASHTRA

13.

AIIMS, Nagpur

NAGPUR, MAHARASHTRA

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4143

Conversion table for M.D./M.S. (Ayu.) Seats

SC

→

D-SC

→

HOGC

D-SC

→

SC

→

HOGC

BC-A

→

BC-B

→

HOGC

BC-B

→

BC-A

→

HOGC

EWS

→

HOGC

HOGC-PWD

→

HOGC-ESM

→

HOGC-FF

→

HOGC

IQ (HOGC)

→

HOGC

IQ (SC)

→

IQ (D-SC)

→

IQ (HOGC)

→

SC

→

D-SC

→

HOGC

IQ (D-SC)

→

IQ (SC)

→

IQ (HOGC)

→

D-SC

→

SC

→

HOGC

IQ (BC-A)

→

IQ (BC-B)

→

IQ (HOGC)

→

BC-A

→

BC-B

→

HOGC

IQ (BC-B)

→

IQ (BC-A)

→

IQ (HOGC)

→

BC-B

→

BC-A

→

HOGC

IS (HOGC)

→

HOGC

IS (SC)

→

IS (D-SC)

→

IS (HOGC)

→

SC

→

D-SC

→

HOGC

IS (D-SC)

→

IS (SC)

→

IS (HOGC)

→

D-SC

→

SC

→

HOGC

IS (BC-A)

→

IS (BC-B)

→

IS (HOGC)

→

BC-A

→

BC-B

→

HOGC

IS (BC-B)

→

IS (BC-A)

→

IS (HOGC)

→

BC-B

→

BC-A

→

HOGC

*HOGC – Haryana Open General Category, SC – Schedule Caste, D-SC – Deprived Schedule Caste, BC-A –

Backward Class A, BC-B – Backward Class B, EWS – Economically Weaker Section, PWD – Persons with

Disability, ESM – Ex-Serviceman, FF – Freedom Fighter, IQ – Institutional Quota, IS – In-Service

Sequence of seat allocation will be as follows

1.

PWD

2.

HOGC

3.

After this, the seats will be given as per preference of the candidate. For example, if a candidate falls in

multiple categories then as per his/her preference order, the top order preference vacant seat will be allocated

to him/her according to his/her vertical and horizontal combination of categories.

4144

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

No.22/12/2019-IGS-III

Government of Haryana

General Administration Department

(General Services III Branch)

To

Dated Chandigarh, the 25th February, 2019

1.

All the Administrative Secretaries to Government, Haryana.

2.

All Heads of Department in the State of Haryana.

3.

All the Managing Directors/Chief Administrators of Boards/Corporations/Public Sector

Undertakings in Haryana.

4.

The Registrar General of Punjab & Haryana High Court, Chandigarh.

5.

All the Divisional Commissioners in the State of Haryana.

6.

All the Deputy Commissioners and Sub Divisional Officers (Civil) in the State of Haryana.

7.

The Registrar of all the Universities of the State of Haryana.

Subject:-

Reservation for Economically Weaker Sections in Direct recruitment in Civil posts and services as

well as in admissions in Government/Government Aided Educational Institutions in the State of

Haryana.

I am directed to inform that government of India has notified “THE CONSTITUTION (ONE

HUNDRED AND THIRD AMENDMENT) ACT, 2019” On 12th January, 2019 amending Article 15 & 16, which

are now read as under:-

Amendment of article 15

In Article 15 of the Constitution, after clause (5), the following clause shall be inserted namely:-

‘(6) Nothing in this article or sub-clauses (g) of clause(1) of article 19 or clause (2) of article 29 shall prevent the

State from making,-

a).

Any special provision for the advancement of any economically weaker sections of citizens other than

the classes mentioned in clauses (4) and (5); and

b).

Any special provision for the advancement of any economically weaker sections of citizens other than

the classes mentioned in clauses (4) and (5); in so far as such special provisions relate to their admission

to educational institutions including private educational institutions, whether aided or unaided by the

State, other than the minority educational institutions referred to in clause(1) of article 30, which in the

case of reservation would be in addition to the existing reservations and subject to a maximum of ten

per cent of the total seats in each category.

Explanation- For the purposes of this article and article 16, “economically weaker sections” shall be

such as may be notified by the State from time to time

on the basis of family income and other

indicators of economic disadvantage.’

Amendment of article 16

In Article 16 of the Constitution, after clause (5), the following clause shall be inserted, namely:-

“(6) Nothing in this article shall prevent the State from making any provision for the reservation of appointment or

posts in favour of any economically weaker sections of citizens other than the classes mentioned in clause (4), in

addition to the existing reservation and subject to a maximum of ten cent of the posts in each category”.

In the wake of above enabling provisions, State Government has considered the matter and decided to provide

benefits of reservation on a preferential basis in Civil Posts in all the Departments/Boards/Corporations/Local Bodies

and in Admissions to Government/Government Aided Educational Institutions to those Economically Weaker Sections

(EWSs) who are not covered under the existing scheme of reservation for the Scheduled Castes, Backward Classes

(Block-A) and Backward Classes (Block-B).

2.

QUANTUM OF RESERVATION:

The persons belong to EWSs who are not covered under the existing scheme of reservation for scheduled Castes,

Backward Classes (Block – A) and Backward Classes (Block-B) shall get 10% reservation in direct recruitment to

Group A,B,C and D posts in the Departments/Boards/Corporations/Local Bodies of Government of Haryana and

also in admission to Government/Government Aided Educational Institutions in the State of Haryana.

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4145

3.

EFFECTING RESERVATION-ROSTER POINT:

Direct recruitment in case of Group-A & B

Roster point No. 11-20-30-40-51-60-70-80-90 and 99

Direct recruitment in case of Group-C & D

Roster point No. 4-14-24-34-43-53-66-76-82 and 94

Where in any recruitment year any vacancy earmarked for EWS cannot be filled up due to non-availability of a

suitable candidate belonging to EWS, such vacancies for that particular recruitment year shall not be carried

forward to the next recruitment year as backlog and will be filled from unreserved category.

Persons belonging to EWS selected against the quota for persons with benchmark disabilities/ex-servicemen shall be

placed against the roster points earmarked for EWS.

4.

CRITERIA OF INCOME & ASSETS:

Persons who are not covered under the exiting scheme of reservation for Scheduled Caste, Backward Classes

(Block-A) and Backward Classes (Block-B) and whose family has gross annual income below Rs. 6.00 lakh

(Rupees six lakh only) are to be identified as EWSs for benefit of reservation. Income shall also include

income from all sources i.e. salary, agriculture, business, profession etc. for the financial year prior to the year

of application.

Also persons whose family owns or possesses any of the following assets shall be excluded from being identified as

EWS, irrespective of the family income:-

i.

5 acres of agricultural land and above;

ii.

Residential flat of 1000 sq ft. and above;

iii.

Residential plot of 100 sq. yards and above in notified municipalities;

iv.

Residential plot of 200 sq. yards and above in areas other than the notified municipalities.

v.

Total immovable assets owned are valued at Rs. One Crore or more.

The property held by a “Family” in different locations or different places/cities would be clubbed while applying the

land or property holding test to determine EWS status.

The term “Family” for this purpose will include the person who applies for benefit of reservation, his/her parents,

spouse as well as children and siblings below the age of 18 years.

5.

INCOME AND ASSET CERTIFICATE ISSUING AUTHORITY AND VERIFICATION OF

CERTIFICATE:

The benefit of reservation under EWS can be availed upon production of an income and Asset Certificate issued by a

competent Authority. The competent Authority for EWS Income and Asset Certificate shall be Tehsildar of the

area where the applicant normally resides.

The prescribed format for EWS income and Asset Certificate shall be as provided at Annexure-I.

The Officer who issues the certificate would do the same after carefully verifying all relevant documents following

due process as prescribed by the State.

The crucial date for submitting Income and Asset Certificate by the candidate may be treated as the closing date for

receipt of application for the post, except in cases where crucial date is fixed otherwise.

The appointing authorities should, in the offer of appointment to the candidates claiming to be belonging to EWS,

include the following clause:-

“The appointment is provisional and is subject to the income and asset certificate being verified through the

proper channels and if the verification reveals that the claim to belong to EWS is fake/false the services will be

terminated forthwith without assigning any further reasons and provisions of the Indian Penal Code for production of

fake/false certificate.”

The appointing authority should verify the veracity of the Income and asset certificate submitted by the

candidate through the certificate issuing authority.

Instructions referred to above should be strictly followed so that it may not be possible for an unscrupulous person

to secure employment on the basis of a false claim and if any person gets an appointment on the basis of such

false claim, her/his services shall be terminated and penal action shall also be invoked.

6.

ADJUSTMENT AGAINST UNRESERVED VACANCIES:

A person belonging to EWS cannot be denied the right to compete for appointment against an unreserved

vacancy. Persons belonging to EWS who are selected on the basis of merit and not on account of

reservation are not to be counted towards the quota meant for reservation.

7.

The above scheme of reservation will be effective in respect of all direct recruitment vacancies to be notified on

or after 01.02.2019.

VIJAYENDRA KUMAR,

Secretary, General Administration Department,

for Chief Secretary to the Government of Haryana.

4146

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

Government of Haryana

(Name & Address of the authority issuing the certificate)

(ECONOMICALLY WEAKER SECTIONS)

INCOME DISCLOSURE CERTIFICATE

Certificate No.

Date:

VALID FOR THE YEAR

This is to certify that Shri/Smt./kumari

son/daughter/wife

of

is

permanent

resident of

Village/Street

Post Office

District

____

PinCode

whose photograph is affixed below and attested below belongs to Economically Weaker

Sections, since the gross annual income* of his/her family** is below Rs. 6 lakh (Rupees Six Lakh only) for the

financial year

It is further certified that His/her family does not own or possess any of the following assets***:

I.

5 acres of agricultural land and above;

II.

Residential flat of 1000 sq. ft. and above;

III.

Residential plot of 100 sq. yards and above in notified municipalities;\

IV.

Residential plot of 200 sq. yards and above in areas other than the notified municipalities.

V.

Total immovable assets owned are valued at Rs. One Crore or more.

2.

Shri/Smt./Kumari

belongs to the caste which is not recognized

as a Scheduled Caste,

Backward Classes (Block-A) and Backward Classes (Block-B).

Signature with seal of Office

Name

Designation

*Note

l: Income means income from all sources i.e. salary, agriculture, business, profession etc.

**Note 2: The term "Family" for this purpose will include the person, who applies for benefit of reservation, his/

her parents, spouse as well as children and siblings below the age of 18 years.

***Note 3: The property held by a "Family" in different locations or different places/cities are to be clubbed while

applying the land or property holding test to determine EWS status.

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4147

Copy of letter No.62/17/95-6 GSI Dated, Chandigarh, the 3rd October, 1996 received from the Chief

Secretary to Government Haryana addressed to All Heads of Departments, Commissioners Ambala,Rohtak,

Gurugram and Hisar Divisions, All Deputy Commissioners and all Sub Divisional Officers (Civil) in Haryana, The

Registrar, Punjab and Haryana High Court and all District and Session Judges in Haryana.

Subject:

"Bonafide residents of Haryana - Guidelines regarding".

I am directed to invite your attention to Haryana Govt. letters noted in the margin in the subject noted

above vide which the instructions were issued regarding simplification of procedure for obtaining the certificate of

Domicile for the purpose of admission to educational institution (including technical/medical institution). The matter

has been reconsidered in the light of judgment delivered by the Hon'ble Supreme Court of India in the case of Dr.

Pradeep Jain vs. Union of India and others reported as AIR 1984-SC-1421, wherein it has been held that instead

of the word 'Domicile 'the word 'Resident' be used in the instructions issued by the State Government and it has been

decided to revise the Government instructions. Henceforth, the following categories of persons would be eligible for

the grant of Resident Certificate:-

i)

Candidates, who have passed the examination qualifying there for selection in an institution from a

school/college in Haryana.

ii)

Children / Wards (if parents are not living) / Dependents: -

(a)

Of the regular employees of Haryana State posted in or outside Haryana State or working on deputation;

(b)

Of the regular employees of the statuary bodies/ corporations established by or under an act of the State of

Haryana who arc posted in Chandigarh or in Haryana or outside Haryana"

(c)

Of the regular employees of the Government of India posted in Chandigarh or in Haryana in connection with

the affairs of the Haryana Government;

iii)

Children /wards (if parents are not living)/dependents of persons who after retirement have permanently settled

in Haryana and draw their pensions from the treasuries situated in the State of Haryana.

iv)

Children/wards (if parents are not living)/dependents of pensioners of Haryana Government irrespective of the

fact that the original home of the retiree is in a state other than Haryana or he has settled after retirement in or outside

Haryana;

v)

Children/Wards (if parents are not living)/dependents of persons, who have permanent home in Haryana and

include persons who have been residing in Haryana for a period of not less than 15 years or who have permanent

home in Haryana but on account of their occupation they are living outside Haryana;

vi)

The wives of such persons who are bonafide residents of Haryana irrespective of the fact that they had

belonged to any other State before marriage;

vii)

Persons who were born in Haryana and produce a certificate to that effect; provided that the parents/ guardians

(if parents are not living) of persons belonging to any one of the above mentioned categories are:

a)

Citizen of India;

b)

Produce an affidavit to the effect that they or their children/wards (if parents are not living)/dependents

have not obtained the benefit of Resident in any other State.

2.

All candidates claiming to be bonafide residents of Haryana should produce a Haryana Resident Certificate

signed by the District Magistrate/General Assistant to Deputy Commissioner or Sub- Divisional Officer (Civil) of the

District/Sub-Divisions to which the candidates belong. Resident Certificates in respect of elsewhere or in respect of

the Children/Wards/Dependents of Haryana Govt, employees who are posted at Chandigarh, Delhi or elsewhere

or in respect of Children /Wards/ Dependents of pensioners of Haryana Govt. or in respect of the Children/

Wards/ Department of the employees of the Government of India posted at Chandigarh or in Haryana in connection

with the affairs of Haryana Government, or in respect of Children/Wards/ Dependents of the employees and retirees of

the Statutory Bodies/Corporations of Haryana established by or under an Act of the State of Haryana or a Central

Act and located at Chandigarh, Haryana or outside Haryana, should be by their respective heads of Departments.

3.

Candidates seeking admission in educational institutions (including medical and technical institutions)

locatedin Haryana may not be required to produce Resident Certificate, if they have passed the examination from a

school/college situated in Haryana. For this purpose, a certificate of the principal/Headmaster from concerned

institution where the children/wards studied last school be considered sufficient. The Principal/Headmaster of the

institution shall be competent to issue such certificate, which should be sufficient.

4.

If a candidate is admitted on the basis of claim that he belongs to the State of Haryana but at any subsequent

time is discovered that his claim was false, the student shall be removed from the institution, all fees and other dues

paid up to the date of such removal shall be confiscated" The Principal/ Headmaster may take such other action

against the student and his/her parents/guardians as he may deem proper in the circumstances of any particular case,

5.

For the purpose of uniformity for issuing certificate of Residence in the case of various categories to be issued

by the competent authorities, performas have been prescribed which are enclosed here with,

6.

These instructions may kindly be noted carefully for compliance and the receipt of this letter may please be

acknowledged.

4148

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

U.O. No. 6212712003- 6 GSI

Dated, Chandigarh the July 29, 2003

From: 'The Chief Secretary to Government Haryana

To

1.

All the Heads of Departments in Haryana

2.

The Commissioners Rohtak, Gurgaon, Hisar and Ambala divisions.

3.

The Registrar, Punjab and Haryana High Court

4.

All the Deputy Commissioners in Haryana

5.

The Managing Directors of all Boards and Corporations in Haryana

6.

The Registrars, Maharshi Dayanand University, Rohtak, Kurukshetra University, Kurukshetra,

Ch. Charan Singh Haryana Agriculture University, Hisar, Guru Jambheshwar University, Hisar

and Ch. Devi Lal University, Sirsa.

Sub:

Bonafide residents of Haryana - Guidelines regarding.

Sir,

I am directed to invite your attention to Haryana Government circular letter No. 62117195- 6GSI, dated

3.10.96 and No,6213212000 - GSI, dated 23,5.2003 on the subject noted above vide which the instructions were

issued regarding simplification of procedure for obtaining the certificate of resident purpose of admission to

educational institutions (including technical/ medical institutions).

2. The matter has been reconsidered by the State Government in view of the problems faced by the Children/ wards

of accredited journalists recognized by Government of Haryana and it has been decided that the children/ wards of the

accredited journalists residing at Chandigarh and recognized by Government of Haryana would also be eligible for the

grant of Residence Certificate only for the purpose of admission in the academic institutions of Haryana State.

3

These instructions may kindly be noted carefully for compliance and the receipt of this letter may please be

acknowledged.

Yours faithfully,

Sd/-

Under Secretary General Administration

for Chief Secretary to Government Haryana

A copy is forwarded to all the Financial Commissioners and Principal Secretaries/ Commissioners and

Secretaries to Government of Haryana for information and necessary action.

Sd/-

Under Secretary General Administration

for Chief Secretary to Government Haryana

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4149

Copy of letter No. 2212812003-3G.S.III

Dated, Chandigarh the 30th January, 2004.

From

The Chief Secretary to Government Haryana.

To

l.

All Heads of Departments in Haryana.

2.

The Commissioners, Rohtak, Gurugram, Hisar and Ambala Divisions.

3.

The Registrar, Punjab and Haryana High Court, Chandigarh.

4.

All the Deputy Commissioners in Haryana.

5.

The Registrars, Maharshi Dayanand University, Rohtak, Kurukshetra University,

Kurukshetra, Ch. Charan Singh Haryana Agriculture University, Hisar, Guru

Jambheshwar University, Hisar and Ch. Devi Lal University, Sirsa (Haryana).

Dated, Chandigarh the 30th January, 2004,

Subject:

'Streamlining the procedure in the offices regarding issuing of Resident/ Income Certificates and

the caste certificate to Scheduled Castes and Backward Classes".

Sir,

I am directed to invite your attention to Haryana Government letters Nos. 62117l95-2G.S.llI, dated

03.10.96, No. 22151/93-3G.S.III, dated 12.8.93 and even No. dated 14.10.97 on the subject noted above wherein

instructions regarding the caste certificates (SC/BC/OBC), and Resident certificate have been issued.

2.

The policy has been reviewed keeping in view the various courts judgements and the hardships caused to the

individuals in obtaining above quoted certificates. Government is of the view that the procedure be

institutionalized by delegating powers at proper level for ensuring speedy disposal of work without any

harassment or exploitation, The present modification of the policy also aims at simplifying the procedure for

obtaining certificate by an individual falling under the reserved categories.

3.

The matter has also been reconsidered in depth by the State Government in view of the problems being faced

by the Government employees in obtaining these certificates. With a view to improve the existing system in

issuing various certificates, it has been decided by the Government that henceforth Circle Revenue Officers

(Tehsildar, Naib-Tehsildar-cum-Executive Magistrate) concerned will be authorized to issue Resident as well

as Caste Certificates (SC/BC/OBC) after getting the verification done through the subordinate revenue staff in

case of applicants residing in the rural area and trough the Executive Officer/Secretary of the concerned

Municipal Committee/Municipal Council/Municipal Corporation concerned in case of applicants residing in

urban area. It has further been decided that in case of Haryana Government employees serving in the offices

located at Chandigarh/Panchkula and residing at Chandigarh/Panchkula, the Resident certificates and caste

certificate to SC/BC employees and for their children, may be issued by their respective Heads of Departments

also.

4.

The validity of Resident Certificate issued by the competent authority shall be as long as the holder of this

certificate maintains his residential address in Haryana State.

5.

SC certificate once issued shall be valid as long as the caste is not removed from the Schedule of the

Constitution and BC certificate shall be valid for life from the date of issue of the certificate or till the

applicant does not fall into creamy layer category as defined from time to time. The applicant applying for BC

certificate would also submit a self-declaration on simple paper that he does not fall under creamy layer

category. The format for this declaration is given at Annexure 'A' However, if the certificate has been obtained

by fraud or misrepresentation or concealment of facts or by some other means, the said certificate shall be

declared as invalid/ and benefit taken by the applicant will be withdrawn and a criminal case shall be

registered against the applicant misrepresenting the facts as well as against the guilty officers/officials, if any.

In addition, Social Justice & Empowerment Department, Haryana is being, directed to finalize the

modalities and procedure to constitute the Scrutiny Committee.

6.

The files relating to Caste and Resident certificate shall be retained for 10 years and Register shall be retained

permanently, The performa of the application form, Register and SC/BC certificates prescribed by the

Government shall be followed by all the Departments/Institutions in letter and spirit as it has come to the

notice of the Govt. that some Departments/institutions demand such certificates in performa which are at

variance with the performa in which these certificates are being issued by the competent authorities (Tehsildar /

Naib Tehsildar/HODs). It is, therefore, decided that the Departments/institutions shall accept these certificates

only in the performa in which these are being issued by the competent authorities which have been prescribed

by the Govt. itself (copy enclosed).

4150

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

7.

To make institutional arrangements, it has also been decided that in future the Resident and Caste certificates

will be issued to all the students studying in class 5th every year as per the time schedule given below:-

i.

filling of application form by the parents/students. 1st Nov- 10th Nov. every year.

ii.

Verification by:

(a)

Sarpanch/ Namberdar in case of rural areas and Municipal Councillors in case of urban areas.

(b)

Verification by Patwari in case of rural areas /EO/Secy.(MC) any other officer/official

authorized by the local body for the purpose in case of urban areas. Upto 30th November every

year.

(c)

Head Teacher/Head Master Upto 15th Dec.

iii

Forwarding of application to CRO by Head Teacher/Head Master 31st Dec. Verification & issue of

certificate by CRO Upto 31st January every year.

8.

All application forms of a particular School may be sent to the Tehsildar /NaibTehsildar concerned preferably

at one go so that the certificates are issued and sent back to the Head masters of Government Schools/Private

Schools for distribution to the concerned students. The Head Teacher/Head Master shall be responsible for

getting the application forms filled and files prepared of all the students presently studying in Class-VIII to XII

will be issued these certificates during the months of January, 2004 to March, 2004. The schedule will be

finalized by the concerned Deputy Commissioner in this regard.

9.

It has been further decided that in case of SC/BC students claiming benefit under various welfare schemes upto

Class IX, the benefits will be given by the Head Master/Head Teacher after getting the verification done from

Sarpanch/ Namberdar/MC and a caste certificate issued by the CRO (Tehsildar/ NaibTehsildar) may not be

demanded for this purpose by the School authorities.

10.

The matter regarding issue of income certificate to the students for claiming various benefits in educational

institutions has been considered and it has been decided that in future the income certificate for educational

purpose will be issued by the CRO (Tehsildar/NaibTehsildar concerned) and income certificate for other

purposes by the SDO concerned taking into account income of the applicant from various sources including

agriculture, trade, profession, salary etc. The verification will be got done through the subordinate revenue staff

in case of applicants residing in rural areas and through the Executive Officers/Secretary of the concerned

Municipal Committee/Council/Municipal Corporation in case of applicants residing in urban areas.

11.

It has also been brought to the notice of the Government that when posts are advertised, fairly large number of

candidates applies for such posts and Haryana Public Service Commission/Haryana Staff Selection

Commission /Department demand attested copies of Resident/Caste certificates and other documents from the

candidates. This creates not only financial problems for the unemployed youths but also increases the work

load in the offices. Similar is the position in case of admission to educational/professional Engineering

institutions. To give relief to the public, it has been decided that at the time of applying for job or for

admission in educational institutions including technical/professional institutions etc. self-attested photo copy

of the certificate about the residence and caste status shall be sufficient and at the time of final

interview/selection, original papers including castes and Resident certificate issued by the competent

authorities may be obtained/examined/inspected by the concerned departments/institutions and attested

copies thereof be kept in record. The fact may also be cross checked/ verified at the time of verification of the

antecedents of the applicants before he/she joins the Government service. Similar practice will be followed for

degrees/mark sheets/other certificates of academic qualifications. Necessary action to amend/revise the

application form in this regard shall be taken by Haryana Public Service Commission/ Haryana Staff

Selection Commission/ Head of the Departments Universities etc. at their own level under intimation to the

Government.

These instructions may be brought to the knowledge of all for strict compliance.

Yours faithfully,

(Sd.)…,

Special Secretary General Administration,

for Chief Secretary to Government Haryana.

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4151

AFFIDAVIT OF THE PARENT /GUARDIAN TO BE ATTESTED BY EXECUTIVE MAGISTRATE OATH

COMMISSIONER/ NOTARY PUBLIC.

I...................................................................................................................................................father/mother/guardian of

Miss/Mr…………………………….. resident of do…………………… hereby solemnly state and affirm as under:-

1.

That I am a Citizen of India.

2.

That neither the deponent nor the child/ward of the deponent has obtained the benefit of 'Residence in any other

State.

Dated………. DEPONENT

VERIFICATION

Verified that the contents of my above affidavit are true and correct to the best of my knowledge and belief and

nothing has been concealed therein.

Dated………. DEPONENT

Annexure-VII-B

HARYANA RESIDENT CERTIFICATE

RESIDENCE CERTIFICATE TO BE ISSUED BY THE DEPUTY COMMISSIONER, SUB DIVISIONAL

OFFICER (CM), G.A. TO D.C.D.R.O. EM AND TEHSILDAR.

Certified that Shri/Shrimati/Kumari ……..………………………………….…………………. Son/Daughter of

Shri …………………………… Father/Guardian of Miss/ Mr ………………..……………….. name of child/ward

with full address hold Immovable property at…………………………. (place and District) in the State of Haryana for

the past………………… years.

OR

Certify that Miss/Mr …………………………………………Son/Daughter of Shri………………………………….

Resident………………... of was born in Haryana as per birth certificate (issued under the instructions of Haryana

Govt. Letter no. 2212812003-3, GS-III dated 30.1.2004).

No. Tehsildar/ Naib Tehsildar

Signature of the Authority (mentioned above) (with seal)

Date:

The validity of Resident Certificate shall be as long as the holder of this certificate maintains his residential address

in Haryana State.

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HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

RESIDENCE CERTIFICATE TO BE ISSUED BY HEAD OF DEPARTMENT

Certified that Sh.……………………… S/o Sh. ………………………………………………father of Miss/Mr

…………………………. is an employee of the……………………………. (Name of office) …………………of

Haryana Government. He is working as…………………and is posted at …………………... He has more than three

years’ service at his credit.

Place:

Dated:

Head of the Department

(with seal)

Annexure-VII-D

RESIDENCE CERTIFICATE TO BE ISSUED BY THE PRINCIPAL/HEADMASTERS OF THE

GOVERNMENT/ RECOGNIZED SCHOOI/ COLLEGE.

It is certified that Miss/Mr ………………………………………S/o/D/o Sh………………….. has been a student of

this School/College for a period …………Years, from……………………………………………….to……………….

.He left the school/college on…………………….…………………..

Dated

Signature of Principal/Headmaster of the

School/ college (with seal)

Annexure-VII-E

RESIDENCE CERTIFICATE TO BE ISSUED BY THE RESPECTIVE HEAD OF THE DEPARTMENT IN

THE CASE OF THE EMPLOYEES OF GOVERNMENT OF INDIA

Certified that Sh .…………………………..…………… S/o Sh………………….. father of Miss/Mr…………… is

an employee of Government of India working……………………….. as He has been posted at Chandigarh/Haryana in

connection with the affairs of Haryana Government for the past three years.

Dated

Head of Department

(with seal)

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4153

CERTIFICAE OF SCHEDULED CASTE/ DEPRIVED SCHEDULE CASTE

Certified that Mr./Miss ……………………………Son/Daughter of Sh.……………………… Village/Ward No.

…………………………..Teh. ………………… District…………… Haryana belongs to ……………………. Caste.

Which has been declared Scheduled Caste in the Constitution (Scheduled Castes) Orders 1950.

Caste certificate shall be valid for life.

Dated:-…………………

Tehsildar/Naib Tehsildar-Cum-

Place:- …………………

Executive Magistrate/Head of the Department

Certificate from no other authority will be accepted.

4154

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

Haryana Government

Certificate Sr. No. …………/year………/Teh…………………………………..

BACKWARD CASTE- CERTIFICATE

This is to certify that Shri/Smt./Kumari…………………………………………………………………. Son/Daughter

of Sh ……………………………………………….…………..Teh

District

Haryana

of

the

State/Union

Territory ……………………..……………….belongs to………………………….Caste. This caste is mentioned in

the State list of 3C Block………………………..

(The applicant shall submit an affidavit that he/she falls/does not fall in creamy layer)

2.

Shri/Smt./Kumari………………………………….................and/or his/her family ordinarily reside(s) in

....................... vil1age/town ………......... of Tehsil ………..... District …………........................ of the State/Union

Territory ………………………………………...

3.

This is to certify that he/she does not belong to the person/section (Creamy layer) as per State Govt.

letter No. 1170-SW (1)-95 dated 07-06-1995, No. 2213612000-3GS-III dated 09-08-2000 & No. 21 3-SW (l) -2010

dated 31-08-2010.

Signature with seal of Issuing Authority

Full Name ………………………..

Designation………………………

Address with Telephone No. with code …………..

Place ……………….

Date………………..

Issuing Authority: Tehsildar-cum-Executive Magistrate

Naib Tehsildar-cum-Executive Magistrate

Head of Department in case of Government employees

Strike out the paragraph which is not applicable,

For instructions refer to www.csharyana.gov.in

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4155

SPECIMEN OF AGREEMENT BOND

TO BE TYPED ON STAMP PAPER OF RS.10/- AND

ATTESTED BY THE FIRST CLASS MAGISTRATE

This agreement bond on

.........................................the

day

of………............................................between

Sh./Smt. ............................. S/o,D/o, W/o Sh. .................................. .his/her heirs, administrators, executors

and legal representatives) on the one part and the (institution concerned) on the other part.

Whereas I have been offered admission in MD/MS (Ayurveda)course in the speciality of

.................................. by the University/Govt. of India vide memo no…………….dated............................

and I will be joining as such on ....................................

I hereby execute the bond of Rs.7,50,000/- (Rs. Seven Lakhs Fifty Thousand only) supported by two sureties

and equal numbers of witnesses. In case I leave the course mid-way, I alongwith sureties shall be liable jointly and

severally to pay Rs.7,50,000/- (Rs. Seven Lakhs Fifty Thousand only) bond money to (institution concerned) along

with the whole amount of stipend/emoluments paid to me.The institution will have right to recover such money from

the defaulter/defaulters/sureties in accordance with the law of the land. I understand that I can also be debarred from

appearing in the entrance test for the next three years. IN WITNESS WHERE I DO HERE IN SET MY HANDS ON

THIS BOND AT ............................... THIS DAY IN THEPRESENCE OF WITNESSES AND SURETIES:

1.

Signature of Witness

Name & Address of Witness

1.

Signature of Surety

Name & Address of Surety

Tel.No.

Tel. No.

Mobile No.

Mobile No.

2.

Signature of Witness

Name & Address of Witness

2.

Signature of Surety

Name & Address of Surety

Tel. No.

Tel. No.

Mobile No.

Mobile No.

4156

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

List of documents to be brought at the time of reporting before admission committee and at the time of

document verification:

The candidates, at the time of reporting must bring the following Original Certificates/Documents alongwith two

sets of duly self-attested photocopies of these.

1.

Copy of online application/fee deposit slip. 2.Copy of print out of AIAPGET rank/marks card.

3.

Proof of identification Aadhaar card/PAN Card/Driving license/Passport/Voter ID/Ration Card/any other

(any two).

4.

Four passport size photographs against white background (preferably the photograph used in AIAPGET

form).

5.

Matriculation certificate/High School Certificate (10th) as proof of date of birth.

6.

BAMS Degree Certificate/ Certificates of having passed B.A.M.S.& All Detailed Marks Sheets of BAMS from

institution recognised by NCISM.

7.

Internship completion certificate certifying the date on which the candidate has completed one year

Compulsory Rotatory Internship. The date of completion of internship training shall not be beyond 31.10.2019.

8.

Character Certificate issued by the college/institute last attended.

9.

Certificate of provisional/permanent registration with State Ayurvedic Council/ Central Council at the time of

counselling.

10.

AMO/Teacher category candidate must produce valid NOC issued by the competent authority failing which

the in-service candidate shall be considered ineligible for counselling.

11.

Candidates who are not the graduate of recognised Ayurvedic Colleges located in the State of Haryana must

submit a Haryana Resident Certificate in original (as per Annexure A& B). The certificate of Haryana resident

which is not in the prescribed proforma, will not be accepted.

12.

Certificate with respect to Benchmark Disabilities issued by competent authority (Medical Board of PGIMS,

Rohtak), if applicable.

13.

Caste certificate if claiming any benefit issued from competent authority.

14.

Latest Income certificate (if applicable) for BC-A & BC-B.

15.

Income & Asset certificate/ Income Disclosure Certificate of current year–EWS Candidate.

16.

Certificate of ESM issued by competent authority (if applicable).

17.

Certificate of dependent of Freedom Fighter issued by competent authority (if applicable)

Note:

Any candidate failing to deposit original documents at the time of document verification/Counselling will not be

considered and his/her claim to admission will be forfeited.

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4157

HARYANA GOVERNMENT

WELFARE OF SCHEDULED CASTES AND BACKWARD CLASSES DEPARTMENT

NOTIFICATION

No. 1282-SW (1)-the Government Notification No. 808-SW (1) dated 17.08.20116 has been examine in consultation

with the Advocate General Haryana. The Advocate General replying upon the judgment of the Hon’ble Punjab and

Haryana High Court has opined the criteria for computing annual income is Prescribed under the above notification as

gross annual shall include income from all sources" All previous notifications or instructions which provided for a

different mode of computing annual income stands over-ridden.

Income certificate mentioning gross annual income issued after 17.08.2016 shall only be considered for

availing any benefit under BC(A) and BC(B) category.

Principal Secretary to Government Haryana ,

Welfare of Scheduled Castes and Backward

Classes Department.

Endst No. 1282-SW (1)

Dated 28. 08.2018

Copy of the above is forwarded to the following for information and necessary action:-

1.

The Chief Secretary to Government Haryana

2.

All the Additional Chief Secretaries/Principal Secretaries to Government Haryana.

3.

All Head of Departments in the State of Haryana

4.

All the CAs/MDs of all Boards/Corporations/Public undertakings in the State of Haryana

5.

The Commissioners Ambala, Gurugram, Hisar and Rohtak Division.

6.

All the Deputy Commissioners in the State of Haryana.

7.

The Registrar, Punjab and Haryana High Cour1, Chandigarh.

8.

All SDOs (C) in the State of Haryana

9.

The Registrar of all the Universities in the State of Haryana.

Superintendent ,

For Principal Secretary to Government Haryana ,

Welfare of Scheduled Castes and Backward

Classes Department

4158

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

HARYANA GOVERNMENT

WELFARE OF SCHEDULED CAS'TES AND BACKWARD CLASSES DEPARTMENT

NOTIFICATION

The l8th November,2016

No. 1389-SW (1)2016- In exercise of the powers conferred by sub-section(1) of Section 8 of the Haryana Backward

Classes (Reservation in Services and Admission in Educational Institutions), AcL,2016 (11 of 2016), the Governor of

Haryana hereby appoints the following officers to be the competent authority for the purposes of carrying out the

provisions of the said Act, namely:-

(i)

Sub Division Officer (Civil), City Magistrate and Tehsildar:

(ii)

Head of Department or Head of Office, in the case of a Government employee or his dependent;

(iii)

Head of the Government educational institutions (School, Industrial Training Institute, Polytechnic or

College) in the case of students

Anil Kumar,

Principal Secretary to Government Haryana,

Welfare of Scheduled Castes and Backward

Classes Department.

Dated: 18.11.2016 Chandigarh

Endst No. I 389-SW-(1)2016

Dated 22.11.2016

A copy is forwarded to Controller, Printing and Stationary Department for publishing the said notification in

the Haryana Government ordinary Gazette. He is requested to send 250 spare copies of the notification to the

Government.

Special Secretary,

For Principal Secretary to Government Haryana,

Welfare of Scheduled Castes and Backward

Classes Department.

Endst No. 1389-SW-(1) 2016

Dated 22.11.2016

A Copy is forwarded to the following for information and necessary action:-

1.

The Chief Secretary to Governrnent Haryana

2.

All the Additional Chief Secretaries/Principal Secretaries to Government Haryana.

3.

All Head of Departments in the State of Haryana

4.

All the CAs/MDs of all Boards/Corporations/Public undertakings in the State of Haryana

5.

The Commissioners Ambala, Gurugram, Hisar and Rohtak Division.

6.

AII the Deputy Commissioners in the State of Haryana.

7.

The Registrar, Punjab and Haryana High Court, Chandigarh.

8.

All SDOs (C) in the State of Haryana

9.

The Registrar of all the Universities in the State of Haryana.

Superintendent,

For Principal Secretary to Government Haryana ,

Welfare of Scheduled Castes and Backward

Classes Department.

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4159

Government of Haryana

(Name & Address of the authority issuing the certificate)

Income Certificate

For admission MD/MS (Ayurveda) courses

Certificate No…………………….

Date………………….

VALID FOR THE YEAR…………………………………

This is to certify that Shri/Smt./Kumari ………………………………………………………….son/daughter/ wife of

…………………………………..is permanent resident of ………………………………………………………….

Village/street…………………………………………………………………………………………………………...…,

Post-Office…………… District.………………...………Pin Code…………………………......... Whose photograph

is affixed.

The income of his family is as under:-

I

Family income from salary …………………………………

II

Family income from sources other than salary …………………………………………..

(Agriculture, Business, Profession etc.)

Total income from all sources …………………………………………

Tehsildar, Tehsil …………………………………………………

Note: This certificate has to be produced by all candidates applying for admissions under BCA/BCB category in

addition to the mandatory certificates required to be eligible for admission under BCA/ BCB category.

4160

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

(FOR DEPENDENTS OF FREEDOM FIGHTERS)

UNDERTAKING

I ……………………….………….. S/D of ……………………………… R/o………………………………….

Teh.…………………………….. District hereby undertake as under:

That Sh./Smt. …………………………………..……….. S/D of Sh. ……………………………..……..…….

R/o……………………………..Teh.……………………………..

Distt

………………………is/was

Freedom

Fighter and is/was my grandfather/ grandmother (Paternal/Maternal).

Date:

Place:

Sign of applicant

It is verified that all the above contents are true to the best of my knowledge.

Sign of Father/ Mother of applicant

(Who is/was dependent of Freedom Fighter)

Sign of applicant

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

4161

4162

HARYANA GOVT. GAZ. (EXTRA.), DEC. 9, 2021 (AGHN. 18, 1943 SAKA)

9411—C.S.—H.G.P. Pkl.