BSNL Direct Recruitment of Telecom Technical Assistants (TTAs) in Rajasthan

 examination scheduled to be held on 30-06-2013 is


postponed to 14-07-2013. All other terms and conditions remain the same.

O/o the Chief General Manager,
Rajasthan Telecom Circle,
Sardar Patel Marg, C-Scheme,
Jaipur – 302 008
(Recruitment Cell)
Rectt/XI-97/TTA-DR/RY-2012/24 Dated at Jaipur the April 20, 2013
Direct Recruitment of Telecom Technical Assistants (TTAs) in Rajasthan
Telecom Circle from Open market for the Recruitment Year-2012.
*****
BSNL, Rajasthan Telecom. Circle invites applications typed on A4 size paper in the
prescribed proforma from eligible candidates for the vacant posts of Telecom
Technical Assistant (TTA) in various SSAs as listed below from Open market for the
Recruitment Year-2012 examination.
2. Vacancy position:
SSA Wise CONSOLIDATED LIST OF VACANCIES FOR TTA AGAINST DIRECT RECRUITMENT QUOTA
FOR THE RECRUITMENT YEAR-2012
S.
No.
Name of the
SSA / Rectt Unit
Distribution of
vacancies
(50% Direct
Recruitment
quota for RY-2012
Break up Category wise among distributed vacancies
(50% Direct Recruitment quota for RY-2012).
OC OBC SC S T Total PH
Quota
Exservice
man
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
1 Ajmer 10 05 02 02 01 10 0 01
2 Alwar 14 10 01 02 01 14 01 02
3 Banswara 03 01 0 0 02 03 0 0
4 Barmer 06 04 01 01 0 06 0 01
5 Bharatpur 06 04 01 01 0 06 0 01
6 Bhilwara 06 04 02 0 0 06 0 01
7 Bikaner 04 03 01 0 0 04 0 0
8 Bundi 02 02 0 0 0 02 0 0
9 Chittorgarh 07 03 0 01 03 07 0 01
10 Churu 04 02 0 01 01 04 0 0
11 Jaisalmer 01 0 01 0 0 01 0 0
12 Jaipur 40 21 08 06 05 40 01 04
13 Jhalawar 03 01 01 0 01 03 0 0
14 Jhunjhunu 11 05 03 02 01 11 0 01
15 Jodhpur 13 08 0 01 04 13 01 01
16 Kota 13 11 0 0 02 13 01 01
17 Nagaur 09 06 0 02 01 09 0 01
18 Pali Marwar 09 03 02 02 02 09 0 01
19 Sawai Modhopur 05 04 01 0 0 05 0 01
20 Sikar 14 12 01 0 01 14 01 01
21 Sirohi 07 04 01 01 01 07 0 01
22 Sri Ganganagar 12 06 03 02 01 12 01 01
23 Tonk 01 0 0 0 01 01 0 0
24 Udaipur 17 08 02 03 04 17 01 02
25 CMTS Wing JP 03 02 01 0 0 03 0 0
Total 220 129 32 27 32 220 7 22
Note: The number of vacancies is subject to change/revision.
Abbreviations: OC (Other Caste i.e. unreserved), OBC (Other Backward Class),
SC (Scheduled Caste), ST (Scheduled Tribe) & PH (Physicaly
Handicapped.
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3. Reservation for SC/ST/OBC and Physical Handicapped (PH)/Ex
Serviceman:
a) Reservation as per Central Govt guidelines for SC/ST/OBC.
b) In respect of Physically Handicapped persons, candidates with following
physical disability will be permitted:
i) Hearing impairment – Partially Deaf
ii) Locomotive Impairment - OL (One leg affected, R or L) or BL (Both
legs affected but no arms).
(The minimum degree of disability is 40% in order for a person to be eligible for any concession).
c) 3% reservation for PH person shall be as per provision laid in DOT letter no.
1-8/2001-AD (SNG) dated 18.10.2001 & 21.04.2003.
d) 10% of total vacancies are reserved for Ex. Servicemen as per the provision
of Govt. of India rules.
4. Scale of Pay:
NE9 i.e IDA Pay Sclale of Rs. 13600 – 25420 with annual increment @ 3% of
the basic pay plus usual allowances as per BSNL rules.
5. Eligibility:
(a) Nationality: Only Indian Nationals would be eligible to apply.
(b) Qualification: Applicant must possess as on closing date of receipt of
forms in this office i.e. 13.05.2013, the educational qualification in any of
the following disciplines from the recognized Institute/ University:
a) Three years Engineering Diploma in
- Telecommunications Engineering.
- Electronics Engineering
- Electrical Engineering
- Radio Engineering
- Computer Engineering
- Instruments Technology
- Information Technology
b) M.Sc (Electronics) from a recognized institution/University.
Note:
a) There is no equivalence provided.
b) Candidates possessing higher qualification in the same eligibility
stream are allowed to appear in the examination.
c) Candidate possessing Three Year Diploma certificates are eligible to
appear in the Exam irrespective of percentage of marks obtained by
them.
d) In case of candidate possessing requisite certificate qualification,
irrespective of having entered the course in the 2nd year through
lateral entry level after 10+2, he/she will be eligible to appear in the
exam.
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(e) The candidate must have completed the requisite qualification by
closing date of application i.e. their final results must have been
declared on or before closing date of application and he/she should
submit diploma / degree / provisional diploma / degree showing that
he/she has completed the requisite qualification (alongwith total
marks) by closing date of application. Appearing / those who have
not passed all semester are not eligible. Marks Sheet downloaded
from Internet will not be accepted.
6. Age Limit for Direct Recruit:
a. The applicant should be between 18 to 27 years of age as on
13.05.2013.
b. However, this age limit is relaxable for following category of the
applications
I. For Scheduled Castes & Scheduled Tribes up to 5 years;
II. For OBC candidates up to 3 years;
III. For PH candidates up to 10 years (15 years for SC/ST and 13
years for OBC);
IV. For Departmental candidates-
- Up to 40 years in respect of general candidates
- Up to 45 years in respect of SC/ST candidates in
accordance with the instructions or orders issued by the
Central Government.
- Up to 43 years in respect of OBC candidates.
V. For Residents of J&K – Relaxation shall be in accordance with
DO P&T O.M. No. 15012/7/1991-Est. (D) dated 6.12.2005
pertaining to “Residents of State of Jammu and Kashmir
(Relaxation on Upper Age Limit for Recruitment to Central Civil
Service & Posts) Rules 1997”.
7. Examination Fee:
a) The Examination fee of Rs.500/-(Five Hundred Only) is chargeable
from the applicant which may be acceptable in the form of Indian
Postal Order/ Bank Draft along with the application form drawn in the
favour of “AO (Cash), BSNL O/o the CGMT, Rajasthan, Jaipur”,
payable at “Jaipur”. IPO/Bank Draft should be issued after the date
of issue of the notification. Fee once paid shall NOT be refunded
under any circumstances nor can it be held in reserve for any
other examination or selection. The amount of fee shall not be
accepted in any other form.
b) No fee for the applicants of SC/ST categories.
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c) Exemption from payment of examination fees is also available to the
applicants of PH category. This exemption will, however be available to
only those handicapped persons who would otherwise be eligible for
appointment to the post on the basis of the standards of medical
fitness prescribed for the post and who enclose with the application
form, necessary certificate from a Government Hospital/ Medical
Board in support of applicant’s claim for being handicapped.
8. Restriction of residence & Registration with Employment Exchange:
There is no restriction of residence or essential condition of registration with
the Employment Exchange in the particular SSA for which the applicant may
apply. However, it would be preferable if the applicant has registration in the
Employment Exchange of the SSA concerned for which the applicant applies.
In case if two or more successful candidates show equal performance in the
test and have same qualification, experience, date of birth etc, preference
may be given to those candidates who have registered their names in the
Employment Exchange of the concerned SSA for which they have applied.
9. An applicant is allowed to appear for examination against the vacancy
of one SSA /Recruitment Unit only. In case, if he/she applies for more
than one SSA /Recruitment Unit then his/her application form will be
rejected invariably.
10. Medium of Examination:
Candidate will have the option to appear in paper either in English or in
Hindi.
11. Time table of Examination:
a. There shall be only one Paper of Multiple Choice Objective Type (OMR
Answer Sheet Pattern) of three hours duration. The examination will
be held on 30.06.2013 as per time table mentioned below :
Paper Marks Date & Day Time (IST)
PART.I. GENERAL ABILITY TEST 20
30-06-2013
Sunday
10.00 PART. II. BASIC ENGINEERING 90 AM to 01.00 PM
PART. III. SPECIALIZATION 90
b. The scheme for DR TTA prescribes for one paper of 200 marks having
objective multiple-choice pattern, as such, the total number of
questions in the paper should be 200 and each question shall carry one
marks. Each question will have four option for answer, only one answer
which is most appropriate has to be selected by the candidates. There
will be negative marking for each wrong one, 25% of marks of that
question shall be deducted.
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c. The standard of paper in General Ability test will be such as may be
expected of an Engineering Diploma holder. The standard of papers in
other subject will approximately be, that of Diploma level of an Indian
Polytechnic. In the Specialization Part-III, a candidate has to attempt a
common set of questions from the consolidated syllabus prescribed
under Specialization Part-III.
12. Unit of recruitment & Service liability:
Telecom Technical Assistant (TTA) will be Secondary Switching Area (SSA)
cadre and the unit of recruitment shall be the respective Secondary
Switching Area (SSA) but transferable any where in Rajasthan. A TTA who
has not completed the age of forty years, if so required, will be liable to serve
in the Territorial Army subject to the provisions of Section 6A of the
Territorial Army Act, 1948 (58 of 1948) and the rules made there under. An
applicant can apply for one SSA/Recruitment Unit only. If a candidate
applies for more than one SSA/Recruitment Unit or apply for SSA
/Recruitment Units other than mentioned in Col. No. 2 of Para 2, his
application will be rejected straight way without any correspondence by this
Office.
13. Mode of selection:
a) The selection will be through an open competitive examination followed
by a medical test.
b) Minimum qualifying marks for different category of candidates will be as
follows:-
(i) Minimum qualifying marks in the paper will be 40% for the General
Category(OC) and 33% for the candidates of SC/ST/OBC/PH categories.
The Question paper shall comprise of these parts of 20,90 and 90 each,
as prescribed in the scheme and Syllabus. There will be a single paper
of 200 marks and each question shall carry one mark.
(ii) The minimum qualifying marks in each of the three parts of Question
paper will be 30% for OC and 20% for candidates belonging to
OBC/SC/ST categories i.e the minimum passing marks in each of the 3
parts in respect of OBC/SC/ST, it will be 6, 27 and 27 respectively
whereas in respect of OBC/SC/ST, it will be 4,18 and 18 respectively.
(iii) Further relaxation of 2% in marks will be given to the physically
Handicapped candidates in each category viz OC-PH,OBC-PH,SC-PH
and ST-PH.
(iv) There will be negative marking for each wrong one , 25% of mark of that
question shall be deducted.
c) Merit List will be drawn SSA/Recruitment Unit wise.
d) Appointment and posting will be subject to successful completion of preappointment
training, other eligibility conditions and requirements.
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14. Bond, Training & Probation Period:
All candidates provisionally recruited shall execute a Bond for a period of
two years from the date of their appointment in the format specified by the
BSNL and shall remain on probation period of two years. The selected
candidates, before their appointment as TTAs, will have to successfully
undergo prescribed training as per the training plan laid down and amended
by the BSNL time to time. During training period, the direct recruited TTAs
will be entitled to a stipend (training allowance) as decided by the BSNL from
time to time. The seniority of the candidates will be decided on the basis of
their post training marks.
15. Concession for SC/ST candidates:
a) Travelling allowance to SC/ST candidates:-
The applicants belonging to SC/ST category will be entitled to TA as per
provisions of Ministry of Finance (Dept. of Expenditure) O.M. No.
19014/3/77-E.IV (B) dtd. 17.02.1978. TA form is enclosed here with.
b) Pre-recruitment training for SC/ST candidates:- Necessary Pre-
Recruitment training for SC/ST candidates will be conducted at RTTC,
Jaipur. Willing candidates may send their request along with application.
Training schedule will be announce in due time on web site.
16. Closing date of application:
A. The applications in the prescribed Proforma completed in all respect
and duly signed by the candidates along with the attested photocopies
of the documents (viz. Date of Birth, Educational Qualification
Certificate caste, PH, Ex serviceman) and self signed should be sent by
Registered Post /by hand addressed to the Assistant Director
(Recruitment-II), BSNL O/o The Chief General Manager Telecom,
BSNL, Rajasthan Telecom Circle, Sardar Patel Marg, C-Scheme,
Jaipur-302008 so as to reach in this office on or before
13.05.2013 by 17.30 hrs, positively. The envelope containing the
application form should be marked with heading as “APPLICATION
FOR THE POST OF TELECOM TECHNICAL ASSISTANT (TTA) -
RECRUITMENT YEAR-2012 IN BSNL”.
B. In OBC certificate it should be categorically mentioned that the
candidate does not belong to creamy layer. The name in the
SC/ST/OBC/PH certificate should perfectly match with that in the
Secondary Certificate & other certificates of higher qualifications. The
candidate should write his name in the same format as is mentioned
in the Secondary & other certificates. If the same is found to be
different, the application will be rejected. For example if SURNAME is
not mentioned in the secondary certificate, the same should not be in
the SC/ST/OBC certificate etc. & also should not be written in the
application form.
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Detailed Syllabus
PART- I GENERAL ABILITY TEST – 20 MARKS.
The candidate’s comprehension and understanding of General English
shall be tested through simple exercise such as provision of antonyms
and synonyms, fill in the blanks and multiple-choice exercise etc. This
shall also include questions on current events, general knowledge and
such matters of everyday observation and experiences as may be
expected of Diploma holder.
PART- II BASIC ENGINEERING - 90 MARKS
Detailed syllabus as under:
1. Applied mathematics: Co-ordinate Geometry; Vector Algebra; Matrix and
Determinant; Differential Calculus; Integral Calculus: Differential equation of
second order; Fourier series; Laplace Transform; Complex Number, Partial
Differentiation.
2. Applied Physics: Measurement-Units and Dimension; Waves, Acoustics,
Ultrasonic, Light; Laser and its Application, Atomic Structure and Energy
Levels.
3. Basic Electricity: Electrostatics, Coulomb’s law, Electric field, Gauss’s
theorem; concept of potential difference; concept of capacitance and
capacitors, Ohm’s law, power and energy, Kirchoff’s voltage, current laws
and their applications in simple DC circuits, Basic Magnetism; Electro
Magnetism; Electromagnetic Induction; Concept of alternating voltage &
current; Cells and Batteries; Voltage and Current Sources; Thevenin’s
theorem, Norton’s theorem and their applications.
4. Electronics Devices and Circuits: Classification of materials into
conductor, semi conductor, insulator etc, electrical properties, magnetic
materials, various types of relays, switches and connectors, conventional
representation of electric and electronic circuits elements. Active and passive
components, semi conductor Physics, Semiconductor Diode, Bipolar
transistor & their circuits, Transistor Biasing Stabilization of operating
point; Single stage transistor amplifier, field effect transistor, Mosfet circuits
applications.
Multistage Transistor Amplifier, Transistor Audio Power Amplifiers; Feedback
in Amplifier, Sinusoidal Oscillators; Tuned Voltage Amplifiers; Opto
Electronics Devices and their applications; Operational Amplifier, Wave
shaping and switching circuits.
Block diagram of I.C. Timer (such as 555) and its working; Motivation
Circuits; Time Base Circuits, Thyristory and UJT; Regulated Power Supply.
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5. Digital Techniques: Application and advantages of digital systems; number
system (binary and hexadecimal); Logic Gates; Logic Simplication; Codes and
Parity; Arithmetic Circuits; Decoders, Display Devices and Associated
Circuits; Multiplexers and De-multiplexers; Latches and Flip Flops;
Counters; Shift Registers; Memories; A/D and D/A converters.
PART- III: SPECIALIZATION – 90 MARKS
Detailed syllabus is as under :
1. Electrical: 3 phases vs. single-phase supply, Star Delta connections,
relation between phase & line voltage power factor and their measurements;
construction and principles of working of various types of electrical
measuring instruments. All types of motor and generator-AC & DC
transformers starters, rectifiers, inverters, battery charges, batteries, servo
and stepper motors, contactor control circuits, switchgear, relays, protection
devices & schemes, substation, protective relaying, circuits breaker,
generator protection, transformer protection, feeder & lightening protection,
feeder & bus bar protection, lightening arrestor, ear thing, voltage stabilizer
& regulators, power control devices & circuits, phase controlled rectifiers,
inverters, choppers dual converters, cycloconverters; power electronics
application in control of drivers, refrigeration & air-conditioning.
2. Communication: Modulation and demodulation – principles and operation
of various types of AM, FM and PM modulators/demodulators; pulse
modulation – TDM, PAM, PPM, PWM, Multiplexing, Principles and
applications of PCM.
Introduction of Basic block diagram of digital and data communication
systems, Coding error detection and correction techniques; Digital
Modulation Techniques – ASK, ICW, FSK, PSK, Characteristics/working of
data transmission circuits, UART, USART, Modems; Protocols and their
function: brief idea of ISDN Interface Local Area Network.
3. Network, Filters and Transmission Lines: Two port network; Attenuators;
Filters; Transmission Lines and their applications; characteristic impedance
of line; concept of refection and standing waves on a transmission line;
Transmission line equitation; Principles of impedance matching; Bandwidth
consideration of a transmission line.
4. Instruments and Measurements: Specification of instruments – accuracy,
precision, sensitivity, resolution range, Errors in measurements and loading
effect; principles of voltage, current and resistance measurements;
Transducers, measurement of displacement and strain, forces and torque
measuring devices, pressure measuring devices, flow measuring devices,
power control devices and circuits. Types of AC mille voltmeters – Amplifier
rectifier and rectifier amplifier, Block diagram explanation of a basic CRO
and a triggered sweep oscilloscope, front panel controls; impedance Bridges
and Q-Meters. Principles of working and specifications of logic probes
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Signature of Candidate
BHARAT SANCHAR NIGAM LIMITED
[ A Government of India Enterprise ]
RAJASTHAN TELECOM CIRCLE
APPLICATION FOR DIRECT RECRUITMENT OF TELECOM TECHNICAL ASSISTANT
(TTA) EXAM 2012 IN BSNL
IMPORTANT NOTES: (I) BEFORE FILLING THIS FORM, READ DETAILED ADVERTISEMENT CAREFULLY.
(II) ALL ENTRIES SHOULD BE MADE IN CAPITAL LETTERS.
1. Name of Recruitment Unit [ SSA ] [ as mentioned in vacancies position ]
2. Name (in capital letters) (for S. No. 2 & 3 please keep one box blank between first name, middle name & last name)
3. Father's/Husband's Name (in capital letters)
4. Date of Birth
DD MM YEAR
5. Age as on the closing date of
receipt of application 13-05-2013
YY MM DD
6. Whether claiming age
relaxation?
7 Gender
[Male/Female]
8 Marital Status
[Married/Unmarried]
9. Nationality 10 CATEGORY
belongs to
GENERAL
SC / ST / OBC
Country By Birth or Domicile
11. Category (write, as applicable)
Whether BSNL
employee
(Yes/No).
If yes, mention
HRMS No.
Whether undergone
apprentice training in
BSNL
successfully(Yes/No)
If Physically Disabled
(Attach Medical Certificate
as in Annexure B)
Whether
Govt.
employee
(Yes/No).
Whether belongs
to Ex-servicemen
/J&K – Please
specify
whether
LOCOMOTIVE
or HEARING
Impairment
Percentage of
disability
12. Address for correspondence (in capital letters)
 Signature of Candidate
13. Educational Qualification
Name :
Address :
:
:
City :
State : Pin Code:
Mobile No :
Telephone No with STD Code :
Please affix one recent
passport size Photograph
without attestation
Write: Yes/No
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Name of Degree/
Course with
stream
University/Institute Month & Year of
Passing
As per the
Advertisment whether
eligible (Yes/No)
14. Permanent Address (in capital letters)
15. IPO / Bank Draft details:-
DD/IPO Number Date of Issue Issued by ( Bank/ Post Office Name)
16. Declaration to be given by OBC candidate only, eligible to avail reservation applicable to OBC:
I …………………………………….…… son/daughter of Shri …………………………………………
………………………….. Resident of village/town/city …………………………………..…………..…
District…………………………. State …………………..….. hereby declare that I belong to the
…………………….community which is recognized as a backward class by the Government of
India for the purpose of reservation in services as per orders contained in Department of
Personnel and Training Office Memorandum No. 36012/22/93-Estt.(SCT), dated 8.9.1993. It is
also declared that I do not belong to persons/sections (Creamy Layer) mentioned in column 3 of
the Schedule to the above referred Office Memorandum dated 8.9.1993 and amended vide OM
No. 36033/3/2004-Estt.(Res.) Dated 14.10.2008.
DECLARATION TO BE SIGNED BY THE APPLICANT
I do hereby declare that all the statements made in the application are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any particular
information given above being found false or incorrect, my candidature for the post of Telecom
Technical Assistant is liable to be rejected or cancelled and in the event of any mis-statement or
discrepancy in the particulars being detected after my appointment, my services are liable to be
terminated forthwith without any notice to me. I am willing to serve anywhere in India. I agree BSNL
has the right to post/transfer me to any part of the country at their discretion. I understand that if
appointed I would have to serve the Circle allotted for the period of five years.
I also understand that if appointed, I would rank junior to any TTA who had been appointed
earlier by the erstwhile DoT/DTS/DTO or BSNL or any other candidate who had already qualified in
the TTA examination but not appointed as TTA by BSNL so far.
Place:
Date:
(Signature of the Applicant)
Name :
Father's/Husband's Name :
Address :
:
:
Please affix one recent
passport size Photograph
without attestation
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NAME & ADDRESS OF THE INSTITUTE/HOSPITAL
Certificate No…………………………… Date……………
DISABILITY CERTIFICATE
Recent Photograph of
the candidate showing the
disability duly attested by
the Chairperson of the
Medical Board.
This is certified that Shri/Smt/Kum…………………………………………………………
son/wife/daughter of Shri …………………………………………………………………….………
age…………….sex……………… identification marks(s) ……………………… is suffering
from permanent disability of following category:
A. Locomotors or cerebral palsy :
(i) BL – Both legs affected but not arms.
(ii) OL – One leg affected (right or left)
(a) Impaired reach
(b) Weakness of grip
(c) Ataxic
(iii) BH - Stiff back and hips (Cannot sit or stoop)
(iv) MW – Muscular weakness and limited physical endurance.
B. Blindness or Low Vision:
(i) B : Blind
(ii) PB: Partially Blind
C. Hearing Impairment:
(i) D - Deaf
(ii) PD - Partially Deaf
(Delete the category whichever is not applicable)
2. This condition is progressive/non-progressive/likely to improve/ not likely to improve.
Re-assessment of this case is not recommended/ is recommended after a period of
_______________ year’s ___________ months*.
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3. Percentage of disability in his/her case is ……… percent.
4 Sh./Smt./Kum. ……………………………………………. meets the following physical
requirements for discharge of his/her duties:-
(i) F-can perform work by manipulating with fingers. Yes/No
(ii) PP-can perform work by pulling and pushing. Yes/No
(iii) L-can perform work by lifting. Yes/No
(iv) KC-can perform work by kneeling and crouching. Yes/No
(v) B-can perform work by bending. Yes/No
(vi) S-can perform work by sitting. Yes/No
(vii) ST-can perform work by standing. Yes/No
(viii) W-can perform work by walking. Yes/No
(ix) SE-can perform work by seeing. Yes/No
(x) H-can perform work by hearing/speaking. Yes/No
(xi) RW-can perform work by reading and writing. Yes/No
(Dr. ___________________) (Dr. ______________________) (Dr. _________________)
Member Member Chairperson
Medical Board Medical Board Medical Board
Countersigned by the
Medical superintendent/CMO/Head of
Hospital (with seal)
*Strike out which is not applicable.
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BHARAT SANCHAR NIGAM LIMITED
(A Government of India Enterprise)
Office of the Chief General Manager
Rajasthan Telecom Circle
Form for reimbursement of Travelling Allowance in respect of SC/ST candidates for
attending Written Test Exam for the Post of TTA DR-2012 at ……………………………………………………….……… Centre
on ………………………………………………………….………………………..
1. Name of Applicant
2. Roll Number
3. Whether SC or ST
(Attested Photocopy of the Certificate
enclosed)
4. Residential Address
(As given in Application Form)
5. Address from where journey has been
performed
6. Whether employed or not
7. If employed, whether in Central/State
Govt. or Central/State Govt.
Corporation, Public Sector Undertaking,
Private Sector etc.
8. Details of Journey and Rail/Bus fare etc.
Date of
Journey From To Mode of
Journey
Class of
Travel
Bus/Rail
Distance
Travelled
(One side)
Ticket
Number
Fare
(in Rs.)
CERTIFIED THAT
a) I am unemployed and a certificate of Unemployment issued by MP/MLA or a Gazetted
Officer of the place where I normally reside is enclosed.
b) I have not claimed/will not claim T.A. for this journey from any other source.
c) I have actually travelled by the shortest route and by the class/mode for which I have
preferred the claim.
d) I do hereby declare that all the statements made in the application are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any
particular information given above found false or incorrect, necessary action as deemed fit
may be taken by BSNL.
Dated : Signature of Applicant
Note: 1. Candidate will have to submit original ticket for inward journey. The
payment will be made by BSNL through cheque.
For use of BSNL
Verified by
(Signature of Designated Officer of BSNL)
Admissible Amount Rs. …………………………………………………..
Signature of DDO

Application Form and Notification