Form XV

[See sub-rule(3)(b) of Rule 33]

Form for Reporting Vacancies to Career Centres

(Separate forms to be used for each type of posts)

1 Particulars of the employer:

Name:

Address with pin code:

Telephone No.:

Mobile No.:

Email address:

Name & Type of

Establishment

(Central Government, State

Government, PSU,

Autonomous, Private, etc)

Registration No of

establishment under Code:

Economic activity details

2 Particulars of the indenting Officer:

Name:

Designation:

Telephone No.:

Mobile No.:

Email address

3 Particulars of vacancy (ies): Essential Desirable/Prefe

(a) Designation/nomenclature of the rable

vacancy(ies) to be filled

(b) Description of duties of the post

(job role/functional role)

(c) Qualifications/Skills required

(educational, technical, experience)

i) Educational Qualifications

(ii) Technical Qualifications

(iii) Skills

(iv) Experience

(d) Age Limits, if any

( Age as on last date of application)

(e) Preferences (such as Ex-servicemen,

persons with disabilities, women, etc) if any

(f) duration of employment Number of posts

(i) 3-6 months

Number of posts

(ii) 6-12 months

(iii) 12 months and more

4 Whether there is any obligation for arrangement for giving reservation/

preference to any category of persons such as Scheduled Caste(SC),

Scheduled Tribe(ST), Economically Weaker Sections(EWS), Other

Backward Classes(OBC), Ex-serviceman and persons with disabilities

(pwd), etc, in filling up the vacancies: Yes/No

(if yes, give the number of vacancies to be filled by such categories of persons

as detailed below)

Category Number of vacancies to be filled

5 Category Number of vacancies to be filled

(a) Scheduled Caste Total *By priority

(b) Scheduled Tribe candidates

(c) OBC *(Applicable for

(d) EWS Central

(e) Ex-Serviceman Government

(f) Persons with disabilities (pwd) vacancies)

(g) women

(h) Others(specify)

6 Pay and Allowances:

For Government vacancies: Mention pay

level/pay scale of the post with basic

pay/pay per month with other details if any

For others: Mention minimum total

emoluments per month with other details, if

any.

7 Place of work (Name of the town/village and

district, pin code, etc. in which it is situated)

8 Mode of Application(email, online, in writing,

etc) and Last date for receipt of applications

9 Particulars of officer to whom the

applications be sent/candidates should

approach(Mention Name, designation, email

id, address, telephone No., website address

in case of online)

10 Mode of Recruitment {Through Career

Centre, Placement Agency, self-management,

any other mode(specify)}

11 Would like to prefer submission of list of Yes/No

eligible candidates registered with Career

Centre (Yes/No)

12 Any other relevant information

Signature, Name & Designation of Authorized Signatory of establishment/

employer with seal & date

(For Official Use- to be filled by Career Centre)

13 Name, address, email id of the Career Centre

14 Date of receipt of Vacancies

15 NIC Code of the establishment/

16 NCO Code of the post

17 Unique Vacancy ID(number)

Signature,

Name& Designation of Authorised

Signatory of Career Centre with seal &

date.

NOTE:

1. Career Centre to which the vacancies are reported, would provide a unique

vacancy reporting number for the vacancy reported and convey it to the employer

in writing, through email or digitally or through any other such media

immediately but in any case, not later than 3 working days from the date of

receipt of reporting of vacancies.

2. An employer, if advertises that vacancy in any media or makes recruitment

through any agency or any other mode, may invariably quote that unique vacancy

reporting number in that advertisement or recruitment process.

3. Any change in the particulars already furnished to the Career Centre, shall be

reported in writing or through valid official email or digitally(including through a

portal) as the case may be, to the appropriate Career Centre.