Form XLI

{ See clause (b) of sub-rule (3) of rule-93}

Form for Reporting vacancies to Career and Counseling Centers

(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):

Designation/nomenclature of the vacancy(ies) to

be filled

Description of duties of the post (job

role/functional role)

(c) Qualifications/Skills required Essential Desirable/Preferable

(educational, technical, experience)

Educational Qualifications

Technical Qualifications

Skills

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

3-6 months

6-12 months

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)

5. Category Number of vacancies to be filled

Total *By Priority candidates

*(Applicable for State

Government Vacancies)

Scheduled Caste

Scheduled Tribe

OBC

EWS

Ex-Serviceman

Persons with disabilities (pwd)

women

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 eligible candidates registered with Career and Yes/No

Counseling Centre

12. Any other relevant information

Signature, Name & Designation

of Authorised Signatory of establishment/

employer with seal & date

(For official use, to be filled by Career and Counseling Centre)

13. Name, address, email id of the Career and Counseling Centers

14. Date of receipt of Vacancies

15. NIC Code of the establishment/

16. NCO Code of the post

17. Unique Vacancy ID(number)

Date:

Signature, Name & Designation of

Authorised Signatory of Career and Counseling Centre

Seal

NOTE:

1. Career and Counseling Centers 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 and Counseling Centers, 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 and Counseling Centers.