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Fax/Most Urgent/Out at Once
From : Home New Delhi
To : Home Secretaries and DsGP of Andhra Pradesh/Assam/
Himachal Pradesh / J& K / Karnataka / Kerala / Meghalya /
Rajasthan / Uttar Pradesh / Punjab / Chandigarh / Madhya
Pradesh / Manipur / Uttarakhand / West Bengal / Maharshtra /
Director General of BSF / CRPF/ CISF / ITBP / SSB /NSG and
Assam Rifles (Through LOAR, North Block)
No.23011/39/2008-PMA Dated: 31st March 2008
Subject: Centre of Excellence for Stability Police Unit- 12 th High
Level/Middle Level Course from 12.05.08 to 15.06.08 and 05.05.08
to 15.06.08 respectively.
The officers as per Annexure I and Annexure II have been nominated
for the 12 th High level and Middle Management level courses respectively.
It is requested that officers nominated (Main and Reserve category) for
middle level/High level courses may please be advised to submit the
following documents to this Ministry (PMA Cell, Room No.54-B,
Basement, North Block, New Delhi) either in person or through special
messenger latest by 10.04.2008, failing which the reserve candidate will be
upgraded.
i) Nomination Form (To be filled electronically (Typed)
/proforma attached)
ii) Medical Form with requisite medical documents (To be filled
electronically (Typed) /proforma attached)
iii) Official Passport
iv) Overseas Mediclaim policy
v) Visa note (to be obtained from CPV Division, MEA)
vi) Visa Form duly filled in original (To be obtained from
MHA/Italian Embassy, New Delhi; specimen attached)
vii) FC.II Form (proforma attached)
2. As per financial arrangements CoESPU shall bear the cost of travel,
boarding/lodging, and local transport. The State Governments/UTs/CPOs
will need pay trainee salary cost, accident insurance or medical treatments
(excluding emergency medical care, which is offered free of charge),

epatriation costs in case of dismissal during training and 25% of DA
permissible.
3. State Governments/UT Administration are requested to obtain
administrative/financial approval of the Competent Authority at their end.
Financial approval in respect of the officers from other Central Police
Organizations under Ministry of Home Affairs shall be obtained by this
Ministry. These organizations are requested to forward the duly filled
Foreign Deputation Proforma in respect of their officers nominated for
the course urgently. Political clearance from MEA is being obtained and
shall be forwarded shortly. Approval of Department of Economic Affairs in
respect of the officers from the State Governments nominated for the course
will be obtained by this Ministry and shall be forwarded in due course.
Copy to:
(Mrs. Renu Sarin)
Under Secretary (PMA)
Tel. No.011-23093120
1. The Under Secretary (UNP-II), M/o External Affairs, Akbar Bhawan ,
New Delhi with the request to please convey political clearance in
respect of the officers nominated for the course.
2. US (FCRA.I), MHA with the request to please convey permission to
avail foreign Hospitality to the officers nominated for the course.
FC.II Forms in respect of these officers shall be forwarded shortly.
3. Ministry of Finance, Department of Economic Affairs, EM Section,
North Block, New Delhi –with the request to please convey their
approval for deputation of the officers of State Governments to attend
the above course at Italy, at the earliest please.
4. DG, BPR&D, CGO Complex, Lodhi Road, New Delhi-with the
request to arrange the briefing and de-briefing of the participants
accordingly under intimation to this Ministry.
5. US(IT), MHA, North Block, New Delhi with the request to upload the
communication on MHA website.
(Mrs. Renu Sarin)
Under Secretary (PMA)

12 th High Level course
List-I
Sr Name Rank Date of Date of Organization
Birth joining
1* Shiv Darshan Singh,
IPS (J&K:95)
SP 03.05.69 03.09.95 J&K
2 Sanjay Sahay, IPS
(KTK:89)
DIG 18.06.65 21.08.89 Karnataka
3 Saurabh Srivastava,
IPS (RAJ:91)
DIG 21.04.63 22.12.91 Rajasthan
4 Mrs Suman Bala
Sahoo, IPS (WB:87)
DIG 04.11.63 24.08.87 West Bengal
5 Rajesh Sharma Comdt 30.06.66 05.10.87 BSF
6 Mool Chand Panwar Comdt 01.06.63 14.08.86 CRPF
7 Raj Kishore Sah
Reserve
Comdt 05.01.62 31.11.87 ITBP
1 Prabhat Kumar, IPS
(MH:93)
DCP 21.10.67 06.09.93 Maharshtra
2 Rajinder Prasad
Mittal, IPS (PB:91)
DIG 05.07.56 05.11.85 Punjab
3 Sanjay Chander, IPS
(WB:87)
DIG 22.07.63 15.12.87 CISF
4 Sudhir Kumar Comdt - - SSB
5 Vinod Dhawan AIG 11.03.58 26.08.87 Himachal
Pradesh
6 K. Padmakumar, IPS CP 27.04.65 28.08.89 Kerala
7. Dr. Shailendra K IGP 30.06.60 19.12.86 Madhya
Srivastava
Pradesh
* Subject to clearance from State Government.

12 th Middle Management level course
List-II
Sr Name Rank Date of Date of Organization
Birth joining
1 K V M Prasad SI 10.08.69 16.08.95 Andhra
Pradesh
2 Deepak Kumar Kedia,
IPS (A&M:99)
Comdt 05.04.73 10.01.00 Assam
3 Vimukt Ranjan Dy SP 14.03.71 16.12.97 Himachal
Pradesh
4 Ravi Srinivas , IPS
(KTK:98)
SP 16.05.67 07.09.98 Karnataka
5 Ms Hanny
Boldak.Sangma
SI 23.11.68 10.02.99 Meghalya
6 Narinder Singh Meena DSP 07.07.68 29.12.97 Rajasthan
7 Rajiv Kumar SI 18.11.76 25.05.99 Chandigarh
8 Shuvalok Sarkar Comdt 23.07.64 12.07.91 CISF
9* Imtiaz Hussain ASP 01.01.70 12.07.99 J&K
10 Lhari Dorjee Lhatoo,
IPS (MT:99)
SP 09.04.70 21.09.99 Manipur
11 S. Zangsuang Mung Inspector 18.03.64 05.12.90 SSB
12 Pradip Kumar Dubey DC 10.01.69 01.07.93 BSF
13 Dilip Kumar Chaudhary 2-IC 13.03.65 29.06.92 CRPF
14 Mutha Ashok Jain, IPS SP 30.08.66 25.12.95 Uttar
(UP:00)
Reserve
Pradesh
1 Rajnish Kumar SI 22.11.70 11.08.92 Punjab
2* Vijay Kumar, IPS
(J&K:97)
SSP 11.12.66 25.08.97 J&K
3 Jitendra Singh Bhaskar SI 01.07.78 05.05.99 Madhya
Pradesh
4 Kh. Shashikumar Singh SI 02.04.72 28.10.94 Manipur
5 Arjun Singh SI 07.07.75 08.11.02 Uttarkhand
6 Saseendran M AC 25.05.65 07.08.86 Assam Rifle
7 Shyam Mohan Thapliyal DC 27.10.65 02.02.89 ITBP
8 Jaswinder Singh AC-I 15.12.66 27.06.91 NSG
* Subject to clearance from State Government

CENTRE OF EXCELLENCE FOR STABILITY POLICE UNITS
NOMINATION FORM – COURSES 2007
TO BE FILLED IN ELECTRONICALLY BY THE NOMINEE
1 Family Name 3 Date of Birth
2 Forename(s)
Nomination for
High Level/Senior Officers Course Date :
Middle Management Course* Date
Personal Details
Sex
Place of Birth
Passport Type and Number
Street
Postal Code + City
Country
Work
Home
Mobile
Fax
E-Mail
Name
Address
Contact Numbers
Address
Telephone
Next-of-Kin
(dd/mm/yyyy)
4 Rank
5 Nationality
Driving Skills GOOD FAIR NONE
Driving License YES NO
Four Wheel Drive Experience YES NO
Computer Skills Word Excel Access Powerpoint Other
Proficiency with firearms YES NO
Ability in use communication
equipment
YES NO
Language Skills (Please Start with Your Native Language – No Need To Specificy Skill)
Scale 1- 4 (1 = Basic; 2 = Sufficient; 3 = Good; 4 = Excellent)
Language Listening Reading Writing Speaking

Education
EDUCATION AL BACKGROUND (Starting from the last one)
(Course Title)
(Institute &
Country)
(Field of Study)
(Course Title)
(Institute &
Country)
(Field of Study)
(Course Title)
(Institute &
Country)
(Field of Study)
From
To
From
To
From
EDUCATION / COURSES RELATED TO PEACEKEEPING (Starting from the last one)
(Course Title)
(Training
Organization &
Country)
(Field of Study)
(Course Title)
(Training
Organization &
Country)
(Field of Study)
(Course Title)
(Training
Organization &
Country)
(Field of Study)
Professional Background
Denomination and Status of the Force (**)
Denomination:
To
From
To
From
To
From
MILITARY POLICE CARABINIERI/GENDARMERIE TYPE** CIVILIAN POLICE
Progress in Career
Recruitment (dd/mm/yyyy)
Private/Constable From (dd/mm/yyyy) To (dd/mm/yyyy)
(when applicable)
NCO/WO
From (dd/mm/yyyy) To (dd/mm/yyyy)
(when applicable)
Officer
From (dd/mm/yyyy) To (dd/mm/yyyy) )
(when applicable)
To

PROFESSIONAL DOMESTIC EXPERIENCE (Starting from the last one)
(Post Title)
(Organization Assigned
to)
(Duties)
(Post Title)
(Organization Assigned
to)
(Duties)
(Post Title)
(Organization Assigned
to)
(Duties)
DUTIES RELATED TO PEACEKEEPING (Starting from the last one)
(Post Title)
(Organization Assigned
to)
(Duties)
(Post Title)
(Organization Assigned
to)
(Duties)
(Post Title)
(Organization Assigned
to)
(Duties)
PROFESSIONAL BACKGROUND - Fields of Expertise
Border Service □
Communications □
Information
Technology □
Investigations
(specify)
Criminal Intelligence □ Logistics □
Crowd Control □ Medical/Health □
Finance & Budgets □ Operations □
Humanitarian Assistance □ Planning □
Human Resources □
Prison
Management /
Security
□
□
From
To
From
To
From
To
From
To
From
To
From
To

Human Rights □
Staff
(specify in
which field)
In Command □ Training □
Other Fields of Expertise
Declaration of Nominee:
By submitting this “Nomination Form” I confirm that all the information given is correct and complete. I also confirm
that I agree to the following conditions of participation:
♦ I am motivated
♦ I accept that the intensive character of the programme does not allow for any additional commitments during the
course.
♦ I agree that an assessment of my performance during the course can be made.
♦ I understand that COESPU reserves itself the right to communicate with the Sending State in order to deny
admission in case of lack of requisites or that information given in the form proves to be incorrect and result in
lack of requisites (i.e. insufficient language skills or lack of active service as a member of the Sending Country’s
police force, etc.) or in case of dismissal from the course for any reason.
♦ I authorize the Center of Excellence for Stability Police Units to collect and store my personal details for the
purposes related with the course.
Submission of the nomination form:
The form is to be sent electronically (coespu.info@carabinieri.it) or via fax (00399 0444 932034) to the COESPU in
accordance with the memorandum of understanding.
Health requirements:
Health requirements for the admission to the course are envisioned in a separate document.
Place__________________ Date___________________
Signature ________________________________________
NOTE
* Nominee is to be younger than 45 year for attendance of Middle Management Course.
** A Carabinieri/Gendarmerie type Force is defined as a Police Force with a military status and
organization, either it respond to the Ministry of Defence or to the Ministry of Interiors/Justice,
with a general competence in policing.
□

ANNEX A UNITED NATIONS MEDICAL STANDARDS FOR PEACEKEEPING
AND SPECIAL MISSIONS
CONFIDENTIAL ENTRY MEDICAL
EXAMINATION
UNITED NATIONS AND SPECIALIZED AGENCIES
I hereby authorise any of the doctors, hospitals or clinics mentioned in this form to provide the United Nations Medical Service with copies of
all my medical records so that the Organisation can take action upon my application for employment.
I certify that the statement made by me in answer to the questions below are, to the best of my knowledge, true, complete and correct.
I realize that any incorrect or material omission in the medical information form in any other document required by the Organization renders a
staff member liable to termination or dismissal.
Date: ...................................... Signature: .................................................................................
Pages 1 and 2 are to be completed by the candidate
FAMILY NAME (BLOCK CAPITALS) GIVEN NAMES MAIDEN NAME (WOMEN ONLY) SEX: MALE p
FEMALE p
ADDRESS (STREET, TOWN, DISTRICT OR PROVINCE, COUNTRY)
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
POSITION APPLIED FOR (DESCRIBE NATURE OF WORK)
.........................................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
DUTY STATION
DATE OF BIRTH
NATIONALITY
TELEPHONE BIRTHPLACE
PRESENT MARITAL STATUS: SINGLE p
MARRIED p DATE: ............................. DIVORCED p DATE: .............................
SEPARATED p DATE: ............................. WIDOWED p DATE: .............................
Have you ever undergone a medical examination for the United Nations or one of its agencies?
..........................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................
Have you ever been employed by the United Nations or one of its agencies? ..................................................................................................................................................
If so, please state when, where and for which Organisation?
..........................................................................................................................................................................................................................................................................
Relative Age
(if still alive)
State of health
(If still alive, present state;
if deceased, cause of death)
Age
at death
Have members of your family
had the following illness or
disorders?
Father High Blood Pressure
Mother Heart Disease
Brothers Diabetes
Sisters Tuberculosis
Spouse Asthma
Children Cancer
TO BE COMPLETED BY THE OFFICIAL REQUESTING
THE MEDICAL EXAMINATION
Name of Official: ........................................................................................................
Department or Unit: ...................................................................................................
Date: ..........................................................................................................................
VERY IMPORTANT : Please indicate the recruiting Agency or Organization
Epilepsy
Mental Diseases
Paralysis
MS-2 FORM
Yes No Who?
TO BE COMPLETED BY THE OFFICIAL REQUESTING
THE MEDICAL EXAMINATION
Medical Classification : p p p p
1a 1b 2a 2b
Comments: ................................................................................................................
...................................................................................................................................
...................................................................................................................................
Signature: .......................................................... Date:..............................................
42 Selection Standards and Training Guidelines for United Nations Civilian Police (UNCIVPOL)

ANNEX A UNITED NATIONS MEDICAL STANDARDS FOR PEACEKEEPING
AND SPECIAL MISSIONS
LABORATORY
The results of all the following investigations must be included except where marked “if indicated”.
Except by prior agreement, only the investigations mentioned are done at the Organization’s expense.
Urine : Albumin...................................................... Sugar.......................................................... Microscopic...................................................
Blood: Haemoglobin :............................................ % ..........................................grams/100 ml Leucocytes.....................................................
Haematocrit : .............................................. % ................................................................ Differential count (if indicated) :......................
Erythrocytes :.............................................. Blood sedimentation rate : .........................
Blood Chemistry (if these tests can be carried out on the spot)
Sugar : ........................................................ Urea or creatinine :......................................
Cholesterol : ............................................... Uric Acid :....................................................
Serological test for Syphilis: Please attach laboratory report
Stool examination (if indicated)
COMMENTS (Please comment on all the positive answers given by the candidate and summarise the abnormal findings)
CONCLUSIONS (Please state your opinion on the physical and mental health of the candidate and fitness for the proposed post)
The examining doctor is requested before sending this report to verify the questionnaire, pages 1 and 2 of this form, has been fully completed by the candidate and that all
the results of the investigations required are given on the report. Incomplete reports are major sources of delay in recruitment.
Name of examining physician (in block capitals)
...................................................................................................................................
Address:.....................................................................................................................
...................................................................................................................................
...................................................................................................................................
MS-2 FORM
Signature: ......................................................................................... .........................
Date :................................................................................................ .........................
Selection Standards and Training Guidelines for United Nations Civilian Police (UNCIVPOL) 43

ANNEX A UNITED NATIONS MEDICAL STANDARDS FOR PEACEKEEPING
AND SPECIAL MISSIONS
GUIDELINES FOR THE USE OF MS-2 MEDICAL
EXAMINATION FORM FOR MILITARY OBSERVERS
AND CIVILIAN POLICE
1. A pre-deployment medical examination is required for all military
observers and civilian police being considered for a mission
assignment with the United Nations. This examination must
have taken place within the preceding three month period and
shall be completed and recorded on the MS-2 Form.
2. Before conducting this examination, the examining physician
must review pages 1 and 2 of the form to make sure that the
candidate has answered all questions and has filled out all
spaces allocated for him/her. If there are any unanswered
questions, the candidate must be asked to complete them
before the medical examination is conducted.
3. The examining physician shall fill all spaces allocated for
him/her, on pages 3 and 4 of that form. In doing so, he/she must
remember that:
l His/her writing as well as that of the candidate is legible;
l Questions requiring numerical values are not answered with
common terms like “normal”, “OK”, etc.; (For example,
measurements of blood pressure and pulse must be given in
numbers and units: 120/80 mm Hg and 75 beats/minute, etc.);
l All laboratory results, in accordance with page 4 of MS-2, are
provided in numerical values including their units; (if such
results are submitted in a separate laboratory form, the
results must be legible and securely attached to the MS-2
Form;
l Chest x-ray film and EKG tracing are no longer required to be
enclosed; (however, report of an x-ray chest taken within the
last year, and that of a recent EKG are requested);
l All positive answers given by the candidate have been
pursued thoroughly; (for example, if the candidate has
indicated that he/she had suffered from ulcer of the
duodenum in 1990, it is relevant to inquire as to how the
diagnosis was established, the treatment prescribed and the
outcome of the treatment. The finding of this inquiry must be
briefly stated by the physician in the space allocated for
comment on page 4 of the MS-2 Form);
44 Selection Standards and Training Guidelines for United Nations Civilian Police (UNCIVPOL)

ANNEX A UNITED NATIONS MEDICAL STANDARDS FOR PEACEKEEPING
AND SPECIAL MISSIONS
l Conclusion about the health status of the candidate and
suitability or unsuitability for the task are clearly stated and
relate to the comments.
4. The completed examination form with all its attachments must
be received at the UN Medical Service, New York, at least one
month prior to deployment.
5. The name of the examining physician, address, date and
signature must be filled out at the end of page 4 of MS-2 Form.
6. Strict adherence to the above-mentioned guidelines is essential
since the medical examination is the basis for providing medical
clearance, which is a requirement for UN mission deployment.
Incomplete medical examination forms will be returned to the
place of origin, thus denying medical clearance for the proposed
mission.
MEDICAL EXAMINATION FOR MILITARY OBSERVERS
AND CIVILIAN POLICE DURING TOUR OF DUTY AND
UPON DEPARTURE
Medical examination during tour of duty
1. Military observers may be required by the Medical Director to
undergo a medical examination during their assignment in the
mission area. In such a case the mission DOA/CAO shall make
the necessary arrangements.
2. When an observer’s tour of duty is extended for three months or
longer he/she shall be required to undergo a medical
examination documented on the form MS-6. The reports on
such medical examination shall be forwarded to the Medical
Director.
Examination upon departure
3. The DOA/CAO may arrange for a full medical examination of
every observer before his/her departure from the mission area
upon completion of his/her tour of duty, if there was any report
of a job related illness or accident during the observer’s tour of
duty.
A copy of the MS-6 Form is enclosed.
Selection Standards and Training Guidelines for United Nations Civilian Police (UNCIVPOL) 45

FORM FC-2
[See rule 3(b)]
Application for seeking prior permission of the Central Government to accept foreign hospitality
[Section 9 read with section 10(d) and 11(1) of the Foreign Contribution (Regulation) Act, 1976]
To
The Secretary to the Government of India,
Ministry of Home Affairs, Jaisalmer House, 26, Mansingh Road,
New Delhi – 110011
1. Name in full (in Block Letters):
2. Date of Birth:
3. Name of father/Husband:
4. Present address:
5. Permanent address:
6. Passport particulars (if already in
possession):
7. Status: -
(a) Member of Legislature:
(b) Office bearer of a political party:
(c) Judge of Supreme Court/High
Court:
(d) Government servant:
(e) Employee of a
Company/Corporation:
(f) Any other person or class of persons
not specified in section 9.
8. Names of countries/places to be visited with
duration of stay:
9. The countries and places where foreign
hospitality is to be accepted:
10. Duration and purpose of visit to the
country(s)/Place(s) mentioned in column 9
with specific dates:
11. Particulars of host(s): -
(a) If an individual, his personal particulars
including name, present address,
permanent address, nationality,
profession.
(b) If an Organisation/Institution/
Association/Trust/ Foundation/Trade
Union etc., full particulars thereof
including –
(i) Full name and complete address:
(ii) Address of Head office/Principal
office:
(iii) Aims and Objects:
(iv) Particulars of important office
bearers:
1

12. @ Full particulars, as in serial 11(a) and (b)
of the foreign source in case the actual
source extending the hospitality is located in
a country other than actually proposed to be
visited:
13. Nature and duration of foreign hospitality*
proposed to be accepted with specific dates
and with specific details:
14. Nature of connection/dealing with the host
and / or foreign source extending the
hospitality:
15. Approximate expenditure to be incurred on
hospitality:
16. Any other information of significance which
the applicant may like to furnish:
DECLARATION
I hereby declare that the above particulars furnished by me are true and correct.
Place:
Date:
2
Signature of Applicant
@ Delete if not applicable.
• “Foreign hospitality” means any offer, not being a purely
casual one, made by a foreign source for providing a
person with the cost of travel to any foreign country or
territory or with free board, lodging, transport or medical
treatment.