प रिश ट-´ध´

tkfr izek.k i= gsrq vkosnu i=

dksVZ Qhl LVkEi 2@& :i;k

(vU; fiNMk oxZ@fo’ks"k fiNMk oxZ) 1. vkosnd lEcU/kh vko';d lwpuk (oSdfYid fcUnq dks ls p;u djs)a vkosnd dk vk/kkj uEcj vkosnd@ifjokj ds eqf[k;k dk Hkkek’kkg dkMZ la[;k

ÁkFkhZ dk QksVks

1 izkFkhZ dk uke* %&

¼ikliksVZ lkbZt½

2 firk dk uke* %&

¼vfHk'ka"kk djus okys mÙkjnk;h O;fDr ls QksVks lR;kfir djkos½a

3 fuokl LFkku dk iw.kZ irk* (d) orZeku irk %& ([k) LFkkbZ irk %& 4 xk¡o@’kgj *%& 5 tUe fnukad*% 6 fyax*%&

rglhy*%& _____/______/_________

iq:"k

efgyk

7 /keZ* %&

ftyk*%&

tUe LFkku %&

mez

oSokfgd fLFkfr %&

tkfr*%&

vU;@fo’ks"k fiNMk oxZ

fookfgr

vfookfgr

mitkfr*%&

8 vU;@fo’ks"k fiNMk oxZ dh jkT; lwph esa tkfr dk Øekad la[;k %& 9 D;k vki@vkidk ifjokj jktLFkku ds ewy fuoklh gS* \ 10 eksckbZy uEcj

gk¡

ugha

(ftl ij izkFkhZ vkosnu ls lacfU/kr ,l-,e-,l- }kjk

lwpuk pkgrk gS)

11 D;k vki jktLFkku ds ewy fuoklh gS ¼gkW@ugha½ % -----------------------------------2. ekrk&firk@ifr dh O;kolkf;d ifjfLFkfr o vk; dk fooj.k & ¼d½ laoS/kkfud in] ¼[k½ ljdkjh lsok;s¼a dsUnzh;  jkT;½] ¼x½ ifCyd lsDVj miØe vkfn esa fu;kstu] ¼?k½ iSjk

fefyVjh cyksa dks lfEefyr djrs gq, l’kL= cy¼blesa flfoy inksa dks /kkj.k djus okys O;fDr lfEefyr ugha gksxa ½s ] ¼M-½ O;olk;h oxZ ¼mudks NksMdj tks en la[;k ¼[k½ vkSj ¼x½esa ds vUrxZr vkrs gSa vkSj O;kikj dkjksckj vkSj m?kksx esa yxk;s gq, O;fDr½] ¼p½ d`f"k tksrsa ¼ekrk] firk vkSj vo;Ld cPpksa ds LokfeRo esa½] vUrjk"Vªh; laxBu (la;qDr jk"Vª] ;quhlsQ fo’o esa LokLF; laxBu esa fu;kstu)

laxBu dk uke* in dk uke* osrueku*

xzsM(oxZ) v{kjs&

:-

Lo;a@firk dh vpy lEifÙk dk fooj.k e; LFkku leLr óksrksa ls dqVqEc dh okf"kZd vk; ¼osruksa vkSj d`f"k Hkwfe ls vk;½ dks mioftZr djrs gq;sA ¼II½ D;k dj nsrk gS ¼gk¡  ugha½ ;fn gk¡] rks xr rhu o"kkZsa dh fjVuZ dh izfr nh tkosaA ¼III½ D;k /ku dj vf/kfu;eksa ds vUrxZr vkrk gS ¼gk¡  ugha½ ;fn ,slk gS] rks C;kSjk nhft;sA 3. e`R;q  LFkkbZ v{kerk ¼;fn ykxw ugha gks rks NksM nhft;s½ ¼I½ vf/kdkjh dh e`R;q  LFkk;h v{kerk dh Rkkjh[k tc ls og lsok ds v;ksX; gks x;k gks ___/____/______ ¼I½

¼II½ LFkk;h v{kerk dk C;kSjk

eSa rlnhd djrk@djrh gw¡ fd mijksDr fooj.k esjh tkudkjh ,oa fo’okl ds vuqlkj lgh gaSA

fnukad % LFkku %

_____/______/_________

vkosnd ds gLrk{kj

izek.k&i=

4.

¼ftuds ikl vkbZ-Vh-vkj- ,ao jkT;@dsUnzh; vf/kdkjh@deZpkjh dh osru i=@iS Lyhi miyC/k gks½s (i) xokg* %

eSa

iq=@iq=h Jh

fuoklh foHkkx dk uke in izkFkhZ@izkFkhZ;k

foHkkx dk;kZy; dk uke ij dk;Zjr gw¡ ,oa ’kiFk iwoZd c;ku djrk gw¡ fd] iq=@iq=h Jh

fuoklh dks Hkyh izdkj ls tkurk gw¡ ;s vU;@fo’ks"k fiNMs oxZ dh tkfr

dk@dh gS] rFkk mUkds

}kjk layXu c;ku esjs le{k fn;k x;k gS tks iw.kZ lR; gSA ¼gLrk{kj xokg@mÙkjnk;h O;fDr½ (ii) xokg* %

eSa

iq=@iq=h Jh

fuoklh foHkkx dk uke in izkFkhZ@izkFkhZ;k

foHkkx dk;kZy; dk uke ij dk;Zjr gw¡ ,oa ’kiFk iwoZd c;ku djrk gw¡ fd] iq=@iq=h Jh

fuoklh dks Hkyh izdkj ls tkurk gw¡ ;s vU;@fo’ks"k fiNMs oxZ dh tkfr

dk@dh gS] rFkk mUds

}kjk layXu c;ku esjs le{k fn;k x;k gS tks iw.kZ lR; gSA ¼gLrk{kj xokg@mÙkjnk;h O;fDr½

gYdk iVokj tk¡p fjiksVZ Jheku~ eqrkfcd tk¡p] xokgks ,oa 'kiFk i= ds vk/kkj ij vkosnd Jh@Jherh@dqekjh iq=@iq=h Jh

tkfr vU;@fo’ks"k fiNMs oxZ dh mitkfr

dk@dh gaSA izkFkhZ fØefy;j dh Js.kh es vkrk gS@ugha vkrs gSA gLrk{kj iVokjh gydk ua- -------------

5. uksV %& vkosnu i= ds lkFk fuEu Áek.k i= dh izfr;k¡ layXu djs %& vkosnd dh uohure QksVks ftls vkosnu i= ij fn;s x;s LFkku ij fpidk,a ¼LVsiy ugha djuk gS½ rFkk mls vfHk'ka"kk djus okys mÙkjnk;h O;fDr ls lR;kfir djkosaA vkosnu i= eas fn;s x;s ’kiFk i= ¼ftuds ikl vkbZ-Vh-vkj- ,ao jkT;@dsUnzh; vf/kdkjh@deZpkjh dh osru i=@iS Lyhi ugh gS rks 10 :- ukWu

T;wfMf’k;y LVkEi ij ½ lR;kfir djkosaA

jk’ku dkMZ@ernkrk lwph@vpy lEifÙk ds ekfydkuk gd lEcU/kh@fdjk;kukek@xSl duSD'ku@fctyh] ikuh] VsyhQksu fcy dh izekf.kr izfrA firk dh tkfr ds lk{; gsrq izek.k i= (tkfr izek.k i=)] Hkwfe dh tekcanh] vk; izek.k i= gsrq ¼ftuds ikl vkbZ-Vh-vkj- ,ao jkT;@dsUnzh; vf/kdkjh@deZpkjh dh osru i=@iS Lyhi ugh gS rks fu/kkZfjr izek.k i= esa nks vyx&vyx jkT;@dsUnzh; vf/kdkjh@deZpkjh ds }kjk tkjh izek.k i= layXu djsa½@vk; dj fjVuZ lEcU/kh nLrkost@ewy fuokl izek.k i=@tUe izek.k i=@f'k{kk izek.k&i= dh izekf.kr izfrA nks mÙkjnk;h O;fDr;ksa ds izek.k i= ;Fkk & laln lnL;@fo/kku lHkk lnL;@ftyk izeq[k@iz/kku@ftykifj"kn lnL;@ljiap@xzke lsod@iVokjh@egkikSj¼lfpo½@uxj fuxe lnL;@uxj ikfydk v/;{k@LDwy ds gSM ekLVj@lacf/kfr ih-,p-lh-@lh-,p-lh- ds MkWDVj @ ch-Mh-vks-@lgk;d vfHk;Urk@dfu"V vfHk;Urk@chV izHkkjh ¼iqfyl½ vkfnA

6.

izek.k&i= ¼ftuds ikl vkbZ-Vh-vkj- ,ao jkT;@dsUnzh; vf/kdkjh@deZpkjh dh osru i=@iS Lyhi miyC/k ugh gks½s

(i) xokg* %

eSa

iq=@iq=h Jh

fuoklh foHkkx dk Ukke

f oHk in

ij dk;Zjr gw¡ ,oa ’kiFk iwoZd c;ku djrk gw¡ fd] izkFkhZ@izkFkhZ;k iq=@iq=h Jh

fuoklh fuoklh

dks Hkyh izdkj ls tkurk gw¡] ,ao izkFkhZ ds 'kiFk ds vuqlkj budh okf"kZd vk;¼ifjokj ds lnL;ks dh vk; lfgr½ :- gS] blds vykok izkFkhZ ds ikl vk; dk dksbZ vU; L=ksr ugh gSaA

¼gLrk{kj jktdh; deZpkjh@vf/kdkjh½ nwjHkk"k ,oa eksckbZy ua0 %&

(ii) xokg *%

eSa

iq=@iq=h Jh

fuoklh foHkkx dk Ukke

f oHk in

ij dk;Zjr gw¡ ,oa ’kiFk iwoZd c;ku djrk gw¡ fd] izkFkhZ@izkFkhZ;k iq=@iq=h Jh

fuoklh fuoklh

dks Hkyh izdkj ls tkurk gw¡] ,ao izkFkhZ ds 'kiFk ds vuqlkj budh okf"kZd vk;¼ifjokj ds lnL;ks dh vk; lfgr½ :- gS] blds vykok izkFkhZ ds ikl vk; dk dksbZ vU; L=ksr ugh gSaA

¼gLrk{kj jktdh; deZpkjh@vf/kdkjh½ nwjHkk"k ,oa eksckbZy ua0 %&

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& gYdk iVokj tk¡p fjiksVZ Jheku~ eqrkfcd tk¡p] xokgks ,oa 'kiFk i= ds vk/kkj ij vkosnd Jh@Jherh@dqekjh iq=@iq=h Jh

tkfr vU;@fo’ks"k fiNMs oxZ dh mitkfr

dk@dh gaSA izkFkhZ fØefy;j dh Js.kh es vkrk gS@ugha vkrs gSA gLrk{kj iVokjh gydk ua- -------------

7.

'kiFk&i=@c;ku* ¼10 :- ukWu T;wfMf’k;y LVkEi ij ½

eSa

iq=  iq=h Jh

fuoklh xk¡o@’kgj

rglhy

ftyk

jktLFkku dk@dh g¡Aw eSa 'kiFk iwoZd c;ku djrk  djrh gw¡ fd & ¼1½ eSa jktLFkku ds fiNMs oxksZ dh vf/kd`r lwph fnukad 17-8-1993 esa lfEefyr oxZ vU;@fo’ks"k fiNMk oxZ dh tkfr

dk  dh lnL; gw¡ A

¼2½ esjs ekrk  firk jkT; ljdkj dh vf/klwpuk fnukad 28-9-1993 ds lkFk mikc} vuqlwfpr ds LrEHk 3 esa mYysf[kr laoS/kkfud in dsfUnz; o jkT; lsokvksa ds lewg *d* oxZ&1] lewg *[k* oxZ&2 ds vf/kdkjh rFkk Hkkjrh; LFky  ty  ok;q lsok ds duZy ds leku inksa ij ugha gSa  ugha FksA ¼3½ esjs ekrk  firk ljdkjh@futh {ks= + esa in

ij dk;Zjr gS@FksA

¼4½ esjs ekrk  firk dh leLr óksrksa ls ekfld vk;

:- gSA

¼5½ eSa mijksDr izdj.kkas dh lk{; gsrq vko’;d izek.k  lk{; miyC/k djkus dks rS;kj gw¡A ¼6½ eSa vkSj esjk ifjokj vU; jkT; ls jktLFkku jkT; esa ekbZxszV¼foLFkkfir½ gksdj ugha vk;s gSaA ¼7½ ;g fd eSus fdlh Hkh ftysizns’k ls tkfr dk izek.k i= ugha cuok;k gSA

gLrk{kj 'kiFkxzfgrk

lR;kiu eSa lR;kfir djrk gw¡  djrh gw¡ fd mi;qZDr fof’kf"B;k¡ esjs loksZÙke Kku vkSj fo’okl ds vuqlkj lR; gS] vkSj eSsa vU; fiNMs oxkZsa dh fØehfy;j dk gw¡ @ ugha gw¡ vkSj vU; fiNMs oxksZa ds fy, vkjf{kr inksa ds fy, fopkj fd;s tkus ds fy, ik= gw¡] p;u ds iwoZ ;k i’pkr fdlh Hkh lwpuk ds feF;k ;k xyr ik;s tkus dh n’kk esa ;k vik=rk dk irk pyus ij] eSa le>rk gw¡ fd vH;FkZrk  fu;qfDr jn~n dj nh tkosxh vkSj eSa ,slh dk;Zokgh ds fy;s vkSj mÙkjnk;h gksÅ¡xk tks fof/k vkSj fu;eksa ds miyfC/kr dh tkosaA

gLrk{kj 'kiFkxzfgrk

Application form OBC-SBC_Caste_new 28-10-2015.pdf

1⁄4III1⁄2 D;k /ku dj vf/kfu;eksa ds vUrxZr vkrk gS 1⁄4gk¡ ugha1⁄2 ;fn ,slk gS] rks C;kSjk nhft;sA. 3. e`R;q LFkkbZ v{kerk 1⁄4;fn ykxw ugh a gks rks NksM nhft;s1⁄2.

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