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COMPUTER DATA SHEET

Directorate of Technical Education , Rajasthan

W-6, Residency Road, JODHPUR- 342001

Registration No
(For Office use)

Application Form No

(To BE FILLED BY THE APPLICANT)

( Use BLACK ball Pen to fill this form in CAPITAL Letters.)

1.

CANDIDATES NAME in Capital letters ( as given in Secondary School Certificates)

2.

FATHERSS NAME in Capital letters ( as given in Secondary School Certificates)

3.

POSTAL ADDRESS :-

P
4.

Post applied with Trade ------------------------------------

5.
DATE OF BIRTH
7. CATEGORY
Tick () appropriate Box/Boxes.
8. BIRTH STATE

6. SEX- Male/ Female

Gen

SC

1.Rajasthan

ST

2.Others

OBC

SBC

EX-S

(OBC-NON CREAMY LAYER ONLY)

9. INFORMATION ABOUT SECONDARY (10+2) OR EQUIVALENT

1 State Board
2 CBSE
3 Others
10. YEAR OF PASSING

11. AGGREGATE %

12
INFORMATION ABOUT TECHNICAL
QUALFICATION OR EQUIVALENT
A- Tick ()
your certificate in related
NTC

B. YEAR OF PASSING

NAC

DIP

ENGG.

CTI

OTHERS

C. AGGREGATE %

13
EXPERIENCE / GOVT./ PRIVATE ORGANIZATION / OTHER
1. NTC / ATC 3 years
Less than 3 Years
2. DIPLOMA 2 Years

Less than 2 Years

14

MARRIAG E STATUS --

MARRIED / UNMARRIED

15

IF MARRIED-a. NUMBER OF LIVING CHILDREN UP TO 31.05.2002

b.NUMBER OF LIVING CHILDREN ON THE DATE OF APPLICATION

Place :.
Date :.

Signature of the Candidate

(Name )

For Office Use

Eligible for Written Test
Not Eligible for Written Test

Signature of Authority
ADT

NTC-National Trade Certificate, NAC- National Apprentice Certificate, DIP-Diploma in Engineering, ENGGEngineering.

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IykfLVd izkslsflx vkWijsVj
PPO
MkbZoj de eSdsfud
ysc vflLVsUV dsehdy
;ksXk %&

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vuqlwfpr vuqlwfpr
fjDr in tkfr
tu tkfr

vU;
fiNMk
oxZ

foks"k
fiNM+k
oxZ

lkekU;

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uksV %1- jkT; ljdkj ds orZeku~ esa izpfyr fu;eksa ds vuqlkj vuqlwfpr tkfr dks 16 %] vuqlwfpr tutkfr
dks 12%] fiNM+k oxZ dks 21%] foks"k fiNM+k oxZ dks 1%] efgykvksa dks 30% oxZokj Horizontal]
HkwriwoZ lSfudksa dks 12-5%% oxZokj Horizontal ,oa fodykax dks 3% oxZokj Horizontal fu;ekuqlkj
vkj{k.k ns; gSA

foKkfir inksa esa

SBC

vkj{k.k ds dze esa fjDr inksa dh dqy la[;k esa ls 4% lqjf{kr j[kk

x;k gSA

2- vks-ch-lh dsoy uWaksu dzhehfy;j gh ekU;

3- ftl O;olk; ds fy;s vkosnu i= izLrqr fd;k tk jgk gS mlh O;olk; dk vuqHko gksuk
vko';d gSA
4- f'k{kqrk izf'k{k.k@fMIyksek@izf'k{k.k dh vof/k dk vuqHko ekU; ugha gS A
5- vuqHko izek.k i= loSrfud dk;Z djus dk gh ekU; gS A

vk;q %&
1- vH;FkhZ dh vk;q fnukd 01-01-2012 dks U;wure 20 o"kZ dh gksuh pkfg;s rFkk 35 o"kZ ls
vf/kd ugha gksuh pkfg;s A
2- vuqlwfpr tkfr] vuqlwfpr tutkfr vU; fiNMh tkfr] foks"k fiNM+k oxZ o efgykvksa ds
fy;s vk;q esa fu;ekuqlkj 5 o"kZ dh NwVA HkwriwoZ lSfudks]a rykd'kqnk efgykvksa] fo/kok
efgykvks]a rFkk LFkkbZ jkT;dehZ ds fy;s fu;ekuqlkj ijh vk;q lhek esa NwVA
vko;d funsZk vfuok;Z lkekU; 'krZs %&
1- ,slk dksbZ Hkh vH;FkhZ ftuds fnukad 01-06-2002 dks ;k mlds i'pkr~ nks ls vf/kd cPps gks lsok esa
fu;qfDr ds ik= ugha gksxk] ijUrq fdlh vH;FkhZ ds iwoZRrj izlo ls ,d gh cPpk gS fdUrq
i'pkr~orhZ fdlh ,dy izlo ls ,d ls vf/kd cPps iSnk gksrs gS rks cPpksa dh dqy la[;k dh
x.kuk djrs le; bl izdkj iSnk gq, cPpksa dh ,d bdkbZ ekuk tkosxk A
2- jkT; ljdkj ds foRr foHkkx ds ifji= dzekad ,Q- 131foRr@fu;e@2003 fnukad 28-01-2004 ds
vuqlkj ubZ isa ku vaknku ;kstuk ykxw gksxh rFkk dzekad ,Q- 6 5 foRr fu;e@2004 fnukad
27-07-2004 ds }kjk fd;s x;s izko/kkukuqlkj ubZ fu;qfDr ij esfMDyse bUkksjsUl ;kstuk ykxw gksxhA
3- fu/kkZfjr vkosnu&i= :i;s 100@& dk js[kkafdr Hkkjrh; iksLVy vkWMZj IPO tks lgk;d
funskd] izkfof/kd fk{kk] funskky;] MCY;w&6 jsthMsUlh jksM+] tks/kiqj ds i{k esa ns; gks] tek djok
dj dk;kZy; le; esa izkIr fd;s tk ldrs gSA Mkd }kjk vkosnu i= eaxokus gsrq fu/kkZfjr 'kqYd
ds lkFk :i;s 30@& Mkd fVdV yxk 25X10 lsUVhehVj dk fyQkQk] ftl ij Lo;a dk iw.kZ
Mkd dk irk fy[kk gks] Hkstdj fnukad 12-07-2011 rd izkIr fd;k tk ldrk gSA vkosnu i=
tek djus dh vfUre frfFk 21-07-2011 gSA
4- vkosnu i= ds lkFk jftLVsku 'kqYd lkekU; @vU; fiNMk@foks"k fiNM+k oxZ ds vH;kfFkZ;ksa ds
fy;s :i;s 400@& ,oa vuqlwfpr tkfr@vuqlwfpr tutkfr ds vH;kfFkZ;ksa ds fy;s :i;s
200@&dk js[kkfdr Hkkjrh; iksLVy vkMZj 'krZ la[;k&3 esa of.kZr vf/kdkjh ds i{k esa Hkstuk
vfuok;Z gS A
5 vkosnu i= ds lkFk 'kS{kf.kd] rduhdh ;ksX;rk] vuqHko ,oa tkfr izek.k i=ksa dh lR;kfir izfr;kWa
rFkk okafNr iksLVy vkMZj vko';d :i ls Hkstsa] vU;Fkk vkosnu i= fujLr dj fn;k tk;sxkA bl
laca/k esa dksbZ i=kpkj ugha fd;k tk;sxkA fu;ekuqlkj vks-ch-lh ds fy, ukWua &dzhehfy;j izek.k i=
gh ekU; gksxkA
6 jktdh; lsok esa dk;Zjr vH;FkhZ vius vkosnu i= vius orZeku fu;kstd ds ek/;e ls Hkstas ,ao
lqfuf'pr gks ysosa fd vfUre frfFk rd muds fu;kstd }kjk mudk vkosnu i= bl funs'kky; esa
igqWp tkosa A vfUre frfFk ds i'pkr~ izkIr vkosnu i= ij fopkj djuk lEHko ugha gksxkA
7 O;olk; eSdsfud eksVj Oghdy] eSdsfud VsDVj] eSdsfud Mhty ,oa MkbZoj de eSdsfud gsrq
Heavy moter vehical ykblsl
a vfuok;Z gksxkA
8 vfUre frfFk ds i'pkr~ izkIr vkosnu i= ij fopkj djuk lEHko ugha gksxk rFkk blds fy;s
i=kpkj Hkh ugha fd;k tk;sxk A Mkd }kjk foyEc ls izkIr vkosnu i= Hkh Lohdkj ugha fd;s tk;sxsa
,oa blds fy;s foHkkx ftEesokj ugha gksxkA
9 v'kadkyhu dk;kZuqHko rFkk rduhdh ;ksX;rk /kkj.k djus ls iwoZ dk vuqHko ekU; ugha gksxkA
10 foKkfir inksa dh la[;k esa deh@c<+ksrjh ,ao jn~n djus dk vf/kdkj foHkkx dks gksxkA
11 vH;FkhZ dks foofo|ky; ;k fo|ky; ;k dkWyt
s ;k laLFkku] ftlesa mlus vUr esa fk{kk xzg.k dh]
os eq[; 'kS{kf.kd vf/kdkjh ls vPNs pfj= ds ,d izek.k i= vkSj mlds 'kS{kf.kd Hkfo"; ls ugha

tqM+s ;k mlls lacaf/kr ughas] nks ftEesnkj O;fDr;ksa ls vkosnu dh frfFk ls 6 ekg ls vuf/kd iwoZ
fyf[kr ,sls nks izek.k i= izLrqr djus gksx
a sA
12 vkosnd }kjk fn;k x;k dksbZ Hkh fooj.k] izek.k i=] vuqHko izek.k i= vkfn voS/k ;k xyr ik;k
x;k vFkok vkosnd us dksbZ rF; Nqik;k gks] mlds fy;s vkosnd Lo;a ftEesnkj gksxk vkSj mldk
vkosnu@fu;qfDr fdlh Hkh le; jn~n dh tk ldrh gS A
13 jkT; ljdkj ds foRr foHkkx dh vf/klwpuk la[;k ,Q 1 2 ,QMh@ :Yl@2006 fnukad 13-032006 ,oa foRr foHkkx ds fnukad 12-09-2008 ds izko/kkukuqlkj ifjoh{kkdky nks o"kZ gsrq
fu;ekuqlkj fLFkj ikfjJfed :i;s 10000@& ns; gksxsA
14 jkT; ljdkj ds x`g xzqi&13 foHkkx ds ifji= dzekad i- 619x`g&13@2006 fnukad 22-052006 ds izko/kkukuqlkj jktdh; lsokvksa esa fu;qfDr ds fy, vkosnu djrs le; fookfgr vH;fFkZ;ksa
dks fookg iath;u vf/kdkjh }kjk fookg izek.k&i= izkIr dj layXu djuk vko;d gSA
15 vH;FkhZ dks :i;s 05@& dk Mkd fVdV yxk 25x10 lsUVhehVj ds nks fyQkQs ftl ij Lo;a
dk irk fy[kk gks og vkosnu i= ds lkFk Hkstuk vfuok;Z gS A
16 vH;FkhZ }kjk mi;ksx esa fy, tkus okys lHkh QksVks ,d gh usxsfVo ls izkIr gksus pkfg;s rFkk nks
QksVks vius ikl vfrfjDr :i ls j[ks A
17 vH;kFkhZ }kjk QksVks dks vkosnu i= vkfn ij LVsiyj }kjk ugha yxk;k tkos] vfirq QsohLVhd
xksUn }kjk lgh izdkj ls fpidk;k tkos A
18 loZizFke fyf[kr ijh{kk yh tk;sxhA ftlesa 40% vad izkIr djuk vfuok;Z gSA
fu/kkZfjr ekin.Mksa ds vuqlkj fyf[kr ijh{kk esa U;wure 40% vad izkIr djus okys vH;fFkZ;ksa
esa ls lacaf/kr O;olk;@fo"k; ds foKkfir inksa dh la[;k ds vf/kdre rhu xq.kk rd dh ojh;rk
okys vH;fFkZ;ksa dks esfjV ds vk/kkj ij izk;ksfxd ijh{kk ds fy;s ;ksX; ekuk tk,xkA
19 bl foKfIr ds QkeZ foHkkx dh osclkbV http:\ \dte.rajasthan.gov.in ls Hkh izkIr fd;s tk
ldrs gS rFkk osclkbV ls fy;s x;s vkosnu QkeZ dk 'kqYd :i;s 100@&bUVjusV ls vkosnu
QkeZ izkIr djus ij ,oa jftLVs'ku 'kqYd lkekU;@vU; fiNMk oxZ@foks"k fiNM+k oxZ ds
vH;fFkZ;ksa ds fy;s :i;s 400@& ,oa vuqlwfpr tkfr@vuqlwfpr tutkfr ds vH;fFkZ;ksa ds fy;s
:i;s 200@&dk Hkkjrh; iksLVy vkMZj vyx ls vkosnu QkeZ tek djkrs le; lkFk esa layXu
djuk vko;d gksxk blds vHkko esa vkids }kjk izLrqr fd;s x;s vkosnu QkeZ ij dksbZ fopkj
ugha fd;k tk;sxk ,oa blds laca/k esa dksbZ i=kpkj Hkh ugha fd;k tk;sxkA
20 foKkfir inksa esa SBC vkj{k.k ds dze esa fjDr inksa dh dqy la[;k esa ls 4% lqjf{kr j[krs gq,
foKkiu tkjh fd;k x;k gSA
21 bl foKkiu ds tkjh gksus ls ysdj fu;qfDr i= tkjh gksus rd jkT; ljdkj }kjk tkjh fu;qfDr
laca a/kh funsZk bl foKkiu ij ykxw gksaxsA
22 foKkiu esa dk;Zkkyk x.kuk ,oa foKku ds fjDr inksa ds fo:) p;fur vH;FkhZ dk;Zkkyk x.kuk
,oa foKku fo"k; ds lkFk&lkFk bathfu;fjax MkbZx fo"k; i<kus dk nkf;Ro Hkh lfEefyr gSA
funs'kd izfk{k.k
izkfof/kd f'k{kk funs'kky;]
jktLFkku]tks/kiqj