¼Hkou ,oa vU; lafuekZ.k Jfed dY;k.k e.

My dh lHkh ;kstukvksa ds fy, ,d gh vkosnu i=½

ß ljy & 2016 Þ
izR;sd ;kstuk ds fy, blh ljy vkosnu i= dk iz;ksx djsa
------------------------------------------¼;kstuk dk uke ftlesa vkosnu fd;k tk jgk gS½

1) fgrkf/kdkjh dk uke % --------------------------------------------------------------------------------------------------------------------------------------------- Passport Size

2) firk@ifr dk uke % --------------------------------------------------------------------------------------------------------------------------------------------- Photo
3) tUefrfFk o vk;q ¼fnu% ekg% o"kZ½ % ----------------------------------------------------- vk;q ¼o"kksZa esa½ % ----------------------------------- (1.25x1.7) Inch
4) iÙkk@ fuokl LFkku%
I. edku la[;k ----------------------------- II. eksgYyk@xkao ----------------------------------------------------------------------------------------------------------
III. xzke iapk;r ¼xzkeh.k {ks=½@okMZ la[;k ¼’kgjh {ks=½ --------------------------------------------------------------------------------------------------
IV. CykWd@’kgj o rg0 ----------------------------------------------------------------------------- V. ftyk & -------------------------------------------------------
5) fgrkf/kdkjh }kjk fd;k tkus okyk dk;Z ¼csynkj] feL=h] fctyh dk dk;zZ] uy dk dk;Z vkfn½ ----------------------------------------------------
6) fgrkf/kdkjh ls lacaf/kr vU; tkudkjh &
6. 01) Hkkek’kkg dkMZ@ukaekdau la[;k ------------------------------------------- 6. 02) vk/kkj dkMZ la[;k ------------------- & ------------------ & ------------------A
6. 03) eksckbZy ua- ---------------------------------------------------------------------------------A
6. 04) fgrkf/kdkjh iath;u Øekad -------------------------------------------------------------------- o iath;u frfFk ---------------------------------------------------------------------------------
6. 05) vafre ckj va’knku tek djus dh frfFk@ fnukad -----------------------------------------------------------------------------------------------------------------------------------------------
6. 06) iath;u vf/kdkjh dk inuke o LFkku --------------------------------------------------------------------------------------------------------------------------------------------------------------------
¼Je foHkkx@chMhvks@lkfufo- ih,pbZMh vFkok ty lalk/ku foHkkx dk ,bZ,u vkfn½
6. 07) fgrkf/kdkjh ds cSad [kkrs dk fooj.k %&
I. cSad dk uke -------------------------------------------------------------------------------------- III. [kkrk la[;k ---------------------------------------------------------------------------------------
II. cSad dh 'kk[kk dk uke ---------------------------------------------------------------- IV. cSad dk vkbZ,Q,llh dksM+ ---------------------------------------------------------
¼;fn fgrkf/kdkjh ds ukfer }kjk vkosnu fd;k tk jgk gS rks ukfer dk vk/kkj dkMZ] Hkkek’kkg dkMZ@ukekadu rFkk cSad [kkrk
fooj.k vafdr djsaA½
7) ;fn ifr&iRuh nksuksa fgrkf/kdkjh gS] rks ifRu@ifr ds lEcU/k esa tkudkjh &
7. 01) fgrkf/kdkjh ¼iRuh@ifr½ dk uke ---------------------------------------- 7. 02) iath;u Øekad --------------------------------------------------------------------- o
----------------------------------------------------------------------------------------------------------- fnukad ----------------------------------------------------------A

vkosnu izLrqr djus dh frfFk fgrkf/kdkjh ds gLrk{kj@vaxqBk fu’kkuh

lHkh ;kstukvksa ds lkFk leku :i ls layXu fd;s tkus okys nLrkostksa dh Nka;k izfr %&
१) fgrkf/kdkjh ds ifjp; i= dh izfrA ३) Hkkek’kkg dkMZ dh izfrA
२) vk/kkj dkMZ dh izfrA ४) cSad ikl cqd ds izFke ist dh izfrA
;kstukokj vkosnu ds lkFk yxk;s tkus okys nLrkost %&
a) fuekZ.k Jfed f’k{kk o dkS’ky fodkl ;kstuk &
a. Nk=o`fr@izksRlkgu jkf’k laca/kh tkudkjh o 'kS{kf.kd laLFkk ds izeq[k dk izek.k i= ¼izi=&1½
b. mRrh.kZ dh xbZ ifj{kk dh vadrkfydk dh Nka;k izfrA
b) fuekZ.k Jfed lqyH; vkokl ;kstuk %&
a. vkokl fuekZ.k laca/kh tkudkjh o ?kks"k.kk ¼izi=&2½
b. chih,y@vtk@vttk@fo’ks"k ;ksX;tu@ikyugkj ifjokj ¼;fn ykxw gks½ ds izek.k i= dh Nka;k izfrA
c. okf"kZd vk; izek.k&i= dh Nka;k izfrA e. cSad }kjk tkjh _.k Lohd`fr i-= dh izfrA
d. Hkw[k.M ds fookn jfgr gksus ds izek.k i= dh Nk;k f. vkokl ds vuqekfur fuekZ.k ykxr dk izek.k i= ¼;fn
izfrA ykew gks½
c) fuekZ.k Jfed thou o Hkfo"; lqj{kk chek ;kstuk %&
a. ;kstuk laca/kh fooj.k o ?kks"k.kk i= ¼izi=&3½ b. ;kstukvksa dh izhfe;e jkf’k tek djkus laca/kh cSad
[kkrs iklcqd dh Nka;k izfrA
d) 'kqHk’kfDr ;kstuk &
a. iq=h ds cSad [kkrs dk fooj.k b. ;kstuk laca/kh tkudkjh o ?kks"k.kk o= ¼izi=&4½
e) lkekU; ;k nq?kZVuk esa e`R;q ;k ?kk;y gksus ij lgk;rk ;kstuk %&
a. e`R;q izek.k i= ¼lkekU; e`R;q½A c. fpfdRld dk izek.k i= ¼vkp’;d gksus ij½A
b. ,QvkbZvkj o iksLVekVZe fjiksVZ ¼nq?kZVuk e`R;q½A d. ;kstuk laca/kh fooj.k vkSj ?kks"k.kk ¼izi=&5½A
f) izlqfr lgk;rk ;kstuk %&
a. izlo laca/kh tkudkjh o ?kks"k.kk ¼izi=&6½A c. izlwrk dh vk;q dk izek.k i=A
b. vLirky ;k LokLF; dsUnz esa izlo gksus dk fMLpktZ d. larku laca/kh izek.k i= ¼eerk dkMZ½A
fVdVA
g) flfydksfll ihfM+r fgrkf/kdkfj;ksa gsrq lgk;rk ;kstuk %&
a. ;kstuk laca/kh tkudkjh o b. U;weksdksfu;ksfll esfMdy cksMZ c. e`R;q izek.k i= ¼;fn ykxw gks½A
?kks"k.kk ¼izi=&7½A dk izek.k i=A
h) fuekZ.k Jfed vkStkj@VwyfdV lgk;rk ;kstuk %&
a. ;kstuk laca/kh tkudkjh o ?kks"k.kk ¼izi=&8½A b. vkStkj [kjhnus dk ewy fcyA

vkosnu izi= ds fy, lEidZ djsa %&

fnO;kax tughr lsok laLFkku] ukxkSj dySDVsªV ds ikl] udkl xsV]ukxkSjA 9413678974
Jh lkyklj dEI;qVj tkWc oDlZ ,oa lh,llh lsUVj] dj.kh ekrk ds lkeus] ekuklj pkSjkgk] ukxkSj 9461414998
 izi=&1

fuekZ.k Jfed f’k{kk o dkS’ky fodkl

;kstuk gsrq fgrkf/kdkjh dh ?kks"k.kk

eSa --------------------------------------- ¼fgrkf/kdkjh dk uke½ iq=@iq=h@iRuh -------------------------------------

------------------------ ¼firk@ifr dk uke½ ?kks"k.kk djrk gw¡ fd --------------------------------------------------------------
¼Nk=@Nk=k dk uke½] ftldh QksVks ds lkFk esa yxkbZ gS] esjk iq=@iq=h@iRuh gSA mlus 'kS{kf.kd o"kZ Passport Photo
------------------ esa d{kk ----------------------- ikVZ@Hkkx ------------------ dh ijh{kk Ldwy@dkWyst -------------------- (1.25x1.7)
------------------------------------------------------ ¼f’k{k.k laLFkk dk uke o irk½ -------------------------------------------- Inch
----------------- ls Js.kh@xzsM --------------- esa mÙkh.kZ dh gSA ¼vad rkfydk dh izfr layXu gS½A og orZeku
eas ----------------------------------------------------------------- f’k{k.k laLFkku esa d{kk --------------- ikVZ@Hkkx ----------
- esa i< jgk gS@ ugh i<+ jgk gSA ¼;fn 12 oha d{kk ;k ikB~;Øe dh vafre ijh{kk mRRkh.kZ dj vkxs
izos’k ugha fy;k gks rks Li"V vafdr djsa½
eSa ;g ?kks"k.kk djrk gw¡ fd esjs }kjk vkosnu esa fn;k x;k leLr fooj.k lR; gS rFkk fooj.k feF;k ik;s tkus ij
eSa ;kstuk esa izkIr gksus okyh jkf’k ykSVkus ds fy, ck/; jgw¡xkA

gLrk{kj fgrkf/kdkjh

'kSf{kf.kd laLFkk ds laLFkk izeq[k dk izek.k&i=

¼ml laLFkk ds izeq[k }kjk Hkjk tk;s tgk¡ Nk=@Nk=k i<+ jgk gks ;k vafre ckj v/;;ujr jgk gks½

izekf.kr fd;k tkrk gS fd ------------------------------------------------------------------------------------- ¼Nk=@Nk=k dk uke½ iq=@iq=h@iRuh dk uke

----------------------------------------------------------------------- ¼firk@ifr dk uke½ bl 'kSf{kf.kd laLFkk esa d{kk@ikB~;Øe ----------------------------------------------
ds --------------------------- o"kZ esa fu;fer :i ls v/;;ujr gS@ mlus mDr d{kk@ikB~;Øe bl laLFkk ls 'kSf{kf.kd l= -------------------
------------------------- esa mÙkh.kZ dh gS ¼tks ykxw ugha gks mls dkV nsa½A ;g laLFkk ----------------------------------------------------------------------------------------------------
------------- fo’ofo/kky;@cksMZ ls laca/k gS rFkk dsUnz@jkT; ljdkj --------------------------------------- ¼ekU;rk dk mYys[k djsa½ }kjk ekU;rk
izkIr gSA

'kS{kf.kd laLFkku dk irk %& laLFkk izeq[k ds gLrk{kj

----------------------------------------------------------------------------------- uke %& ------------------------------------------------
----------------------------------------------------------------------------------- inuke ¼laLFkk dh eqgj lfgr½

vkosnu izi= ds fy, lEidZ djsa %&

fnO;kax tughr lsok laLFkku] ukxkSj dySDVsªV ds ikl] udkl xsV]ukxkSjA 9413678974
Jh lkyklj dEI;qVj tkWc oDlZ ,oa lh,llh lsUVj] dj.kh ekrk ds lkeus] ekuklj pkSjkgk] ukxkSj 9461414998
 izi=&6

izlwfr lgk;rk ;kstuk

eSa ---------------------------------------------------------- ¼fgrkf/kdkjh dk uke½ iRuh ------------------------------------------- ¼ifr dk uke½] vk;q -----------------
¼o"kksaZ esa½ ¼vk;q izek.k i= dh izfr yxk;sa½ fuekZ.k Jfed gS rFkk orZeku esa eSa@vafre ckj eSausa ---------------------------------------------------------
¼fu;kstd@Bsdsnkj dk uke½ -------------------------------------------------------------------------------------------------------------------------------------- ¼Bsdsnkj@fu;kstd dk irk½
eksckbZy ua0 ----------------------------------------------------------------- ds laLFkku -------------------------------------------------------------------------------- ¼dk;ZLFky dk irk½ esa
fuekZ.k Jfed ds :i esa fnukad --------------------------- ls -------------------------- rd dk;Z dj jgh gw¡@fd;k gSA ¼tks ykxw ugha gks mls
dkV nsa½
eSausa fnukad ----------------------------- dks LokLF; dsUnz@vLirky ls ------------------------------ ¼ml vLirky dk uke irk tgk¡ cPps
dk tUe gqvk gS½ eSa iq=@iq=h dks tUe fn;k gSA ¼vLirky dk fMLpktZ fVdV@ izek.k&i= yxk;sa½ blls iwoZ esjs -----------------
¼larkuksa dh la[;k½ larku gSA ¼eerk dkMZ ;k vU; izek.k i= dh izfr yxk;sa½ blls iwoZ izFke@f}rh; ckj ¼tks ykxw ugha
gks mls dkV nsa½ ;kstuk dk fgrykHk izkIr djus gsrq fn;k gSA

eSa ;g izekf.kr djrh gw¡ fd esjs }kjk fn;k x;k leLr fooj.k lgh gSA ;fn esjs }kjk nks ls vf/kd ckj izlwfr
lgk;rk fy;k tkuk vFkok feF;k vk/kkj ij fgrykHk ysus ij nks"kh ik;k tkrk gS rks eSa lgk;rk jkf’k ykSVkusa ds fy,
ck/; jgw¡xhA

gLrk{kj fgrkf/kdkjh

izi=&7

flfydksfll ihfM+r fgrkf/kdkjh;ksa gsrq lgk;rk ;kstuk

¼flfydksfll ihfM+r gksus ij½
eSa ---------------------------------------------------- ¼fgrkf/kdkjh dk uke½ iRuh ---------------------------------------------- ¼ifr dk uke½ ?kks"k.kk
djrk gw¡ fd eaS fuekZ.k Jfed gw¡ rFkk [kku ;k [knkuksa ls ckgj iRFkj rksM+us] dkVus] ihlus ;k rjklus dk
dk;Z djrk@djrh gw¡A eq>s flfydksfll gksus dk izek.k i= U;weksdksfu;ksfll esfMdy cksMZ -----------------------------------------
¼LFkku dk uke½ }kjk tkjh fd;k x;k gS ¼esfMdy cksMZ dk izek.k i= layXu djsa½ eSa vLoLFk gksus ds dkj.k
fiNys ------------------------ o"kZ ---------------- ekg ls dksbZ dk;Z ugha dj jgk gw¡ vFkok orZeku esa eSa ----------------------------------------------
¼fu;kstd@Bsdsnkj dk uke½ ---------------------------------------------------------------------------------------- ¼fu;kstd@Bsdsnkj dk irk½ ds laLFkku
----------------------------------------------- ¼dk;Z LFky dk irk½ esa dk;Z dj jgk gw¡ ¼tks ykxw ugha gks mls dkV nsa½A esjs }kjk
jktLFkku ,uok;jesUV ,.M gSYFk lSal Q.M ls dksbZ lgk;rk jkf’k izkIr ugha dh xbZ gSA
vFkok ¼flfydksfll dh e`R;q gksus ij½
eSa ----------------------------------------------------- ¼fgrkf/kdkjh ds ukfer dk uke½ iq=@iq=h@iRuh ---------------------------------------------------
¼firk@ifr dk uke½ fuoklh ----------------------------------------------------------------------------------------------- ¼irk½ ?kks"k.kk djrk gw¡ fd esjs
firk@ifr@iRuh -------------------------------------------------------------- ¼e`rd fgrkf/kdkjh dk uke½ ftudh e`R;q flfydksfll ds
dkj.k gqbZ gS ¼esfMdy cksMZ dk izek.k&i= rFkk e`R;q izek.k i= layXu djsa½ [kku ;k [knkuksa ls ckgj iRFkj
rksM+us] dkVus] ihlus ;k rjklus dk dk;Z djrs FksA muds }kjk ;k muds fy, jktLFkku ,uokW;jesUV ,.M
gSYFk lSal Q.M ls dksbZ lgk;rk jkf’k izkIr ugha dh xbZ gS@FkhA

gLrk{kj fgrkf/kdkjh vFkok ukfer

vkosnu izi= ds fy, lEidZ djsa %&

fnO;kax tughr lsok laLFkku] ukxkSj dySDVsªV ds ikl] udkl xsV]ukxkSjA 9413678974
Jh lkyklj dEI;qVj tkWc oDlZ ,oa lh,llh lsUVj] dj.kh ekrk ds lkeus] ekuklj pkSjkgk] ukxkSj 9461414998