Professional Documents
Culture Documents
FY Annex
FY Annex
• ¼;g izek.k&i= vkoafVr egkfo|ky; esa fjiksVZ djrs le; izLrqr fd;k tkuk gSA
• gLrk{kj djus okys vf/kdkjh dks pkfg, fd tks ykxw u gksrk gks mls dkV nsA
• izkFkZuki= viw.kZ gksus ij 'kqYd esa NwV ugha nh tk;sxh
• mijksDr izek.k&i= Nk=@Nk=k dks f}rh; ,oa r`rh; o"kZ ds vkjEHk esa Hkh nsuk gksxkA½
gLrk{kj
foHkkxk/;{k vFkok jktif=r fu;a=.k vf/kdkjh
(Head of Dept. or Gazetted Controlling Officer)
¼in o dk;kZy; dh eqgj½
1
ifjf'k"V&II
• vxj vH;kFkhZ jkT; deZpkjh dk HkkbZ@cfgu gS rks fuEu izk#i dk mi;ksx djsAa
• izkFkZuki= viw.kZ gksus ij 'kqYd esa NwV ugha nh tk;sxhA
• tks ykxw u gks mls dkV nsoAs
gLrk{kj
jkT; deZpkjh
¼vH;FkhZ }kjk izekf.kr½
gLrk{kj
foHkkxk/;{k vFkok jktif=r fu;a=.k vf/kdkjh
(Head of Dept. or Gazetted Controlling Officer)
¼in o dk;kZy; dh eqgj½
2
ifjf'k"V&III
• ;g izek.k&i= f'k{k.k 'kqYd eqfDr ;kstuk vUrxZr izo's k ikus okys vkfFkZd :i ls fiNM+s ojh;rk izkIr
(Meritorious) vH;fFkZ;ksa }kjk izLrqr fd;k tkos ftuds ekrk@firk@laj{kd dh lHkh L=ksarksa ls okf"kZd vk;
:i;s 6-00 yk[k :i;s ls de gksA
• vkoafVr egkfo|ky; esa ewy izek.k i= ,oa 'ks"k 'kqYd ds lkFk izLrqr fd;k tkosA
gLrk{kj
fnukad % l{ke vf/kdkjh
¼in o dk;kZy; dh eqgj½
uksV %&
1- *jkT;@Hkkjr ljdkj ds foHkkx@fuxe@cksM@ Z miØe@Lok;r'kklh laLFkku@fo'ofo|ky; esa dk;Zjr dkfeZdksa ds fy;s mijksDr
izek.k i= foHkkxk/;{k ¼l{ke vf/kdkjh½ }kjk izekf.kr fd;k tkosAa
2- 'ks"k vU; vH;kfFkZ;ksa gsrq lacfa /kr ,Mh,e@,lMh,e@rglhynkj ¼l{ke vf/kdkjh½ }kjk izekf.kr fd;k tkosAa blds fy;s ifjf'k"V
&IX dk mi;ksx fd;k tkosAa
3- ;fn ekrk&firk nksuksa lsokjr gSa rks nksuksa dh vk; tksMh+ tk;sxhA bl gsrq mijksDr izi= dks vfrfjDr izfr esa Hkj dj izLrqr
djuk gksxkA
3
ifjf'k"V&IV
CERTIFICATE TO BE SUBMITTED BY DEPENDENT OF DEFENCE PERSONNEL
(To be attached with application form)
No.:……………………… Date: ……………………
I ………………………………………………………………………………………………certify that
(Service No. Rank & Name of the Certifying Officer)
……………………………………………………………………………………………… who is
(Service No. Rank & Name of defence personnel )
natural father/mother/husband of ……………………………………………… is/was Defence Person
(Name of Applicant)
His/Her particulars are as follows:
1. Service No., Rank and Name of the person ………………………………………………………………
2. Name of the Unit last Served ………………………………………………………………….…………
3. Date of enrolment ………………………… Date of death/discharge/retirement ………………………
4. He/She is/was ex-serviceman of Rajasthan origin and his/her home town as given by him/her at the
time of his/her entry into service is …………………………
5. His/Her Registration/Identity Card No. is …………………………… dated ……………………………
and P.P.O. No. is ………………………………….
Category of defense persons for priority :
( Tick (√ ) which every is applicable and strike off whichever is not applicable)
Priority I : Widows/Wards of Defence Personnel killed in action. Yes | No
Priority II : Wards of disabled in action and boarded out from service. Yes | No
Priority III : Widows/Wards of Defence personnel who died while in service with death attributable to
military service. Yes | No
Priority IV : Wards of disabled in service and boarded out with disability attributable to military service.Yes | No
Priority V : Wards of Ex-Servicemen and serving personnel who are in receipt of Gallantry Awards : Yes | No
i. Param Vir Chakra ii. Ashok Chakra iii. Maha Vir Chakra iv. Kirti Chakra v.Vir Chakra
vi. Shaurya Chakra vii. Sena, Nau Sena, Vayu Sena Medal viii. Mention-in-Despatches.
Priority VI : Wards of Ex-Servicemen Yes | No
Priority VII : Wives of : Yes | No
i) defence personnel disabled in action and boarded out from service.
ii) defence personnel disabled in service and boarded out with disability attributable to military service.
iii) ex-servicemen and service personnel who are in receipt of Gallantry Awards.
Priority VIII : Wards of Serving Personnel. Yes | No
Priority IX : Wives of Serving Personnel. Yes | No
Signature _____________
Name ____________________
Seal of Officer District Soldier Welfare Officer/ Commanding Officer
Name of District / Unit Number ____________
NOTE:
1. Strikeout whichever is not applicable.
2. Definition of Ex-serviceman shall be as per Hand Book on Resettlement of Ex-servicemen (1995).
3. The domicile requirement for the ward of the Defence personnel from the State of Rajasthan but serving in other State is waived
off for wards of Defence personnel from other States but serving in the State of Rajasthan. The domicile condition is waived off
to enable them to appear in the entrance test and be selected in general quota. However, they would not be eligible for the above
mentioned concessions.
4. 50% of the reserved seats will be earmarked for the girls. In case of non-utilization by girls, the unutilized vacancies would revert
back to the boys category.
5. Defence personnel should be of Rajasthan origin. The state of origin and the home town as entered in the discharge
certificate/record shall only be accepted as proof in respect of above.
6. Copies of discharge certificate and P.P.O. should be submitted with the application and originals should be brought at the
time of manual counseling.
4
ifjf'k"V& V
Certificate regarding Scheduled Caste/ Scheduled Tribe/ Non Creamy Layer OBC/
Non Creamy Layer MBC
(This format is to be used with application form if the certificate issued by competent authority is not available
bl izk#i dk mi;ksx rHkh fd;k tkos ;fn l{ke vf/kdkjh }kjk tkjh fd;k tkus okyk izek.k i= iwoZ ls vkosnd ds
ikl ugha gks)
I __________________________________________________________________________
(Name of the District Magistrate/ Addl. District Magistrate/ S.D.M./ Tehsildar)
certify that Shri/ Ku. _______________________________ is the natural born (not adopted)
_________________.
Court Seal :
Date: Signature of the District Magistrate
ADM/SDM/Tehsildar
(This certificate must be signed by an Officer not below the rank of District Magistrate/ Additional
District Magistrate/ Sub Divisional Magistrate/ Tehsildar of the District/Sub Division/Tehsil of which
the candidate is a resident)
* vU; fiNMk oxZ@vfr fiNMk oxZ ds ukWu Øhehys;j ds vH;fFkZ;ksa gsrq fu/kkZfjr izek.k i= ;fn ,d o"kZ ls
iqjkuk gks rks fu/kkZfjr izek.k i= ds lkFk ifjf'k"V&VI esa fu/kkZfjr vk; izek.k i= dk izk#i izLrqr djuk
gksxkA
5
ifjf'k"V& VI
ukWu fdzehys;j lEcU/kh
'kiFk&i=
vkosnd dk vk/kkj uEcj---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
fuoklh-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
xkao@’kgj-------------------------------------------------------------------rglhy---------------------------------------------------------ftyk--------------------------------------------------------
1- eSa jktLFkku ds fiNM+s oxZ dh vf/kd`r lwph fnuakd 17-8-1993 esa lfEefyr oxZ vU;@vfr fiNM+k oxZ dh
tkfr---------------------------------------------dk@dh lnL; gwaWA
2- esjs ekrk@firk jkT; ljdkj dh vf/klwpuk fnuakd 28-9-1993 ds lkFk mikc) vuqlfw pr 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 gS@
a ugh FksA
3- esjs ekrk@firk ljdkjh@futh {ks= es-a ------------------------------------------------------in ij dk;Zjr gS@FksA
4- esjs ekrk@firk dh leLr L=ksrksa ls ekfld vk;-------------------------------------------:i;s gSAa
5- eSa mijksDr izdj.kksa dh lk{; gsrq vko’;d izek.k@lk{; miyC/k djkus dks rS;kj gwAa
6- eSa vkSj esjk ifjokj vU; jkT; ls jktLFkku jkT; esa ekbZxVzs ¼foLFkkfir½ gksdj ugha vk;s gSA
7- fd eSua s fdlh Hkh ftys@izn’s k ls tkfr dk izek.k i= ugha cuok;k gSA
gLrk{kj 'kiFkxzfgrk
lR;kiu
¼uksV%& mÙkjnk;h O;fDr ls vk'k; laln lnL;@fo/kku lHkk lnL;@ftyk ize[q k@iz/kku@ftyk ifj"kn~
@lnL;@ lajip@ jktdh; vf/kdkjh@jktdh; deZpkjh ls gSA½
6
ifjf’k"V & VII
2- mijksDrkuqlkj izoztu izek.k i= izLrqr ugha dj ikus dh fLFkfr esa ;fn esjk izo's k fujLr gks
tkrk gS rks blds fy;s eSa Lo; ftEesnkj gksÅx
a k@gksÅx
a hA
3- mijksDrkuqlkj esjk izo's k fujLr gks tkus ij eSa fdlh izdkj ds ykHk dk gdnkj ugha
gksÅxa k@gksÅx
a hA ,slh fLFkfr esa fdlh izdkj dh] dksbZ Hkh dkuwuh dk;Zokgh djus dk eq>s
dksbZ vf/kdkj ugha gksxk rFkk eSa fdlh izdkj ds 'kqYd okil ikus dk gdnkj Hkh ugha
gksÅxa k@gksÅx
a hA
7
ifjf’k"V & VIII
1- esjk uke o miuke esjs i<kbZ ds nLrkostksa o tkfr lEcU/kh izek.k&i=ksa esa -------------------------------
¼uke tSlk fd izek.k i=ksa esa fy[kk gS½ fy[kk gqvk gS ysfdu okLrfodrk esa esjk uke ----
------------------------------------------------ ¼tSlk vadrkfydk esa vafdr gS½ gksuk pkfg;s tks v/kwjk fy[kk
gqvk gSA
lR;kiu
eSa vius izkFkZuki= dh en la- 1 dks viuh futh tkudkjh esa lgh o lR; gksuk Lohdkj
djrk@djrh gw¡A bZ'oj esjh enn djsA
8
ifjf'k"B & IX (a)
vk; dk ?kks"k.kk & i=
vkosnu lEcU/kh vko';d lwpuk ¼oSdfYid fcUnq √ dks ls p;u djs½a
uohure QksVks
01- izkFkhZ dk uke % fpidk;sa
02- firk dk uke %
03- fuokl LFkku dk iw.kZ irk %&
¼d½ orZeku irk %
¼[k½ LFkkbZ irk %
08- D;k vki @ vkidk ifjokj jkTkLFkku ds ewy fuoklh gSa \ gk¡ ugha
09- D;k vki vk;dj nkrk gSa \ gk¡ ugha
10- eksckbZy uEcj
11- isu dkMZ gksus dh n'kk esa isu dkMZ uEcj ------------------------------------,oa vk;dj foHkkx dh fjVuZ dh
v|ru izfr layXu djsAa
12- fVu uEcj gksus dh n'kk esa fVu uEcj ---------------------------------------- ,oa okf.kT; dj foHkkx dh fjVuZ dh
v|ru izfr layXu djsAa
13- ifjokj ds lnL; o mudh okf"kZd vk; dk fooj.k %&
Ø- lnL; dk uke mez eqf[k;k ls vk;@O;olk; o okf"kZd vk;
l- lEcU/k mldh izd`fr ¼:Ik;s½
vU; L=ksr ls vk; ¼;Fkk edku fdjk;k] C;kt] is'a ku] 'ks;j] E;wpqvy Q.M½ -------------------------------
14- mDr rF;ksa ds lR;kiu Lo:Ik nks mÙknk;h O;fDr;ksa dh lk{; izek.k i= ,oa Lo;a dk 'kiFk i=
layXu djaAs
eSa rLnhd djrk@djrh gw¡ fd mijksDr fooj.k esjh tkudkjh ,oa fo'okl ds vuqlkj lgh gSa A
fnuakd % --------------------------
LFkku % --------------------------- izkFkhZ ds gLrk{kj
9
ifjf'k"B & IX (b)
'kiFk i=
uohure QksVks
fpidk;sa
;ksx
03- ;g gS fd esjs ifjokj ds lnL;ksa }kjk /kkfjr Hkwfe @o uks'kuy 'ks;j ds /kkfjr dqy Hkwfe dk
fooj.k bl izdkj gS &
xkao dk uke rglhy [kljk uEcj jdck flafpr@ okf"kZd vk;
vflafpr ¼:Ik;s esa½
1 2 3 4 5 6
;ksx
04- ;g gS fd esjs ifjokj es vU; L=ksr ls vk; fuEu izdkj gS &
Ø-l- vk; ds vU; L=ksr okf"kZd vk;
¼;Fkk Hkou lEifr fdjk;k] C;kt]is'a ku] 'ks;j] E;wP;wyQ.M vkfn ¼:Ik;s esa½
ls vk;½
1 2 3
10
05- ;g gS fd eSa 'kiFk iwoZd ?kksf"kr djrk @djrh gwaW fd mijksDrkuqlkj esjs ifjokj dh dqy@
leLr leLr L=ksrksa ls okf"kZd vk; --------------------------------------- :Ik;s v{kjs -----------------------------------------------
-- :Ik;s gSAa
06- ;g gS fd eSa 'kiFk iwoZd ?kksf"kr djrk @djrh gwaW fd esjs ifjokj ds fdlh lnL; us foxr esa
mDr vafdr okf"kZd vk; ls fHkUu vk; fdlh iz;kstukFkZ ugha n'kkZ;h gS rFkk ugh bl ckcr~
dksbZ vk; izek.k i= izkIr fd;k gSA
07- ;g gS fd eSa 'kiFk iwoZd ?kksf"kr djrk @djrh gwaW fd ;g rF; esjh tkudkjh esa gS fd bl
'kiFk i= esa vafdr rF; ,oa 'kiFk iwoZd mn~?kksf"kr okf"kZd vk; dk xyr vFkok fEkF;k gksuk
Hkkjrh; n.M lafgrk ds vUrxZr n.Muh; vijk/k gSA
gLrk{kj 'kiFkxzfgrk
lR;kiu
eSa 'kiFk iwoZd ?kks"k.kk djrk@djrh gwaW fd 'kiFk i= dh pj.k la[;k 1 ls 7 esjh futh
tkudkjh ls fy[kk;k x;k gS tks lgh gS ! blesa dksbZ rF; ugha Nqik;k x;k gS vkSj u
gh vlR; fy[kk gS A bZ'oj lk{kh gSA
gLrk{kj 'kiFkxzfgrk
gLrk{kj igpkudrkZ
1- ----------------------------------------------------------------
2- ----------------------------------------------------------------
¼uke] irk] LFkku o fnukad lfgr½
izek.khdj.k
LFkku % -----------------------------
fnuakd % ----------------------------
gLrk{kj
izek.khdj.k vf/kdkjh ¼dk;Zikyd eftLVªVs @uksVsjhifCyd½
dk uke o in e; lhy
11
ifjf'k"B & IX (c)
mÙkjnk;h O;fDr;ksa ds lk{; izek.k i=
(i) xokg *
eS-a ------------------------------------------------------------------------------------- iq=@iq=h Jh -----------------------------------------------------
fuoklh -----------------------------------------------------------------------------------------------------------------------------------------------------------
foHkkx dk uke ------------------------------------------------------------------------------------- in-----------------------------------------------------
- ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gWwa fd
izkFkhZ @izkFkhZ;k ----------------------------------------------------------------- iq=@iq=h Jh ----------------------------------------------------
----- fuoklh ----------------------------------------------------------------------------------------------------------------------------------------------------------
----------- dks Hkyh izdkj tkurk gwWa budh okf"kZd vk; ------------------------------------ :Ik;s gS] blds
vykok izkFkhZ ds ikl vk; dk dksbZ vU; L=ksr ugha gSA
gLrk{kj@mRrjnk;h xokg
uke ---------------------------------------------------- fnukad ---------------
(ii) xokg *
eS-a ------------------------------------------------------------------------------------- iq=@iq=h Jh -----------------------------------------------------
fuoklh -----------------------------------------------------------------------------------------------------------------------------------------------------------
foHkkx dk uke ------------------------------------------------------------------------------------- in----------------------------------------------------
ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gWwa fd
izkFkhZ @izkFkhZ;k ----------------------------------------------------------------- iq=@iq=h Jh ----------------------------------------------------
----- fuoklh ----------------------------------------------------------------------------------------------------------------------------------------------------------
----------- dks Hkyh izdkj tkurk gwWa budh okf"kZd vk; ------------------------------------ :Ik;s gS] blds
vykok izkFkhZ ds ikl vk; dk dksbZ vU; L=ksr ugha gSA
gLrk{kj@mRrjnk;h xokg
uke ---------------------------------------------------- fnukad ---------------
uksV%& vkonsd dh uohure QksVks ftls vkosnu i= esa fn;s x;s LFkku ij fpidk,sa ¼LVsiy ugha djuk gS½ rFkk mls
vfHk'ka"kk djus okys mRRkjnk;h O;fDr ls LkR;kfir djkosAa
* mRrjnk;h O;fDr ;Fkk & llan lnL;@fo/kkulHkk lnL;@jktif=r vf/kdkjh@ ftyk izeq[k@iz/kku@ iz/kku
ftyk ifj"kn lnL;@xzke lsod@iVokjh@ egkikSj@uxj fuxe lnL;@uxj ikfydk lnL;@ Ldwy ds
gsMekLVj@ lEcfU/kr ih-,p-lh-@ lh-,p-lh- ds fpfdRld@ ch-Mh-vks-@ lgk;d vfHk;UrkA
12
ifjf'k"V&X
13