Chhattisgarh Professional Examination Board, Raipur

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Application Form For

ITITraining Officer 2023
Important Instructions

Exam Applied For

Training Officer, Carpenter Training Officer, Turner

Training officer, Driver Cum Mechanic Training officer, Draughtsman Mechanical
Training Officer, Fitter Training Officer, Machinist
Training Officer, Machinist Grinder Training Officer, Mechanic Tractor
Training Officer, Mechanic Diesel Training Officer, Mechanic Motor Vehicle
Training Officer, Mechanic Refrigeration &Air Conditioner Training Officer, Workshop Calculation &Engineering
Drawing
Training Officer, Welder Training Officer, Sheet Metal Worker
Training Officer, Information and Communication Technology System Training Officer, Computer Operator &Progiamming
Maintenance Assistant
Training Officer, Electrician Training Officer, Wireman
Training Officer, Mason (Building Constructor) Training Officer, Employability Skills
Training Officer, Hospital House Keeping Training officer, Secretarial Practice (English)
Training Officer, Sewing Technology

Exam Pre-requisite
Fill Class 10th Percentage (H41 10i a1ufaRIA )*
45

FillClass 12th Percentage (#I 12di #1 ufagA )

44.5

ITI TradeType (|TI3)

NCVT

National Apprenticeship Certificate

VES NO

Diplorna Branch
Autorrnobile Fngineering (Automobile Fitter)

BE/BTech Branch
Aytotnobile Engineerng
ME /M.Tech Branch

Biomedical Engineering and Bioinformatics

Other Course

DOEACC ALEVEL ANDABOVE BCA MBA PGDCA

Craft Man Instructor Training Certificate

YES NO

YES NO

Teaching Experience Year(41HG qY H)

Basic Information / HT GIl-oR0

Candidate's Name / GGdIR a|AIH
PRABHAKAR KUMAR JHA

Relative's Type (RRTAR OI ya)

Father

Relative Name (frdGIT A| HH)

TESTING DATA

Mother's Name / HIdi G| H

t4OTHER NAME

Gender / f i

Male

Date of Birth / { ála g

18-Feb-1998

Age / 3H
24 Years

Category / qrf

Person With Disabilities ( | 341s fz1 t)

No

Type of Disability (feta Ê THTU)

Payable Amount / 1T NI

Uploads /3140%
Other Information / 3{ s|Hoti

Marital Status / aitB +feÍa

Unmarried

Nationality / 1 i
Ind.an

Domicile of Chhatisgarh /t41 ari

Yes

Email ID/SH
ASDAGMAIL COM

Mobile No (Ha 6)
6888888888

District Domicile

Balranpur

Present Address /dH| yI

House No 1

C4

Street / e

VASUNOHAPA NAGAR

RAIUR

State / 14

Chhatigarn

District

Rop

Firn Code /i4

444444

Application Applied for fx3m City

* For Physically Handicapped Candidate: Do You need to Scribe(Writer) ? (4| 3Tyod HETgo 34TGHUoi}? j**

No

Class / uft
Do you belong to the Ex-Servicemen category?/ R| 34T4 2HGyd q dtid ß?
O Yes O No

Class / uft

OEx-Servicemen (EX)

Declaration / gUT
Declaration /qu | :

Ido hereby declare, that the information relatedtomy Name, Category.Gender, Qualification, Date of Birth, Address and al other information
given above are correct and Itruthfully deciare it to be correct. Ihave gone throughthe rules andother information related tothe exam notified by

IAgree ( HEHA
Captcha / yj tal G *

RCNkw8 RCNKW8
5/23/23, 11:46 AM 1- News Paper Advertisement.jpeg (1009×1280)

file:///F:/1- Recruitment Exam -2023/4- ITIR23 Exam-2023/ITIR23 Document File/1- News Paper Advertisement.jpeg 1/1
 Phone No.- 0771-2972780, Fax No.- 2972782,
Website- https://vyapam.cgstate.gov.in

O;kie ijh{kk funsZ”k

lapkyuky; jkstxkj ,oa izf”k{k.k ¼izf”k{k.k i{k½ dh “kkldh; vkS|ksfxd izf”k{k.k laLFkkvksa esa
izf”k{k.k vf/kdkfj;ksa ds fofHkUu fjDr inksa ij HkrhZ gsrq ijh{kk 2023 (ITIR23)

1- vkWuykbu vkosnu i= Hkjus dh izkjafHkd frfFk & 08-05-2023 ¼lkseokj½

2- vkWuykbu vkosnu i= Hkjus dh vafa re frfFk & 28-05-2023 ¼jfookj½ jkf= 11%59 cts rd
3- =qfV lq/kkj & 29-05-2023 ls 31-05-2023 rd

egRoiw.kZ Vhi &

 vkWuykbu vkosnu ds lkFk vH;FkhZ dh tkfr] tUefrfFk] LFkkuh; fuoklh vkfn lEca/kh izek.k&i= ugha fy, tk
jgs gSa A vH;FkhZ ds lHkh izek.k&i= dk ijh{k.k fu;qfDrdrkZ izkf/kdkjh }kjk fu;qfDr ds iwoZ dh tk,xh A
vH;FkhZ }kjk nh xbZ xyr tkudkjh ds fy, O;kie tokcnkj ugha gksxk A bldk laiw.kZ mŸkjnkf;Ro mldk
Lo;a dk gksxk A
 vkWuykbu vkosnu esa gqbZ =qfV dks QkeZ tek djus ds fy, fu/kkZfjr le;&lhek ds nkSjku Hkh lq/kkj
dj ldrs gSa A blds vykok vkWuykbu QkeZ Hkjus dh vafre frfFk ds i'pkr~ Hkh 03 fnol dk
le; fn;k tk;sxk A ijh{kk fnol dks vks-,e-vkj- mŸkj”khV ij dksbZ =qfV lq/kkj dh lqfo/kk miyC/k
ugha gksxh A
 OMR mŸkj”khV esa ijh{kk fnol ds fnu dksbZ Hkh =qfV lq/kkj dh lqfo/kk ugha nh tk,xh A
 vkosnu i= Hkjus ls igys foHkkx }kjk tkjh foKkiu dks Hkyh&HkkWafr i<+ ysosa] vko”;d fn”kk funsZ”kksa dks vR;ar
lko/kkuh ls i<+as rFkk lsEiy QkeZ ¼uewuk vkosnu i=½ dk voyksdu djsa A
 Hkjs gq, vkWuykbu vkosnu dk fizaV vkmV vo”; ysdj j[ksa A
 “kqYd vnk;xh ds fy, cSad dk MsfcV dkMZ ¼,-Vh-,e- dkMZ½@ØsfMV dkMZ @baVjusV cSafdax dh lqfo/kk gksuk
vko”;d gksxk] vr% lEcaf/kr ikloMZ ,oa vU; tkudkjh rS;kj j[ksa A
 vH;FkhZ viuk Lo;a dk QksVks .jpg/.jpeg QkesZV esa LdSu dj dj Qkby ds :i esa j[ksa A ftldk vf/kdre
lkbt 60 kb ,oa U;wure lkbt 40 kb dk gks] lso dj j[ksaA ¼Qkby dk uke vYQkU;wesfjd esa j[ks]a chp esa
varjky rFkk MkWV dk iz;ksx u djs½a
 lkFk gh vH;FkhZ vius Lo;a ds gLrk{kj dk QksVks Hkh LdSu dj dj ,d vyx .jpg/.jpeg QkesZV esa Qkby ds
:i esa j[ksA ftldk vf/kdre lkbt 40 kb ,oa U;wure lkbt 20 kb dk gks] lso dj j[ksaA
 dksfoM 19 egkekjh ds dkj.k jkT; “kklu }kjk le;&le; ij tkjh fn”kk&funsZ”kksa dk ikyu lHkh vH;fFkZ;ksa
dks djuk vfuok;Z gksxk A
egRoiw.kZ tkudkjh
1- ik=rk %& vkosnu gsrq ik=rk ds laca/k esa foHkkxh; fu;e ns[ksa A dsoy os vH;FkhZ ik= gksaxs tks foHkkxh;
fu;eksa esa nh xbZ “krsZa iwjh djrs gksAa ek= vkosnu i= iszf"kr djuk vFkok ijh{kk esa lfEefyr
gksuk vH;FkhZ dks ik= ugha cukrk gS A
2- vkWuykbu vkosnu djus dh fof/k %&
vkWuykbu vkosnu djus dh fof/k dh tkudkjh O;kie dh osclkbV ds fyad ij miyC/k Qkby ls
izkIr dh tk ldrh gS A

Page 1
3- vkWuykbu vkosnu esa =qfV lq/kkj djus dh fof/k %&
vkWuykbu vkosnu dh vafre frfFk ds ckn vH;FkhZ dks Hkjs gq, vkosnu esa =qfV lq/kkj gsrq fuEu funsZ”k
fn;k tkrk gS &
1- vH;FkhZ vius vkWuykbu vkosnu esa iwoZ esa dh xbZ izfof’V;ksa dks lq/kkj ldrk gSA
2- N-x- ls ckgj ds vH;fFkZ;ksa gsrq =qfV lq/kkj ds fy, vH;FkhZ dks 50@& :- dk “kqYd vkWuykbu vnk
djuk gksxk A “kqYd tek gksus ds mijkar gh lq/kkj dh xbZ izfof’V;kWa ekU; gksxh A
3- vxj vH;FkhZ vkWuykbu vkosnu Hkjus rFkk ijh{kk “kqYd tek djus ds mijkar Js.kh (Category) esa
lq/kkj djrk gS rks ijh{kk “kqYd dh varj dh jkf”k dk ogu og Lo;a djsxk fdUrq vH;FkhZ }kjk ijh{kk
“kqYd dh jkf”k iwoZ esa vf/kd nh xbZ gS rks O;kie }kjk mls okil ugha fd;k tkosxk A
4- OMR mŸkj”khV esa fdlh Hkh izdkj dh =qfV lq/kkj dh lqfo/kk ugha nh tk;sxh A
5- vkWuykbu vkosnu esa dh xbZ izfof’V@=qfV lq/kkj dj dh xbZ izfof’V ds vuqlkj gh izo”s k i= tkjh
fd;k tkosxk A i”pkr~ ijh{kk izfØ;k ds fdlh Hkh Lrj ij =qfV lq/kkj ugha gksxk A
6- izos”k i= tkjh gksus ds ckn] ijh{kk mijkar ,oa ijh{kk ifj.kke ds ckn =qfV lq/kkj laca/kh dksbZ Hkh
vH;kosnu Lohdkj ugha fd;k tkosxkA =qfV lq/kkj ds fy, gkMZ dkWih@lkW¶V dkWih esa O;kie dks Hkstk
x;k dksbZ Hkh vkosnu Lohdkj ugha fd;k tk,xkA
4- izos”k i= laca/kh tkudkjh %&
ijh{kk ds yxHkx nl fnu iwoZ ,MfeV dkMZ O;kie dh osclkbV ij viyksM fd;k tk;sxk bls izkIr
djus ds fy, osclkbV esa viuk Registration ID Mkydj bls vkWuykbu izkIr dj ldrs gSaA ijh{kk Ik”pkr~
Hkh ,MfeV dkMZ dks laHkkydj j[ksa A dkmalfyax ds le; rFkk lfoZl Tokbfuax ds le; bls izLrqr djuk
gksxkA ,MfeV dkMZ dh f}rh; izfr O;kie }kjk iznk; ugha fd;k tkosxk A
iksLV vkWfQl ds ek/;e ls vyx ls ,MfeV dkMZ ugha Hkstk tk;sxkA
5- gsYi ykbu laca/kh tkudkjh %&
vkWuykbu vkosnu Hkjus esa fdlh izdkj dh fnDdr gksus ij dk;Z fnolksa esa izkr% 10-00 ls lk;a 5-00
cts ¼dk;kZy;hu le;½ ds chp 0771&2972780 uacj ij laidZ dj ldrs gSa A lkFk gh vodk”k ds fnuksa esa
eksckby uacj 8269801982 ij laidZ dj ldrs gSa A
6- ikB~;Øe laca/kh tkudkjh %&
mDr ijh{kk gsrq fu/kkZfjr ikB~;Øe osclkbV ds “Syllabus” fyad ij miyC/k gS] ftldk voyksdu
dj yso]sa vko”;d le>s rks fizaV vkmV izkIr dj ysosa A
7- ijh{kk d{k esa izos”k %&
¼v½ ijh{kk d{k esa vH;FkÊ dsoy fuEufyf[kr lkexzh yk;s& a
¼1½ ijh{kk izos”k i= ¼,MfeV dkMZ½ & vkWuykbu ls izkIr izos”k i= esa ;fn QksVks fizaV u
gqvk gks rks nks jaxhu ikliksVZ lkbt QksVksxzkQ ysdj ijh{kk dsUnz esa tkosa
¼2½ uhyk@dkyk MkVisu A
¼3½ vH;FkhZ vius lkFk ewy igpku i= tSls vk/kkj dkMZ] ikliksVZ] Mªk;foax yk;lsl a ] iSu
dkMZ] oksVj vkbZ Mh ysdj gh ijh{kk dsUnz esa vk;saxs ftlls fd mudh igpku lqfuf”pr
dh tk lds A ewy igpku i= ds vHkko esa ijh{kk esa lfEefyr gksus ls mUgsa oafpr fd;k
tk;sxk A
¼4½ vH;FkhZ dks ekLd igudj vkuk vfuok;Z gksxkA fcuk ekLd ds izos”k ugha fn;k tk,xkA
¼5½ ijh{kk dsUnz esa lks”ky fMLVsfa lax dk ikyu vfuok;Z gksxk A
UkksV& vH;FkÊ ds ikl vU; lkexzh tSls lkekU; dsydqysVj] ykWxVsfcy lkbafVfQd dsydqysVj]
isij] eksckbZy Qksu vkfn ik;s tkrs gS rks vH;FkÊ dk izdj.k vuqfpr lk/ku ds iz;ksx
¼UFM½ esa ntZ fd;k tkosxkA
¼c½ ijh{kk izkjaHk gksus ds 15 feuV ckn ijh{kk esa lfEefyr gksus dh vuqefr ugha nh tkosxhA

Page 2
8- ijh{kk i)fr %&
iz'ui= esa lHkh iz'u oLrqfu"B gksx
a ]s ftlds pkj fodYi esa ls ,d fodYi lgh gksxk] lgh fodYi
ij mRrj'khV esa uhys@dkys MkWV isu ls xksyk dks iw.kZr% Hkjuk gksxkA
9- ewY;kadu i)fr %&
izR;sd iz'u ds pkj laHkkfor mRrj fn;s x;s gksxa sA muesa ls ,d mRrj lgh rFkk rhu mRrj xyr
gksx
a As izR;sd iz'u dk lgh mRrj vafdr djus ij fu;r vad fn;k tk;sxk A xyr mRrj vFkok ,d ls vf/kd
mRrj vafa dr djus ij ¼&½ _.kkRed vad dk izko/kku gksus ls ,d xyr mRrj ij fu;r vad dk 1@4 vad
dkVs tk;saxsA ijh{kkFkhZ }kjk ftu iz'uksa ds mRrj vafdr ugha fd;s tk;sx sa s muds fy,s 'kwU; ¼zero½ vad iznku
fd;s tk;sx a As
10- nkok@vkifŸk dk fujkdj.k %&
ijh{kk lEiUu gksus ds ckn O;kie }kjk fo’k; fo”ks’kKksa ls iz”u i= fo”ys’k.k Ik”pkr ekWMy mŸkj rS;kj
djk;k tkrk gS rFkk mls O;kie ds osclkbV ij iznf”kZr fd;k tkrk gS A ;fn fdlh ijh{kkFkhZ dks O;kie }kjk
tkjh ekWMy mŸkj ij vkifŸk gks rks fu;r vof/k ds Hkhrj lizek.k nkok@vkifŸk ¼fdlh xkbM cqd dk izek.k
ekU; ugha gksxkA½ O;kie }kjk fufeZr O;kie dh osclkbV ij nkok vkifŸk lsD”ku esa tkdj nkok vkifŸk iksVZy
ij ntZ djk ldrs gSaA Mkd ,oa Lo;a mifLFkr gksdj izLrqr fd;s x;s nkok&vkifŸk Lohdkj ugha fd;k tkosxkA
iksVZy ij nkok vkifŸk gsrq vH;FkhZ dks viuk iath;u Øekad ,oa tUe frfFk Mkydj ykWfxu djuk gksxk
vkSj funsZ”kkuqlkj nkok vkifŸk ntZ djkuh gksxh A nkok vkifŸk ntZ djkus dh foLr`r izfØ;k dk esuqvy URL
ds eq[; i`’B ij fn;k x;k gS A d`i;k bldk HkyhHkkWafr v/;;u dj ysa A nkok vkifŸk dks iksVZy ij iathd`r
djkus ls iwoZ vkifŸk ds i{k esa fn;s tkus okys nLrkostksa dh lkW¶V dkWih viyksfMax gsrq rS;kj j[ksa ,oa vkifŸk
ntZ djus dh izfØ;k iw.kZ gksus ij bldh ikorh Hkh MkmuyksM dj ysosa A
fu;r fnukad ,oa fu/kkZfjr le; ds i'pkr~ izkIr nkok@vkifRr] iksVZy ij Lohdkj ugha gksx a sA fcuk
izek.k dk nkok@vkifRr dks iw.kZr% vekU; fd;k tkosxkA izkIr nkok@vkifRr ds ijh{k.k i'pkr~ fo"k; fo'ks"kKksa
}kjk vafre fu.kZ; fy;k tkosxkA nkok@vkifRr ds lEcU/k esa fo"k; fo'ks"kKksa dk fu.kZ; gh ekU; fd;k tkosxkA
izR;sd iz”u dk nkok@vkifŸk vyx&vyx izLrqr djuk gksxkA ,d lkFk ,d ls vf/kd iz”uksa ij nkok@vkifŸk
izLrqr djus ij vekU; fd;k tk;sxk A fdrus Hkh iz”uksa ij nkok@vkifŸk vyx&vyx izLrqr djus ij mu ij
fopkj fd;k tk;sxk A
izkIr nkok@vkifŸk dk fo’k; fo”ks’kKksa }kjk lw{e ijh{k.k Ik”pkr fujkdj.k fd;k tkrk gS rFkk ekWMy
mŸkj esa vko”;d la”kks/ku ;k fujlu Ik”pkr vafre mŸkj rS;kj fd;k tkrk gS] ftls O;kie ds osclkbV ij
iznf”kZr fd;k tkrk gS rFkk mlh ds vk/kkj ij O;kie }kjk mŸkj”khV dk ewY;kadu fd;k tkrk gS A O;kie }kjk
tkjh vafre mŸkj ij fdlh Hkh izdkj dk nkok@vkifŸk ekU; ugha fd;k tkosxkA
11- =qfV iw.kZ iz”u] mldk fujLrhdj.k ,oa cnys esa fn;k x;k vad %&
ijh{kk mijkar NÙkhlx<+ O;kolkf;d ijh{kk eaMy] }kjk fo’k; fo”ks’kKksa ls izR;sd iz”u ds ijh{k.k i”pkr~
ekWMy mŸkj ,oa nkok@vkifŸk ds fujkdj.k Ik”pkr vafre mŸkj rS;kj djk;k tkrk gSA fo’k; fo”ks’kKksa }kjk iz”u
dks =qfViw.kZ ik, tkus ij fujLr dj fn;k tkrk gSA
fuEufyf[kr dkj.kksa ls iz”u fujLr fd, tk ldrs gSa&
1- iz”u dh lajpuk xyr gks]
2- mRRkj ds #i esa fn;s x;s fodYiksa esa ,d ls vf/kd fodYi lgh gks]
3- dksbZ Hkh fodYi lgh u gks]
4- fdlh iz”u ds fgUnh vkSj vaxzsth #ikarj esa varj gks ftl dkj.k nksuksa ds fHk™k&fHk™k vFkZ
fudyrs gksa vkSj ,d Hkh lgh mRrj Li’V u gksrk gks-
5 eqnz.k =qfV gqbZ gks ftlls lgh mRrj izkIr u gks A
fo’k; fo”ks’kK lfefr }kjk dh xbZ vuq”kalk vuqlkj ,sls fujLr fd, x, iz”uksa ds fy;s
lHkh ijh{kkfFkZ;ksa dks ijh{kk esa muds }kjk vftZr vadksa ds vuqikr esa NÙkhlx<+ O;kolkf;d ijh{kk eaMy
vad iznku djrk gS] Hkys gh mlus fujLr fd, x, iz”uksa dks gy fd;k gks ;k ughaA

Page 3
 mnkgj.k ds fy, 150 iz”uksa ds iz”u i= ftlesa dqy vad 150 gS] esa ls 06 iz”u fujLr
fd, tkrs gSa vkSj ewY;kadu ds ckn vH;FkhZ 144 iz”uksa esa ls 104 iz”uksa dk lgh mRrj vafdr djrk gS]
22 iz”uksa dk xyr mRrj vafdr djrk gS rFkk fuxsfVo ekfdZax gksus ls 18 iz”uksa dk mRrj vafdr ugha
djrk rks mlds dqy vadksa dh x.kuk bl izdkj gksxh &
lgh mRrjksa dh la[;k & xyr mRrjksa dh la[;k dkVs x;s vad ¾ vH;FkhZ dk izkIrkad
104 & 22 ¾ 104&5-5 ¾98-5
&&&& ¾5-5
4
izkIrkad x dqy iz”u 98.5 x 150
&&&&&&&&&&&&&& ¾ &&&&&&&& = 102.604 dqy izkIrkad
dqy iz”u & fujLr iz”u 150 - 6
rn~uqlkj dqy izkIrkad ds vk/kkj ij esfjV fu/kkZfjr gksxh A

12- ijh{kk ifj.kke %&

NÙkhlx<+ O;kolkf;d ijh{kk eaMy }kjk lacfa /kr foHkkx ds fu;eksa ds vk/kkj ij esfjV
lwph] dqy izkIrkad ,oa jsfa dax lfgr ?kksf’kr dh tkosxhA vH;FkÊ viuk ijh{kk ifj.kke O;kie ds osclkbV
vyapam.cgstate.gov.in ij ns[k ldrs gSa rFkk fizaV izkIr dj ldrs gSsAa
13- iquxZ.kuk@iquewZY;kadu %&
NÙkhlx<+ O;kolkf;d ijh{kk eaMy }kjk mÙkj”khV dk ewY;kadu vks-,e-vkj- e”khu ls
fd;k tkrk gS] vr% iquxZ.kuk@iquewZY;kadu dk izko/kku ugha j[kk x;k gSA
14- {ks=kf/kdkj ¼JURISDICTION½ %&
O;kie dk nkf;Ro ek= ijh{kk vk;ksftr dj ijh{kk ifj.kke tkjh djus rd lhfer jgsxkA esfjV ds
vk/kkj ij p;u@fu;qfDRk dh izfdz;k foHkkx }kjk dh tkosxhA
ijh{kk “kgj ,oa dksM uacj&
Ø- ijh{kk dk 'kgj dk uke & dksM uacj
1- vfEcdkiqj ¼ljxqtk½ & 11
2- fcykliqj & 13
3- nqxZ & 16
4- txnyiqj & 17
5- jk;iqj & 25

ijh{kk leUo;d dsUnzksa ds uke &

Ø- ftyk egkfo|ky; dk uke Qksu uacj

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

1- vfEcdkiqj jktho xka/kh “kkldh; ih-th- egkfo|ky;] vfEcdkiqj 07774&230921

2- fcykliqj “kkldh; bZ- jk?kosUnz jko]LukrdksRrj foKku egk-] fcykliqj] 07752&246430
3- nqxZ fo”oukFk rkeLdj “kkldh; dyk ,oa foKku egk-]nqxZ 0788&2211688
4- txnyiqj “kkldh; ih-th- egkfo|ky;] txnyiqj 07782&229340
5- jk;iqj “kkldh; ukxktqZu ih-th- foKku egkfo|ky;] jk;iqj 0771&2263131

fu;a=d
N-x- O;kie] uok jk;iqj

Page 4
 Phone No.- 0771-2972780, Fax No.- 2972782,
Website- https://vyapam.cgstate.gov.in

lapkyuky; jkstxkj ,oa izf”k{k.k ¼izf”k{k.k i{k½ dh “kkldh; vkS|ksfxd izf”k{k.k laLFkkvksa esa
izf”k{k.k vf/kdkfj;ksa ds fofHkUu fjDr inksa ij HkrhZ gsrq ijh{kk 2023 (ITIR23)
vkWuykbu QkeZ Hkjus ls igys fuEu fcUnqvksa ij vo”; /;ku nsosa

OMR

vyapam.cgstate.gov.in
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Registration ID
vyapam.cgstate.gov.in
 Phone No.- 0771-2972780, Fax No.- 2972782,
Website- https://vyapam.cgstate.gov.in

lapkyuky; jkstxkj ,oa izf”k{k.k ¼izf”k{k.k i{k½ dh “kkldh; vkS|ksfxd izf”k{k.k laLFkkvksa esa
izf”k{k.k vf/kdkfj;ksa ds fofHkUu fjDr inksa ij HkrhZ gsrq ijh{kk 2023 (ITIR23)

vH;FkhZ Lo;a ds laca/k esa fcUnqokj ekaxh xbZ tkudkjh dks lko/kkuhiwoZd Hkjs]a tks fuEukuqlkj gS %&

1- Mobile No. Verification- vH;FkhZ viuk eksckby uacj vafdr djsa A

2- First Name, Middle Name & Last Name.- vH;FkhZ viuk uke vafdr djsa A
3- Create Password - vH;FkhZ viuk ikloMZ vafdr dj] ikloMZ dh iqf’V djsa A
4- Basic Information – esa vH;FkhZ Lo;a dh ewyHkwr tkudkjh vafdr djsa A
5- Candidate`s Name- vH;FkhZ viuk uke vaxzsth ds dsfiVy v{kj esa fy[ksa A
6- Relative`s Type- vH;FkhZ vius fj”rsnkj dk izdkj dk p;u djs]a mlh vuqlkj
Father/Mother/Husband&¼firk] ekrk] ifr½ esa fdlh ,d dks lsysDV djsa A
mijksDrkuqlkj uke esa ls lacaf/kr ds uke dks dsfiVy v{kj esa fy[ksaA uke ds igys
Jh@Jherh@Lo- vkfn u fy[ksaA
7- Relative`s Name – fj”rsnkj dk uke ds lkFk ekrk dk uke Hkh dsfiVy v{kj esa
fy[ksaA uke ds igys Jh@Jherh@Lo- vkfn u fy[ksaA
8- Gender esa ¼fyax½ iq:’k] efgyk ;k r`rh; fyax ftlls vki lacaf/kr gSa] lsysDV djsAa
9- Date of Birth- tUefrfFk dks ¼nloha dh vadlwph esa n”kkZ;s vuqlkj½ fnukad] ekg ,oa
o’kZ esa Mªki Mkmu ckWDl ls lsysDV djsa A ¼tSlk fd 27 fnlacj 1987 dks fnukad ds ckWDl
esa 27] ekg ds ckWDl esa fnlacj ,oa o’kZ ds ckWDl es 1987 lsysDV djs½a
10- Domicile of Chhattisgarh: ¼NŸkhlx<+ ds fuoklh½& ;fn vki NŸkhlx<+ ds fuoklh
gSa] rks gkWa Yes vU;Fkk ugha No dks lsysDV djsa A
11- Family Yearly Income: vH;FkhZ ikfjokfjd okf’kZd vk; dk mYys[k djsa A
12- d`i;k viuk Lo;a dk QksVks viyksM djsa A (40kb to 60 kb)
13- d`i;k viuk gLrk{kj dk QksVks Hkh viyksM djsa A (40kb to 60 kb)
14- Are you Person with Disability (PWD) esa ¼fnO;kax oxZ½ D;k vki fnO;kax oxZ
ls lacaf/kr gS \ Yes ;k No lsysDV djsAa
15- Type of Disability ¼fnO;kaxrk dk izdkj½ & vH;FkhZ vius fnO;kaxrk dk izdkj &
cgq fnO;kax] vfLFk ckf/kr] Jo.k ckf/kr] n`f’V ckf/kr esa ls pqus A
16- Other Information/vU; tkudkjh & Nationality/ukxfjdrk vH;FkhZ ukxfjdrk dk
p;u djsa A
17- Category (Caste)- esa oxZ ftlls vki lacaf/kr gSa] lsysDV djsAa
18- District Domicile- ¼LFkkuh; ftyk fuoklh½& vki ftl ftys ds LFkkuh; fuoklh gSa]
ml ftys dk p;u djsa A
19- Marital Status: ¼oSokfgd fLFkfr½ & ;fn vki fookfgr gS rks gkWa Yes vU;Fkk ugha
No dks lsysDV djsa A

Page 1
20- Email Id- izR;sd vkosnd dk bZesy vkbZ-Mh gksuk vfuok;Z gS A ;fn ugha gS rks viuk
bZesy vkbZ-Mh- vo”; cuk ysa rFkk bl oS/k bZesy vkbZ Mh dks bl [kaM esa vafdr djsa A
iksLV vkWfQl ds ek/;e ls ,MfeV dkMZ ;k dksbZ Hkh tkudkjh ugha Hksth tkosxhA
21- Mobile No.- esa viuk 10 fMftV dk eksckby uacj vafdr djuk vfuok;Z gSA eksckby
uacj ds igys “kwU; ¼0½ u fy[ksa A
22- Present Address/ - orZeku irk & vH;FkhZ viuk Mkd dk irk dks House No. esa
edku uacj ¼;fn gks rks½ Street Name esa lM+d@eksgYyk dk uke] City/Village esa
“kgj@xkWao dk uke] State esa jkT; dk uke] District esa fuokl ftys dk uke lsysDV
djsAa fiu esa vius Mkd?kj dk fiu dksM vafdr djsAa Permanent Address/LFkkbZ irk
orZeku irs ds leku gksus ij mijksDrkuqlkj vafdr djsa A
23- Declaration- ¼?kks’k.kk½ & blesa ;g fn;k x;k gS fd &
^^eSa ;g ?kks’k.kk djrk@djrh gWw fd esjs }kjk vkWuykbu vkosnu i= esa Lo;a ds
uke] Js.kh] oxZ] “kS{kf.kd ;ksX;rk] tUefrfFk] Mkdirk ,oa vU; nh xbZ lwpuk esjh
tkudkjh ,oa fo”okl esa lgh gS] ftlds lR;rkiwoZd vkSj lgh gksus dh eSa ?kks’k.kk
djrk@djrh gWw A eSaus foHkkx }kjk tkjh foKkiu esa nf”kZr fu;eksa ,oa O;kie ds fu;eksa
dks i<+k gS ,oa le>k gS A ;fn Åij nh xbZ dksbZ Hkh tkudkjh vlR; ik;h tkrh gS rks
p;u izfØ;k ds fdlh Hkh Lrj ij eq>s iwoZ lwpuk fn;s fcuk esjh vH;fFkZrk lekIr dh tk
ldrh gSA**
24- I Agree&@¼eSa lger gWw½ &blesa mijksDr Declaration ?kks’k.kk dks i<+dj le>us ds
ckn viuh lgefr izdV djrs gq, lger gWw ij fDyd djsa A
25- Captcha/d`i;k dSIpk dks ntZ djsa A
26- blds i”pkr Submit esa fDyd djsa A
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Page 2
 Phone No.- 0771-2972780, Fax No.- 2972782,
Website- https://vyapam.cgstate.gov.in

lapkyuky; jkstxkj ,oa izf”k{k.k ¼izf”k{k.k i{k½ dh “kkldh; vkS|ksfxd izf”k{k.k laLFkkvksa esa
izf”k{k.k vf/kdkfj;ksa ds fofHkUu fjDr inksa ij HkrhZ gsrq ijh{kk 2023 (ITIR23)

vkWuykbu vkosnu djus dh fof/k

Application Form esa fDyd djrs gh “ON LINE APPLICATION FOR
“kkldh; vkS|ksfxd izf”k{k.k laLFkkvksa esa izf”k{k.k vf/kdkfj;ksa ds fofHkUu fjDr inksa ij HkrhZ gsrq
ijh{kk 2023 (ITIR23) (lapkyuky; jkstxkj ,oa izf”k{k.k ¼izf”k{k.k i{k½½ vkosnu i= ls ,d ist
[kqysxk** ftlesa nh xbZ tkudkjh vuqlkj dk;Z djsa A
 vkWuykbu vkosnu ds lkFk vH;FkhZ dh tkfr] tUefrfFk] LFkkuh; fuoklh vkfn lEca/kh izek.k&i= ugha
fy, tk jgs gSa A vH;FkhZ ds lHkh izek.k&i= dk ijh{k.k fu;qfDrdrkZ izkf/kdkjh }kjk fu;qfDr ds iwoZ
dh tk,xh A vH;FkhZ }kjk nh xbZ xyr tkudkjh ds fy, O;kie tokcnkj ugha gksxk A bldk laiw.kZ
mŸkjnkf;Ro mldk Lo;a dk gksxk A
 vkWuykbu vkosnu esa gqbZ =qfV dks QkeZ tek djus ds fy, fu/kkZfjr le;&lhek ds nkSjku Hkh
lq/kkj dj ldrs gSa A blds vykok vkWuykbu QkeZ Hkjus dh vafre frfFk ds i'pkr~ Hkh 03 fnol
dk le; fn;k tk;sxk A ijh{kk fnol dks vks-,e-vkj- mŸkj”khV ij dksbZ =qfV lq/kkj dh lqfo/kk
miyC/k ugha gksxh A
 vkosnu i= dks lQyrkiwoZd lcfeV djus ds ckn d`i;k bldk fizVa vkmV vius ikl vfuok;Z
:i ls j[ksa A

Exam Applied For : ¼vki ftl in esa ijh{kk nsuk pkgsrs gSa d`i;k fuEu esa ls mls p;u djs½a &

 Training Officer, Carpenter  Training Officer, Turner

 Training Officer, Driver Cum Mechanic
 Training Officer, Fitter
 Training Officer Machinist Grinder
 Training Officer, Mechanic Diesel
 Training Officer, Mechanic Refrigeration & Air
Conditioner
 Training Officer, Welder
 Training Officer, Information and Communication
Technology System Maintenance
 Training Officer, Electrician
 Training Officer, Mason (Building Constructor)
 Training Officer, Hospital House keeping
 Training Officer, Sewing Technology
 Training Officer, Draughtsman Mechanical
 Training Officer, Machinist
 Training Officer, Mechanic Tractor
 Training Officer, Mechanic Motor vehicle
 Training Officer, Workshop Calculation &
Engineering Drawing
 Training Officer, Sheet Metal Worker
 Training Officer, Computer Operator &
Programming Assistant
 Training Officer, Wireman
 Training Officer, Employability Skills
 Training Officer, Secretarial Practice (English)

Fill Class 10th Percentage ¼d{kk 10oha dk izfr”kr Hkjsa½

Fill Class 12th Percentage ¼d{kk 12oha dk izfr”kr Hkjs½a
ITI Trade Type – vH;FkhZ ftl VªsM ls lEcaf/kr gS] mldk p;u djsa A
National Apprenticeship Certificate- / D;k vkids ikl gSa \
Yes ¼gkWa½ vFkok No ¼ugha½ dk p;u djsa A
Diploma Branch- vH;FkhZ ftl Diploma Branch ls lEcaf/kr gS] mldk p;u djsa A
B.E./ B.Tech Branch - vH;FkhZ ftl Branch ls lEcaf/kr gS] mldk p;u djsa A
M.E./ B.Tech Branch - vH;FkhZ ftl Branch ls lEcaf/kr gS] mldk p;u djsa A

Page 1
Other Course - vH;FkhZ ftl Branch ls lEcaf/kr gS] mldk p;u djsa A
 DOEACC A LEVEL AND ABOVE  BCA  MBA  PGDCA

Craft Man Instructor Training Certificate- / D;k vkids ikl gSa \Yes ¼gkWa½ vFkok No ¼ugha½ dk p;u djsa A
lEcaf/kr {ks= ds O;olk;@ladk; esa “kS{kf.kd vuqHko gS \Yes ¼gkWa½ vFkok No ¼ugha½ dk p;u djsa A
Teaching Experience Year - ¼dqy vuqHko o’kZ esa½

Vhi & Basic Information/ewyHkwr tkudkjh] Other Information/vU; tkudkjh] Present

Address Lo;a ls vkids }kjk nh xbZ izksQkby jftLVªs”ku ¼iathdj.k½ ls vk tk;sxh A

Exam city- ftl “kgj esa ijh{kk nsus pkgrs gSa dk p;u djsa A

Declaration- ¼?kks’k.kk½ & blesa ;g fn;k x;k gS fd &

^^eSa ;g ?kks’k.kk djrk@djrh gWw fd esjs }kjk vkWuykbu vkosnu i= esa Lo;a ds uke] Js.kh] oxZ]
“kS{kf.kd ;ksX;rk] tUefrfFk] Mkdirk ,oa vU; nh xbZ lwpuk esjh tkudkjh ,oa fo”okl esa lgh gS] ftlds
lR;rkiwoZd vkSj lgh gksus dh eSa ?kks’k.kk djrk@djrh gWw A eSaus foHkkx }kjk tkjh foKkiu esa nf”kZr fu;eksa
,oa O;kie ds fu;eksa dks i<+k gS ,oa le>k gS A ;fn Åij nh xbZ dksbZ Hkh tkudkjh vlR; ik;h tkrh gS
rks p;u izfØ;k ds fdlh Hkh Lrj ij eq>s iwoZ lwpuk fn;s fcuk esjh vH;fFkZrk lekIr dh tk ldrh gSA**

I Agree&@¼eSa lger gWw½ &blesa mijksDr Declaration ?kks’k.kk dks i<+dj le>us ds ckn viuh lgefr
izdV djrs gq, lger gWw ij fDyd djsa A

Captcha/d`i;k dSIpk dks ntZ djsa A

blds i”pkr Submit esa fDyd djsa A

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Page 2
 BANK INSTRUCTIONS

vkosnu i= iwjk Hkjdj tc lcfeV djds “kqYd dk iseVsa ds fy, vkxs c<+rs gS]a
rks vkWuykbu iseVsa ds fy, ,d foaMks [kqysxk A ijh{kk “kqYd isesVa ds fy, 03 isesaV xsVos
miyC/k gS A isesaV xsVos –I, iseVsa xsVos –II, iseVsa xsVos –III, ;fn fdlh Hkh ,d esa fDyd
djrs gSa rks iseVsa ds fy, vkWuykbu fo/kk miyC/k gksxk A ;fn vkWuykbu lsysDV djrs
gSa rks bl fo/kk ls fdlh Hkh cSad dk MsfcV dkMZ] ØsfMV dkMZ] baVjusV cSafdx dh lqfo/kk
esa ls fdlh ,d dks vki pqu ldrs gSAa ijh{kk “kqYd ds lkFk vko”;d cSad VªkWaUtsD”ku
pktsZl ns; gksxkA usV cSafdx dh lqfo/kk Hkh miyC/k gSa A
1- Net Banking, 2. Credit Card, 3. Debit Card (ATM Card)

1. Net Banking -
1. Net Banking Tab dks ogh fDyd djsa ftuds ikl ;g lqfo/kk gks A
2. Net Banking ij fDyd djus ij iseVsa ds fy, miyC/k cSadksa dh fyLV iznf”kZr
gksxk A
3. vkidk cSad dks lsysDV dj Continue to Payment ij fDyd djsa A
4. vxys LØhu ij Transaction Amount dks lqfuf”pr dj Confirm
Click djsAa
5. Confirm Click djrs gh vkids }kjk pquk x;k cSad dk lkbV ij pys
tk;sxk A bl chp Refresh or Enter or Back Space ;k vU; dksbZ Hkh cVu u
nck;sa vU;Fkk Transaction Fail gks tk;sxk A
6. Bank dk Net Banking Portal esa Login djuk gksxk A
7. ,d ckj Login gksus ds ckn cSad }kjk funsZf”kr rjhds ls iSlksa dk Debit djuk
gksxkA
8. Debit Confirmation ds ckn Payment Gateway ij Redirect gksxkA
bl chp Refresh or Enter or Back Space ;k vU; dksbZ Hkh cVu u nck;sa
vU;Fkk Transaction Fail gks tk;sxk A
9. Successful Transaction ds ckn vkosnu i= ds lkbV ij igWqpx sa s tgkWa QkeZ
ij vafdr lHkh fooj.k n”kkZ;k tk;sxk A

1
2. Credit Card -
1. Credit Card Tab dks ogh fDyd djsa ftuds ikl ;g lqfo/kk gks A
2. Credit Card ij fDyd djus ij isesVa ds fy, miyC/k cSadksa dh fyLV iznf”kZr
gksxk A
3. vkids ikl ftl cSad dk ØsfMV dkMZ ¼ATM½ gS] ml cSad dks lsysDV dj
Continue to Payment ij fDyd djsa A
4. vxys LØhu ij Transaction Amount dks lqfuf”pr dj Confirm
Click djsAa
5. Confirm Click djrs gh vkids }kjk pquk x;k cSad dk lkbV ij pys
tk;sxkA bl chp Refresh or Enter or Back Space ;k vU; dksbZ Hkh cVu
u nck;sa vU;Fkk Transaction Fail gks tk;sxk A
6. Credit Card Transaction dks Process djus ds fy, fuEu tkudkjh
vko”;d gS &
(A) Card Number (B) Card Holder dk uke
(C) Expiry Date (D) CVV/CVV2 –3 fMftV dk
uacj tks dkMZ ds ihNs esa fy[kk
gksxkA

mnkgj.k Lo:i uhps CVV n”kkZ;k x;k gS A vkids dkMZ esa nf”kZr
CVV vadksa dks gh vafdr djsa A
3 digit CVV
number

(E) 3D Secure Password (Verified by Visa/Master

Card secure code)
(F) OTP (Optional depends on the card issuing
bank)

7. Card Capture Page esa mijksDr tkudkjh dks Hkjdj “Next” ij

fDyd djsAa
8. tkjh djus okys cSad ds osclkbV ij vki Redirect gksx
a s ftlesa 3D
Secure Password, Enter djuk gksxk

2
 9. Password Enter djds Submit Click djus ij Transaction iw.kZ
gksxkA
10. Bank Page ls Payment Gateway ij Redirect gksx a s A bl chp
Refresh or Enter or Back Space ;k vU; dksbZ Hkh cVu u nck;sa
vU;Fkk Transaction Fail gks tk;sxk A
11. Successful Transaction ds ckn vkosnu i= ds lkbV ij igWaqpasxs tgkWa
QkeZ ij vafdr lHkh fooj.k nf”kZr gksxk A

3. Debit Card -

1. Debit Card (ATM) Tab dks ogh fDyd djsa ftuds ikl ;g lqfo/kk
gksA
2. Debit Card ij fDyd djus ij iseVsa ds fy, miyC/k cSadksa dh fyLV
iznf”kZr gksxk A
3. vkidk cSad dks lsysDV dj Continue to Payment ij fDyd djsa A
4. vxys LØhu ij Transaction Amount dks lqfuf”pr dj Confirm
Click djsAa
5. Confirm Click djrs gh vkids }kjk pquk x;k cSad dk lkbV ij pys
tk;sxkA bl chp Refresh or Enter or Back Space ;k vU; dksbZ Hkh
cVu u nck;sa vU;Fkk Transaction Fail gks tk;sxk A
6. Debit Card Transaction dks Process djus ds fy, fuEu tkudkjh
vko”;d gS &
(A) Card Number (B) Card Holder dk uke
(C) Expiry Date
(D) CVV/CVV2 –3 fMftV dk uacj tks dkMZ ds ihNs esa
fy[kk gksxk A

mnkgj.k Lo:i uhps CVV n”kkZ;k x;k gS A vkids dkMZ esa nf”kZr
CVV vadksa dks gh vafdr djsa A
3 digit CVV
number

3
 (E) 3D Secure Password (Verified by Visa/Master
Card secure code)
(F) OTP (Optional depends on the card issuing
bank)

7. Card Capture Page esa mijksDr tkudkjh dks Hkjdj “Next” ij

fDyd djsAa
8. dkMZ dks tkjh fd;k x;k cSad ds osclkbV ij vki Redirect gksx
a s ftlesa
3D Secure Password Enter djuk gksxk
9. Password Enter djds Submit Click djus ij Transaction iw.kZ
gksxkA
10. Bank Page ls Payment Gateway ij Redirect gksx a s A bl chp
Refresh or Enter or Back Space ;k vU; dksbZ Hkh cVu u nck;sa
vU;Fkk Transaction Fail gks tk;sxk A
11. Successful Transaction ds ckn vkosnu i= ds lkbV ij igWqpasxs tgkWa
QkeZ ij vafdr lHkh fooj.k nf”kZr gksxk A

uksV %& fdlh Hkh izdkj dk Hkze vFkok la”k; gksus dh n”kk esa cSadksa }kjk
nf”kZr funsZ”kksa dk Hkh v/;;u dj fy;k tk;s A

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