mRrj izns'k iqfyl HkrhZ ,oa izksUufr cksMZ] y[kuÅ A
m0iz0 iqfyl esa vkj{kh ¼dkUlVsfcy½ in ij HkrhZ

fVII.kh %&'kkjhfjd ekud ijh{k.k] 'kkjhfjd n{krk ijh{k.k] fpfdRlh; Ikjh{k.k ,oa fyf[kr ijh{kk dh frfFk] le; o dsUnz dh lwpuk vuqdzekad lfgr vH;FkhZ dks izos'k i= ds ek/;e ls ;Fkkle; nh tk;sxh] rFkk osclkbV ij Hkh izdkf'kr dh tk;sxh A

iz'u o mRrj nsus dh fof/k%&iz'ui= oLrqfu"B izdkj ds gksaxsA mRrj&i=d vks0,e0vkj0i=d ij gksxk ftlesa pkj fodYi fn;s tk;saxsaA vH;FkhZ dks muesa ls fdlh ,d fodYi dks pquuk gS] tks iz'u dk lgh mRrj ns vkSj mRrj&i=d esa lgh fodYi ds xksys dks gh dkys@uhys cky IokbUV isu ls Hkjuk ¼●½ gSA
mnkgj.k%&
iz'u la[;k&1& 2009 esa pquh x;h yksdlHkk gSA
¼A½ 13 o° ¼ B½ 14 o° ¼C½ 15 o° ¼D½ 12o°
Li"Vhdj.k% Åij ds mnkgj.k esa lgh mÙkj ^15 o° yksdlHkk* gS vkSj ;g mÙkj ^C* esa lq>k;k x;k gSA vr% iz'u la[;k&1 ds
dkye ^C* ds xksys dks dkys@uhys cky IokbUV isu ls iw.kZr;k Hkj dj ¼●½ mÙkj uhps crk;h x;h fofèk ds vuqlkj fn;k tkuk gS%&
iz'u la[;k&1&
iz'u la[;k&2& uhps fn;s gq, pkj tkuojksa esa rhu dqN feyrs&tqyrs gSa rFkk ,d tkuoj dqN vyx fdLe dk gSA ;g vyx
fdLe dk tkuoj crk;sa%&
¼A½ xk; ¼ B½ HkSal ¼ C½ cdjh ¼ D½ dqÙkk

Li"Vhdj.k% Åij ds mnkgj.k esa lgh mRrj ^dqRrk* gS vkSj ;g mRrj ^D* esa lq>k;k x;k gSA vr% iz'u la[;k&2 ds dkye 'D' ds Xkksys dks dkys@uhys cky IokbUV isu ls iw.kZr;k Hkj dj ¼●½ mRrj uhps crk;h x;h fof/k ds vuqlkj fn;k tkuk gS%&
iz'u la[;k&2&   ¼A½ O ¼B½ O ¼C½ O ¼D½●
izR;sd iz'u dk dsoy ,d gh lgh mRrj gksxkA vH;FkhZ dks leqfpr dkye vFkkZr A,B,C ;k  D ds Xkksys dks Hkjuk ¼●½ gSA ;fn vH;FkhZ fdlh iz'u ds ,d ls vf/kd xksys dks Hkjsaxsa rks mRrj xyr ekuk tk;sxk A
vkj{k.k o vk;q lhek esa NwV%& vuqlwfpr tkfr;ksa] vuwlwfpr tutkfr;ksa vkSj vU; Js.kh ds vH;fFkZ;ksaa ¼dsoy mRrj izns'k ds ewy fuokfl;ksa dks gh vuqeU;½ ds fy;s vkj{k.k o vf/kdre vk;q lhek esa NwV ls lEcfU/kr fooj.k fuEu izdkj gS%&

yEcor ¼ofVZdy½ vkj{k.k

{kSfrt ¼gkfjts.Vy½ vkj{k.k

fVIi.kh%&
1- ;fn dksbZ vH;FkhZ ,d ls vf/kd Js.kh esa vkj{k.k dk nkok djrk gS rks mls dsoy ,d gh vkj{k.k dk ykHk feysxk] tks mlds fy;s T;knk ykHkdkjh gksxkA
2-{kSfrt ¼gkfjts.Vy½ vkj{k.k dh fjfDr;ksa ij p;fur vH;fFkZ;ksa dks yEcor ¼ofVZdy½ vkj{k.k ds vkjf{kr vFkok vukjf{kr oxZ esa j[kk tk;sxk] ftuls og lEcfU/kr gS A
3-*HkwriwoZ lSfudksa dh vk;q] lsuk esa dh xbZ lsok vof/k dks mudh okLrfod vk;q ls ?kVkus ij] fu/kkZfjr vk;q lhek 3 o"kZ ls vf/kd ugha gksuh pkfg, A
4-gksexkM~Zl ds toku dks vk;q lhek esa NwV mlh n'kk esa izkIr gksxh tc os mDr HkrhZ gsrq vU;Fkk vgZ gksa rFkk mUgksusa fnukad 01-01-09 rd gksexkMZ~l esa de ls de rhu o"kZ dh lsok iw.kZ dj yh gksA
vU; lewg

izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh----------------------------------lqiq=@lqiq=h@Jh-----------------------------------------------fuoklh xzke--------------------rglhy----------------------uxj---------------------------ftyk----------------------------------mRrj izns'k jkT; dh------------------------------------tkfr ds O;fDr gSa] ftls lafo/kku ¼vuqlwfpr tkfr½ vkns'k] 1950 ¼tSlk fd le;≤ ij la'kksf/kr gqvk½ lafo/kku ¼vuqlwfpr tutkfr] mRrj izns'k½ vkns'k] 1967 ds vuqlkj vuqlwfpr tkfr@vuqlwfpr tutkfr ds :i esa ekU;rk nh x;h gSAJh@Jherh@dqekjh---------------------------------------rFkk vFkok mudk ifjokj mRrj izns'k ds-------------------------xzke-----------------------------rglhy------------------uxj------------------------------ftyk---------------------------esa lkekU;r;k jgrk gSA
LFkku----------------------------------        gLrk{kj-------------------------------
fnukad-------------------------------         iwjk uke------------------------------
                          inuke -------------------------------
                           eqgj-----------------------------------
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVªsV@ ijxuk eftLVªsV@rglhynkj@vU; osru Hkksxh eftLVªsV]
;fn dksbZ gks@ftyk lekt dY;k.k vf/kdkjh             

izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh----------------------------------lqiq=@lqiq=h@Jh-----------------------------------------------fuoklh xzke--------------------rglhy----------------------uxj---------------------------ftyk----------------------------------mRrj izns'k jkT; dh------------------------------------fiNM+h tkfr ds O;fDr gSaA ;g tkfr mRrj izns'k yksd lsok vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa rFkk vU; fiNM+s oxksZa ds fy;s vkj{k.k vf/kfu;e] 1994 dh vuqlwph&,d ds vUrxZr ekU;rk izkIr gSaA ;g Hkh izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ---------------------------iwoksZDr vf/kfu;e 1994 dh vuqlwph&nks ¼tSlk fd mRrj izns'k yksd lsok½ ¼vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ ¼la'kks/ku½ vf/kfu;e 2001 }kjk izfrLFkkfir fd;k x;k gS ,oa tks m0iz0 yksd lsok ¼vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½ ¼la'kks/ku½ vf/kfu;e 2002 }kjk la'kksf/kr dh x;h gS] ls vkPNkfnr ugha gSaA buds ekrk firk dh fujUrj rhu o"kZ dh vof/k ds fy;s ldy okf"kZd  vk; rhu yk[k :i;s ;k blls vf/kd ugha gS rFkk buds ikl /kudj vf/kfu;e 1957 esa ;Fkk fofgr NwV lhek ls vf/kd lEifRr Hkh ugha gSAJh@Jherh@dqekjh---------------------------------------rFkk@vFkok mudk ifjokj mRrj izns'k ds xzke-----------------------------rglhy-----------------------------uxj------------------------------ftyk---------------------------esa lkekU;r% jgrk gS A
LFkku----------------------------------       gLrk{kj-------------------------------
fnukad--------------------------------       iwjk uke------------------------------
                         inuke--------------------------------
                          eqgj----------------------------------
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVªsV@ijxuk eftLVªsV@ rglhynkj

izk:i&3
m0iz0 ds Lora=rk laxzke lsukfu;ksa ds vkfZJrksa ds fy, izek.k&i=
'kklukns'k la[;k&4@3@1982&dkfeZd&2]1997 fnukad 26 fnlEcj] 1997
izek.k&i=

izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh-----------------------------------------fuoklh--------------------------------xzke---------------------------rglhy----------------------uxj------------------------ftyk-----------------------mRrj izns'k yksd lsok 'kkjhfjd :i ls fodykax] Lora=rk laxzke lsukfu;ksa ds vkfJr vkSj HkwriwoZ lSfud ds fy, vkj{k.k½ vf/kfu;e 1993 ds vuqlkj Lora=rk laxzke lsukuh  gSa vkSj Jh@Jherh@dqekjh ¼vkfJr½-------------------------iq=@iq=h@ikS=@vfookfgr ikS=h mijkafdr vf/kfu;e 1993 ds gh izkfo/kkuksa ds vuqlkj mDr Jh@Jherh ¼Lora=rk laxzke lsukuh½------------------------------------dss vkfJr gSsa A
LFkku-----------------------------------------               gLrk{kj---------------------------------------
fnukad----------------------------------------               iwjk uke--------------------------------------
                                     in uke---------------------------------------
                                     eqgj-------------------------------------------
                              
                             ftykf/kdkjh@vij ftykf/kdkjh@
                        flVh eftLVªsV@miftyk eftLVªsV@rglhynkj

5&   vks0,e0vkj0 vkosnu&i= esa okafNr lwpukvksa ds vfrfjDr dqN Hkh u fy[ksA vks0,e0vkj0 vkosnu&i= ij fdlh izdkj dk dksbZ fpUg] isu vFkok isfUly ls u cuk;k tk; A
6&   vks0,e0vkj0 vkosnu i= esa dksbZ Hkh lwpuk vH;FkhZ }kjk ugha Hkjs tkus] xyr Hkjs tkus vFkok v/kwjh lwpuk Hkjs tkus dh n'kk eas vH;FkZu cksMZ }kjk fujLr dj fn;k tk;sxk A
7&   fu;eksa@vuqns'kksa dk mYya?ku djus dh n'kk esa vks0,e0vkj0 vkosnu&i= dEI;wVj }kjk ugha i<+s tkus vFkok dksbZ lwpuk ugha i<+s tkus ij vH;FkZu fujLr dj fn;k tk;sxkA
8&   vks0,e0vkj0 vkosnu&i= esa fu/kkZfjr pkSdksj [kkus esa lwpuk vaxzsth ds cMs v{kjksa "CAPITAL LETTERS" A B C D E F G H I J K L M N O P Q R S T U V W X Y Z  vFkok 0,1,2,3,4,5,6,7,8,9, dks dkys@uhys cky IokbaV isu ls lkQ&lkQ HkjsaA ,d pkSdksj [kkus esa ,d gh v{kj fy[ksaA lko/kkuhiwoZd Hkjsa] vksojjkbfVax@dfVax u gksaus nsaA
9&   vks0,e0vkj0 vkosnu&i= Hkjus gsrq okafNr xksyksa (O) dks dsoy dkys@uhys cky IokbUV isu ls gh HkjsasaA xksys dks iwjh rjg ls Hkjuk vfuok;Z gSA fdlh xksys dks vk/kk Hkjuk vFkok vkaf'kd :i ls Hkjuk mfpr ugha gSA
10&   vH;FkhZ QkeZlsV esa miyC/k fyQkQs ds vUnj izek.k i= lwph ¼psd fyLV½ ds visf{kr dkyeksa esa lgh dk fu'kku yxkrs gq, lEcfU/kr izek.k&i=ksa dh izekf.kr izfr;ka mlds lkFk layXu djsa ,oa mls QkeZlsV esa miyC/k fyQkQs esa j[ksaA rnqijkUr vks0,e0vkj0 vkosnu&i= dks funsZ'kkuqlkj Hkjdj QkeZlsV esa miyC/k fyQkQs esa j[kdj cUn djsaA vH;FkhZ /;ku nsa fd vks0,e0vkj0 vkosnu i= ls dksbZ Hkh izek.k i= layXu ugh fd;s tk;saxs cfYd os psd fyLV ls gh layXu fd;s tk;saxsA
11&   vks0,e0vkj0 vkosnu i= ds lkFk dksbZ vU; izek.k i= vkyfiu] LVsfiy fiu] /kkxs ls uRFkh u fd;k tk;A blls vks0,e0vkj0 vkosnu&i= dEI;wVj }kjk vLohd`r gks ldrk gS] ftlds fy, vH;FkhZ Lo;a mRrjnk;h gksaxsa A
12&   pkSdksj [kkus esa fy[ks v{kj@vad dk xksyk gh mlds uhps dkys@uhys cky IokbaV isu ls iw.kZr;k Hkjk tk; A ,d pkSdksj [kkus ds uhps lEcfU/kr ,d gh xksyk Hkjk tk;A ,d ls vf/kd xksyk ,d pkSdksj [kkus ds uhps fdlh n'kk esa u Hkjk tk;A
3&   vH;FkhZ vH;kl ds fy;s vks0,e0vkj0 vkosnu i= dh igys QksVks dkWih djk ysa rFkk ml ij funsZ'kksa ds vuqlkj Hkjus dk vH;kl dj ysa rr~i'pkr ewy vks0,e0vkj0 vkosnu&i= Hkjdj tek djsa] rkfd dksbZ =qfV u gksus ik;s A
14&   vks0,e0vkj0 vkosnu i= ewy #i ls mlh iksLV vkfQl esa] tgkW ls vkosnu i= dz; fd;k x;k gS]tek djsaA QksVks izfr vFkok vU; izdkj ls rS;kj vks0,e0vkj0 vkosnu i= fdlh Hkh n'kk esa Lohdkj ugha gksxk A
15&   gkbZ Ldwy] lsdsUMjh Ldwy vFkok ekU;rk izkIr led{k ijh{kk mRrh.kZ djus ds izek.k&i= esa mfYyf[kr tUe frfFk dk gh mYys[k vH;FkhZ }kjk vks0,e0vkj0 vkosnu i= esa fd;k tk;sxk A

[k- vks0,e0vkj0 vkosnu&i= Hkjus gsrq en okj vuqns'k
lwpuk;sa] vH;FkhZ dkys@uhys cky IokbUV isu ls fy[ksa A

en la[;k&1% vH;FkhZ dk uke ¼fgUnh esa½
vH;FkhZ viuk uke gkbZLdwy izek.k&i= ds vuqlkj fgUnh esa fy[ksaA uke ds lkFk Jh@Jherh@dqekjh vkfn lEcks/ku ds 'kCnksa dks u fy[ksaA izFke uke] e/; uke o miuke ds chp ,d&,d pkSdksj [kkuk [kkyh NksM+k tk;A
en la[;k&1&a% vH;FkhZ dk uke &vaxzsth esa
vH;FkhZ viuk uke gkbZLdwy izek.k&i= ds vuqlkj vaxzsth esa fy[ksaA uke ds lkFk Jh@Jherh@dqekjh vkfn lEcks/ku ds 'kCnksa dks u fy[ksaA miuke (SURNAME ) dks igys ugha fy[ksaA vH;FkhZ loZizFke vyx isij ij viuk iwjk uke fy[kdj ;g lqfuf'pr dj ysa fd fdrus pkSdksj [] [kkuksa dh vko';drk gksxh] izFke uke] e/; uke o miuke ds chp ,d&,d pkSdksj [kkuk [kkyh NksM+k tk;A vks0,e0vkj0 vkosnu i= esa 30 v{kj dk uke fu/kkZfjr fd;k x;k gSA ;fn 30 LFkku ls vf/kd dh vko';drk gksrh gS rks vH;FkhZ fuEu izdkj ls vius uke dks y?kq dj ldrk gSA ;fn vkidk uke %& ^^RAGHAVENDRA PRATAP SINGH CHAUHAN** gS rks ^^RAGHAVENDRA P. S. CHAUHAN** bl izdkj pkSdksj [kkuksa esa fy[kdj mlds uhps lEcfU/kr xksys dks dkys@uhys cky IokbaV isu ls Hkjsa A
en la[;k&2% tUefrfFk (Date of Birth)
vH;FkhZ gkbZLdwy izek.k&i= ds vuqlkj tUefrfFk ds pkSdksj [] [kkuksa esa dkys@uhys cky IokbUV isu ls fnu] eghuk vkSj o"kZ fy[ksa rFkk pkSdksj [kkus ds uhps lEcfU/kr xksys dks dkys@uhys cky IokbaV isu ls HkjsaA mnkgj.k ;fn tUefrfFk 05 rkjh[k gks rks 0 rFkk 5 dks pkSdksj [] [kkuksa esa fy[ksas rFkk mlds uhps lEcfU/kr xksys (O) dks HkjsaA ;fn ekg 11 gks rks 1 rFkk 1 dks pkSdksj [kkuksa esa fy[ksa rFkk mlds uhps lEcfU/kr xksys dks HkjsaA blh rjg ;fn o"kZ 1980 gks rks 80 dks pkSdksj [] [kkukas esa fy[ksa rFkk mlds uhps cus lEcfU/kr xksys dks HkjsaA gkbZLdwy izek.k&i= dh lR;kfir izfrfyfi psdfyLV ds lkFk layXu djuk vfuok;Z gSA
en la[;k&3% QksVksxzkQ (Photograph)
vH;FkhZ 4 ls0eh0 x 5 ls0eh0 ds vkdkj dk vko{k QksVks fu/kkZfjr LFkku ij Hkyh&Hkkafr fpidk;saA QksVks dks fiu vFkok LVsfiy fiu ;k vU; izdkj ls vks0,e0vkj0 vkosnu&i= ds lkFk uRFkh ugha djsaA QksVks Li"V vkSj uohure gksuh pkfg,A iqjkuh@xUnh QksVks dks ugha fpidk;saA vH;FkhZ }kjk u rks QksVks ij gLrk{kj fd;k tk; vkSj u gh mls izekf.kr djk;k tk; A
en la[;k&4% vH;FkhZ dk gLrk{kj (Candidate’s Signature)
fu/kkZfjr LFkku ij vH;FkhZ }kjk dkys@uhys cky IokbUV isu ls iwjk gLrk{kj fd;k tk; A
en la[;k&5% firk@ifr dk uke ¼fgUnh esa½
vH;FkhZ vius firk@ifr dk uke fgUnh esa fy[ksa A
en la[;k&5(a)% firk@ifr dk uke ¼vaxzsth esa½
vH;FkhZ vius firk@ifr dk uke vaxzsth esa fy[ksa rFkk mlds uhps lEcfU/kr xksys (O) dks dkys@uhys cky IokbUV isu ls HkjsaA
en la[;k&6% jk"Vªh;rk (Nationality)
Hkkjrh; vH;FkhZ] Hkkjrh; ds lEeq[k cus xksys ¼O½ dks rFkk vU; vH;FkhZ foKfIr ds vuqlkj vU; ds lEeq[k cus xksys ¼O½ dks dkys@uhys cky IokbUV isu ls HkjsaA
en la[;k&7 Js.kh (Category)
dsoy mRrj izns'k ds ewy fuoklh vH;fFkZ;ksa dks gh vuqlwfpr tkfr@vuqlwfpr tutkfr o vU; fiNM+k oxZ ds vkj{k.k dk ykHk vuqeU; gSA mRrj izns'k jkT; ds vfrfjDr vU; jkT;ksa@dsUnz 'kkflr izns'kksa ds vH;FkhZ lkekU; Js.kh esa vkosnu djsaA ;fn vH;FkhZ m0iz0 ljdkj }kjk vuqlwfpr tkfr@vuqlwfpr tutkfr rFkk vU; fiNM+k oxZ ds gksus dk fu/kkZfjr izek.k&i= /kkfjr djrk gS rks viuh Js.kh ls lEcfU/kr xksys dks dkys@uhys cky IokbUV isu ls Hkjsa vU;Fkk lkekU; ds xksys dks dkys@uhys cky IokbUV isu ls HkjsaA vH;FkhZ fu/kkZfjr izk:i esa vkj{k.k ls lEcfU/kr izek.k&i= psd fyLV ds lkFk layXu djsa A
en la[;k&8% fyax (Sex)
iq:"k vH;FkhZ] iq:"k ds lEeq[k cus xksys (O) dks rFkk efgyk vH;FkhZ efgyk ds lEeq[k cus xksys (O) dks dkys@uhys cky IokbUV isu ls HkjsaA dsoy mRrj izns'k ds ewy fuoklh efgyk vH;fFkZ;ksa dks gh efgyk vkj{k.k dk ykHk vuqeU; gS A
en la[;k&9% 'kSf{kd ;ksX;rk (Educational Qualification)
b.VjehfM,V (O)    Lukrd (O)    ijkLukrd (O)
vH;FkhZ viuh f'k{kk ls lEcfU/kr xksys dks dkys@uhys cky IokbUV isu ls HkjsaA b.VjehfM,V izek.k&i= dh lR;kfir izfrfyfi psdfyLV ds lkFk layXu djuk vfuok;Z gS A
en la[;k&10% vU; ;ksX;rk (Other Qualification)
jk"Vªh; dSMsV dksj ch izek.k&i= (O) izknsf'kd lsuk esa U;wure nks o"kZ dh vof/k dh lsok dk izek.k&i= (O) dEI;wVj vIyhds'ku izek.k&i= (O) vH;FkhZ viuh vU; ;ksX;rk ls lEcfU/kr xksys dks dkys@uhys cky IokbUV isu ls Hkjsa A
en la[;k&11% i= O;ogkj dk irk (Address for Correspondence)
vH;FkhZ }kjk fn;s x;s i= O;ogkj ds irs ij gh i= O;ogkj fd;k tk;sxkA vr% vH;FkhZ i= O;ogkj gsrq iwjk irk vaxzsth esa fiudksM lfgr dkys@uhys cky IokbUV isu ls fy[kas] ftlls Mkd }kjk i= vH;FkhZ dks izkIr gks tk;A irk fy[kus dk rjhdk bl izdkj gksxk] ;fn vH;FkhZ dk irk fuEu izdkj gks rks%&
AMIT KUMAR SINGH
A-27, TILAK NAGAR, SECTOR-7,
BARABANKI, UTTAR PRADESH,
PINCODE-301401

 
STATE

U

T

T

A

R

P

R

A

D

E

S

H

en la[;k&12% LFkk;h irk (Permanent Address)
vH;FkhZ vius LFkkbZ irs dk mYys[k vaxzsth esa fiu dksM lfgr dkys@uhys cky IokbUV isu ls djsaA irk fy[kus dk rjhdk bl izdkj gksxk] ;fn vH;FkhZ dk irk fuEu izdkj gks rks%&
AMIT KUMAR SINGH
A-26, VIKAS  NAGAR, SECTOR-5,
LUCKNOW, UTTAR PRADESH,
PINCODE-401301

STATE

 
enla[;k&13%vH;FkhZ ds cka;s gkFk ds vaxwBs ds fu'kku (Candidate’s Left Hand Thumb Impression)
vH;FkhZ vks0,e0vkj0 'khV esa cus LFkku ij cka;s gkFk ds vaxwBs dk fu'kku yxk;sa
en la[;k&14% vH;FkhZ ds nkfgus gkFk ds vaxwBs ds fu'kku (Candidate’s Right Hand Thumb Impression)
vH;FkhZ vks0,e0vkj0 'khV esa cus LFkku ij nkfgus gkFk ds vaxwBs dk fu'kku yxk;sa
en la[;k&15% ekrk dk uke ¼fgUnh esa½
vH;FkhZ viuh ekrk dk uke fgUnh eas fy[ksa A
en la[;k&15(a)% ekrk dk uke ¼vxzsth esa½
vH;FkhZ viuh ekrk dk uke vxzsth eas fy[ksa rFkk mlds uhps lEcfU/kr xksys (O) dks dkys@uhys cky IokbUV isu ls HkjsaA
en la[;k&16% D;k vki mRrj izns'k ds ewy fuoklh gSa (Are you Domicile of Uttar Pradesh)
;fn vH;FkhZ mRrj izns'k dk ewy fuoklh gS rks ^^gka** ds lEeq[k cus xksys (O) dks dkys@uhys cky IokbUV isu ls HkjsaA ;fn mRrj izns'k dk ewy fuoklh ugha gS rks ^^ugha** ds lEeq[k cus xksys (O) dks dkys@uhys cky IokbUV isu ls Hkjsa A
en la[;k&17% ;fn vki mRrj izns'k ds ewy fuoklh gSa rks x`g tuin dksM vafdr djsa (If  Domicile of Uttar Pradesh, Give Home District Code)
vH;FkhZ vius x`g tuin dk dksM vks0,e0vkj0 vkosnu i= ls ns[kdj pkSdksj [kkuksa esa dkys@uhys cky IokbUV isu ls HkjsaA tSls tuin ckjkcadh dk dksM 09 gS rks 0 rFkk 9 dks pkSdksj [kkuksa esa dkys@uhys cky IokbUV isu ls Hkjsa rFkk pkSdksj [kkus ds uhps lEcfU/kr xksys (O) dks dkys@uhys cky IokbUV isu ls xgjk dkyk djsa A
en la[;k&18% lewg (Group) ¼dsoy mRrj izns'k ds ewy fuoklh gsrq½
dsoy mRrj izns'k ds ewy fuoklh vH;fFkZ;ksa dks gh HkwriwoZ lSfud@gksexkMZ@Lora=rk laxzke lsukuh ds vkfJr (DEF)@lsuk eas ohjxfr ik;s lSfudksa ds vkfJr@dsUnzh; 'kklu ds tux.kuk foHkkx ds NaVuh'kqnk deZpkjh dk ykHk vuqeU; gSA vH;FkhZ vius lewg ds lEeq[k xksys (O) dks dkys@uhys cky IokbUV isu ls Hkjsa A
HkwriwoZ lSfud ds Fky lsuk]ukS lsuk vFkok ok;q lsuk esa dh x;h dqy lsok (Total Length of Service in Army/Navy/Air Force)
o"kZ [][]           ekg [][]            fnu [][]
vH;FkhZ lsok dh vof/k ds pkSdksj [] [kkuksa esa dkys@uhys cky IokbUV isu ls o"kZ] ekg vkSj fnu fy[ksa rFkk pkSdksj [kkus ds uhps lEcfU/kr xksys dks dkys@uhys cky IokbUV isu ls Hkjsa A
en la[;k&19 tuin] ftl iksLV vkfQl esa vkosnu i= tek fd;k x;k gSA
vH;FkhZ ml tuin dk dksM pkSdksj [kkuksa esa dkys@uhys cky IokbaV isu ls fy[ksa ftl tuin ds iksLV vkfQl eas mlus vkosnu&i= tek fd;k gSa rFkk mlds uhps lEcfU/kr xksys (O) dks dkys@uhys cky IokbUV isu ls HkjsaA mnkgj.k ds fy;s&tuin QStkckn esa vks0,e0vkj0 vkosnu i= fcdzh gsrq nks Mkd?kj dze'k% eq[; Mkd?kj] QStkckn ,oa mi Mkd?kj chdkiqj fpfUgr fd;s x;s gSaA dksbZ vH;FkhZ ;fn vks0,e0vkj0 vkosnu i= eq[; Mkd?kj QStkckn ls [kjhnrk gS rks og mls eq[; Mkd?kj] QStkckn esa tek djsxk rFkk ;fn og vks0,e0vkj0 vkosnu i= mi Mkd?kj chdkiqj ls [kjhnrk gS rks og mls mi Mkd?kj chdkiqj esa tek djsxk rFkk QSStkckn dk tuin dksM& 55 vkosnu i= esa vafdr djsxk A
?kks"k.kk
vH;FkhZ ?kks"k.kk dks Hkyh Hkkafr i<+ ysa rFkk tks mu ij ykxw u gksrk gks mls d`i;k dkV nsa rFkk fu/kkZfjr LFkku ij dkys@uhys cky IokbaV isu ls iwjk gLrk{kj djsa A