user manual for students - digitalgujarat.gov.in · post matric scholarship for schedule tribe...
TRANSCRIPT
POST MATRIC SCHOLARSHIP
FOR
SCHEDULE TRIBE STUDENT
ON
DIGITAL GUJARAT PORTAL
USER MANUAL
FOR
STUDENTS
TRIBAL DEVELOPMENT DEPARTMENT
GUJARAT STATE
GANDHINAGAR
2
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VPG\ IMHGF VFJS DIF"NF ,FEFYL" !
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S]8]dAGL JFlQF"S VFJS ~F ZP5_ ,FBYL VMKL
S]DFZ TYF SgIF A\G[ DF8[
Z
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S]8]dAGL JFlQF"S VFJS ~F ZP5_ ,FBYL VMKL
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OST SgIF DF8[ H DF8[
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OST SgIF DF8[ H DF8[
5
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S]DFZ TYF SgIF A\G[ DF8[
3
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VF.8LVF.DF\ VeIF; SZTF\ lJWFYL"VM DF8[ :8F.5[g0 IMHGF\
S]8]dAGL JFlQF"S VFJS U|FdI lJ:TFZ DF8[ !Z___q XC[ZL lJ:TFZ DF8[ ~F !5___qvYL VMKL
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ZP HFlTGM NFB,M ;1FD VlWSFZL wJFZF .:I] YI[, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
#P VFJSGM NFB,M ;1FD VlWSFZL wJFZF .:I] YI[, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
$P A[\S 5F;A]SG] 5|YD 5FG] H[DF\ TDFZ] GFD4 TDFZM V[SFpg8 G\AZ VG[ VF.V[OV[;;L SM0 NXF"JTF CMI T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
5PTFH[TZDF\ 50FJ[, 5F;5M8" ;F.hGM OM8M T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
&POL EIF"GL 5CM\R T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
*P K[<,[ 5F; SZ[, 5ZL1FFGL DFS"XL8 T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
(P H[ lJWFYL" 5|YD JQF" 0LU|L .HG[ZLq0L%,MDF\ .HG[ZL TYF 5|YD JQF" V[DALALV[;DF\ VeIF; SZTF CMJ TM ;FWG BZLNLG]\ lA, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMPsIMHGFGF lGIDMG];FZf
)P V[DOL, 5LV[R0LGF\ VeIF;S|DDF\ VeIF; SZTF lJWFYL"VM DF8[ Y[;L; 8F.5L\U VG[ l5|g8L\U DF8[G]\ AL, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMPsIMHGFGF lGIDMG];FZf
!_P lNjIF\U lJWFYL"VM DF8[ lNjIF\UTF V\U[G]\ ;1FD D[0LS, VlWSFZL wJFZF .:I] YI[, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
!!P VeIF;DF\ T]8 V\U[G]\ V[OL0[JL8 T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
4
!ZP CM:8[,DF\ ZC[TF lJWFYL"VM DF8[ CM:8[,Z V\U[G]\ 5|DF65+ 5M8", 5ZYL 0FpG,M0 SZLG[ ;CL l;SSF SZFJL T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
!#P ,LJ lJWFp8 5[ sLWP)TD[ O], 8F.D VeIF; SZTF CMJTM T[ V\U[G]\ 5|DF65+ 5M8", 5ZYL 0FpG,M0 SZLG[ ;CL l;SSF SZFJL T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
!$P O|L XL5 SF0" T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMPsIMHGFGF lGIDMG];FZf !5P ZFHI ACFZ E6TF\ D]/ U]HZFTGF\ VG]HGHFlTGF\ lJWFYL"VM DF8[ 0MDL;F., 5|DF65+ T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP GM\Wo TDFD 0MSI]D[g8; Z__ KB YL VMKL ;F.hDF\ VG[ JPEG OMZD[8DF\ V5,M0 SZJFGF ZC[X[P
V[%,LS[XG S], RFZ EFUDF\ JC[\RJFDF\ VFJL K[P
:8[5 ! o SMDG 5|MOF., ZlH:8=[XG SZJ]P HM VUFp ZlH:8=[XG SZ[, CMITM ZlH:8=0 I]hZ TZLS[ ,MULG YJ]P
:8[5 Zo ZlH:8=[XG 0L8[.<;4sH[DF\ lJWFYL"GL A[lhS DFlCTL EZJFGL ZC[X[Pf � A[\S 0L8[.<;sH[DF\ lJWFYL"GL A[\S V[SFpg8G[ ,UTL DFlCTL EZJFGL ZC[X[[f
� V[S[0[DLS 0L8[.<;sH[DF\ lJWFYL"GL CF,GL TYF 5|F%T SZ[, X{1F6LS ,FISFTG[ ,UTL DFlCTL EZJFGL ZC[X[f
�0L;[V[AL,L8L 0L8[.<;sH[DF\ lJWFYL" HM lNjIF\U CMITM H T[G[ ,UTL DFlCTL EZJFGL ZC[X[f
:8[5 #o H~ZL 0MSI]D[g8; TYF OM8M V5,M0 SZJF :8[5 $o V[%,LS[XGGL l5|g8VFp8 ,[JLP
5
lJWFYL" ZlH:8=[XG sGM\W6L fS[JL ZLT[ SZJLm
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:8[5vZ J[A ;F.8 VM5G YTF\ J[A 5[HDF\ ;F{ 5|YD ,MULG ( Login) 5Z lS,S SZMP
6
NFPT ;DZ; CM:8[,DF\ 5|J[X DF8[ lJWFYL"VMV[ ZlH:8=[XG SZFjI] CMITM T[VMV[ OZLYL SZFJJFGL H~Z GYLP
JQF" NZdIFG DMAF., G\AZ AN,JM GCL\P
5M8", 5ZGL TDFD ;lJ;" DF8[G]\ SMDG 5|MOF., ZlH:8=[XG
HM TD[ VUFp VF 5M8",GL TDFD ;[JF DF8[ ZlH:8=[XG
SZFjI] CMI TM
HM TD[ 5|YD JBT H VF 5M8", 5Z ZlH:8=[XG SZL
ZCIF CMJTM
ZlH:8=[XG SZFJJFGL H~Z GYL l;wWF ZlH:8=0 I]hZDF\ HFJ
gI] I]hZ sNew User) 5Z S,LS SZM
7
HM TD[ 5C[,L JBT 5M8", 5Z ZlH:8=[XG SZFJL ZCIF CMI TM gI] I]hZ 5Z S,LS SZM
HM TD[ 5C[,L JFZ ZlH:8=[XG SZL ZCIF CMJ TM ;F{ 5|YD S,LS OMZ gI] ZlH:8=[XGsl;8LHGf 5Z lS,S SZMP
8
VCL\ lJWFYL"V[ VFWFZ G\AZ GFBJFGM K[P
VCL\ U[8 VFWFZ 0L8[.<; 5Z lS,S SZTF VFWFZ ;FY[ ZC[, ;\AlWT TDFZL DFlCTL VFJX[ PGM\W VFWFZ ;FY[ DMAF., ,LS G CMITM U[8 VFWFZ 0L8[.<; 5Z lS,S SZJ] GCL\ P
HM TDFZF VFWFZ ;FY[ DMAF., G\AZ ,L\S SZ[,M CX[ TM GLR[ D]HAGL l:S|G VFJX[P
U[8 VFWFZ 0L8[.<; 5Z lS,S SZTF TDFZF VFWFZ ;FY[ ,L\S SZ[,F DMAF., G\AZ 5Z
VM8L5L(OTP) VFJX[ H[ #_ lDGL8 ;]WL DFgI ZC[X[P V[ VM8L5L VCL J[ZLOLS[XG
SM0DF\ GFBLG[ SgOD"(Confirm)
A8G 5Z lS,S SZJFG] ZC[X[PHM VFWFZG\AZ DMAF., G\AZYL ,L\S GCL\ CMITM VM8L5L[ GCL VFJ[P
HM TD[ TDFZF ZlH:8=[XGDF\ DF\U[,L 0L8[.<;GL lJUTM VFWFZ SF0" 5ZYL sT[DF\ ZC[,LfD[/JJL CMITM I;sCFf
5Z Sl,S SZJ]P VFWFZ 5ZGL DFlCTL ;RM8 CMITM H VF VM%XGGM p5IMU SZJMP
0[8 VMO AY" (Date Of Birth) DF\ TDFZL HgD TFZLB ,BJFGL ZC[X[P
9
DMAF.,(Mobile) DF\ TDFZM DMAF., G\AZ ,BJFGM ZC[X[PGM\W DMAF., G\AZ ;DU| JQF" NZdIFG AN,JM GCL DMAF., G\AZGL BM8L V[g8=L G YFI T[G] wIFG ZFBJ]P
.PD[.,(E.mail) DF\ TDFZ] . D[., VF.0L ,BJFG] ZC[X[P
5F;J0" & YL $_ S[Z[S8;"GM CMJM HM.V[4 5F;J0"DF\ VMKFDF\ VMKM V[S V1FZ S[5L8,DF\ V[S V1FZ :DM,DF\ \ V[S V1FZ VF\S0FGM VG[ V[S V1FZ :5[lXI, S[Z[S8Z GM AG[,M CMJM HM.V[P
5F;J0"(Password) DF\ TDFZM 5F;J0" ,BJFGM ZC[X[P 5F;J0" AGFJTL JBT[ p5ZMST AFATG[ wIFG[ ,[JLP
ZL8F.5 5F;J0"DF\ (Retype password)
p5Z H[ 5F;J0" V[g8Z SZ[, K[ T[GM T[ H 5F;J0" OZLYL ,BJFGM ZC[X[P
V[g8Z 8[S; (Enter text) DF\ AFH]DF\ H[ XaN N[BFI K[ T[GM T[ H VG[ T[ D]HA H 8F.5 SZJFGM ZC[X[P
;[J A8G 5Z lS,S SZJFG] ZC[X[
VCL\ TDFZF DMAF.,DF\ VM8L5L VFJX[ H[DF\ J[ZLOLS[XG SM0 GFBTF TDFZL 5|MOF., AGFJJF DF8[GL JWFZ[ DFlCTL DF\UJFDF\ VFJX[ HM 0L8[.<; EZJL CMI TM EZJL GCL TZ T[DF\YL ACFZ GLS/L HFJ TDFZ] 5M8", 5Z ZlH:8=[XG Y. HX[P
How to set Password s5F;J0" S[JL ZLT[ ;[8 sAGFJXMf SZXMf
10
GM\Wo VCL\ TD[ 5M8", 5Z TDFD ;lJ;"G]\ SMDG ZlH:8=[XG SZ[, K[ CJ[YL TD[ 5M8", 5ZGL SM.56 ;[JFGM ,FE ,. XSX[P
VCL ,MULG YJF DF8[ VF.0L TZLS[ +6DF\YL V[S VM%XG 5;\N SZJFG]\ K[ . D[., VF.0L 5;\N SZLG[ ,MULG SZL XSXMP VFWFZ G\AZ 5;\N SZLG[ ,MULG SZL XSXMP DMAF., G\AZ 5;\N SZLG[ ,MULG SZL XSXMP SM.56 V[S OL<0 5;\N SZJFG] ZC[X[P
HM . D[., VF.0L 5;\N SZ[, CX[ TM VCL . D[., VF.0L YL ,MULG Y. XSXM TDFZM . D[., VF.0L ,BJFGM ZC[X[P
HM TD[ VUFp VF 5M8", 5Z ZlH:8=[XG SZFjI] CMI VYJF V[S JFZ SMDG 5|MOF., ZlH:8=[XG Y. UIF AFN VCLYL ,MULG SZJFG] ZC[X[
11
HM DMAF., G\AZ 5;\N SZ[, CX[ TM VCL TDFZM DMAF., G\AZ ,BJFGM ZC[X[ DT,A TD[ DMAF., G\AZYL ,MULG Y. XSXM
HM VFWFZ G\AZ 5;\N SZ[, CX[ TM VCL 5MTFGM VFWFZ G\AZ ,BJFGM ZC[X[P DT,A TD[ TDFZF VFWFZ G\AZYL ,MULG Y. XSXM
VCL\ TD[ ;[8 SZ[,M 5F;J0" ,BJFGM ZC[X[P
VCL GLR[ NXF"J[, S[5RFDF\ H[ VF\S0F VG[ XaN N[BFI K[ T[ H VF\S0F VG[ XaN VCL\ \,BJFGF ZC[X[
VCL ,MULG 5Z lS,S SZJFG] ZC[X[P
HM 5F;J0" BMJF. HFI TM OMZU[8 5F;J0" 5Z lS,S SZJFG] ZC[X[P VG[ TDFZF DMAF.,DF\ VM8L5L VFJX[ VG[ 5F;J0" ZL;[8 SZL XSXMP
0LhL8, U]HZFT 5Z ,MULG YIF AFN
:SM,ZXL5 GFDGF\ D[G] 5Z lS,S SZJFG] ZC[X[P
12
tIFZAFN 0=M50FpG D[G]DF\YL GF\6F\SLI JQF" 5;\N SZJFG]\ ZC[X[P
O|[X OMD" TYF ZLgI]V, OMD" SMG[ EZJFG]\ ZC[X[P !P H[ lJWFYL" 5M8", 5Z 5|YDJFZ ZlH:8=[XG SZFJ[, CMI T[G[ O|[X OMD" EZJFG] ZC[X[P
ZP H[ V[S S1FFGF\ VeIF;S|D 5}ZM SIF"AFN ALHF S1FFGF\ VeIF;S|DDF\ 5|J[X D[/J[ TM T[G[ O|[X OMD" EZJFG] ZC[X[P
VeIF;S|D O|[X OMD" SMG[ EZJ] ZLgI]V, OMD" SMG[ EZJ] WMZ6 !_ 5KL WMZ6 !! WMZ6 !Z
0L%,MDF\ VeIF;S|DG]\ 5|YD JQF" 0L%,MDF\ VeIF;S|DGF\ VgI JQF" VF.8LVF. VeIF;S|DG]\ 5|YD JQF" sVF.8LVF.DF\ 5M:8 D[l8=SGF\ lGIDMG];FZf
VF.8LVF. VeIF;S|DGF\ VgI JQF" sVF.8LVF.DF\ 5M:8 D[l8=SGF\ lGIDMG];FZf
WMZ6 !Z 5KL :GFTS S1FFGF\ VeIF;S|DG]\ 5|YD JQF"
:GFTS S1FFGF\ VeIF;S|DGF\ 5|YD JQF" l;JFIGF\ VgI JQF"
0L%,MDF\ VeIF;S|DG]\ 5|YD JQF" 0L%,MDF\ VeIF;S|DGF\ 5|YD JQF" l;JFIGF\ VgI JQF"
0L%,MDF\ 8] 0LU|L 0LU|L VeIF;S|DG]\ ALH] JQF" 0LU|L VeIF;S|DGF\ ALHF JQF" l;JFIGF\ VgI JQF"
:GFTS1FF S1FF 5KL VG]:GFTS S1FFGF\ VeIF;S|DG]\ 5|YD JQF"
VG]:GFTS S1FFGF\ VeIF;S|DGF\ 5|YD JQF" l;JFIGF\ VgI JQF"
5M:8 U|[HI]V[8 0L%,MDF\ VeIF;S|D
U|[HI]V[8 5KLGF\ 0L%,MDF\ VeIF;S|D
:GFTS S1FFGF\ VeIF;S|DMG]\ 5|YD JQF" H[JF S[ ALPV[04 V[,V[,AL 4ALP,LA JU[Z[
:GFTS S1FFGF\ VeIF;S|DMGF\ 5|YD JQF" l;JFIGF\ VgJ JQF"
13
ZLgI]V, OMD" UTJQF"[ 0LhL8, U]HZFT 5M8", 5Z VMG,F.G D[/J[, lXQIJ'lT D[/J[, CMI T[JF lJWFYL"VMGL VF JQF"GL ZLgI]V, V[%,LS[XG AFI0LOM<8 ZLgI]V, DM0DF\ D]SJFDF\ VFJ[, K[P
VCL\ UTJQF"[ ,FE D[/J[, IMHGF T[DH S. V[%,LS[XG VF.0L YL ,FE D/[, T[ TDFD lJUT
NXF"JX[ ;FD[ RENEW ,B[, 5Z lS,S SZTF T[G] OMD" V[0L8 DM0DF\ ZLgI]V, OMD" B[,L HX[ H[DF\ T[ T[GF\ ZC[,L lJUTM RSF;L H~ZL ;]WFZF SZL XSX[ P ZLgI]V, lJWFYL"V[ UTJQF"[ 5F; SZ[, 5ZL1FFGL DFS"XL8 RF,] JQF"GL OL EIF"GL 5CM\R HM VFJSDF\ SM. O[ZOFZ YIM CMITM GJM NFB,M ZH] SZJFGM ZC[X[ VgIYF VFJS GM NFB,M +6 JQF" ;]WL DFgI ZC[X[P ZLgI]V, lJWFYL"V[ T[GM I]GL"Jl;8L wJFZF VF5JFDF\ VFJ[, V[GZM,D[g8 G\AZ ,BJFGM ZC[X[ TYF T[G] ;\:YF wJFZF .:I] SZJFDF\ VFJ[, VF.SF0" V5,M0 SZJFG] ZC[X[P OMD" VMG,F.G EZL TDFD AFATMGL RSF;6L SZL OF.G, ;ADL8 A8G 5Z lS,S SZJFG] ZC[X[P OMD"GL l5|g8 SF-IF AFN TDFD 0MSI]D[g8; HM0LG[ ;\:YFDF\ HDF SZFJJFGF\ ZC[X[P ZFHI ACFZGF\ lJWFYL"V[ D]/ JTGDF\ ;\,uG lH<,F VlWSFZL 5F;[ HDF SZFJJFGF ZC[X[P OMD"GL l5|g8DF\ ;\:YFGF\ J0FGF\ ;CL l;SSF SZFJJFGF\ ZC[X[P
14
O|[X OMD" 0LhL8, U]HZFT 5Z ,MULG YIF AFN
:SM,ZXL5 GFDGF\ D[G] 5Z lS,S SZJFG] ZC[X[P
tIFZAFN 0=M50FpG D[G]DF\YL GF\6F\SLI JQF" 5;\N SZJFG]\ ZC[X[P
tIFZAFN VG];]lRT HGHFlTGF\ lJWFYL"VMV[ ST 5Z lS,S SZJFG]\ ZC[X[P
15
VCL\ VG];]lRT HGHFlTGL :SM,ZXL5GL TDFD IMHGFVM N[BFX[P
H[ IMHGFDF\ VMG,F.G V[%,LS[XG SZJFGL CMI T[GF 5Z Sl,S SZMP
NZ[S IMHGFDF\ ;M 5|YD ;]RGFVM VFJX[ T[G[ JF\RLG[ TYF tIFZAFN GLR[ NXF"J[, A8G Sg8LgI]
8] ;lJ;" 5Z lS,S SZJFG] ZC[X[P
O|L XL5 SF0" WZFJTF TYF V[DALALV[;DF\ ,MG ,LW[, lJWFYL"VMV[ V,U ZLT[ VMG,F.G V[%,FI SZJFG] ZC[X[P
16
EFU ! ZlH:8=[XG 0L8[.<; REGISTRATION DETAILS
VFWFZ D]HA GFD VG[ VFWFZ J[ZLOFI0 S[JL ZLT[ SZJ]P VFWFZ Z OMZD[8DF\ CMI K[P
OMZD[8 ! oVFWFZ D]HA GFD ,BJFDF\ VFWFZSF0"DF\ TDF~ GFD H[ D]HA K[ T[ D]HA H ,BJFG] ZC[X[P H[D S[
Rakeshkumar Pranshankar Thakar VF DF~ VMZLHG, GFD K[P
DF~ VFWFZ D]HA GFD RakeshKumar Thakar YX[P
VCL lJWFYL"V[ 5MTFG]\ OST 5|YD GFD H ,BJFG]\ ZC[X[P
VCL lJWFYL"V[ 5MTFGF l5TFG]\ OST GFD H ,BJFG] ZC[X[P
VCL lJWFYL"V[ 5MTFGL OST V8S H ,BJFGL ZC[X[P
17
GMWo G[D V[; 5Z VFWFZDF\ VFWFZDF\ H[ 5|dFF6[ GFD ,BJFDF\ VFJ[, K[ T[ D]HA H ,BJFG]\ ZC[X[P
G[D V[; 5Z VFWFZDF\ VFWFZDF\ OST VF ZLT[ GFD ,BJFG] ZC[X[P
S/O, W/O S[ D/O 5KL VFJTF GFD ,BJFGF ZC[X[ GCL\ 5Z\T] GLR[ D]HAG]\ OMZD[8 CMITM
VFWFZDF\ GFD V,U V,U OMZD[8DF\ CMI K[ HM TDFZ] VFWFZDF\ GFD ;/\U CMITM TM TDFZ[ G[D V[h VFWFZDF\ ;/\U GFD ,BJFG] ZC[X[P
OMZD[8 Z
DF~ VFWFZ D]HA GFD RakeshKumar Pranshankar Thakar YX[P
Mother’s Name DF\ VCL\ OST DFTFG]\ GFD H ,BJFG] ZC[X[P
VCL lJWFYL"V[ 5MTFG]\ GFD VFWFZSF0"DF\ NXF"jIF D]HA H ,BJFG] K[P
VCL lJWFYL"G] 5MTFG]\ GFD VFWFZSF0"DF\ NXF"jIF D]HA G] H CMITM H VCL\ R[S AM1F 5Z Sl,S SZJFG] ZC[X[P
18
Date Of Birth DF\ 5C[,F\ A[ VF\S TFZLB ALHF A[ VF\S0F DF;GF\ 5KLGF\ RFZ VF\S0F JQF"GF\ ,BJF
H[g0ZGF\ 0=M5 0FpG D[G] 5Z Sl,S SZTF\ Male, Female VG[ Transgender VM%XG HMJF D/X[P HM TD[ S]DFZ CMJ TM Male 5;\N SZJ] SgIF CMJ TM Female 5;\N SZJ] HM p5ZMST A[ l;JFIGL HFlT CMITM Transgender 5;\N SZJ]
VFWFZ J[ZL OFI SZJF DF8[ p5ZGF\ A8G 5Z lS,S SZJFG]\ ZC[X[P
VFWFZ X] J[ZLOFI SZX[P
TD[ V[g8Z SZ[,F RFZ OL<0 VG[ VFWFZDF\ ZC[,F V[ RFZ OL<0 ;FY[ D[R YX[ TM H VFWFZ J[ZLOFIDF\ I; VFJX[P
OL<0 TD[ SZ[, 0[8F V[g8=L D]HA VFWFZGF Z[SM0" D]HA VFWFZG\AZ
4791����2��� D[RsA\G[ ;ZBFf
VFWFZ D]HA GFD
Rakeshkumar
Thakar
D[RsA\G[ ;ZBFf
0[8 VMO AY" sHgD TFZLBf
D[RsA\G[ ;ZBFf
19
H[g0Z
Male D[RsA\G[ ;ZBFf
p5ZMST RFZ[I OL<0 D[R YX[ TM H VFWFZ J[ZLOFIDF\ :8[8;DF\ I; VFJX[
Community/Category DF\ AFI0LOM<8
ST (VG];}lRT HGHFlTf H VFJX[P
Caste DF\ TDFZL 5[8F HFlT 5;\N SZJFGL ZC[X[P
Religion DF\ Hindu slCg\N]f 5;\N SZJFG]\ ZC[X[P
;LNL DF8[ Islam sD]:,LDf 5;\N SZJFG] ZC[X[P
Marital Status DF\ VCL\ TDFZ] J{JFCLS :8[8; NXF"JJFG] ZC[X[ H[ GLR[ D]HA 5;\N SZJFG]\ ZC[X[P
5Zl6T :+L 5]Z]QF[ Married 5;\N SZJFG]\ ZC[X[P
V5Zl6T :+L 5]Z]QF[ Married 5;\N SZJFG]\ ZC[X[P lJWJF :+LV[ Widow 5;\N SZJFG]\ ZC[X[P
20
K]8FK[0F ,LW[, :+LV[ Divorced 5;\N SZJFG]\ ZC[X[P
VCL\ S,LS SZTF V,U V,U jIJ;FI VFJX[P Parent/Guardian Occupation DF\ TDFZF l5TFGM jIJ;FI 5;\N SZJFGM ZC[X[P HM l5TF CIFT G CMI TM DFTFGM jIJ;FI 5;\N SZJFGM ZC[X[P HM DFTF VG[ l5TF A\G[ CIFT G CMI TM TDG[ E6JFDF\ ;CFI SZTF JF,LGM jIJ;FI 5;\N SZJFGM ZC[X[P GM\W o VCL\ TDFZF DFTF4 l5TF S[ JF,LGM jIJ;FI VCL ;DFJ[X G YTM CMI TM sOthers) VW;"GM lJS<5 5;\N SZJFGM ZC[X[P 5Zl6T :+LGF\ lS:;FDF\ 5lTGM jIJ;FI 5;\N SZJFGM ZC[X[P
sOthers) VW;"GM lJS<5 5;\N SZTF TDFZ[ 8[1F AM1FDF\ p5ZMST 0=M5 0FpG D[G]DF\ ;DFJ[X YI[, G CMI T[JM jIJ;FI GFBJFGM ZC[X[P
Annual Family Income DF\ TDFZF S]8]dAs l5TF TYF DFTFfGL UT JQF"GL ;\I]ST VFJS ,BJFGL ZC[X[P
5Zl6T :+LGF lS:;FDF\ 5lTGL VFJS ,BJFGL ZC[X[P
HM l5TF CIFT G CMITM DFTFGL VFJSGM NFB,M HM0JFGM ZC[X[P l5TFGF\ D'tI]G]\ 5|DF65+ HM0JFG]\ ZC[X[P
21
Is Orphan DF\ VCL\ S,LS SZTF YESsCFf4NO sGFf GFD VFJX[PHM VF5GF\ l5TF DFTF CIFT G
CMITM YESsCFf G[ l;,[S8 SZJ] VgIYF NO sGFf l;,[S8 SZJ]P
VCL AFI 0LOM<8 TD[ ZlH:8=0" SZFJ[,M TDFZM DMAF., G\AZ VFJL HX[P
VCL AFI 0LOM<8 TD[ ZlH:8=0" SZFJ[,M TDFZM . D[., VF.0L VFJL HX[P
Day Scholar/ Hosteller DF\ HM TD[ CM:8[,DF\ ZC[TF\ CMJTM CM:8[,Z Hosteller VG[ CM:8[,DF\ G ZC[TF CMJ TM 0[ :SM,Z Day
Scholar 5;\N SZJFG]\ ZC[X[P
Hostel Type DF\ TD[ H[ 5|SFZGL CM:8[,DF\ ZC[TF\ CMJTM T[ D]HA CM:8[,GM 5|SFZ 5;\N SZJFGM ZC[X[P HM TD[ U|F\g8 .G V[.0 CM:8[,DF\ ZC[TF\ CMJTM Grant In Aid Hostel 5;\N SZJFG]\ ZC[X[P
HM TD[ 5|F.J[8 CM:8[,DF\ ZC[TF\ CMJTM Private
Hostel 5;\N SZJFG]\ ZC[X[P
HM TD[ ;ZSFZL CM:8[,DF\ ZC[TF\ CMJTM Government Hostel 5;\N SZJFG]\ ZC[X[P
Hostel Type DF\ VCL\ S,LS SZTF Rurals~Z,f4Urban sVA"Gf VM%XG VFJX[PHM TD[ U|FdI lJ:TFZDF\ J;JF8 SZTF CMJ TM Rural s~Z,f VG[ XC[ZL lJ:TFZDF\ J;JF8 SZTF CMJTM Urban sVA"Gf 5;\N SZJFG] ZC[X[P
22
CURRENT ADDRESS INFORMATION: CF,GF\ ;ZGFDFGL lJUTP
Current Address State 5Z lS,S SZTF EFZTGF\ TDFD ZFHIM N[BFX[ T[ 5{SL H[ ZFHIDF\
VF5 CF,DF\ ZCLG[ VeIF; SZL ZCIF CMIT[ ZFHI 5;\N SZJFG]\ ZC[X[P
AFI 0LOM<8 U]HZFT VFJX[P VgI ZFHI 5;\N SZTF tIFZ 5KLGL CF,GF ;ZGFDFG[ ,UTL TDFD DFlCTL 8[1F AM1FDF\ HFT[ 0[8F V[g8=L SZLG[ EZJFGL ZC[X[P
GM\Wo CM:8[,DF\ ZC[TF\ lJWFYL"V[ CF,GF\ ;ZGFDF\ CM:8[,G] ;ZGFD] ,BJFG] ZC[X[P
District 5Z lS,S SZTF ZFHIGF\ TDFD lH<,FGF\ GFD VFJX[ T[ 5{SL CF,DF\ H[ H<,FDF\ ZC[TF CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
VgI ZFHIDF\ ZC[TF\ lJWFYL"V[ lH<,FGL V[g8=L HFT[ SZJFGL ZC[X[P
GM\Wo CM:8[,DF\ ZC[TF\ lJWFYL"V[ CM:8[, H[ lH<,FDF\ VFJ[, CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
23
TD[ 5;\N SZ[, lH<,FGF\ TDFD TF,]SF NXF"JX[ T[ 5{SL TDFZF CF,GF\ ZC[9F6GM TF,]SM 5;\N SZJFGM ZC[X[P VgI ZFHIDF\ ZC[TF\ lJWFYL"V[ TF,]SFGL V[g8=L HFT[ SZJFGL ZC[X[P
GM\Wo CM:8[,DF\ ZC[TF\ lJWFYL"V[ CM:8[, H[ TF,]SFDF\ VFJ[, CMI T[ TF,]SM 5;\N SZJFGM ZC[X[P
HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM Rural s~Z,f VG[ XC[ZL lJ:TFZDF\ ZC[TF CMJTM Urban sVA"Gf 5;\N SZJFG] ZC[X[P
HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM TDFZF UFDG]\ GFD TD[ 5;\N SZ[, TF,]SF D]HA VFJX[ H[ TDFZ[ 5;\N SZJFG] ZC[X[ VA"G 5;\N SZTF VF lJ,[H VM%XG VFJX[ GCL\
VCL TDFZM DSFG G\AZ4 DCM,F G\AZ4 a,MS G\AZ4 %,M8 G\AZ VG[ V[lZIF ,BJFGM ZC[X[P GM\W CM:8[,DF\ ZC[TF lJWFYL"V[ CM:8[,G]\ GFD TYF ;ZGFD] ,BJFG] ZC[X[P
VCL CF,DF\ TD[ H[ lJ:TFZDF\ ZC[TF CMJ T[ lJ:TFZGM 5LG SM0 G\AZ ,BJFGM ZC[X[P
PERMANENT ADDRESS INFORMATION: SFIDL ;ZGFDFGL lJUT
HM TDFZ] CF,GF ZC[9F6G]\ ;ZGFD] VG[ SFIDL ZC[9F6G]\ ;ZGFD] V[S H CMI TM p5ZMST R[S AM1F 5Z� Sl,S SZJFG] ZC[X[P
24
HM TDFZ] CF,GF ZC[9F6G]\ ;ZGFD] VG[ SFIDL ZC[9F6G]\ ;ZGFD] V,U CMI TM H GLR[ D]HA TDFZ] SFIDL ZC[9F6G]\ ;ZGFD] ,BJFG]\ ZC[X[P
District 5Z lS,S SZTF ZFHIGF\ TDFD lH<,FGF\ GFD VFJX[ T[ 5{SL SFIDL H [lH<,FDF\ ZC[TF CMI T [
lH<,M 5;\N SZJFGM ZC[X[P
TD[ 5;\N SZ[, lH<,FGF\ TDFD TF,]SF NXF"JX[ T[ 5{SL TDFZF SFIDL ZC[9F6GM TF,]SM 5;\N SZJFGM ZC[X[P
HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM Rural s~Z,f VG[ XC[ZL lJ:TFZDF\ ZC[TF CMJTM Urban sVA"Gf 5;\N SZJFG] ZC[X[P
HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM TDFZF UFDG]\ GFD TD[ 5;\N SZ[, TF,]SF D]HA VFJX[ H[ TDFZ[ 5;\N SZJFG] ZC[X[ VA"G 5;\N SZTF VF VM%XG VFJX[ GCL\
VCL TDFZF SFIDL ZC[9F6GM DSFG G\AZ4 DCM,F G\AZ4 a,MS G\AZ4 %,M8 G\AZ VG[ 4U,Lq5M/G]\ GFD TYF XC[Z JU[Z[ V[lZIF ,BJFGM ZC[X[P
VCL TDFZF SFIDL ZC[9F6GMsD]/ JTGGMf T[ lJ:TFZGM 5LG SM0 G\AZ ,BJFGM ZC[X[P
25
ZlH:8=[XGG[ ,UTL DFlCTL ;[J Y. HTF ZlH:8=[XG 0L8[.<;
5Z ,L,F V1FZDF\ 0G(Done) Y. UI[, ATFJX[P
ZlH:8=[XG 0L8[.<; EZF. UIF 5KL ;[J V[g0 G[S;8 A8G 5Z lS,S SZJFG] ZC[X[P
ZlH:8=[XG 0L8[<;DF\ SIF\ E],M Y. XS[ K[ OZLYL R[S SZL ,M
!P G[D V[h 5Z VFWFZ ,BJFDF\ E], YI[, GYL R[S SZL ,MP
ZP 0[8 VMO AY"sTDFZL HgD TFZLBf ,BJFDF\ E], YI[, GYL R[S SZL ,MP
#P H[g0Z 5;\N SZJFDF\ D[, OLD[, DF\ E], YI[, GYL R[S SZL ,MP
$P 0[:SM,Zq CM:8[,Z 5;\N SZJFDF\ SM. E], YI[, GYL R[S SZL ,MP
5P CM:8[, 8F.5 5;\N SZJFDF\ SM. E], YI[, GYL R[S SZL ,MP
&P C[AL8[XG 8F.5 ~Z, S[ VA"G 5;\N SZJFDF\ SM. E], YI[, GYL R[S SZL ,MP
p5ZMST AFATM 0FIZ[S8 lJlJW IMHGFGL GF6F\SLI AFATM :5X"TL CMJFYL R[S SZJ] VFJxIS K[P
26
EFU oZ A[\S 0L8[.<; (Bank Details)
VCL\ TDFZM VFWFZG\AZ VF5 D[/[ VFJX[
p5ZMST A8G 5Z lS,S SZTF TDFZF VFWFZ G\AZ VG[ A[\S V[SFpg8 G\AZG] ,LSL\U :8[:8; DF8[ V[G5L;LVF.GF\ ;J"Z 5ZYL V[ 0[8F O[R SZJFDF\sD[/JJFDF\f VFJ[ K[
p5ZMST A8G 5Z lS,S SZTF T[ 0[8F V[G5L;LVF.GF\ ;J"Z 5ZYL D[/JJF DF8[ V[S SZTF JWFZ[ VFXZ[ NM- DLGL8 ,FUTL CMJFYL tIF\ ;]WL J[.8 SZJF lJG\TLP ZLO|[X A8G NAFJJ] GCL\ HM 5 lDGL8 SZTF JWFZ[ ;DI ,FU[TM ACFZ GLS/L HJ]P
8126******63
State Bank Of India
Active
H[ A[\S HM0[ TDFZM VFWFZ G\AZ l;0L\U YI[, CX[ T[ A[\SG]\ GFD VG[ SIF VFWFZG\AZ HM0[ l;0L\U K[ T[ RSF;L G[ VFJX[ T[G] :8[8; V[S8LJ K[ S[ GCL TYF J[ZLOFI TFZLB VG[ ;DI ATFJX[P
I Voluntarily give my consent to use my Adhaar details
C] :J[rKFIYL DFZF VFWFZGL DFlCTL p5IMU SZJFGL ;\DlT VF5] K]P H[GF DF8[ R[S AM1FDF\ � sS,LSf SZJFG] ZC[X[P VF Sg;[g8 NZ[S lJWFYL" 5F;[YL ,[J] OZlHIFT K[P
TDFZM VFWFZ G\AZ VG[ A[\S V[SFpg8 G\AZ A[\S ;FY[ l;0L\U s,L\Sf YI[, K[ S[ GCL VG[ S. A[\S ;FY[ YI[, K[ T[GL VMG ,F.G ;lJ"; VF5[, K[ T[ DF8[ VCL\ lS,S SZJFG] ZC[X[P
8126******63
27
IFSC Code DF\ !! VF\SGM VF<OFgI]D[ZLS SM0 TDFZL 5F;A]SDF\ NXF"jIF D]HA ,BJFGM K[P
IFSC Code DF\ 5s5F\RfDM V\S s_fHLZM VFJ[
VCL TDFZ[ H[ A[\SGM VF.V[OV[;;L SM0 5;\N SZJFGM CMI T[ A[\S SIF 5|SFZGL K[ T[ D]HA 5;\N SZJFGL ZC[X[P HM G[xG,F.h A[\S CMITM A[\S HM SM VM5Z[8LJ A[\S CMITM SM VM5Z[8LJ A[S VGP N[GF U]HZFT AZM0F U]HZFT S[ ;F{ZFQ8= U|FDL6 A[\S C MITM U|FDL6A[\S l;,[S8 SZJ]P
TDFZF A[\SG]\ BFT] H[ lH<,FDF(District)\ CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
TDFZF A[\SG]\ BFT] H[ A[\SDF\ CMI T[ A[\S(Bank)\ 5;\N SZJFGL ZC[X[P
tIFZAFN XM (Show)\ A8G 5Z lS,S SZJFG] ZC[X[P
I am giving my consent for payment of scholarship amount in
my bank account linked with Aadhar
C] DFZF VFWFZG\AZ ;FY[ ,L\S sl;0L\Uf SZ[, A[\S V[SFpg8 G\AZDF\ DFZL :SM,ZXL5GL ZSD HDF YFI T[ DF8[GL ;\DlT VF5] K]P H[GF DF8[ p5ZMST R[S AM1FDF\ � sS,LSf SZJFG] ZC[X[P
TDFZL 5F;[ TDFZL A[\SGM IFSC Code GYL TM Know your IFSC Code 5Z lS,S SZJFYL TD[ HF6L XSXMP Know your IFSC Code 5Z lS,S SZJFYL A[\SGL U|L0 HMJF D/X[
28
TDFZF A[\SG]\ BFT] H[ lH<,FDF\ CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
TDFZF A[\SG]\ BFT] H[ A[\SDF\ CMI T[ A[\S 5;\N SZJFGL ZC[X[P
Branch NameDF\ TDFZF A[\SGL A|F\gRG] GFD ,BJFG] ZC[X[P
Branch AddressDF\ TDFZF A[\SGL A|F\gRG] ;ZGFD] ,BJFG] ZC[X[P
IFSC Code DF\ VF.V[OV[;;L SM0 ,BJFGM ZC[X[P
CityDF\ TDFZ[ XC[ZG]\ GFD ,BJFG] ZC[X[P
tIFZ AFN ;ADL8 A8G 5Z lS,S SZTF VF.V[OV[;;L SM0 NFB, Y. HX[P
IFSC SM0DF\ TDFZL A[\SGM VF.V[OV[;;L SM0 GFBTF GLR[ TDFZL A[\SG]\ GFD VG[ A|F\gRG] GFD VFJL HX[P
Bank Name DF\ VF.V[OV[;;L SM0 GFBTF TDFZL A[\SG]\ GFD VFJL HX[P
H[D S[ VCL\\ VDNFJFN lH<,M 5;\N SZTF VG[ T[DF\ A[\S VMO .g0LVF 5;\N SZTF VDNFJFN lH<,FGL TDFD A[\S VMO .g0LVFGL A|F\gR N[BFX[P T[DF\ T[GM VF.V[OV[;;L SM0 N[BFX[P T[GL SM5L 5[:8 SZL XSXM
HM TDFZL A[\S GJL A|F\gR K[ VYJF TDFZL A[\SGM VF.V[OV[;;L SM0 GYL VG[ TD[ T[ SM0 HF6M KM TM TD[ T[DF\ pD[ZL XSM KMP
29
Bank Branch Name DF\ VF.V[OV[;;L SM0 GFBTF\ A[\S XFBFG]\ GFD VFJL HX[P
Bank Account Number DF\ TDFZ] BFT] H[ A[\SDF\ CMI T[ BFTF G\AZ ,BJFGM ZC[X[P
Bank Account Number DF\ TDFZ] BFT] H[ A[\SDF\ CMI T[GM T[H BFTF G\AZ OZLYL ,BJFGM ZC[X[P
A[\SDFsA[\S 5F;A]SGF\ 5|YD 5FGFDF\f TDFZ] GFD H[ D]HA CMI T[ D]HA ,BJFG] ZC[X[P
HM TDFZ] A[\SDF\ ZC[, GFD TDFZF 5|MOF.,DF\ ZC[, GFD D]HA H CMI TM H V[h 5Z 5|MOF., R[1F AMS; 5Z lS,S SZJFG] ZC[X[P
VCL\ TDFZF A[\SDF\ H[ GFD CMI sA[S 5F;A]SGF\ 5|YD 5FGFDF\ H[ 5|DF6[ ,B[, CMIfT[ D]HA OST 5|YD GFD H ,BJFG] ZC[X[P H[D S[ 5F;A]SDF\ 5|YD V8S ,B[, CMITM VCL O:8 G[DDF\ V8S ,BJL VG[ 5|YD GFD ,B[, CMI TM GFD ,BJ]
VCL\ TDFZF A[\SDF\ H[ GFD CMIsA[S 5F;A]SGF\ 5|YD 5FGFDF\ H[ 5|DF6[ ,B[, CMIf T[ D]HA OST DwI GFD H ,BJFG] ZC[X[P
VCL\ TDFZF A[\SDF\ H[ GFD CMIsA[S 5F;A]SGF\ 5|YD 5FGFDF\ H[ 5|DF6[ ,B[, CMIf T[ D]HA OST K[<,] GFD H ,BJFG] ZC[X[P
A[\S 0L8[.<; EZF. UIF 5KL ;[J V[g0 G[S;8 A8G 5Z lS,S SZJFG] ZC[X[P
30
5FK,F lJEFUDF\ 5FKF HJ] CMI TM l5|lJI; 5Z lS,S SZJFG] ZC[X[P
A[\S 0L8[.<;G[ ,UTL DFlCTL ;[J Y. HTF A[\S 0L8[.<; 5Z 0G(Done) Y. UI[, ATFJX[P
A[\S 0L8[<;DF\ SIF\ E],M Y. XS[ K[ OZLYL R[S SZL ,M
!P VFWFZGL 0L8[.<; p5IMU SZJFGL D\H]ZL DF8[ Sg;[g8 VF5[, K[ S[ GCL R[S SZL ,MP
ZP TDFZM VFWFZG\AZ A[\S V[SFpg8 G\AZ ;FY[ ,L\S YI[, K[ S[ GCL R[S SZL ,MP ,L\S G CMI TM H[ A|F\gRDF\ BFT] CMI tIF\ H.G[ ,L\S SZFJL NMP
#P TDFZ] V[SFpg8 WZFJTL A[\SGL XFBFGM VF.V[OV[;;L SM0DF\ E], YI[, K[ S[ GCL T[ R[S SZL ,MP
$P TDFZM A[\S V[SFpg8 G\AZ ,BJFDF\ SM. E], YI[, GYL R[S SZL ,MP
5P VFWFZ G\AZ ;FY[ ,L\S SZ[, V[SFpg8DF\ :SM,ZXL5GL ZSD T[GL ;\DlT VF5[, K[ S[ GCL R[S SZL ,MP
&P G[D V[h 5Z A[\SDF\ A[\SGL 5F;A]SGF\ 5|YD 5FGFDF\ NXF"J[, D]HA GFD ,B[, K[ S[ GCL\ R[S SZL ,MP
p5ZMST AFATM 0FIZ[S8 lJlJW IMHGFGL GF6F\SLI AFATM :5X"TL CMJFYL R[S SZJ] VFJxIS K[P
31
EFUo# V[S[0[DLS 0L8[.<; (Academic Details)
Select Your Admission Type DF\ HM TDFZM 5|J[X ;ZSFZL Z[uI],Z ;L8 s;ZSFZL ;L8f 5Z YI[, CMI TM Regular Seat(Government
Quota) 5;\N SZJFG]\ ZC[X[P HM TDFZM 5|J[X D[G[HD[g8 SM8FGL ;L8 5Z YI[, CMI TM Management Quota 5;\N SZJFG]\ ZC[X[P HM TDFZM V[GVFZVF. SM8FGL ;L8 5Z YI[, CMI TM NRI Quota 5;\N SZJFG]\ ZC[X[P HM TDFZM 5|J[X Z[uI]],Z 5Z\T] ;[<O OFIGFg; WMZ6[ YI[, CMI TM Regular Paid(Self Finance) Seat 5;\N SZJFG]\ ZC[X[P HM TDFZM 5|J[X ;ZSFZzLGL 8I]XG OL DFOL IMHGF C[9/ YIM CMITM TFW (Tuition Fee Wavier)
Scheme 5;\N SZJFG]\ ZC[X[PsGM\W VFDF\ O|L XL5 SF0"GM ;DFJ[X YTM GYLPf HM TDM WZA[9F VM5G I]lGJl;8L"DF\ VeIF; SZTF CMJTM Correspondence (Distance and
Continuing) 5;\N SZJFG]\ ZC[X[P
Select Your Present Course/Class/Trade
Type DF\ TD[ H[ 1F[+DF\ 5|J[X D[/J[, CMI T[ 1F[+G[ 5;\N SZJFG]\ ZC[X[P NFT � HM TD[ AL;LV[ 4V[D;LV[4 V[DV[;;L VF.8L JU[Z[
H[JF VeIF;S|DMDF\ VeIF; SZTF CMJTM Information Technology 5;\N SZJFG] ZC[X[P
� HM TD[ ALV[;;L Gl;"U4 OLhLIMY[ZF5L4VMSI]5[XG, Y[ZF5L JU[Z[ H[JF VeIF;S|DMDF\ VeIF; SZTF CMJTM Para Medical 5;\N SZJFG] ZC[X[P
� HM TD[ V[DALALV[;4AL0LV[;4 ALV[V[DV[;4 ALV[RV[DV[; H[JF VeIF;S|DMDF\ VeIF; SZTF CMJTM Medical 5;\N SZJFG] ZC[X[P
� HM TD[ ALV[;;L V[U|L4ALV[;;L CM8L"S<RZ4 ALV[;;L OMZ[:8=L H[JF VeIF;S|DMDF\ VeIF; SZTF CMJTM Agriculute, Horticulutre
Forestry,Fishries 5;\N SZJFG] ZC[X[P=� VFD TDFZF VeIF;G[ VG]~5 OL<0 5;\N SZJFG] =
32
TD[ CF,DF\ H[ I]GLJl;8L S[ T[G[ HM0F6 WZFJTL SM,[HDF\ VeIF; SZL ZCIF CMJ T[ I]GLJl;8L wJFZF .:I] SZJFDF\ VFJ[, V[GZM,D[g8 G\AZGL V[g8=L SZJFGL ZC[X[P
Select Your Present Course/Class/Trade
Name DF\ TD[ 5;\N SZ[, 1F[+ D]HA CF,DF\ H[ VeIF;S|DDF\ VeIF; SZTF CMI T[G] GFD 5;\N SZJFG] ZC[X[ H[D S[ ALV[4ALSMD4 ALV[;;L4 AL.4V[D.4 V[DALALV[; JU[Z[ 5;\N SZJFG] ZC[X[P
Select Your Present Course/Class
/Trade NameDF\ TD[ CF,DF\ H[ JQF"DF\ VeIF; SZTF CMJT[ VeIF;G]\ JQF" 5;\N SZJFG] ZC[X[P
Present Institute District DF\ CF,DF\ TD[ H[ lH<,FGL SM,[HqI]lGJ;L8L q ;\:YF S[ XF/FDF\ VeIF; SZTF CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
33
Select Your Present Institute DF\ TD[ H[ lH<,M 5;\N SZ[, CX[ T[ lH<,FGL TDFD DFgI ;\:YFVM N[BFX[ T[ D]HA TDFZF CF,GF\ VeIF;GL ;\:YF 5;\N SZJFGL ZC[X[P
Select Your Present Branch CourseDF\ TD[ H[ SMQF"DF\ VeIF; SZTF CMI T[GL H[ A|F\gRDF\ VeIF; SZTF CMI T[ A|F\gR slJQFIf ,BJFGL ZC[X[P H[DS[ .HG[ZLDF\ VeIF; SZTF CMJ TM V[ D]HA A|F\gR slJQFIf5;\N SZJFGL ZC[X[P H[D S[ TDM AL. SMd%I]8ZDF\ VeIF; SZTF CMJTM Computer 5;\N SZJFG]\ ZC[X[P
Present Class Start DateDF\ TDFZF VeIF;S|DG]\ CF,G]\ X~ YI[, TFZLB ,BJFGL ZC[X[P
Present Course/Class/Trade Likely
Completion DateDF\ TDFZF VeIF;S|DG] CF,G] JQF" 5}6" YJFGL V\NFlHT TFZLB ,BJFGL ZC[X[P
DFlCTL S[JL ZLT[ VF5XMs0[8F V[g8=L S[JL ZLT[ SZXMfP
NFPT� CF,DF\ TD[ Z_!(v!)DF\ 0LU|L .HG[ZLGF\ +LHF JQF"DF\ VeIF; SZL ZCIF KM TM
� ;M 5|YD JQF" Z_!$DF\ WMZ6 !_5F;GL 0[8F V[g8=L SZXMP �JQF" Z_!&DF\ WMZ6 !ZGL 5F;GL 0[8F V[g8=L SZXMP �JQF" Z_!*DF\ V[O JFI AL.s5|YD JQF" 0LU|L .HG[ZLf5F;GL 0[8F V[g8=L SZXMP
�JQF" Z_!(DF\ V[; JFI AL. sALH] JQF" 0LU|L .HG[ZLf 5F;GL 0[8F V[g8=L SZXMP NFPT� CF,DF\ TD[ Z_!(v!)DF\ V[DV[GF\ ALHF JQF"DF\ VeIF; SZL ZCIF KM TM
� ;M 5|YD JQF" Z_!ZDF\ WMZ6 !_5F;GL 0[8F V[g8=L SZXMP �JQF" Z_!$DF\ WMZ6 !Z 5F;GL 0[8F V[g8=L SZXMP �JQF" Z_!*DF\ ALV[ 5F;GL 0[8F V[g8=L SZXMP
�JQF" Z_!(DF\ V[O JFI V[DV[ 5F;GL 0[8F V[g8=L SZXMP p5ZMST pNFCZ6 ;DH]TL DF8[ K[ P
TD[ WMZ6 !_ 5KL SIF SIF VeIF;S|D SZ[, K[ T[GL S|D 5|DF6[ DFlCTL VF5JFGL K[P
34
Select Your Course/ Class /
Trade Type DF\ TD[ WMZ6 !_ ;lCT H[ 1F[+DF\ 0LU|L D[/J[, CMI T[ TDFD D[/J[, 0LU|LG[ ,UTF 1F[+G[ 5;\N SZJFG]\ ZC[X[P sV[S 5KL V[S pD[ZJFG]\ ZC[X[Pf
Select Your Course/ Class/Trade
Name DF\ TD[ WMZ6 !_ ;lCT H[ 0LU|L D[/J[, CMI T[ TDFD D[/J[, 0LU|LG[ 5;\N SZJFGL ZC[X[P sV[S 5KL V[S pD[ZJFGL ZC[X[Pf
Stream/ Branch NameDF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL D[/J[, lJQFIDF\ 0LU|L D[/J[, CMI T[ lJQFIG] GFD ,BJFG]\ ZC[X[P sV[S 5KL V[S pD[ZJFG]\ ZC[X[Pf
Seat No NameDF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL H[ 56 0LU|L D[/J[, K[ T[GL JFlQF"SsOF.G, f5ZL1FFGM A[9S S|DF\S sSeat No. f G\AZ ,BJFGM ZC[X[P
Passing Year DF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL H[ 56 0LU|L D[/J[, K[ T[ SIF JQF"DF\ 5F; SZL K[ T[ JQF" ,BJFG]\ K[P
Passing Percentage(Convert CGPA/
Grades in terms of Percentage DF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL H[ 56 0LU|L D[/J[, K[ T[DF\ D[/J[, 8SF ,BJFGF ZC[X[P GM\Wo VCL\ TD[ D[/J[, ;LHL5LV[ S[ U|[0G[ 8SF DF\ SgJ8" SZJFGF ZC[X[P
TD[ D[/J[, V[S 0LU|L S[ JQF"GL DFlCTL ;\5}6" EZF. UIF AFN V[0 A8G 5Z lS,S SZTF GLR[ D]HA TD[ SZ[, 0[8F V[g8=LGL DFlCTL N[BFX[ HM T[DF\ TDG[ O[ZOFZ ,FUX[ TM TD[ V[0L8 56 SZL XSXMP
35
HM TD[ 5F; K[<,[ 5F; SZ[, 5ZL1FF AFN VeIF;DF\ V[S JQF" SZTF JWFZ[ JQF"GM U[5 CMITM CF(Yes) 5;\N
SZJ] HM U[5 G CMITM GM (No)5;\N SZJ]P VF DF8[ TDFZ[ VF JQF" NZdIFG VgI SM. VeIF; S[ VgI SM. lXQIJ'lT S[ :8F.5[g0 S[ ;ZSFZL ;CFI D[/J[, GYL T[ V\U[G]\ V[OL0[JL8 SZJFG] ZC[X[P
;F{YL VUtIGM 5M.g8 OL S[JL ZLT[ ,BJL sOL GL 0[8F V[g8=L S[JL ZLT[ SZJLf
Admission Fees DF\ TD[ EZ[, 5|J[X OL ,BJFGL
ZC[X[PTDFZL OL lZl;%8DF\ NXF"jIF D]HA ,BJFGL ZC[X[P
Tuition Fee DF\ TD[ EZ[, lX1F6 OL ,BJFGL ZC[X[P lX1F6 OL ZFHI ;ZSFZGL OL Z[uI],[8ZL SlD8L wJFZF GSSL SZ[, VYJF ZFHI ;ZSFZ S[ EFZT ;ZSFZGM SM. lJEFU
wJFZF GSSL SZ[, CMI T[ H OL D/JF 5F+ YX[PTDFZL OL lZl;%8DF\ NXF"jIF D]HA ,BJFGL ZC[X[P
Misc Fee DF\ TD[ EZ[, 5FKL G D/JF5F+ p5ZMST A\G[ OL l;JFIGL VgI OL ,BJFGL ZC[X[P
GM\W o ZFHI ;ZSFZGL OL Z[uI],[8ZL SlD8L wJFZF GSSL SZ[, VYJF ZFHI ;ZSFZ S[ EFZT ;ZSFZGM SM. lJEFU wJFZF GSSL SZ[, OL DF\ VgI H[ OL GM ;DFJ[X YTM CMI T[ OL OZLYL VCL\ V[g8=L SZJFGL ZC[X[ GCL\P T[ l;JFIGL AFSL OL H[DS[
Registration/Enrollment Fee
Medical Fee
Library Fee
Games(Sport) Fee
Magazine Fee
Student Union Fee
Practical Fee/Laboratory Fee
p5ZMST H[ VgI OLGM OL Z[uI],[8ZL SlD8Lq ;ZSFZ wJFZF GSSL SZ[, OLDF\ ;DFJ[X YTM G CMI T[ H OLGL 0[8F V[g8=L SZJL VG[ T[ D]HA H D/JF5F+ YX[P
Examination Fee DF\ TD[ EZ[, 5ZL1FF OL ,BJFGL ZC[X[P I]GL"Jl;8L" OL TYF .g8ZG, V[ShFD OL A\G[ ,BJFGL ZC[X[P
36
HM TD[ SM. ;\:YF S[ DF\ ALG5UFZL GMSZL SZTF CMJ TM VG[ VeIF; SZTF CMJTM CF (Yes) 5;\N SZJ] HM TD[ SM. ;\:YF S[ DF\ GMSZL SZTF CMJ VG[ 5UFZ S[ VgI EyYF D[/JTF CMJTM GF( No) 5;\N SZJ] �HM TD[ SM. ;\:YF S[ DF\ SIF\I GMSZL SZTF GF CMJ VG[ OST VeIF; SZTF CMJTM GM8 V[%,LS[A, (Note Applicable) 5;\N SZJFG] ZC[X[P
V[S[0[DLS, 0L8[<;DF\ SIF\ E],M Y. XS[ K[ OZLYL R[S SZL ,M
!P TDFZM V[0DLXG GM 5|SFZ AZFAZ K[ S[ GCL\ R[S SZL ,MP
ZP TD[ H[ 1F[+DF\ VeIF; SZTF CMJ T[ 1F[+ AZFAZ 5;\N SZ[, K[ S[ GCL R[S SZL ,M
#P TD[ 5|J[X D[/J[, ;\:YFGM lH<,M AZFAZ 5;\N SZ[, K[ S[ GCL\ R[S SZL ,MP
$P TD[ 5|J[X VeIF;S|D GM lJQFI AZFAZ K[ S[ GCL R[S SZL ,MP
5P TDFZF CF,GF\ VeIF;S|DGF\ X{1F6LS JQF" X~ YIFGL TFZLB VG[ 5}6" YJFGL V\NFlHT TFZLB AZFAZ K[ S[ GCL\ R[S SZL ,MP
&P WMZ6 !_ 5KLYL CF,GF\ VeIF;S|D ;]WL D[/J[, TDFD 0LU|LGL DFlCTL DFlCTL AZFAZ EZ[, K[ S[ GCL R[S SZL ,MP
*P;F{YL VUtIGM 5M.g8 TD[ V[g8Z SZ[, OL AZFAZ K[ S[ GCL\ T[ R[S SZL ,MP
p5ZMST AFATM 0FIZ[S8 lJlJW IMHGFGL GF6F\SLI AFATM :5X"TL CMJFYL R[S SZJ] VFJxIS K[P
37
EFU $ 0L;V[AL,L8L 0L8[.<; (Disability Details)
lNjIF\U lJWFYL"VM DF8[GL DFlCTL
HM TDMG[ SM. XFlZZLS BM0BF\56 CMI TM H Yes GCL TM No 5;\N SZJFG]\ ZC[X[P AFI 0LOM<8 No VM%XG HMJF D/X[P
VCL TDMG[ H[ 5|SFZGL XFlZZLS BM0BF\56 CMITM T[G[ 5;\N SZJFGL ZC[X[P;1FD D[0LS, VMOL;Z wJFZF VF5JFDF\ VFJ[, ;l8"OLS[8DF\ NXF"jIF D]HA H ,BJFG]\ ZC[X[
VCL TDMG[ H[ 5|SFZGL XFlZZLS BM0BF\56 CMITM T[ S[8,F 8SF K[ T[ ,BJFGL ZC[X[P;1FD D[0LS, VMOL;Z wJFZF VF5JFDF\ VFJ[, ;l8"OLS[8DF\ NXF"jIF D]HA H ,BJFG]\ ZC[X[
HM TD[ lNjIF\U CMJ VG[ T[G[ ,UTL DFlCTL ;[J Y. HTF
0L;V[AL,L8L 0L8[.<; 5Z 0G(Done) Y. UI[, ATFJX[P
38
0MSI]D[g8; V5,M0 SZJF TDFD 0MSI]D[g8; TYF TFH[TZDF\ 50FJ[,M OM8M :S[G SZL V5,M0 SZJFGM ZC[X[P
� TDFD 0MSI]D[g8; TYF OM8M .jpeg OMZD[8DF\ V5,M0 SZJFGM ZC[X[P DCTD ;F.h Z__
kb ZFBJFGL ZC[X[P
GM\Wo :S[G SZ[,F TDFD 0MSI]D[g8;GL OF., TYF OM8M TDFZF desktop 5Z ;[J SZL ZFBM P
H[ 0MSI]D[g8; V5,M0 SZJFGF CMI T[G[ A|Fph 5Z lS,S SZJFG] ZC[X[P A|Fph 5Z lS,S SIF" AFN 0[:S8M5 5Z :S[G SZ[,L OF.,G[ l;,[S8 SZL V5,M0 SZJFGL ZC[X[P TD[ SIFZ[ V5,M0 SZL T[GL DFlCTL TDG[ HMJF D/X[P
TDFD DFlCTL TYF 0MSI]D[g8; V5,M0 YIF AFN ;[J V[h 0=FO8 (Save
As Draft) A8G 5Z lS,S SZMP
39
;[J V[h 0=FO8 (Save As Draft) A8G 5Z lS,S SZJFYL TDFD DFlCTL TYF V5,M0 SZ[, 0MSI]D[g8; ;[J Y. HX[PtIFZAFN GLR[GF\ R[S AM1F 5Z lS,S SZJFG]\ ZC[X[P
. Date : 09/25/2017
Verify Mobile Number: Yes 25/09/2017 Signature of the applicant
�GM\Wo V[%,LS[XG l5|g8 SF-IF AFN lJWFYL"V[ TYF ;\:YFGF\ J0FV[ ;CL VR]S SZJLP ;CL JUZGL V[%,LS[XG DFgI U6FX[ GCLP
K[<,[ l5|g8 A8G 5Z lS,S SZL l5|g8 SF-LG[ TDFD 0MSI]D[g8; ;FY[ HM0L TDFZL ;\:YFDF\ HDF SZFJJFG]\ ZC[X[P
OZLYL TDFD 0MSI]D[g8;GL RSF;6L SZM 4 TDFD 0[8FV[g8=LGL RSF;6L SZM4 TDFD V5,M0 0MSI]D[g8;GL RSF;6L SZM TDFD AFATMGL RSF;6L SIF"AFN K[<,[ SgOD" V[g0 OF.G, ;ADL8 A8G 5Z lS,S SZJFG]\ ZC[X[P
40
ZP5_ ,FBYL JW] VFJS WZFJTL SgIFVM DF8[ 5M:8 D[l8=S :SM,ZXL5 DF8[ JLS[JFI
!5& (VKY156 Post Matric Scholarship for ST Girls
Students having annual family income more than 2.50
Lakh)
JLS[JFI !5& DF\ OST A[ H OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[
O|L XL5 SF0" TYF V[DALALV[;DF\ ,MG ,[GFZ[ V,UYL O|L XL5 SF0"GL IMHGFDF\ VMG,F.G OMD" EZJFG] ZC[X[
TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP
VCL\ H[g0ZDF\ OST OLD[, H VFJX[P
VCL S]8]dAGL JFlQF"S VFJS ZP5_ ,FBYL p5Z GFBJFGL ZC[X[P
41
JLS[JFI !5* SM,[H ;\,uG KF+F,IDF\ ZC[TF lJWFYL"VM DF8[ O]0AL, IMHGF\
VKY-157 Food Bill Assistance in College Attached
Hostels VCL GLR[ D]HAGF\ OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[P
VCL\ OZlHIFT CM:8[,Z VFJX[P
HM TDFZL CM:8[, EFZT ;ZSFZ S[ ZFHI ;ZSFZGF\
SM. lJEFU wJFZF R,FJJFDF\ VFJ[ K[ TM T[G[(Yes) sCFf 5;\N SZJFG] CMI K[ HM EFZT ;ZSFZ S[ ZFHI ;ZSFZGF\ SM. lJEFU wJFZF R,FJJFDF\ G VFJTL
CMI TM (No) sGFf 5;\N SZJFG]\ ZC[X[P
HM TDFZL CM:8[, SM,[H HM0[ HM0FI[, K[ DT,A
SM,[H ;FY[ ;\,uG K[ TM T[G[(Yes) sCFf 5;\N SZJFG] CMI K[PHM CM:8[, SM,[H ;FY[ ;\,uG G CMITM GM 5;\N SZJFG]\ ZC[X[P
HM TDFZL CM:8[,DF\ DOT HDJFG] D/[ TM I;sCFf 5;\N SZJFG] CMI K[P DOT EMHG G D/T] CMITM
(No) sGFf 5;\N SZJFG]\ ZC[X[P
CM:8[,ZG]\ ;8L"OLS[8 V5,M0 SZJFG]\ ZC[X[P
42
TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP JLS[JFI !&$ 5|YD JQF" 0LU|L .HG[ZL 40L%,MDF\ .HG[ZL TYF V[DALALV[;DF\ VeIF; SZTF lJWFYL"VM DF8[ ;FWG ;CFI IMHGF
VKY 164 Instrumental Assistance for First Year
Students of Medical, Engineering, Diploma Courses VCL GLR[ D]HAGF\ OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[P
Select Your Present Course/Class/Trade
Type DF\ TD[ H[ 1F[+DF\ 5|J[X D[/J[, CMI T[ 1F[+G[ 5;\N SZJFG]\ ZC[X[P NFT � HM TD[ 0LU|L .HG[ZL S[ l0%,MDF\ .HG[ZL JU[Z[ H[JF
VeIF;S|DMDF\ VeIF; SZTF CMJTM Engineering
& Technology 5;\N SZJFG] ZC[X[P � HM TD[ V[DALALV[; VeIF;S|DMDF\ VeIF; SZTF
CMJTM Medical 5;\N SZJFG] ZC[X[P=
Select Your Present Course/Class/Trade
Name DF\ TD[ CF,DF\ H[ VeIF;S|DDF\ VeIF; SZTF CMI T[G] GFD 5;\N SZJFG] ZC[X[ H[D S[ A[R,Z VMO V[lgHGIZL\U4 l0%,MDF\ V[lgHGIZL\U4 V[DALALV[; JU[Z[ 5;\N SZJFG] ZC[X[P
Select Your Present Course/Class
/Trade NameDF\ VCL\ AFI0LOM<8 5|YD JQF" H VFJX[P
43
5|YD JQF" .HG[ZL 0LU|L VYJF 0L%,MDF\ 5;\N SZTF D/JF5F+ TDFD ;FWGMG]\ l,:8 N[BFX[ T[DF\YL TD[ BZLN[, ;FWGM ;FD[ R[S AM1FDF\ S,LS SZJFGL ZC[X[P GM\W TD[ BZLN[, AL,DF\ ;DFlJ:8 ;FWGM ;FD[ H S,LS SZJFGL ZC[X[P 8[1FA]S; S[ Z[OZg; A]S;GM ;DFJ[X YX[ GCL\
44
GM
JWFZFGF\ V5,M0DF\ ;FWG BZLNLG] AL, V5,M0 SZJFG] ZC[X[P TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP
5|YD JQF" V[DALALV[; 5;\N SZTF D/JF5F+ TDFD ;FWGMG]\ l,:8 N[BFX[ T[DF\YL TD[ BZLN[, ;FWGM ;FD[ R[S AM1FDF\ S,LS SZJFGL ZC[X[P GM\W TD[ BZLN[, AL,DF\ ;DFlJ:8 ;FWGM ;FD[ H S,LS SZJFGL ZC[X[P 8[1FA]S; S[ Z[OZg; A]S;GM ;DFJ[X YX[ GCL\
45
ITI VKY 158 Swami Vivekanand Stipend Scheme for
ITI Student (diploma technical professional and
industrial courses) VCL GLR[ D]HAGF\ OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[P
Habitation Type DF\ TDFZM J;JF8
U|FdI CMI TM Rural 5;\N SZJFG] ZC[X[ VG[
XC[ZL CMITM Urban 5;\N SZJFG] ZC[X[P
VCL\ Rural 5;\N SZTF TDFZF S]8]dAGL JFlQF"S
VFJS $*4___ SZTF VMKL CMJL HM.V[P
VCL\ Urban 5;\N SZTF TDFZF S]8]dAGL JFlQF"S
VFJS &(4___ SZTF VMKL CMJL HM.V[P
Select Your Present Course/Class/Trade
Type DF\ AFI 0LOM<8 VF.8LVF. H VFJX[P =
Select Your Present Course/Class/Trade
Name DF\ TD[ CF,DF\ H[ VeIF;S|DDF\ VeIF; SZTF CMI T[G] GFD 5;\N SZJFG] ZC[X[ VCL\ AFI 0LOM<8 VF.8LVF. 5|YD JQF" 4ALH] JQF" +LH] JQF" VFJX[P
46
Select Your Present Course/
Class /Trade NameDF\ VCL\ TD[ VF.8LVF. 5|YD JQF" 4ALH] JQF" +LH] JQF" VFJX[P H[ JQF"DF\ VeIF; SZTF CMJ T[ 5;\N SZJFGM ZC[X[P
Course Duration in Years DF TDFZM 8[0= S[8,F JQF"GM K[ T[ 5;\N SZJFGM ZC[X[P
Select Your Present Branch
CourseDF\ TD[ VF.8LVF.DF\ H[ 8[=0DF\ E6TF CMJ T[ 8[0=G] GFD 5;\N SZJFG]\ ZC[X[P
TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP
GM\Wo 0=FO8 JM8ZDFS" JF/L l5|g8 V[ OF.G, ;ADL8 YIF 5C[,F\ R[S SZJF DF8[GL l5|g8 K[ T[YL T[JF l5|g8JF/L V[%,LS[XG ;ADL8 SZJL GCL\
VCL lJWFYL" ;Z/TFYL ;DHL XS[ T[ ZLTGM 5|ItG SZJFDF\ VFJ[, K[PKTF\I 5M8," CH] JW] ;Z/ AGL XS[ T[ DF8[ HM SM. ;]RG SZJFDF\ VFJX[ TM T[ :JLSFZJFDF\ VFJX[P ZFS[X 5L 9FSZ