POST MATRIC SCHOLARSHIP FOR SCHEDULE TRIBE STUDENT ON DIGITAL GUJARAT PORTAL USER MANUAL FOR STUDENTS TRIBAL DEVELOPMENT DEPARTMENT GUJARAT STATE GANDHINAGAR
POST MATRIC SCHOLARSHIP FOR
SCHEDULE TRIBE STUDENT ON
DIGITAL GUJARAT PORTAL
USER MANUAL
FOR
STUDENTS
TRIBAL DEVELOPMENT DEPARTMENT GUJARAT STATE GANDHINAGAR
2
VG];]lRT HGHFlTGL S. IMHGFVMGM 5M8", 5Z ,FE D[/JL XSXMP
VPG\ IMHGF VFJS DIF"NF ,FEFYL" ZLDFS;" ! WMZ6 !!q!Z YL SM,[H S1FFGF\
lJWFYL"VM DF8[ :SM,ZXL5 IMHGF
S]8]dAGL JFlQF"S VFJS ~F ZP5_ ,FBYL VMKL
S]DFZ TYF SgIF A\G[ DF8[
O|L XL5SF0" TYF V[DALALV[;DF\ ,MG ,LW[, lJWFYL" DF8[ V,U V[%,LS[XG SZJFGL ZC[X[
Z WMZ6 !!q!Z YL SM,[H S1FFGL lJWFYL"GLVM DF8[ :SM,ZXL5 IMHGF sJW] VFJS JF/L SgIF DF8[f
S]8]dAGL JFlQF"S VFJS ~F ZP5_ ,FB YL JW]
OST SgIF DF8[ H DF8[
O|L XL5SF0" TYF V[DALALV[;DF\ ,MG ,LW[, lJWFYL"GLDF8[ V,U V[%,LS[XG SZJFGL ZC[X[
# SM,[H ;\,uG KF+F,IDF\ ZC[ lJWFYL"VM DF8[ O]0 AL, ;CFI
S]8]dAGL JFlQF"S VFJS~F ZP5_ ,FBYL VMKL
S]DFZ TYF SgIF A\G[ DF8[
$ 5|YD JQF" 0LU|Lq0L%,MDF\ .HG[ZL TYF V[DALALV[;DF\ VeIF; SZTF lJWFYL"VM DF8[ ;FWG ;CFI
S]8]dAGL JFlQF"S VFJS ~F ZP5_ ,FBYL VMKL
S]DFZ TYF SgIF A\G[ DF8[
5 VF.8LVF.DF\ VeIF; SZTF\ lJWFYL"VM DF8[ :8F.5[g0 IMHGF\
S]8]dAGL JFlQF"S VFJS U|FdI lJ:TFZ DF8[ $*___q XC[ZL lJ:TFZ DF8[ ~F &*___qvYL VMKL
S]DFZ TYF SgIF A\G[ DF8[
& V[DOL, VG[ 5LV[R0L SZTF lJWFYL"VM DF8[ O[,MXL5 IMHGF
S]8]dAGL JFlQF"S VFJS ~F ZP5_ ,FB YL JW]
S]DFZ TYF SgIF A\G[ DF8[
VMG,F.G SZTF 5C[,F\ GLR[ H6FJ[, DFU"NXG 5]l:TSFVM H~Z JF\RMP lJWFYL"VM DF8[GL VUtIGL DFU"NX"S ;]RGFVM VFJxIS ;]RGFVM JF\RMP
FAQ for Student.
3
VMG,F.G V[%,LS[X SZTF 5C[,F\ GLR[GF\ 0MSI]D[g8; ;FY[ ,.G[ A[;M
!P VFWFZSF0" T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
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
$P A[\S 5F;A]SG] 5|YD 5FG] H[DF\ TDFZ] GFD4 TDFZM V[SFpg8 G\AZ VG[ VF.V[OV[;;L SM0 NXF"JTF CMI T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
5PTFH[TZDF\ 50FJ[, 5F;5M8" ;F.hGM OM8M T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
&POL EIF"GL 5CM\R T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
*P K[<,[ 5F; SZ[, 5ZL1FFGL DFS"XL8 T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
(P H[ lJWFYL" 5|YD JQF" 0LU|L .HG[ZLq0L%,MDF\ .HG[ZL TYF 5|YD JQF" V[DALALV[;DF\ VeIF; SZTF CMJ TM ;FWG BZLNLG]\ lA, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMPsIMHGFGF lGIDMG];FZf
)P V[DOL, 5LV[R0LGF\ VeIF;S|DDF\ VeIF; SZTF lJWFYL"VM DF8[ Y[;L; 8F.5L\U VG[ l5|g8L\U DF8[G]\ AL, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMPsIMHGFGF lGIDMG];FZf
!_P lNjIF\U lJWFYL"VM DF8[ lNjIF\UTF V\U[G]\ ;1FD D[0LS, VlWSFZL wJFZF .:I] YI[, T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
!!P VeIF;DF\ T]8 V\U[G]\ V[OL0[JL8 T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
!ZP CM:8[,DF\ ZC[TF lJWFYL"VM DF8[ CM:8[,Z V\U[G]\ 5|DF65+ 5M8", 5ZYL 0FpG,M0 SZLG[ ;CL l;SSF SZFJL T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
!#P ,LJ lJWFp8 5[ sLWP)TD[ O], 8F.D VeIF; SZTF CMJTM T[ V\U[G]\ 5|DF65+ 5M8", 5ZYL 0FpG,M0 SZLG[ ;CL l;SSF SZFJL T[DH T[G[ :S[G SZL 0[:S8M5 5Z ;[J SZLG[ ZFBMP
!$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
4
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
lJWFYL" ZlH:8=[XG sGM\W6L fS[JL ZLT[ SZJLm
:8[5v! ;F{ 5|YD www.digitalgujarat.gov.inJ[A ;F.8 VM5G SZMP
:8[5vZ J[A ;F.8 VM5G YTF\ J[A 5[HDF\ ;F{ 5|YD ,MULG ( Login) 5Z lS,S SZMP
5
NFPT ;DZ; CM:8[,DF\ 5|J[X DF8[ lJWFYL"VMV[ ZlH:8=[XG SZFjI] CMITM T[VMV[ OZLYL SZFJJFGL H~Z GYLP
GLR[GL AFATMGL ,UTL 5|lS|IF BF; SZMP
!P TDFZF VFWFZG\AZG[ A[\S V[SFpg8 HM0[ ,L\S SZFJMP
ZP TDFZF DMAF., G\AZG[ VFWFZG\AZ HM0[ ,L\S SZFJMP
JQF" NZdIFG DMAF., G\AZ AN,JM GCL\P ;]Z1FF DF8[ TDFZM DMAF.,G\AZ A[\S V[SFpg8 HM0[ 56 ,L\S SZFJMP
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
6
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
7
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
8
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
9
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[
10
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
VCL\ VG];]lRT HGHFlTGL TDFD IMHGFVM DF8[
Tribal Development Department 5Z lS,S SZJFG] ZC[X[P
11
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
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
12
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
GMWo G[D V[; 5Z VFWFZDF\ VFWFZDF\ H[ 5|dFF6[ GFD ,BJFDF\ VFJ[, K[ T[ D]HA H ,BJFG]\ ZC[X[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
13
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
Date Of Birth DF\ 5C[,F\ A[ VF\S TFZLB ALHF A[ VF\S0F DF;GF\ 5KLGF\ RFZ VF\S0F JQF"GF\ ,BJF
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
14
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
47912686 D[RsA\G[ ;ZBFf
VFWFZ D]HA GFD
Rakeshkumar Thakar
D[RsA\G[ ;ZBFf
0[8 VMO AY" sHgD TFZLBf
D[RsA\G[
;ZBFf
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[
15
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 K]8FK[0F ,LW[, :+LV[ Divorced 5;\N SZJFG]\ ZC[X[P
16
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
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
17
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
18
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
19
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
20
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
21
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
22
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
23
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[
24
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
25
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
26
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
27
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]
28
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
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
29
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_!5DF\ 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_!!DF\ 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
30
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
31
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
32
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
33
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
34
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
35
;[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[ ;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
36
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
37
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
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
38
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
39
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\
40
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\
41
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
42
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
VCL lJWFYL" ;Z/TFYL ;DHL XS[ T[ ZLTGM 5|ItG SZJFDF\ VFJ[, K[PKTF\I 5M8," 5|YD JBT ,M\R SZ[, CM. CH] JW] ;Z/ AGL XS[ T[ DF8[ HM SM. ;]RG SZJFDF\ VFJX[ TM T[ :JLSFZJFDF\ VFJX[P ZFS[X 5L 9FSZ