WWW - Rajeduboard.Nic - In: Form DK Fyad Feysxk FTL Ij Fdyd Djus Ls Registration Form (Kqysxk Ftls Hkjus Ds

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dkWyst ,oa foofo|ky; esa v/;;ujr fo|kfFkZ;ksa ds fy;s dsUnzh; {ks= dh Nk=o`fRr ;kstuk&2013 ds
fy;s vkWu ykbZu vkosnu i= Hkjus gsrq vko;d funsZ k ,oa fof/k
cksMZ dh osclkbZV www.rajeduboard.nic.in
cksMZ }kjk tkjh vkWu ykbZu vkosnu i= ,oa mlds ihNs eqfnzr funsZkksa dh iw.kZr% ikyuk djsa vU;Fkk
vkosnu i= esa dh tkus okyh izfof"V;kWa =qfViw.kZ gksus dh laHkkouk jgsxhA uewuk vkosnu i= cksMZ dh
mDr osclkbZV ls Hkh MkmuyksM fd;k tk ldrk gSAvkosnu i= Hkjus ls iwoZ lacaf/kr leLr lwpuk;sa
,df=r dj vius lkFk j[ksAa
vkWuykbZu vkosnu i= Hkjrs le; tks lwpuk, Lor% Hkjh gqbZ fizUV gksrh gSa ;fn fo|kFkhZ mlesa lq/kkj
djuk pkgrs gSa rks fizUV vkmV izkIr djus ds i'pkr~ v'kq) izfof"V dks isu ls xksys esa dj ds mlds
ikl lgh lwpuk Hkjsa ,oa lq/kkj djus ds fy;s izkFkZuk i= fy[ksa ftlds lkFk lq/kkj gsrq i;kZIr
izkekf.kd nLrkost Hkh layXu gksus vko';d gSA
vkosnu i= dsoy vaxzsth esa gh Hkjk tkosA
lkekU; funsZk%&
1. ykWfxu& loZizFke vkosnd ykWfxu ist ij fn;s x;s funsZkksa dk /;kuiwoZd v/;;u djsA vkosnd
lqfo/kk ds fy, ykWfxu ist ij fn;s x;s izi=ksa dk vko;drkuqlkj fizUV izkIr dj ldrs gSA
vkosnd viuk ukekad Roll Number] lUnHkZ la[;k (Ref.No.) tks vadrkfydk ij eqfnzr gS
rFkk dqy izkIrkadksa dk ;ksx Hkjdj ykWfxu djsAa
2. vxj vki igyh ckj ykWfxu dj jgs gSa rks ykWfxu ds rqjUr ckn vkidks Fill Registration
Form dk fyad feysxk ftl ij fDyd djus ls Registration Form [kqysxk ftls Hkjus ds
fy;s uhps fn;s x;s funsZkksa dk v{kj'k% ikyu djsa %&
A- Personal Details1- Registration Date
2- Name
3- Date of Birth
4- Gender
5- Category
6- Nationality
7- E-mail Address
8- Mobile No.
9- Is Student with disability

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Lo;a eqfnzr gksxk
dSy.s Mj ls p;u djds Hkjsa
Lo;a eqfnzr gksxk
ftl Js.kh ls gSa] mldk p;u djds Hkjsa
lacaf/kr nsk dk uke fy[ksa
;fn bZ&esy irk gS rks vafdr djsa
eksckbZy uEcj vafdr djsa
;fn vkosnd kkjhfjd #i ls v{ke gS rks Yes ij fDyd
djs rFkk lkeus fn;s x;s Text Box esa v{kerk dk izfrkr
vafdr djsa

10- Aadhar Card Reg. No.


B- Details of Class XII
11- School Name
12- Faculty
13- Date of Admission in School
14- Date of School leaving
15- Total Marks
16- Percantage
17- Roll No.

fo|ky; dk uke Lo;a eqfnzr gksxk


fo"k; oxZ dk uke Lo;a eqfnzr gksxk
fo|ky; esa izosk ysus dh frfFk dk dSys.Mj ls p;u djsa
fo|ky; NksMus dh frfFk dk dSy.s Mj ls p;u djsa
Lo;a eqfnzr gksxsa ;fn laoh{kk ls vad ifjorZu gqvk gS rks fizUV vkmV ij vafdr vadksa dks xksys esa
Lo;a eqfnzr gksxh ysdj mlds ikl lgh vad fy[ksa ,oa izkFkZuk i= ds lkFk izek.k&i= layXu djsAa
Lo;a eqfnzr gksxk

C-Present Institute/College Details


18- Inst./College Name with District orZeku esa ftl laLFkk esa v/;;u dj jgsa gSa mldk uke fy[ksa
19- Mode of Study
lacaf/kr i<kbZ ds izdkj dk p;u djsa
20- Date of Admission
laLFkk esa izosk ysus dh frfFk dk dSys.Mj ls p;u djsa
21- Type of Programme
ftlls lacaf/kr gS p;u djsa

22- Inst./College Recognised from


23- Course Taken
24- Inst./College Registration No.
25- Pattern of Examination
26- Inst./College Contact No.
27- Inst./College E-Mail
28- Type of Inst./College

laLFkk ftl foofo|ky; ls lacaf/kr gS mldk uke fy[ksa


p;fur dkslZ dk p;u lwph ls djssa
laLFkk dh iath;u la[;k fy[ks
ftlls lacaf/kr gS p;u djsa
laLFkk ls lEidZ gsrq nwjHkk"k la[;k fy[ksa
laLFkk dk bZ&esy irk vafdr djsa
laLFkk ftrus Hkh izdkj ls lacaf/kr gS mu ij fDyd djsa

D-Details of Parents
29- Fathers Name
30- Occupation
31- Designation/Org. Address
32- Contact No.
33- Annual Income
34- Nationality
35- Mothers Name
36- Occupation
37- Designation/Org. Address
38- Contact No.
39- Annual Income
40- Nationality

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E-Present Address
41- Address
42- City/Town/Tehsil
43- District
44- Pin Code
45- State
F-Permanent Address
46- Address
47- City/Town/Tehsil
48- District
49- Pin Code
50- State
G-Details of Other Scholarship
51- Other Scholarship

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ds lsok dk;Z dk izdkj vafdr djsa
ds inuke ,oa dk;Z{ks= dk irk vafdr djs
dk lEidZ nwjHkk"k la[;k
dh okf"kZd vk;
dh jk"Vh;rk
dk uke Lo;a eqfnzr gksxk
ds lsok dk;Z dk izdkj vafdr djsa
ds inuke ,oa dk;Z{ks= dk irk vafdr djs
dk lEidZ nwjHkk"k la[;k
dh okf"kZd vk;
dh jk"Vh;rk

Lo;a dk orZeku irk vafdr djsa


'kgj@uxj@rglhy dk uke vafdr djsa
ftys dk uke vafdr djsa
'kgj dk fiudksM ua- vko;d #i ls vafdr djs A
blds vHkko esa i= vki rd ugha igqWpx
sa s
'kgj ftl jkT; esa fLFkr gS mldk uke vafdr djsa
Lo;a dk LFkk;h irk vafdr djsa
'kgj@uxj@rglhy dk uke vafdr djsa
ftys dk uke vafdr djsa
'kgj dk fiudksM ua- vko;d #i ls vafdr djs A
blds vHkko esa i= vki rd ugha igqWpx
sa s
'kgj ftl jkT; esa fLFkr gS mldk uke vafdr djsa

52- Organisation Name


53- Amount
54- Start Date

mPp f'k{kk ds fy, vU; Nk=o`fRr ;fn izkIr dj jgs gSa rks Yes ij
fDyd djsa
Nk=o`fRr iznkrk laLFkk dk uke vafdr djsa
Nk=o`fRr jkfk tks izkIr dh tk jgh gS] vafdr djsa
Nk=o`fRr izkjEHk gksus dh frfFk dk p;u dSy.s Mj ls djsa

H-Student Bank Details


55- Account No.
56- Account Holders Name
57- Bank Name
58- Bank Address
59- Bank Code
60- Bank MICR Code
61- Bank IFSC Code
62- Account Type

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[kkrk /kkjd dk uke vafdr djsa
cSad dk uke tgkWa mDr [kkrk gS
cSad dk iw.kZ irk vafdr djsa
cSad dk dksM vafdr djsa
cSad dk MICRdksM vafdr djsa
cSad dk IFSC dksM vafdr djsa
cSad [kkrs ds izdkj dk p;u djsa

Lkkjh tkudkjh Hkjus ds i'pkr~ vkosnd Submit cVu ij fDyd djsAa

3- Check Registration Form :- bl fyad ij fDyd djus ij vkosnd }kjk Hkjh xbZ
tkudkfj;kW iznZfkr gksxhA vkosnd bl QkWeZ dk fizUV ysdj lqfufpr dj ysa fd QkWeZ esa Hkjh xbZ
lEiw.kZ tkudkfj;kW lgh gSaA
4- vxj Hkjh xbZ tkudkjh esa lq/kkj vko;d gks rks Update Registration Form (if
required) ds fyad ij fDyd djsAa iqu% jftLVs ku QkWeZ [kqysxk] vkosnd vko;drkuqlkj lq/kkj
dj Update cVu ij fDyd djsAa tkudkjh viMsV gks tkosx
a hA
5- vxj vki vkoLr gSa fd vkids }kjk Hkjh xbZ lHkh tkudkfj;kW lgh gS rks Lock
Registration Form ij fDyd djsa /;ku jgs fd bl fyad ij fDyd djus ds i'pkr~ dksbZ
lq/kkj ugha dj ik;saxs] xyr tkudkjh ij vkosnu fujLr gksus dh ftEesnkjh vkosnd dh Lo;a dh
gksxh
6- Final Registration Form bl fyad ij fDyd djus ij tks izi= [kqysxk mls fizUV djsAa
cksMZ es Hkstus ;ksX; vkosnu i=
7- Joining Report bl fyad ij fDyd dj Joining Report izi= dk fizUV fy;k tkuk gS
ftls dkWyst izkpk;Z ds gLrk{kj o lhy ls izekf.kr djok dj vkosnu ds lkFk uRFkh dj HkstAsa
8- vk; 'kiFk i= ,oa vU; Nk=o`fk ugha ysus dk 'kiFk i= dk izk:i osclkbV ls MkmuyksM dj
Hkjdj layXu djsAa
9- fizUV fd;s x;s lHkh izi= rFkk vko;d izi= vk; 'kiFk&i= ,oa vU; Nk=o`fk ugha ysus ds
'kiFk i= funskkuqlkj layXu dj r; fnukad rd cksMZ dks Mkd }kjk izsf"kr djsa rFkk Hkjs gq,
vkosnu i= ,oa layXu leLr nLrkostksa dh ,d QksVks izfr vius ikl lqjf{kr j[ksAa
uksV%& izFke ckj QkWeZ Hkjus ds i'pkr~ vxj vki iqu% ykWfxu gks jgsa gS rks fcUnq 3 ls funsZkksa dk
ikyu djsAa

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