dk;kZy;] leUo;d ch-

ch-,l-
,l-Vh-
Vh-lh-
lh- ¼lkekU;½@ch-
¼lkekU;½@ch-,l-
,l-Vh-
Vh-lh¼laLd`r½ izo's k iwoZ ijh{kk] 2010
jktdh; egkfo|ky;] vtesj
¼nwjHkk"k & 0145&2611946] QSDl ua- 0145&2460947½ [email id :[email protected]]

Øekad %BSTC¼lkekU;½ / BSTC¼laLd`r½ /iziiw -10@thlh,@10@1093 fnukad% 11&10&2010

izkpk;Z]
leLr ch-,l-Vh-lh- ¼lkekU;½
f'k{kd izf'k{k.k egkfo|ky;@laLFkku
jktLFkkuA

egksn;]

jkT; ljdkj ds fn'kk funsZ'kkuqlkj l= 2010 esa izofs 'kr fo|kfFkZ;ksa }kjk tek 'kqYd
dk fu;ekuqlkj gLrkUrj.k fd;k tkuk gSA
vkids egkfo|ky; esa Nk= ds fjiksfVZx a ds le; bl dk;kZy; }kjk miyC/k izos'k
vkosnu QkeZ ds lkFk vH;FkhZ us cSd a esa pkyku ds }kjk tek 'kqYd dh nksuksa pkykuksa
¼jftLVª's ku 'kqYd :0 2000@& $ izo's k 'kqYd :0 9357@&½ dh ewy izfr izos'k vkosnu
i= ds lkFk HkyhHkk¡fr uRFkh dj vkids laLFkku esa izofs 'kr leLr Nk=ksa dh Alphabet ¼vaxzsth
o.kZØekuqlkj½ lwph i= esa mYysf[kr izkQs kekZ ¼Øe la- II ij vafdr½ esa rS;kj dj ,oa lwph
vuqlkj gh izo's k vkosnu i= ladfyr djrs gq, bl dk;kZy; dks Hkstuk lqfuf'pr djsa rFkk
dk;kZy; dks fHktok;s x;s vkosnu i= ds lkFk layXu izek.k i=ksa ,oa nksukas pkyku dh QksVks
izfr;k¡ ¼:-2000@& ,oa :-9357@&½ vius ikl lqjf{kr j[ksAa
vkidks 'kqYd dk fu;ekuqlkj gLrkUrj.k fd;k tk ldsA bl gsrq vki fuEufyf[kr
pkgh x;h lwpuk,a bl dk;kZy; dks vfoyEc izfs "kr djs]a ftlls 'kqYd gLrkUrj.k dk;Z
;Fkk'kh?kz fd;k tk ldsA
I. nl :i;s ds ukWu T;wMhf'k;y LVkWEi isij dk 'kiFk&i=] tks uksVjh }kjk lR;kfir
gksA
eSa ----------------------------------------------------- iq=@iq=h Jh ------------------------------------------------ izkpk;Z]
laLFkku dk uke rFkk iw.kZ irk --------------------------------------------------------------------------------------------------------
--------------------------------------'kiFkiwoZd c;ku djrk@djrh gw¡ fd %&
1- dk;kZy;] leUo;d] ch-,l-Vh-lh-¼lkekU;½@ch-,l-Vh-lh-¼laLÑr½ iz-iw-ijh{kk]
2010 jktdh; egkfo|ky;] vtesj }kjk vkaofVr Nk=@Nk=kvksa dks gh izo's k
fn;k x;k gSA
2- vkoafVr lHkh fo|kfFkZ;ksa dks muds ;ksX;rk lEcU/kh ewy izek.k i=ksa dh xgu
tkap ds i'pkr~ gh izos'k fn;k x;k gSA
3- laLFkk }kjk fo|kfFkZ;ksa ls fu/kkZfjr 'kqYd ds vfrfjDr fdlh Hkh izdkj dk 'kqYd
uk rks olwy fd;k x;k vkSj uk gh Hkfo"; esa olwy fd;k tk;sxkA

yxkrkj-----
yxkrkj -----2
-----2-
 ¼2½
4- NCTE rFkk jkT; ljdkj }kjk le;≤ ij tkjh leLr funsZ'kksa dh gekjh
laLFkk }kjk ikyuk dh tk;sxhA

5- fdlh fo|kFkhZ dks Nk=kokl esa jgus ds fy, ck/; ugha fd;k tk;sxkA

6- mi;qZDr of.kZr leLr lwpuk,a iw.kZr;k lR; gSA fdlh Hkh feF;k lwpuk dk iw.kZ
mÙkjnkf;Ro egkfo|ky;@laLFkku dk gksxkA

fnukad%--------------------------
%--------------------------
'kiFkdrkZ ds gLrk{kj
e; laLFkk dh lhy

II. izofs 'kr fo|kfFkZ;ksa dh Alphabet ¼va

¼vaxzt
s h o.kZØekuqlkj½ lwph&izi= ¼nks ewy izfr;kas es½a
egkfo|ky; dk uke ,oa irk% -------------------------------------- dksM la[;k % --------------------

fo|kFkhZ ds
Ø-la- jksy ua- fo|kFkhZ dk uke firk dk uke dSVxjh
gLrk{kj

III. izofs 'kr Nk=@Nk=kvksa ds Alphabet ¼va

¼vaxzt
s h o.kZØekuqlkj½ lkewfgd chek gsrq izi=
¼nks ewy izfr;kas es½a
egkfo|ky; dk uke ,oa irk%
irk% --------------------------------------
-------------------------------------- dksM la[;k % --------------------

lkewfgd chek&izi=
Ø- jksy fo|kFkhZ euksuhr O;fDr dk fooj.k
fooj.k fo|kFkhZ ds
la- ua- dk uke uke vk;q lEcU/k irk gLrk{kj

uksV %& 1- leUo;d] ch-,l-Vh-lh-] iz-iw-ijh{kk 2010 jktdh; egkfo|ky;] vtesj ls i=

O;ogkj ,oa nwjHkk"k ij okrkZ djrs le; loZizFke vius laLFkku dh
dksM la[;k dk mYys[k vko';d :i ls djsAa
2- laLFkk iz/kku dk uke % ---------------------------------------------------------------------
3- laLFkk iz/kku dk eksckbZy ua- -------------------------------------------------------------
4- laLFkk dk nwjHkk"k ua- ¼-----------------------½ ------------------------------ ---------------
bZ&esy irk ---------------------------------------------------------------------------------------------

leUo;d
ch-
ch-,l-
,l-Vh-
Vh-lh-
lh-] iz-iw-ijh{kk 2010
2010
jktdh; egkfo|ky;] vtesj
Note :

Please send your Email ID and College Code with Principal

Name and Mobile Number on our Email ID –

[email protected]
 BSTC(General)/ BSTC(Sanskrit) - 2010
GOVERNMENT COLLEGE, AJMER
Admission Form
Session: 2010-11

Roll No.: _____________________________ Name: ___________________________ PHOTOGRAPH

Attested by
Head of the
Father's Name: ________________________ Mother's Name: ____________________ Institution

Sex : Male Female

Signature of Student

Fee Details :
Registration Fee : Rs. 2000/- (Enclose copy of Bank Challan)
Admission Fee : Rs. 9357/- (Enclose copy of Bank Challan)
INSTITUTION CODE NO.

Educational Qualifications :

Marks
Exam Year Board Max. Marks Percentage
Obtained
Secondary
Senior Higher
Secondary

Day Month Year Year Month Day

Date of Birth Age on 01-07-10

Category : Write category in the box

1. Gen/OBC/ST/SC/SOBC
2. PH (a) Blind (b) Ortho
3. Widow/Divorcee
4. Martyr/Ex-serviceman Ward (DEF)
5. Deceased Employee Ward (DEMP)
6. If 'ST' then TADA/SAHARIA

Cont Page.2
Documents Enclosed :

S.No. List of Documents enclosed Enclosure No.

1 Secondary Marks sheet
2 Senior Higher Secondary Marks sheet
3 Category (SC/ST/OBC/SOBC)
4 Physical Handicap (Blind/Ortho)
5 Widow
6 Divorcee
7 Martyr/Ex-serviceman Ward (DEF)
8 Deceased Employee Ward (DEMP)
Total Enclosures

Certified that I have full filled all the eligibilities. Any information given by me if found incorrect, my BSTC
admission will stand cancelled. I will be fully responsible for that offence.

Signature of Student

Full Name :_________________________________________________________________________

Complete Address:___________________________________________________________________

Land Line No. with STD Code_________________________________________________________

Mobile No. _________________________________________________________________________

-: FOR OFFICE USE ONLY :-

(i) Verified and checked all the documents of the candidate.
(ii) Mr./Ms. _________________________________ S/o / D/o __________________________________ is
provisionally admitted, subject to the final approval of the BSTC-2010.
(iii) Registration Fee: Rs. 2000/- (Enclose copy of Bank Challan)
(iv) Admission Fee: Rs. 9357/- (Enclose copy of Bank Challan)
Signature
Head of the Institution (With Seal)