Housings Chem For Scheduled Casteand Denotified Tribes - Application - Form - 0

vuqlwfpr tkfr;ka ,oa fiNM+s oxZ dY;k.k foHkkx] gfj;k.
kk
edku vuqnku ;kstuk
edku cukus@ejEer ds fy, vuqnku gsrq vkosnu&i=
lsok esa
ftyk@rglhy dY;k.k vf/kdkjh A
rglhy----------------------------------------
ftyk--------------------------------------------
fuosnu gS fd esjs ikl jgus ds fy, dksbZ edku ugha gS vFkok esjs iDds edku
dh ejEer dh vko”;drk gSA vr% vkils vuqjks/k gS fd eq>s edku cukus@ejEer ds
fy,---------------------------------------------#i;s dk vuqnku fn;k tk;sA
1- vkosnd dk uke-------------------------------------------------------------------------------
2- firk@ifr dk uke--------------------------------------------------------------------------
3- ifjokj ds eqf[k;k dk uke------------------------------------------------------------------------------------------------
4- tkfr-----------------------------------------------------------------------------------------------------------------------------------------
5- izkFkhZ dk;Z D;k djrk@djrh gSA iw.kZ fooj.k lfgr lHkh lk/kuksa ls izkIr ifjokj
dh okf’kZd vk;--------------------------------------------------------------------------------------------------------------------------------
6- D;k vkosnd us igys foHkkx esa vkosnu i= fd;k Fkk-------------------------gka----------------------
ughaa
7- D;k vkosnd dk uke xjhch js[kk dh lwph esa ntZ gS \ ;fn gka rks ¼dz0la[;k½
LFkkbZ irk edku uEcj-------------------------------------------------------------ekSgYyk---------------------------------------
xkao------------------------------------------------------------------------------------------------Mkd[kkuk------------------------------------
rglhy----------------------------------------------------------------------------------------------ftyk---------------------------------------
8- vkosnd bl le; dgka jgrk gS \
9- D;k vkosnd fdjk;s ds edku esa jgrk gS \ ;fn gka rks
fdjk;s dh jlhn@bdjkjukek lkFk yxk;sa
10- D;k vkosnd ds ikl edku cukus ds fy;s de ls de 50 oxZ xt Hkwfe ¼xzkeh.k
{ks= esa½ ;k 35 oxZ xt Hkwfe ¼”kgjh {ks= esa½ gS \ ;fn gka rks izek.k lkFk yxk;saA
11- D;k vkosnd vius ikl ls ”ks’k iwath yxk ldrk gSA \
12- D;k vkosnd us igys edku cukus ds fy, vuqnku ;k fdlh foHkkx ls _.k ys
j[kk gS\ vxj gka rks fdl o’kZ esa vkSj fdl ;kstuk ds v/khu \
13- D;k vkosnd ds ikl d`f’k ;ksX; Hkwfe gS \ ;fn gka rks fdruh vkSj dgka \ iw.kZ
fooj.k nsaA
fnukad vkosnd ds gLrk{kj@vaxwBk

dk;kZy; ds iz;ksx gsrq
fjiksVZ dh tkrh gS fd Jh@Jherh-------------------------------------------------------------------------------------

iq=@iRuh@fo/kok@rykd”kqnk Jh--------------------------------tkfr-------------------ch0ih0,y0 ua0-----------------------
ekSgYyk---------------------------------------------------------xkao-------------------------------------rglhy------------------------------------------------
ls laca/k j[krk@j[krh gSA vkosnd ds ikl dPpk edku ftldh nhokjksa esa njkjsa ;k Nr
dPph gS ftldh ejEer djuh vfuok;Z gS ;k edku dPpk gS vkSj edku fxjus okyk gS ;k---
-------------------------------xt dk [kkyh IykV xkao esa yky Mksjs ds vUnj gS ftldk lkbZt---------------------
gS ftlds iwoZ esa----------------------------if”pe esa---------------------------------mrj esa-----------------------nf{k.k esa----------------
------bu O;fDr;ksa ds IykV@edku gSaA vkosnd dks Ldhe ds vuqlkj------------------------------------------------
#i;s dh jkf”k ejEer@u;k edku cukus gsrq flQkfj”k dh tkrh gSA
vkosnd }kjk fn;s x;s rF; lgh ugha ik;s x;s blfy, vkosnd dk QkeZ jn~n
fd;k tkrk gSA
rglhy dY;k.k vf/kdkjh@mi&v/kh{kd

vkadMk+ lgk;d@lgk;d@fyfid
pSd fyLV
1- fo/kok L=h vius LoxZoklh ifr dh e`R;q dk izek.k&i= lkFk lyaXu djsaA
2- jk”ku dkMZ dh QksVksizfr vFkok oksVj dkMZ dh izfrA
3- tkfr izek.k&i= ¼”kgjh {ks= esa lEcfU/kr ik’kZn }kjk xzkeh.k {ks= esa
ljiap@vuqlwfpr tkfr iap@uEcjnkj }kjk lR;kfir @tkjh fd;k gqvk½A
4- IykV dk izek.k i= ¼xzkeh.k {ks= esa esa ljiap vFkok gYdk iVokjh }kjk rFkk
”kgjh {ks= esa lEcfU/kr okMZ ik’kZn }kjk izekf.kr ½A
5- bdjkjukek vFkok fdjk;s dh jlhn ;fn izkFkhZ fdjk;s ds edku esa jgrk gSA
ikorh
Jh@Jherh----------------------------------------------------------------------iq=@ifr-------------------------------------------------
fuoklh-------------------------------------------------------------------dk vkosnu i= izkIr fd;k o Bhd ik;k x;k rFkk
Mk;jh dzekad ua0 --------------------------------------------fnukad--------------------------ij nt fd;k x;k gSA
lEcfU/kr vf/kdkjh@deZpkjh dk uke

inuke rFkk eksgj lfgr gLrk{kj
vuqlwfpr tkfr@foeqDr tkfr izek.k&i=
izek.fkr fd;k tkrk gS fd Jh@Jherh--------------------------------------------------------------------------------

-----firk@ifr dk uke-------------------------------------------------------------------------------xkao--------------------------------------------------
---rglhy-------------------------- ftyk---------------------------------------------------------------tkfr ----------------------------------------- ls
laca/k j[krk@j[krh gSA ;g tkfr gfj;k.kk essa vuqlwfpr tkfr@foeqDr tkfr ds vUrxZr
vkrh gSA ;g izek.k&i= dsoy edku vuqnku ;kstuk ds fy, gh ekU; gksxkA
1- ljiap@vuqlwfpr tkfr iap@uEcjnkj@

vuqlwfpr tkfr uEcjnkj ¼xzkeh.k {ks= ds
fy,½
2- lEcfU/kr okMZ ik’kZn ¼”kgjh {ks= ds fy,½

Housings Chem For Scheduled Casteand Denotified Tribes - Application - Form - 0

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vuqlwfpr tkfr;ka ,oa fiNM+s oxZ dY;k.k foHkkx] gfj;k.

ftyk@rglhy dY;k.k vf/kdkjh A

fnukad vkosnd ds gLrk{kj@vaxwBk

fjiksVZ dh tkrh gS fd Jh@Jherh-------------------------------------------------------------------------------------

rglhy dY;k.k vf/kdkjh@mi&v/kh{kd

lEcfU/kr vf/kdkjh@deZpkjh dk uke

izek.fkr fd;k tkrk gS fd Jh@Jherh--------------------------------------------------------------------------------

1- ljiap@vuqlwfpr tkfr iap@uEcjnkj@

2- lEcfU/kr okMZ ik’kZn ¼”kgjh {ks= ds fy,½

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