vkosnu ekad..

mRrjk[k.M laLd`r fo'ofo|ky;] gfj}kj

f'k{k.k inksa ds fy;s vkosnu i=

foofo|ky; ds 'kS{kf.kd foHkkxksa esa vkpk;Z izksQslj@lg&vkpk;Z ,lksflk,V izksQslj@lgk;d vkpk;Z

vfLkLVsaV izksQslj ,oa led{k inksa ij lh/kh HkrhZ gsrq
leLr izek.ki=ksa dh Nk;kizfr;ka dk ,d lsV vkosnu i= ds lkFk layXu djsa

cSad MkV
MkV u0
fnukad

/kujkf'k #i;s

cSad dk uke

vki ij ykxw gksus okys [kkus esa fpg~u yxk nsaA

oxZ@Js.kh
mioxZ

lkekU;
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vuqlwfpr tkfr

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vU; fiNM+k oxZ

fodykax

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Lo0 lsukuh vkfJr

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Affix a recent passport

size coloured self
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B 'kSf{kd fooj.k
7- 'kSf{kd vgZrk,a%&
ijh{kk rFkk
cksM@
Z fo'ofo|ky;

cksM@
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o"kZ

fo"k;

izkIrkad %
@iw.kkZd

Js.kh

gkbZLdwy vFkok
led{k&cksMZ
b.VjehfM;V vFkok
led{k& cksMZ
Lukrd vFkok
led{k&
foofo|ky;
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led{k
vU; ;ksX;rk,a
fMxzh

vokMZ izkfIr
frfFk ,oa o"kZ

'kks/k izca/k 'kh"kZd

iathdj.k
frfFk

tek djus dh frfFk

,e0fQy0
ih&,p-MhMh0fyV~
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izek.k&i= layXu dj jgk gwA -------------------------------------------------------------------------------------------------------------------------------------------

10- fo'ofo|ky;@egkfo|ky; esa iw.kZdkfyd f'k{k.k vuqHko

laLFkk

inuke
,oa
osrue o
xzsM&is

vLFkk;h lEcfU/kr fo"k; i<+k;s tkus

@ LFkk;h dk vuqHko
Lukrd
LukrdksRrj

vof/k
dc ls

dc rd

11- dqy f'k{k.k vuqHko

D{kk

vuqHko vof/k

ikWbUV~~l

Lukrd %

-------------------------------------------- o"kZ ------------------------------------------ekg

LukrdksRrj

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12- 'kks/k vuqHko

fo'ofo|ky;@egkfo|ky; /kkfjr
dc ls
laLFkku dk uke
in@inuke

dc rd

vuqHko

LoewY;kafdr Pk;u
ikWbUV~l
lfefr
}kjk
LkR;kfir
Ldksj

* mi;qZDr izdk'kuksa ds izFke i`"B@vkoj.k i`"B dh Lo&izzekf.kr izfr;k layXu djsa

3

13- izfrHkkx fd;s x;s vfHkfoU;kl dk;Ze] iquZp;kZ ikB~;e ,oa xzh"edkyhu dkslZ dk fooj.k ;fn
dksbZ gks
uke@dkslZ dh izd`fr
laLFkku vkSj
fnukad@vof/k
dqy dkslZ dh vof/k
LFkku
lIrkg@fnuksa esa

14- 'kks/k ,oa vdknfed ;ksxnku lg izksQslj@izksQl

s j ds in gsrq vfuok;Z
* foofo|ky; vuqnku vk;ksx us foofo|ky;ksa ,oa egkfo|ky;ksa esa v/;kidksa ,oa vU; vdknfed LVkQ dh fu;qfDr gsrq U;wure
;ksX;rk ,oa mPp fk{kk esa ekudksa ds vuqj{k.k ds mik; f}rh; lakks/ku fofu;e 2013 }kjk 'kS{kf.kd fu"iknu lwpdkad ,0ih0vkbZ0 esa
fufnZ"V U;wure izkIrkdksa ij vk/kkfjr ewY;kdau iz.kkyh ih0ch0,0,l0 ds vuqlkjA

'kks/k ,oa vdknfed ;ksxnku 'kks/k i=@ys[kksa dh leh{kk@lEesyu dh dk;Zokgh

dsoy izklafxd {ks=ksa esa izdk'ku *
i`"B la[;k
izdk'ku
tjuy
lanfHkZr ,dy@lg LoewY;kafd Pk;u lfefr
}kjk
lfgr 'kh"kZd izdkj
vkbZ0,l0,l0,u@
vFkok
& ys[kd
r
LkR;kfir
vkbZ0,l0ch0,u0 la[;k ugha
IkkWbUV~l

I.

Ldksj

II.

'kks/k izdk'ku& iqLrdsa] v?;k;] laikfnr dk;Z] ys[k bR;kfn *

iqLrd@ys[k
dk 'kh"kZd

izdk'ku dk
izdkj
iqLrd@ys[k
vkfn

,dy@
lg&
ys[kd

izdk'kd
'kgj@ns'k
vkSj izdk'ku
dk o"kZ

tjuy
vkbZ0,l0,l0,u
@
vkbZ0,l0ch0,u0
la[;k

lanfHkZr
vFkok
ugha

LoewY;kafdr Pk;u
ikWbUV~l
lfefr
}kjk
LkR;kfir
Ldksj

* mi;qZDr izdk'kuksa ds izFke i`"B@vkoj.k i`"B dh Lo&izekf.kr izfr;k layXu djsa

eSa izekf.kr djrk@djrh gw fd igys] ,dek= vFkok lg ys[kd ds vk/kkj ij nkok fd, x, ikWbUV~l tjuy@vU; izdk'ku
esa fufgr ekunaM+ksa dUosa'ku ds vuqlkj gSaA
4

III. Tkujy esa izdkf'kr 'kks/k i= *

'kks/k@vdknfed xfrfof/k;ka

LoewY;kafdr Pk;u lfefr

ikWbUV~l
}kjk LkR;kfir
Ldksj

v-

lanfHkZr if=dk,a

Ck-

xSj lanfHkZr ysfdu ekU; ,oa fo[;kr if=dk,a ,oa vkof/kd if=dk,a
ftu ij vkbZ,lch,u@vkbZ,l,l,u uEcj vafdr gks
lEesyu dk;Zokfg;ka iw.kZ izi= vkfn ds #i esa lkjkakksa dks lfEefyr
ugha fd;k tk,xk

Lk-

IV. 'kks/k ifj;kstuk,a *

'kh"kZd
eq[;@ xkS.k vof/k@
ekg

izkIr dqy
vuqnku@
fuf/k #i;s esa

iz;ksftr@ ifj;kstuk LoewY;kafdr

fuf/kd
dk ifj.kke IkkWbUV~l
,tsUlh dk
uke

Pk;u
lfefr }kjk
LkR;kfir
Ldksj

* mi;qZDr ifj;kstukvksa dh laLohd`r i= dh Lo&izekf.kr izfr;k layXu djsaA

V.

'kks/k ekxZnkZd funsZkd@lg funsZkd

'kks/k@vdknfed xfrfof/k;ka

(i)

(ii)

*LoewY;kafdr
ikWbUV~l

Pk;u lfefr }kjk

LkR;kfir Ldksj

,e0fQy fMxzh dsoy fMxzh iznku dh x;h

Nk= dk uke
'kh"kZd
Ok"kZ
ih&,p-Mh- fMxzh ih&,p-Mh- fMxzh iznku dh
x;h@kks/k izcU/k izLrqr
Nk= dk uke
'kh"kZd
Ok"kZ

VI.

izf'k{k.k dkslZ@ lEesyu@laxks"Bh@dk;Zkkyk esa izfrHkkx%

vuql/a kkukRed@'kS{kf.kd xfrfof/k;ka

Pk;u
*LoewY;kafdr
lfefr }kjk
ikWbUV~l
LkR;kfir
Ldksj

vfHkfoU;kl] iqu'p;kZ ikB~;e ,oa vuqla/kku izfof/k dkslZ U;wure nks

lIrkg ,oa dk;Z'kkyk U;wure ,d lIrkg
(ii) lsfeukj@laxks"Bh@dk;Z'kkyk vkfn esa izfrHkkx 'kks/k&i=
&vksjy@iksLVj dk izLrqfrdj.k
(a) vUrjkZ"Vh; lEesyu
(b) jk"Vh; lEesyu
(c) {ks=h;@jkT; Lrjh; lEesyu
(c) foofo|ky;@egkfo|ky; Lrjh; lEesyu
(iii) lEesyuksa@dk;Z'kkyk@lsfeukj esa vkefU=r O;k[;ku vFkok dh&uksV
,Msl@l=h; v/;{krk
(a) vUrjkZ"Vh;
(b) jk"Vh;
(c) {ks=h;@jkT; Lrjh;
(c) foofo|ky;@egkfo|ky; Lrj esa fn;s x;s O;k[;ku
(iv) vk;ksftr fd;s x;s lEesyu@lsfeukj@dk;Zkkyk
(a) vUrjkZ"Vh;
(b) jk"Vh;
(c) {ks=h;@jkT; Lrjh;
(d) fo'ofo|ky; @egkfo|ky; Lrj esa
(i)

15- 'kS{kf.kd iqjLdkj vkSj vU;

v 'kS{kf.kd ,oa O;kolkf;d fudk;ksa dh lnL;rk

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18- D;k vki dHkh mi;qDr [kkus esa fpg~u yxk,a %

v- fdlh ikBkkyk@fo|ky;@egkfo|ky; ls fu"dkflr fd, x,A
c- U;k;ky; esa vfHk;qDr ik, x,A

gk
gk

ugha
ugha

l-fnokfy;k ?kksf"kr fd, x,

gk

ugha

n-D;k vkidks dHkh fdlh iwoZ jkstx

+ kj ls fu"dkflr ;k c[kkZLr fd;k x;k

gk

ugha

?kksk.kk
eSa ----------------------------------- lqiq= @lqi=h -----------------------------------------?kksk.kk djrk@djrh gw fd esjs }kjk nh xbZ mijksDr lwpuk rFkk
izek.k i= esjh tkudkjh es algh ,oa lR; gSA esjs }kjk blesa dksbZ rF; fNik;k ugha x;k gSA ;fn dksbZ rF; vlR; ik;k tkrk
gS rks esjk vkosnu i= fujLr fd;s tkus ,oa esjs fo#) leqfpr dk;Zokgh fd;s tkus ij eq>s dksbZ vkifRr ugha gksxh rFkk blds
fy, eSa dksbZ nkok izLrqr ugha d#axkA
gLrk{kj--------------------------------------------LFkku----------------------------------

fnukad----------------------------------------------------------

19- fu;fer in /kkfjr djus dh nkk esa vius fu;ksDrk dh vxzlkj.k fVIi.khA ----------------------------------------------------------

gLrk{kj %-----------------------------------------------------uke %-------------------------------------------------------------inuke ,oa eqgj frfFk lfgr