Scribd Logo
Upload

Welcome to Scribd!

  • 29 views

    CSJKSTXKJH HKRRK Izkir Djus GSRQ Vkosnu&I : Dzekad&

    Uploaded by

    Mohammad Tazeem
    This document appears to be an application form for unemployment benefits in India. It requests information such as the applicant's name, gender, marital status, date of birth, religion, caste, education level, bank account details, income level, and a declaration that the information provided is true. Supporting documents must also be provided such as identity and address proofs, caste and education certificates, and income proof. Receipts are provided upon receiving the completed form and required documents. An affidavit must also be submitted stating that the applicant remains unemployed and will inform authorities immediately upon finding work.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    CSJKSTXKJH HKRRK Izkir Djus GSRQ Vkosnu&I : Dzekad&

    Uploaded by

    Mohammad Tazeem
    29 views6 pages
    This document appears to be an application form for unemployment benefits in India. It requests information such as the applicant's name, gender, marital status, date of birth, religion, caste, education level, bank account details, income level, and a declaration that the information provided is true. Supporting documents must also be provided such as identity and address proofs, caste and education certificates, and income proof. Receipts are provided upon receiving the completed form and required documents. An affidavit must also be submitted stating that the applicant remains unemployed and will inform authorities immediately upon finding work.

    Original Title

    Application Form

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document appears to be an application form for unemployment benefits in India. It requests information such as the applicant's name, gender, marital status, date of birth, religion, caste, education level, bank account details, income level, and a declaration that the information provided is true. Supporting documents must also be provided such as identity and address proofs, caste and education certificates, and income proof. Receipts are provided upon receiving the completed form and required documents. An affidavit must also be submitted stating that the applicant remains unemployed and will inform authorities immediately upon finding work.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views6 pages

    CSJKSTXKJH HKRRK Izkir Djus GSRQ Vkosnu&I : Dzekad&

    Uploaded by

    Mohammad Tazeem
    This document appears to be an application form for unemployment benefits in India. It requests information such as the applicant's name, gender, marital status, date of birth, religion, caste, education level, bank account details, income level, and a declaration that the information provided is true. Supporting documents must also be provided such as identity and address proofs, caste and education certificates, and income proof. Receipts are provided upon receiving the completed form and required documents. An affidavit must also be submitted stating that the applicant remains unemployed and will inform authorities immediately upon finding work.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 6

    dzekad&dk;kZy; }kjk Hkjs tkus gsrqA

    vuqyXud & 01

    csjkstxkjh HkRrk izkIr djus gsrq vkosnu&i=

    uohu ikliksVZ
    vkdkj dh QksVks

    kkluknsk la[;k 981@36&2&2012 fnukad 23 tqykbZ] 2012 f)rh; lakks/ku ds vuqlkj v|ru lakksf/kr laLdj.kA

    1&vH;FkhZ dk iwjk uke

    2&firk@ifr dk uke

    3&fyax

    efgyk

    iq:"k

    4& oSokfgd fLFkfr%&

    v vfookfgr

    c fookfgr
    frfFk

    l fo/kok@fo/kqj

    ekg

    n rykd'kqnk@ifjR;Drk

    o"kZ

    5&v tUe frfFk&

    c 1 viSzy 2012 dks vk;q

    o"kZ

    ekg

    gkbZ Ldwy dh vadrkfydk ,oa izek.k&i= dh Nk;kizfr Hkh layXu djsaA

    6& /keZ
    7&
    8&

    v fgUnw

    tkfr &

    c eqfLye

    l fl[k

    n bZlkbZ

    vuqlwfpr tkfr@tutkfr

    ; tSu

    j ckS}

    fiNM+k oxZ

    y vU;
    lkekU;

    vuqlwfpr tkfr@tutkfr ds vH;FkhZ tkfr izek.k&i= dh izfr Hkh layXu djsaA


    lkekU; fuokl rglhynkj }kjk fuxZr fd;s x;s lkekU; fuokl izek.ki= dh Nk;k izfr layXu djsaA

    9&orZeku

    fuokl dk irk i= O;ogkj gsrq

    eks0 u0
    10&tuin

    fuokl {ks= dk izdkj


    djsa o fooj.k fy[ksa
    uxj fuxe
    uxj ikfydk ifj"kn
    uxj iapk;r
    fodkl [k.M

    bZ esy
    lfgr lsok;kstu dk;kZy; dk uke tgkaa iathd`r gS

    11&lsok;kstu

    dk;kZy; }kjk vkoafVr iath;u la[;k

    ekg
    o fnukad ,Dl&10 dh Nk;k izfr layXu djsa
    frfFk
    o"kZ
    12&'kSf{kd ;ksX;rk gkbZLdwy ,oa mlls mPp Js.kh Lrjksa dk mYys[k djsaA
    dz 0 la0

    ijh+{kk dk uke

    o"kZ

    [email protected]

    fo|ky; @ egkfo|ky; dk uke

    cksMZ@ fo'ofo|ky; dk uke

    13&fujLr
    kkluknsk la[;k 981@36&2&2012 fnukad 23 tqykbZ] 2012 f)rh; lakks/ku ds vuqlkj lakksf/kr
    14&d& vkossnd ds ifjokj dh vk;

    rglhynkj }kjk fuxZr vk; izek.ki= dh Nk;k izfr larXu djsa

    leLr lzksrks ls vkosnd ds ifjokj dh okfkZd vk; :0

    14&[k ls 16&7 rd fujLr


    kkluknsk la[;k 981@36&2&2012 fnukad 23 tqykbZ] 2012 f)rh; lakks/ku ds vuqlkj lakksf/kr

    17& vkosnd ds uke ls [kksys x;s cSad [kkrs dk fooj.k%&


    (vkosnd ds cSad [kkrs dk fooj.k lacf/kr cSad dh 'kk[kk ls uhps mfYyf[kr LFkku ij 'kk[kk izcU/kd @ vf/kd`r vf/kdkjh ls lR;kfir djk dj gh vkosnu i= lsok;kstu dk;kZy; esa tek fd;k
    tk;sxkA

    1 cSd dk uke
    2 [kkrk la[;k
    3 vkbZ,Q,llh dksM

    'kk[kk dk uke ,oa irk

    vkosnd }kjk mi;qZDr dzekad 17 ij fn;k fooj.k lR;kfir fd;k tkrk gSA
    LFkku&
    fnukad&

    cSad ds 'kk[kk izca/kd @


    vf/kd`r vf/kdkjh ds g0 eksgj lfgr

    uksV%& vkosnu i= ds lkFk fuEu fyf[kr izek.k i=ksa dh [email protected] Nk;kizfr;ka layXu djsa
    1. fujLr

    kkluknsk la[;k 981@36&2&2012 fnukad 23 tqykbZ] 2012 f)rh; lakks/ku ds vuqlkj lakksf/kr

    dk;kZy; }kjk iznRr ,Dl&10 dh Nk;kizfrA 5.tkfr izek.k i= dh Nk;kizfrA dsoy vuq0 tk0 @ tu tk0 vH;kfZZFkZ;ksa gsrq
    3.gkbZLdwy dh vaadrkfydk dh Nk;kizfrA
    6.rglhynkj }kjk fuxZr lkekU; fuokl izek.k i= dh Nk;k izfrA
    4.gkbZLdwy ds izek.k&i= dh Nk;kizfrA
    7-vkosnd ds ifjokj dh vk; ds izek.k i= dh Nk;k izfrA
    2.lsok;ksstu

    eSa izekf.kr djrk@djrh gw fd mijksDr fooj.k iw.kZr;k lR; gS] rFkk blesa dksbZ rF; fNik;k ugha x;k gSA
    eSaus csjkstxkjh HkRrs dh ik=krk dh v|ru 'krsZa Hkyh&Hkkafr i<+ yh gSa] tks eq>s Lohdkj gSA eq>s Kkr gS fd
    ;fn mDr esa ls dksbZ fooj.k =qfViw.kZ ik;k tk;s rks essjs fo:) fof/kd dk;Zokgh dh tk ldrh gSA

    LFkku&
    fnukad&

    vkosnudrkZ dk gLrk{kj
    uke o fnukad lfgr
    Li"V v{kjksa esa

    vuqyXud & 07

    ekad----------------------

    csjkstxkjh HkRrk ;kstuk&2012 ds vkosnu i= dh izkfIr jlhn

    Jh@Jherh@dq0 ---------------------------------------------------- iq=@iq=h@ifr@iRuh Jh------------------------------------------------------------------ekad-----------------------------------------------------------------------------

    fuoklh---------------------------------------------------------------------------------------------------------------------------------------------------------------------ls csjkstxkjh HkRrk ;kstuk&2012 ds vkosnu i= ds lkFk fuEu vfHkys[kksa dh ewy@Lo&izekf.kr izfr;ka izkIr fd;kA
    dk;kZy; }kjk tkap dj
    1.fu/kkZfjr

    2.lsok;ksstu

    dk;kZy; }kjk iznRr ,Dl&10 dh Nk;kizfrA

    3.gkbZLdwy

    dh vaadrkfydk dh Nk;kizfrA

    4.gkbZLdwy

    ds izek.k&i=k dh Nk;kizfrA

    5.rglhynkj
    6.tkfr

    }kjk fuxZr lkekU; fuokl izek.ki=k dh Nk;kizfr A

    izek.k i=k dh Nk;kizfrA

    7.vkosnd

    vafdr fd;k tk;

    izk:i ij 'kiFk&i=k dh ewy izfrA

    dsoy vuq0 tk0 @ tu tk0 vH;kfZZFkZ;sak gsrq

    ds ifjokj dk vk; izek.k i=k

    izkIr djus okys vf/kdkjh@deZpkjh ds gLrk{kj


    uke%
    inuke%
    fnukad%

    vuqyXud & 02

    fujLr
    kkluknsk la[;k 981@36&2&2012 fnukad 23 tqykbZ] 2012 f)rh; lakks/ku ds vuqlkj lakksf/kr

    vuqyXud & 05

    fujLr
    kkluknsk la[;k 981@36&2&2012 fnukad 23 tqykbZ] 2012 f)rh; lakks/ku ds vuqlkj lakksf/kr

    vuqyXud & 08

    csjkstxkjh HkRRks dh fujUrjrk gsrq 'kiFk&i=

    ;g 'kiFki= :0 10@& ds xSj&U;kf;d LVkEi ij uksVjh@vksFk&dfe'kuj ls vfHkizekf.kr djk dj layXu djsa

    lsok es]
    ftyk jkstxkj lgk;rk vf/kdkjh @ lgk;d funs'kd
    ftyk lsok;kstu dk;kZy;@{ks=h; lsok;kstu dk;kZy;
    tuin&&&&&&&&&&&&&&&&&&&&&&
    eSa&&&&&&&&&&&&&&&&&&mez&&&&&&&&&&&&&&&&&&iq=@iq=h@iRuh&&&&&&&&
    &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&xzke@eksgYyk&&&&&&&&&&&&&
    &&rglhy&&&&&&&&&&&&&&&&&&&&tuin&&&&&&&&&&&&l'kiFk c;ku djrk gw@djrh gWw
    fd&
    1-

    eSa lsok;kstu dk;kZy;&&&&&&&&&&& esa iathd`r gwA

    2-

    esjh iath;u la[;k&&&&&&&&&&& gSa] tks vHkh Hkh mijksDr lsok;kstu dk;kZy; dh ltho

    iath ij py
    3-

    jgh gSA

    o"kZ &&&&&&&&&&&&& esa eq>s csjkstxkjh HkRrk Lohd`r fd;k x;k gS ftlls lEcfU/kr

    /kujkf'k :0
    &&&&&&&&&&&&& izkIr gks x;h gSA
    4-

    eSa vHkh rd csjkstxkj gwA eq>s iw.kZ dkfyd@va'kdkfyd@nSfud osru@lafonk@vkfn fdlh

    izdkj dk
    jkstxkj ugha feyk gSA vHkh rd eS Lojkstxkj esa Hkh fu;ksftr Hkh ugha gks ik;k gwA
    5-

    eSa oknk djrk gw fd jkstxkj@Lojkstxkj izkIr gksrs gh rRdky bl vk'k; dh lwpuk mDr

    lsok;kstu
    dk;kZy; esa nwxk A eS ;g tkurk gw fd lEcfU/kr ekg ls csjkstxkjh HkRrk feyuk cUn gks
    tk;sxkA
    'kiFkh
    esjs lkeus 'kiFkh Jh &--------------------------------------------------- us gLrk{kj fd;kA

    uksVjh eftLVsV@ vksFk dfe'uj

    You might also like