Rashtriya Sanskrit Sansthan
Application Fee.
Mode of Payment: Cash/ D.D.
(Deemed University)
Sl. No. of Application………………..
Amount:……….…………………...
vkosnu i= la[;k
Application Form for Non-Teaching and Technical Posts
xSj&'kSf{kd vkSj rduhdh inksa ds fy, vkosnu i=
D.D. No…………………..………….
Bank…………………………….……
(Please read the notes given at the end before filling the form)
Please paste self
attested passport size
photograph here
¼d`i;k vkosnu&i= Hkjus ls igys var esa nh xbZ fVIi.kh i<+½s
;gka ikliksVZ vkdkj dk
Lo;a lk{;kafdr QksVks
fpidkb,A
Post applied for……………………………………………………………………………………………………….
in ¼ftlds fy, vkosnu fd;k gSA)
Mode of Recruitment for which applied
(Please tick as may be applicable)
1. By Promotion
ftl in ds fy, vkosnu fd;k mlds HkrhZ dh fof/k
¼tks ykxw gks ml ij  djsAa ½
2. By Deputation
3. By Direct Recruitment
1.
Name (in block letters):…………………………………………………………………………………………
uke ¼Li’V 'kCnksa es)a
2.
Father’s/Husband’s Name:………………………………………………………………………………………
firk @ ifr dk uke
3.
(i) Date of Birth (in figures):……………………………………………………………………………………
tUe frfFk
(in words):……………………………………………………………………………………………………
¼'kCnksa es½a
(ii) Age:………………………….Years:……… Months :………days………….. (as on date …………….)
vk;q
o’kZ
ekg
fnu
¼ ---------------------------------- frfFk dks½
Tel.No……………………….Mob.No……………………………Email ID……………………………….
VsfyQksu ua-----------------------------------------------------eksckbZy ua-------------------------------------------------------------------bZ&esy%-----------------------------------------------------------------------------------
4.
Nationality:…………………….Male/Female/Transgender:…………………Married/Unmarried:……………
jk’Vªh;rk
¼iq:’k@L=h@foijhr fyafx½
¼fookfgr@vfookfgr½
5.
Postal Address:………………………………………
Permanent Address:…………………………………
i= O;ogkj dk irk%
LFkk;h irk%
……………………………………………………….
……………………………………………………….
………………………………………………………..
………………………………………………………..
……………………………………………………….
……………………………………………………….
Pin Code:…………………………………………….
Pin Code:…………………………………………….
fiu dksM
fiu dksM
6.
Do you belong to Scheduled Caste/Scheduled Tribe/OBC (Central List), PWD (VH/OH/HH). If yes, please
indicate & attach copy of the certificate:………………………………………………………………………..
D;k vki vuqlwfpr tkfr@vuqlwfpr tutkfr@fiNM+h tkfr ¼dsanhz ; lwph½ ;k fodykax ¼oh,p@vks,p@,p,p½ gS\ ;fn gka] rks bl laca/k
esa izek.ki= dh izfrfyfi lkFk yxkb,A
7.
Are you Ex-Serviceman/Disabled Defence Personnel/Dependant of Defence Personnel Killed in action? If so,
attach copy of the Certificate:……………………………………………………………………………….
D;k vki HkwriwoZ lSfud@viax lqj{kk deZpkjh@fdlh ,sls lqj{kk deZpkjh ds vkfJr gS tks fdlh lSfud dk;Zokgh esa ekjk x;k gks\ ;fn
gka] rks bl ckjs esa izek.ki= dh izfrfyfi layXu dhft,A
Page 1 of 4
8.
Educational Qualifications (From Higher/Secondary School & onwards):
'kSf{kd ;ksX;rk,a ¼mPp@lsds.Mjh Ldwy ,oa vkxs½ %
Examination
Passed
ijh{kk mÙkh.kZ dh
9.
Year of
Passing
mÙkh.kZ gksus
dk o’kZ
Division
Js.kh
%age
izfr'kr
Year of Passing
mÙkh.kZ gksus dk o’kZ
Institution
laLFkku
Division
Js.kh
Designation
inuke
Permanent/ Temporary
LFkkbZ@vLFkkbZ
Pay Scale &
Total monthly
emoluments
osrueku ,oa dqy
ekfld ifjyfC/k;k¡
Period
vof/k
From
ls
12.
%age
izfr'kr
Subjects offered
ijh{kk ds fo’k;
Experience, if any (Administrative/Technical/Any other):
vuqHko] ;fn dksbZ gS ¼iz'kklfud@rduhdh@vU;½
Office in which
worked/working
dk;kZy; dk uke ftuesa
lsok dh@lsokjr gSA
11.
Subjects offered
ijh{kk ds fo’k;
Technical/Professional Qualifications:
rduhdh@o`fÙkd ;ksX;rk,a%
Examination Passed
ijh{kk mÙkh.kZ dh
10.
Name of the School/
College/University attended
ml fo|ky;@egkfo|ky;@
fo'ofo|ky; dk uke
Do you know typewriting/shorthand? If so, state speed:
D;k vki Vad.k@vk'kqfyfi tkurs gS\ ;fn gka rks] xfr crkb,%
English (vaxt
sz h)
Length of
Experience
vuqHko vof/k
To
rd
Years
o’kZ
Hindi (fgUnh)
Shorthand:
vk'kqfyfi:
……………….w.p.m.
'k-iz-fe-
……………….w.p.m.
'k-iz-fe-
Typewriting:
Vad.k:
……………….w.p.m.
'k-iz-fe-
……………….w.p.m.
'k-iz-fe-
Are you proficient for working on Computer?
D;k vki dEI;wVj ij dk;Z djus esa dq'ky gS?
Months
ekg
YES/NO
Page 2 of 4
Nature of
Experience
vuqHko dh
izd`fr
13.
Any other information:………………………………………………………………………………………….
vU; tkudkjh ¼;fn dksbZ gS½% -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
14.
Indicate the time you will require to join, if selected:………………………….………………………………
;fn pqu fy, x, rks vki dk;ZHkkj dc laHkky ldsx
a sa\%
15.
The posts in this Sansthan are transferable in any of its campus in India, are you prepared to serve in any part
of India?.................................................................................................................................... ..........................
bl laLFkku esa lHkh in Hkkjr esa fLFkr fdlh Hkh ifjlj esa LFkkukUrj.kh; gS] D;k vki Hkkjr ds fdlh Hkh Hkkx esa lsok djus ds fy, rS;kj
gS\---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
16.
Have you ever been arrested/prosecuted/put under detention or bound down/fined or convicted by any Court of
Law for any offence, if so give details………………………………………………………………………….
……………………………………………………………………………………………………………………
D;k dHkh fdlh U;k;ky; ds vkns'k ls fdlh vijk/k esa vki fxj¶rkj gq, gS@vki ij eqdnek pyk gS@vkidks gokykr esa j[kk x;k gS]
;k vkidks ltk feyh gS ;k tqekZuk fd;k x;k gS\ ;fn gka rks mldk fooj.k nhft,A-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
17.
Have you ever been dismissed from service, if so give details………………………………………………..
……………………………………………………………………………………………………………………..
¼v½ D;k vki fdlh ukSdjh ls c[kkZLr fd, x, gS\ ;fn gka rks mldk fooj.k nhft,A----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
18.
Are you free from debt? If not give details……………………………………………………………………..
……………………………………………………………………………………………………………………..
¼c½ D;k vki _.keqDr gSa\ ;fn ugha rks mldk fooj.k nhft,A-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
19.
Are you related to any employee of this Sansthan? If so, indicate his name & designation………………..
……………………………………………………………………………………………………………………
D;k bl laLFkku esas vkidk dksbZ lEcU/kh gS\ ;fn gS rks mldk uke ,oa in dk mYys[k djsa\------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Dated:………………………
fnukad
……………………………………
Signature of the Applicant
vkosnd ds gLrk{kj
Declaration:
?kks’k.kk
I declare that the statements made in the Application Form are true to the best of my knowledge and belief.
eSa ?kksf’kr djrk gw¡@djrh gw¡ fd bl vkosnu&i= esa fn;k x;k leLr fooj.k esjh iwjh tkudkjh vkSj fo'okl ds vuqlkj lR; gSA
Dated:………………………
fnukad
……………………………………
Signature of the Applicant
vkosnd ds gLrk{kj
Page 3 of 4
For applicants in Employment
dsoy dk;Zjr vkosndksa ds fy,
No Objection Certificate by Employer
fu;ksDrk dk vukifÙk izek.k i=
Certified that Shri/Smt./Kumari……………………………………………………………..(name) is employed
as…………………………..……..(designation) in the scale of pay of Rs……………..…………………..p.m.
w.e.f………………………..….at………………………….……………………………….…………………
(name of organization)
and the facts stated in above application have been verified and found correct.
It is also certified there is no objection to his/her application and he/she will be relieved in the event of his/her
selection. There is no disciplinary/vigilance case pending or contemplated against him/her and he/she has not
been awarded any penalty.
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh-------------------------------------------------------------------------------------------------------------------------------------------------------------------¼uke½
bl -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------¼laLFkk dk uke½ esa
----------------------------------------------------------------------------------¼in dk uke½ ds in ij :---------------------------------------------------------------osrueku esa fnukad-----------------------------------ls dk;Zjr gS rFkk bl vkosnu i= esa fn;s x, lHkh rF;kas dh tkap dj yh xbZ gS vkSj os lR; ik, x, gSA
;g Hkh izekf.kr fd;k tkrk gS fd buds bl vkosnu ij dksbZ vkifÙk ugha gS rFkk budh fu;qfDr gksus ij bUgsa dk;ZHkkj ls eqDr dj fn;k
tk,xkA buds fo:) dksbZ vuq'kklukRed@lrdZrk dk ekeyk yafcr vFkok visf{kr ugha gS rFkk bUgsa nf.Mr ugha fd;k x;k gA
Dated:………………………
fnukad
………………………………………..
Head of the Department/Institution (with Seal)
foHkkx&laLFkk dk v/;{k ¼eksgj lfgr½
Notes:
fVIif.k;ka
(i) Self attested copies of all relevant certificates, degrees, testimonials etc. should be attached with the application and the
originals must be produced at the time of interview and at the time of joining, if selected.
lacaf/kr izek.ki=] mikf/k;ks]a 'kalki=ksa vkfn dh Lo;a lk{;kafdr izfr;ka vkosnu&i= ds lkFk layXu dh tkuh pkfg, vkSj ewy izfr;ka lk{kkRdkj ds
le; rFkk p;u ds ckn dk;ZHkkj laHkkyus ds le; izLrqr dh tkuh pkfg,A
(ii) Applicants who are in employment should send their applications through proper channel.
lsokjr vkosndksa dks viuk vkosnu&vius fu;ksDrkvksa ds ek/;e ls Hkstuk pkfg,A
(iii) The incomplete application form will be rejected.
viw.kZ vkosnu&i= dks Lohdkj ugha fd;k tk,xkA
(iv) No T.A./D.A. will be paid for attending the prescribed tests and interview.
fu/kkZfjr ijh{kk vkSj lk{kkRdkj gsrq mifLFkr gksus ds fy, dksbZ ;k=k HkRrk@nSfud HkRrk ugha fn;k tk,xkA
(v) Attach additional sheets, if necessary.
vxj vko';d gks] rks vfrfjDr i`’B layXu djsAa
Page 4 of 4