Application No......
xq#dqy dkaxM+h fo'ofo|ky;] gfj}kj&249404Gurukula Kangri Vishwavidyalaya, Haridwar-249404
f'k{kdsRrj in ij fu;qfDr gsrq vkosnu&i=
Application form for the Recruitment to the Non-teaching post
¼vkosnu i= N% izfr;ksa esa izLrqr djsaAdsoy izFke izfr ds lkFk leLr izek.k&i=ksa@iz'kalk&i=ksa dh Lo;a&lR;kfir Nk;kizfr layXu djsaA½
(To be submitted in six copies. Attachself-attested copies of all Certificates/Testimonials along with first copy only)
Tick ()Gen. SC ST OBC PWD
fVd djsa ()lkekU; vuq-tk-vuq-t-tk- v-fi-o- fu'kDr
Advertisement No. / Registration No.
(For Office Use Only)
Post advertised in
Date
Details of Fee'kqYd dk fooj.k
Received Cash/Bank Draft
udn izkfIr@cSad Mªk¶V / Amount (Rs.)
/kujkf'k ¼#0½ / Name of the Bank
cSad dk uke / Issuing Branch Name
tkjh djus okyh 'kk[kk dk uke
Draft/ Receipt No. Mªk¶V@jlhn la0
Datefnukad
1 / Name of the Post Applied for
vkosfnr in dk uke / Department/Faculty
foHkkx@ladk;
2 / Personal DetailsO;fDrxr fooj.k
a) / Name (In Capital Letters) ………………………………………………………………………………………………………………………………………..
vH;FkhZ dk iwjk uke ¼fgUnh esa½------
b) / Date of Birth
tUefrfFk / Days
fnu / Month
ekg / Year
o"kZ / Age as on 30.11.2013
vk;q fnukad
30-11-2013 dks / Years
o"kZ / Months
ekg / Days
fnu
c) / Father's Name
firk dk uke
d) / Mother's Name
ekrk dk uke
e) / Nationality
ukxfjdrk
f) / Gender
fyax / Male/Female
L=h@iq#"k
g) / Religion
/keZ
h) / Category/Caste
oxZ@tkfr / GEN/SC/ST/OBC/PWD
lkekU;@vuq-tk-@vuq-t-tk-@v-fi-oxZ@fu'kDr
i) / Marital Status
oSokfgd fLFkfr / Married/ fookfgr
Unmarried/ vfookfgr
j) / If Physically disabled, indicate the relevant particulars
;fn 'kkjhfjd fodykax gSa] rks lEc) fooj.k
k) / Permanent address (with pin code)
LFkk;h irk ¼fiu dksM lfgr½
Tel. No. (with STD code)
nwjHkk"k la[;k ¼,lVhMh dksM lfgr½
3 / Educational Qualifications
'kSf{kd ;ksX;rk,a
Exam Passed
mÙkh.kZ ijh{kk / Name of the Exam
ijh{kk dk uke / Board /University
cksMZ @fo'ofo|ky; / Year of Passing
mÙkh.kZ o"kZ / Division
Js.kh / % of Marks
izkIrkadksa dk izfr'kr / Subject(s)
fo"k;
High school (10th)/Equivalent
gkbZ Ldwy@led{k
Intermediate (12th)/Equivalent
b.VjehfM,V@led{k
Bachelor's Degree
Lukrd
Master's Degree
LukrdksÙkj
Others
vU; / 1
2
4 / Experience
dk;kZuqHko
Designation & Scale of Pay
in ,oa osrueku / Name & Address of the Employer
fu;ksDrk dk uke o irk / Nature of Employment (Permanent/Temporary/
Contract/Others) (Specify)
fu;kstu dk izdkj
¼LFkkbZ@vLFkkbZ@vuqcU/k@vU;½
¼vafdr djsa½ / Period of Experience
dk;kZuqHko / No. of Years Months
o"kZ ,oa ekg dh la[;k / Nature of work
dk;Z dh izÑfr
Date From
fnukad ls / Date to
fnukad rd
5 / Reference of two person with name, address and phone no.(who are acquainted with work experience of candidate)nks lUnfHkZr O;fDr;ksa ds uke] irk ,oa Qksu ua0 ¼tks vH;FkhZ ds dk;Z vuqHko ls ifjfpr gks½ / Reference - 1 (Present Employer, if any)lUnHkZ&1 ¼orZeku fu;ksDrk] ;fn dksbZ gks½ / Reference – 2 lUnHkZ&2
6 / Complete correspondence address
i= O;ogkj dk iw.kZ irk
EmailbZ&esy
Phone No.Qksu ua-
Mobile No.eksckbZy ua-
7 / Total No. of Enclosures layXudksa dh dqy la[;k
(Attach self attested photocopies) ¼Loizekf.kr Nk;k izfr laYkXu djas½
Declaration
I…………………………………………………………….. s/o (d/o)Sh. ……………………………………………………………………………………………
hereby declare that all the statements and entries made above in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the appointment at any level, my Candidature/Appointment shall be cancelled by the Vishwavidyalaya, for which I shall be solely responsible.
?kks"k.kk
eSa ------iq=@iq=h Jh ------?kks"k.kk djrk@djrh gw¡ fd bl vkosnu esa fn, x, mi;qZDr lEiw.kZ fooj.k ,oa izfof"V;ka esjh tkudkjh ,oa fo'okl ds vuqlkj lR;] iw.kZ ,oa lgh gaS vkSj eSaus dksbZ rF; fNik;k ugha gS Afu;qfDr ls iwoZ vFkok i'pkr~ fdlh Hkh Lrj ij fdlh lwpuk ds vlR; vFkok viw.kZ ik;s tkusvFkok esjh vgZrk iwjh u gksus dh fLFkfr esa esjk vH;FkZu@fu;qfDr jí dj nh tk;sxh] ftldk iw.kZ mÙkjnkf;Ro esjk gksxk A
PlaceLFkku______
Datefnukad______/ Signature of the Applicant
vkosnd ds gLrk{kj
egRoiw.kZ funsZ'k/Important Instructions
1-fgUnh Hkk"kk dk Kku gksuk vko';d gS A
Knowledge of Hindi is essential.
2-dsoy lkfRod izd`fr ,oa vk;Z lekt ds fl)kUrksa esa fo'okl j[kus okys vH;FkhZ gh vkosnu djsa A
Only Tee-totaller candidates having faith in Arya Samaj principles should apply.
3-lsokjr vH;FkhZ mfpr ek/;e ls gh vkosnu&i= izsf"kr djsa rFkkfi vkosnu&i= dh vfxze izfr izLrqr dj ldrs gSa A
Candidates in employment should send their application through proper channel. However, advance copy may be sent.
4-fdlh Hkh in dks Hkjus ;k u Hkjus] dsoy lq;ksX; ,oa 'kkWVZ fyLVsM vH;fFkZ;ksa dks lk{kkRdkj gsrq cqykus dk vf/kdkj fo'ofo|ky; dks gksxk rFkk fo'ofo|ky; dks ;g Hkh vf/kdkj gksxk fd og fdlh Hkh in ds fy, mu vH;fFkZ;ksa ij Hkh fopkj dj ldrk gS] ftUgksaus ml in ds fy, vkosnu Hkh u fd;k gks A
The Vishwavidyalaya reserves the right to fill up or not to fill up any post advertised and also to call only the well qualified candidates after short listing from the candidates who have applied for the respective posts for attending the interview. The Vishwavidyalaya also reserves the right to consider those candidates who would not have applied for the respective posts.
5-Mkd esa fdlh Hkh izdkj ds foyEc ds fy, fo'ofo|ky; mRrjnk;h ugha gksxk A
The Vishwavidyalaya will not be responsible for any postal delay.
6-lk{kkRdkj gsrq mifLFkr gksus okys vuq-tkfr@vuq-tu-tkfr vH;fFkZ;ksa dks fu;ekuqlkj ekxZ O;; ns; gksxk A
TA for attending the interviewwill be paid to SC/ST candidates as per rules.
7-fofHkUuinksagsrq;ksX;rk,oaosruekufo'ofo|ky; ds fjØqVesUV :Yl dsvuqlkj gksaxs] tksfd fo'ofo|ky; oSclkbV miyC/k gSa A
Qualifications and Pay-scales for different posts shall be as per Vishwavidyalaya recruitment rules, which are available on vishwavidyalaya website
8-leLr 'kSf{kd ,oa vU; vko';d izek.k&i=ksa dh Lo;a&lR;kfir QksVksizfr] tgkWa dgha Hkh vko';d gks] layXu djsa A
Attach self-attested copies of all certificates/testimonials in support of the information submitted above, wherever necessary.
9-vH;FkhZ }kjk nh tkuh okyh fdlh lwpuk ds fy, ;fn vkosnu&i= esa LFkku i;kZIr u gks rks mDr lwpuk gsrq vyx 'khV Hkh layXu dh tk ldrh gS A
If the space is not sufficient for providing any information, a separate sheet may be attached for the same.
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