en/OBC/SC/ST/SBC/............ Tot.%
(incl. bonus)
......
....
..... Ad.No./Merit .......
.
Class/Section
.............
vk;qDr
ky; dkWyst f'k{kk] jktLFkku ljdkj t;iqj
,dhd`r
izos'k vkosnu izi= ¼
izFke o"kZ Lukrd
@
iwokZ)Z
@
vU;
½
'kS{kf.kd l= 20
-----
& 20
------
1
egk
fo|ky; ftlesa izos'k pkg
rs
g
a
S
-----------
----------------------------------
----------------------------------------------
-----------------------------
------------
-----------
2
ladk; ftlesa izos'k pkgk x;k gS
-------------------------
----------------
------
--------
---
-----
-
dyk@okf.kT;@foKku@x`gfoKku
@fof/k
3
d{kk
ftlesa izos'k pkgk x;k gS
------------------
-
----------------
---------------
---------------
-------
¼izFke
o"kZ Lukrd
@
LukrdksRrj iwokZ)
Z
½
LukrdksRrj iwokZ)
Z
d{kk dk
fo"k; ftlesa izos'k pkgk x;k gS
-----------------------------------------
----------------------------------------------------
4 ikB~;Øe
izdkj
¼ikl@vkWulZ½
-----------------------------------------
----
5
vU;
------------------------------------
-------
-----
---
¼
,e
-
fQy@
fMIyksek½
6
ojh;rk Ø
e esa
oSdfYid fo"k;
(i)
------------------------------------
(ii)
------------------------------
--
--------
(iii)
------------------------------------
-------
7
dyk
Lukrd
ds vkosndksa
gsrq oSdfYid fo"k; o
fo"k; Lka;kstu dh ojh;rk,a
¼fcUnq la
-
6 ls lrr½
(
iv) ...................... (v) .......................... (vi) ........................ (vii) ...............................
(viii) .................... (ix) .......................... (x) ......................... (xi) ...............
.
................
fo"k; Lka;kstu dh izFke ojh;rk
fo"k; Lka;kstu dh f}rh; ojh;rk
fo"k;
Lka;kstu
dh r`rh; ojh;rk
fo"k;
Lka;kstu
dh prqFkZ oj
h;rk
fo"k;
Lka;kstu
dh iape ojh;rk
8
vfuok;Z fo"k; 1
---------------------------------
2
-------------------------------------
3
----------------------------------------
4
-----
---------------------------
9
D;k vkosnd LFkku miyC/k u gksus dh fLFk
fr esa LofoRriks"kh
ikB~;Øe
esa izos'k pkgrk gS
-----------
--------
-
gk¡@ugha
10
vkosnd dk uke
¼fgUnh esa½
-----------------------------------------------------------------------
--------------
-------
¼
vaxszth
esa½
-------------------------------------
--------------------
----------------
------------------------
-------------------
----------
11
tUe fnukad
fnol
D
D
ekg
M
M
o"kZ
Y
Y
Y
Y
12
fyax
----------------------
-----
-----
¼iq#"k@L=h½
13
/keZ
------------------------------------------------------------
-
---
1
4
firk dk uke
-----------------------------------------------
----------
---------------------
---
-----
----------------------
-----------
15
ekrk dk uke
-----------------------------------------------------------------
----------
----------
-----------------
-----
-----------
1
6
D;k vkosnd jktLFkku dk ewy fuoklh gS
-------------------------------
---------
-------
¼gk¡@ugha½
1
7
laj{kd dk uke ¼ekrk o
firk ds Lo
-
gksus ij½
------------------------------------
-------
-------
vkosnd ls lacU/k
-
------------
---
-----------
---
-
18
vfHkHkkod@laj{kd dk O;olk;
------------------------------
----
-------------------
19
D;k os vk;dj nkrk gSa
--------
---
--------
¼gk¡@ugha½
20
Js.kh
---------------
---------------
--------
--------------------------
----
(SC/ST/OBC/SBC
/Saharia/Gen.
)
2
1
t
kfr
-----------------------
-----------
2
2
vU; vkj{k.k ;k cksul tks izkIr djuk pkgrs gksa
-------------------------
----------
------------------
-------------
------
¼izek.ki= layXu djsa½
2
3
D;k vkosnd
fu'kDrtu
gS
--------------------------------
¼gk¡@ugha½ foo
j.k
-----------------------
--
-------------------
-----------------------------
---------
2
4
D;k vki ch
-
ih
-
,y Js.kh esa gSa
------
---------------------
¼gk¡@ugha½
2
5
D;k vki ,dek= dU;k l
arku gSa
----------------------
-------
2
6
D;k Nk=kokl dh lqfo/kk pkgrs gSa
----------------------
¼gk¡@ugha½
2
7
okgu ftldh ikfdZax pkgrs gSa
--------
------------
----------------
2
8
vkosnd dk irk
---------------------------------------------------------------------------------
------------
---------------------------------------------
---
------------------------------
---
'kgj@xzke
-------------------------
---
---------
rglhy
-------------------
---------------
ftyk
------------
-------
----------------
fiudks
M
---------------------------
Qksu
¼,lVhMh dksM
-------
-----
-------
½
---------
-------------------------------------------------------------------
eksckby ua
---------------
----------
------------------
--
2
9
LFkkbZ irk
---------------------------------------------------------------------------------------------------------------------
---------------------------------------------
------------
----------
'kgj@xzke
-------------------------------------
rglhy
----------------------------------
ftyk
-----------------------------------
fiudksM
---------------------------
Qksu ¼,lVhMh dksM
-------------------
½
----------------------------------------------------------------------------
eksckby ua
---------------------------------------------
30
bZ&esy
------------------------------------------------------------------------------------------
-------
31
ernkrk igpku i= la
---------------------
--------------------
3
2
vk/kkj ua
-
¼;fn gS rks½
fnukad
-------------------------------------
vkosnd ds
iw.kZ
gLrk{kj
vkosnd dk
Lo;a
}kjk lR;kfir
ikliksVZ vkdkj dk
Nk;kfp=
Ø
-
iz