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jkVªh; “kgjh vkthohdk fe”ku ;kstuk esa dkS”ky izf”k{k.k gsrq ykHkkFkhZ dk vk”k; i= lg vkosnu&i=
1 uxj fuxe @ ifj’kn @ ikfydk dk uke %
2 izkFkhW dk uke %
3 ekrk dk uke %
4 firk @ ifr dk uke %
5 fyxa ¼ ½ iq#"k @ ¼ ½ L=h %
Male
Female
Transgender
6 tUe frfFk %
7 eksckby @ nwjHkk"k uacj %
8 vk/kkj ukekadu la %
9 oksVj vkbZMh @ M~kbZfoax ykbUlsUl @ vkfn igpku dk vU; izi= %
10 oxZ %
GEN
OBC
ST
SC
MIN
11 fu%”kDrtu %
Yes
No
12 vYila[;d% gkW @ ugha ¼ ;fn gkWa rks mYysf[kr djs ½ %
Yes
No
13 ch +ih +,y + ¼ ½ @ vUrksn; ¼ ½@ vkLFkk dkMZ/kkjh ¼ ½@ vU; ”kgjh xjhc ¼rglhynkj )kjk tkjh vk; izek.k i= layXu djs ¼ ½ %
Apl
Bpl
14 ch ih ,y dzekda %
15 ;ksX;rk % 'kS{kf.kd %
Illerate
5
th
8
th
10
th
12
th
Graduation
Post Graduation
16 ikfLFkfrd okf"kZd vk; %
17 fdl {kS= es izf’k{k.k pkgrs gS ¼ vf/kdre rhu izkFkfedrk;sa ½ %
1
2
3
18 LFkk;h irk %
19 okMZ ua + %
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20 ftyk %
21 bZ&esy %
22 izkFkh ds cSad dk uke ,ao [kkrk la[;k %
23 D;k izkFkhZ csjkstxkj gS %
Yes
No
24 ;fn xr rhu o"kksZ esa dksbZ izf”k{k.k izkIr fd;k gS rks mldk uke] le;kof/k o ;kstuk rFkk laLFkk dk uke % ¼ ;fn dkbZ izek.k&i= gks layXu djs ½ %
25 D;k iwoZ esa vkjeksy @ vkj,l,yMhih ds dksbZ dk;Zdze ds rgr izf”k{k.k izkIr fd;k gS %
Yes
No
26 izf”k{k.k mijkUr jkstxkj gsrq jkT; ls ckgj tkus ds bPNqd% %
Yes
No
27 izf”k{k.k mijkUr jkstxkj gsrq jkT; ds nwljs ftys esa tkus ds bPNqd% %
Yes
No
28 QksVks %
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