fo"k; & lwph
1-
,uvkbZvks,l % ,d ifjp;
1-1 ,uvkbZvks,l dh dk;Z iz.kkyh
1-2
2-
1
ize[q k fo'ks"krk,¡
izos'k
2&3
2-1
izos'k izfØ;k
2-2
izos'k ds fy, vko';d nLrkost+
2-3
fu/kZfjr frfFk;k¡
2-4
izos'k dh iqf"V
2-5
igpku i=k dh nwljh izfr
2-6
ikB~;Øe 'kqYd
2-7
O;fDrxr laidZ l=k dk le;
3-
vuqns'ku vkSj izf'k{k.k izfØ;k
3-1 Lo&vè;;u lkexzh
3-2 O;fDrxr laidZ vkSj izk;ksfxd izf'k{k.k dk;ZØe
4-
ewY;kadu
4-1 ijh{kk nsus dh Lora=krk
4-2 ewY;kadu dk ekè;e
4-3 ewY;kadu% dqN fo'ks"krk,¡
4-4 ijh{kk vkSj vU; 'kqYd
4-5 mÙkh.kZ gksus dk ekunaM
4-6 ØsfMV lap;u
4-7 fl¼kar ijh{kk ds vadksa dh iqu% tk¡p
4-8 izek.ki=k
ifjf'k"V & d (izos'k ds fy, vkosnu iQkWeZ) ewy izfr
ifjf'k"V & [k (izos'k ds fy, vkosnu iQkWeZ) nwljh izfr
ifjf'k"V & x (izos'k ds fy, vkosnu iQkWeZ Hkjus gsrq funsZ'k)
ifjf'k"V & ?k (ijh{kk 'kqYd tek djus ds fy, vkosnu i=k)
'kiFk i=k
4
5&6
{ks=kh; funs'kd dh vksj ls
fiz; f'k{kkFkhZ]
[kkus vkSj lksus dk uke gh thou ugha gS ! thou uke gS lnSo
vkxs c<+rs jgus dh yxu dkA
'kjhj dks LoLF; j[kuk gekjk drZO; gS] ughssa rks ge vius
fnekx dks etcwr ,oa LoPN ugha j[k ik,axsA blh vkyksd esa
xzkeh.k turk dks izHkkoh] l{ke ,oa lqyHk LokLF; lqfo/k
miyC/ djkus dk jk"Vªh; y{; gS& ^lHkh ds fy, LokLF;*A
rhozrk ls tula[;k esa o`f¼] xjhch] xzkeh.k {ks=kksa esa f'k{kk dk
vHkko ,oa fpfdRldksa dh deh vkfn ds dkj.k vuojr ;g
eglwl fd;k x;k fd tu&leqnk; esa ls mu laHkkfor f'k{kkfFkZ;ksa
dks vkSipkfjd :Ik ls izf'kf{kr fd, tkus dh vko';drk gS
tks xzkeh.k {ks=kksa] vLirkyksa] LokLF; dsUnzksa vkfn esa egRoiw.kZ
lg;ksx nsdj mi;qDr ns[kjs[k dj ldsa vkSj tu&leqnk; dks
mfpr ijke'kZ o izkFkfed LokLF; lsok,¡ miyC/ djk ldsaA
lkFk gh vko';drk iM+us ij ;s izf'k{k.kkFkhZ jkT;ksa esa jk"Vªh;
LokLF; dk;ZØeksa esa lfØ; Hkkxhnkjh djds ,d cgqmís'kh;
LokLF; dk;ZdrkZ ds :Ik esa dk;Z dj ldrs gSaA
lHkh 'kfDr vkids Hkhrj gS] vki dqN Hkh vkSj lc dqN dj
ldrs gSaA
rhozrk ls fodflr gksrs deZ {ks=k ds foLrkj ds lkFk&lkFk
ubZ&ubZ {kerkvksa dks lh[kuk vR;ko';d gks x;k gSA ,sls
okrkoj.k esa O;kolkf;d f'k{kk us viuk egRoiw.kZ LFkku cuk
fy;k gSA O;kolkf;d f'k{kk] f'k{kk iz.kkyh dh ,d vfHkUu /
kjk gS ftlds }kjk ;qodksa dks izf'k{k.k vkSj mudh {kerkvksa dks
fodkl iz.kkyh esa] ekè;fed vkSj mPprj ekè;fed Lrj
egRoiw.kZ fcUnq gSA vkt dh f'k{kk i¼fr ds vuqlkj blh ds
ckn mPp f'k{kk ;k O;kolkf;d f'k{kk ;k deZ {ks=k dh nqfu;k
esa izos'k gksrk gSA
laHko dh lhek tkuus dk dsoy ,d gh rjhdk gS] vlaHko ls
Hkh vkxs fudy tkukA
LokLF; ,oa ijkfpfdRlk ds {ks=k esa jk"Vªh; eqDr fo|ky;h
f'k{kk laLFkku }kjk jkT; LokLF; lfefr] fcgkj ljdkj ds
lg;ksx ls ^lkeqnkf;d LokLF;* esa izek.k i=k ikB~;Øe izkjaHk
fd;k x;k gS ftldk eq[; mís'; tu&leqnk; ds chp ls
dq'ky lkeqnkf;d LokLF; dk;ZdrkZ rS;kj djuk gS] tks tu
leqnk; dks LokLF;] LoPNrk] LoLFk i;kZoj.k] larfq yr vkgkj]
ekr`Ro o f'k'kqq LokLF; ns[k&js[k lfgr ifjokj dY;k.k vkfn
ij euksoSKkfud ijke'kZ ns ldsa rFkk mi;qDr izkFkfed mipkj
djus esa leFkZ gksA
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku] ekuo lalk/u fodkl
ea=kky;] Hkkjr ljdkj] dk ,d ek=k ,slk laLFkku gS ftudk
eq[; mís'; lekt esa mu fo'ks"k leqnk;ksa dks f'k{kk dh eq[;
/kjk esa ykuk gS ftlds varxZr chp esa i<+kbZ NksM+us okys yksx
gSa rFkk ,sls leqnk; tks lekt }kjk misf{kr gSA tSls&xk¡o ds
uo;qod@;qorh] 'kgj esa jgus okys fu/Zu] ckfydk,¡] eqfLYke
lekt dh efgyk,¡] vuqlwfpr tkfr vkSj vuqlwfpr tutkfr]
v{ke ,oa HkwriwoZ lSfud] ftUgsa nwjLFk f'k{kk ds ekè;e ls
xq.koRrk iw.kZ f'k{kk ,oa dkS'ky iznku djuk fufgr gSA vxj
yxus yxs fd y{; gkfly ugha gks ik,xk] rks y{; dks ugha
vius iz;klksa dks cnysaA ftruk cM+k la?k"kZ gksxk] thr mruh gh
'kkunkj gksxhA
blh fo'okl ds lkFk ,u-vkbZ-vks-,l- esa vkidk Lokxr gSA
lat; dqekj flUgk
{ks=kh; funs'kd] ,uvkbZvks,l{ks=kh; dsUnz] iVuk] fcgkj
1
,uvkbZvks,l % ,d ifjp;
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku (,uvkbZvks,l) dh LFkkiuk lu~ 1989 esa ,d Lok;Ùk laLFkk osQ :i esa Hkkjr ljdkj osQ ekuo
lalk/u fodkl ea=kky; }kjk dh xbZA lu~ 2002 rd bls jk"Vªh; eqDr fo|ky; dgk tkrk FkkA
,uvkbZvks,l nwjLFk vkSj eqDr f'k{kk fof/;ksa dk iz;ksx dj i<+us osQ bPNqd yksxksa dk csgrj Hkfo"; cukus osQ fy, f'k{kk osQ volj
iznku djrk gSA ,uvkbZvks,l dk fe'ku lcosQ fy, f'k{kk iznku djuk gS rFkk ckfydkvksa vkSj efgykvksa] xzkeh.k ;qokvksa] dkedkth
yksxksa] vuqlwfpr tkfr@vuqlwfpr tutkfr] 'kkjhfjd vkSj ekufld n`f"V ls v{ke vkSj vU; lqfo/k oafpr oxksaZ dks f'kf{kr djuk
bldh fo'ks"k izkFkfedrk gSA
Hkh] ekè;fed ikB~;Øeksa vkSj O;kolkf;d ikB~;Øeksa eas
ukekadu ds fy, U;wure vk;q 14 o"kZ gS vkSj mPprj
ekè;fed ikB~;Øeksa osQ fy, 15 o"kZ vkSj dqN ikB~;Øeksa
ds fy, 18 o"kZ gSA (izos'k ds o"kZ dh 31 tqykbZ dks
vFkok mlls igys iwjs fd, gksa)
1-1 ,uvkbZvks,l dh dk;Zi.z kkyh
•
•
•
•
•
1-2
•
,uvkbZvks,l 20 {ks=kh; osQUnzksa] 1 mi {ks=kh; dsUnz]
1 izdks"B] eq[;ky; esa ik¡p foHkkxksa vkSj Hkkjr] usiky rFkk
eè;iwoZ esa iSQys gq, 6000 ls vf/d izR;kf;r laLFkkvksa
(,vkbZ)] ftuesa 1370 ls vf/d izR;kf;r O;kolkf;d
laLFkk,¡ (Accredited Vocational Institutions, AVIs)
vè;;u dk ekè;e pquus dh lqfo/k % ,uvkbZvks,l
(,ohvkbZ) Hkh 'kkfey gaS] osQ ,d usVooZQ osQ ekè;e ls •
vius ikB~;Øe eq[; :i ls fgUnh] vaxt
sz h+ vkSj mnwZ ekè;e
dk;Z djrk gSA
esa pykrk gSA rFkkfi] f'k{kkFkhZ viuh ijh{kk,¡ Hkkjrh;
,uvkbZvks,l 'kkjhfjd vkSj ekufld :i ls v{ke yksxksa]
lafo/ku esa 'kkfey fdlh Hkh Hkkjrh; Hkk"kk esa fy[k ldrs
lkekftd vkSj HkkSxksfyd n`f"V ls njfdukj fd, x, vkSj
gSAa
lqfo/k oafpr oxks±] tSls µ lM+d ij jgus okys cPpksa]
dkedkth cPpksa] xzkeh.k efgykvksa vkSj vuqlwfpr
iathdj.k dh oS/rk % vki viuk ikB~;Øe iathdj.k
tkfr@vuqlwfpr tutkfr;ksa osQ fy,] oafprksa dh f'k{kk osQ •
osQ o"kZ ls vf/dre ik¡p o"kZ dh vof/ esa iwjk dj
fy, dqN fo'ks"k izR;kf;r laLFkk,¡ pykrk gSA
ldrs gSaA
f'k{kkfFZk;ksa dks Lo&vè;;u lkexzh nh tkrh gS] ftlesa
eqfnzr lkexzh rFkk vkWfM;ks vkSj ohfM;ks dk;ZØe 'kkfey
•
ijh{kk esa lqfo/k,¡ % vki ik¡p o"kks± dh vof/ esa vf/
gSAa
dre ukS ckj lkoZtfud ijh{kk esa cSB ldrs gSaA
,ohvkbZ }kjk O;fDrxr liadZ dk;ZØe (ihlhih) vk;ksftr
fd;k tkrk gSA
,uvkbZvks,l] lhch,lbZ ,oa lhvkbZ,llhbZ dh rjg ,d
,uvkbZvks,l us eqDr fo|k ok.kh }kjk ^osc jsfM;ks* dk;ZØe
jk"Vªh; cksMZ gSA ;g Ldwyh Lrj ds ikB~;Øeksa ds
vkjaHk fd;k gS ftlds ekè;e ls Hkh i<+kbZ djokbZ tkrh
fy, Hkkjr ljdkj ds rgr ,d Lok;Ùk
gSA
f'k{kk laLFkku gS rFkk ijh{kk ysus vkSj
ize[q k fo'ks"krk,¡
izek.k i=k iznku djus ds
fy;s vf/Ñr gSA
dksbZ vk;q lhek ugha % ,uvkbZvks,l osQ ikB~;Øeksa esa
iathdj.k osQ fy, dksbZ vf/dre vk;q lhek ugha gSA fiQj
1
foojf.kdk
2
izo's k
^lkeqnkf;d LokLF;* esa izek.ki=k ikB~;Øe ds rg~r ,uvkbZvks,l] fcgkj jkT; esa vizf'kf{kr LokLF; dk;ZdÙkkZvksa dks çf'k{k.k iznku djsxkA izf'k{k.k
rFkk çek.ku osQ fy, 25 twu] 2015 dks fcgkj jkT; LokLF; lkslkbVh osQ lkFk ,d le>kSrk Kkiu gLrk{kj fd;k x;kA bl laca/ esa LokLF; foHkkx]
fcgkj ljdkj us vf/lwpuk tkjh dh gSA izf'k{k.k ds bl ikB~;Øe esa ,uvkbZvks,l us LokLF; ,oa ijkfpfdRlk ds {ks=k esa ^lkeqnkf;d&LokLF;* uked
,d O;kolkf;d ikB~;Øe izkjaHk fd;k x;k gS ftldk eq[; mís'; tu&leqnk; ds chp ls dq'ky tu&LokLF; dk;ZdrkZ rS;kj djuk gS] tks tu leqnk;
dks LokLF;] LoPNrk] LoLFk i;kZoj.k] larqfyr vkgkj] ekr`Ro o f'k'kq LokLF; ns[k&js[k lfgr ifjokj dY;k.k vkfn ij euksoSKkfud ijke'kZ ns ldsa
rFkk mi;qDr izkFkfed mipkj djus esa leFkZ gksaA
lkeqnkf;d LokLF; ikB~;Øe esa izos'k flrEcj rFkk vDrwcj ds ekg esa [kqyk gSA bl ikB~;Øe esa izos'k ysus ds fy, U;wure
vk;q lhek de ls de 15 o"kZ rFkk vf/dre vk;q dh dksbZ lhek ugha gSA pwWafd LFkku lhfer gSa]
blfy, izos'k ^igys vkvks igys ikvks* ds vk/kj ij fd;k tkrk gSA
nwljh izfr dks gh Hkj dj tek djsaA vkosnu iQkWeZ dh iQksVks izfr
bl foojf.kdk esa izos'k osQ fy, vkosnu iQkWeZ ifjf'k"V ^d* ,oa dk iz;ksx ugha fd;k tk ldrk] ijUrq vki ,uvkbZvks,l dh
^[k* esa fn, x, gSaA Ñi;k bUgha vkosnu iQkWeks± & ewy izfr ,oa osclkbV www.nios.ac.in ls vkosnu iQkWeZ MkmuyksM Hkh dj
ldrs gSaA vkosnu iQkWeZ Hkjus ls igys o`Qi;k ifjf'k"V ^x* esa fn,
x, funsZ'k è;kuiwoZd vo'; i<+saA
2-1 izo's k izfØ;k
dksbZ Hkh vkosnu iQkWeZ lh/s ,uvkbZvks,l osQ uks,Mk fLFkr
eq[;ky; esa lh/s vFkok Mkd ls Lohdkj ugha fd;k tk,xkA
2-2 izo's k osQ fy, vko';d nLrkost+ ,oa vkosnu
iQkWeZ tek djus ds fy, funs'Z k
Hkjs x, vkosnu iQkWeZ vkSj ikB~;Øe 'kqYd rFkk vko';d nLrkostk+ as
dks vki mlh ,ohvkbZ ;k {ks=kh; dsUnz] iVuk esa gh tek djsa] tgk¡
vki izos'k ysuk pkgrs gSaA
ensa
vko';d nLrkosT+k
'kSf{kd ;ksX;rk,¡
ekè;fed osQ ekeys esa ekU;rk izkIr f'k{kk cksMZ }kjk tkjh izek.ki=k rFkk de ls de
LokLF; ds {ks=k esa rhu o"kksaZ dk vuqHkoA
vk;q izek.k
fiNys fo|ky; osQ izos'k jftLVj ls tUefrfFk izek.k&i=k (fo|ky; NksM+us laca/h
[email protected] izek.ki=k) vFkok 26-01-1989 ds ckn tUes O;fDr ds fy, uxj
fuxe izkf/dj.k] jftLVªkj] tUe vkSj e`R;q dk;kZy; vFkok ekU;rk izkIr vLirky }kjk tkjh
izek.ki=k dh lR;kfir izfr ^^vFkok ekrk&firk vFkok vfHkHkkod }kjk 'kiFk i=k tks
izFke Js.kh@lc fMohtuy eftLVªsV }kjk lR;kfir gksA**
LFkk;h irk dk izek.k
(jk'ku dkMZ@ vk/kj dkMZ@ pquko igpku i=k@ xzke iapk;r vf/dkjh@ ftyk ifj"kn~@ CykWd
MsoyiesaV vfèkdkjh@ ,lMh,e@jktif=kr vf/dkjh vFkok l{ke ljdkjh dk;ZdÙkkZ }kjk
fn;k x;k izek.ki=k)
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku
2
4-
vkosnu iQkWeZ ij fd, x, vkiosQ gLrk{kj dk uewuk] ftls
vkiosQ ,ohvkbZ osQ leUo;d }kjk lR;kfir fd;k x;k gksA
2-6 ikB~;Øe 'kqYd
^lkeqnkf;d LokLF;* esa izek.ki=k dk;ZØe osQ fy, ns; ikB~;Øe
'kqYd #- 5000@& gSA bl ikB~;Øe 'kqYd esa iathdj.k] igpku
i=k] vè;;u lkexzh] laioZQ d{kk,¡] izk;ksfxd izf'k{k.k osQ 'kqYd
lfEefyr gSAa
ikB~;Øe 'kqYd ml izR;kf;r O;kolkf;d laLFkk (,ohvkbZ) dks cSd
a
MªkÝV osQ :i esa izo's k iQkeZ ds lkFk esa fn;k tkuk pkfg,] tgk¡ vki
izo's k ys jgs gSAa cSd
a MªkÝV ^lfpo] ,uvkbZvks,l* (Secretary,
2-3 fu/kZfjr frfFk;k¡
NIOS) osQ i{k esa fn;k tkuk pkfg,A {ks=kh; dsUnz ;k ,ohvkbZ blosQ
fdlh Hkh ikB~;Øe esa vfuok;Z vè;;u iwjk gksus ij f'k{kkFkhZ dks fy, vkidks 'kqYd izkfIr dh jlhn nsxkA
vxyh vFkok vkxkeh ijh{kkvksa esa cSBus dh vuqefr nh tk,xhA
2-7 O;fDrxr laidZ dk;ZØe (Personal Contact
ijh{kk osQ mís'; ls ;ksX;rk dks fu/kZfjr djus gsrq fu/kZfjr frfFk;k¡
Programme - PCP) dk le;
31 vDrwcj gksxhA
O;kolkf;d dk;ZØeksa dks vf/d izHkkoh cukus ds fy, O;fDrxr
2-4 izo's k dh iqf"V
laidZ dk;ZØe (PCP) dh vof/ nh xbZ gSA ,ohvkbZ dks
vkidk izo's k vLFkk;h gksxk] ftldh iqf"V ,uvkbZvks,l }kjk vkids fl¼kar rFkk iz;ksx d{kkvksa ds fy, iwoZ fu/kZfjr vof/
,ohvkbZ ;k {ks=kh; dk;kZy;] iVuk osQ ekè;e ls igpku i=k tkjh (?kaVksa) dks iwjk fd, tkus laca/h ,d izek.ki=k tkjh fd;k
tk,xkA ijh{kk esa cSBus ls igys f'k{kkfFkZ;ksa dks bu d{kkvksa
djosQ dh tk,xhA
esa mifLFkr gksuk t:jh gSA
o`Qi;k vius izo's k lac/a h fooj.k dh vPNh rjg ls tk¡p dj ysAa ;fn
dksbZ xyfr;k¡ gks]a rks mudh lwpuk rqjra vius vè;;u dsUnz ftls dk;ZLFky ij iz;ksx l=k ds vk;kstu dh O;oLFkk dh tkrh gSA
iz R ;kf;r O;kolkf;d la L Fkk (Accredited Vocational ^lkeqnkf;d LokLF; esa izek.k i=k dk;ZØe* ds fy, lS¼kafrd esa
Institution, AVI) (,ohvkbZ) dgk tkrk gS] dks naAs vki vius igpku 100 ?kaVksa vkSj izk;ksfxd esa 300 ?kaVksa dk vè;;u le; lqfuf'pr
i=k dks l¡Hkkydj j[ks]a D;ksfa d ijh{kkvksa osQ nkSjku ;g ¶gkWy fVdV¸ fd;k x;k gSA
osQ :i esa Hkh dke vkrk gSA
vkidk izo's k jn~n fd;k tk ldrk gS vxj %
2-5 igpku i=k dh nwljh izfr
➥ vkidk vkosnu i=k v/wjk Hkjk x;k gks
;fn ewy igpku i=k [kks tkrk gS] rks vkidks igpku i=k dh nwljh izfr
fn, tkus dk izko/ku gSA blosQ fy, vki lacfa /r iqfyl LVs'ku esa ,d
,iQ-vkbZ-vkj- ntZ djk,¡A fiQj lacfa /r {ks=kh; ize[q k dks ,d lkns dkxt
ij vkosnu djsa vkSj fuEufyf[kr dkxT+kkr layXu djaµ
s
➥ vkius de 'kqYd tek fd;k gks
➥ vkidh vk;q fu/kZfjr lhek ls de gks
➥ vko';d 'kSf{kd ;ksX;rk u gks
➥ vk;q] ;ksX;rk vFkok vuqHko ls lacfa /r vko';d dkxtkr
layXu u gksa
1-
,iQ-vkbZ-vkj- dh izfr
2-
#- 100@& (lkS #i, osQoy) dk ,d cSd
a MªkÝV tks fd
➥ ;k fiQj dksbZ vU; folaxfr ikbZ xbZA
lfpo] ,uvkbZvks,l (Secretary, NIOS) osQ i{k esa gks
rFkk iVuk esa ns; gksA
izos'k jn~n gksus dh fLFkfr esa tek fd;k x;k 'kqYd okil
,d ikliksVZ vkdkj dk iQksVks] vkSj
ugha fd;k tk,xkA
3-
3
foojf.kdk
3
vuqn's ku vkSj izf'k{k.k izfØ;k
,uvkbZvks,l vkidks viuh xfr vkSj lqfo/k osQ vuqlkj i<+kbZ dh lqfo/k nsrk gSA ,uvkbZvks,l dh vè;;u izfØ;k osQ varxZr
Lo&vè;;u okyh eqfnzr iqLrosaQ] O;fDrxr laioZQ dk;ZØe (PCP)] izk;ksfxd izf'k{k.k dk;ZØe] JO;&n`'; dk;ZØe vkSj tgk¡
t+:jh gks] ogk¡ fyf[kr dk;Z djuk 'kkfey gSA
•
dk;ZLFky ij izf'k{k.k vFkok f'k{kqrk dh lqfo/kvksa osQ ckjs
esa irk yxk,¡xsA
,uvkbZvks,l vkidks fo'ks"kKksa }kjk fo'ks"k :i ls rS;kj dh xbZ
Lo&vè;;u lkexzh miyC/ djk,xkA blls vkidks Lo;a i<+kbZ vkidks lykg nh tkrh gS fd dkS'ky izkIr djus osQ fy, lHkh
laioZQ dk;ZØeksa vkSj izf'k{k.k dk;ZØeksa esa fgLlk ysaA
djus esa enn feysxhA
,uvkbZvks,l esa i<+kbZ dSls
•
vkidks vè;;u lkexzh vius ,ohvkbZ ;k {ks=kh; dk;kZy;]
iVuk ls izkIr gksxhA
1- vki ;g vPNh rjg ls le> ysa fd ,uvkbZvks,l ml izdkj
dk fu;fer fo|ky; ugha gS] ftlesa 'kk;n vkius igys i<+kbZ
•
vè;;u lkexzh osQ fy, vfrfjDr Hkqxrku u djsaA
dh gksxhA
;fn vè;;u lkexzh izkIr ugha gksrh rks fuEufyf[kr ls laidZ djsa%
2- ,uvkbZvks,l esa vkidks laLFkku }kjk nh xbZ Lo&vè;;u
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku
lkexzh ls Lo;a i<+uk gksxkA vkidks viuh vè;;u lkexzh o
igpku i=k vius ,ohvkbZ ls feysaxsA
{ks=kh; dk;kZy;
3vki viuh vè;;u lkexzh è;ku ls i<+saA ;g lkexzh fo'ks"k :i
yfyr Hkou] fupyh eafty
ls
Lo&vè;;u osQ fy, cukbZ xbZ gSA vki vius uksV~l cukb,]
tokgjyky usg: ekxZ (csyh jksM)
tgk¡ le> u vk, ogk¡ fu'kku yxkb,] vkSj lkexzh esa fn, x,
iVuk & 800 001 fcgkj
funsZ'kksa dk ikyu dhft,A
iQksu ua- % 0612&2545051] 0612-2545470 (iQSDl)
4- o`Qi;k è;ku nsa fd O;fDrxr laidZ dk;ZØe (ihlhih) oSlh
bZ&esy% [email protected]
d{kkvksa dh rjg ugha gksrs] ftuesa vkius vius LowQyksa esa Hkkx
3-1 Lo vuqn's kukRed vè;;u lkexzh
fy;k gksxkA ;gk¡ vki vius lansg nwj dj ldrs gSa_ ekxZn'kZu
ys ldrs gSa vkSj vius fyf[kr dk;ks±@ifj;kstukvksa@fjdkWMZ
iqfLrdkvksa dh tk¡p djk ldrs gSaA vki i<+kbZ esa lgk;rk osQ
fy, vius fe=k&lewg ls Hkh feysaxsA
5- vkidh ,ohvkbZ vkiosQ fy, izk;ksfxd izf'k{k.k dk;ZØeksa dk
Hkh vk;kstu djsxhA ;gk¡ vkidks vius ikB~;Øeksa esa izk;ksfxd
izf'k{k.k izkIr gksxkA
6- o`Qi;k vius ,ohvkbZ esa iqLrdky;] vkWfM;ks&ohfM;ks dk;ZØeksa
vkSj vU; lqfo/kvksa dk ykHk mBkb,A
7- vkarfjd ewY;kadu vkSj vkidh izk;ksfxd ijh{kk,¡ vkiosQ
,ohvkbZ ij gh vk;ksftr gkasxhA
8- vki viuk ijh{kk 'kqYd (Exam Fees), {ks=kh; dsUnz]
iVuk@vius ,ohvkbZ ds }kjk ;k vkWu ykbu }kjk le; ij
tek djsa] ftlls vki ijh{kk esa cSBus ls oafpr u jg tk,¡A
9- ijh{kk dh frfFk;ksa dh tkudkjh vius ,ohvkbZ rFkk {ks=kh; dsUnz
ls ysaA
10- vkidks ijh{kkvksa esa cSBus ds fy, ,uvkbZvks,l ls ,d gkWy
fVdV Hkh fn;k tk,xkA
11- ijh{kk ifj.kkeksa dh ?kks"k.kk osQ ckn vkidk ifj.kke vkSj
izek.ki=k vkiosQ ,ohvkbZ dks Hkst fn, tk,¡xsA
3-2 O;fDrxr laioZQ dk;ZØe vkSj izk;ksfxd
izf'k{k.k dk;ZØe
vkidk ,ohvkbZ (vè;;u dsUnz) vkids dkS'ky dks fodflr
djus ds fy, fu/kZfjr la[;k esa O;fDrxr laioZQ dk;ZØe vkSj
izk;ksfxd izf'k{k.k dk;ZØe vk;ksftr djsxkA blds fy, vkils izR;sd
ikB~;Øe ds fy, vko';d ?kaVksa dh mEehn dh tkrh gS rkfd%
•
vki vko';d dkS'ky vkSj {kerk fodflr djus osQ fy,
iz;ksx djsaxs_
•
Lo;a lh[krs gq, tks lansg vkSj leL;k,¡ vkids lkeus vkbZ
gSa] mUgsa nwj djsaxs_
•
vius ,ohvkbZ vuqn's kdksa }kjk vius izk;ksfxd iksViZ Qksfy;ks@dk;Z
dh tk¡p djk,¡xs_
•
vU; f'k{kkfFZk;ksa osQ lkFk viuh vè;;u laca/h leL;kvksa
ij fopkj&foe'kZ djaasxs_
•
;fn vkiosQ ,ohvkbZ esa lacaf/r ohfM;ks fiQYesa] lhMh
miyC/ gksa] rks mUgsa ns[ksaxs_
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku
4
4
ewY;kadu
,uvkbZvks,l dh ewY;kadu iz.kkyh esas ,slh cgqr lh lqfo/k,¡ gSa] ftuls vki viuh i<+kbZ viuh lqfo/k osQ vuqlkj iwjh dj ldrs
gaSA ewY;kadu iz.kkyh dk fuekZ.k vkidh le> vkSj dkS'kyksa dk O;kid :i esa ijh{k.k djus osQ fy, fd;k x;k gS] ftlesa iz;ksxkRed
rÙo ij vf/d T+kksj gSA
4-1 ijh{kk nsus dh Lora=krk
vkarfjd ewY;kadu
vkidks ijh{kk nsus esa tYnh djus dh vko';drk ugha gSA blosQ ctk;]
vki viuh i<+kbZ vPNh rjg ls dhft, vkSj rHkh ijh{kk nhft, tc
vki rS;kj gksAa vkidks viuk ikB~;Øe iwjk djus osQ fy, 5 o"kkZas
esa vf/dre 9 volj izkIr gksxa As vki vius ikB~;Øe dh
vko';d vè;;u vof/ vkSj izk;ksfxd izf'k{k.k iwjk djus osQ ckn
dksbZ Hkh ijh{kk fcuk fdlh 'krZ nsus osQ fy, Lora=k gSAa
vkarfjd ewY;kadu le;&le; ij vk;ksftr ijh{kkvksa] ekSf[kdh]
ewY;kadu dk;ks±] ifj;kstukvksa vkfn ij vk/kfjr gksrk gSA budk
vk;kstu vkiosQ ,ohvkbZ }kjk fd;k tkrk gSA
4-4 ijh{kk vkSj vU; 'kqYd
lkoZtfud ijh{kk osQ iathdj.k osQ fy, vkidks fu/kZfjr le; osQ
Hkhrj ,ohvkbZ esa tkuk gksxk vkSj ijh{kk 'kqYd tek djkuk gksxkA
4-2 ewY;kadu dk ekè;e
Ñi;k ijh{kk 'kqYd tek djus ds fy, ifjf'k"V ^?k* esa fn,
ijh{kkvksa osQ fy, iz'ui=k f}Hkk"kh vFkkZr~ fgUnh vkSj vaxt
sz h+ esa gksxa As x, iQkWeZ dk iz;ksx djsaA ikB~;Øe osQ fy, ijh{kk 'kqYd #w gS vkSj dqy ijh{kk 'kqYd #- 900@&
;|fi vki viuh ijh{kk,¡ fgUnh] vaxt
sz h+ vFkok fdlh Hkh vuqlfw pr 300@& izfr fo"k;@ekM~;y
{ks=kh; Hkk"kk esa fy[k ldrs gSa] Hkys gh vkius izo's k ds le; dksbZ gSA (ftlesa 3 fo"k; 'kkfey gSa) ftlesa fl¼kar] iz;ksx vkSj
vkarfjd ewY;kadu 'kkfey gSA lHkh f'k{kkfFZk;ksa dks ijh{kk 'kqYd
vU; ekè;e fy;k gksA
nsuk gksxkA
4-3 ewY;kadu% dqN fo'ks"krk,¡
o`Qi;k è;ku nsas fd ijh{kk osQ fy, fn;k x;k 'kqYd fdlh
Hkh ifjfLFkfr esa u rks okil fd;k tk,xk vkSj u gh
lek;ksftr fd;k tk,xkA
,uvkbZvks,l us O;kolkf;d ikB~;Øeksa dh O;kogkfjd izo`fr dks
è;ku esa j[krs gq, ewY;kadu dh ,d mi;qDr fof/ rS;kj dh gS]
tgk¡ ikB~;Øe dh i<+kbZ osQ nkSjku gkfly fd, x, dkS'kyksa osQ ijh{k.k
ij vf/d Tkksj fn;k x;k gSA cgqr ls ekeyksa esa fujarj ewY;kadu dks
lqfuf'pr djus osQ fy, vkarfjd ewY;kadu Hkh vkjaHk fd;k x;k gSA
bl izdkj ewY;kadu osQ rhu rÙo gks ldrs gSa%
vU; fofo/ 'kqYd%
•
•
•
•
•
•
izek.ki=k dh nwljh izfr
vad lwph dh nwljh izfr
igpku i=k dh nwljh izfr
1izk;ksfxd ijh{kk
ys[kd
2fl¼kar ijh{kk
vadksa dh iqu% tk¡p
,uvkbZvks,l izek.ki=k dk lR;kiu
3vkarfjd ewY;kadu
(futh daiuh vFkok izfr f'k{kkFkhZ
izk;ksfxd vkSj fl¼kar ijh{kk,¡
ds fy,)
izk;ksfxd vkSj fl¼kar ijh{kk,¡ uoacj & fnlacj ekg esa vk;ksftr dh • vLFkk;h izek.ki=k dh nwljh
tkrh gSAa izk;ksfxd ijh{kk,¡ vkiosQ ,ohvkbZ ;k vè;;u dsUnz ij gh
izfr@ekbxzs'ku izek.ki=k vFkok
vk;ksftr dh tkrh gSAa
vad lwph rqjar tkjh djus ds fy,
5
#- 200@&
#- 200@&
#- 100@&
#- 100@&(izfr l=k)
#- 300@& (izfr fo"k;)
#- 500@&
#- 400@&
foojf.kdk
ds vanj ,ohvkbZ ;k {ks=kh; dk;kZy; ls izkIr dj ldrs gSA
4-5 mÙkh.kZ gksus dk ekunaM
o`Qi;k è;ku nsa fd lHkh Hkkxksa esa vFkkZr~ fl¼kar] iz;ksx vkSj vkarfjd o`Qi;k è;ku nsa fd ,uvkbZvks,l vius O;kolkf;d ikB~;Øeksa
osQ f'k{kkfFZk;ksa dks dksbZ ekbxzs'ku izek.ki=k ugha nsrkA
ewY;kadu esa vyx&vyx ikl gksuk vko';d gSA
;fn vki ,d Hkkx (iz;ksx] fl¼kar vFkok vkarfjd ewY;kadu) esa
mÙkh.kZ gksrs gSa] rks ml Hkkx osQ vkiosQ vad ,df=kr jgsxa As vkidks
vxyh ckj ml Hkkx dh ijh{kk esa cSBus dh vko';drk ugha gSA vkidks
osQoy 'ks"k Hkkx(xks)a esa gh ijh{kk nsuh gksxhA ijUrq vkidks iwjk ijh{kk
'kqYd nsuk gksxkA
vki fuEufyf[kr dk;Z vo'; djssa
➥ foojf.kdk dks è;ku ls i<+saA Hkfo"; esa lanHkZ osQ fy,
bls laHkkydj j[ksaA
4-6 osQz fMV lap;u
➥ vki Lo;a gh vkosnu iQkWeZ Hkjsa rFkk uke] irk]
tUefrfFk vkfn osQ ckjs esa lgh lwpuk,¡ nsaA
vki ijh{kk nsus osQ vusd volj izkIr dj ldrs gSaA ,uvkbZvks,l
fdlh ekWM~;wy fo'ks"k osQ vkiosQ vadksa ;k oszQfMV dks rc rd
,df=kr djrk jgsxk] tc rd vki izek.ki=k osQ fy, lHkh vko';d
ekWM;~ y
w ksa esa mÙkh.kZ ugha gks tkrsA
➥ ;g lqfuf'pr djsa fd vkosnu iQkWeZ osQ lkFk lHkh
vko';d dkxt+kr layXu dj fn, x, gSaA
➥ izos'k osQ fy, fu/kZfjr 'kqYd gh tek djsa vkSj
,ohvkbZ ;k {ks=kh; dk;kZy; ls jlhnsa izkIr djsaA
4-7 fl¼kar ijh{kk ds vadksa dh iqu% tk¡p
;fn vki lkoZtfud ijh{kk osQ ifj.kke ls larq"V ugha gSa] rks vki
vadksa dh tk¡p osQ fy, ifj.kkeksa dh ?kks"k.kk dh frfFk ls 30 fnuksa
esa vkosnu dj ldrs gSaA blosQ fy, vkidks fu/kZfjr izksiQkekZ ij
vFkok lkns dkxt ij vkosnu djuk gksxk vkSj fu/kZfjr 'kqYd
cSad MªkÝV osQ }kjk ,uvkbZvks,l {ks=kh; osQUnz] iVuk dks nsuk
gksxkA
➥ izos'k dh iqf"V gksus osQ ckn vius ,ohvkbZ ;k {ks=kh;
dk;kZy; ls fcuk dksbZ vfrfjDr 'kqYd fn, vè;;u
lkexzh izkIr djsaA
➥ vius ,ohvkbZ esa mlosQ }kjk fu/kZfjr le; lkj.kh osQ
vuqlkj O;fDrxr laioZQ dk;ZØe rFkk izk;ksfxd izf'k{k.k
l=k esa Hkkx ysaA
4-8 izek.ki=k
➥ ijh{kk osQ fy, lgh le; ij iathdj.k djk,¡A
ijh{kk ifj.kkeksa dh ?kks"k.kk gksrs gh vad lwph (Mark Statement)
lacaf/r ,ohvkbZ ls yh tk ldrh gSA izek.ki=k rhu ls pkj eghus
f'kdk;rks@a leL;kvksa gsrq laioZQ osQ fy, irk
gesa fo'okl gS vkSj ge vk'kk djrs gSa fd ,uvkbZvks,l esa vius vè;;u osQ nkSjku vkidks dksbZ leL;k vFkok f'kdk;r ugha gksxhA
vxj fiQj Hkh dksbZ leL;k O;kolkf;d f'k{kk dk;ZØe lac/
a h fdlh lq>ko vFkok Li"Vhdj.k osQ fy,] igpku&i=k u feyus ij] vè;;u lkexzh
u feyus ij rFkk i<+kbZ laca/h leL;kvksa osQ fy,] ijh{kk frfFk vkSj ijh{kk lwpuk dkMZ vkfn ds fy, vki fuEufyf[kr ls laioZQ dj ldrs
gS%a &
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku
{ks=kh; dk;kZy;
yfyr Hkou] fupyh eafty
tokgjyky usg: ekxZ (csyh jksM)
iVuk & 800 001] fcgkj
vad lwph vkSj izek.ki=k izkIr djus osQ fy, vkidks ,ohvkbZ ls laidZ djuk gksxk tks vkidks vad lwph vkSj izek.ki=k nsxhA vad lwph vFkok
izek.ki=k dh nwljh izfr izkIr djus osQ fy,] o`Qi;k vko';d 'kqYd lfgr fu/kZfjr iQkeZ ij vkosnu mi;qZDr fy[ks irs ij Hkstsa%
viuh i<+kbZ osQ nkSjku vkidks ,uvkbZvks,l osQ ckjs esa vf/dka'k tkudkjh gekjh osclkbV ls izkIr gks ldrh gSA o`Qi;k bldk iwjk mi;ksx
djsa % www.nios.ac.in • Vksy izQh ua- % 1800 180 9393
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku
6
ewy izfr
iQkWeZ la[;k / Form No.
ORIGINAL
ifjf'k"V & d
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku (,uvkbZvks,l)
,oa
;gka iQksVks fpidk,¡ tks fd
leUo;d }kjk lR;kfir gksA
ckWDl ds vkdkj dk f'k{kkFkhZ
dk QksVks ;gk¡ fpidk,¡
tks lR;kfir u gksA
jkT; LokLF; lfefr] fcgkj ljdkj
PASTE PHOTOGRAPH HERE
OF THIS BOX SIZE DULY
ATTESTED BY
COORDINATOR
ds la;Dq r rÙok/ku esa
PASTE HERE
PHOTOGRAPH OF
THE STUDENT OF THE
SIZE OF THIS BOX ONLY
DO NOT ATTEST
lkeqnkf;d LokLF; izek.ki=k ikB~;Øe
essa ukekadu gsrq vkosnu i=k
,d o"khZ; ikB~;Øe esa izo's k ds fy,
(fo"k; dksM & 449] 450] 451)
Hkkx&d@ PART-A
f'k{kkFkhZ ds gLrk{kj Signature of the Student
Enrolment Number (To be given by office)
1.
f'k{kkFkhZ dk iwjk uke ¼Li"V v{kjksa esa½@Full Name of Candidate in CAPITAL Letters
2.
firk ;k vfHkHkkod dk iwjk uke ¼Li"V v{kjksa esa½@Father's or Guardian's Name in CAPITAL Letters
3.
ekrk ;k fgrS"kh ekrk dk iwjk uke ¼Li"V v{kjksa esa½@Mother's or Mentor Mother's Name in CAPITAL Letters
4a- i=&O;ogkj ds fy, irk ¼Li"V v{kjksa esa½@Postal Address in CAPITAL Letters
irk@Address
ftyk@District
jkT;@State
bZ&esy@E-mail
fiudksM@Pincode
,lVhMh dksM@STD Code
nwjHkk"k@eksckby@Telephone/Mobile
4b- vk/kkj la[;k@ Aadhaar No.
tUefrfFk@Date of birth
5.
frfFk
10.
13.
ekg
Date
Month
6. fyax@ Gender
o"kZ
year
7.
8.
Js.kh@Category
v/;;u dk ek/;e@Medium of Study
vkidh iwoZ ;ksX;rk
Your Previous Qualification
X
lgh [kkus esa ; djsAa
Put
XII
; inside the Appropriate Box.
9.
fodykaxrk@ Disability
oafpr oxZ@Disadvantaged Group
11. jk"Vªh;rk@Nationality
14.
12. /keZ@Religion
nloha vkSj ckjgoha cksMZ ijh{kk mÙkh.kZ djus dk o"kZ
Year of Passing X and XII Class Examination
nloha
ckjgoha
X
XII
¼Ñi;k vko';drkuqlkj lacaf/kr [email protected]= vo'; layXu djsa½ (Please enclose the
relevent papers/certificates positively as necessary)
15.
ikB~;Øe 'kqYd dh jkf'k@Amount of Course Fee paid to Secretary, NIOS payable at Patna : Rs. Five Thousand Only.
Bank Draft No. ___________________, /Amount of Rs. 5000/-, Bank Draft Date __/__/____, Bank Name _________________________________
(f'k{kkFkhZ dks nh tkus okyh jlhn@ Receipt to be given to the candidate)
Received application form alongwith Bank Draft No. ................ dt. ................ / Rs. .................. from Mr./Ms. ......................................................... for
lkeqnkf;d LokLF; esa izek.ki=k ikB~;Øe @ Community Health Certificate Course(s)/Code(s) 449, 450, 451.
leUo;d@{ks=kh; dk;kZy;] iVuk ds gLrk{kj eqgj lfgr /
Signature of Coordinator/Regional Centre, Patna with Stamp
Hkkx&[k@ PART-B
16. uhps nh xbZ lwpuk,a lgh&lgh HkjsaA mi;qDr ckDl esa (✓) fpg~u yxk,¡A
Please fill in the following information correctly. Put tick mark (✓) in appropriate box.
Year/s of Experience in Health Sector /
3-5 years
LokLF; {ks=k esa vuqHko
More than 5 Years
17- vkosnd dh ?kks"k.kk (lHkh vkosndksa }kjk Hkjk tk,xk)@ DECLARATION/CERTIFICATE BY APPLICANT
(TO BE FILLED BY ALL APPLICANT)
I hereby declare that I have read and understood the conditions of eligibility and I fulfill the criteria for the course for which I seek
admission. I have furnished all the necessary documents and information correctly. I have filled this form in my own handwriting. I
understand that my candidature is liable to be cancelled by NIOS in the event of any information or document is to be found misleading/
incorrect/fake at any stage. I accept the rules as laid down in the Prospectus. eS ?kks"k.kk djrk@djrh gWw fd eSaus os lHkh 'krks± dks i<+dj le>
fy;k gSa ftl ikB~;Øe ds fy, eSa vkosnu dj jgk@jgha gw¡ A eSus ;g vkosnu iQkeZ Lo;a Hkjk gSA eSa tkurk@tkurh gw¡ fd ;fn ;s lwpuk,¡ xyr ;k Hkze Mkyus
okyh gksrh gSa rks jk"Vªh; eqDr fo|ky; f'k{kk laLFkku }kjk esjh mEehnokjh lekIr dh tk ldrh gSA eSa foojf.kdk esa fn, x, lHkh fu;eksa dk ikyu d#¡xk@d#¡xhA
f'k{kkFkhZ ds gLrk{kj@Signature of Candidate
fnukad @ Date .........................................
✓)
layXudksa dh tk¡p dhft,] lgh dk fu'kku (✓ ) yxk,Wa / CHECK THE ENCLOSURES, Please Tick (✓
1- ewy izos'k iQkeZ / Original Admission Form
6.
2- izos'k iQkeZ dh nwljh izfr
7.
Duplicate copy of Admission Form
Copy of Experience Certificate/vuqHko
izek.k i=k dh dkWih
Two recent colour photographs /
gky gh ds nks jaxhu iQksVks
3- cSad MªkÝV (ikB~;Øe 'kqYd) #- 5000@&
8.
Address Proof/irk
9.
Affidavit as per guidelines/
dk izek.k
Bank Drafts Rs.5000/ - (Course Fee) /
4- Lo;a lR;kfir dh gqbZ tkfr izek.k i=k dh dkWih/Self
attested copy of Caste Certificate as per guidelines)
fn'kkfunsZ'kksa vuqlkj 'kiFk i=k
5- nloha d{kk ds izek.k i=k dh lR;kfir dkWih /
Self attested Copy of Mark sheet of Class X
Board Examination
dsoy dk;kZy; ds mi;ksx ds fy, / For Office use only
vkosnd dk izek.k i=k / Certificate From Applicant
mijksDr rF;ksa dks ,uvkbZvks,l@lh-ch-,l-bZ @ lh-vkbZ-,l-lh-bZ @ lacaf/r jkT; cksMZ @ jkT; eqDr fo|ky;h f'k{kk cksMZ
}kjk tkjh layXu vadlwph @ izek.k&i=k ls lR;kfir dj fy;k x;k gSA
Above Statements have been verified with the enclosed Marksheet/Certificate issued by Board/Organization concerned.
Verified by Admission In-charge.
vuqHkkx vf/dkjh@Section Officer
Date : ..................................................
egÙoiw.kZ lwpuk
•
•
•
•
•
•
U;wure ;ksX;rk & ekU;rk izkIr cksMZ ls nloha ikl A
LokLF; ds {ks=k esa 3 ls 5 o"kksZa dk vuqHkoA
ukekdau@vkosnu i=k tek djus dh vafre rkjh[k 31-10--2015 rd gSA
ukekadu i=k esa lkjh izo`f"V;k¡ Li"V v{kjksa esa vafdr gksuk pkfg,A
ikorh jlhn dks vo'; ysa vkSj mls laHkky dj j[ksA
ukekadu i=k esa izo`f"V rFkk vf/d tkudkjh ds fy, foojf.kdk dk iz;ksx djsaA foojf.kdk dk ewY; 50 :Ik;s gSA
Hkjs gq, ukekadu @vkosnu i=k ds lkFk t:jh dkxtkr layXu dj foojf.kdk esa fn, x; irs ij tek djsa @ The filled in Application Form with all
supporting documents must be submitted at the address given in Prospectus.
nwljh izfr
iQkWeZ la[;k / Form No.
DUPLICATE
ifjf'k"V & [k
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku (,uvkbZvks,l)
,oa
;gka iQksVks fpidk,¡ tks fd
leUo;d }kjk lR;kfir gksA
ckWDl ds vkdkj dk f'k{kkFkhZ
dk QksVks ;gk¡ fpidk,¡
tks lR;kfir u gksA
jkT; LokLF; lfefr] fcgkj ljdkj
PASTE PHOTOGRAPH HERE
OF THIS BOX SIZE DULY
ATTESTED BY
COORDINATOR
ds la;Dq r rÙok/ku esa
PASTE HERE
PHOTOGRAPH OF
THE STUDENT OF THE
SIZE OF THIS BOX ONLY
DO NOT ATTEST
lkeqnkf;d LokLF; izek.ki=k ikB~;Øe
essa ukekadu gsrq vkosnu i=k
,d o"khZ; ikB~;Øe esa izo's k ds fy,
(fo"k; dksM & 449] 450] 451)
Hkkx&d@ PART-A
f'k{kkFkhZ ds gLrk{kj Signature of the Student
Enrolment Number (To be given by office)
1.
f'k{kkFkhZ dk iwjk uke ¼Li"V v{kjksa esa½@Full Name of Candidate in CAPITAL Letters
2.
firk ;k vfHkHkkod dk iwjk uke ¼Li"V v{kjksa esa½@Father's or Guardian's Name in CAPITAL Letters
3.
ekrk ;k fgrS"kh ekrk dk iwjk uke ¼Li"V v{kjksa esa½@Mother's or Mentor Mother's Name in CAPITAL Letters
4a- i=&O;ogkj ds fy, irk ¼Li"V v{kjksa esa½@Postal Address in CAPITAL Letters
irk@Address
ftyk@District
jkT;@State
bZ&esy@E-mail
fiudksM@Pincode
,lVhMh dksM@STD Code
nwjHkk"k@eksckby@Telephone/Mobile
4b- vk/kkj la[;k@ Aadhaar No.
tUefrfFk@Date of birth
5.
frfFk
10.
13.
ekg
Date
Month
6. fyax@ Gender
o"kZ
year
7.
8.
Js.kh@Category
v/;;u dk ek/;e@Medium of Study
vkidh iwoZ ;ksX;rk
Your Previous Qualification
X
lgh [kkus esa ; djsAa
Put
XII
; inside the Appropriate Box.
9.
fodykaxrk@ Disability
oafpr oxZ@Disadvantaged Group
11. jk"Vªh;rk@Nationality
14.
12. /keZ@Religion
nloha vkSj ckjgoha cksMZ ijh{kk mÙkh.kZ djus dk o"kZ
Year of Passing X and XII Class Examination
nloha
ckjgoha
X
XII
¼Ñi;k vko';drkuqlkj lacaf/kr [email protected]= vo'; layXu djsa½ (Please enclose the
relevent papers/certificates positively as necessary)
15.
ikB~;Øe 'kqYd dh jkf'k@Amount of Course Fee paid to Secretary, NIOS payable at Patna : Rs. Five Thousand Only.
Bank Draft No. ___________________, /Amount of Rs. 5000/-, Bank Draft Date __/__/____, Bank Name _________________________________
(f'k{kkFkhZ dks nh tkus okyh jlhn@ Receipt to be given to the candidate)
Received application form alongwith Bank Draft No. ................ dt. ................ / Rs. .................. from Mr./Ms. ......................................................... for
lkeqnkf;d LokLF; esa izek.ki=k ikB~;Øe @ Community Health Certificate Course(s)/Code(s) 449, 450, 451.
leUo;d@{ks=kh; dk;kZy;] iVuk ds gLrk{kj eqgj lfgr /
Signature of Coordinator/Regional Centre, Patna with Stamp
Hkkx&[k@ PART-B
16. uhps nh xbZ lwpuk,a lgh&lgh HkjsaA mi;qDr ckDl esa (✓) fpg~u yxk,¡A
Please fill in the following information correctly. Put tick mark (✓) in appropriate box.
Year/s of Experience in Health Sector /
3-5 years
LokLF; {ks=k esa vuqHko
More than 5 Years
17- vkosnd dh ?kks"k.kk (lHkh vkosndksa }kjk Hkjk tk,xk)@ DECLARATION/CERTIFICATE BY APPLICANT
(TO BE FILLED BY ALL APPLICANT)
I hereby declare that I have read and understood the conditions of eligibility and I fulfill the criteria for the course for which I seek
admission. I have furnished all the necessary documents and information correctly. I have filled this form in my own handwriting. I
understand that my candidature is liable to be cancelled by NIOS in the event of any information or document is to be found misleading/
incorrect/fake at any stage. I accept the rules as laid down in the Prospectus. eS ?kks"k.kk djrk@djrh gWw fd eSaus os lHkh 'krks± dks i<+dj le>
fy;k gSa ftl ikB~;Øe ds fy, eSa vkosnu dj jgk@jgha gw¡ A eSus ;g vkosnu iQkeZ Lo;a Hkjk gSA eSa tkurk@tkurh gw¡ fd ;fn ;s lwpuk,¡ xyr ;k Hkze Mkyus
okyh gksrh gSa rks jk"Vªh; eqDr fo|ky; f'k{kk laLFkku }kjk esjh mEehnokjh lekIr dh tk ldrh gSA eSa foojf.kdk esa fn, x, lHkh fu;eksa dk ikyu d#¡xk@d#¡xhA
f'k{kkFkhZ ds gLrk{kj@Signature of Candidate
fnukad @ Date .........................................
✓)
layXudksa dh tk¡p dhft,] lgh dk fu'kku (✓ ) yxk,Wa / CHECK THE ENCLOSURES, Please Tick (✓
1- ewy izos'k iQkeZ / Original Admission Form
6.
2- izos'k iQkeZ dh nwljh izfr
7.
Duplicate copy of Admission Form
Copy of Experience Certificate/vuqHko
izek.k i=k dh dkWih
Two recent colour photographs /
gky gh ds nks jaxhu iQksVks
3- cSad MªkÝV (ikB~;Øe 'kqYd) #- 5000@&
8.
Address Proof/irk
9.
Affidavit as per guidelines/
dk izek.k
Bank Drafts Rs.5000/ - (Course Fee) /
4- Lo;a lR;kfir dh gqbZ tkfr izek.k i=k dh dkWih/Self
attested copy of Caste Certificate as per guidelines)
fn'kkfunsZ'kksa vuqlkj 'kiFk i=k
5- nloha d{kk ds izek.k i=k dh lR;kfir dkWih /
Self attested Copy of Mark sheet of Class X
Board Examination
dsoy dk;kZy; ds mi;ksx ds fy, / For Office use only
vkosnd dk izek.k i=k / Certificate From Applicant
mijksDr rF;ksa dks ,uvkbZvks,l@lh-ch-,l-bZ @ lh-vkbZ-,l-lh-bZ @ lacaf/r jkT; cksMZ @ jkT; eqDr fo|ky;h f'k{kk cksMZ
}kjk tkjh layXu vadlwph @ izek.k&i=k ls lR;kfir dj fy;k x;k gSA
Above Statements have been verified with the enclosed Marksheet/Certificate issued by Board/Organization concerned.
Verified by Admission In-charge.
vuqHkkx vf/dkjh@Section Officer
Date : ..................................................
egÙoiw.kZ lwpuk
•
•
•
•
•
•
U;wure ;ksX;rk & ekU;rk izkIr cksMZ ls nloha ikl A
LokLF; ds {ks=k esa 3 ls 5 o"kksZa dk vuqHkoA
ukekdau@vkosnu i=k tek djus dh vafre rkjh[k 31-10--2015 rd gSA
ukekadu i=k esa lkjh izo`f"V;k¡ Li"V v{kjksa esa vafdr gksuk pkfg,A
ikorh jlhn dks vo'; ysa vkSj mls laHkky dj j[ksA
ukekadu i=k esa izo`f"V rFkk vf/d tkudkjh ds fy, foojf.kdk dk iz;ksx djsaA foojf.kdk dk ewY; 50 :Ik;s gSA
Hkjs gq, ukekadu @vkosnu i=k ds lkFk t:jh dkxtkr layXu dj foojf.kdk esa fn, x; irs ij tek djsa @ The filled in Application Form with all
supporting documents must be submitted at the address given in Prospectus.
ifjf'k"V & x
izo's k osQ fy, vkosnu iQkWeZ Hkjus gsrq funs'Z k
lkekU; funsZ'k
1-
izos'k osQ fy, foojf.kdk esa fn, x, (vFkok ,uvkbZvks,l osclkbV ls MkmuyksM fd, x,) izos'k iQkeksZa ij gh vkosnu djsaA
2-
iQkWeZ nks izfr;ksa ewy ,oa nwljh izfr esa miyC/ gSaA iQkWeZ dh nksuksa izfr;ksa esa leku fooj.k HkjsaA ;fn muesa dksbZ varj ik;k x;k] rks ewy
iQkeZ esa Hkjk x;k fooj.k gh vafre ekuk tk,xkA
3-
o`Qi;k iQkWeZ Hkjus ls igys viuh ;ksX;rk lqfuf'pr dj ysaA ;fn vki ;ksX;rk osQ ekunaM dks iwjk ugha djrs gSa] rks vkidks izos'k ugha
feysxk rFkk ikB~;Øe 'kqYd ykSVk;k ugha tk,xk vkSj vkidks lwfpr Hkh ugha fd;k tk,xkA
4-
o`Qi;k lwpuk,¡ osQoy vaxzsth ;k ¯gnh esa lkiQ v{kjksa esa HkjasA ,d ckj fy[kdj ml ij fiQj ls fy[kus ls cpsaA
5-
uke] firk osQ uke vkfn osQ Hkkxksa osQ chp ,d ckWDl fjDr NksM+ nsaA fdlh Hkh uke osQ vkxs Jheku] Jherh] Jh] oqQekjh vkfn u fy[ksaA
6-
tks vkosnu iQkWeZ v/wjs gksaxs vFkok vko';d nLrkost osQ fcuk gksaxs] mUgsa vLohdkj dj fn;k tk,xk vkSj 'kqYd ykSVk;k ugha tk,xkA
vki viuk vkosnu iQkWeZ vkSj 'kqYd mlh ,ohvkbZ ;k {ks=kh; dk;kZy;] iVuk
esa gh tek djsa tgk¡ vki izos'k ysuk pkgrs gSa vkSj mldh jlhn Hkh ysaA
fo'ks"k funsZ'k
iQkeZ dk Hkkx ^d*
vkidks nksuksa vkosnu iQkWeZ ij vius nks nks ikliksVZ vkdkj osQ iQksVks yxkus gksaxsA iQkWeZ osQ ckb± vksj fpidkbZ xbZ iQksVks dks fuEufyf[kr O;fDr;ksa
esa ls fdlh ,d ls lR;kfir djkuk gksxk &
•
,uvkbZvks,l osQ ,ohvkbZ osQ leUo;d@Coordinator.
•
ekU;rkizkIr fo|ky;@egkfo|ky; vFkok laLFkk osQ iz/kukpk;Z
•
ft+yk eftLVsªV
•
jktif=kr vf/dkjh
•
xzke iapk;r dk iz/ku@vè;{k] iapk;r lfefr@vè;{k] ftykifj"kn~
•
xzke ljiap@ rglhynkj
nkb± vksj dh iQksVks ij dksbZ fu'kku ugha gksuk pkfg,] D;ksafd ;g fjdkWMZ osQ fy, LoSQu fd;k tk,xkA iQksVks fu/kZfjr fd, x, ckWDl esa Bhd ls
vkuh pkfg,A
blosQ uhps fn, x, [kkus esa gLrk{kj djsaA bl ckWDl ls ckgj gLrk{kj u djsaA
1-
f'k{kkFkhZ dk uke % vki viuk uke fiNys fo|ky; ds fjdkWMZ ds vuqlkj gh fy[ksaA
M O
2&3-
H
A
N
K
U
M A
R
ekrk&firk dk uke % vki vius ekrk&firk dk uke vaxzsth ds cM+s o.kks± esa fy[ksa] tSlk fd uhps mnkgj.k esa fn;k x;k gSA uke ls
igys Jh] Jherh vFkok lqJh u fy[ksaA
K
A
M
A
L
K
U
M A
R
vkids ekrk&firk dk uke vkids fiNys fjdkWMZ ls esy [kkrk gksA ;g vkids izek.ki=k esa fy[kk tk;sxkA ckn esa blesa dksbZ ifjorZu ugha fd;k
tk,xkA
4d-
i=k&O;ogkj dk irk % vki viuk iwjk irk] edku uacj] firk dk uke (;fn vko';d gks)] okMZ ua-] xzke vkSj Mkd ?kj] rglhy] ft+yk]
jkT; vkSj fiu dksM vkfn lHkh oqQN fy[ksaA f'k{kkFkhZ }kjk v/wjk irk nsus ij ;fn dksbZ Hkh en@i=k@ lkexzh lgh LFkku ij u
igq¡ps] rks ,uvkbZvks,l bldk ftEesnkj ugha gksxkA
11
foojf.kdk
4[k-
o`Qi;k viuk vk/kj la[;k HkjsaA
5-
tUefrfFk % vki viuh tUefrfFk dsoy la[;kvksa esa lgh&lgh fy[ksaA mnkgj.k osQ fy,] 5 vxLr 1967 ds LFkku ij 05-08-1967 fy[ksaA
vkosnu iQkWeZ osQ lkFk tUefrfFk dh iqf"V osQ fy, vko';d nLrkost+ dh lR;kfir izfr layXu djuk vfuok;Z gSA
1
frfFk
9
0
6
1
eghuk
9
8
4
o"kZ
6-
fyax % fn, x, dkWye esa iq#"k ds fy, 1 vkSj efgyk ds fy, 2 fy[ksaA
7-
oxZ % fn, x, dkWye esa lkekU; ds fy, 1] vuqlwfpr tkfr ds fy, 2] vuqlwfpr tutkfr ds fy, 3] iwoZ lSfud ds fy, 4] vkSj
fodykax ds fy, 5 vkSj vkschlh ¼vU; fiNM+s oxZ½ ds fy, 6 fy[ksaA
8-
v{kerk % fn, x, dkWye esa ^^gkFk&iSj lacaf/kr v{kerk** ds fy, 1] ns[kus esa v{kerk** ds fy, 2] ^^lquus esa v{kerk** ds fy,
3] ^^dq"B jksx ls ;qDr** ds fy, 4] ^^ekufld :i ls vfodflr** ds fy, 5] ^^ekufld jksx ls xzLr** ds fy, 6] vusd v{kerk
ds fy, 7] efLr"d laca/kh i{kk?kkr ds fy, 8 ] lh[kus esa v{kerkvksa ds fy, 9] vkSj ^^ykxw ugha** ds fy, 10 fy[ksaA
9-
oafpr lewg % fn, x, dkWye esa ^^iQqVikFk ij jgus okys cPpksa** ds fy, 1] ^^dkexkj cPpksa** ds fy, 2] ^^xzkeh.k efgyk** ds fy,
3] >qXxh esa jgus okyksa ds fy, 4 rFkk ^^ykxw ugha** ds fy, 5 fy[ksaA
10-
vè;;u dk ekè;e % fn, x, ckWDl esa ^^fgUnh ekè;e** ds fy, 1 vkSj ^^vaxzsth ekè;e** ds fy, 2 fy[ksaA
11-
jk"Vªh;rk % fn, x, ckWDl esa ^^Hkkjrh;** ds fy, 1 vkSj ^^fdlh vU;** ds fy, 2 fy[ksaA
12-
/eZ % fganw ds fy, 1] eqfLye ds fy, 2] bZlkbZ ds fy, 3] flD[k ds fy, 4] tSu ds fy, 5] ckS¼ ds fy, 6] ikjlh ds fy, 7 fy[ksaA
13-
vkidh iwoZ 'kSf{kd ;ksX;rk % d`i;k mi;qDr ckWDl esa (✓) dk fu'kku yxk,¡A 'kSf{kd ;ksX;rkvksa ds izek.k ds :i eas vad lwph
dh lR;kfir izfr layXu djsaA
14-
nloha@ckjgoha dh cksMZ ijh{kk ikl djus dk o"kZ % ml cksMZ dk uke fy[ksa] tgk¡ ls vkius ijh{kk ikl dh gSA
15-
tek fd, x, ikB~;Øe 'kqYd dh jkf'k % tek fd, x, ikB~;Øe 'kqYd tks fd #- 5000@& gS dk fooj.k HkjsaA ,uvkbZvks,l }kjk
fu/kZfjr 'kqYd osQ vfrfjDr dksbZ vkSj 'kqYd tek ugha djk,¡A
iQkeZ dk Hkkx ^[k*
16-
Ñi;k LokLF; {ks=k esa vuqHko ds ckjs esa fy[ksaA
17-
mi;qDr LFkku ij f'k{kkFkhZ osQ gLrk{kj frfFk lfgr fd, tk,¡A
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku
12
ifjf'k"V & ?k
jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku
National Institute of Open Schooling
ijh{kk 'kqYd tek djus ds fy, vkosnu i=k
lkeqnkf;d LokLF; izek.k i=k ikB~;Øe dh ijh{kk esa cSBus ds fy, vkosnu i=k
Form for appearing in Community Health Certificate Course Examination of NIOS
dsoy udn vkSj jk"Vªh;Ñr cSd
a ksa ds cSd
a Mªk¶V gh Lohdkj fd, tkrs gSAa
pSd@Hkkjrh; iksLVy vkMZj Lohdkj ugha fd, tk,¡xsA
Only Cash/Bank Drafts from Nationalised Banks are acceptable.
Cheques/Indian postal Orders are not acceptable.
1.
ukekadu la[;k@Enrolment No.
Ñi;k os fo"k; Hkjsa ftudh ijh{kk esa vki cSBuk pkgrs gSaA
Please fill correctly the subjects in which you desire to appear in the
Examination.
dksM ua/Code No.
fo"k;/Subject
1.
.......................................
2.
.......................................
3.
.......................................
2. iwjk uke ¼Li"V v{kjksa esa½ @Full Name in (Block Letters)
3.
irk /Address ....................................
.................................................
.................................................
ijh{kk 'kqYd 300@& izfr fo"k; (dqy ijh{kk 'kqYd 900 #- 3 fo"k;ksa ds fy,)
Exam. fee Rs. 300/- per subject (total exam fees Rs. 900 for 3 subjects).
fiu dksM/PIN CODE
f'k{kkFkhZ ds gLrk{kj / Signature of the Candidate
+
+
*
f'k{kkFkhZ ijh{kk 'kqYd] ^lfpo* ,uvkbZvks,l* ds i{k esa ns; rFkk ,ohvkbZ@{ks=h; dsUnz ij Mªk¶V@uxn ds lkFk ijh{kk QkWeZ tek dj ldrs gSaA
Candidate can deposit his/her exam fees at the AVI/Regional Centre (RC) by submitting examination form alongwith Cash/Bank Draft drawn in
favour of "Secretary", NIOS, payable at Patna.
f'k{kkFkhZ vius ijh{kk dsaæ ds ckjs esa tkudkjh çkIr djus ds fy, vius ,ohvkbZ@{ks=h; dsæ ls laidZ djsaA ;fn dksbZ f'k{kkFkhZ fu/kkZfjr ijh{kk dsaæ ds vfrfjDr fdlh
nwljs ijh{kk dsaæ ls ijh{kk esa cSBrk gS rks mldk ijh{kkQy ?kksf"kr ugha fd;k tk,xkA
Student may contact his/her AVI/RC or NIOS for information regarding his/her examination centre. If a candidate appears from an exam. centre
other than the one allotted to him on his own, his result will be withheld.
fu/kkZfjr frfFk ds ckn vkosnu i= Lohdkj ugha fd;k tk,xk@Application form will not be accepted after the prescribed date.
fVIi.kh@NOTE. i) viw.kZ@xyr lwpuk okys ijh{kk QkeZ dks vLohdkj dj fn;k tk,xkA Examination form with incomplete/wrong information shall be
*
rejected.
ii)
tks ykxw u gks mls dkV nsaA Strike off whichever is not applicable.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------
jlhn (f'k{kkFkhZ dks nh tk,)@RECEIPT (TO BE ISSUED TO THE STUDENT)
fuEufyf[kr fo"k; dksMksa ds fy, jk"Vªh; eqDr fo|ky;h f'k{kk laLFkku dh lkeqnkf;d LokLF; esa izek.ki=k ikB~;Øe ijh{kk ds fy, Jh@lqJh ------------------------------------------------------------------------------------------ls ukekadu la- -------------------------------- ijh{kk QkeZ ds lkFk --------------------------------------- #- 'kqYd çkIr fd;kA
Received examination form alongwith fee of Rs. ................................ from Sh./Ms. ............................... Enrolment No.
....................................... for 'Community Health Certificate Course' Examination of National Institute of Open Schooling in the
following subject Codes :
fnukad@Date: ..............................
gLrk{kj@Signature
leUo;d@{ks=kh; dsUnz] iVuk @ Coordinator/RC, Patna
,ohvkbZ la-@AVI No.
jk"Vªh; eqDRk fo|ky;h f'k{kk laLFkku (,uvkbZvks,l)
(ekuo lalk/u fodkl ea=kky;] Hkkjr ljdkj ds v/hu ,d Lok;Ùk laLFkk)
,oa
jkT; LokLF; lfefr] fcgkj ljdkj
ds la;Dq r rÙok/ku esa
^lkeqnkf;d LokLF;* izek.k i=k ikB~;Øe ds ukekadu gsrq
'kiFk i=k
eSa ................................................................................ iq=k@iq=kh ...........................................................................
wuk
vk;q ..................................................... irk ......................................................................................................
.......................................................................................................................................................................
^^'kiFk ysrk@ysrh gwWa fd ,d o"khZ; ^lkeqnkf;d LokLF;* izek.ki=k ikB~;Øe esa ukekadu gsrq vkosnu i=k esa tks lwpuk,sa esjs
}kjk nh xbZ gaS] os iw.kZr% lgh gSa ,oa dksbZ Hkh lwpuk ;k dkxt+kr xyr izLrqr ugha fd;s x, gSaA**
ue
esjs }kjk nh xbZ dksbZ Hkh lwpuk rFkk layXu izek.ki=k@vadi=k@vuqHko izek.ki=k@dkxtkr ;fn xyr ik;k tkrk gS rks esjk ukekadu jn~n
dj fn;k tk;s ;fn ,slk gksrk gS rks esa ukekadu gsrq tek dh xbZ jkf'k dks izkIr djus gsrq dksbZ nkok ugha d:¡xk@d:¡xhA blds vykok
esjs fo:¼ fdlh Hkh izdkj dh dkuwuh dkjokbZ laLFkku }kjk dh tk ldrh gSA
;gkWa iQksVks fpidk,Wa tks fd
Lo;a }kjk lR;kfir gks
PASTE
PHOTOGRAPH
HERE OF THIS BOX
SIZE DULY
ATTESTED BY
YOURS SELF
(vkosnd dk uke gLrk{kj lfgr)
nwjHkk"k -------------------------------------------------------------------------eks- u- ---------------------------------------------------------------------------bZ & esy -----------------------------------------------------------------------
'kiFk i=k (lekgrkZ@vij lekgrkZ@vuqeaMy inkf/dkjh@dk;Zikyd naMkf/dkjh@U;kf;d inkf/dkjh) }kjk fuxZr gksuk
vko';d gS ftlesa ^^vkosnd }kjk nh xbZ lHkh lwpuk,¡ lgh gSa rFkk Hkfo"; esa xyr ik,
tkus ij vkosnd ds fo:¼ dkuwuh izfØ;k Hkh viukbZ tk ldrh gSA**
('kiFk i=k dks fu;ekuqlkj 'kqYd ds LVkEi isij ij Lo;a }kjk lR;kfir dj tek djk,¡A)