NATIONAL MEANS-CUM-MERIT SCHOLARSHIP ,
DR. SHIVANAND NAUTIYAL & STATE MERIT (SRIDEV SUMAN) SCHOLARSHIP EXAMINATION 2021
(For the Students Studying in Class 8th of Govt., Govt. Aided and Local Body School)
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�� ekuo lalk/ku fodkl ea=ky; Hkkjr ljdkj ubZ fnYyh }kjkA ���� ��jk"Vªh; Lrj ij % 100000 Nk=o`fRr;k¡- �� mRrjk[k.M jkT; ds fy, %�� ;kstuk ds vUrxZr p;fur vH;FkhZa dks &
��d{kk 9 ls d{kk 12 rd izfr ekg :0 1000-00 Nk=òfRr dk Hkqxrku jk"Vªh;d̀r cSad dh 'kk[kk esa [kqys cSad [kkrs esa =Sekfld fdLrksa esa fd;k tkrk gSA
��vkosnd mRrjk[k.M jkT; esa lapkfyr jktdh;] LFkkuh; fudk; ;k jktdh; lgk;rk izkIr fo|ky;ksa ¼dsUnzh; ,oa vkoklh; fo|ky;ksa dks NksM+dj½dh d{kk 8 esa laLFkkxr Nk=&Nk=k ds :i esa v/;;ujr gksA
��d{kk 7 dh okf"kZd ijh{kk U;wure 55 izfr'kr ¼vkjf{kr oxZ ds fy, 50 izfr'kr½ vadksa ds lkFk mRrh.kZ dh gksA
��ekrk&firk ;k vfHkHkkod dh okf"kZd vk; :0 1]50]000-00 ¼:Ik, ,d yk[k ipkl gtkj½ ls vf/kd u gksA
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��MkW0 f'kokuUn ukSfV;ky Nk=o`fRr % 11 Nk=o`fRr;k¡ ¼6 Nk=o`fRr;k¡ x
1- vH;FkhZ ;g lqfuf'pr dj ysaa fd izos'k i= dks vkosnu i= ls vyx u fd;k tk,A izos'k i= vkidks [k.M f'k{kk vf/kdkjh ds }kjk vuqØekadvkcafVr djus ds ckn fn;k tk,xkA vH;FkhZ ;g lqfuf'pr djsa fd og viuk izos'k i= lacaf/kr [k.M f'k{kk vf/kdkjh ls ijh{kk frfFk ls ,d lIrkgiwoZ izkIr dj ysaA
2- ijh{kk dsUnz ij vk/kk ?k.Vk iwoZ igq¡puk lqfuf'pr djsa rFkk ijh{kk nsus gsrq vkcafVr vuqØekad okys LFkku ij gh cSBasA3- ijh{kk d{k esa eksckby] dSydqysVj] xf.krh; ,oa HkkSfrd Vscy ;k fdlh Hkh izdkj ds vuqfpr lk/kuksa dk iz;ksx oftZr gSA4- dks nks l=ksa esa vk;ksftr dh tk,xhA izFke l= ¼izFke iz'u i=½ 10%00 am ls 12%00 pm, f}rh; l=
¼f}rh; iz'u i=½ 1%30 pm ls 3%30 pm rdA5- iz'u i= laca/kh funsZ'k fuEufyf[kr gaS %&
i . izFke iz'u i= % ekufld ;ksX;rk ijh{k.k dk gS blesa 100 vfuok;Z iz'u gksaxsAii. f}rh; iz'u i= % 'kSf{kd vfHkòfÙk ijh{k.k dk gS blesa 100 vfuok;Z iz'u ¼bfrgkl] Hkwxksy] ukxfjd 'kkL=] vFkZ 'kkL=] HkkSfrdh]
jlk;u tho foKku rFkk xf.kr½ ds gksaxsA6- izR;sd iz'u ,d vad dk gSA xyr mRRkj ij _.kkRed vad ugha fn, tk,¡xs ¼mRrj xyr gksus ij vad ugha dkVs tk,¡xs½A7- mÙkj i=d vkSj iz'u iqfLrdk ds doj ist ij fn, x, LFkku ij izos'k i= esa fn, x, 08 vadksa dk vuqØekad fy[ksaA iz'u iqfLrdk ,oa mÙkj
i=d ds fdlh Hkkx ij viuk uke u fy[ksaaA8- iz'u iqfLrdk esa lHkh iz'u oLrqfu"B gSaA izR;sd iz'u ds fy, lEHkkfor pkj mÙkj fn;s x;s gSa ysfdu muesa ls dsoy ,d mÙkj gh lgh gSA lgh
mÙkj ij fpg~u yxkdj vks0,e0vkj0 'khV ij lgh mÙkj okys xksys dks dkys ;k uhys ckWy iSu ls HkjsaxsA9- vks0,e0vkj0 'khV ij fn, x, funsZ'kksa dk ikyu djsaA lgh mÙkj nsus vkSj lwpuk,¡ Hkjus ds fy, dsoy uhyh@dkyh iSu dk gh iz;ksx djsaA10- ,d ls vf/kd xksyksa dks Nk;kafdr djus ;k vk/kk xksyk Nk;kafdr djus ij vad ns; ugha gksaxsA
iz'u 1- Lo.kZ efUnj fLFkr gS&¼v½ Hkksiky ¼c½ ver̀lj ¼l½ fglkj ¼n½ nsgjknwumRrj& bl iz'u dk lgh mÙkj c gS] vr% c dks Nk;kafdr fd;k x;k gSA
v c l n
11. ijh{kk vof/k esa d{k fujh{kd ds funsZ'kksa dk ikyu djsaA12- ijh{kk d{k NksM+us ls igys vks0,e0vkj0 'khV dks d{k fujh{kd dks lkSai nsaA13- ijh{kksijkUr vH;FkhZ iz'u iqfLrdk rFkk vks0,e0vkj0 dh dkcZu dkWih dks vius lkFk ys tk ldrs gSA14- dsoy n`f"V ckf/kr vH;fFkZ;ksa dks nksuks l=ksa dh ijh{kk esa 30 feuV dk le; vfrfjDr ns; gSA15. OMR Sheet ij vuqØekad lko/kkuh ls HkjsaA vadksa ds fy[kus ds lkFk mlh vad esa xksys
dks Nk;kafdr djsaA Fill up Roll No on OMR Sheet carefully .
Coding Plan
Read Instructions carefully before filling up the Application Form1. Use only Blue or Black Ball Point Pen. Write in CAPITAL LETTERS. Do not mark or write outside the
boxes.2. Leave one box blank between two words. Limit your name and /or address within the space provided
for it. Please see example as given below.
3. EXAMINATION SCHEME CODE - NMMSS - 1, Dr. S.N. Nautiyal & State Merit - 2 ¼NMMSS gsrq vgZ vH;FkhZvU; nks Nk=o`fRr;ksa ds fy, Hkh vgZ gksxk½
4. For filling District. and Centre code refer page no. 4. e.g., If Distt is Dehradun, code 05 and the
centre is G.I.C. Kalsi, centre code 30 then Distt. and Centre code will be
Example for writing Name and Address
1. Candidate Name
2. Father’s Name:
3. Postal Address : Do not try to write complete address
in one line. Break it appropriately as shown.
0 5 3 0
To be filled in by the Head of the Institution
izekf.kr fd;k tkrk gS fd Nk=@Nk=k ------------------------------------------- bl laLFkk esa d{kk 8 esa v/;;ujr gS ,oa vH;FkhZ ds }kjk vkosnu i= esa Hkjh x;hleLr izfof"V;k¡ esjh }kjk tk¡ph x;h tks lgh gSaA mDr leLr izfof"V;ksa ds fy, ge mRrjnk;h gSaA
Date ..............................
Signature of the B.E.O with office seal Signature of the Principal with office seal
1. vH;FkhZ dk uke ¼Jh o dq0 u fy[ksa½ Name of the Candidate (do not write Master/Miss)
2. firk dk uke ¼Jh@MkW@izks0 u fy[ksa½ Father’s Name (Do not write Mr./Dr/Prof)
3. ekrk dk uke ¼Jherh@MkW@izks0 u fy[ksa½ Mother’s Name (Do not write Mrs./Dr/Prof)
¼Øe la[;k 4] 5] 6] 7] 10] 11 o 12 esa mfpr [kkus ij lgh dk fu'kku yxk;sa½
4. fyax (Sex) 5. vH;FkhZ dk vkoklh; {ks= (Area where candidate resides)
6. vH;FkhZ dh tkfr (Caste Category of candidate) 7. fodykaxrk dh fLFkfr (Disability status)
8. i= O;ogkj dk irk ¼viuk vFkok firk dk uke u fy[ksa½ Postal address for correspondence (Do not write father’s or your name)
9. ftl laLFkku easa d{kk 8 esa i
DISTRICT AND CENTRE CODEFOR NMMSS, DR. SHIVANAND NAUTIYAL & STATE MERIT (SRIDEV SUMAN) SCHOLARSHIP
EXAMINATION 2021
NATIONAL MEANS-CUM-MERIT SCHOLARSHIP &
DR. SHIVANAND NAUTIYAL & STATE MERIT (SRIDEV SUMAN) SCHOLARSHIP EXAMINATION 2021
VERIFICATION FORMState level 08 digit Roll Number (to be filled by the B.E.O office)
1. vH;FkhZ dk uke ¼Jh o dq0 u fy[ksa½ Name of the Candidate (do not write Miss/Master)
2. firk dk uke ¼Jh@MkW@izks0 u fy[ksa½ Father’s Name (Do not write Mr./Dr/Prof)
3. ekrk dk uke ¼Jherh@MkW@izks0 u fy[ksa½ Mother’s Name (Do not write Mrs./Dr/Prof)
4. tUe frfFk Date of Birth5. fyax (Sex) 6. vH;FkhZ dk vkoklh; {ks= (Area where candidate resides)
7. vH;FkhZ dh tkfr (Caste Category of candidate) 8. fodykaxrk dh fLFkfr (Disability status)
9. i= O;ogkj dk irk (viuk vFkok firk dk uke u fy[ksa) Postal address for correspondence (Do not write father’s or your name)
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10. ftl laLFkku easa d{kk 8 esa i
