Scribd
Upload
2K views5 pages

RTPS Form

The document is an application form for obtaining a domicile certificate under the "Immediate Service" category. It requests for name, address and caste details of the applicant. It also requires proof of identity, residence and income to be attached along with the application. Local officials will verify the application details through an inquiry report within 2 working days. If the applicant does not have the required documents, the officials will issue the documents under "Immediate Service". The issued certificates will mention that they were issued under the "Immediate Service" category.

Uploaded by

SIWANI CAFE
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
2K views5 pages

RTPS Form

The document is an application form for obtaining a domicile certificate under the "Immediate Service" category. It requests for name, address and caste details of the applicant. It also requires proof of identity, residence and income to be attached along with the application. Local officials will verify the application details through an inquiry report within 2 working days. If the applicant does not have the required documents, the officials will issue the documents under "Immediate Service". The issued certificates will mention that they were issued under the "Immediate Service" category.

Uploaded by

SIWANI CAFE
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Application Request Form: Provides a form for requesting specific services under the 'क्लीनिक सेवा' category, capturing applicant information.
  • Self-Verification Checklist: Lists items required for self-verification including addresses, documents, and declarations with checkboxes for confirmation.
  • Service Application Report: A form capturing details of the service application submitted, documenting service names and applicant information.
  • Service Directive Process: Outlines the directive process for 'क्लीनिक सेवा', detailing steps required for completing the process effectively.

tkfr@vk;@vkoklh; izek.

k i= ^rRdky lsok^ ds vUrxZr izkfIr gsrq vkosnu dk izi=


lsok esa]
vapy vf/kdkjh]
--------------------------------------------------
--------------------------------------------------
fo"k;%& ^rRdky lsok^ ds rgr ----------------------------- izek.k i= fuxZr
djus ds lEcU/k esaA
egk'k;]
eSa ¼uke½ -------------------------------firk@ifr-------------------------------
xzke------------------------------------------------- iks0-----------------------------eksgYyk-------
-------------------------------iapk;r@okMZ-----------------------------eksckbZy la- --------------
Fkkuk-------------------------------- iz[k.M------------------------------------------ vuqeaMy---
-------------------------------- ftyk---------------------------- dk fuoklh gw¡ A eq>s-------
---------------------- izek.k i= dh vko';drk gSA
2- ¼d½ eS fiNM+k@vfr fiNM+k@vuq- tkfr@tutkfr oxZ ds vUrxZr -
-----------------------tkfr dk lnL; gwWaA
¼[k½ eS mDr irs ij -------------------------------------------- o"kksZa ls
LFkk;h@vLFkk;h :i ls fuokl dj jgk gwWaA
¼x½ esjh lHkh L=ksrksa ls ldy okf"kZd vk;--------------------------------
----- gSA
¼tks ykxw u gks mls dkV nsa½
3- esjs }kjk vkosnu ds lkFk leqg ^d^ rFkk ^[k^ esa [Link] okafNr ,d&,d
dkxtkr vFkok fofgr izi= esa deZpkjh@iapk;r lsod dk izek.k&i= layXu dj
fn;k x;k gS] ftls vuqyXud esa fpfUgr dj fn;k x;k gSA
vr% eq>s mDr izek.k i= ^rRdky lsok^ ds vUrxZr fuxZr fd;k tk;A
[Link] fd;k tkrk gS fd [Link] lHkh lwpuk,Wa lgh gSa ,oa buds vlR; ik;s
tkus ij eSa dkuwuh dkjZokbZ@ n.M dk Hkkxhnkj gksmaxkA
frfFk% vkosnd dk gLrk{kj
LFkku%
lewg ¼d½
vkosnd ds igpku gsrq fuEu esa ls fdlh ,d dh Lo&[Link]
Nk;k izfr layXu fd;k tkuk vfuok;Z gS%&

1 ch-ih-,y-
2 jk'ku dkMZ
3 ernkrk igpku&i=
4 ernkrk lwph
5 tkWc dkMZ ¼eujsxk½
6 fodykaxrk izek.k&i=
7 ikliksVZ
8 Mªkbfoax ykblsUlA
9 vk;dj igpku&i= ¼PAN½A
10 jkT;@dsUnz ljdkj ds dk;kZy;] lkoZtfud {ks= ds midzeksa] LFkkuh;
fudk; ;k ifCyd fyfeVsM dEifu;ksa }kjk muds deZpkfj;ksa dks tkjh
fd, tkus okys QksVks ;qDr lsok igpku&i=A
11 lkoZtfud {ks= ds cSadksa@Mkd?kjksa }kjk tkjh fd;k x;k QksVks;qDr
iklcqd 31-08-2010 rd [kksyk x;k [kkrkA
12 QksVks;qDr Lora=rk lsukuh igpku&i=A
13 l{ke izkf/kdkj }kjk tkjh QksVks;qDr v-tk-@v-t-tk-@vU; fiNM+k oxZ
izek.k&i=A
14 l{ke izkf/kdkj }kjk tkjh QksVks;qDr 'kkjhfjd fodykaxrk izek.k&i=A
15 QksVks;qDr 'kL= ykblsalA
16 QksVks;qDr LkEifÙk nLrkost tSls& iV~Vk] jftLVªhd`r foys[k bR;kfn A
17 QksVks;qDr isa'ku nLrkost tSls fd HkwriwoZ lSfud isa'ku cqd@ isa'ku
vnk;xh vkns'k@ HkwriwoZ lSfud dh fo/kok@vkfJr izek.k&i= @o`)koLFkk
isa'ku vkns'k @ fo/kok isa'ku vkns'kA
18 QksVks;qDr LokLF; chek ;kstuk LekVZ dkMZA
19 EkkU;rk izkIr 'kS{[Link] laLFkk }kjk tkjh fo|kFkhZ QksVks igpku Ik=A
lewg ¼[k½

lsok fo'ks"k dh izkfIr gsrq fuEu esa ls fdlh ,d dh Lo&[Link]


Nk;k izfr layXu fd;k tkuk vfuok;Z gS%&
tkfr izek.k&i=
(i) [kfr;ku dh Nk;k izfr
(ii) vkosnd ;k muds ifjtu* ds uke ij iwoZ esa fuxZr izek.k&i=A
vkoklh; izek.k&i=
(i) v|ru jktLo jlhn dh Nk;k izfrA
(ii) Hkwfeghuksa dks vkoafVr Hkwfe dk ipkZ dh Nk;k izfrA
(iii) jktLo vfHkys[k ;Fkk& [kfr;ku@ nku&i=@ Hkwfe laca/kh dkxtkr
dh Nk;k izfrA
(iv) v|ru fo|qr foi= dh Nk;k izfr
(v) v|ru nwjHkk"k foi= dh Nk;k izfr
*
(vi) vkosnd ;k muds ifjtu ds uke ij iwoZ esa fuxZr izek.k&i=
(vii) v|ru gksfYMax VSDl Hkqxrku dk jlhn

vk; izek.k&i=&
(i) v|ru osru iphZ dh Nk;k izfrA
(ii) v|ru vk;dj Hkqxrku ds lk{; dh Nk;k izfrA
(iii) v|ru isa'ku iphZ dh Nk;k izfrA
*
(iv) vkosnd ;k muds ifjtu ds uke ij iwoZ esa fuxZr izek.k&i=

uksV%& ;fn vkosnd ds ikl lewg *d* ,oa *[k* ls lacaf/kr dkxtkr miyC/k
ugha gks rks oSdfYid fLFkfr esa LFkkuh; gYdk deZpkjh@ iapk;r lsod
}kjk fofgr izi= esa fuxZr tkWap izfrosnu lefiZr djus ij mDr rhuksa
izek.k&i= *rRdky lsok* ds rgr miyC/k djk;k tk,xkA

* *ifjtu* ls vfHker gS vkosnd ds ekrk] firk] ifr] iRuh] HkkbZ] vfookfgr


cgu] iq= ,oa vfookfgr iq=hA
*rRdky lsok* gsrq vkosnd }kjk lefiZr vkosnu dk tkWap izfrosnu
iz[k.M&lg&vapy dk;kZy; dk uke%&---------------------
vf/k;kfpr lsok dk uke%& ---------------------------------

[Link] fd;k tkrk gS fd Jh@Jherh ¼vkosnd dk uke½-----------------------


-------------------------------------------- firk@ifr Jh -------------------------------------------
xzke@eksgYyk----------------------------------- okMZ@iapk;r----------------------------------------------
Fkkuk---------------------------------vapy----------------------------------- }kjk *rRdky lsok*
varxZr ------------------------- izek.k&i= izkfIr gsrq lefiZr vkosnu&i= dh tkWp a dh xbZ
ik;k x;k fd%&
d½ vkosnd fiNM+k@vfr fiNM+k@vuq- tkfr@tutkfr oxZ ds vUrxZr --------
----------------tkfr dk lnL; gSA
¼[k½ vkosnu esa [Link] irs ij vkosnd --------------------- o"kksZa ls
LFkk;h@vLFkk;h :i ls fuokl dj jgk gSA
¼x½ vkosnd dh lHkh L=ksrksa ls ldy okf"kZd vk;------------------------:Ik;s
gSA
vr% esjs }kjk bUgsa ----------------------------izek.k&i= fuxZr djus dh
vuq'kalk dh tkrh gSA

gYdk deZpkjh@iapk;r lsod


dk gLrk{kj ,oa iwjk uke
gYdk@iapk;r dk uke-----------------------------
*rRdky lsok* gsrq fu/kkZfjr izfØ;k
1- *rRdky lsok* ds rgr tkfr] vk; ,oa vkoklh; izek.k&i= fuxZr djus dh fu;r
le;&lhek nks dk;Z fnol gksxhA
2- vkosnd }kjk fofgr izi= esa vkosnu tek djus ij iwoZor ikorh nh tk,xh ,oa
ikorh ij ^rRdky lsok* vafdr jgsxkA
3- bu lsokvksa ds fy, Hkh vkosnd ls dksbZ 'kqYd ugha fy;k tk,xkA
4- bu lsokvksa ds rRdky lsok ds vkosnu ds lkFk vkosnd dks vius igpku ds
lk{; ds :i esa lewg&^d* ,oa lsok fo'ks"k dh izkfIr gsrq lewg&^[k* esa [Link]
dkxtkrksa esa ls ,d&,d vfuok;Z :i ls vkosnu ds lkFk layXu djuk gksxk ¼lwph
layXu½A
;fn vkosnd ds ikl lewg&^d* ,oa ^[k* ls lEcfU/kr dkxtkr
miyC/k ugha gksa rks oSdfYid fLFkfr esa LFkkuh; gYdk deZpkjh@iapk;r lsod }kjk
fofgr izi= esa fuxZr tkWp izfrosnu lefiZr djus ij mDr rhuksa izek.k i=ksa dks
^rRdky lsok* ds rgr miyC/k djk;k tk,xkA
5- *rRdky lsok* ds rgr fuxZr lHkh izek.k i=ksa esa ^^rRdky lsok** vafdr gksxk ,oa
blds v/kksHkkx ij ;g vafdr jgsxk fd ^^bl izek.k i= dks mi;ksx esa ykus ls
iwoZ bldh cS/krk dh tkap lkekU; iz'kklu foHkkx dh osclkbZV [Link]
ij izek.k i= dk vkbZ-Mh- uEcj Mkydj vo'; dj fy;k tk,A**
6- tkfr] vk; ,oa vkoklh; izek.k i= fuxZr djus dh O;oLFkk lkekU; lekuakrj :i
ls iwoZor cuh jgsxhA
7- vihy ,oa n.M ds izko/kku Hkh iwoZor jgasxsA

You might also like