Phone No.- 0771-2972780, Fax No.

- 2972782,
Website- https://vyapam.cgstate.gov.in

yksd f”k{k.k lapkyuky; ¼Ldwy f”k{kk foHkkx] N-x-½ ds varxZr

f”k{kd ¼bZ- ,oa Vh- laoxZ½ ,oa lgk;d f”k{kd ¼bZ- ,oa Vh- laoxZ½ HkrhZ ijh{kk 2023 (SEAT23)
vkWuykbu vkosnu djus dh fof/k
Application Form esa fDyd djrs gh “ON LINE APPLICATION FOR
f”k{kd ¼bZ- ,oa Vh- laoxZ½ ,oa lgk;d f”k{kd ¼bZ- ,oa Vh- laoxZ½ HkrhZ ijh{kk 2023 (SEAT23)
gsrq yksd f”k{k.k lapkyuky; ¼Ldwy f”k{kk foHkkx] N-x-½ vkosnu i= ls ,d ist [kqysxk** ftlesa nh
xbZ tkudkjh vuqlkj dk;Z djsa A
 vkWuykbu vkosnu ds lkFk vH;FkhZ dh tkfr] tUefrfFk] LFkkuh; fuoklh vkfn lEca/kh izek.k&i= ugha
fy, tk jgs gSa A vH;FkhZ ds lHkh izek.k&i= dk ijh{k.k fu;qfDrdrkZ izkf/kdkjh }kjk fu;qfDr ds iwoZ
dh tk,xh A vH;FkhZ }kjk nh xbZ xyr tkudkjh ds fy, O;kie tokcnkj ugha gksxk A bldk laiw.kZ
mŸkjnkf;Ro mldk Lo;a dk gksxk A
 vkWuykbu vkosnu esa =qfV lq/kkj gsrq vH;FkhZ dks 03 fnol dk le; fn;k x;k gS A ijh{kk fnol
ds fnu vks-,e-vkj-@OMR mŸkj”khV ij dksbZ =qfV lq/kkj dh lqfo/kk miyC/k ugha gksxh A
 vkosnu Hkjus ds iwoZ foHkkx }kjk tkjh HkrhZ fu;eksa dks /;ku ls i<+s A
 vkosnu i= dks lQyrkiwoZd lcfeV djus ds ckn d`i;k bldk fizVa vkmV vius ikl vfuok;Z
:i ls j[ksa A

Exam Applied For : ¼vkosfnr ijh{kk½ &

 Teacher ¼f”k{kd½  Asst. Teacher ¼lgk;d f”k{kd½
 Both Teacher ¼f”k{kd½ ,oa Asst. Teacher ¼lgk;d f”k{kd½
Do you belong to (PVTG) D;k vki ihohVhth ls lEcaf/kr gSa \
¼Abujh Macias, Baigas, Bharias, Hill Korbas, Kamars, Saharias, Birhor)
 Yes ¼gkW½a  No ¼ugha½
D;k vki gk;j lsdM sa jh esa mŸkh.kZ gSa \
 Yes ¼gkW½a  No ¼ugha½
D;k vki Mh-,M-@ch-,M- mikf/k /kkjh gSa \
 Yes ¼gkWa½  No ¼ugha½
D;k vki Vh-bZ-Vh- mŸkh.kZ gSa \
 Yes ¼gkWa½  No ¼ugha½

blds i'pkr~ vH;FkhZ ds laca/k esa fcUnqokj ekaxh xbZ tkudkjh dks lko/kkuhiwoZd Hkjsa] tks fuEukuqlkj gS %&
1- Candidate`s Name- vH;FkhZ viuk uke vaxzsth ds dsfiVy v{kj esa fy[ksa A
2- Relative`s Type- vH;FkhZ vius fj”rsnkj dk izdkj dk p;u djs]a mlh vuqlkj
Father/Mother/Husband&¼firk] ekrk] ifr½ esa fdlh ,d dks lsysDV djsa A
mijksDrkuqlkj uke esa ls lacaf/kr ds uke dks dsfiVy v{kj esa fy[ksaA uke ds igys
Jh@Jherh@Lo- vkfn u fy[ksaA
3- Relative`s Name – fj”rsnkj dk uke esa ls lacaf/kr ds uke dks dsfiVy v{kj esa
fy[ksaA uke ds igys Jh@Jherh@Lo- vkfn u fy[ksaA

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4- Gender esa ¼fyax½ iq:’k] efgyk ;k r`rh; fyax ftlls vki lacaf/kr gSa] lsysDV djsAa
5- Date of Birth- tUefrfFk dks ¼nloha dh vadlwph esa n”kkZ;s vuqlkj½ fnukad] ekg ,oa
o’kZ esa Mªki Mkmu ckWDl ls lsysDV djsa A ¼tSlk fd 27 fnlacj 1987 dks fnukad ds ckWDl
esa 27] ekg ds ckWDl esa fnlacj ,oa o’kZ ds ckWDl es 1987 lsysDV djs½a
6- Age- vH;FkhZ vius Lo;a dk mez vafdr djsx a sA
7- Category (Caste)- esa Js.kh ftlls vki lacaf/kr gSa] lsysDV djsAa
8- Are you Person with Disability (PWD) esa ¼fnO;kax oxZ½ D;k vki fnO;kax oxZ ls
lacaf/kr gS \ Yes ;k No lsysDV djsAa
9- Type of Disability ¼fnO;kaxrk dk izdkj½ & vH;FkhZ vius fnO;kaxrk dk izdkj
(HH,HEARING, HANDICAPPED) esa ls pqus A
10- d`i;k viuk Lo;a dk QksVks viyksM djsa A (40kb to 60 kb)
11- d`i;k viuk gLrk{kj dk QksVks Hkh viyksM djsa A (20kb to 40 kb)
12- Marital Status: ¼oSokfgd fLFkfr½ & ;fn vki fookfgr gS rks gkWa Yes vU;Fkk ugha
No dks lsysDV djsa A
13- Domicile of Chhattisgarh: ¼NŸkhlx<+ ds fuoklh½& ;fn vki NŸkhlx<+ ds fuoklh
gSa] rks gkWa Yes vU;Fkk ugha No dks lsysDV djsa A
14- Email Id- izR;sd vkosnd dk bZesy vkbZ-Mh gksuk vfuok;Z gS A ;fn ugha gS rks viuk
bZesy vkbZ-Mh- vo”; cuk ysa rFkk bl oS/k bZesy vkbZ Mh dks bl [kaM esa vafdr djsa A
iksLV vkWfQl ds ek/;e ls ,MfeV dkMZ ;k dksbZ Hkh tkudkjh ugha Hksth tkosxhA
15- Mobile No.- esa viuk 10 fMftV dk eksckby uacj vafdr djuk vfuok;Z gSA eksckby
uacj ds igys “kwU; ¼0½ u fy[ksa A
16- Present Address/ - orZeku irk & vH;FkhZ viuk Mkd dk irk dks House No. esa
edku uacj ¼;fn gks rks½ Street Name esa lM+d@eksgYyk dk uke] City/Village esa
“kgj@xkWao dk uke] Post Office esa vius Mkd?kj vafdr djsAa District esa fuokl
ftys dk uke lsysDV djsa A State esa ;fn vki NŸkhlx<+ jkT; esa fuokl djrs gSa rks
NŸkhlx<+ dks lsysDV djsa vU;Fkk Other dks lsysDV dj ml jkT; dk uke vkSj ftys
dk uke vafdr djsa A fiu esa vius Mkd?kj dk fiu dksM vafdr djsAa
1- Region- “kgjh vFkok xzkeh.k esa ls p;u djsa A
2- Application Applied for District – vH;FkhZ ftl ftys esa vkosnu Hkjuk pkgrs gSa]
ml ftys dk p;u djsa A
3- Are you Ex-Servicemen ¼HkwriwoZ lSfud½ esa ;fn vki HkwriwoZ lSfud ls lEca/k j[krs
gSa rks Yes lsysDV djsa vU;Fkk No lsysDV djsa A
4- Declaration- ?kks’k.kk & blesa ;g fn;k x;k gS fd &
^^eSa ;g ?kks’k.kk djrk@djrh gWw fd esjs }kjk vkWuykbu vkosnu i= esa Lo;a ds
uke] Js.kh] oxZ] “kS{kf.kd ;ksX;rk] tUefrfFk] Mkdirk ,oa vU; nh xbZ lwpuk esjh
tkudkjh ,oa fo”okl esa lgh gS] ftlds lR;rkiwoZd vkSj lgh gksus dh eSa ?kks’k.kk
djrk@djrh gWw A eSaus foHkkx }kjk tkjh foKkiu esa nf”kZr fu;eksa ,oa O;kie ds fu;eksa
dks i<+k gS ,oa le>k gS A ;fn Åij nh xbZ dksbZ Hkh tkudkjh vlR; ik;h tkrh gS rks
p;u izfØ;k ds fdlh Hkh Lrj ij eq>s iwoZ lwpuk fn;s fcuk esjh vH;fFkZrk lekIr dh tk
ldrh gSA**
5- I Agree & blesa mijksDr Declaration ?kks’k.kk dks i<+dj le>us ds ckn viuh
lgefr izdV djrs gq, lger gWw ij fDyd djsa A
6- Captcha/d`i;k dSIpk dks ntZ djsa A
7- blds i”pkr Submit esa fDyd djsa A

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 us ij Please Confirm uke dk ,d foUMksa [kqysxk ftlesa fy[kk gksxk **d`i;k /;ku
nsa fd] ,d ckj miyC/k djk;h xbZ tkudkjh ckn esa la”kksf/kr ugha dh tk ldrh gS A
D;k vki vkxs c<+uk (Continue) pkgrs gSa ;k la”kks/ku (Edit) djuk pkgrs gS \

;fn vkosnu i= esa dh xbZ izfof"V;ksa ls vki lger gSa rks Continue ¼vkxs c<+½s dks
fDyd djsa A ;fn vlger gS vkSj fdlh izfof"V dks cnyuk pkgrs gS rks Edit ¼la”kks/ku½ dks
fDyd djs]a Edit ¼la”kks/ku½ dks fDyd djus ij fQj ls iwoZ vkosnu i= esa pys tk;saxs tgka tks
la”kks/ku ;k lq/kkj djuk pkgrs gSa] vki dj ysoaAs

/;ku jgsa fd ,d ckj vkosnu i= Hkjdj “kqYd tek djus ds ckn vkosnu i= esa
fdlh Hkh Lrj ij la”kks/ku@lq/kkj djus gsrq =qfV lq/kkj dh lqfo/kk dk mi;ksx djsa A lq/kkj
laca/kh dksbZ Hkh vH;kosnu Lohdkj ugha fd;k tk,xkA

Continue ¼vkxs c<+½s dks fDyd djus ij ,d u;k foUMks [kqysxk] ftlesa
Application Verification fy[kk gksxk A blesa fy[ks x;s funsZ”kksa dks lko/kkuh ls i<+s ,oa
uhps n”kkZ;s x;s ^Hkqxrku vuqHkkx esa tkus ls igys uhps viuh izfof"V;ksa dh iqf’V djs*a ds
vuqlkj vkids }kjk vkosnu i= esa Hkjh xbZ lHkh izfof’V;ksa ls larq’V gksus ds i”pkr Pay ij
fDyd djsAa ;fn vius }kjk nh xbZ tkudkjh esa =qfV ikrs gSa ,oa mlls larq’V ugha gksrs gSa rks
u;s fljs ls vkosnu i= dks Hkjuk gksxk] ftlds fy, Åij esa ^^fQj ls QkeZ Hkjus ds fy, ;gkWa
fDyd djsa ** dk mi;ksx dj ldrs gSaA

Pay ij fDyd djus ij ,d u;k foUMks [kqysxk ftlesa Registration Initiated

fy[kk gksxk ,oa blesa vkidk Registration ID ,oa vkids }kjk Hkqxrku dh tkus okyh jkf”k
fy[kk gksxk A d`i;k vius Hkqxrku dh izfØ;k iwjh djus ds ckn VªkWUtsD”ku fLFkfr dh tkWap
djsAa ijh{kk “kqYd iseaVs ds fy, 03 iseaVs xsVos miyC/k gS A isesaV xsVos –I, iseaVs xsVos –II,
iseaVs xsVos –III, ;fn fdlh Hkh ,d esa fDyd djrs gSa rks iseVsa ds fy, vkWuykbu fo/kk miyC/k
gksxk A ;fn vkWuykbu lsysDV djrs gSa rks bl fo/kk ls fdlh Hkh cSad dk MsfcV dkMZ] ØsfMV
dkMZ] baVjusV cSafdx dh lqfo/kk esa ls fdlh ,d dks vki pqu ldrs gSaA ijh{kk “kqYd ds lkFk
vko”;d cSad VªkWaUtsD”ku pktsZl ns; gksxkA usV cSafdx dh lqfo/kk Hkh miyC/k gSa A
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