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XvKv cvIqvi wWw÷ªweDkb †Kv¤úvwb wjwg‡UW cÖvK PvKzwi e„ËvšÍ hvPvB dig cÖv_x© ‡h c‡` wb‡qvwRZ n‡eb †m c‡`i bvg t mnKvix cÖ‡KŠkjx| 1g fvM (cÖv_x© wb‡R c~iY Kwi‡eb) 1| WvK bvg _vwK‡j Zrmn c~Y© bvg (®úóv¶‡i), RvZxqZv I †gvevBj b¤^i t............................................................................. 2| wcZvi I gvZvi c~Y© bvg I RvZxqZv t ........................................................................... ............................................ 3| ¯’vqx wVKvbv (A_©vr MÖvg, WvKNi, Dc‡Rjv I †Rjv) t ............................................................................... ...................... 4| eZ©gvb evm¯’v‡bi wVKvbv t .............................................................................. ......................................................... 5| cÖv_©x †h me ¯’v‡b weMZ cuvP erm‡i Qq gv‡mi AwaK emevm Kwiqv‡Qb †mme ¯’v‡bi wVKvbv t wVKvbv ZvwiL nB‡Z ZvwiL ch©šÍ 6| Rb¥ ZvwiL (gva¨wgK ¯‹zj mvwUwd‡KU/ mggv‡bi cixÿvi mvwU©wd‡KU Abyhvqx) t ................................................................. 7| Rb¥¯’vb (MÖvg, ‡cv:, Dc‡Rjv, †Rjv BZ¨vw` D‡jøL Kwi‡Z nB‡e) t ................................................................................. .. 8| cÖv_x© c‡bi ermi nB‡Z †hB me we`¨vj‡q, gnvwe`¨vjq I wek¦we`¨vj‡q Aa¨qb Kwiqv‡Qb †mBme wk¶v cÖwZôv‡bi bvg I ermi D‡jøLc~e©K wk¶vMZ †hvM¨Zv t we`¨vjq, gnvwe`¨vjq, wek¦we`¨vjq BZ¨vw`i bvg Gm.Gm.wm/ GBP.Gm.wm/ MÖvRy‡qkb/ †cv÷- MÖvRy‡qkb wWMÖxi †iwR: b¤^i/ †ivj b¤^i fwZ©i ZvwiL/ ermi/ †mkb cwiZ¨v‡Mi ZvwiL/ ermi 9| ‡Kvb Awd‡m ev e¨emv cÖwZôv‡b cÖv_©x c~‡e© PvKzix Kwiqv _vwK‡j/ eZ©gv‡b Kg©iZ _vwK‡j Dnvi c~Y© weeiY I wVKvbv Ges †mB¸wj cwiZ¨v‡Mi KviY t Awdm/ e¨emv cÖwZôvb Gi bvg ZvwiL nB‡Z ZvwiL ch©šÍ Kg©iZ _vwK‡j (Kg©iZ wjwL‡Z nB‡e) cwiZ¨v‡Mi KviY

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Police Verification

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XvKv cvIqvi wWwweDkb Kvvwb wjwgUWcvK PvKzwi ev hvPvB digcv_x h c` wbqvwRZ neb m c`i bvg t mnKvix cKkjx|1g fvM(cv_x wbR c~iY Kwieb)1| WvK bvg _vwKj Zrmn c~Y bvg (vi), RvZxqZv I gvevBj b^i t.............................................................................2| wcZvi I gvZvi c~Y bvg I RvZxqZv t .......................................................................................................................3| vqx wVKvbv (A_vr Mvg, WvKNi, DcRjv I Rjv) t .....................................................................................................4| eZgvb evmvbi wVKvbv t .......................................................................................................................................5| cv_x h me vb weMZ cuvP ermi Qq gvmi AwaK emevm KwiqvQb mme vbi wVKvbv t

wVKvbvZvwiL nBZZvwiL ch

6| Rb ZvwiL (gvawgK zj mvwUwdKU/ mggvbi cixvi mvwUwdKU Abyhvqx) t .................................................................7| Rbvb (Mvg, cv:, DcRjv, Rjv BZvw` DjL KwiZ nBe) t ...................................................................................8| cv_x cbi ermi nBZ hB me we`vjq, gnvwe`vjq I wekwe`vjq Aaqb KwiqvQb mBme wkv cwZvbi bvg I ermi DjLc~eK wkvMZ hvMZv t

we`vjq, gnvwe`vjq, wekwe`vjq BZvw`i bvgGm.Gm.wm/ GBP.Gm.wm/ MvRyqkb/ cv-MvRyqkb wWMxi iwR: b^i/ ivj b^ifwZi ZvwiL/ ermi/ mkbcwiZvMi ZvwiL/ ermi

9| Kvb Awdm ev eemv cwZvb cv_x c~e PvKzix Kwiqv _vwKj/ eZgvb KgiZ _vwKj Dnvi c~Y weeiY I wVKvbv Ges mBwj cwiZvMi KviY t

Awdm/ eemv cwZvb Gi bvgZvwiL nBZZvwiL chKgiZ _vwKj

(KgiZ wjwLZ nBe)cwiZvMi KviY

evsjv`k mbvevwnbxi Aaxb cv_x c~e PvKzix Kwiqv _vwKj, AevnwZ mvwUwdKU wjwce PvKzixi gqv`, wK wK `vwqZ cvjb KwiqvQb Ges Pwi I AvPvi-eenvi mwKZ wicvUimswk weeiYvw` DjL KwiZ nBe|

10| dR`vix Kvb gvgjvq `wZ Ges Rvwgb AvQb wK-bv, ZvwiLmn c~Y weeiY w`Z nBe t 11| cv_x gywhvvi cy-Kbv/ cy-Kbvi cy-Kbv wK-bv (nuv/ bv : ................................................

12|cv_x gywhvv/ knx` gywhvvi cy-Kbvi cy-Kbv mbvKiY cwZ msv (chvR ):

wgK b^icv_xi bvg, cv_xi wcZv Ges gvZvi bvggywhvv/ knx` gywhvvi bvggywhvv/ knx` gywhvvi mv_ cv_xi mK

[wcZvi wcZv (`v`v)/ / wcZvi gvZv (`v`x)/ gvZvi wcZv (bvbv)/ gvZvi gvZv (bvbx)] (chvR )ge

[[cv_x gywhvv/ knx` gywhvvi cy-Kbv/ cy-Kbvi cy Kbv nBj cywjk fwiwdKkb digi mwnZ Zvnv`i wcZv/ gvZv/ wcZvi wcZv/ wcZvi gvZv/ gvZvi wcZv/ gvZvi gvZv (chvR ) Gi gywhvv mvwUwdKU, hvnv h_vh_fve Dchy KZc KZK ^vwiZ I cwZ^vwiZ nBZ nBe, Gi mZvwqZ Kwc `vwLj KwiZ nBe| cv_x gywhvv/ knx` gywhvvi cy-Kbvi cy-Kbv nBj cv_x h gywhvv/ knx` gywhvvi cy-Kbvi cy-Kbv GB gg mswk BDwbqb cwil`i Pqvigvb/ wmwU Kcvikbi IqvW KvDwji I cimfvi gqi/ KvDwji KZK c` mvwUwdKU G digi mwnZ mshy KwiZ nBe|

gywhvvi cy-Kbv, cy-Kbv`i cy-Kbv wnme Ave`bKvix cv_x`i wcZv/ wcZvgni gywhvv mb` DwjwLZ wVKvbvi mv_ Ave`b c DwjwLZ vqx wVKvbv nZ wfb nj cwiewZZ vqx wVKvbvi ^c mswk wmwU Kcvikbi gqi/ IqvW Kwgkbvi/ cimfvi gqi / BDwbqb cwil`i Pqvigvb/ bvUvix cvewjK KZK ^vwiZ cZqbc Rgv w`Z nBe|]13|wbKU AvZxq-^Rbi Kn A_vr fvB, fwM, Avcb PvPv, kii w`Ki wbKU AvZxq-^Rb evsjv`k miKvii PvKzixZ wbhy _vwKj, c`i bvg I Kgvb DjLc~eK c~Y weeiY t

AvZxq-^Rbi bvgc`i bvgKgj

14| cv_xi Pwi I c~e cwiPq mK mv w`Z cvib wK cv_xi mwnZ AvZxqZv m~ Ave bnb Ggb `yB ewi wVKvbvmn bvg (msm`-m`m, wmwU Kcvikb Gi gqi, WcywU gqi I KvDwjiMY, c_g kYxi Awdmvi, wekwe`vjqi wkK, DcRjv cwil`i Pqvigvb I fvBm Pqvigvb, cimfvi gqi I ci KvDwjiMY, BDwbqb cwil`i Pqvigvb, emiKvix gnvwe`vjqi Aa Ges emiKvix DP we`vjqi cavb wkK) t

bvgwVKvbv

15| (K) weevwnZ ev AweevwnZ : ( weevwnZ( AweevwnZ( wWfvm

( mcvikb( Abvb(L) weevwnZi ^vgx/ xi bvg:

Avwg kc_c~eK ewjZwQ h, Dci c` weeiYmg~n Avgvi RvbvgZ mwVK| wg_v Z_i Rb cv_xZv evwZjmn Avgvi wei Abvb eev bIqv hvBZ cvi| evg nvZi evywji Qvc Ges

RvZxq cwiPqci b^i:cv_xi ^vi

Memo no.: DPDC/HR/DGM (A)/ Appointment/Officer/ 2012/ Date: / /2015AeMwZ I KvhKix eev MnYK, cywjk mycvwibUbWU/Rjvi kvj cywjk ev/kvj evi WcywU Bci Rbvij Ae cywjk/kvj ev/ .................................................. mswk cv_xi cywjk fwiwdKkb dig h_vh_ Z` KiZt Riix wfwZ A Awdm diZ cvVvbvi Rb weklfve Abyiva Kiv hvBZQ|

gvnv: gwbivgvbwWwRGg, Ggcqx gvbRgU (AvW&&wgwbm&&UBkb)

wnDgvb wimvmm|2q fvM(Rjv kvj cywjk mycvwibUbWU/ evsjv`k kvj evi WcywU Bci Rbvij Ae cywjk c~iY Kwieb)|

Dchy t

wbgv KviYi Rb Abychy tvb .........................................

cywjk mycvwibUbWU, Rjv kvj ev/

WcywU Bci Rbvij Ae cywjk, kvj ev, evsjv`k|

ZvwiL ......................................

UxKvt- cZqb mswk cv_xi wei Kvb wKQz bv cvIqv Mj, Rjv kvj evi cywjk mycvwibUbWU/ evsjv`k kvj evi WcywU Bci Rbvij Ae cywjk Revemn GB digwU ciYKvix KZci wbKU mivmwi diZ cvVvBeb| wK hw` mswk cv_xi wei iKW Kvb Z_ cvIqv hvq Zvnv nBj, Rjv kvj evi cywjk mycvwibUbWU, evsjv`k kvj evi GwWkbvj Bci Rbvij Ae cywjk Gi gvag Revemn GB digwU ciYKvix KZci wbKU diZ cvVvBeb| cwZ^vwiZ ..............................

GwWkbvj Bci-Rbvij Ae cywjk,

kvj ev, evsjv`k, XvKv|