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NATIONAL MEANS-CUM-MERIT SCHOLARSHIP ,DR. SHIVANAND NAUTIYAL & STATE MERIT (SRIDEV SUMAN) SCHOLARSHIP EXAMINATION 2022(For the Students Studying in Class 8th of Govt., Govt. Aided and Local Body School) 162022f'k{kk ea ky; Hkkjr ljdkj ubZ fnYyh }kjkA & ,l-lh-bZ-vkj-Vh- mRrjk[k.M] nsgjknwu jk"Vªh; Lrj ij %100000 Nk o fRr;k¡- mRrjk[k.M jkT; ds fy, %;kstuk ds vUrxZr p;fur vH;FkhZa dks &a dh 'kk[kk esa [kqys cSad [kkrs esa okf"kZd fdLrksa esa fd;k tkrk gSA d{kk 9 ls d{kk 12 rd izfr ekg :0 1000-00 Nk o fRr dk Hkqxrku jk"Vªh;d r cSd 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 fo ky;h f'k{kk foHkkx] mRrjk[k.M ljdkj }kjk MkW0 f'kokuUn ukSfV;ky Nk o fRr jkT; ;ksX;rk ¼Jhnso lqeu½ Nk o fRr%%100 Nk o fRr;k¡ ¼50 Nk o fRr;k¡ x oky ,oa 50 Nk o fRr;k¡ dqek;¡w e.My gsr½q A475 Nk o fRr;k¡ ¼izR;sd fodkl[k.M gsrq 5 Nk o fRr;k¡½A MkW0 f'kokuUn ukSfV;ky Nk o fRr ds varxZr p;fur Nk @Nk k dks d{kk 9 ls d{kk 12 rd izfr ekg :0 1500-00 ¼:Ik, ,d gtkj ik¡p lkS ek ½A jkT; ;ksX;rk ¼Jhnso lqeu½ Nk o fRr ds varxZr p;fur Nk @Nk k dks d{kk 9 ls d{kk 12 rd izfr ekg :0 1000-00 ¼:Ik, ,d gtkj ek ½ Nk o fRrdk Hkqxrku jk"Vªh;d r cSad dh 'kk[kk esa [kqys cSad [kkrs 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 dj½ dhd{kk 8 esa laLFkkxr Nk &Nk k ds :i esa v/;;ujr gksA d{kk 7 dh okf"kZd ijh{kk U;wure 50 izfr'kr ¼vkjf{kr oxZ ds fy, 40 izfr'kr½ vadkas ds lkFk mRrh.kZ dh gksA ekrk&firk ;k vfHkHkkod dh okf"kZd vk; dk dksbZ izfrcU/k ugha gSA mDr Nk o fRr ;kstukvksa esa p;u gsrq jkT; LRkj ij ,l0lh0bZ0vkj0Vh0 mRrjk[k.M] nsgjknwu }kjk ,d Lka;qDr fyf[kr ijh{kk vk;ksftr dh tk,xhAijh{kk ds nks Hkkx gSa &ekufld ;ksX;rk ijh{k.k ¼eSV½'kSf{kd vfHk{kerk ijh{k.k ¼lSV½A iz'u cgqfodYih; oLrqfu"B izdkj ds gksaxs] mRrji d ds :i esa vks0,e0vkj0 'khV dk iz;ksx fd;k tk,xkA iz'ui ksa dk Lrj d{kk 8 dh lkoZtfud ijh{kk ds vuq:i gksxkA ekufld ;ksX;rk ijh{k.k ¼eSV½'kSf{kd vfHk{kerk ijh{k.k ¼lSV½ esa U;wure vgZdkjh vad ¼lkekU; oxZ ds fy, 40% ,oa vkjf{kr oxZ fy,32% vad½ i Fkd&i Fkd nksuksa iz'u i ksa esa izkIr djus okys vH;fFkZ;ksa dh muds }kjk ekufld ,oa 'kSf{kd ;ksX;rk ijh{k.k esa izkIr vadkas ds vk/kkj ijizoh.krk lwph (Merit List) rS;kj dh tkrh gSA ijh{kk vkosnu&i [k.M f'k{kk vf/kdkjh dk;kZy; ls ;k fo ky;h f'k{kk foHkkx dh osclkbV schooleducation.uk.gov.in, ,oa ,l0lh0bZ0vkj0Vh0mRrjk[k.M dh osclkbV scert.uk.gov.in ls MkmuyksM fd, tk ldrs gSasA vkosnu i dh QksVks izfr Hkh ekU; gSA ijh{kk gsrq fdlh Hkh izdkj dk vkosnu@ijh{kk 'kqYd ns; ugha gSA vkosnu i esa lHkh izfof"V;ksa dks xEHkhjrk ls HkjsaA v/kwjs ,oa qfViw.kZ :i ls Hkjs x, vkosnu i fujLr dj fn, tk,¡xsA jk"Vªh; lk/ku lg ;ksX;rk Nk o fRr ¼,u0,e0,e0,l0,l0½ gsrq vkosnu dj jgs vkosnd l{ke vf/kdkjh }kjk fuxZr vfHkHkkod dh okf"kZd vk;dk izek.ki Hkh izLrqr djsaxsA vkjf{kr ,oa fnO;kax Js.kh ds mEehnokj nkos dh iqf"V gsrq vfuok;Zr% l{ke vf/kdkjh }kjk fuxZr izek.k i layXu djsa vU;Fkk vH;FkhZ dk nkoklEcfU/kr Js.kh gsrq ekU; ugha gksxkA email - ntse.scertuk@gmail.com

1- vH;FkhZ ;g lqfuf'pr dj ysa 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 izo's k i lacfa /kr [k.M f'k{kk vf/kdkjh ls ijh{kk frfFk ls ,d lIrkgiwoZ izkIr dj ysaA2- 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 gSA4dks 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'ui % ;g iz'ui ekufld ;ksX;rk ijh{k.k dk gS ftlesa 100 vfuok;Z iz'u gksaxsAii. f}rh; iz'ui % ;g iz'ui 'kSf{kd vfHko fÙk ijh{k.k dk gS ftlesa 100 vfuok;Z iz'u ¼bfrgkl] Hkwxksy] ukxfjd 'kkL ] vFkZ 'kkL ]HkkSfrdh] jlk;u tho foKku rFkk xf.kr½ 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 mÙkji d ds fdlh Hkkx ij viuk uke u fy[ksaA8- 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 lghmÙkj 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 gksaxsAiz'u 1- Lo.kZ efUnj fLFkr gS&¼v½ Hkksiky¼c½ ve rlj¼l½ fglkjmRrj& bl iz'u dk lgh mÙkj c gS] vr% c dks Nk;kafdr fd;k x;k gSAvcl¼n½ nsgjknwunijh{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 xksysdks Nk;kafdr djsaA Fill up Roll No on OMR Sheet carefully .11.10R o ll N u m be 3456789012345678901234567890123456789Coding PlanRead 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 theboxes.2. Leave one box blank between two words. Limit your name and /or address within the space providedfor 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 gksxk½4. For filling District. and Centre code refer page no. 4. e.g., If Distt is Dehradun and code 05 and thecentre is G.I.C. Kalsi, centre code 30 then Distt. and Centre code will be 0 530Example for writing Name and AddressR E K H AN E G I1. Candidate Name1 4 5/6M O H I N IR O A D2. Father’s Name:3. Postal Address : Do not try to write complete address D E H R A D U NPIN2 4 8 0 0 1in one line. Break it appropriately as shown.

APPLICATION FORMNATIONAL MEANS-CUM-MERIT SCHOLARSHIP & DR. SHIVANAND NAUTIYAL& STATE MERIT (SRIDEV SUMAN) SCHOLARSHIP EXAMINATION 2022Photograph(For the Students Studying in Class VIII of Govt., Govt. Aided and Local Body School)should beRead the instructions carefully before filling the application form.- Date of Examination-attested bythe Head oftheInstitution¼ijh{kk frfFk½ 16 January 2022 (Sunday)08 digit Roll Number (to be filled by the B.E.O office)ijh{kk dksMftyk dksMdsUnz dksMØ-la- ¼ch0bZ0vks0 dk;kZy; }kjk Hkjk tk,xk½d{kktUe frfFkExam CodeDistrict CodeCentre CodeSerial No. (to be filled by the B.E.O office)ClassDate of Birth81.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[ksa½3.ekrk dk uke ¼Jherh@MkW@izks0 u fy[ksa½ Mother’s Name (Do not write Mrs./Dr/Prof)4.6.8.Father’s Name (Do not write Mr./Dr/Prof)¼Øe la[;k 4] 5] 6] 7] 10] 11 o 12 esa mfpr [kkus ij lgh dk fu'kku yxk;sa½fyax (Sex)5.iq#"k (Male)1L h (Female) 2vH;FkhZ dh tkfr (Caste Category of candidate)7.lk-(Gen) 1 fi-tk-(OBC) 2 v-tk-(SC) 3 t-tk-(ST) 4 (EWS) 5vH;FkhZ dk vkoklh; {ks (Area where candidate resides)xzkeh.k (Rural) 1'kgjh (Urban) 2fnO;kaxrk dh fLFkfr (Disability status)Orthopedic1Hearing2Visually Impaired3None4i O;ogkj dk irk ¼viuk vFkok firk dk uke u fy[ksa½ Postal address for correspondence (Do not write father’s or your name)PINCODE9.ftl laLFkku easa d{kk 8 esa i jgs gSa mldk uke o irkA Name and address of the institution in which studying in Class VIII levelPINCODE10.fo ky; dk izdkj Type of the institutionljdkjhLFkkuh; fudk;(Govt.)1(Local Body)2jktdh; lgk;rk izkIr(Govt. Aided)311- fo ky; dgk¡ fLFkr gSxzkeh.kArea in which the school is located'kgjh1(Rural)(Urban)12.vfHkHkkod dh okf"kZd vk;] ¼mi;qDr ij djsa½ Parental annual income ( appropriate box) ¼izek.k i layXu djsaA½Up to 1,50,000 1more than 1,50,000 213.nwjHkk"k@eksckbZy ua015-Telephone/Mobile No.(Percentage of class VII)vfHkHkkod ds gLrk{kj14- bZ&esy16.2E-mail addressNk koklh Boarder1vNk koklh Non Boarder2vH;FkhZ ds gLrk{kjTo be filled in by the Head of the InstitutionDate .Signature of the B.E.O with office sealSignature of the Principal with office seal

DISTRICT AND CENTRE CODEFOR NMMSS, DR. SHIVANAND NAUTIYAL & STATE MERIT (SRIDEV SUMAN) SCHOLARSHIPEXAMINATION 2021DistrictDistrictCodeAlmoraBageshwar0102Centre trictDistrictCodeCentre NameCentreCodeG.G.I.C. Almora01G.I.C. ChailusainG.I.C. Bhakuna02G.I.C. Dhoomakot49G.I.C. Bhikyasain03G.I.C. Deuli50G.I.C. ChaukhutiyaG.I.C. Daniya0405G.I.C. JaiharikhalG.I.C. Kaljikhal5152G.I.C. Devayal Salt06G.I.C. Kot53G.I.C. Dhoulchhina07G.I.C. Kotdwar54G.I.C. Dwarahat08G.I.C. Lamgada09Pauri0848G.I.C. N augounkhal55G.I.C. Pauri56G.G.I.C. Ranikhet10G.I.C. Pabau57G.I.C. Syalde11G.I.C. Pokhra58G.I.C. Bageshwar12G.I.C. Rikhnikhal59G.I.C. Garud13G.I.C. Sri Nagar60G.I.C. Kapkot14G.I.C. Syunsi61G.I.C. Deval15G.I.C. Thalisain62G.I.C. Gairsain16G.I.C. Berinag63G.I.C. Ghat17G.I.C. Dharchula6418G.G.I.C. Didihat65G.I.C. Joshimath19G.I.C. Gangolihat66G.I.C. Karanprayag20G.I.C. Kanalichhina67G.I.C. Nagnath Pokhri21G.I.C. Munsyari68G.I.C. NarayanbagadG.I.C. Tharali2223G.I.C. PipalkotG.I.C. Pithoragarh6970G.I.C. Barakot24G.I.C. Gupatkashi71G.I.C. Champawat25G.I.C. LohaghatG.I.C. GopeshwarChamoliCentreCodePithoragarhG.I.C. Ramashrya7226G.I.C. Rudraprayag73G.I.C. Pati27G.I.C. Anjnisain74G.G.I.C. Rajpur Road28G.I.C. Baurari75G.I.C. Chakrata29G.I.C. Chhaam76G.I.C. Ghoometidhar77G.I.C. Kalsi30S.B.M.I.C. Rishikesh31G.I.C. SelakuiRudraprayag09G.I.C. Hindolakhal7832G.I.C. Kirtinagar79A.R.V.I.C. Vikasnagar33G.G.I.C. Jwalapur34G.I.C. LambgaunG.I.C. N arendra Nagar81G.I.C. Roorkee35G.I.C. Thatyur82K.B.I.C. Laksar36G.G.I.C. Bajpur83N.K.I.C. Khanpur37G.I.C. Gadarpur84N.R.I.C. Manglor38G.G.I.C. Jaspur85R.N .I.C. Bhagwanpur39G.I.C. BetalghatG.I.C. Dhanachuli4041Tehri10U.S. N agar111280G.G.I.C. Kashipur86A.N.G.I.C. RudrapurG. I.C. SirarganjSitarganj8788G.G.I.C. Haldwani42G.I.C. Tharu,89G.I.C. Kotabag43G.I.C. Chinyalisaur90G.I.C. Nainital44G.I.C. Dunda91G.I.C. Aukhalkanada45G.I.C. Mori92G.I.C. Ramgarh46G.I.C. Naugaun93G.I.C. Purola94G.I.C. Uttarkashi95G.I.C. Ram Nagar47Uttarkashi13TYPE OF SCHOOL/ INSTITUTION (Refer to item No.10)GOVERNMENT :A Government School is that which is run by the State Government or CentralGovernment or Public Sector Undertaking of an Autonomous Organization completelyfinanced by the Government.LOCAL BODY :A Local Body School is that which is run by Panchayati Raj and Local bodyinstitutions such as Zila Parishad, Municipal Corporation, Municipal Committee,Notified Area Committee and Cantonment Board.PRIVATE AIDED :A Private Aided School is that which is run by an individual or private organizationand receives grant from government or local body.