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General Manager (P), East Central Railway, Hajipur
Recruitment under Cultural Quota for the year 2017-18
Employment Notice No. ECR/HRD/Rectt/Cultural Quota /2017-18
Date of Publication : 09.09.2017 Closing Date: 09.10.2017
(Closing Date for applicants of Assam, Meghalaya, Manipur, Arunachal Pradesh, Mizoram, Nagaland,
Tripura, Sikkim, J&K, Andman & Nikobar & Lakshdweep islands, Lahaul & Spiti District and Pangi
sub-division of Chamba district of Himachal Pradesh and candidates residing abroad– 24.10.2017)
Applications are invited for the 02 (two) Group 'C' posts in Pay Level 2/3, Basic pay
` 19900/21700 (equivalent to Pay Band ` 5200-20200, Grade Pay `1900/2000 as per 6th
CPC) against
Cultural Quota for Headquarter of East Central Railway, Hajipur in the following discipline:
SN Name of the Discipline No. of post
1 Singer 01
2 Instrument Player 01
2. (a) Essential Qualification :
(i) 12th
Pass with 50% marks from recognized board and its equivalent or Higher Education.
(ii)Possession of degree/diploma/certificate in concerned discipline from Government
recognized Institute.
2. (b) Desirable Qualification :
(i) Experience in the field and performance given on AIR/Doordarshan etc.
(ii) Prizes won at National Level.
3. Age : 18 to 28 years (age will reckoned on 01.01.2018)
[Upper age relaxation of 05 years for SC/ST candidates, 03 years for OBC candidates and
10 years for Physically Challenged Person.]
4. Examination Fees: The examination fee detailed below to be paid through Indian Postal Order.
Date of issue of Indian Postal Order should not be before the date of issue of this notification.
(i) For all candidates [except those
mentioned in sub-para (ii) below]
: ` 500/- (Rupess Five Hundred Only)
(ii) For candidates belonging to SC/ST/Ex-
servicemen/Persons with 40% or above
Disabitities (PWDs), Women, Minorities
and Economic Backward Classes*.
: ` 250/- (Rupess Two Hundred Fifty Only).
Refund of the same amount will be made
to those candidate mentioned in this sub-
para (ii), who actually appear in the written
examination.
Refund of Examination Fee will be made through Bank Account, hence candidates belonging
to SC/ST/Ex- servicemen/Persons with 40% or above Disabitities(PWDs), Women, Minorities
and Economic Backward Classes* must submit RTGS form as shown in annexure- ‘A’ for
Claiming Refund of Examination Fee.
*Economically Backward Class candidates means whose family income is less than ` 50,000
per annum. They have to produce income certificate in the prescribed format as shown in
annexure- ‘B’.
IPO (Indian Postal Order) should be pledged in favour of ‘FA&CAO, East Central
Railway’ and payable at Hajipur. Except as stated above, examination fee is not
refundable under any circumstances.
5. How & whom to apply :-
(i) The given format should be neatly typed or hand written either in English or Hindi on a A-4
size paper and should be filled in own hand writing. One recent passport size photograph
duly signed to be pasted on the application form.
(ii) Candidates should send the application alongwith necessary certificates/documents to
General Manager (Personnel), Recruitment Section, E.C.Railway Headquarter Office,
Hajipur, Distt.- Vaishali. Bihar. PIN-844101 by ordinary post so as to reach on or before
the last date mentioned above. The candidate may also drop the application in the drop-box
provided for the purpose in the above mentioned office up to 18.00 Hrs. on or before the last
date. No acknowledgement of the application will be given. Applications from other sources
will not be accepted.
Neither application will be accepted after the closing date in any circumstance, nor
enclosure will be received separately after the receipt of application for attachment with
application.
(iii) The envelope containing the application with all enclosures should clearly be super scribed
“Application against Cultural Quota”, “Employment Notice No.
ECR/HRD/Rectt/Cultural Quota/2017-18” and “Level/Basic pay” on the top of the
envelope. More than one application in one envelope will be rejected.
(iv) The following enclosures should be attached with the application-
(a) Two similar passport size photographs (same as affixed in the application form duly
signed on the top) should be clipped along with the Application Form.
(b) Indian Postal Order of prescribed amount (in favour of ‘FA&CAO, East Central
Railway’ payable at Hajipur).
(c) RTGS form and necessary proof for claiming fee refund.
(d) Self attested copies of certificates in support of age, educational qualification and
participation certificate in Cultural Activities for their eligibility as mentioned above.
(e) Self attested copy of caste certificate in case of SC/ST candidates / current non-
creamy layer certificate in case of OBC candidates, (valid for Central Government
Service) issued by the competent authority should be enclosed.
(f) In case of serving employee “No Objection Certificate” from the employer should be
attached.
6. Procedure for recruitment:
Selection will be conducted through written test and assessment of talent in the relevant field
on the basis of Practical Demonstration and testimonials/Prizes etc. Details are given below:-
Sl.
No.
Particulars of Test Maximum Allotted
Marks
1. Written Test
(In Written Test, questions will be objective type (with four options)
which may include General Knowledge, General Science, General
Mathematics, Knowledge of General English & Hindi Language,
Professional Knowledge and Reasoning Aptitude etc.
50 marks
2. Practical Demonstration 35 Marks
3. Testimonial/Prizes 15 Marks
(distributed as under)*
Total 100 Marks
* (a) National level (One event- 05 marks, Two or more events- 07 marks) 07 marks
(b) State level (One event- 04 marks, Two or more events- 05 marks 05 marks
(c) Others (One event- 02 marks, Two or more events- 03 marks) 03 marks
7. Minimum Qualifying Marks :-
(i) In written test, the candidate who will obtain at least 40% marks out of 50, will be eligible
for next stage of test i.e. Practical Demonstration & evaluation of Testimonial/Prizes.
(ii) The number of candidates to be called for next stage of test will be equal to 05 times of the
number of vacancy of each stream. If more than one candidate will obtain the minimum cut off
mark, all such candidates will be called for next stage of test.
(iii) 40% marks in aggregate (100 marks) will be minimum qualifying mark for empanelment. The
panel will be formed purely on merit basis.
East Central Railway
Application format for recruitment in Group ‘C’ category through Cultural Quota for the year 2017-18
Employment Notice No. ECR/HRD/Rectt/Cultural Quota/2017-18.
Control No. -----------------------------------
(For office use only)
(To be filled in Hindi / English by the candidate in his / her own handwriting)
To
General Manager (P),
Recruitment Section
E.C.Railway, Hajipur,
Distt.-Vaishali (Bihar). PIN-844101.
I hereby apply for recruitment for the post as mentioned below in response to employment notice No.
ECR/HRD/Rectt/ Cultural Quota / 2017-18.
1. Post applied for Group ‘C’ category in discipline [Singer / Instrument Player] (Please discipline which is applicable)
2. Details of postal order :
Name of Post Office IPOs No. Date of Issue Value
3. Name of the candidate ( In English, in Block Letters) : …………………………………………………………………………….
4. Name of the candidate (in Hindi) : ………………………………………………………………………………………………….
5. Father / Husband’s Name: ……………………………………………………………………………………………………………
6. Full Postal address (with Pin Code No.): ………………………………………………………………………….…..……………
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
……………………………….
7. Permanent address (with Pin Code No): ………………………………………………………………………….…..……….……
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
……………………………….
8. Community (UR/OBC/SC/ST): ………….... 9. Sex : (Male/Female): ………………… 10. Nationality : ………….…………..
11. Religion: ………………………………………... 12. Whether Physically Disabled: .…………………………………………….
(if YES, mention type of disability and enclose certificate)
13. Telephone/Mob.No………………………………………… 14. Nearest Railway Station:- ….…………………………………
15. Date of Birth (in Christian era) ……………………………. 16. Age as on 01.01.2018 : ………Year ……. Month…….. days
17. Two marks of Identification : (i) ……………………………………………………………………………………...
(Excluding Black or Coloured Spot) (ii)……………………………………………………………………………………...
18. Educational Qualification:
Examination passed Board / University Year of passing Division % of Marks
19. Details of participation in Cultural Activities for their eligibility …………………………..………………………..……….…...
………………………………………………………………………………………………………………………………………….......
20. Details of certificate enclosed: (i) …………………………..…………………….. (ii) ……………….……………..……………
(iii).…………………………..…………………….. (iv) …………………………..………………
(v) …………………………..……………………... (vi) …………………………..………………
21. Declaration (Candidate must write the following declaration in his own running handwriting in the space provided below) :-
I, hereby declare that all the statements made above in the Application are true, complete and correct to the best of my
knowledge and belief. If they are found false or incorrect at any stage, my candidature is liable to be cancelled and even after appointment
my appointment is liable to be terminated.
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………..…………..……
………………………………………………………………………………………………………………………………………………
……………
Full Signature of the candidate (In English) : …………………………..……………………........
(Not in capital letters)
(In Hindi) : …………………………..……………………........
Place: ------------------------------
Date: ------------------------------- Clear L.T.I of the candidate
Affix passport size
recent photograph
duly signed by
candidate.
ANNEXURE- A
Real Time Gross Settlement (RTGS)/National Electronic Fund Transfer (NEFT)
Model-Mandate Form
Investor/customer/vendor’s option to receive payment through RTGS/NEFT mechanism
Name of the Scheme and periodicity of payment
1. Investor/customer/vendor’s name:
2. Particulars of Bank account:
A. Name of the Bank:
B. Name of the branch:
Address:
Telephone No. :
C. IFSC code:
D. 9-Digit code number of the bank
and branch appearing on the MICR
cheque issued by the bank:
E. Type of the account (S.B., Current or Cash Credit)
with code (10/11/13)
F. Ledger and Ledger folio Number:
G. Account number (as appearing on the cheque book)
( In lieu of the bank certificate to be obtained as under, please attach a bank canceled
cheque or photocopy of a cheque or front page of savings bank
passbook issued by your bank for verification of the above particulars)
3. Date of effect:
I hereby declare that the particulars given above are correct and complete. If the transaction
is delayed or not effected at all for reasons of incomplete or incorrect information, I would
not hold the user institution responsible. I have read the option invitation letter and agree to
discharge the responsibility expected of me as a participant under the scheme.
--------------------------------------------
Date: Signature of the Investor/customer/vendor’s
Certified that the particulars furnished above are correct as per our records
Bank Stamp
--------------------------------------------
Date Signature of authorized Official of the Bank
ANNEXURE - B
INCOME CERTIFICATE FOR CLAIMING REFUND OF EXAMINATION FEE
FOR ECONOMICALLY BACKWARD CLASSES
1. Name of Candidate :
2. Father’s Name :
3. Age :
4. Residential Address :
5. Annual Family Income :
6. Date of Issue :
7. Signature of issuing authority :
Name:---------------------------------------
8. Stamp of issuing Authority :
Note : Economically backward classes will mean the candidates whose family income is less than
Rs. 50,000 per annum. The following authorities are authorized to issue income certificate for the
purpose of identifying economically backward class :
(i) District Magistrate or any other Revenue officer upto the level of Tehsildar.
(ii) Sitting member of parliament of Lok Sabha for persons of their own constituency.
(iii) BPL Card or any other certificate issued by Central Government under a recognized
poverty alleviations programme or Izzat MST issued by Railways.
(iv) Union Minister may also recommend for any persons from anywhere in the country.
(v) Sitting member of Parliament of Rajya Sabha for persons of the district in which these
MPs normally reside.
egkizca/kd ¼dkfeZd½] iwoZ e/; jsy] gkthiqj
o"kZ 2017&18 ds fy;s lkaLd`frd dksVk ds varxZr HkrhZ
jkstxkj lwpuk la[;k bZlhvkj@,pvkjMh@HkrhZ@lkaLd`frd dksVk@2017&18
izdk'ku dh frfFk & 09-09-2017 vafre frfFk & 09-10-2017
¼vle] es?kky;]ef.kiqj] v#.kkpy izns’k] fetksje] ukxkySaM] f=iqjk] flfDde] tEeq ,oa dk’ehj] fgekpy izns’k dk
ykgkSy& Lihrh ftyk rFkk pEck ftys dk iaxh vuqeaMy] vaMeku ,oa fudksckj rFkk y{k}hi vkSj fons’k esa jgus okys
vkosndksa ds fy, vafre frfFk& 24-10-2017½
iwoZ e/; jsyos] eq[;ky; ds fy, lkaLd`frd dksVk ds varxZr xzqi ^lh* ds 02 ¼nks½ in osru ysoy&2@3]
ewy osru ` 19900@21700 ¼NBs osru vk;ksx ds vuqlkj is cS.M `5200&20200] xzsM is& `1900@2000 ds
lerqY;½ ds fy, fuEufyf[kr fo/kk gsrq vkosnu vkeaf=r fd, tkrs gS&
Ø-la- fo/kk dk uke inksa dh la[;k
1 xk;d 01
2 ok| ;a= oknd 01
2- ¼d½ vko’;d ;ksX;rk&
¼i½ ekU;rk izkIr cksMZ ls 50% vadks ds lkFk 12 oha ijh{kk mÙkh.kZ ;k blds led{k vFkok mPp 'kS{kf.kd
;ksX;rkA
¼ii½ ekU;rk izkIr ljdkjh laLFkku }kjk lacaf/kr fo/kk esa fMxzh@fMIyksek@lfVZfQdsV A
2- ¼[k½ okafNr ;ksX;rk &
¼i½ lacaf/kr {ks= esa vkdk'kok.kh@nwjn'kZu bR;kfn esa ijQkWesZal dk vuqHkoA
¼ii½ jk"Vªh; Lrj ij iqjLdkj izkIr gksA
3- vk;q & 18 ls 28 o"kZ ¼vk;q dh x.kuk 01-01-2018 dks ekU; gksxh½
¼ vuq0 tkfr ,oa vuq0 tutkfr dks mijh vk;q esa 05 o"kZ] vkschlh dks 03 o"kZ ,oa 'kkfjfjd :i ls
fodykax dks 10 o"kZ rd dh NwV gksxh½
4- ijh{kk 'kqYd& uhps of.kZr ijh{kk 'kqYd Hkkjrh; iksLVy vkWMZj ds ek/;e ls fn;k tkuk gSA Hkkjrh; iksLVy vkMZj
ds tkjh gksus dh frfFk bl vf/klwpuk ds tkjh gksus dh frfFk ls igys dk ugha gksuk pkfg, A
¼i½ lHkh mEehnekjksa ds fy, [uhps mi&iSjk ¼ii½ esa
mfYyf[kr mEehnokjksa NksM+dj]
% ` 500@& ¼:0 ikap lkS ek=½A
¼ii½ vuq0 tkfr@vuq0 tutkfr] HkwriwoZ lSfud] v’kDÙk
O;fDr ¼ftudh v’kDrrk 40% ;k mlls vf/kd gks½]
efgyk] vYila[;d leqnk; ¼eqfLye] fØf’p;u] fl[k]
ckS} vkSj tksjkLVªh;u½ ,oa vkfFkZd #i ls fiNM+s oxZ* ls lacaf/kr mEehnokj ds fy,
% ` 250@& ¼:0 nks lkS ipkl ek=½A
;g jk’kh bl mi&iSjk ¼ii½ esa mfYyf[kr mu
mEenokjksa dks okil dj nh tk;sxh tks
okLrfod :i ls fyf[kr ijh{kk esa mifLFkr
gksaxsaA
ijh{kk 'kqYd dh okilh cSad [kkrk ds ek/;e ls fd;k tk,xkA vr% vuq0 tkfr@vuq0 tutkfr] HkwriwoZ lSfud]
v’kDÙk O;fDr ¼ftudh v’kDrrk 40% ;k mlls vf/kd gks½] efgyk] vYila[;d leqnk; ¼eqfLye] fØf’p;u]
fl[k] ckS} vkSj tksjkLVªh;u½ ,oa vkfFkZd #i ls fiNM+s oxZ* ls lacaf/kr mEehnokj ijh{kk 'kqYd dh okilh gsrq
ifjf’k"V&Þdß esa fn;s x;s izk#i esa RTGS QkEkZ vkosnu ds lkFk vo’; layXu djsaA
*vkfFkZd :i ls fiNM+s oxZ ls rkRi;Z mu mEehnokjksa ls gS ftudh ikfjokfjd vk; ` 50000@& izfr o"kZ ls de
gSA ifjf’k"V&*d* esa fn;s x;s izk#i esa vk; izek.k&i= vkosnu ds lkFk layXu gksuk pkfg,A
Hkkjrh; iksLVy vkMZj ^^foÙk lykgdkj ,oa eq[; ys[kkf/kdkjh] iwoZ e/; jsy] ds i{k esa vkSj gkthiqj esa ns; gksxkA
mijksDr of.kZr dks NksM+dj ijh{kk 'kqYd fdlh Hkh ifjfLFkfr esa okil ugha gksxkA
5- vkosnu dSls djsa \
¼i½ vkosnu dk izk:i Li"V :i ls fgUnh vFkok vaxzsth esa gLrfyf[kr@VkbZi fd;k gqvk gksuk pkfg, vkSj
mlij esa gky esa fy;k x;k ,d ikliksVZ vkdkj dk LogLrk{kfjr QksVksxzkQ vkosnu i= esa fu;r LFkku ij
fpidk gksuk pkfg,]
¼ii½ vkosnd viuk vkosnu&i= egkizca/kd ¼dkfeZd½] HkrhZ vuqHkkx] iwoZ e/; jsy] gkthiqj] ftyk& oS’kkyh
¼fcgkj½ fiu&844101 dks lk/kkj.k Mkd ls bl rjg Hkstsa fd ;g mijksDr fu/kkZfjr vafre frfFk ;k blls
igys rd igWqp tk;A vkosnd viuk vkosnu&i= mijksDr dk;kZy; esa j[ks x;s Mªki&ckWDl esa 18-00 cts
rd fu/kkZfjr vafre frfFk ;k blls igys rd Mky ldrs gSA vkosnu&i= dh ikorh ugha nh tk,xhA vU;
ek/;e ls vkosnu Lohdkj ugha fd;k tk;sxkA
fdlh Hkh dkj.k ls vafre frfFk ds ckn vkosnu Lohdkj ugha fd;k tk;sxk ,oa izkIr vkosnu esa
vyx ls dksbZ Hkh dkxtkr layXu ugha fd;k tk;sxkA
¼iii½ vkosnu&i= lHkh layXudksa ds lkFk fyQkQk esa vPNh rjg can gksuk pkfg, rFkk fyQkQk ds mij
^lkaLd`frd dksVk esa HkrhZ gsrq vkosnu^^] jkstxkj lwpuk la[;k] ,oa ysoy@ewy osru ftlds fy;s vkosnu
fn;k x;k gS Li"V :i ls vafdr gksuk pkfg,A ,d fyQkQs esa ,d ls vf/kd vkosnu i= gksus ij mls
jn~n dj fn;k tk;sxkA
¼iv½ vkosnu ds lkFk fuEufyf[kr layXud uRFkh gksus pkfg;saa %&
¼d½ ikliksVZ vkdkj dk 02 LogLrk{kfjr QksVksxzkQ ftlds ihNs gLrk{kj fd;k gqvk gks]
¼[k½ mij fyf[kr jkf’k dk Hkkjrh; iksLVy vkMZj ^^foÙk lykgdkj ,oa eq[; ys[kkf/kdkjh] iwoZ e/; jsy] ds
i{k esa gkthiqj esa ns;]
¼x½ RTGS QkeZ ,oa ijh{kk 'kqYd dh okilh dk nkok gsrq vko’;d izek.k]
¼?k½ mez] 'kS{kkf.kd ;ksX;rk] lkaLd`frd laca/kh izek.k i= ,oa lkaLd`frd xfrfof/k;ksa esa Hkkx ysus rFkk ik=rk
laca/kh izek.k i=ksa dh LovfHkizekf.kr Nk;k izfrA
¼M-½ l{ke vf/kdkjh }kjk tkjh] vuq0 tkfr@vuq0 tutkfr ds fy, tkfr izek.k i= @ vU; fiNM+k oxZ ds
ekeys esa pkyw o"kZ dk uu&fØeh ys;j izek.k i= ¼tks dsUnzh; ljdkj esa ukSdjh gsrq ekU; gks½ dh
Lo&vfHkizekf.kr Nk;k izfrA
6- p;u izfdz;k %
Ikk= vH;fFkZ;ksa dk p;u fyf[kr ijh{kk] izk;ksfxd izn’kZu ds vk/kkj ij lacaf/kr {ks= esa mEehnokj ds izfrHkk
dk eqY;kadu] ,oa iwoZ ds izn’kZu@iqjLdkj ds vk/kkj ij fd;k tk,xkA fooj.k uhps fn;s tk jgs gS%&
Ø0 la0 eqY;kadu dk izdkj vf/kdre vkcafVr vad
1. fyf[kr ijh{kk
¼fyf[kr ijh{kk esa iz’u lkekU; Kku] lkekU; foKku] lkekU; xf.kr]
lkekU; vaxzsth vkSj fgUnh Hkk"kk dk Kku] O;olkf;d Kku rFkk rkfdZd
vfHk#fp ls lacaf/kr oLrqfu"B iz’u 04 oSdfYid mRrj ds lkFk gkasxs A
50 vad
2. izk;ksfxd izn’kZu 35 vad
3. iwoZ esa fd;s x;s izn’kZu@iqjLdkj dk eqY;kadu 15 vad
¼forj.k uhps fn;k x;k gS½*
dqy 100 vad
* ¼d½ jk"Vhª; Lrj ij ¼01 bosaV& 05 vad] nks ;k vf/kd bosaV& 07 vad½ 07 vad
¼[k½ jkT; Lrj ij ¼01 bosaV& 04 vad] nks ;k vf/kd bosaV& 05 vad½ 05 vad
¼x½ vU; ¼01 bosaV& 02 vad] nks ;k vf/kd bosaV& 03 vad½ 03 ad
7- U;wure vgZd vad %
¼d½ fyf[kr ijh{kk esa tks vH;FkhZ 50 vadksa esa 40% vad izkIr djsaxs] os gh vxys Lrj dh tkap& izk;ksfxd
izn’kZu rFkk izn’kZu iqjLdkjksa dk ewY;kadu gsrq cqyk;s tkus ds ik= gksaxsaA
¼[k½ vxys Lrj dh tkap gsrq esfjV ds vk/kkj ij izR;sd fo/kk ds fjfDr ds 5 xq.kk ds cjkcj vH;FkhZ cqyk;s
tk;saxsA ;fn ,d ls vf/kd mEehnokj U;wure dV&vkWQ vad izkIr djrs gSa rks oSls lHkh mEehnokjksa dks
vxys Lrj dh tkap gsrq cqyk;k tk;sxkA
¼x½ dqy vad ¼100½ esa U;wure 40% vad izkIr djus okys vH;fFkZ;ksa esa ls esfjV ds vk/kkj ij ukfedk rS;kj dh
tk;sxhA
egkizca/kd ¼dkfeZd½] iwoZ e/; jsy] gkthiqj
o"kZ 2017&18 ds fy;s lkaLd`frd dksVs ds varxZr xzqi ^lh* dksfV esa HkrhZ gsrq vosnu dk izk:i
jkstxkj lwpuk la[;k bZlhvkj@,pvkjMh@fu;qfDr@lkaLdfrd dksVk@2017&18
dsoy dk;kZy; ds mi;ksx gsrq
dzekad-------------------------
¼mEehnokj }kjk Lo;a ds fy[kkoV esa fgUnh@vaxzsth esa Hkjk tk;½
lsok esa]
egkizca/kd ¼dkfeZd½
HkrhZ vuqHkkx]iwoZ e/; jsy]
gkthiqj] ftyk&oS’kkyh]
fcgkj] fiu& 844 101
jkstxkj lwpuk la[;k bZlhvkj@,pvkjMh@fu;qfDr@lkaLdfrd dksVk@2017&18 ds rgr tks in uhps n'kZk;k x;k gS mlesa fu;qfDr gsrq
eSa vkosnu dj jgk@jgh gwW A
1 vkosfnr in dk uke& xzqi lh dsVsxjh - lkaLdfrd fo|k& xk;u@ok| ;a= oknd ¼tks fo/kk ykxw gks mls djsa ½
2 iksLVy vkWMZj dk fooj.k
iksLV vkWfQl dk uke Hkkjrh; iksLVy vkWMZj la[;k fdl frfFk dks tkjh dh xbZ EkwY;
3- mEehnokj dk uke ----------------------------------------------------------------------------------------------------------------------------------------------
¼vaxzsth ds cM+s v{kjksa esa½
4- mEEkhnokj dk uke ¼fgUnh esa½ ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -----
5- firk@ifr dk uke ----------------------------------------------------------------------------------------------------------------------------------------------
6- Ik=kpkj dk iwjk irk ¼fiu dksM uacj ds lkFk½------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------
7- LFkkbZ irk ¼fiu dksM uacj ds lkFk½--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
8- leqnk; ¼vukjf{kr@vkschlh@vuq0tkfr@vuq0tutkfr½ ------------------------ 9- fyax ¼iq:"k@efgyk½ ------------------------------10- jkf"Vª;rk --------------------
11- /keZ ---------------------------------------------------------------- 12- D;k 'kkjhfjd #i ls fodyakx gS --------------------------------------------------------------------------------------------------------------
¼;fn gkWa rks] fodykaxrk dk izdkj fy[ksa ,oa lacaf/kr izek.k&i= layXu djsa½
13- VsyhQksu@eksckbZy u0 ------------------------------------------------------------------14- utnhdh jsyos LVs'ku --------------------------------------------------------------------
15-tUefrfFk ¼fØLVu bZjk esa½ --------------------------------------------------------------- 16- fnukad 01-01-2018 dks vk;q ------------- o"kZ----------------- eghuk-------------------fnu
17- nks Li"V igpku fpUg ¼d½-------------------------------------------------------------------------------------------------------------------
¼fry ;k Colored Spot dks NksM+dj½ ¼[k½-------------------------------------------------------------------------------------------------------------------
18- 'kS{kf.kd ;ksX;rk
ijh{kk mRrh.kZ cksMZ@fo'ofo|ky; mRrh.kZrk dk
o"kZ
Js.kh izkIrkad dk
izfr'kr
19- lkaLdfrd xfrfof/k;ksa esa Hkkxhnkjh ,oa ik=rk dk fooj.k --------------------------------------------------------------------------------------------------------
20- layXu izek.k&i=ksa dk fooj.k 1-------------------------------------------------------------------- 2-----------------------------------------------------------3-------------------------------------------------
4-------------------------------------------------------------------- 5---------------------------------------------------------- 6------------------------------------------------
21- ?kks"k.kk ¼mEehnokj uhps fn;s x;s ?kks"k.kk dks viuh gLrfyfi esa uhps fu/kkZfjr txg esa vo’; fy[ksa½%&
ÞeSa ,rn~ }kjk ?kks"k.kk djrk gwWa @djrh gwWa fd vkosnu i= esa nh xbZ lHkh tkudkjh lR;] iw.kZ ,oa lgh gS A mi;qZDr esa ls dksbZ
tkudkjh fdlh Hkh LVst esa xyr vFkok vlR; ik;s tkus ij ;k esjh ;ksX;rk ekinaM ds vuq:i ugha ikbZ tkrh gS rks esjh mEehnokjh@
fu;qfDr fcuk dksbZ lwpuk fn;s fujLr dh tk ldrh gS rFkk fu;qfDr gks tkus ij Hkh lsok lekIr dh tk ldrh gSAß
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mEEkhnokj dk iwjk gLrk{kj ¼vaxzsth esa½ ----------------------------------------------------------------------------
¼vaxzsth esas gLrk{kj dSfiVy ysVj esa u gkasa½
¼fgUnh esa½ ---------------------------------------------------------------------------
LFkku-----------------------------------------------
mEehnokj ds ck;sa gkFk dk vaxwBs dk Li"V fu'kku
fnukad -----------------------------------------
di;k ;gkWa gky dk [khapk
gqvk ikliksVZ lkbZt dk
LogLrk{kfjr QksVksxzkQ
fpidk;saA
ifjf’k"V& d
Real Time Gross Settlement (RTGS)/National Electronic Fund Transfer (NEFT)
Model-Mandate Form
Investor/customer/vendor’s option to receive payment through RTGS/NEFT mechanism
Name of the Scheme and periodicity of payment
1. Investor/customer/vendor’s name:
2. Particulars of Bank account:
A. Name of the Bank:
B. Name of the branch:
Address:
Telephone No. :
C. IFSC code:
D. 9-Digit code number of the bank
and branch appearing on the MICR
cheque issued by the bank:
E. Type of the account (S.B., Current or Cash Credit)
with code (10/11/13)
F. Ledger and Ledger folio Number:
G. Account number (as appearing on the cheque book)
( In lieu of the bank certificate to be obtained as under, please attach a bank canceled
cheque or photocopy of a cheque or front page of savings bank
passbook issued by your bank for verification of the above particulars)
3. Date of effect:
I hereby declare that the particulars given above are correct and complete. If the transaction
is delayed or not effected at all for reasons of incomplete or incorrect information, I would
not hold the user institution responsible. I have read the option invitation letter and agree
to discharge the responsibility expected of me as a participant under the scheme.
--------------------------------------------
Date: Signature of the Investor/customer/vendor’s
Certified that the particulars furnished above are correct as per our records
Bank Stamp
--------------------------------------------
Date Signature of authorized Official of the Bank
ifjf’k"V& [k
vkfFkZd :i ls fiNMs+ oxksZa ds fy, ijh{kk 'kqYd okilh dk nkok djus gsrq vk; izek.k i=
1- vH;FkhZ dk uke %
2- firk dk uke %
3- mez %
4- vkoklh; irk %
5- ifjokj dk okf"kZd vk; % -
6- tkjh djus dh frfFk %
7- tkjhdrkZ dk gLrk{kj %
uke %
8- tkjh djus okys l{ke vf/kdkjh dk inuke okyk eqgj
uksV%& vkfFkZd :i ls fiNM+s oxZ dk rkRi;Z mu mEehnokjksa ls gS ftuds ifjokj dh okf"kZd vk; #
50000@& ls de gksA vkfFkZd :i ls fiNM+s oxZ dh igpku ds mns’; ds fy, vk; izek.k i= tkjh djus
ds fy, l{ke izkf/kdkjh %
(i) ftyk eftLVªsV vFkok dksbZ vU; jktLo vf/kdkjh rglhynkj ds Lrj dk gksA
(ii) vius fuokZpu {ks= ds O;fDr;ksa ds fy, yksdlHkk ds orZeku laln lnL;
(iii) xjhch js[kk ls uhps ¼chih,y½ dkMZ vFkok jsyos }kjk tkjh vkbZtsMtsMVh ds ekU;rk izkIr xjhch
mUewyu dk;Zdze ds v/khu dsUn ljdkj }kjk tkjh dksbZ vU; izek.k i=A
(iv) dsUnzh; ea=h Hkh ns’k esa dgha ls fdlh Hkh O;fDr dks laLrqfr dj ldrk gSA
(v) orZeku jkT;lHkk laln lnL; ftys ds O;fDr dks ftlesa ;s laln lnL; lkekU;r% fuokl djrs
gSA
