वैदिकविज्ञानविकासिनी सभा
(Exam unit of OM Charitable Trust)
परीक्षा आवेदनपत्रम्
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Aadhar Number
Aadhar Card Number (UIDAI):
Aadhar Card
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Application for (आवेदन उद्देशः):
Veda (वेदः) Branch (शाखा):
ऋग्वेदः
(शाकल)
सामवेदः
कौथुम
जैमिनी
राणायनी
क्रुष्णयजुर्वेदः
तैत्तिरीय
शुक्लयजुर्वेदः
काण्व
माध्यन्दिन
Exam for (परीक्षा उद्देशः):
मूल्रान्त
क्रमान्त
घनान्त
पूर्वभाग
उत्तरभाग
विशेषभाग
Exam Details
Particulars (विवरणानि)
Pāṭaśālā Studied (शिक्षण केन्द्रम् )
Teacher's Name (अध्यापकस्य नाम)
Teacher's Mobile Number (अध्यापकस्य मोबैल् संख्या)
Study started from (विद्यारम्भस्य वर्षम् )
Year of Completion (अध्ययनपूर्तिवर्षम् )
Exam Passed Yes/No (पूर्तिपरीक्षा उत्तीर्णा- आम् / न )
If passed in which year (आम् चेत् कस्मिन् वर्षे )
Class in which passed (उत्तीर्ण श्रेणी)
Exam conducted by (परीक्षा चालन संस्थाय़ाः नाम)
Please upload copy of certificate (in jgp, png or pdf)
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Present Occupation of the Applicant / If studying, Name of the Pāṭaśāla and course (परीक्षार्थिनः अद्यतन वृत्तिः/ यदि अधीयानश्चेत् पाठशालायाः नाम पाठविषयश्च)
Details of Additional Study and Exams Passed (अध्ययनं तत्पूर्तिपरीक्षा विषय विवरणानि)
Have you studied any additional Veda?
Yes
No
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Personal Details
Name of the Applicant (परीक्षार्थीनः नाम):
Birth Star (जन्मनक्षत्रम्):
Recent Passport size Photo (प्रामाणिक पासपोर्ट आकार की ताज़ा फ़ोटो):
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Gotram (गोत्रम्):
Date of Birth (जन्मदिनम्):
Income-tax PAN (आयकर निरंतर लेखा संख्या):
Residential Address (गृहसङ्केतः):
Pincode (पिनकोड):
Select State:
Select a state
Andhra Pradesh (AP)
Arunachal Pradesh (AR)
Assam (AS)
Bihar (BR)
Chhattisgarh (CG)
Goa (GA)
Gujarat (GJ)
Haryana (HR)
Himachal Pradesh (HP)
Jharkhand (JH)
Karnataka (KA)
Kerala (KL)
Madhya Pradesh (MP)
Maharashtra (MH)
Manipur (MN)
Meghalaya (ML)
Mizoram (MZ)
Nagaland (NL)
Odisha (OD)
Punjab (PB)
Rajasthan (RJ)
Sikkim (SK)
Tamil Nadu (TN)
Telangana (TG)
Tripura (TR)
Uttar Pradesh (UP)
Uttarakhand (UK)
West Bengal (WB)
Email id:
Mobile No. (मोबाइल संख्या):
WhatsApp No. (व्हाट्सएप नंबर):
Same as mobile number
PAN Card
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Parent and Sibilings Details
Father's Name (पितुः नाम):
Profession (वृत्तिः):
Father's Qualification (पितुः उपाधिः):
Native Place (पूर्विक-स्व नगरम्):
Grandfather's Name (पितामहस्य नाम):
Family Title/ Glory etc., (कुल उपाधिः/कीर्तिः इत्यादयः):
Number Of Brothers
Name of Brothers
Vaidika
Not Vaidika
Vaidika
Not Vaidika
Vaidika
Not Vaidika
Vaidika
Not Vaidika
Vaidika
Not Vaidika
Number Of Sisters
Name of sisters
Unmarried
Married to Vaidika
Married Not to Vaidika
Unmarried
Married to Vaidika
Married Not to Vaidika
Unmarried
Married to Vaidika
Married Not to Vaidika
Unmarried
Married to Vaidika
Married Not to Vaidika
Unmarried
Married to Vaidika
Married Not to Vaidika
Mother's Name (मातुः नाम):
Mother's Education (मातुः शिक्षा):
Mother's father's Name (मातामहस्य नाम):
Mother's father's Gotram (मातामहस्य गोत्रम्):
Applicant's qualification other than veda
Applicant’s Qualifications other than Veda with year of achievement (परीक्षार्थिनः वेदान्तरविद्या उपाधयः तेषां समवाप्त-वर्षाणि):
Qualification in School, College, Śāstra, Sanskrit, Vedangas, Music, Sports, Arts etc - विद्यालय/महाविद्यालय/शास्त्र / संस्कृत/वेदाङ्ग / गीत/ खेलन/ कला इत्यादि उपाधयः:
Bank Details
Bank Details of the Applicant and the Teacher who taught the subject of the exam (परीक्षार्थिनः तस्य परीक्षा भागस्य अध्यापकस्य च वित्तकोश विवरणानि):
Name of the Teacher (अध्यापकस्य नाम):
Qualification (उपाधिः):
Particulars (विवरणानि)
Applicant's (विद्यार्थिनः)
Subject Teacher's (पाठ अध्यापकस्य)
Name of the Account holder (लेखाधरस्य नाम )
Bank Name (बैंक् नाम)
Branch (शाखा)
Account Number (लेखा संख्या)
IFSCode (ऐ एफ़् एस कोड्)
Applicant's Bank Passbook (Front Page account details)
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Teacher's Bank Passbook (Front Page account details)
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Verification and Signatures
VERIFICATION (प्रमाकरणम्)
I hereby confirm that the particulars furnished above are true and correct. I have gone through the terms and conditions of the Sabha exams and agree to all of them.
Signature (हस्ताक्षरः)
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