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1|Page
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4|Page
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5|Page
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6|Page
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9|Page
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rgz PAqAz CAv CsyU DAiAiiU CP
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wzrU Mngvz.
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Aiw, zv, CAPU iw, w, EvUU CUtV
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11. zqv: M CsyAi P QAiiVgAz Cx Sm zd
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rgAz Cx iwAi giagAz Cx Pw
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10 | P a g e
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PqAiVgvz. MAz Dzsg Pq Az, Azt
irPAq ELr(EID)Ai, CAzg 28 CAQU ASAi P. CAw
nAi DAiAiiz CsyU, Dzsg AztAi dvAi j,
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Pw PjU PPP q ZU ESAi CPv m
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F 04 jPU Jgq zsz wPU vjUvz. N.JA.Dg Gvg wPAi

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11 | P a g e
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zzsg xP PP Azz AiU U zs izsz zU AS

v w VPgtz gU F CZU Uwg CAzs-1
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13 | P a g e
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Jgq U r GwtgVgP
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zAi P .50 CAPUAU Gwt v .Er z Cx

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Zg Ds JAlj JdP z Cx U
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14 | P a g e
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(1) zAi DAU sAi LaP AiV g CzsAi

irgP v Pq, A, gp, Gz, vU, v, PAPt,
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U-1 / PZvjU, Urg Jgq AiU P
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15 | P a g e
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zzsg xP PP (id oU) zU Cf Ai

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Q Jgq AiU LaP AiUV g CzsAi
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PPg PAisgz AztPU Cz Ai Cx wgz Ai
vgUwUU Cg Pw Ag Aiz evU Aiiz Evg
AiU zs iq az.
2) DAU v id oU AiU zUU Cf
CsyU Jgq zUU DAiAiiz x Dzsv rz zU
iv jUtUz.
3) Cf Urz PAi APzU Uv zv
qAi jP gz svAPV PAiwg CsyU
CgU. D Cf U rz PAi
APzU zvAi CAPn U Evg nPmU
qgP.
09] Aiw:
Cf Urz PAi APP CsyAi

[C] P 21 Ai ggvPz.
16 | P a g e
 [D] Uj Aiw:
i U 40
2J, 2, 3J, 3 43
.e / .A / U-1 / PZv CsyUU 45

10] jm zsj zs:

6-8 vgUw zzsg xP PPg PwUV
DAi Pg PwU Aig v izsg U
Ug Caz zUU CgV zsvP jP, n.E.n jP,
z Pt v PPg Pt P qz Pqg CAPU Dzsj F
PU jzAv me(weightage) GAiV derived percentage PQ
Czg Dzsgz vPV C CsyU jm nAi
zrUz.

C) Derived percentage PP CsyAi r E JAlj

JdP Cx .Er Cx r E JdP Cx
.Er ( JdP) zv Az PVAv
me(weightage) jUtUz.
1 zsvP jPAi qz CAPU 0.35
2 n.En jPAi qz CAPU 0.15
3 zAi qz CAPU 0.25
4 PPg Pt P qz CAPU 0.25

D) Derived percentage PP CsyAi U PPg Pt zAi

Az me F AAv jUtUz
1 zsvP jPAi qz CAPU 0.35
2 n.En jPAi qz CAPU 0.15
U .J.Er, Cx J/JEr Cx
3 0.50
JEr Cx JEr. zAi qz CAPU
z Pg me P QzU jm nAi Eg Cx
a CsyU iz derived percentage CAPU qz
Ai Dzsj Ai jAigzg jm nAi Ai
QjAijVAv z jUtUz.
11] zU w :
(1) zU wAi PlP [dg gPmAm] g

17 | P a g e
 1977g Ai-9g iug v PPP grU
PU, AiU U PPAq ejAig Pgz DzU
MUAqAv Egv.

i. j ew, j U v Evg Azz UU QUU v

ejAig w AiU
ii. PlP Ut CsyUUV (gd U) Pw Cx
zU w CAi 2000
iii. PlP (i Pw) AiU 1977 Ai-9g Pg
PZvg U if Pg, Urz itz
iv. Pgz CZ AS: rJDg 23 JDgDg 1999, AP:
23.11.2000gAi Aid gv CsyUU, Urz itz
v. J UU Pq 50QAv PrzAv zU
CsyUAz sw iqUz.
UvU :
1. J.J.J.. CAPn (MAzQAv a AivU Gwtgzg d AP
Ag PrPv CAPn)
2. .Ai. CAPn (.Ai..Ai CzsAi irz izsz it v)
w it vU:
1. w Pjg Uz it v.
2. zg z PlP sUz z (371 e) it v AiP DAiPjAz
qgP.
3. if PgV Pgg/CAvg it v.
4. Ut Csy AU U Azsvz(izjAi CAzsz rz) it
vU (. 10-08-2005 g gPgz Dzz Urg 1 v 2 g)
5. CAUP Csy it v..
6. Pq izs AUirz Csy it v.
7. AidUAz gvgz PlAz Csy it v
8. r.Er/r.J.Er/n..Z/n.E.n U Evg DAii zU CvAi zrPj
it vU.
9. zAi g U J AivU zrPv CAPnU U vUqAz
it v.
10. .Jq. CAPn v vUqAz it vU.
11. PAi wg GzUP AAz it v U F
zU Cf Pw PgAz qzPArg Cw v .
12. Evg CAz sz zRU wU.

18 | P a g e
 2017-18 zs zUU gPwUV D P Cf
CsyUU iwUV U v ZU
r
(Ai 3J (2) (3) r)
Cav ew Cx Cav qPlUU jz CsyUU q it vU

it v
-------------- gdz /PAzqv zz --------------------- fAi /sUz ---
--- U /ltz Aiiz /w : -------------------JAg U/Uz
/w ------- Eg Cav ew/Cav qPl JAz i iqVg
ew/qPnU jgvgAz itPjVz.
Azs (Cav ewU) Dz, 1950
Azs (Cav qPlU) Dz, 1950
Azs (Cav ew) (PAzqv zU) Dz, 1950
Azs (Cav qPlU) (PAzqv zU) Dz, 1951
(Cav ew v Cav qPlU n (wzr) Dz 1956, A gd
gZ CAi , 1960 Ae gd gZ CAi, 1966 iZ z gd
CAi, 1970 v F zU gZ CAi, 1971 g P wzrAiizAv)
Azs (d v Pg ) Cav ewU Dz, 1956
Cav ew v Cav qPlU (wzr) CAi 1976 g P
wzrAiizAv Azs (CAqi v Pg U ) Cav qPl
U Dz,
1959
Azs (zzg v Ug ) Cav ewU Dz 1962
Azs (ArZj ) Cav ewU Dz 1964
Azs (Cav qPlU) (Gvg z) Dz, 1967
Azs (U, z v ) Cav ew / qPlU Dz 1988
Azs (UAq) Cav qPlU Dz
2. /w/Pij * --------------------------v Cx C /C
PlA ------gd / PAzqv zz ---------------- f/sUz ------
--------- U/ ltz i (U)

..................................
vg .......................
z: Pbj jAU
AP:

19 | P a g e
 gd / PAzqv z *
CAiUg zU zAil lr/qz Q

Z : E GAiV i U JA zAi e wzs

CAi 1950 g 20 Pgtzg Cx Agvz.

sgv Pgz v AS : /12028/2/76 J..n.-1 UAvAiz CgV

CAx it v q PVgzPV sgv Pgz (A v Cqv zsgu
ES) v AS -13/2/74 E,J.n (J..n) AP 5 DU 1975 g z
PjAi, gwU AAzsl Dzz CZAi grz Aiz it
vPV Cf z QAi v SAiA Az P jzggVgvPz.
Cz jwAi MAz vQ g PjAi EAz vQU jz QUU AAzs
l it v q P PjAiiU.

(Dz AS :J.q.r. 132 J.J.r. 97 AUg AP 08-02-2000 P AAzAv)

**************

E
(Ai 3J (2) (3) r)

(Azz UU U-1P jz CsyUU q it v)

-----------------U/ lt /Ugz Aiiz /w---------------
Eg Azz UU (U)---------ewAi ---------------------GewU
jgvgAz itPjVz.

: vg
AP :
_____________vP PbjAi g

(Dz AS :J.q.r. 132 J.J.r. 97 AUg AP 08-02-2000 P

AAzAv)

20 | P a g e
 Js

(Ai 3J (2) (3) r)

(Azz U -2J, 2, 3J, 3 UU jz CsyU q DzAi v ew i t v)

----------------------------- g Vg / w -------------

Eg U / U / w / wAiiz /w/Pij ----------------------------

Eg v Dv/D vAz/ v/ Pg/ w/ wAi, Pj DzU AS

Jqr 225 J 2000 AP 30-03-3002 g CsyAiiU Cx Dv /
DPAi vAz / v/ PgU/ w / wAiiU, Pgz Ai 1 zeAi
CPjAiiVAz;
Cx
dP Ai Gzz vviz zAi Ag;
Cx SV AidPg PPU, 2 zeAi CPjAi AQAv (v t g. 11400-
21600/- gAP Av) PrAiz A qAi PgVAz
Cx
Dv/DPAi vAz/ v/ Pg/ w/ wAi DzAi 4.5 (g P g) P
gAz:
Cx
PlP s zsgu CAi 1961 g UrgAv Dv/ DPAi vAz/ v/
Pg/ w/ wAi Cx Ejg 10 Aim Vav a P s Cx 20
JPgVAv a Am sAi AgAz itPjVz. Pj Dz
AS: Jqr 225 J 2002 AP : 30-03-2002 g CAi / w/Pij ----
--------------------Eg -------------- ewU jz -------
GewAigVz, Pj Dz AS : Jr 225 J 2000 AP: 30-03-2002 g
CAi Azz UU U ---------- (2J, 2, 3J, 3) jgvg.

vg

AP: ------------- vP

PbjAi g

21 | P a g e
 -1
dg jm CsyU gP jAz zrPj, Ut wAi Pg
Pz it v.

(dg jm CsyU swiqPz )

vg
-------------vP
-----------f
ig,

/w------------------ JAg U/U/Aqw/UAq ------------

Dz gz (Creamy layer) gAz g PwAi Ut Csy
wAi qAizPV it v qAi v F P P Aq iwU
MzVv Pgv.
1. CsyAi g v GzU

2. CsyAi Av U vP f

3 CsyAi nz AP, Ai , nz

4 CsyAi vAz/ v/ P/ Aqw/UAq g

v GzU (Pj/CgPj/dP
Gz/SV)

5 CsyAi v CAZ (V )

6 CsyAi SAiA CAZ

7 CsyAi xP, izP U qs

Ptz AU irz U g

8 CsyAi U CsyAi vAz/

v/P(vAz/v
fAvVgz)/Aqw/UAq Eg Ml P
DzAi J UAz

1. v (v t)

2. d g
3. Evg U

22 | P a g e
 9 DzAi vjU wzgg?

10. Av vjU wzgg?

11. igl vjU wzgg?

itPv Wu

F Az MzVz iwU U wz nU vAz F P

itPj Wv.

: v zsAi

AP: CsyAi

MzVz iwU vVgv JAz itPjv , F iwU

CvAz zqsl , Cgzs ZguU zVgv.

vAz/v/Pg (vAzv fAvVgz)

/Aqw/UAq Eg

Eg Ai QU

CsyAi v vAz/ v/Pg /UAq/ Aqw Eg U Eg U

Ugwv.

QU : 1

(t zAU) : 2

23 | P a g e
 j it v
1. /w ---------------------- Eg U ,U , Aqw, UAq
/w/Pij ---------------------------- JAg -----------
fAi -------sU --------------U / lt /Ugz i
AiiVzgAz v Eg dg jm UP jzgVgvg.
2. /w/Pij ---------------------Eg vAz, v, Pg Eg Pj
Dz AS J.q. 251 ..J. 94.AP 31/01/1995 gAi dg jm Uz
gz (Creamy layer) gAz itPjVz.

vg

AP: -----------vP

ZU:

1. Ezg GAiVVg i JA z 1950g dv wzs

PzAi 20 CZzz Cx Agvz.
2. j itv q CPv CPjAi Pj Dz AS: J.q. 251
..J. 95 .AP 31/01/1995 gAi g (Creamy layer) zg Ugw
UrVg CAU gV RavrPAq Avg v qvPz.

24 | P a g e
 -2

Ut Csy AU it v

(Pgz Dz AS r..L.Dg. 96 J.Dg.Dg. 2005 AUg AP 10-08-2005)

gg U /U/w/
w/PijfvP
UzVg Eg MAz vgUwAz
vgUwAigUfvPlt
Ai AU ir qz jPAi GwtgVgvg.
F Ai CsyAi AU irz CAi PlPz g UU CAi 1976 Cx
PlP g sU CAi 1964 g CrAi rz MAz zq Ug z, t Ug
z Cx jv Avzg zU gvz zzv .

AP:

SzsAig

v AAi g

AP: gd

Pv PuPj

PbjAi g

25 | P a g e
 Ut z Azsv it v
. ----------------------------- gg U/ U/ w :w : Pij:
----------------------------Pbj zRw Ai Azt AS----------
AP ------------ g Pg----------------- f --------------- vP
-------------/CAZ---------------U AZ----------------Uz
Vg Eg ------- vgUwAz --------- vgUwAigU---------------
f ----------------vP--------------lt----------------U AZ
---------------------Uz APv----- ,-----------------------------
------------------------------ Ai AP ----------Az ---------gU
-------vgUwAz------- vgUwAigU AU irgvg JAz zrPjVz.

SzsAig

-------------------

---------------- vP

/-

Pv PuPjU
-------------vP
--------------- f
F wg zyAi ---------- Az -------- zgU
-----------------------z (Hj g) AU irz, Eg AU
irz CAi zj z F PbjAi constitutional Register g l
AS -----v Pj Dz AS ------------------------------------- g
Pg PlP g sU C Ai, 1976 Cx PlP g sU CAi, 1964g
CrAi rz MAz zq Ug z, t Ug z Cx jv Avzg
( Ug s/Ug s/g s / lt AZ / Cav z) zU gvz
(Aq/U AZ) zVv JAz zrPjVz.

g s/lt AZ/Cav z/Aq/U AZAi CPjAi

PbjAi g

26 | P a g e
 Pgz Dz AS : . D. . E. 97 2002, AUg, AP : 22-11-2002.

Pq izsz AU irz Csy it v

/w -----------------------------gg U/U/w Aiiz
/w/Pij -------------------------- f ------------------
----- vP ----------------U------------- Vg Eg -----
vgUwAz ------ vgUwAigU -----------f- ---------vP-------
lt-------------------Ai AU ir ------ qz jPAi
GwtgVgvg.

gd ()

Pv PuPj vP SzsAig

-----------

AidUAz gvgz PlAz Csy

it v

/w------------------------------------------gg U/ U/ w

/w-------------------------------gg -------------f- --------------

vP -----------------Uz Vg Eg/Eg PlAzg CAvgVz F
PPAq DAi --------------EAiAz rPVz JAz F P
itPjz.

1. v v CAvgVz Cg P sAi Czsz

2. AidU z sAi Agz AidAz wz
3. v CAvgVz v P sAi Czsz Cx CzQAv Pr P s
4. Evg Ez Pgtz AidAz vgzg
(CAiU LlA iv it vz vPz )

vg

------------- vP

27 | P a g e
 CAzs
Ai dUAz gvgz PlAz CsyU it vz evU Pz
1 rPAq DAi iPg g

2 AidUV rPz DAi g (

A/ Ag/U )

3 rPz AP

4 AidAi g

5 rPz DAi rPAq

APAz (05) U Az Aiig zv.

6 rPz DAi iPg U

Cfzg q AAzs

7 v / Cv

vgg

________ vP

28 | P a g e
 PlP Pgz CPv e AS DE 115 2005, AP 19-11-2005

CERTIFICATE FOR THE PERSONS WITH DISABILITIES

This is to certify that Sri/Smt/Kum

Son/Wife/Daughter of Shri

Age.. old,

Male/Female, Registration No. .. is in a case of

.. He/She is

Physically Disabled / visual disabled/speech & hearing disabled and had % ( in

words.percent) permanent (physical impairment / visual

impairment/ speech & hearing impairment) in relation to his /her

NOTE; 1. This condition is progressive/non-progressive/likely to improve/not likely to

improve.*

2. Re-assessment is not recommended/is recommended after a period of

............................ months/year *

*Strike out
which is not
applicable.

(Recent
Sd/-
attested Sd/- Sd/-
Photograph Orthopaedic /
showing the Senior Specialist Chairperson
disability Eye /ENT /Psychiatrist Member, Medical District Surgon
affixed here) Member, Medical Board Board District Hospital

Countersigned by the

Medical Superintendent CMO /

Head of Hospital (with Seal)

Signature/Thumb impression 0f the disabled person.

29 | P a g e
 ANNEXURE-A

ELIGIBILITY CERTIFICATE

(Under Article 371(J) (see rule 3(3)

Sri/Smt .. S/o W/o. is a Local Person

of the Village / Town .. of Taluka

of District of Karnataka State.

Place. Name .

Date Assistant Commissioner

Sub Division

.. District

30 | P a g e
 GOVERNMENT OF KARNATAKA

DEPARTMENT OF SAINIK WELFARE AND RESETTLEMENT

Office of the Deputy Director

Department of Sainik Welfare & Resettlement

(Karnataka)

No.------------------------------------ Date:---------------------

CERTIFICATE

This is to certify that Shri/Smt/Kum---------------------------is an applicant for --------is

the spouse /son/daughter of No------------Rank--------------------Name---------------------------------
of Army/Navy/Air Force, who is an Ex-serviceman according to the definition laid down by
the Minister of Defence, Government of India. He served from ---------------to ----------------------
-

The Ex-Serviceman had declared his home town in Karnataka at the time of entry into
service as per records & hence eligible to avail reserved seats under Ex-Serviceman quota.
His permanent home address at the time of entry into service was as under:

Home address before joining service:

-----------------------------------------------

-----------------------------------------------

Place: Signature of the Deputy Director

Date: Department of Sainik Welfare & Resettlement
---------------------------------------District

OR

CERTIFICATE

This is to certify that Shri/Smt/Kum---------------------------is an applicant for --------in

Karnataka is the spouse /son/daughter of No----------Rank--------Name---------------------------
who died /disabled while in service according to the certificate issued by Defense Authority.
He died / disabled on --------------------

Home address of the individual at the time of joining Defense Service as per the records is:

---------------------------------------------------------------------------------------------

Place: Signature of the Deputy Director

Date: Department of Sainik Welfare & Resettlement
---------------------------------------District

31 | P a g e
 vV Pj (PAz Pg /PlP gd Pg) U
Czv AU wg CsyU Pw
PjUAz qAiPz Cw vz
(PlP UjP U (i Pw) AiU
1977U PlP UjP U (j) AiUAv)

Cw v

/ w . vAz
Eg PV PAz/gdPgz ESAi
/ Czv AAi zAi SAiA /AUAiiV
PAiwz zjAijU 2017-18 zzsg xP PPg (6-8 vgUwU)
zU fAi Cf Cw qVz.

v Pw PjU z

(PbjAi jAU)

**********************

32 | P a g e
 MAzQAv Z fU D P Cf g CsyU Pz
iw
CsyAi g: Azt AS:

v jPU dgUwg jP PAzz g:

Z : MAzQAv Z fU D P Cf , qz J vU
jP zAz CsyU v dgU jP PAzz Por ZgPjU PqAiV
AgVz. vz CAv CsyU svA vqrAiUz.

D P
P. v AgV
fAi g Azt AS Cf z
A. gg? z / E
AP

JqU g Ugv CsyAi

33 | P a g e
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