DBHPS

fgUnh izpkjd & thou o`Rrkar

HINDI PRACHARAK BIO DATA

'kk[kk / PROVINCE:

psUuS egkuxj / CHENNAI CITY
vkU/zk / ANDHRA
dukZVd / KARNATAKA
dsjy / KERALA
rfeyukMq / TAMILNADU

01. uke NAME

Hkk"kk LANGUAGE	igyk FIRST	e/; MIDDLE	miuke SURNAME
fgUnh esa IN HINDI
izkarh; Hkk"kk esa IN REG.LANG.
vaxzsth esa IN ENGLISH

02. tUe frfFk DATE OF BIRTH

03. fyax SEX

iq#"k MALE L=h FEMALE

04. izekf.kr izpkjd la[;k
PRAMANITH PRACHARAK NO.
(Ex. TN 2799 1998 )

Region

Number

Year

igyh Js.kh GRADE-I

nwljh Js.kh GRADE-II

05. vuqnku laca/kh REGARDING GRANT

;kstuk NAME OF SCHEME	o"kZ dsfy, izkIr RECEIVED FOR THE YEAR	izkIr vuqnku GRANT RECEIVED

06. 'kSf{kd ;ksX;rk,Wa EDUCATIONAL QUALIFICATIONS

i). 'kSf{kd Academic:

Ø-l Sl.NO	ikB~;Øe NAME OF THE COURSE	lHkk@laLFkk@fo'ofo\|ky; SABHA / BOARD / UNIVERSITY	mRrh.kZ o"kZ YEAR PASSED
1
2
3
4

ii). fgUnh e In Hindi:

Ø-l Sl.NO	ikB~;Øe NAME OF THE COURSE	lHkk@laLFkk@fo'ofo\|ky; SABHA / BOARD / UNIVERSITY	mRrh.kZ o"kZ YEAR PASSED
1
2
3

i). rduhdh Technical:

Ø-l Sl.NO	ikB~;Øe NAME OF THE COURSE	lHkk@laLFkk@fo'ofo\|ky; SABHA / BOARD / UNIVERSITY	mRrh.kZ o"kZ YEAR PASSED
1
2
3
4

07. izpkjd ds dk;Z{ks=@irk WORKING PLACE AS PRACHARAK/ADDRESS

fo\|ky; SCHOOL	?kj HOUSE	vU; OTHER

08. Hkk"kk dh tkudkjh LANGUAGES KNOWN

Hkk"kk / LANGUAGE	पढ़ना / READ	cksyuk / SPEAK	fy[kuk / WRITE
fgUnh

09. fiNys 5 o"kksZa esa Hksth x;h ijh{kkfFkZ;ksa dh la[;k
NUMBER OF STUDENTS SENT TO SABHA EXAMS DURING LAST FIVE YEARS:

mPp ijh{kk

ijh{kk dk uke NAME OF THE EXAM	o"kZ YEAR (nksuksa l= BOTH SESSIONS)
ijh{kk dk uke NAME OF THE EXAM	2024	2023	2022	2021	2020

izoh.k mRrjk)Z
izoh.k iwokZ)Z
fo'kkjn mRrjk)Z
fo'kkjn iwokZ)Z

dqy ijh{kkFkhZ
mRrh.kZrk fooj.k
izfr'kr(%)

izkjafHkd ijh{kk

ijh{kk dk uke NAME OF THE EXAM	o"kZ YEAR (nksuksa l= BOTH SESSIONS)
ijh{kk dk uke NAME OF THE EXAM	2024	2023	2022	2021	2020

izosf'kdk
jk"VªHkk"kk
e/;ek
izkFkfedk
ifjp;

dqy ijh{kkFkhZ
mRrh.kZrk fooj.k
izfr'kr(%)

10. izpkjd ds gSfl;r vuqHko EXPERIENCE AS PRACHARAK

izpkjd ds :i esa iathdj.k rkjh[k Date of Registration as Pracharak	Js.kh ifjorZu dh rkjh[k Date of Upgradation	lHkk dh fganh ijh{kkvksa ds fy, Hksth x;h dqy ijh{kkfFkZ;ksa dh la[;k Total Number of Students sent to Sabha’s Hindi Exams so far

11. iqjLdkj@lEeku AWARDS/HONOURS ETC

Ø-la- Sl.NO	iqjLdkjksa dk fooj.k rFkk laLFkk dk uke NAME OF THE AWARD/ INSTITUTION	iqjLdkjksa@lEeku Lo:i NATURE OF THE AWARD/HONOUR	iqjLdkjksa@lEeku o"kZ YEAR OF AWARD/ HONOUR
1
2
3

12. ?kj dk irk RESIDENTIAL ADDRESS

fiu dksM / PIN CODE

13. nwjHkk"k PHONE

(1)

(2)

14. eksckby MOBILE

15. bZ-esby E.Mail

16. Photo

17. vU; fooj.k&vuqokn@iqLrd izdk'ku vkfn
OTHER INFORMATION-TRANSLATION, BOOKS PUBLICATION Etc,

18. ANY OTHER INFORMATION UPLOAD RELATED FILES

NOTE: THIS FORM CAN BE DOWNLOADED IN SABHA'S WEB SITE www.dbhpscentral.org THE FORM CAN ALSO BE FILLED UP DIRECTLY IN THE WEB SITE. COPIES CAN ALSO BE HAD BY WRITING TO "THE SECRETARY, CENTENARY CELEBRATIONS SECRETARIAT, DAKSHINA BHARAT HINDI PRACHAR SABHA, 15-21, THANIKACHALAM ROAD, T.NAGAR, CHENNAI 600 017.