Application-Form - KSP 2022

D£ï¯ÉÊ£ï Cfð £ÀªÀÄÆ£É / Online Application Form

Please read the Notification carefully before filling the application form. CfðAiÀÄ£ÀÄß ¨sÀwð ªÀiÁqÀÄªÀ ªÀÄÄ£Àß C¢ü¸ÀÆZÀ£ÉAiÀÄ£ÀÄß eÁUÀgÀÆPÀvÉ¬ÄAzÀ N¢ ¨sÀwð ªÀiÁqÀvÀPÀÌzÀÄÝ.
Please provide the necessary information as required. CªÀ±ÀåPÀvÉ¬ÄgÀÄªÀ ªÀiÁ»wAiÀÄ£ÀÄß ¤ÃqÀvÀPÀÌzÀÄÝ.
Once the application is submitted, you would not be able to change any details in your application. MªÉÄä CfðAiÀÄ£ÀÄß ¸À°è¹zÀ £ÀAvÀgÀ, ªÀiÁ»wAiÀÄ£ÀÄß wzÀÄÝ¥Àr ªÀiÁqÀ®Ä ¸ÁzsÀå«gÀÄªÀÅ¢®è.
After successful completion of Personal Details you will receive an email/SMS. (Check the SPAM folder of your email account if you have not received it in INBOX). ªÉÊAiÀÄQÛPÀ «ªÀgÀUÀ¼À£ÀÄß ¨sÀwð ªÀiÁr CfðAiÀÄ£ÀÄß AiÀÄ±À¹éAiÀiÁV ¥ÀÆtðUÉÆ½¹zÀ £ÀAvÀgÀ ¤ªÀÄUÉ J¸ï.JA.J¸ï/ E-ªÉÄÃ¯ï PÀ¼ÀÄ»¸À¯ÁUÀÄªÀÅzÀÄ.
Generate the challan, and pay the prescribed Fee in the respective bank branches to complete your application. ZÀ®£ï ¸ÀÈf¹zÀ £ÀAvÀgÀ Cfð ¥ÀÆtðUÉÆ½¸À®Ä C¢üPÀÈvÀ ¨ÁåAPïUÀ¼À ±ÁSÉUÀ¼À°è ¤UÀ¢vÀ ±ÀÄ®ÌªÀ£ÀÄß ¥ÁªÀw¸À¨ÉÃPÀÄ.

CfðAiÀÄ «ªÀgÀ / Application Data

¤ÃªÀÅ Cfð ¸À°è¸ÀÄwÛgÀÄªÀÅzÀÄ / You are applying as a *

WÀlPÀzÀ ºÉ¸ÀgÀÄ / Unit Name *

ªÉÊAiÀÄÄQÛPÀ «ªÀgÀ / Personal Details

C¨sÀåyðAiÀÄ ¥ÀÆtð ºÉ¸ÀgÀÄ / Candidate’s Full Name * Note: (J¸ïJ¸ïJ¯ï¹ CAPÀ¥ÀnÖAiÀÄ°ègÀÄªÀAvÉ) / (as per SSLC marks card)

vÁ¬ÄAiÀÄ ºÉ¸ÀgÀÄ / Mother's Name *

vÀAzÉAiÀÄ ºÉ¸ÀgÀÄ / Father's Name *

°AUÀ / Gender *

ªÉÆ¨ÉÊ¯ï ¸ÀASÉå. / Mobile No. *

E-ªÉÄÃ¯ï / Email Id *

DzsÁgï ¸ÀASÉå. / Aadhar No. *

C¨sÀåwðAiÀÄ JvÀÛgÀ ¸É.«ÄÃ UÀ¼À°è / Height of the Candidate in cm (Present) *

Minimum height should be 168 for general & 155 for ST (Forest Area Tribe)

«¼Á¸ÀzÀ «ªÀgÀ / Address Details

Postal Address

ªÀÄ£É £ÀA. / Door No. *

©Ã¢ / Street *

¸ÀÜ¼À / Area *

vÁ®ÆèPÀÄ / Taluk *

gÁdå / State *

f¯Éè / District *

EvÀgÉ f¯Éè / Other District *

¦£ï PÉÆÃqï / Pin Code *

ªÉÄÃ°£À «¼Á¸ÀzÀAvÉ / Permanent Address & Postal Address are Same ?

Yes

Permanent Address

ªÀÄ£É £ÀA. / Door No. *

©Ã¢ / Street *

¸ÀÜ¼À / Area *

vÁ®ÆèPÀÄ / Taluk *

gÁdå / State *

f¯Éè / District *

EvÀgÉ f¯Éè / Other District *

¦£ï PÉÆÃqï / Pin Code *

«ÄÃ¸À¯Áw «ªÀgÀ / Reservation Details

Category Details

¥ÀæªÀUÀð / Category *

G¥ÀeÁw / Sub Caste *

¥ÀæªÀiÁt ¥ÀvÀæ «vÀgÀuÁ ¢£ÁAPÀ / Date of issue of Eligibility certificate *

SC / ST / Cat-01 Caste Certificate must be obtained on or before 31/10/2022 – Form ‘D’ & Form 'E'

OBC Candidates certificate shall be 5 Years prior to 31.10.2022 - Form "F"

Ex-servicemen Details

¤ÃªÀÅ ªÀiÁf ¸ÉÊ¤PÀgÉÃ ? / Are you an Ex-servicemen ? *

ºÁ° ¸ÉÃ£ÉAiÀÄ°è ¸ÉÃªÉ ¸À°è¸ÀÄwÛgÀÄ«gÁ ? / Are you presently serving in Armed Forces ? *

¤ÃªÀÅ ªÀiÁf ¸ÉÊ¤PÀgÀ ¸Ë®¨sÀåªÀ£ÀÄß ¥ÀqÉ¢gÀÄwÛgÁ ?
Have you availed Ex-servicemen benefit ? *

¤gÁPÉëÃ¥ÀuÁ ¥ÀæªÀiÁt ¥ÀvÀæ «vÀgÀuÁ ¢£ÁAPÀ
Date of issue of NOC *

¸ÉÊ£Àå¢AzÀ «AiÉÆÃd£ÉUÉÆAqÀ ¢£ÁAPÀ / Date of Discharge from Force *

ªÀiÁf ¸ÉÊ¤PÀ£À «zÁåºÀðvÉ / Educational Qualification *

AiÀiÁªÀ ¸ÉÃ£ÉAiÀÄ°è ¸ÉÃªÉ ¸À°è¸À¯ÁVzÉ (¨sÀÆ¸ÉÃ£É/ªÁAiÀÄÄ¸ÉÃ£É/£ËPÁ¸ÉÃ£É)
Service rendered in which force (Army/Air Force/Navy) *

¸ÉÊ£ÀåzÀ°è ¸À°è¹zÀ ¸ÉÃªÁªÀ¢ü / Years of Service rendered *

ªÀµÀð / Years

wAUÀ¼ÀÄ / Months

¢£ÀUÀ¼ÀÄ / Days

Ex-servicemen Children Details

¤ÃªÀÅ, PÀvÀðªÀåzÀ°è ±Á±ÀévÀªÁV zÉÊ»PÀ «PÀ®vÉ CxÀªÁ ªÀÄgÀt ºÉÆA¢zÀ ªÀiÁf ¸ÉÊ¤PÀ£À PÀÄlÄA§PÉÌ ¸ÉÃjgÀÄ«gÁ (ªÀiÁf ¸ÉÊ¤PÀ ªÀÄPÀÌ½UÉ ªÀiÁvÀæ)?
Do you belong to a family of an Ex-Servicemen who while in service was permanently disabled or died in action (for Ex-servicemen-Children only) *

PÀvÀðªÀå ¤ªÀð»¸ÀÄªÁUÀ ªÀÄgÀt ºÉÆA¢zÀÝgÉ
Death while in service *

PÀvÀðªÀå ¤ªÀð»¸ÀÄªÁUÀ ±Á±ÀévÀ «PÀ®vÉ ºÉÆA¢zÀÝgÉ
Permanently disabled while in service *

¸ÀA§AzsÀ (ºÉAqÀw, UÀAqÀ, ªÀÄPÀÌ¼ÀÄ, ªÀÄ® ªÀÄPÀÌ¼ÉÃ) ?
Relationship (Husband, Children, Step Child)? *

Kannada Medium Reservation

PÀ£ÀßqÀ ªÀiÁzsÀåªÀÄ C¨sÀåyð «ÄÃ¸À¯Áw PÉÆÃgÀÄ«gÁ ?
Are you claiming Kannada Medium Reservation ? *

CºÀðvÁ ¥ÀæªÀiÁt ¥ÀvÀæ «vÀgÀuÁ ¢£ÁAPÀ ?
Date of issue of Certificate ? *

PDP Reservation

AiÉÆÃd£Á ¤gÁ²ævÀ C¨sÀåyð «ÄÃ¸À¯Áw PÉÆÃgÀÄ«gÁ ?
Are you claiming Project Displaced Person Reservation ? *

CºÀðvÁ ¥ÀæªÀiÁt ¥ÀvÀæ «vÀgÀuÁ ¢£ÁAPÀ ?
Date of issue of Eligibility certificate ? *

Rural Reservation

UÁæ«ÄÃt C¨sÀåyð «ÄÃ¸À¯Áw PÉÆÃgÀÄ«gÁ ?
Are you claiming Rural Reservation ? *

CºÀðvÁ ¥ÀæªÀiÁt ¥ÀvÀæ «vÀgÀuÁ ¢£ÁAPÀ ?
Date of issue of Eligibility certificate ? *

Transgender Reservation

vÀÈwÃAiÀÄ °AUÀ C¨sÀåyð «ÄÃ¸À¯Áw PÉÆÃgÀÄ«gÁ ?
Are you claiming Transgender Reservation ? *

CºÀðvÁ ¥ÀæªÀiÁt ¥ÀvÀæ «vÀgÀuÁ ¢£ÁAPÀ ?
Date of Issue of Certificate ? *

Kalyana Karnataka Region

¤ÃªÀÅ PÀ¯Áåt PÀ£ÁðlPÀ ¥ÀæzÉÃ±ÀPÉÌ ¸ÉÃjzÀªÀgÉÃ ?
Are you a candidate belonging to Kalyana Karnataka Region? *

ºËzÁzÀ°è, AiÀiÁªÀ f¯ÉèUÉ ¸ÀA§A¢ü¹¢ÝÃgÁ ?
If yes, to which District you belong to ? *

Government Employee Details

¤ÃªÀÅ ¸ÀPÁðj £ËPÀgÀgÉÃ ? / Are you a Government Employee ? *

¸ÀPÁðj E¯ÁSÉ / Government Department *

¥ÀzÀ£ÁªÀÄ
Designation *

¸ÀPÁðj ¸ÉÃªÁªÀ¢ü / Government Service *

ªÀµÀð / Years

wAUÀ¼ÀÄ / Months

¢£ÀUÀ¼ÀÄ / Days

¤ÃªÀÅ AiÀiÁªÁUÀ ¸ÀPÁðj ¸ÉÃªÉUÉ ¸ÉÃjgÀÄwÛÃj? / Date of Join to Government Service ? *

d£Àä ¢£ÁAPÀ (J¸ïJ¸ïJ¯ï¹ CAPÀ¥ÀnÖAiÀÄ°ègÀÄªÀAvÉ)
Date of Birth (as per SSLC marks card) *

Criminal Case Details

AiÀiÁªÀÅzÁzÀgÀÆ C¥ÀgÁzsÀ ¥ÀæPÀgÀtzÀ°è ¨sÁVAiÀiÁV¢ÝÃgÁ ?
Have you been involved in any Criminal Cases ? *

«ªÀgÀ ¤ÃqÀÄªÀÅzÀÄ
Give details *

AiÀiÁªÀÅzÁzÀgÀÆ E¯ÁSÁ «ZÁgÀuÉAiÀÄ°è ¨sÁVAiÀiÁV¢ÝÃgÁ ?
Have you been involved in any Departmental Enquiry ? *

«ªÀgÀ ¤ÃqÀÄªÀÅzÀÄ
Give details *

¤ÃªÀÅ C¥ÀgÁzsÀ ªÉÆPÀzÀÝªÉÄAiÀÄ°è ²PÉëUÉ M¼À¥ÀnÖgÀÄ«gÁ ?
Have you been convicted in a Criminal Case ? *

«ªÀgÀ ¤ÃqÀÄªÀÅzÀÄ
Give details *

«zÁåºÀðvÉ «ªÀgÀ / Educational Qualification Details

Educational Qualification

«zÁåºÀðvÉ / Educational Qualification *

vÀvÀìªÀiÁ£À «zÁåºÀðvÉ ºÉÆA¢zÀÝgÉ £ÀªÀÄÆ¢¹ / If Equivalent, Please specify *

J¸ïJ¸ïJ¯ï¹ £ÉÆÃAzÀtÂ ¸ÀASÉå.
SSLC Registration No. *

J¸ïJ¸ïJ¯ï¹ ¥ÀjÃPÉëAiÀÄ°è PÀ£ÀßqÀªÀ£ÀÄß C¨sÀå¹¹¢ÝÃgÁ ?
In SSLC have you studied the Kannada Language as *

GwÛÃtðgÁzÀ ªÀµÀð / Year Of Passing *

UÀ½¹zÀ CAPÀUÀ¼ÀÄ Mark Type *

UÀ½¹zÀ ±ÉæÃtÂ
Obtained Grade *

UÀjµÀÖ CAPÀUÀ¼ÀÄ
Maximum Marks *

UÀ½¹zÀ CAPÀUÀ¼ÀÄ
Secured Marks *

±ÉÃPÀqÁªÁgÀÄ CAPÀ
Percentage *

PUC Qualification

¦AiÀÄÄ¹ «zÁåºÀðvÉ ºÉÆA¢gÀÄ«gÁ ? / Do you possess PUC Qualifications ? *

¦AiÀÄÄ¹ £ÉÆÃAzÀtÂ ¸ÀASÉå. / PUC Registration No. *

GwÛÃtðgÁzÀ ªÀµÀð / Year Of Passing *

UÀ½¹zÀ CAPÀUÀ¼ÀÄ Mark Type *

UÀ½¹zÀ ±ÉæÃtÂ
Obtained Grade *

UÀjµÀÖ CAPÀUÀ¼ÀÄ
Maximum Marks *

UÀ½¹zÀ CAPÀUÀ¼ÀÄ
Secured Marks *

±ÉÃPÀqÁªÁgÀÄ CAPÀ
Percentage *

Degree Qualification

¥ÀzÀ« ºÉÆA¢gÀÄ«gÁ? / Do you possess Degree Qualifications ? *

¥ÀzÀ« £ÉÆÃAzÀtÂ ¸ÀASÉå. / Degree Registration No. *

GwÛÃtðgÁzÀ ªÀµÀð / Year Of Passing *

UÀ½¹zÀ CAPÀUÀ¼ÀÄ Mark Type *

UÀ½¹zÀ ±ÉæÃtÂ
Obtained Grade *

±ÉÃPÀqÁªÁgÀÄ CAPÀ
Percentage *

zÁR¯É C¥À¯ÉÆÃqï / Document Upload

C¥ï¯ÉÆÃqï ªÀiÁqÀÄªÀ UÀÄgÀÄw£À aÃnAiÀÄ£ÀÄß DAiÉÄÌ ªÀiÁqÀÄªÀÅzÀÄ
Select the uploading Identity Card *

UÀÄgÀÄw£À aÃnAiÀÄ ¸ÀASÉå
Identity Card No. *

zÉÃºÀzÀ ªÉÄÃ°£À UÀÄgÀÄvÀÄ 1 / Identification of Marks 1

zÉÃºÀzÀ ªÉÄÃ°£À UÀÄgÀÄvÀÄ 2 / Identification of Marks 2

Photo Instructions

Please Upload your scanned passport size photograph, signature, Identity Card mentioned above and Left Thumb Impression images.

All the images are mandatory. The image properties should be as follows,

• Photo- 400 X 400 Pixel, Size 250 kb
• Signature- 400 x 300 Pixel, Size 250 kb
• Left thumb impression- 400 x 300 Pixel, Size 250 kb
• Identity Card- 400 x 300 Pixel, Size 250 kb

Valid image formats are gif, jpg, jpeg and png.You cannot add other formats

zÀAiÀÄ«lÄÖ ¸ÁÌöå£ï ªÀiÁrgÀÄªÀ ¤ªÀÄä ¥Á¸ï¥ÉÆÃmïð ¸ÉÊeï ¨sÁªÀavÀæ, ¸À», JqÀUÉÊ ºÉ¨ÉâgÀ¼ÀÄ ºÁUÀÆ UÀÄgÀÄw£À aÃnAiÀÄ£ÀÄß C¥ï¯ÉÆÃqï ªÀiÁqÀÄªÀÅzÀÄ,

PÉ¼ÀUÉ £ÀªÀÄÆ¢¹gÀÄªÀ vÁAwæPÀ «µÀAiÀÄUÀ¼ÀAvÉ C¨sÀåyðAiÀÄÄ ¨sÁªÀavÀæ ºÁUÀÆ ¸À»AiÀÄ£ÀÄß ¸ÁÌöå£ï ªÀiÁqÀvÀPÀÌzÀÄÝ
• ¨sÁªÀavÀæ - 400 X 400 Pixel, Size 250 kb
• ¸À» - 400 x 300 Pixel, Size 250 kb
• JqÀ ºÉ¨ÉâgÀ½£À UÀÄgÀÄvÀÄ - 400 x 300 Pixel, Size 250 kb
• UÀÄgÀÄw£À ¥ÀvÀæ - 400 x 300 Pixel, Size 250 kb

Image F £Á®ÄÌ ¥sÁgïªÀiÁåmï£À°è gif, jpg , jpeg, ªÀÄvÀÄÛ png , ºÉÆA¢gÀvÀPÀÌzÀÄÝ. DzÀgÉ EvÀgÉ ¥sÁgïªÀiÁåmï£À°è ¸À°è¹zÀ Image C£ÀÄß ¥ÀjUÀtÂ¸À¯ÁUÀÄªÀÅ¢®è.

Choose Photo

ಡಾಕ್ಯುಮೆಂಟ್ಸ್ ಫೋಟೋ / Photo *

Choose Signature

ದಾಖಲೆಗಳ ಸಹಿ / Signature *

Choose Left Thumb Impression

ಡಾಕ್ಯುಮೆಂಟ್ಸ್ ಹೆಬ್ಬೆರಳು / Left Thumb Impression *

Choose ID

ದಾಖಲೆಗಳ ಗುರುತಿನ ಚೀಟಿ / Identity Card *

WÉÆÃµÀuÉ

CfðAiÀÄ°è w½¹gÀÄªÀ «ªÀgÀUÀ¼ÀÄ £À£ÀUÉ w½zÀ ªÀÄnÖUÉ ªÀÄvÀÄÛ £Á£ÀÄ £ÀA§ÄªÀμÀÖgÀ ªÀÄnÖUÉ ¤dªÉAzÀÄ ªÀÄvÀÄÛ ¸Àj¬ÄzÉAiÉÄAzÀÄ, F ªÀÄÆ®PÀ WÉÆÃ¶¸ÀÄvÉÛÃ£É. £Á£ÀÄ ¤ÃqÀ¯ÁzÀ AiÀiÁªÀÅzÉÃ ªÀiÁ»wAiÀÄÄ ¥ÀjÃPÉë/£ÉÃªÀÄPÁw ªÀÄÄAZÉ, £ÀqÉAiÀÄÄªÁUÀ CxÀªÁ vÀgÀÄªÁAiÀÄ ¸ÀÄ¼ÀÄî CxÀªÁ vÀ¥ÉàAzÀÄ PÀAqÀÄ §AzÀ ¸ÀAzÀ¨sÀðzÀ°è CxÀªÁ C£ÀºÀðvÉ ¥ÀvÉÛAiÀiÁzÀ ¸ÀAzÀ¨sÀðzÀ°è £ÉÃªÀÄPÁw ¸À«ÄwAiÀÄÄ £À£Àß «gÀÄzÀÝ ¤AiÀiÁªÀiÁ£ÀÄ¸ÁgÀ PÀæªÀÄ PÉÊUÉÆ¼Àî§ºÀÄzÀÄ JAzÀÄ £À£ÀUÉ w½¢gÀÄvÀÛzÉ.
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£Á£ÀÄ N¦àgÀÄvÉÛÃ£É / I Agree