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Bmjvwg Aviwe wek¦we`¨vjq, XvKv| Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv_x©i ZvwjKv †K‡›`ªi bvg t †K‡›`ªi †KvW b¤^i t bs †iwR‡÷ªkb b¤^i Abycw¯’Z welqmg~‡ni †KvW (cixÿvi µgvbymv‡i) gšÍe¨ 1 2 3 4 5 6 7 8 9 10 G ZvwjKv 3 Kwc •Zwi Ki‡Z n‡e| ZË¡ xq cixÿv †kl nIqvi 7 w`‡bi g‡a¨ Bmjvwg Aviwe wek¦ we`¨vj‡qi cixÿv wbqš¿K kvLvq 1 Kwc Ges wek¦ we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e| 1 Kwc †K›`ª mwPe msiÿY Ki‡eb| D‡jøL¨ †h, cixÿvi djvdj cÖwµqvKi‡Yi Kv‡R GB ZvwjKvB P~ovšÍ e‡j we‡ewPZ n‡e| GB ZvwjKvq †Kvb fzj-ÎæwU cwijwÿZ n‡j mswkø ó †K›`ª mwPe `vqx _vK‡eb| Kÿ cwi`k©‡Ki bvg I ¯^ vÿi fvicÖvß Kg©KZ©vi ¯^ vÿi I mxj

Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

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Page 1: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

Kvwgj 1g ce© cixÿv-2016 wLª÷vã

cixÿvq Abycw¯’Z cixÿv_x©i ZvwjKv

†K‡› ª̀i bvg t †K‡› ª̀i †KvW b¤̂i t

bs †iwR‡÷ªkb b¤̂i Abycw ’̄Z welqmg~‡ni †KvW (cixÿvi µgvbymv‡i) gšÍe¨

1

2

3

4

5

6

7

8

9

10

G ZvwjKv 3 Kwc •Zwi Ki‡Z n‡e| ZË¡xq cixÿv †kl nIqvi 7 w`‡bi g‡a¨ Bmjvwg Aviwe wek¦we`¨vj‡qi cixÿv wbqš¿K kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e| 1 Kwc †K›`ª mwPe msiÿY Ki‡eb|

D‡jøL¨ †h, cixÿvi djvdj cÖwµqvKi‡Yi Kv‡R GB ZvwjKvB P~ovšÍ e‡j we‡ewPZ n‡e| GB ZvwjKvq †Kvb fzj-ÎæwU cwijwÿZ n‡j mswkøó †K›`ª mwPe `vqx _vK‡eb|

Kÿ cwi`k©‡Ki bvg I ¯v̂ÿi fvicÖvß Kg©KZ©vi ¯v̂ÿi I mxj

Page 2: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

Bmjvwg Aviwe wek¦we`¨vjq, XvKv

Kvwgj 1g ce© cixÿv-2016

Ae¨eüZ gvjvgvj †diZ cvVv‡bvi dig

†K‡› ª̀i bvg : ...................................................................................................................................

†K‡› ª̀i †KvW b¤̂i :..................................... cixÿvi bvg : .............................................. mb................

LvZvi msL¨v:

(K) g~j LvZv :..................................

(L) AwZwi³ LvZv : ..........................

(M) e¨envwiK LvZv :..........................

wb‡¤œi QK Aek¨B c~iY Ki‡Z n‡e t

µg weeiY cÖvß gvjvgv‡ji msL¨v e¨eüZ gvjvgv‡ji msL¨v ÎæwU hy³ msL¨v DØ„Ë msL¨v

1. g~j LvZvi msL¨v

2. AwZwi³ LvZvi msL¨v

3. e¨envwiK LvZvi msL¨v

4. e¨envwiK b¤̂i cÎ

5. OMR-Gi 1g Ask †cÖi‡Yi KvUz©b msL¨v

6. K‡iv‡M‡UW †evW© msL¨v

7. e¯Ívi msL¨v

8. Uªvs‡Ki msL¨v

9. Zvjvi msL¨v

10.

wet `ªt (1) MYbvi ci LvZv Kg ev †ewk cvIqv wM‡q _vK‡j A_ev Ab¨ †K›`ª n‡Z MÖnY K‡i _vK‡j g~j, AwZwi³ LvZv,

e¨envwiK LvZv I e¨envwiK b¤^i c‡Îi µwgK b¤^i D‡jøL K‡i Zv‡Z †K›`ª ZË¡eavq‡Ki ¯^vÿi MÖnY c~e©K Zvi

GKwU Kwc gvjvgvj †dir †`Iqvi mgq cixÿv wbqš¿‡Ki wbKU Rgv w`‡Z n‡e|

(2) g~j LvZv/AwZwi³ LvZv/e¨envwiK LvZv cÖvwß I e¨env‡ii GKwU Avjv`v kxU Rgv w`‡Z n‡e|

¯v̂ÿi :.............................................................

ZvwiL : ............................................................

fvicÖvß Kg©KZ©vi bvg :.........................................

†K› ª̀ b¤̂i :........................................................

†K› ª̀ †KvW b¤̂i :................................................

Page 3: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

Kvwgj 1g ce© cixÿv-2016

†K‡›`ª cÖwZw`b/cÖwZ cixÿvq e¨eüZ gvjvgv‡ji ZvwjKv

cixÿv_©xi msL¨v :.................................................................... †Rjvi bvg :.........................................................

(K) dvwRj Abvm© ............... el© ........................................ Rb †K‡› ª̀i bvg :........................................................

(L) dvwRj cvm ................. el© ........................................ Rb †K›`ª †KvW bs :.....................................................

(M) Kvwgj ........................ ce© ........................................ Rb

†gvU ........................................ Rb

ZvwiL : ..............................................................

µg miÄvgvw`i weeiY cwigvY c¨v‡KU msL¨v gšÍe¨

1. g~j LvZv

2. AwZwi³ LvZv

3. e¨envwiK LvZv

4. OMR-Gi 1g Ask †cÖi‡Yi KvUz©b msL¨v

5. †iwR: wPiKzU/wmU cø¨vb

6. ¯v̂ÿi wjwc

7. wk‡ivbvg cÎ

8. ev‡Ûj †j‡ej

9. DËicÎ †cÖi‡Yi mgwš̂Z weeiY

10. K‡iv‡M‡UW †ev‡W©i msL¨v

11. e¨envwiK cÖvß b¤̂‡ii ZvwjKv dig

12. wbqg f½ msµvšÍ Z_¨ dig

13. cÖkœcÎ †Lvjvi mvwU©wd‡KU dig

14. ewn¯‹vi wjwc

15. cixÿvq Abycw ’̄Z cixÿv_©xi ZvwjKv dig

16. †K‡› ª̀ gvjvgvj e¨envi dig

17. †K› ª̀ KZ©„K DØ„Ë gvjvgvj †dir dig

18. cixÿvq ewn¯‹vi ZvwjKv dig

19. cixÿvi mgqm~Px

20. g~j LvZvi e¯Ívi msL¨v

21. AwZwi³ LvZvi e¯Ívi msL¨v

22. e¨envwiK LvZvi e¯Ívi msL¨v

¯̂vÿi :.............................................................

ZvwiL : ............................................................

fvicÖvß Kg©KZ©vi bvg :.........................................

†K› ª̀ b¤̂i :........................................................

†K› ª̀ †KvW b¤̂i :................................................

Page 4: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

cixÿv wbqš¿K `dZi

www.iau.edu.bd

[email protected]

Bmjvwg Aviwe wek¦we`¨vjq

evwo bs-124/22we, eøK-G, moK bs-03

I‡q÷ avbgwÛ, ewQjv, †gvnv¤§`cyi XvKv-1207|

cixÿv wbqš¿‡Ki `dZi n‡Z M„nxZ I cixÿvq e¨eüZ g~j DËicÎ I AwZwi³ DËic‡Îi wnmve weeiYx

cixÿv †K‡›`ªi bvg :...................................................................... †K›`ª †KvW.....................

cixÿvi bvg :..................................................................................................................

cixÿvi ZvwiL welq cÎwk‡ivbvg AskMÖnYKvix

cixÿv_©xi msL¨v

e¨eüZ g~j

DËic‡Îi msL¨v

e¨eüZ AwZwi³

DËic‡Îi msL¨v

e¨envwiK cixÿvq

e¨eüZ AwZwi³

DËic‡Îi msL¨v

†gvU=

wet ª̀t GB wnmve weeiYxwU cixÿv wbqš¿K, Bmjvwg Aviwe wek¦we`¨vjq eivei †cÖiY Ki‡Z n‡e|

fvicÖvß Kg©KZ©v

I

Aa¨ÿ

................................................................ gv`ivmv|

Page 5: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

Bmjvwg Aviwe wek¦we`¨vjq, XvKv

cixÿv PjvKv‡j cixÿv_x© KZ…©K cixÿvi wbqg f½ msµvšÍ †Mvcbxq Z_¨ dig

`ªóe¨t cÖ‡Z¨K cixÿv_x©i Rb¨ Avjv`v dig e¨envi Ki‡Z n‡e| di‡gi †Kvb Ask Lvwj ivLv hv‡e bv| DËicÎmn AvUK Kiv

KvMRc‡Îi mv‡_ GB wi‡cvU© mshy³ K‡i ¯̂Zš¿/Avjv`v c¨v‡K‡U †iwR÷ªvW© WvK‡hv‡M cixÿv wbqš¿K eivei m‡½ m‡½ †cÖiY

Ki‡Z n‡e| bKj Kivi mgq †h KvMRcÎ aiv n‡q‡Q †m KvMRcÎ †h ch©‡eÿK/Awdmvi bKj a‡i‡Qb †m ch©‡eÿK/Awdmvi

KZ…©K ZvwiLmn ¯^vÿi Øviv mZ¨vwqZ n‡Z n‡e| G wi‡cvU© Qvov GZ`msµvšÍ †Kvb welq we‡ePbv Kiv n‡e bv|

1| cixÿvi bvg .................................................. mvj .............. †K›`ª ................................... †K›`ª †KvW .......................

2| †h cixÿv_x©i weiæ‡× wi‡cvU© †`Iqv n‡q‡Q Zvi weeiY

†iwR‡÷ªkb bs ........................................................

wkÿvel© ................................................................

3| wi‡cv‡U©i m‡½ RwoZ cixÿvi weeiY| welq .......................................... cÎ ....................

4| NUbvi ZvwiL I mgq ZvwiL......................................... mgq ...................

5| Kÿ ch©‡eÿK A_ev Kvh©iZ Ab¨ †h Awdmvi bKj a‡i‡‡Qb Zvi weeiY|

(whwb bKj a‡i‡Qb Zvi g~j wi‡cvU© mshy³ K‡i w`‡Z n‡e|)

bvg ......................................................................

c`ex ....................................................................

†h Kv‡R wbhy³ n‡q‡Qb .............................................

6| cixÿv_x©‡K bKj Kivi mgq aiv n‡q‡Q A_ev Zvi wbKU bKj Kivi gZ

KvMRcÎ wQj e‡j a„Z n‡q‡Q Ges †m bKj Kivi KvR m¤úbœ Ki‡Z

mg_© n‡q‡Q wKbv Zvi cÖK…Z Ae¯’vi c~Y© weeiY w`‡Z n‡e| hw` bKj

Kivi mgq aiv n‡q _v‡K Z‡e †h Ask bKj Kiv n‡q‡Q †mB Ask DËi

c‡Î Ges bK‡ji KvMRc‡Î jvj Kvwj Øviv Aek¨B wPwýZ Ki‡Z n‡e

Ges †h ch©‡eÿK/Awdmvi welqwU ai‡jb ZvwiLmn Zvi ¯̂vÿi †mLv‡b

_vK‡Z n‡e|

7| cixÿv_x© KvMRcÎ mgc©Y Ki‡Z †Kvb evav w`‡q _vK‡j A_ev Agvb¨

K‡i _vK‡j A_ev cwi`k©biZ Kg©KZ©vi mv‡_ A‰ea AvPiY K‡i _vK‡j

Zvi we Í̄vwiZ weeiY w`‡Z n‡e| (cÖ‡qvR‡b AwZwi³ KvMR e¨envi Kiv

hv‡e|)

8| cixÿv_x©‡K ewn¯‹vi bv K‡i k„•Ljv aviv Abyhvqx cixÿv †`Iqvi AbygwZ

cÖ̀ Ë n‡q _vK‡j Giƒc e¨e ’̄v Aej¤^‡bi KviYmn eY©bv Ki‡Z n‡e|

(cÖ‡qvR‡b AwZwi³ KvMR e¨envi Kiv hv‡e|) Ges Zvi DËicÎ

Avjv`vfv‡e †Mvcbxq cÖwZ‡e`b Ges Ab¨vb¨ KvMRcÎmn wek¦we`¨vj‡q

†cÖiY Ki‡Z n‡e|

9| AvUK Kiv KvMRcÎ (DËicÎ, cÖ‡ekcÎ, bKj Kivi KvMR) Ges

GZ`m‡½ `vwLj Kiv Ab¨vb¨ wi‡cv‡U©i we Í̄vwiZ weeiY|

10| Kÿ cwi`k©‡Ki mxj‡gvnimn ¯̂vÿi

fvicÖvß Kg©KZ©vi ¯̂vÿi

mxj‡gvni

(wek¦we`¨vjq Awdm KZ…©K c~iY Kiv n‡e)

11| k„•Ljv weavqK KwgwUi wbKU KvMRcÎmn NUbvi

welqe¯‘ †ck Kivi ZvwiL........................

12| cixÿv wbqš¿‡Ki mycvwik

cixÿv wbqš¿K

13| k„•Ljv weavqK KwgwUi wm×všÍ

mfvcwZ

k„•Ljv weavqK KwgwU

14| DcvPv‡h©i Aby‡gv`b

DcvPvh©

Bmjvwg Aviwe wek¦we`¨vjq|

Page 6: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

Kvwgj 1g ce© cixÿv-2016

cixÿvq ewn¯‹v‡ii ZvwjKv dig

†K› ª̀ †KvW ..........................†K‡›`ªi bvg ........................................ †Rjv .........................

µg †iwR‡÷ªkb b¤̂i †h wel‡q ewn¯‹vi n‡q‡Q

†m wel‡qi bvg

†h wel‡q ewn¯‹vi n‡q‡Q

†m wel‡qi †KvW

gšÍe¨

(kvw¯Íi aviv D‡jøL Kiæb)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

* GB ZvwjKv 3 Kwc •Zwi Ki‡Z n‡e| e¨envwiK cixÿv †kl nIqvi 7 w`‡bi g‡a¨ wek¦we`¨vj‡qi cixÿv wbqš¿K

kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K› ª̀ mwPe msiÿY Ki‡eb|

* D‡jøL¨ †h, cixÿvi djvdj cÖwµqvKi‡Yi Kv‡R GB ZvwjKvB PyovšÍ e‡j we‡ewPZ n‡e| GB ZvwjKvq †Kvb fzj-

ÎæwU cwijwÿZ n‡j mswkøó †K› ª̀ mwPe `vqx _vK‡eb|

fvicÖvß Kg©KZ©vi ¯v̂ÿi I mxj

Page 7: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

cÖkœ-c‡Îi c¨v‡KU †Lvjvi mvwU©wd‡KU

Kvwgj 1g ce© cixÿv-2016

ZvwiL ..........................................

wba©vwiZ Zvwi‡Li Rb¨ mxj‡gvniK…Z cÖkœc‡Îi c¨v‡KU/c¨v‡KU¸‡jv †K‡› ª̀i

wb¤œwjwLZ Kg©KZ©v‡`i m¤§y‡L †Lvjv nj|

bs bvg c`ex ¯v̂ÿi

1

2

3

fvicÖvß Kg©KZ©vi ¯v̂ÿi I mxj

Dc‡i ewY©Z mvwU©wd‡KU cÖ‡Z¨K w`‡bi cixÿvi DËi c‡Îi P~ovšÍ ev‡Û‡ji mv‡_ `vwLj Ki‡Z n‡e|

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

cÖkœ-c‡Îi c¨v‡KU †Lvjvi mvwU©wd‡KU

Kvwgj 1g ce© cixÿv-2016

ZvwiL ..........................................

wba©vwiZ Zvwi‡Li Rb¨ mxj‡gvniK…Z cÖkœc‡Îi c¨v‡KU/c¨v‡KU¸‡jv †K‡› ª̀i

wb¤œwjwLZ Kg©KZ©v‡`i m¤§y‡L †Lvjv nj|

bs bvg c`ex ¯v̂ÿi

1

2

3

fvicÖvß Kg©KZ©vi ¯v̂ÿi I mxj

Dc‡i ewY©Z mvwU©wd‡KU cÖ‡Z¨K w`‡bi cixÿvi DËi c‡Îi P~ovšÍ ev‡Û‡ji mv‡_ `vwLj Ki‡Z n‡e|

Page 8: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

Kvwgj 1g ce© cixÿv-2016 wLª÷vã

wjwLZ DËic‡Îi cÖwZwU ev‡Û‡ji Dc‡i jvMv‡bvi Rb¨

ev‡Ûj †j‡ej

welq/cÎ wk‡ivbvg :.....................................................................................

welq †KvW : ..............................................................................................

cÖkœ †KvW : ................................................................................................

ev‡Û‡ji Af¨šÍ‡i DËic‡Îi msL¨v : ...............................................................

we.`ª. AbwaK 50wU DËicÎ Dc‡i wb‡P K‡iv‡M‡UW †evW© Øviv †eu‡a GKwU ev‡Ûj •Zix Ki‡Z n‡e| cÖwZwU

ev‡Û‡ji Dci wbw`©ó GB ev‡Ûj †j‡ej jvMv‡Z n‡e| GB ev‡Ûj †j‡e‡ji Dci ev ev‡Û‡ji Ab¨ †Kvb ’̄v‡b

†Kvb cÖKvi wPý/mxj‡gvni wKsev †K‡›`ªi †Kvb cÖKvi cwiwPwZ †`Iqv m¤ú~Y© wbwl×| GKB ev‡Û‡ji g‡a¨ Ab¨

†Kvb welq †Kv‡Wi DËicÎ cvVv‡bv hv‡e bv|

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

Kvwgj 1g ce© cixÿv-2016 wLª÷vã

wjwLZ DËic‡Îi cÖwZwU ev‡Û‡ji Dc‡i jvMv‡bvi Rb¨

ev‡Ûj †j‡ej

welq/cÎ wk‡ivbvg :.....................................................................................

welq †KvW : ..............................................................................................

cÖkœ †KvW : ................................................................................................

ev‡Û‡ji Af¨šÍ‡i DËic‡Îi msL¨v : ...............................................................

we.`ª. AbwaK 50wU DËicÎ Dc‡i wb‡P K‡iv‡M‡UW †evW© Øviv †eu‡a GKwU ev‡Ûj •Zix Ki‡Z n‡e| cÖwZwU

ev‡Û‡ji Dci wbw`©ó GB ev‡Ûj †j‡ej jvMv‡Z n‡e| GB ev‡Ûj †j‡e‡ji Dci ev ev‡Û‡ji Ab¨ †Kvb ’̄v‡b

†Kvb cÖKvi wPý/mxj‡gvni wKsev †K‡›`ªi †Kvb cÖKvi cwiwPwZ †`Iqv m¤ú~Y© wbwl×| GKB ev‡Û‡ji g‡a¨ Ab¨

†Kvb welq †Kv‡Wi DËicÎ cvVv‡bv hv‡e bv|

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

Kvwgj 1g ce© cixÿv-2016 wLª÷vã

wjwLZ DËic‡Îi cÖwZwU ev‡Û‡ji Dc‡i jvMv‡bvi Rb¨

ev‡Ûj †j‡ej

welq/cÎ wk‡ivbvg :.....................................................................................

welq †KvW : ..............................................................................................

cÖkœ †KvW : ................................................................................................

ev‡Û‡ji Af¨šÍ‡i DËic‡Îi msL¨v : ...............................................................

we.`ª. AbwaK 50wU DËicÎ Dc‡i wb‡P K‡iv‡M‡UW †evW© Øviv †eu‡a GKwU ev‡Ûj •Zix Ki‡Z n‡e| cÖwZwU

ev‡Û‡ji Dci wbw`©ó GB ev‡Ûj †j‡ej jvMv‡Z n‡e| GB ev‡Ûj †j‡e‡ji Dci ev ev‡Û‡ji Ab¨ †Kvb ’̄v‡b

†Kvb cÖKvi wPý/mxj‡gvni wKsev †K‡›`ªi †Kvb cÖKvi cwiwPwZ †`Iqv m¤ú~Y© wbwl×| GKB ev‡Û‡ji g‡a¨ Ab¨

†Kvb welq †Kv‡Wi DËicÎ cvVv‡bv hv‡e bv|

Bmjvwg Aviwe wek¦we`¨vjq, XvKv|

Kvwgj 1g ce© cixÿv-2016 wLª÷vã

wjwLZ DËic‡Îi cÖwZwU ev‡Û‡ji Dc‡i jvMv‡bvi Rb¨

ev‡Ûj †j‡ej

welq/cÎ wk‡ivbvg :.....................................................................................

welq †KvW : ..............................................................................................

cÖkœ †KvW : ................................................................................................

ev‡Û‡ji Af¨šÍ‡i DËic‡Îi msL¨v : ...............................................................

we.`ª. AbwaK 50wU DËicÎ Dc‡i wb‡P K‡iv‡M‡UW †evW© Øviv †eu‡a GKwU ev‡Ûj •Zix Ki‡Z n‡e| cÖwZwU

ev‡Û‡ji Dci wbw`©ó GB ev‡Ûj †j‡ej jvMv‡Z n‡e| GB ev‡Ûj †j‡e‡ji Dci ev ev‡Û‡ji Ab¨ †Kvb ’̄v‡b

†Kvb cÖKvi wPý/mxj‡gvni wKsev †K‡›`ªi †Kvb cÖKvi cwiwPwZ †`Iqv m¤ú~Y© wbwl×| GKB ev‡Û‡ji g‡a¨ Ab¨

†Kvb welq †Kv‡Wi DËicÎ cvVv‡bv hv‡e bv|

Page 9: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

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2016 mv‡ji 1g el© dvwRj cvm cixÿvq •`wbK Abycw ’̄Z/ewn¯‹…Z cixÿv_x©‡`i †iwR‡÷ªkb b¤̂i m¤̂wjZ ZvwjKv:

cixÿv †K‡› ª̀i bvg .......................................................... †K› ª̀ †KvW b¤̂i ............................................

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Abycw ’̄Z cixÿv_x©‡`i †iwR‡÷ªkb b¤̂i t

ewn¯‹…Z cixÿv_x©‡`i †iwR‡÷ªkb b¤̂i t

Kÿ cwi`k©‡Ki bvg I ¯v̂ÿi

ZvwiL ............................

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ZvwiL ....................

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Page 10: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

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Page 11: Kvwgj 1g ce© cixÿv-2016 wLª÷vã cixÿvq Abycw¯’Z cixÿv x©i ... · kvLvq 1 Kwc Ges wek¦we`¨vj‡qi AvB.wm.wU kvLvq 1 Kwc cvVv‡Z n‡e Ges 1 Kwc †K›`ª mwPe msiÿY

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cixÿvi †K› ª̀ .......................................................................................... †K› ª̀ †KvW :........................

gv`ivmvi bvg :........................................................................................ gv`ivmv †KvW :.....................

cixÿv_©xi bvg :.................................................................................................................................

wcZvi bvg :......................................................................................................................................

gvZvi bvg :......................................................................................................................................

†iwR‡÷ªkb b¤̂i : .................................................................................... wkÿvel© :............................

ZvwiL welq/cÎ wk‡ivbvg welq

†KvW cixÿv_©xi ¯̂vÿi

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fvicÖvß Kg©KZ©vi bvg ........................................... ...................................

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2. Kÿ cwi`k©K cixÿv_©x KZ…©K c~iYK…Z Z_¨vejx hvPvB K‡i ¯̂vÿiwjwci wba©vwiZ ’̄v‡b c~Y©bvg wj‡L ¯^vÿi Ki‡eb|

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welq †KvW :.................................. cÖkœ †KvW :.....................................

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†K› ª̀ mwP‡ei ¯v̂ÿi I mxj

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welq †KvW t .....................................................cixÿvi ZvwiL t...............................................................

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Abycw ’̄Z cixÿv_©xi †iwR: b¤̂img~n (cÖwZwU wjL‡Z n‡e) t...............................................................................

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ewn¯‹…Z cixÿv_x©i †iwR: b¤̂i mg~n (cÖwZwU wjL‡Z n‡e) t ..........................................................................

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Dcw ’̄Z cixÿv_x©i msL¨v t...................................(.............................................................................) Rb

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cÖ Í̄yZKvixi ¯v̂ÿi cixÿv †K‡› ª̀i Kÿ cwi`k©‡Ki ¯v̂ÿi fvicÖvß Kg©KZ©v

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