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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‡› ª̀i bvg t †K‡› ª̀i †KvW b¤̂i t
bs †iwR‡÷ªkb b¤̂i Abycw ’̄Z welqmg~‡ni †KvW (cixÿvi µgvbymv‡i) gšÍe¨
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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
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 :................................................
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 :................................................
cixÿv wbqš¿K `dZi
www.iau.edu.bd
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|
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|
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
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|
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|
Bmjvwg Aviwe wek¦we`¨vjq, XvKv
Kvwgj 1g ce© cixÿv-2016 wLª÷vã
ewn¯‹vi wjwc
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 ............................................
ZvwiL t ....................................................................... welq †KvW t .................................................
welq/cÎ wk‡ivbvg t ..........................................................................................................................
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 ............................
fvicÖvß Kg©KZ©vi ¯v̂ÿi I mxj
ZvwiL ....................
GB ZvwjKv cÖ‡Z¨K w`‡bi cixÿvi gyLc‡Îi mv‡_ †iwR÷ªvW© WvK‡hv‡M wek¦we`¨vj‡qi cixÿv wbqš¿K eivei †cÖiY Ki‡Z
n‡e| GwU †Kvb Ae ’̄v‡ZB DËic‡Îi mv‡_ ev‡· A_ev c¨v‡K‡U †cÖiY Kiv hv‡e bv|
Bmjvwg Aviwe wek¦we`¨vjq
XvKv|
Kvwgj 1g ce©
cixÿv-2016 wLª÷vã
†K›`ª..........................†iwR: bs.............................
Bmjvwg Aviwe wek¦we`¨vjq
XvKv|
Kvwgj 1g ce©
cixÿv-2016 wLª÷vã
†K›`ª..........................†iwR: bs.............................
Bmjvwg Aviwe wek¦we`¨vjq
XvKv|
Kvwgj 1g ce©
cixÿv-2016 wLª÷vã
†K›`ª..........................†iwR: bs.............................
Bmjvwg Aviwe wek¦we`¨vjq
XvKv|
Kvwgj 1g ce©
cixÿv-2016 wLª÷vã
†K›`ª..........................†iwR: bs.............................
Bmjvwg Aviwe wek¦we`¨vjq, XvKv
Kvwgj 1g ce© cixÿv-2016 wLª÷vã
¯^vÿiwjwc
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
DËic‡Îi Kfvi c„ôvi
(OMR) µwgK b¤̂i
Kÿ cwi`k©‡Ki
c~Y©bvg I ¯̂vÿi
fvicÖvß Kg©KZ©vi bvg ........................................... ...................................
¯v̂ÿi
bvg, c`exmn mxj
¯^vÿiwjwc mKj wel‡q cixÿv_©xi cixÿvq AskMÖn‡Yi GKgvÎ wbf©i‡hvM¨ `wjj| †m Kvi‡Y wb‡¤œv³ wbqgvejx h_vh_ ¸iæZ¡mnKv‡i cvjb Kivi Rb¨
mswkøó mKj‡K we‡klfv‡e Aby‡iva Kiv hv‡”Q:
1. cixÿv_©x wbR nv‡Z ¯̂vÿwjwc wba©vwiZ ’̄vbmg~n c~iY Ki‡e|
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|
3. fvicÖvß Kg©KZ©v ¯̂vÿiwjwc h_vh_fv‡e c~iY Kiv n‡q‡Q GB g‡g© wbwðZ n‡q mxjmn wba©vwiZ ¯’v‡b ¯̂vÿi Ki‡eb|
4. cixÿv_©xi e¨envwiK cixÿvi Rb¨I GKBfv‡e ¸iæZ¡mnKv‡i ¯̂vÿiwjwc e¨envi Ki‡Z n‡e|
5. cixÿv †kl nIqvi 3 (wZb) w`‡bi g‡a¨ †K‡›`ªi mKj cixÿv_©xi ¯̂vÿiwjwc †iwR‡÷ªk‡bi µgvbymv‡i h_vh_fv‡e mvwR‡q wek¦we`¨vj‡qi cixÿv
kvLvq Rgv w`‡Z n‡e|
6. †iwR‡÷ªkb kxU †`‡L cixÿv_©xi cwVZe¨ welqmg~n Aek¨B wjL‡Z n‡e|
7. cixÿv_©x †Kvb wel‡q Abycw¯’Z _vK‡j cixÿvi ZvwiL I wel‡qi bvg wj‡L cixÿv_©xi ¯̂vÿ‡ii Kjv‡g jvj Kvwj w`‡q ÒAbycw¯’ZÓ wj‡L Kÿ
cwi`k©K Zvi wba©vwiZ Kjv‡g Aek¨B ¯^vÿi Ki‡eb|
cixÿv wbqš¿K (AwZwi³ `vwqZ¡)
Bmjvwg Aviwe wek¦we`¨vjq, XvKv|
Bmjvwg Aviwe wek¦we`¨vjq, XvKv|
Kvwgj 1g ce© cixÿv-2016 wLª.
†K› ª̀ KZ©„K wek¦we`¨vj‡qi wbKU cixÿvi DËicÎ †cÖi‡Yi
mgwš^Z weeiY
ZvwiL :................................
wel‡qi bvg :.....................................................................................
cÎ wk‡ivbvg :...................................................................................
welq †KvW :.................................. cÖkœ †KvW :.....................................
†cÖwiZ †gvU ev‡Û‡ji msL¨v :.............................. wU
†cÖwiZ me©‡gvU DËi c‡Îi msL¨v :........................ wU
†K› ª̀ mwP‡ei ¯v̂ÿi I mxj
Bmjvwg Aviwe wek¦we`¨vjq, XvKv|
Kvwgj 1g ce© cixÿv-2016 wLª.
†K›`ª KZ©„K wek¦we`¨vj‡qi wbKU cixÿvi DËicÎ †cÖi‡Yi
mgwš^Z weeiY
ZvwiL :................................
wel‡qi bvg :.....................................................................................
cÎ wk‡ivbvg :...................................................................................
welq †KvW :.................................. cÖkœ †KvW :.....................................
†cÖwiZ †gvU ev‡Û‡ji msL¨v :.............................. wU
†cÖwiZ me©‡gvU DËi c‡Îi msL¨v :........................ wU
†K› ª̀ mwP‡ei ¯v̂ÿi I mxj
Bmjvwg Aviwe wek¦we`¨vjq, XvKv|
Kvwgj 1g ce© cixÿv-2016 wLª÷vã
wjwLZ cixÿvi Kfvi c„ôvi 1g Ask m¤̂wjZ cÖwZwU e‡·i*
wk‡ivbvg cÎ
cixÿvi welq/cÎ wk‡ivbvg t.....................................................................................................................
welq †KvW t .....................................................cixÿvi ZvwiL t...............................................................
c¨v‡K‡U DËi c‡Îi †iwR‡÷ªkb b¤̂img~n t ..................................................................................................
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Abycw ’̄Z cixÿv_©xi †iwR: b¤̂img~n (cÖwZwU wjL‡Z n‡e) t...............................................................................
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......................................................................... †gvU ............................(..................................... Rb)
fzjK…Z cixÿv_x©i †iwR: b¤̂i mg~n (cÖwZwU wjL‡Z n‡e) t..........................................................................
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......................................................................... †gvU ............................(..................................... Rb)
ewn¯‹…Z cixÿv_x©i †iwR: b¤̂i mg~n (cÖwZwU wjL‡Z n‡e) t ..........................................................................
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......................................................................... †gvU ............................(..................................... Rb)
Dcw ’̄Z cixÿv_x©i msL¨v t...................................(.............................................................................) Rb
†cÖwiZ e‡· DËic‡Îi Kfvi c„ôvi OMR-Gi †Quov As‡ki msL¨v t..................(.........................................) Rb
cÖ Í̄yZKvixi ¯v̂ÿi cixÿv †K‡› ª̀i Kÿ cwi`k©‡Ki ¯v̂ÿi fvicÖvß Kg©KZ©v
¯v̂ÿi I mxj