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8/19/2019 NEA FORM
http://slidepdf.com/reader/full/nea-form 1/4
b=kmf=g+=
g]kfn ljBt k|flws/)f vnf kltof]lutfsf] b/vf:t
btf{ g+=÷ldltMa} +s ef}r/÷/l;b g+= /sd ? ldlt M1= lj!fkg g+ +=M ===========================2= kbM If]qM
3= txM ;]jfM ;d'xM pk;d'xM k/LIff s]Gb|M4= pQm kbsf] nflu v"nf / ;dfj]zL ;d'xx? dWo] lj!fkg ePsf h"g h"g ;d"xdf cfj]bg ug] { xf] ;f]
;d'x d"lgsf] vfnL sf]&f leq &Ls-
_
lrGx nufpg] / g]kfn /fhkqdf ;'rLs[t gePsf ;dfj]zL eP;dfj]zL k|df)fsf] k|ltlnkL pd]bjf/ :jo+n] k|dfl)ft u/L clgjfo{ ;+nUg ug" { kg] {% .
-s_ v"nf -v_ dlxnf -u_ cflbjf;L÷hghftL -#_ dw];L -ª_ blnt -r_ ckfé -%_ lk%l*Psf] If]q
5= pDd]bjf/sf] gfdy/M -s_ b]jgful/dfM-v_ c+u| ]hLdf, (BLOCK LETTER) M
6= :yfoL &]ufgfM cGrnM lhNnfM uf=lj=;=÷g=kf=Mj*f g+=M ufp+÷^f]nM kmf]g g+=÷df]jfO{n g+= M7= xfnsf] &]ufgfM cGrnM lhNnfM uf=lj=;=÷g=kf=M
kmf]g g+=M df]jfOn g+=M8= hGd ldltM la=;+ ;fn dlxgf ut] O{:jL ;Djt ;fn dlxgf ut]9= b/vf:t lbg] clGtd ldlt;Dddf x"g] pd]/M ========jif{ ========dlxgf =======lbg10= lnéM 11=gful/stf g+= M 12= gful/stf lnPsf] lhNnfM
13= afa"sf] gfdy/M 14= cfdfsf] gfdy/ M15= afh]sf] gfdy/M 16= klt÷kTgLsf] gfdy/ M
17= z}lIfs of]Uotf, tflnd / sfof{g"ejM -b/vf:t kmf/fddf e/]sf] kbsf] nflu cfjZos kg] { Go'gtd z}lIfs of]Uotf
tflnd / sfof{g"ejdfq pNn]v ug] {_-s_ z}lIfs of]UotfMcWoog u/]sf] lzIf)f
;+:yfsf] gfdk/LIff lng];+:yf
k|fKt z}lIfsof]Uotf
;+sfo pQL)f{ ;fn >])fL k|fKt k|ltzt
-v_ tflndM la!fkgdf dfu eP cg";f/sf] tflnd pd]bjf/ :jo+n] k|ltlnkL k|dfl)ft u/L ;+nUg ug" {kg] {%Mtflnd lbg] ;+:yf / :yfg ;+:yfsf] btf{ g+= tflndsf] gfd tflndsf] cjlw
-u_ sfof{g"ejM la!fkgdf dfu eP cg";f/sf] sfof{g"ej pd]bjf/ :jo+n] k|ltlnkL k|dfl)ft u/L ;+nUg ug" {kg] {%M
sfof{nosf] gfd kb >])fL÷tx lgo"ltmsf] lsl;d;]jf u/]sf] cjlw
b]lv ;Dd
d'vfs[tL :ki^ b]lvxfn;fn} lvr]sf] kf;kf]̂ { ;fOhsf] kmf]^f] ^f+;LpDd]bjf/n] kmf]^f] / kmf/fddfkg] { u/L x:tfIf/ug] { .
8/19/2019 NEA FORM
http://slidepdf.com/reader/full/nea-form 2/4
18= lj!fkgdf dfu ul/Psf] b/vf:t;fy k]z u/]sf] sfuhftsf] ljj/)f pNn]v ug] {M
1= gful/stfsf] k|df)fkqsf] k|ltlnlk yfg2= cfjZos Go'gtd z}lIfs of]Uotfsf] k|df)fkqsf] k|ltlnlk yfg3= ;dfj]zLsf] k|df)fkqsf] k|ltlnlk yfg
4= tflndsf k|df)fkqsf] k|ltlnlk yfg
5= cg"ejsf k|df)fkqsf] k|ltlnlk yfghDdf ;+nUg k|df)fkqsf] k|ltlnkL yfgM
19= d}n] dfly pNn]v u/]sf ;a} ljj/)f &Ls ;f ¤rf] x"g\ , kl%;Dd km/s kg] { %}g, km/s k/]df jf Joxf]/fe" m§f &xl/Pdf sfg'g adf]lhd ;x"nf j"emfp+nf .
NofKr ;xL%fk
bfof+ jf+ofpd]bjf/sf] gfd / y/ M
pd]bjf/sf] x:tfIf/ Mldlt M
===============================================================================================================================================================
1= sfofnosf sd{rf/Ln eg ] {
s_ b/vf:t ?h" u/L a"emg]sf] gfd / x:tfIf/ M
v_ /f]n g+=
u_ If]q M #_ k/LIff s]Gb|M
4= b/vf:t lbPsf] ;d'xx?M -s_ -v_ -u_ -#_ -ª_ -r_ -%_
2= b/vf:t rs ug] sd{ rf/Lsf
] 3= b/vf:t k|dfl)ft ug] clws[ tsf
]
gfd y/M gfd y/M
b:tvt b:tvt
ldlt ldlt
8/19/2019 NEA FORM
http://slidepdf.com/reader/full/nea-form 3/4
g]kfn ljBt k|flws/)f
k/LIffyL{n] eg] { M vnf k|ltof]lutfsf] nflu k|j]z kq
1= lj!fkg g+ +=M ============================ 2= kbM
3= txM ;]jfM ;d'xM pk;d'xM k/LIff s]Gb| MIf]qM
4= pQm kbsf] nflu v"nf / ;dfj]zL ;d'x? dWo] lj!fkg ePsf h"g h"g ;d'xdf cfj]bg ug] { xf] ;f] ;d'xd"gLsf] vfnL sf]&f leq &Ls - _ lrGx nufpg"xf];\ .
-s_ v"nf -v_ dlxnf -u_ cflbjf;L÷hghftL -#_ dw];L -ª_ blnt -r_ ckfé -%_ lk%l*Psf] If]q
pDd]bjf/sf] gfdy/M pDd]bjf/sf] b:tvt M
sfof{non] eg] {M clwstsf] b:tvtM
/f]n g= bhfM
ldltM
=====================================================================================================================================================================
k/LIffyLn kfngf ug kg] lgodx? M
1= k|j]zkq ljgf k/LIffyL{nfO{ s"g} klg k/LIff -lnlvt÷k|of]ufTds / cGtjf{tf{_ df j:g lbOg] %}g / df]jfOn kmf]g ;d]tlgif]w ul/Psf] % .
2= k/LIff z"? x"g" eGbf 15 ldg]^ cuf*L #)^Låf/f ;'rgf u/]kl% k/LIff xndf k|j]z lbOg] % .3= Ps#)^f jf ;f] eGbf a(L ;dosf] k/LIff ePdf k/LIff z"? ePsf] 30 ldg]̂ ;Dd / Ps #)^f eGbf sd ;dosf]
k/LIff ePdf k/LIff z"? ePsf] 15 ldg]̂ ;Dd cfpg] k/LIffyL{nfO{ dfq k/LIffdf ;fd]n u/fpg ;lsg]% . k/LIff z"?ePsf] 30 ldg]^ kl% dfq k/LIffyL{nfO{ k/LIff xnjf^ jflx/ hfg lbOg]% . k/LIff xndf lstfj,skL,sfuh,rL^ cflbNofpg x" +b}g . k/LIffyL{ cfk;df s"/fsfgL / ;+s]t ug{ kfOg] %}g .
4= k/LIffyL{n] k/LIff xndf cg"lrt sfo{ u/]df jf ug] { pBf]u u/]df s]Gb|fWoIfn] lghnfO{ k/LIff xnjf^ lg:sf;g u/LTo;sf] k|ltj]bg lgo"ltm l;kmfl/; ;ldltdf lbg]% . lgo"ltm l;kmfl/; ;ldltsf] lg)f{ocg";f/ ;hfo x"g]% .
5= ;?jf /f]u nfu]sf] k/LIffyL{nfO{ xndf k|j]z lbOg] %}g . k/LIffyL{ xndf k|j]z u/L s]xL eP sfof{no hjfkmb]xL x"g] %}g .6= k/LIffyL{sf] gfddf lr&\ &L, kmf]g, jLdf cflb s]xL rLh cfO{ k"u]df ;f] k/LIffyL{n] pQ/sfkL gj"emfP;Dd ;f] lng lbg x"b}g .7= k/LIff o; sfof{nosf] lj!fkg jf ;'rgfdf pNn]lvt sfo{qmd cg";f/ x"g]% .8= k/LIffyL{n] cfk'mn] k/LIff lbPsf] lbgsf] xflh/ ug{ %"̂ ePsf] eP t"?Gt vj/ u/L xflh/ ug" { kb{% .9= k/LIffxn leq xf]xNnf ug" { x"b}g . s"g} k|Zgkqx? c:ki^ cIf/ eO{ ;f]Wg" kbf{ p&L c?nfO{ jfwf gkg] { u/L jf]Ng" kg] {% .10=k|j]zkqsf] k|ltlnlk k|fKt ug{sf] nflu pDd]bjf/n] cfkm\ gf] Ps k|lt kmf]̂ f] / ?=200÷ sf] ef}r/÷/l;b ;+nUg u/L
plrt sf/)f ;lxt sfof{nodf lgj]bg lbPdf k|j]zkqsf] k|ltlnlk pknAw u/fpg ;lsg]% .11= pQ/k"l:tsfsf] tf]lsPsf] :yfgdf afx]s cGoq pQ/k"l:tsfsf] s"g} klg &f+pdf -yk slkdf ;d]t_ gfd y/, /f]n
g+=,x:tfIf/ jf cfkm" lrlGxg] s"g} ;+s]t jf lrGx n]v]df To:tf] pd]bjf/sf] pQ/k"l:tsf /@ ug{ ;lsg] % .12= b/vf:t lbPsf] kbsf] nflu cfjZos kg] { Go"gtd z}lIfs of]Uotf, tflnd / sfof{g"ejsf] k|df)fkqsf ;Ssn k|lt ;lxt
cGtjf{tf{df pkl:yt x"g"kg] {% t/ SLC eGbf dfly Go'gtd of]Uotf tf]lsPsf] kbsf pDd]bjf/n] SLC b]lvs} z}lIfsof]Uotfsf sfuhftx?sf] ;Ssn k|lt ;d]t Nofpg"kg] {% _
13= k]z ug{ afsL /x]sf k|df)fkq, cg"ej, tflnd cflbsf k|ltlnlkx? cGtjf{tf{df pkl:yt x"g] lbg ;fydf lnO{ cfO{ ;f] lbgdf ;+nUg ug" {kg] {% .
-o; k[i^sf k%f*L lk|G^ gug{ xf] nf_
d'vfs[tL :ki^ b]lvg] xfn;fn} lvr]sf] kf;kf]̂ { ;fOhsf] kmf]̂ f] ^f;L pDd]bjf/n] kmf]̂ f] / kmf/fddfkg] { u/L x:tfIf/ug] { .
8/19/2019 NEA FORM
http://slidepdf.com/reader/full/nea-form 4/4
g]kfn ljBt k|flws/)f
k/LIffyL{n] eg] { M vnf kltof]lutfsf nflu k|jz kq
1= lj!fkg g+ +=M===================================== 2= kbM
3= txM ;]jfM ;d'xM pk;d'xM k/LIff s]Gb|M
4= pQm kbsf] nflu v"nf / ;dfj]zL ;d"xx? dWo] lj!fkg ePsf h"g h"g ;d"xdf cfj]bg ug] { xf] ;f] ;d"xd"gLsf] vfnL sf]&f leq &Ls - _ lrGx nufpg"xf];\ .
-s_ v"nf -v_ dlxnf -u_ cflbjf;L÷hghftL -#_ dw];L -ª_ blnt -r_ ckfé -%_ lk%l*Psf] If]q
pDd]bjf/sf] gfdy/M pDd]bjf/sf] b:tvt M
sfof{non] eg] {M clwstsf] b:tvtM
/f]n g= bhfM
l dltM
==============================================================================================================================================
k/LIffyL{n] kfngf ug kg] lgodx? M
1= k|j]zkq ljgf k/LIffyL{nfO{ s"g} klg k/LIff -lnlvt÷k|of]ufTds / cGtjf{tf{_ df j:g lbOg] %}g / df]jfOn kmf]g ;d]tlgif]w ul/Psf] % .
2= k/LIff z"? x"g" eGbf 15 ldg]^ cufl* #)^Låf/f ;'rgf u/]kl% k/LIff xndf k|j]z lbOg] % .3= Ps#)^f jf ;f] eGbf a(L ;dosf] k/LIff ePdf k/LIff z"? ePsf] 30 ldg]̂ ;Dd / Ps #)^f eGbf sd ;dosf]
k/LIff ePdf k/LIff z"? ePsf] 15 ldg]̂ ;Dd cfpg] k/LIffyL{nfO{ dfq k/LIffdf ;fd]n u/fpg ;lsg]% . k/LIff z"?ePsf] 30 ldg]^ kl% dfq k/LIffyL{nfO{ k/LIff xnjf^ jflx/ hfg lbOg]% . k/LIff xndf lstfj,skL,sfuh,rL^ cflbNofpg x" +b}g . k/LIffyL{ cfk;df s"/fsfgL / ;+s]t ug{ kfOg] %}g .
4= k/LIffyL{n] k/LIff xndf cg"lrt sfo{ u/]df jf ug] { pBf]u u/]df s]Gb|fWoIfn] lghnfO{ k/LIff xnjf^ lg:sf;g u/LTo;sf] k|ltj]bg lgo"ltm l;kmfl/; ;ldltdf lbg]% . lgo"ltm l;kmfl/; ;ldltsf] lg)f{ocg";f/ ;hfo x"g]% .
5= ;?jf /f]u nfu]sf] k/LIffyL{nfO{ xndf k|j]z lbOg] %}g . k/LIffyL{ xndf k|j]z u/L s]xL eP sfof{no hjfkmb]xL x"g] %}g .6= k/LIffyL{sf] gfddf lr&\ &L, kmf]g, jLdf cflb s]xL rLh cfO{ k"u]df ;f] k/LIffyL{n] pQ/sfkL gj"emfP;Dd ;f] lng lbg x"b}g .7= k/LIff o; sfof{nosf] lj!fkg jf ;'rgfdf pNn]lvt sfo{qmd cg";f/ x"g]% .
8= k/LIffyL{n] cfk'mn] k/LIff lbPsf] lbgsf] xflh/ ug{ %"̂ ePsf] eP t"?Gt vj/ u/L xflh/ ug" { kb{% .9= k/LIffxn leq xf]xNnf ug" { x"b}g . s"g} k|Zgkqx? c:ki^ cIf/ eO{ ;f]Wg" kbf{ p&L c?nfO{ jfwf gkg] { u/L jf]Ng" kg] {% .10=k|j]zkqsf] k|ltlnlk k|fKt ug{sf] nflu pDd]bjf/n] cfkm\ gf] Ps k|lt kmf]̂ f] / ?=200÷ sf] ef}r/÷/l;b ;+nUg u/L
plrt sf/)f ;lxt sfof{nodf lgj]bg lbPdf k|j]zkqsf] k|ltlnlk pknAw u/fpg ;lsg]% .11= pQ/k"l:tsfsf] tf]lsPsf] :yfgdf afx]s cGoq pQ/k"l:tsfsf] s"g} klg &f+pdf -yk slkdf ;d]t_ gfd y/, /f]n
g+=,x:tfIf/ jf cfkm" lrlGxg] s"g} ;+s]t jf lrGx n]v]df To:tf] pd]bjf/sf] pQ/k"l:tsf /@ ug{ ;lsg] % .12= b/vf:t lbPsf] kbsf] nflu cfjZos kg] { Go"gtd z}lIfs of]Uotf, tflnd / sfof{g"ejsf] k|df)fkqsf ;Ssn k|lt ;lxt
cGtjf{tf{df pkl:yt x"g"kg] {% t/ SLC eGbf dfly Go'gtd of]Uotf tf]lsPsf] kbsf pDd]bjf/n] SLC b]lvs} z}lIfsof]Uotfsf sfuhftx?sf] ;Ssn k|lt ;d]t Nofpg"kg] {% _
13= k]z ug{ afsL /x]sf k|df)fkq, cg"ej, tflnd cflbsf k|ltlnlkx? cGtjf{tf{df pkl:yt x"g] lbg ;fydf lnO{ cfO{ ;f] lbgdf ;+nUg ug" {kg] {% .
-o; k[i^sf] k%f*L lk|G^ gug xf] nf_
d'vfs[tL :ki^ b]lvg] xfn;fn} lvr]sf] kf;kf]̂ { ;fOhsf] kmf]̂ f] ^f;L pDd]bjf/n] kmf]̂ f] / kmf/fddfkg] { u/L x:tfIf/ug] { .
