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GB dig webvg~j weZiYi Rb

cvmcvU mvBRi
Qwe 2 (`yB)

MYcRvZx evsjv`k miKvi


Rbkw, Kgmsvb I cwkY eyiv
IqR Avbvm KjvY Znwej cwiPvjbv evW
89/2, KvKivBj, XvKv-1000
(IqemvBU t www.bmet.org.bd)
RGmwm/GmGmwm/GBPGmwm/mggvb cixvq DxY A^Qj Awfevmx Kgxi mvb`i wkvewi Ave`b c
1.

Ave`bKvix Qv/Qvxi
( Ai)

2.

bvg

evsjvq
t ..................................................................................................
BsiwRZ t ..................................................................................................
kYx t .............................................., ivj b^i t ...........................................
wefvM/Mc t ....................................., el/mwgvi t .........................................

wcZvi bvg

....................................................................................................................

3.

gvZvi bvg

....................................................................................................................

4.

AwffveKi bvg I
(wcZv/gvZvi AeZgvb)

bvg t ..................................................................,.........................................

mK

mK t .........................................................................................................

5.

Rb ZvwiL I eqm

ZvwiL t .........../............/........................, eqm t .................................... eQi

6.

AaqbiZ cwZvbi bvg, wVKvbv


I dvb b^i

....................................................................................................................
....................................................................................................................
dvb t...........................................................................................................

7.

RGmwm/ GmGmwm/ GBPGmwm/


mggvb cixvq cv wRwcG MW

....................................................................................................................

8.

eZgvb wVKvbv

................................................................................................................................
................................................................................................................................
............................................................................................

9.

vqx wVKvbv

Mvg/gnjv t ............................................, WvKNi t ..........................................


DcRjv/_vbv t ........................................, Rjv t ...........................................

10.

Uwjdvb/gvevBj b^i

Uwjdvb t ............................................., gvevBj t .......................................

11.

Awfevmx wcZvi cvmcvUi


b^img~n (chvR )

t /bs cvmcvU b^i

`ki bvg

Kgji wVKvbv

dvb b^i

`ki bvg

Kgji wVKvbv

dvb b^i

1.
2.
3.

12.

Awfevmx gvZvi cvmcvUi


b^img~n (chvR )

t /bs cvmcvU b^i


1.
2.
3.

13.

14.

Awfevmx Kgxi wewfb chvq/


avc b~bZg 5 (cvuP) eQi
cevm Aevbi eYbv

Awfevmx wnme 2000 mvji


ci KgiZ Aevq gZz nj
gZzi ZvwiL (gZz mb`mn)

t /bs

`ki bvg

KgiZ cwZvbi bvg I wVKvbv

KgKvj

1.

.......... nZ ...........

2.

.......... nZ ...........

3.

.......... nZ ...........

....................................................................................................................

mshy t (wewi 10 bs wgK Abyhvqx)|


ZvwiL t .....................

.....................
Qv/Qvxi ^vi

(Qv/Qvx h wkv cwZvb AaqbiZ, m wkv cwZvbi cavb/wefvMxq cavb KZK c~iY KiZ ne)
cZqb Kiv hvQ h, (Qv/Qvxi bvg) t ................................................, wcZv t ............................................, gvZv
t ...................................... G cwZvbi GKRb wbqwgZ Qv/Qvx Ges m eZgvb .................. kYx, ivj b^i t .....................
wefvM/Mc t ..................... Aaqb KiQ| Avgvi Rvbv I wekvmgZ m Dg Pwii AwaKvix Ges Zvi AvPiY I wkvMZ AMMwZ mvlRbK|

cwZvbi bvg I wVKvbv


...................................

wkv cwZvbi cavb/wefvMxq cavbi ^vi


Ges bvghy mxj

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