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15| cÖv_x©‡K wbgœewY©Z `iLv¯— I cÖ‡ekc‡Îi bgybv dig cÖv_wgK wk¶v Awa`߇ii I‡qemvBU www.dpe.gov.bd
‡_‡K WvDb‡jvW K‡i A_ev A4 mvB‡Ri KvM‡R GKBfv‡e Kw¤úDUvi K‡¤úvR K‡i m¦n‡¯— c~iYc~e©K Av‡e`b
Ki‡Z n‡e:
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Awdm KZ„©K c~iYxq
GLv‡b GKKwc Qwe
†ivj b¤^i............... AvVv w`‡q jvMv‡Z n‡e
Ô†iwR÷vW© †emiKvwi cÖv_wgK we`¨vj‡qi mnKvix wk¶K wb‡qvM 2010Õ-Gi Av‡e`b dig
(cÖv_x© ¯^n‡¯— c~iY Ki‡eb)
eivei: †Rjv cÖkvmK, .............................................†Rjv
(1) c‡`i bvg .................................................................................................................................
(2) cÖv_x©i c~Y© bvg (GmGmwm mb` Abyhvqx):
(K) evsjvq................................................................................................................................
(L) Bs‡iwR‡Z (eo A¶‡i): ..........................................................................................................
(3) wcZv/m¦vgxi bvg: .........................................................................................................................
(4) gvZvi bvg: ................................................................................................................................
(5) cÖv_x©i ¯’vqx wVKvbv: Mªvg/gnj−v:...........................................WvKNi:...................................
BEwbqb/Iqv‡W©i bvg .......................................
Dc‡Rjv/_vbv ............................... .......‡Rjv ........................................
(6) cÎ ‡hvMv‡hv‡Mi wVKvbv:................................................................................................................
...................................................................................................................................
(7) Rb¥ ZvwiL (GmGmwm mb` Abyhvqx): ...............................................................................................
(8) eqm (30 †g 2010 Zvwi‡L): .................... ermi.................. gvm ...................w`b
(9) gwnjv/cyi“l (wjLyb): ...................................................................................................................
(10) ‰eevwnK Ae¯’v (cÖ‡hvR¨†¶‡Î Ô3Õ wPý w`b) weevwnZ/AweevwnZ/weaev/ZvjvKcÖvßv/wecZœxK
(11) we‡kl †KvUv (wjLyb): ...................................................................................................................
(12) cÖv_x© gyw³‡hv×vi mš—vb n‡jÑ
(K) gyw³‡hv×vi bvg.....................................................................................................................
(L) gyw³‡hv×vi c~Y© wVKvbv.............................................................................................................
.........................................................................................................................................
(13) wk¶vMZ ‡hvM¨Zv (GmGmwm I ZrcieZ©x cÖ‡hvR¨ mKj cix¶v cvk msµvš—):
µwgK bs cix¶vi bvg wefvM/wRwcG cv‡ki eQi ‡evW©/wek¦we`¨vjq
1
2
3
4
5
(14) wk¶KZvq AwfÁZvi weeiY (hw` _v‡K): ..........................................................................................
(15) cÖwk¶‡Yi bvg I weeiY (hw` _v‡K): ...............................................................................................
(16) ‡UªRvwi Pvjvb bs .......................................................... ZvwiL: ....................................................
e¨vs‡Ki bvg I wVKvbv: .................................................................................................................
GZØviv Avwg kc_c~e©K †NvlYv KiwQ ‡h, Avgvi wbR nv‡Z wjwLZ G Av‡e`bc‡Îi mKj weeiY Avgvi
Ávb I wek¦vm g‡Z mZ¨|
cÖv_x©i m¦v¶i:..................................................................
cÖv_x©i c~Y©bvg :................................................................
ZvwiL : ...............................................................
Av‡e`bc‡Îi mv‡_ †cÖwiZ KvMRcÎvw`i weeiY:
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†Rjv cÖkvm‡Ki Kvhv©jq
†Rjv:.........................
cÖ‡ekcÎ (g~j) GLv‡b GKKwc Qwe AvVv
'†iwR÷vW© †emiKvwi cÖv_wgK we`¨vj‡q mnKvix wk¶K wb‡qvM 2010Õ-Gi wbe©vPbx cix¶v w`‡q jvMv‡Z n‡e
(Awdm KZ„©K c~iYxq)
1. c‡`i bvg: mnKvix wk¶K †ivj b¤^i............................................
2. (K) cix¶vi ZvwiL: .................................... mgq: .........................
(L) †K›`ª: .......................................................................................................................................
(cÖv_x© KZ„©K c~iYxq)
3. (K) cÖv_©xi bvg:.................................................................................................................................
(L) wcZvi/¯^vgxi bvg:.......................................................................................................................
4. cÖv_©xi cÎ †hvMv‡hv‡Mi wVKvbv: MÖvg/gnj−v: .................................................................
WvKNi: .............................................†cv÷ †KvW: ........................................
Dc‡Rjv/_vbv: .....................................†Rjv: ............................................
5. cÖv_x©i ¯’vqx Dc‡Rjv/_vbvi bvg:........................................ BEwbqb/Iqv‡W©i.bvg........................................
.............................................. ................................................
Av‡e`bKvixi ¯^v¶i †Rjv cix¶v cwiPvjbv KwgwUi c‡¶
†Rjv cÖkvm‡Ki ¯^v¶i I mxj
we:`ª: cÖ‡ekcÎ e¨ZxZ †Kvb cÖv_©x‡K wjwLZ cix¶vq AskMÖnY Ki‡Z †`qv n‡e bv| GB cix¶vq AskMÖn‡Yi Rb¨ †Kvb cÖKvi wUG-wWG cÖ`vb Kiv
n‡e bv| cix¶v cÖ`v‡bi wb‡`©kvejx wb‡æ mshy³ Kiv n‡jv| cÖv_x©‡K Aek¨B wb‡`©kvejx co‡Z n‡e|
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16| cÖv_wgK evQvB‡qi ci KZ„©c‡¶i we‡ePbvq ‡KejgvÎ ‡hvM¨ cÖv_x©‡`i mswk−ó ‡Rjvq wba©vwiZ cix¶v ‡K‡›`ª cix¶vq
AskMªn‡Yi Rb¨ AbygwZ ‡`qv n‡e| ‡mRb¨ h_vmg‡q cÖ‡ekcÎ Bmy¨ Kiv n‡e| Z‡e wjwLZ cix¶vq AskMªn‡Yi Rb¨
‡Kv‡bv cÖKvi wUG-wWG cÖ`vb Kiv n‡e bv| `iLv‡¯—i m‡½ `vwLjK…Z ‡Kvb KvMRcÎ ‡diZ‡hvM¨ bq|
17| wbe©vwPZ cÖv_x©‡K ‡h Dc‡Rjv/_vbvq wb‡qvM ‡`qv n‡e Zuv‡K Avewk¨Kfv‡e ‡m Dc‡Rjv/_vbvq PvKzwi Ki‡Z n‡e|
18| G wb‡qvM weÁwß cÖKv‡ki Kvi‡Y KZ„©c¶ cix¶v MªnY wKsev cÖvw_©Z c‡` wb‡qvM cÖ`vb Ki‡Z eva¨ _vK‡e bv|
--mv¶wiZ--
k¨vgj Kvwš— †Nvl
gnvcwiPvjK
cÖv_wgK wk¶v Awa`ßi, XvKv
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