1 (GK) Kwc Qwe

eivei
e¨e¯’vcbv cwiPvjK
†ev‡q‡mj, XvKv

welq : Employment Permit System (EPS) Gi gva¨‡g `w¶Y †Kvwiqvq †h‡Z bv cvivi Kvi‡Y BOESL G
RgvK…Z A_© †diZ cÖ`v‡bi Av‡e`b|

1) Av‡e`bKvixi bvg : .....................................................................................................................

2) Rb¥ ZvwiL : .....................................................................................................................
3) cvm‡cvU© b¤^i (cvm‡cv‡U©i Kwc mshy³ Ki‡Z n‡e) t .....................................................................................................
4) wewW ‡iwR‡÷ªkb b¤^i (hw` _v‡K) : .....................................................................................................................
5) †ev‡q‡m‡j UvKv Rgv`v‡bi eY©bv (†c-AW©vi Gi g~j Kwc mshy³ Ki‡Z n‡e) t
K) mvwf©m PvR© : ..............................(........................................................................ ) UvKv|
L) wfmv wd : ..............................(........................................................................ ) UvKv|
6) RgvK…Z A_© ‡diZ PvIqvi KviY :
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Avwg wbgœ¯^v¶iKvix A½xKvi Kwi‡ZwQ †h, †ev‡q‡mj G RgvK…Z A_© BZtc~‡e© MÖnY ev D‡Ëvjb Kwi bvB |

¯^v¶i I ZvwiL :
‡gvevBj b¤^i :

bx‡Pi Ask †ev‡q‡mj c~iY Ki‡e

wnmve kvLvi gšÍe¨:
mvwf©m PvR© Rgv †iwR÷vi Gi c„ôv b¤^i ........................., µwgK bs ........................ †gvZv‡eK cÖv_©xi RgvK…Z mvwf©m PvR©
..................................................UvKv hvnvi †c-AW©vi b¤^i........................................................ ZvwiL.................................... Ges wfmv
wd............................UvKv hvnvi †c-AW©vi b¤^i ............................................ ZvwiL................................| wZwb BZ:c~‡e© ‡ev‡q‡mj G
RgvK…Z mvwf©m PvR© I wfmv wd ‡dir †bb bvB|...........................................................................................................
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e¨e¯’vcK (wnmve I A_©)

WvUv‡eBR kvLvi gšÍe¨:
Web SPAS Gi Z_¨vbyhvqx GBP.Avi.wW-‡Kvwiqv n‡Z Bmy¨K…Z Zuvi Re Advi MZ .................................. wLª÷vã Zvwi‡L
Approved nq| wKš‘ ........................................................................................................................................................
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e¨e¯’vcK mnKvix gnve¨e¯’vcK Dc gnve¨e¯’vcK gnve¨e¯’vcK e¨e¯’vcbv cwiPvjK

(WvUv‡eBR) (ˆe‡`wkK wb‡qvM)