†emiKvwi GwZgLvbvi K¨vwc‡Ukb MÖ¨v›U eivÏ I e›Ub bxwZgvjv t

†emiKvwi GwZgLvbvq
K¨vwc‡Ukb Mª¨v›U eivÏ I e›Ub bxwZgvjv-2009

mgvR‡mev Awa`dZi
mgvRKj¨vY gš¿Yvjq
MYcÖRvZš¿x evsjv‡`k miKvi
 ‡cÖ¶vcU t

wkïi cwic~Y© weKv‡k mnvqZv Kiv cvwievwiK, mvgvwRK Ges ivóªxq `vwqZ¡| MYcÖRvZš¿x
evsjv‡`‡ki msweav‡b ivóª cwiPvjbvi g~j bxwZ‡Z wkï‡`i mybvMwiK wn‡m‡e M‡o †Zvjvi Rb¨
A½xKvi e¨³ Kiv n‡q‡Q| evsjv‡`‡k wecyj msL¨K wkï Zv‡`i cwievimn `vwi`ª mxgvi wb‡P
emevm K‡i| G mKj wkïi g‡a¨ wcZ…-gvZ…nxb `wi`ª cwiev‡ii wkïMY AwaK SuzwKc~Y© Ges
`y`©kvMÖ¯—| mgvRKj¨vY gš¿Yvjqvaxb mgvR‡mev Awa`dZi `wi`ª cwiev‡ii GwZg wkï‡`i
fiY-†cvlY I mvwe©K Dbœq‡bi Rb¨ †`‡k 85(cuPvwk)wU miKvwi wkï cwievi cwiPvjbv Ki‡Q|
wKš‘ Gi evB‡iI wecyj msL¨K GwZg wkï i‡q‡Q| Gme wkïi jvjb cvjb I Dbœq‡bi Rb¨
†emiKvix ch©v‡q ¯’vwcZ GwZgLvbv mg~n ¯’vbxq m¤ú` AvniY Ges wewfbœ ai‡Yi `vb-Aby`vb
msMÖ‡ni gva¨‡g cwiPvwjZ n‡q Avm‡Q| G ai‡Yi †emiKvwi cÖwZôvb‡KI mgvR‡mev Awa`dZi
†_‡K Avw_©K Aby`vb/mnvqZv cÖ`vb Kiv n‡q _v‡K| K¨vwc‡Ukb MÖ¨v›U eÈb, eivÏ I e¨env‡ii
†¶‡Î Revew`wnZv wbwðZKiY, ¯^”QZv Avbqb Ges mgš^q mva‡Yi ¯^v‡_© GKwU mywbw©`©ó
bxwZgvjvi cÖ‡qvRb Abyf~Z nIqvq G wel‡q GKwU bxwZgvjv cÖYqb Kiv n‡jv|
02. GwZ‡gi msÁv t
1944 mv‡ji GwZgLvbv I weaev m`b AvB‡bi aviv-2 G (3) Abyhvqx ÔGwZgÕ ewj‡Z 18
eQ‡ii Kg eq¯‹ evjK-evwjKv‡K eySvB‡e, Ôwhwb wcZ…nxb, A_ev wcZv-gvZv ev AvBbMZ
AwffveK KZ©„K cwiZ¨³ nBqv‡QbÕ
03 GwZgLvbvi †kªYx web¨vm t
†emiKvwi ch©v‡q cÖwZwôZ Ges mgvR‡mev Awa`dZ‡ii mv‡_ wbewÜZ †emiKvwi
GwZgLvbvmg~n‡K (K) (L) I (M) †kªYx web¨vm (Category) †Z wef³ Kiv n‡e|
03.1 †emiKvwi ch©v‡q cÖwZwôZ Ges mgvR‡mev Awa`dZ‡ii mv‡_ wbewÜZ ‡hme †emiKvwi
cÖwZôv‡bi wbR¯^ m¤úwIi g‡a¨ GwZg‡`i AvevwmKfv‡e i¶Yv-‡e¶‡Yi Rb¨ ch©vß AeKvVv‡gv
Ges miKvi Aby‡gvw`Z KvixKzjvg Abymv‡i gvbm¤§Z mvavib I AvaywbK wk¶vi cvkvcvwk
agx©q/Bmjvgx wk¶vi mye¨e¯’v, 20 R‡bi AwaK msL¨K Kg©KZ©v/Kg©Pvix KvR Ki‡Q, †Ljvayjvi
myweav‡_© wbR¯^ †Ljvi gvV, wewfbœ †Uª‡W hy‡MvchywM cÖwk¶‡Yi e¨e¯’vmn 200 Gi AwaK msL¨K
GwZg wbevmx jvjb-cvjb Kiv nq Ggb cÖwZôvb‡K ÒKÓ †kªYxi cÖwZôvb wn‡m‡e MY¨ Kiv n‡e|

03.2 †emiKvwi ch©v‡q cÖwZwôZ Ges mgvR‡mev Awa`dZ‡ii mv‡_ wbewÜZ †mme †emiKvwi
cÖwZôv‡bi wbR¯^ m¤úwIi g‡a¨ GwZg‡`i AvevwmKfv‡e i¶Yv-‡e¶‡Yi Rb¨ ch©vß AeKvVv‡gv
Aslam/Capitation Grant, Policy & Form.doc(Final)
 Ges miKvi KZ©„K Aby‡gvw`Z KvixKzjvg Abymv‡i gvbm¤§Z mvavib I AvaywbK wk¶vi cvkvcvwk
agx©q/Bmjvgx wk¶vi mye¨e¯’v, 15 R‡bi AwaK msL¨K Kg©KZ©v/Kg©Pvix KvR Ki‡Q, †Ljvayjvi
myweav‡_© wbR¯^ †Ljvi gvV, wewfbœ †Uª‡W hy‡MvchywM cÖwk¶‡Yi e¨e¯’vmn 100 R‡bi AwaK
msL¨K GwZg wbevmx jvjb-cvjb Kiv nq Ggb cÖwZôvb‡K ÒLÓ †kªYxi cÖwZôvb wn‡m‡e MY¨
Kiv n‡e|
03.3 †emiKvwi ch©v‡q cÖwZwôZ Ges mgvR‡mev Awa`dZ‡ii mv‡_ wbewÜZ †mme †emiKvwi
cÖwZôv‡bi wbR¯^ m¤úwIi g‡a¨ GwZg‡`i AvevwmKfv‡e i¶Yv-‡e¶‡Yi Rb¨ AeKvVv‡gv Ges
miKvi KZ©„K Aby‡gvw`Z KvixKzjvg Abymv‡i gvbm¤§Z mvavib I AvaywbK wk¶vi cvkvcvwk
agx©q/Bmjvgx wk¶vi mye¨e¯’v, 5 R‡bi AwaK msL¨K Kg©KZ©v/Kg©Pvix KvR Ki‡Q, †Ljvayjv I
cÖwk¶Y cÖ`v‡bi e¨e¯’v Av‡Q, 10 R‡bi AwaK msL¨K GwZg wbevmx jvjb-cvjb Kiv nq Ggb
cÖwZôvb‡K ÒMÓ †kªYxi cÖwZôvb wn‡m‡e MY¨ Kiv n‡e|
04. K¨vwc‡Ukb MÖ¨v‡›Ui msÁv t
†emiKvwi ch©v‡q cÖwZwôZ Ges mgvR‡mev Awa`dZ‡ii mv‡_ wbewÜZ †emiKvwi GwZgLvbvq
cÖwZcvwjZ GwZg wkï‡`i Avw_©K mnvqZv cÖ`v‡bi j‡¶¨ miKvi KZ©„K wba©vwiZ nv‡i gv_v wcQy
†h Aby`vb cÖ`vb Kiv nq Zv K¨vwc‡Ukb MÖ¨v›U wn‡m‡e MY¨ n‡e|
05. K¨vwc‡Ukb MÖ¨v›U cÖ`v‡bi j¶¨ I D‡Ïk¨ t
(K) †emiKvwi ch©v‡q cÖwZwôZ GwZgLvbvmg~n‡K GwZg wkï cÖwZcvj‡b DrmvwnZ I
AbycÖvwbZ Kiv|
(L) †emiKvwi GwZgLvbvmg~n‡K Avw_©K I †ckvMZ mnvqZv cÖ`vb|
(M) GwZg wkï cÖwZcvj‡b ¯’vbxq m¤ú` Avni‡Yi my‡hvM m„wó|
(N) mgMÖ †`‡ki Dc‡Rjv ch©v‡q GwZg wkï‡`i wk¶v, †gav weKv‡k I mvgvwRK Dbœq‡b mnvqZv
cÖ`vb|
06. K¨vwc‡Ukb MÖ¨v›U cÖvwßi Rb¨ †hvM¨Zv m¤úbœ GwZgLvbvi wkï fwZ© c×wZ t

K¨vwc‡Ukb Mª¨v‡›Ui Rb¨ Av‡e`bKvix GwZgLvbvq GwZg wkï fwZ©i Rb¨ wba©vwiZ fwZ©i Av‡e`b
dig _vK‡Z n‡e| fwZ©i Rb¨ cÖvß Av‡e`bmg~n hvPvB-evQvB c~e©K fwZ©i wbwg‡Ë mswk ó
Dc‡Rjvi wbev©wPZ gwnjv fvBm †Pqvig¨vb‡K Dc‡`óv K‡i wbgœewY©Z fwZ© KwgwU _vK‡e Ges
fwZ© KwgwUi me©m¤§Z wm×vš—μ‡g GwZgLvbvq fwZ© Kiv n‡e|
fwZ© KwgwUi iƒc‡iLv t
(K) Dc‡Rjvq Aew¯’Z †emiKvix GwZgLvbvi fwZ© KwgwU :
1. mswk ó Dc‡Rjvi wbev©wPZ gwnjv fvBm †Pqvig¨vb t Dc‡`óv
2. mfvcwZ, mswk ó GwZgLvbv t AvnevqK
Aslam/Capitation Grant, Policy & Form.doc(Final)
 3. mvaviY m¤úv`K, mswk ó GwZgLvbv t m`m¨
4. Dc‡Rjv mgvR‡mev Kg©KZ©v t m`m¨
5. Dc‡Rjv gwnjv welqK Kg©KZ©v t m`m¨
6. cÖKí ev¯—evqb Kg©KZ©v (wcAvBI) t m`m¨
7. mswk ó BDwbqb cwil‡`i/†cŠimfvi m`m¨/gwnjv m`m¨ t m`m¨
8. mycvwib‡Ub‡W›U, mswk ó GwZgLvbv t m`m¨ mwPe

(L) ‡Rjvq Aew¯’Z wmwU K‡c©v‡ikb/†cŠimfvq †emiKvix GwZgLvbvi fwZ© KwgwU :

1. mswk ó wmwU K‡c©v‡ikb Gi wbe©vwPZ gwnjv fvBm †Pqvig¨vb t Dc‡`óv
2. mfvcwZ, mswk ó GwZgLvbv t AvnevqK
3. mvaviY m¤úv`K, mswk ó GwZgLvbv t m`m¨
4. DccwiPvjK ‡Rjv mgvR‡mev Kvh©vjq/Zuvi cÖwZwbwa t m`m¨
5. ‡Rjv ÎvY I cybe©vmb Kg©KZ©v/Zuvi cÖwZwbwa t m`m¨
6. ‡Rjvi gwnjv welqK Kg©KZ©v/Zuvi cÖwZwbwa t m`m¨
7. mswk ó wmwU K‡c©v‡ikb/†cŠimfvi gwnjv m`m¨ t m`m¨
8. mycvwib‡Ub‡W›U/ZË¡veavqK mswk ó GwZgLvbv t m`m¨ mwPe

07. miKvwi Ges †emiKvwi GwZgLvbvq fwZ© myweav †c‡q gvbm¤§Z wk¶v cÖwZôv‡b covïbvi my‡hvM
m„wói weavb (Provision) t
Dc‡Rjv GjvKvi wbeÜbK…Z Ges K¨vwc‡Ukb MÖ¨v›U cÖvß GwZgLvbvq cÖwZcvwjZ †gavex wkïiv
gvbm¤§Z wk¶v cÖwZôv‡b covïbv K‡i `¶ Rbkw³ wn‡m‡e M‡o IVvi Rb¨ cÖv_wgK wk¶v †k‡l
†Rjv m`‡i Aew¯’Z gvbm¤§Z miKvwi Ges †emiKvwi GwZgLvbvq fwZ©i Rb¨ wba©vwiZ di‡g
mswk ó †Rjvi Dc-cwiPvjK eive‡i h_vh_ KZ©„c‡¶i gva¨‡g Av‡e`b Ki‡Z cvi‡e| †Rjv
m`‡i Aew¯’Z miKvwi Ges †emiKvwi GwZgLvbvq fwZ©i Rb¨ msiw¶Z gwnjv Avm‡b wbev©wPZ
gwnjv msm` m`m¨‡K Dc‡`óv K‡i wbgœewY©Z GKwU KwgwU _vK‡e| KwgwUi me©m¤§Z wm×vš—μ‡g
Dc‡Rjv GjvKvi wbeÜbK…Z Ges K¨vwc‡Ukb MÖ¨v›U cÖvß GwZgLvbvq cÖwZcvwjZ †gavex GwZg
wkïiv †Rjv m`‡i Aew¯’Z miKvwi Ges †emiKvwi GwZgLvbvq Avmb ïb¨ _vK‡j fwZ© n‡Z
cvi‡e|

fwZ© KwgwUi iƒc‡iLv t

1| msiw¶Z Avm‡bi gvbbxq gwnjv msm` m`m¨........................................Dc‡`óv|
2| Dc-cwiPvjK, †Rjv mgvR‡mev Kvh©vjq..............................................mfvcwZ|
3| †Rjv m`‡i Aew¯’Z †emiKvwi GwZgLvbvi mycvwib‡Ub‡W›U/ZË¡veavqK ...........m`m¨|
4| †Rjv cÖkvm‡Ki cÖwZwbwa....................................................................m`m¨|

Aslam/Capitation Grant, Policy & Form.doc(Final)

 5| ‡Rjv Lv`¨ wbqš¿K Kg©KZ©vi cÖwZwbwa........................................m`m¨|
6| †Rjv wk¶v Awdmv‡ii cÖwZwbwa...............................................m`m¨|
7| †Rjv gwnjv welqK Kg©KZ©vi cÖwZwbwa......................................m`m¨|
8| mswk ó †cŠi mfvi KvDwÝji...................................................m`m¨|
9| ‡Rjv m`‡i Aew¯’Z miKvwi wkï cwiev‡ii Dc-ZË¡veavqK............m`m¨ mwPe|
08. K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Av‡e`b Kivi wbqgvewj t
8.1 mgvR‡mev Awa`dZ‡ii mv‡_ wbeÜbK…Z GwZgLvbv KZ…©c¶ wba©vwiZ ÔKÕ di‡g (cwiwkó-1)
Av‡e`b Ki‡Z n‡e|
8.2 GwZgLvbvmg~n‡K K¨vwc‡Ukb MÖ¨v›U cÖvß Avmb msL¨v e„w×i Rb¨ wba©vwiZ ÔLÕ di‡g (cwiwkó-2)
Av‡e`b Ki‡Z n‡e|
8.3 mKj Av‡e`b (K Ges L dig) mswk ó Dc‡Rjv mgvR‡mev Awdmvi/kni mgvR‡mev
Awdmv‡ii wbKU 8 bs μwg‡K ewY©Z mgqmxgvi g‡a¨ mswk ó GjvKvi RbcÖwZwbwa BDwbqb
cwil` †Pqvig¨vb/†cŠi mfvi †gqi/KvD‡Ýj‡ii Gi mycvwikmn `vwLj Ki‡Z n‡e|
8.4 Av‡e`b dig mg~n †Rjv mgvR‡mev Kvh©vjq/Dc‡Rjv mgvR‡mev Kvh©vjq/kni mgvR‡mev
Kvh©vj‡q webv g~‡j¨ cvIqv hv‡e Ges mgvR‡mev Awa`dZ‡ii I‡qemvBW n‡ZI msMÖn Kiv
hv‡e|

09. K¨vwc‡Ukb MÖ¨v›U cÖvwßi kZv©ewj t

mgvR‡mev Awa`dZi †_‡K wbewÜK„Z †emiKvwi GwZgLvbvmg~n wbgœewY©Z kZ© c~iY mv‡c‡¶
K¨vwc‡Ukb MÖ¨v›U Gi Rb¨ Av‡e`b Ki‡Z cvi‡e t
9.1 K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Aek¨B †emiKvwi GwZgLvbv‡K h_vh_ KZ„©c‡¶i gva¨‡g mwPe,
mgvRKj¨vY gš¿Yvjq/ gnvcwiPvjK mgvR‡mev Awa`dZi eivei Av‡e`b `vwLj Ki‡Z n‡e|
9.2 K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Av‡e`bKvix ‡emiKvwi GwZgLvbv‡K Aek¨B mgvR‡mev Awa`dZ‡ii
Aby‡gvw`Z MVbZš¿mn wbeÜbK…Z n‡Z n‡e|
9.3 K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Av‡e`bKvwi GwZgLvbvq GwZg cÖwZcvj‡bi Rb¨ wbR¯^ RvqMvq
Dc‡hvMx cwi‡e‡k wbwg©Z AeKvVv‡gv Ges ¯’vei, A¯’vei m¤úwËmn GwZg‡`i wPË we‡bv`‡bi Rb¨
ch©vß my‡hvM myweaviI e¨e¯’v _vK‡Z n‡e|
9.4 K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Av‡e`bKvix †emiKvwi GwZgLvbvmg~‡n GKwU fwZ© †iwR÷vi _vK‡Z n‡e
hv‡Z wbevmx GwZg‡`i Qwemn mvwe©K Z_¨ msiw¶Z _vK‡e| fwZ© †iwR÷vi¸wj Dc‡Rjv wbe©vnx
Awdmvi/†Rjv cÖkvmK Gi wbKU †_‡K evrmwiK wfwˇZ cÖZ¨vqb Ki‡Z n‡e|
9.5 mKj †emiKvix GwZgLvbvq wewa‡gvZv‡eK RvZxq cZvKv D‡Ëvjb Ges RvZxq m½xZ MvB‡Z
n‡e|
9.6 Avewk¨Kfv‡e mKj GwZgLvbvq e„wËg~jK cÖwk¶Y Pvjy Ki‡Z n‡e Ges PvjyK…Z cÖwk¶Y Kg©m~Px
Ae¨vnZ ivL‡Z n‡e|

Aslam/Capitation Grant, Policy & Form.doc(Final)

 9.7 mswk ó Dc‡Rjv mgvR‡mev Awdmvi/Dc‡Rjv wbev©nx Awdmvi/mswk ó †Rjvi ‡Rjv cÖkvmK/
Dc-cwiPvjK, †Rjv mgvR‡mev Kvh©vj‡qi mycvwik e¨wZ‡i‡K mivmwi Av‡e`b KZ„©c¶ KZ„©K
we‡ewPZ n‡e bv|
9.8 Av‡e`bK…Z GwZgLvbvq GwZg‡`i miKvi Aby‡gvw`Z gvbm¤§Z mvaviY wk¶vi cvkvcvwk ˆbwZK
I ag©xq wk¶v cÖ`v‡bi e¨e¯’v _vK‡Z n‡e|
9.9 Kgc‡¶ 10 Rb GwZg Ae¯’vb Ki‡Q ïaygvÎ Ggb cÖwZôvb K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Av‡e`b
Ki‡Z cvi‡e|
9.10 wbeÜb KZ©„c¶ KZ©„K †emiKvwi GwZgLvbvi MVbZš¿ Aek¨B Aby‡gvw`Z n‡Z n‡e|
9.11 †emiKvwi GwZgLvbvi Aby‡gvw`Z MVbZ‡š¿i Av‡jv‡K Kvh©Kix cwil` Aby‡gv`b cÖvß n‡Z n‡e|
9.12 K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Av‡e`bKvix cÖwZôv‡bi c~e©eZ©x 2 (`yB) eQ‡ii AwWU cÖwZ‡e`b `vwLj
Ki‡Z n‡e|
9.13 c~e©eZx© eQ‡ii wk¶v I cybe©vmb msμvš— c„_K c„_K cÖwZ‡e`b †Rjv mgvR‡mev Kvh©vj‡q `vwLj
Ki‡Z n‡e|
9.14 ‡emiKvix GwZgLvbvq mKj cÖKvi gvjvgvj Ges `vb Aby`vb (bM`/`ªe¨vw`) †iwR÷v‡i wjwce×
Ki‡Z n‡e Ges evrmwiK wfwˇZ mswk ó mgvR‡mev Kg©KZ©v/kni mgvR‡mev Kg©KZ©v Øviv
cix¶v Kiv‡Z n‡e|
10. K¨vwc‡Ukb MÖ¨v‡›Ui Rb¨ Av‡e`‡bi mgqmxgv t
K¨wc‡Ukb MÖ¨v‡›Ui Av‡e`b cÎ `vwL‡ji mgqmxgv wbgœiƒc t
10.1 cÖ‡Z¨K A_© eQ‡i Dc‡Rjv mgvR‡mev Kvh©vj‡q/kni mgvR‡mev Kvh©vj‡q Av‡e`bcÎ `vwL‡ji
†kl ZvwiL 31 †k RyjvB|
10.2 cÖ‡Z¨K A_© eQ‡i Dc‡Rjv mgvR‡mev Kvh©vjq KZ…©K ‡Rjv mgvR‡mev Kvh©vj‡q †cÖi‡Yi †kl
ZvwiL 10 AvMó|
10.3 cÖ‡Z¨K A_© eQ‡i †Rjv mgvR‡mev Kvh©vjq KZ©„K mgvR‡mev Awa`dZ‡i †cÖi‡Yi †kl ZvwiL
25 †k AvMó|
10.4 mgvR‡mev Awa`dZi KZ©„K Av‡e`bcÎ gš¿Yvj‡q †cÖi‡Yi †kl ZvwiL cÖwZ A_© eQ‡ii 15
†m‡Þ¤^i|

11. mgvRKj¨vY gš¿Yvjq KZ©„K K¨vwc‡Ukb MÖ¨v›U eÈb KwgwU t

gš¿Yvj‡q K¨vwc‡Ukb MÖ¨v›U e›U‡bi Rb¨ MwVZ KwgwUi iƒc‡iLv wbb¥iƒc t
eÈb I eivÏ KwgwU t
hyM¥ mwPe (cÖkvmb), mgvRKj¨vY gš¿Yvjq..................AvnevqK
Dc-mwPe (Kvh©μg), mgvRKj¨vY gš¿Yvjq..................m`m¨
cwiPvjK (cÖwZôvb), mgvR‡mev Awa`dZi.................m`m¨
Aslam/Capitation Grant, Policy & Form.doc(Final)
 cwiPvjK (Kvh©μg), mgvR‡mev Awa`dZi.................m`m¨
mnKvwi mwPe (Kg©m~Px-1).......................................m`m¨ mwPe
Kg©cwiwa t
1. mgvR‡mev Awa`dZi KZ©„K †cÖwiZ K¨vwc‡Ukb MÖ¨v›U Gi mycvwi‡ki Av‡jv‡K mfvi gva¨‡g
K¨vwc‡Ukb MÖ¨v›U eivÏ I gÄyixi mycvwik cÖ`vb|
2. Av‡e`bKvix mswk ÷ GwZgLvbvq Ae¯’vbK…Z GwZg‡`i †gvU msL¨vi m‡ev©”P 50% (cÂvk
fvM) K¨vwc‡Ukb MÖ¨v›U we‡ePbvq Avbqb|
3. mgvR‡mev Awa`dZi n‡Z wbeÜbK„Z GwZgLvbvq K¨vwc‡Ukb MÖ¨v›U eiv‡Ïi †¶‡Î AbybZ
œ ,
cðvrc`, cÖvK…wZK `~‡h©vM KewjZ GjvKv‡K AMÖvwaKvi cÖ`vb|
4. K¨vwc‡Ukb MÖ¨v›U msμvšÍ wewfbœ welq ch©v‡jvPbv I wm×všZ cÖ`vb|
5. cÖwZ 3 (wZb) gvm AšZi AšZi K¨vwc‡Ukb MÖ¨v›U Kvh©μg ch©v‡jvPbv|
6. K¨vwc‡Ukb MÖ¨v›U cÖvß GwZgLvbv cwi`k©b I Z`viwK|
7. K¨vwc‡Ukb MÖ¨v›U wel‡q miKvi‡K cÖ‡qvRbxq civgk© cÖ`vb|
8. Kgc‡¶ 10 Rb GwZg Ae¯’vb Ki‡Q Ggb GwZgLvbv K¨vwc‡Ukb MÖ¨v›U cÖvwßi Rb¨ †hvM¨ e‡j
we‡ePbv|
9. K¨vwc‡Ukb MÖ¨v›U cÖvß †Kvb GwZgLvbvi wei“‡× ev H iƒc GwZgLvbvi Rb¨ cÖwZ‡e`b
cÖ`vbKvix ev mycvwikKvix Kg©KZ©v‡`i wei“‡× †Kvb Awf‡hvM cvIqv †M‡j Zv Z`š— Kiv
Ges wewa †gvZv‡eK e¨e¯’v MÖnY ev wewa †gvZv‡eK e¨e¯’v MÖn‡Yi Rb¨ h_vh_ KZ©„c¶ eivei
mycvwik/cÖ¯—ve †ck Kiv|
10. ms¯’vi 2 eQ‡ii AwWU cÖwZ‡e`b ch©v‡jvPbv (cÖ‡hvR¨ †¶‡Î)|
12. GwZgLvbvq gvjvgvj μq I weZiY t
12.1 GwZgLvbvi gvjvgvj μ‡qi Rb¨ GKwU KwgwU _vK‡e| GwZgLvbvi Kvh©wbe©vnx KwgwU D³
KwgwU MVb Ki‡eb| ZË¡veavqK μqK…Z gvjvgv‡ji wnmve Kvh©wbev©nx KwgwUi mfvq Dc¯’vcb
Ki‡eb Ges Aby‡gv`b MÖnY Ki‡eb| wZwb (ZË¡veavqK) mswk ó GwZgLvbvi gvjvgvj μq,
gIRy` Ges wnmve msi¶‡Yi Rb¨ `vqx _vK‡eb Ges GZ`ms³vš— †iwRóªvi msi¶Y Ki‡eb|
12.2 K¨vwc‡Ukb MÖ¨v›U eÈb Gi wefvRb Abyhvqx cÖ‡Z¨K Dc-Lv‡Zi AbyK~‡j A_© e¨q Ki‡Z n‡e|
13. K¨vwc‡Ukb MÖ¨v›U Gi wnmve msi¶Y I wej Aby‡gv`b c×wZ t
13.1 GwZgLvbvi ZË¡veavqK KZ©„K cÖ¯‘ZK…Z Li‡Pi wnmve GwZgLvbvi Kvh©wbe©vnx cwil‡`i mfvq
h_vh_fv‡e hvPvB-evQvB Kivi Rb¨ Dc¯’vcb Ki‡Z n‡e Ges Aby‡gv`b MÖnY Ki‡Z n‡e|
13.2 Dc‡Rjv GjvKvq Aew¯’Z GwZgLvbvi ZË¡veavqK/mycvwi›UÛ›U Kvh©wbe©vnx KZ©„K Aby‡gv`b
†iRy‡jkbmn Li‡Pi wej mswk ó Dc‡Rjv mgvR‡mev Kvh©vj‡qi `vwLj Ki‡eb| Dc†Rjv
mgvR‡mev Awdmvi KZ„©K `vwLjK…Z wej¸wj h_vh_fv‡e cix¶v-wbix¶v K‡i Aby‡gv`‡bi c‡i
Zv mswk ó wnmve i¶Y Awd‡m `vwLj Ki‡Z n‡e|

Aslam/Capitation Grant, Policy & Form.doc(Final)

 13.3 ‡Rjv m`‡i Aew¯’Z kni mgvR‡mev Kvh©vjq GjvKvq, †Rjv m`‡i Aew¯’Z †cŠimfv GjvKvq
Ges wmwUK‡c©v‡ikb GjvKvq Aew¯’Z K¨vwc‡Ukb MÖvÛcÖvß GwZgLvbvi ZË¡veavqK/mycv‡i‡›UW
Kvh©wbe©vnx cwil` KZ©„K Aby‡gvw`Z †iRy‡jkb mn Li‡Pi wej mswk ó ‡Rjv mgvR‡mev
Kvh©vjq `vwLj Ki‡eb| †Rjv mgvR‡mev Kvh©vj‡qi Dc-cwiPvjK KZ©„K `vwLjK…Z wej¸wj
h_vh_ fv‡e cix¶v wbix¶v K‡i Aby‡gv`‡bi c‡i Zv mswk ó wnmve i¶Y Awd‡m `vwLj
Ki‡Z n‡e|
13.4 GwZgLvbvi ZË¡veavqK cÖvß K¨vwc‡Ukb MÖ¨v‡›Ui A‡_©i wnmve Ges fvDPvimg~n cwiPvjbv
KwgwUi Aby‡gv`bmn h_vh_ fv‡e msi¶Y Ki‡eb|
13.5 mgvR‡mev Kvh©vjq n‡Z †emiKvix GwZgLvbvq K¨vwc‡Ukb MÖ¨v›U cÖvwßi Rb¨ mycvwikK…Z
cÖwZ‡e`‡b(wba©vwiZ QK-cwiwkó-3) †Kvb Z_¨ Am¤úbœ ev fyj _vK‡j Ges h_vh_ fv‡e hvQvB
evQvB Qvov wej Aby‡gv`b Kiv n‡j cÖwZ‡e`bKvix Kg©KZ©v, mycvwikKvix Kg©KZ©v Ges wej
Aby‡gv`bKvix Kg©KZ©v mKjB `vqx _vK‡eb|
14. K¨vwc‡Ukb MÖ¨v›U ¯’wMZ/evwZjKiY c×wZ t
14.1 K¨vwc‡Ukb MÖ¨v›U cÖvß †Kvb cÖwZôv‡bi K¨vwc‡Ukb MÖ¨v‡›Ui A_© e¨env‡i Awbqg, Znwej Zmiƒc
ev Ab¨ †Kvb Awf‡hvM mgvR‡mev Kg©KZ©v, mnKvix cwiPvjK(†Rjv/m`i Kvh©vjq), mgvR‡mev
Awa`dZi,Dc-cwiPvjK(†Rjv/m`i Kvh©vjq),mgvR‡mev Awa`dZi,Dc‡Rjv wbev©nx Kg©KZ©v,
†Rjv cÖkvmK ev †Rjv cÖkvm‡Ki †Kvb cÖwZwbwa (1g †kªYxi Kg©KZ©v) Ges mgvRKj¨vY
gš¿Yvj‡qi 1g †kªYxi Kg©KZ©v KZ©„K Z`‡š—i ci Awf‡hvM cÖgvwYZ n‡j K¨vwc‡Ukb MÖ¨v›U
eÈb I eivÏ KwgwUi mycvwikμ‡g K¨vwc‡Ukb MÖ¨v›U evwZj Kiv hv‡e|
14.2 K¨vwc‡Ukb MÖ¨v›U cÖvß GwZgLvbvq miKvi Aby‡gvw`Z gvbm¤§Z mvaviY I KvwiMwi wk¶v e¨e¯’v
bv _vK‡j K¨vwc‡Ukb MÖ¨v›U ¯’wMZ A_ev evwZj Kiv hv‡e| welqwU wbwðZ Kivi Rb¨
†emiKvix GwZgLvbvi MVbZ‡š¿I gvbm¤§Z mvaviY I KvwiMwi wk¶v cÖ`v‡bi e¨e¯’v
ivLvi weavb Avewk¨Kfv‡e mwbœ‡ekb Ki‡Z n‡e|
14.3 mgvRKj¨vY gš¿Yvj‡qi mwPe, hyM¥mwPe, DcmwPe Ges mgvR‡mev Awa`dZ‡ii gnvcwiPvjK I
cwiPvjK c`gh©v`vi Kg©KZ©ve„‡›`i Ges †Rjv cÖkvm‡Ki cwi`k©bKvjxb †Kvb Awbqg ev
Ae¨e¯’vcbv cwijw¶Z n‡j Zvr¶wbKfv‡e D³ cÖwZôv‡bi K¨vwc‡Ukb MÖ¨v›U mvgwqKfv‡e
¯’wMZ †NvlYv Ki‡Z cvi‡eb Ges cieZ©x‡Z h_vh_ c×wZ AbymiY K‡i ¯’vqxfv‡e K¨vwc‡Ukb
MÖ¨v›U evwZj †NvlYv Kiv hv‡e|

15. K¨vwc‡Ukb MÖ¨v›U cÖvß †emiKvwi GwZgLvbvi myôz e¨e¯’vcbv Ges A‡_©i ¯^”Q e¨envi wbwðZKi‡bi
j‡¶¨ mswk ó GjvKvi gvbbxq RvZxq msm` m`m¨ cÖavb c„ô‡cvlK Ges msiw¶Z Avm‡bi gvbbxq
gwnjv msm` m`m¨ cÖwZôv‡bi we‡kl c„ô‡cvlK wn‡m‡e _vK‡eb| welqwU wbwðZ Kivi Rb¨ cÖwZôv‡bi
MVbZ‡š¿ weavb ivL‡Z n‡e|
16. bxwZgvjv ms‡kvab t
• miKv‡ii Abym„Z bxwZi Av‡jv‡K Ges cÖ‡qvRb‡ev‡a mgvRKj¨vY gš¿Yvjq †h †Kvb mgq GB
bxwZgvjv ms‡kvab, cwieZ©b, cwigvR©b Kivi ¶gZv msi¶Y K‡i|

Aslam/Capitation Grant, Policy & Form.doc(Final)

 cwiwkó-1
ÔKÕ dig
MYcÖRvZš¿x evsjv‡`k miKvi
mgvR‡mev Awa`dZi
‡Rjv mgvR‡mev Kvh©vjq
.........................................
K¨vwc‡Ukb MÖ¨v›U cÖvwßi Av‡e`b

1| cÖwZôv‡bi bvg t

2| wbeÜb bs I ZvwiL t

Aslam/Capitation Grant, Policy & Form.doc(Final)

3| wVKvbv t

4| Rwgi cwigvY I cÖvwßi Drm t

5| GwZgLvbvi ¯’vei m¤úwËi weeiY t

6| A¯’vei m¤úwËi weeiY t

7| GwZgLvbvi Kg©KZ©v/Kg©Pvixi weeiY t

8| ‡gvU GwZg wbevmxi msL¨v t

9| K¨vwc‡Ukb MÖ¨v›U cÖvß wbevmxi msL¨v t

10| weMZ ermi KZRb e„w× n‡q‡Q t

11| evrmwiK Av‡qi Drm t

12| KZ ermi hver eivÏ cv‡”Q t

13| e¨q weeiYx t

14| KwgwU MVb nvjbvMv` t

15| AwWU nvjbvMv` t

16| mgvR‡mev Kg©KZv©/Dc-cwiPvj‡Ki gZvgZ t

mfvcwZ Dc‡Rjv Kg©KZv© Dc-cwiPvjK

cwiwkó-2
ÔLÕ dig
MYcÖRvZš¿x evsjv‡`k miKvi
mgvR‡mev Awa`dZi
‡Rjv mgvR‡mev Kvh©vjq
.........................................
K¨vwc‡Ukb MÖ¨v›U cÖvwßi Av‡e`b
gnvcwiPvjK
mgvR‡mev Awa`dZi
Aslam/Capitation Grant, Policy & Form.doc(Final)
we-1/B-8, AvMviMvuI, XvKv|
gva¨g t h_vh_ KZ©„c¶|

g‡nv`q,
webxZ wb‡e`b GB ‡h, .........................................bv‡g cÖwZwôZ †emiKvwi GwZgLvbvi
wbevmx‡`i Rb¨ ...................A_© eQ‡ii K¨vwc‡Ukb MÖ¨v›U cÖvwßi Av‡e`b KiwQ| GZ`msμvš— wel‡q
Avcbvi m`q we‡ePbvi Rb¨ cÖwZôvb msμvšÍ Z_¨ wb‡gœ cÖ`Ë n‡jv|

1| cÖwZôv‡bi bvg t
2| wbeÜb bs I ZvwiL t
3| wVKvbv t
4| Rwgi cwigvY I cÖvwßi Drm t
5| GwZgLvbvi ¯’vei m¤úwËi weeiY t
6| A¯’vei m¤úwËi weeiY t
7| GwZgLvbvi Kg©KZ©v/Kg©Pvixi weeiY t
8| ‡gvU GwZg wbevmxi msL¨v t
9| KZ Rb GwZg wbevmxi Rb¨ K¨vwc‡Ukb MÖ¨v‡›Ui
cÖ‡qvRb Zvi msL¨v t
10| K¨vwc‡Ukb MÖ¨v›U Pvwn`vi AvIZvq wbevmx‡`i
bvg, wcZvi bvg, ¯’vqx/eZ©gvb wVKvbv
fwZ©i ZvwiL BZ¨vw` m¤^wjZ ZvwjKv t
11| evrmwiK Av‡qi Drm t
12| e¨vsK wnmve b¤^i t

-2-
13| GwZg wkï cwZcvj‡bi my‡hvM-myweavi weeiY
K. †jLvcov
L. cÖwk¶Y
M. we‡bv`b
N. kixiPPv©

Aslam/Capitation Grant, Policy & Form.doc(Final)

 O. _vKvi RvqMv
P. cvqLvbv
Q. †MvmjLvbv
R. cybev©mb
14| wbeÜb KZ©„c¶ KZ©„K Aby‡gvw`Z Kvh© wbe©vnx cwil‡`i
m`m¨‡`i ZvwjKv (bvg, wcZvi bvg, wVKvbv I †ckvm¤^wjZ) t
15| mvaviY m`m¨‡`i ZvwjKv t
ewY©Z Z_¨ m`q we‡ePbvc~e©K cÖvw_©Z .................. Rb wkïi AbyKz‡j K¨vwc‡Ukb MÖ¨v›U eiv‡Ïi
Av‡e`b KiwQ| D‡j L¨, Dc‡iv‡j wLZ Z_¨ mwVK I wbf©yj|

ZË¡veavqK
mvaviY m¤úv`K/gnvmwPe

Kvh©wbev©nx cwil`/ZË¡veavqK ewW

†Pqvig¨vb/†gqi/KvD‡Ýji...................................................wmwU K‡c©v‡ikb/†cŠimfv/BDwbqb
cwil` Gi mycvwik I ¯^v¶i

Dc‡Rjv/kni mgvR‡mev Awdmv‡ii mycvwik I ¯^v¶i

Dc-cwiPvjK, †Rjv mgvR‡mev Kvh©vj‡qi mycvwik I ¯^v¶i

cwiPvjK (cÖwZôvb) Gi mycvwik I ¯^v¶i

cÖwZ‡e`b ÒQKÓ
‡emiKvwi cÖwZôvb (GwZgLvbv) Rwic dg©

1. cÖwZôv‡bi bvg t
2. wbeÜb bs I ZvwiL t
3. wVKvbv t Mªvg t WvKNi t
Dc‡Rjv t ‡Rjv t
4. cÖwZôv‡bi Rwgi cwigvb I cÖvwßi Drm t
5. GwZgLvbvi ¯’vei m¤úwËi weeiY t msL¨v aiY gvc AvqZb gšÍe¨

Aslam/Capitation Grant, Policy & Form.doc(Final)

 K. Awdm feb t
L. wk¶v I cÖwk¶Y feb t
M. wbevmx‡`i AvevwmK feb t
N. ZË¡veavqK/wk¶K‡`i evm¯’vb t
O. ivbœvNi t
P. WvBwbs nj t
Q. ‡MvmjLvbv t
R. cvqLvbv/cÖkªveLvbv t
6. A¯’vei m¤úwËi weeiY t ch©vß t Ach©vß t
7. K. Awd‡mi AvmevecÎ t
L. wbevmx‡`i e¨envh© AvmevecÎ t
M. WvBwbs n‡ji AvmevecÎ I mvgMªxi weeiY t
N. ivbœvi mvgMªxi weeiY t
O. wbevmx‡`i e¨envh© weQvbv cÎ I †cvlvK t
cwi”Q‡`i weeiY
8. cÖwZôv‡bi wfZ‡i mvaviY wk¶vi e¨e¯’v Av‡Q t
wKÐbv ? _vK‡j †Kvb †kÖYx ch©šZ
9. wbevmx‡`i ag©xq wk¶v cÖ`vb Kiv nq wK-bv ? t
10. Ae¯’vbiZ wbevmx‡`i evwn‡ii we`¨vj‡q t
†jLvcovi my‡hvM Av‡Q wKÐbv ? _vK‡j †Kvb
†kÖYx‡Z KZ Rb Zv D‡jL Ki‡Z n‡e|
11. Ae¯’vbiZ wbevmx‡`i †Kvb †Kvb †Uª‡W cÖwk¶Y t
cÖ`vb Kiv nq(‡UªWIqvix D‡jL Ki‡Z n‡e)|
12. wbevmx‡`i †jLvcovi cvkvcvwk wPËwe‡bv`‡bi t
Rb¨ †Ljvayjvi e¨e¯’v Av‡Q wKÐbv ?
13. GwZgLvbvi Kg©KZ©v/Kg©Pvix‡`i weeiY t bs Kg©KZ©v/Kg©Pvixi c`ex wk¶vMZ Rb¥ ‡eZb eqm
(cÖ‡qvR‡b Avjv`v KvMR e¨envi Ki“b) bvg †hvM¨Zv ZvwiL

14. GwZgLvbvi wbevmxi msL¨v t K. GwZg t

L. `yt¯’ t
‡gvU t
15. gš—e¨ t

cwi`k©bKvix mgvR‡mev Kg©KZ©vi m¦v¶i mycvwikKvix Dc-cwiPvj‡Ki m¦v¶i

Aslam/Capitation Grant, Policy & Form.doc(Final)