Bbw÷wUDU Ae ev‡qvjwRK¨vj mv‡q‡Ým

ivRkvnx wek¦we`¨vjq GgwcGBP mvܨ †cÖvMÖvg fwZ©i Av‡e`b dig

wk¶vel© t 2020-2021 (Rvbyqvix-20)

(Av‡e`bKvix KZ©„K c~iY Ki‡Z n‡e)

ÍwgK bs-

1| cy‡ivbvg (¯úó A¶‡i) (evsjvq) t

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(Bs‡iwR‡Z) t

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2| K) wcZvi bvg t

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L) gvZvi bvg t

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3| wVKvbv t

K) eZ©gvb:

evmv/‡nvwìs bs- : ‡Uwj‡dvb bs-

MÖvg/gnjøv : ‡gvevBj bs-

WvKNi : d¨v· bs-

_vbv/Dc‡Rjv : B-‡gBj:

†Rjv :

L) ’vqx (wfbœ n‡j) :

evmv/‡nvwìs bs- : ‡Uwj‡dvb bs-

MÖvg/gnjøv : ‡gvevBj bs-

WvKNi : d¨v· bs-

_vbv/Dc‡Rjv : B-‡gBj:

†Rjv :

4| Rb¥ ZvwiL t

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(gva¨wgK ¯‹zj mvwU©wd‡KU Abyhvqx)

5| RvZxqZv t

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6| ag© t

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m¤cÖwZ †Zvjv

cvm‡cvU© mvB‡Ri

GK Kwc i½xb

Qwe

7| wk¶vMZ †hvM¨Zvi weeiY t

cix¶vi bvg

‡evW©/wek¦we`¨vjq

Ges †ivj bs

wk¶v cÖwZôvb

cix¶v

cv‡mi

eQi

cwVZ welq

cÖvß wefvM/†kªYx

I †gvU b¤i

(%)*

+

gva¨wgK/mggvb

D”P gva wgK/mggvb

mœvZK/ mggvb

mœvZ‡KvËi/ mggvb

Ab¨vb¨ wWMÖx

(hw` _v‡K)

*mKj cix¶v cv‡ki mb`cÎ I b¤i c‡Îi d‡UvKwc Ry‡o w`‡Z n‡e|

+ GgweweGm †¶‡Î mKj cÖ‡dkbvj cix¶vi b¤i †hvM K‡i Mo Ki‡Z n‡e|

8| PvKzixi AwfÁZv (hw` _v‡K) t cÖv_©x PvKzixiZ n‡j Av‡e`bcÎ h_vh_ KZ©„c‡¶i gva¨‡g `vwLj Ki‡Z n‡e|

µt bs c‡`i bvg cÖwZôvb Kvh©Kvj †gvU

n‡Z

ch©šÍ

1|

2|

3|

9| e¨vsK WªvdU/wewea iwk` b¤i: ......................................................, ZvwiL: .............................

(e¨vs‡Ki bvg I kvLv: ........................................................................................................)|

Avwg GB g‡g© †NvlYv KiwQ †h, Dc‡iv³ weeiY mZ¨|

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

Av‡e`bKvixi ¯v¶i (cy‡ivbvg)

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Bbw÷wUDU Ae ev‡qvjwRK¨vj mv‡q‡Ým

ivRkvnx wek¦we`¨vjq GgwcGBP mvܨ †cÖvMÖvg 2020-21 (Rvbyqvix-20), fwZ©i Av‡e`b dig

cÖ‡ekcÎ

ÍwgK bs- 1| cy‡ivbvg (¯úó A¶‡i) (evsjvq) t

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

(Bs‡iwR‡Z) t

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

2| K) wcZvi bvg t

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L) gvZvi bvg t

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ZvwiL : ..................... †cÖvMÖvg †Kv-AwW©‡bUi

m¤cÖwZ †Zvjv

cvm‡cvU©

mvB‡Ri GK

Kwc i½xb Qwe