bhamashah enrollment form

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ifjf’k"B&4 Hkkek’kkg ;kstuk ds fy, ukekadu&izi= dk izk:i Hkkek’kkg ukeka du izi= fnukad------------------------------- ifjokj ds eqf[k;k* dk uke-------------------------------------------- ifjokj dh Js.kh % ,llh@,lVh@vks chlh@Vh,lih@,lchlh@lkekU; /keZ---------------¼fgUnq @eq fLye@blkbZ@fl[k@tSu@ckS)@ikjlh@vU;½ Hkw/kkjd Js.kh % o` gn fdlku@y?kq fdlku@lhekUr fdlku@Hkw feghu Hkwfe dk izdkj % flafpr@vflafpr vkoklh; irk % jkT; jktLFkku ftyk---------------------------- rglhy------------------------------- xzke iapk;r@’kgj----------------------------------------------------- okMZ la----------- xyh ------------------------ xz ke@exjk@<k.kh@dkWyksuh@---------------------------- vikVZes UV --------------------- edku la------------ fiu dksM------------------- nwjHkk"k la -¼yS.M ykbZu½-------------------------- eksckbZy ua--------------------------------------------- bZ&esy------------------------------------------------------------------ ifjokj dk cS ad [kkrk la[;k*-------------------------------- cS ad dk uke---------------------------------------- 'kk[kk dk uke----------------------------------------------------- edku Js.kh % Lora= edku@caxyk@vikVZes UV@edku jfgr edku dh fLFkfr % iDdk@v)Z iDdk@dPpk@>ksiM+h orZeku irs ij fuokl dh vof/k------------------o"kZ dz - l- uke firk dk uke ekrk dk uke ifr@iRuh dk uke fya x tUe frfFk (dd@mm@yy) ifjokj ds eq f[k;k ls la ca/k oS okfgd fLFkfr f’k{kk dk Lrj O;olk; fo’ks"k ;ksX;tu okf"kZ d vk; ¼:½ cS ad [kkrk la [;k cS d 'kk[kk dk uke fuoklh Js.kh fo’ks"k fooj.k 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1- Lo;a 2- 3- 4- 5- 6- dkWye la-6 & fya x % 1&iq:"k 2&L=h 3&foifjr fyax¼VªkaltsUMj½ dkWye la-8 & eq f[k;k ls laca/k % 1&Lo;a 2&iRuh@ifr 3&iq =@iq =h 4&nkekn@iq=o/kq 5&ikS=@ikS=h 6&firk@ekrk 7&llq j@lkl 8&iM+ ikS=@ikS=h 9&vU; dkWye la-9 & oSokfgd fLFkfr % 1&vfookfgr 2&fookfgr 3&fo/kok@fo/kqj 4&rykd’kq nk 5&laca /k foPNs n 6&ifjR;kx 7&vU; dkWye la-10 & f’k{kk dk Lrj % 1&fuj{kj 2&lk{kj 3&iz kFkfed 4&mPp izkFkfed 5&ek/;fed 6&mPp ek/;fed 7&Lukrd 8&LukrdksRrj 9&vU; dkWye la-11 & O;olk; % 1&jkT; dehZ 2&dsUnz h; dehZ 3&lkoZtfud {ks=@cS ad dehZ 4&futh {ks= dehZ 5&Lofu;ksftr 6&O;olk;h 7&Jfed 8&d` "kd 9&csjktxkj 10&vU; dkWye la-12 & fo’ks"k ;ksX;tu % 1&eUn n` f"V 2&cf/kj 3&viaxrk dkWye la-13 & okf"kZ d vk; ¼:½ % 1& 0& 5000 2& 5001 ls 20000 3& 20001 ls 50000 4& 50001 ls 100000 5& 100001 ls 200000 6& 200001 ls 450000 7& 450001ls 1000000 8& 1000000 ls vf/kd dkWye la-16 & fuoklh Js.kh % 1&fuoklh 2&vizoklh 3&vizoklh Hkkjrh; ¼,uvkjvkbZ½ *ifjokj ds eqf[;k ds :i esa efgyk dks ojh;rk nh tkosxh rFkk ifjokj dk cS ad [kkrk la[;k] ifjokj dh efgyk eqf[;k dk O;fDrxr vFkok la;qDr [kkrk gksxkA izFke lR;kiu drkZ ds gLrk{kj f}rh; lR;kiu drkZ ds gLrk{kj 42

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Page 1: Bhamashah Enrollment Form

ifjf’k"B&4

Hkkek’kkg ;kstuk ds fy, ukekadu&izi= dk izk:i

Hkkek’kkg ukekadu izi= fnukad-------------------------------

ifjokj ds eqf[k;k* dk uke-------------------------------------------- ifjokj dh Js.kh % ,llh@,lVh@vkschlh@Vh,lih@,lchlh@lkekU; /keZ---------------¼fgUnq@eqfLye@blkbZ@fl[k@tSu@ckS)@ikjlh@vU;½

Hkw/kkjd Js.kh % ogn fdlku@y?kq fdlku@lhekUr fdlku@Hkwfeghu Hkwfe dk izdkj % flafpr@vflafpr

vkoklh; irk % jkT; jktLFkku ftyk---------------------------- rglhy------------------------------- xzke iapk;r@’kgj-----------------------------------------------------

okMZ la----------- xyh ------------------------ xzke@exjk@<k.kh@dkWyksuh@---------------------------- vikVZesUV --------------------- edku la------------ fiu dksM-------------------

nwjHkk"k la-¼yS.M ykbZu½-------------------------- eksckbZy ua--------------------------------------------- bZ&esy------------------------------------------------------------------

ifjokj dk cSad [kkrk la[;k*-------------------------------- cSad dk uke---------------------------------------- 'kk[kk dk uke-----------------------------------------------------

edku Js.kh % Lora= edku@caxyk@vikVZesUV@edku jfgr edku dh fLFkfr % iDdk@v)Z iDdk@dPpk@>ksiM+h orZeku irs ij fuokl dh vof/k------------------o"kZ

dz-

l-

uke firk dk uke ekrk dk

uke

ifr@iRuh

dk uke

fyax tUe frfFk

(dd@mm@yy)

ifjokj ds

eqf[k;k ls

laca/k

oSokfgd

fLFkfr

f’k{kk dk

Lrj

O;olk; fo’ks"k

;ksX;tu

okf"kZd vk;

¼:½

cSad [kkrk

la[;k

cSd

'kk[kk

dk uke

fuoklh Js.kh fo’ks"k

fooj.k

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

1- Lo;a

2-

3-

4-

5-

6-

dkWye la-6 & fyax % 1&iq:"k 2&L=h 3&foifjr fyax¼VªkaltsUMj½

dkWye la-8 & eqf[k;k ls laca/k % 1&Lo;a 2&iRuh@ifr 3&iq=@iq=h 4&nkekn@iq=o/kq 5&ikS=@ikS=h 6&firk@ekrk 7&llqj@lkl 8&iM+ikS=@ikS=h 9&vU;

dkWye la-9 & oSokfgd fLFkfr % 1&vfookfgr 2&fookfgr 3&fo/kok@fo/kqj 4&rykd’kqnk 5&laca/k foPNsn 6&ifjR;kx 7&vU;

dkWye la-10 & f’k{kk dk Lrj % 1&fuj{kj 2&lk{kj 3&izkFkfed 4&mPp izkFkfed 5&ek/;fed 6&mPp ek/;fed 7&Lukrd 8&LukrdksRrj 9&vU;

dkWye la-11 & O;olk; % 1&jkT; dehZ 2&dsUnzh; dehZ 3&lkoZtfud {ks=@cSad dehZ 4&futh {ks= dehZ 5&Lofu;ksftr 6&O;olk;h 7&Jfed 8&d"kd 9&csjktxkj 10&vU;

dkWye la-12 & fo’ks"k ;ksX;tu % 1&eUn nf"V 2&cf/kj 3&viaxrk

dkWye la-13 & okf"kZd vk; ¼:½ % 1& 0& 5000 2& 5001 ls 20000 3& 20001 ls 50000 4& 50001 ls 100000 5& 100001 ls 200000 6& 200001 ls 450000 7& 450001ls 1000000 8&

1000000 ls vf/kd

dkWye la-16 & fuoklh Js.kh % 1&fuoklh 2&vizoklh 3&vizoklh Hkkjrh; ¼,uvkjvkbZ½

*ifjokj ds eqf[;k ds :i esa efgyk dks ojh;rk nh tkosxh rFkk ifjokj dk cSad [kkrk la[;k] ifjokj dh efgyk eqf[;k dk O;fDrxr vFkok la;qDr [kkrk gksxkA

izFke lR;kiu drkZ ds gLrk{kj f}rh; lR;kiu drkZ ds gLrk{kj

42

Page 2: Bhamashah Enrollment Form

igpku lR;kiu nLrkost

ifjokj igpku nLrkost&

jk’kudkMZ dk izdkj % chih,y@,ih,y@vUR;ksn;@vUuiw.kkZ@dkMZ ugha jk’ku dkMZ l a[;k-----------------------------------------------------------

fo|qr dusD’ku la[;k % ---------------------------------------------- ty vkiwfrZ dusD’ku la[;k-----------------------------------------

xSl dusD’ku la[;k % ---------------------------------------------- xSl ,tsUlh dk uke % b.Msu@,pih@Hkkjr xSl@vU;

chih,y@LVsV chih,y la[;k % ------------------------------------------- egkRek xka/kh ujsxk dkMZ la[;k-----------------------------------------

jk"Vªh; LokLF; chek ;kstuk ukekadu dh URN la[;k ¼17 vadh;½ ------------------------------------------------

O;fDrxr igpku nLrkost&

dz-

l-

uke vk/kkj la[;k ernkrk

igpku i=

la[;k

isu dkMZ

la[;k

MªkbZfoax ykbZlsal

la[;k

ikliksVZ la[;k ,uihvkj jlhn

la[;k

jkstxkj iath;u

dzekad

ljdkjh deZpkfj;ksa

dh vkbZ-Mh-la[;k

eksckbZy la[;k

1 2 3 4 5 6 7 8 9 10 11

1-

2-

3-

4-

5-

6-

lR;kiu dk izdkj % 1&nLrkost vk/kkfjr lR;kiu] 2& lR;kid }kjk {ks= esa tkudkjh dj lR;kiu fd;k x;k ¼d`i;k lgh dk fu’kku yxk;sa½

izFke lR;kiu drkZ ds gLrk{kj f}rh; lR;kiu drkZ ds gLrk{kj vkosnd ds gLrk{kj

¼uke] in ,oa eksgj½ ¼uke] in ,oa eksgj½

uke %--------------------------------------

43