NST fellosip application form [FONT:SutonnyMJ, SIZE:12]

`yB Kwc Qwe

RvZxq weÁvb I cÖhyw³ (NST) †d‡jvwkc Av‡e`b QK

P

Av‡e`bKvixi aiY ( cÖ‡hvR¨ †¶‡Î wUK wPý w`b)t

(K) mve©¶wYK wk¶v_©x/M‡elK                                 

(K) mvaviY Z_¨ t

01|	Av‡e`bKvixi bvgt	evsjvq t
		Bs‡iRx‡Z t
02|	wcZvi bvg t
03|	gvZvi bvg t
04|	Rb¥ ZvwiL t
05|	Av‡e`bcÎ Rgv †`Iqvi †kl Zvwi‡L eqm t
06|	RvZxqZv t
07|	Av‡e`bKvixi wVKvbv t
¯’vqx wVKvbv(†dvb/†gvevBj b¤^imn)			eZ©gvb wVKvbv (†dvb/†gvevBj b¤^imn)

08| wk¶vMZ †hvM¨Zv (Gm.Gm-wm n‡Z) t

cix¶vi bvg	wk¶v cÖwZôv‡bi bvg	‡evW©/wek¦we`¨vj‡qi bvg	cv‡ki ermi	wefvM/†kªYx CGPA/GPA	cÖavb cÖavb cwVZ welqmgyn
Gm.Gm.wm.
GBP.Gm.wm.
we.dvg©. (m¤§vb)

(L) wk¶v cÖwZôvb I M‡elYv msµvš— Z_¨vejxt

09| wk¶v cÖwZôv‡bi bvg I wVKvbv t

10| fwZ©i ZvwiL I †iwR‡óªkb b¤^i t

11| Aa¨qb/M‡elYvi ch©vq ( cÖ‡hvR¨ †¶‡Î wUK wPý w`b)t

(K) jvMmB cÖhyw&³ M‡elYv                           t              £

P

(L) mœvZ‡KvËi (gv÷vm©) Gg.Gm.                  t 1g eQi   

(M) Ggwdj                                             t 1g eQi-£                   2q eQi £

(N) wcGBPwW                                           t 1g eQi- £                  2q eQi £          3q eQi £

(O) †cvóW±ivj M‡elYv                              t £

12| ‡d‡jvwk‡ci M‡elYvi welq ( cÖ‡hvR¨ †¶‡Î wUK w`b)t

(K) †fŠZ, ˆRe I A‰Re weÁvb, cÖ‡KŠkj I cwi‡ek weÁvb, bevqb‡hvM¨ kw³ weÁvb, Z_¨ I †hvMv‡hvM cÖhyw³, b¨v‡bv †UK‡bvjRx I jvMmB cÖhyw³ welqmgyn;                                   £

(L) Rxe weÁvb I wPwKrmv weÁvb, Ges                                   P

(M) Lv`¨ I K…wl weÁvb|                                                      £

13| cÖ¯—vweZ M‡elYv cÖK‡íi bvgt

(K) evsjvq t

(L) Bs‡iRx‡Z t

14| ZË¡veavqK/wefvMxq cÖavb msµvš— Z_¨vw`t

ZË¡veavq‡Ki bvg I `vßwiK wVKvbv ( †dvb b¤^i I B-‡gBj wVKvbvmn	wefvMxq cÖav‡bi bvg I `vßwiK wVKvbv ( †dvb b¤^i I B-‡gBj wVKvbvmn
W. ‡gvt ‡Mvjvg Qvw`K Aa¨vcK, dv‡g©mx wefvM, ivRkvnx wek¦we`¨vjq, ivRkvnx-6205 ‡gvevBj : 01721-677207 B-†gBj: gsadik2@yahoo.com	cÖ‡dmi W. gxi Bgvg Be&‡b Iqv‡n` mfvcwZ, dv‡g©mx wefvM, ivRkvnx wek¦we`¨vjq, ivRkvnx-6205 ‡gvevBj : 01718-133894 B-†gBj: drmirimam@gmail.com

15| Av‡e`bKvixi †NvlYv t Avwg ‡gvt Bgivb b~i gvwbK, wcZvt †gvt Avãyj nvbœvb †NvlYv KiwQ †h, Dc‡iv³ weeiYvw` mZ¨ I mwVK | Bnv‡Z †Kvb fyj Z_¨ cÖ`vb Kiv nqwb|

ZvwiL:                                                                                                    Av‡e`bKvixi ¯^v¶i

16| M‡elYv ZË¡veavq‡Ki cÖZ¨qb ( cÖ‡hvR¨ †¶‡Î wUK wPý w`b Ges evKx kã †K‡U w`b)t

Avwg cÖZ¨qb KiwQ †h, Av‡e`bKvix ‡gvt Bgivb b~i gvwbK Avgvi ZË¡veav‡b 13 bs µwg‡K D‡j­wLZ wel‡q M‡elYviZ Av‡Qb Ges Zvi  cÖ¯—vweZ cÖK‡íi KvR cwiPvjbvi Rb¨ cÖ‡qvRbxq hš¿cvwZmn Ab¨vb¨ my‡hvM-myweav Avgv‡`i cÖwZôv‡b i‡q‡Q| Av‡e`bKvix Gg.dvg©. 1g eQ‡i Aa¨qbiZ Av‡Qb| Av‡e`bKvix‡K †d‡jvwkc cÖ`v‡bi Rb¨ Avwg wbgœ¯^v¶iKvix mycvwik KiwQ|

  

ZvwiL :                                                                                          ZË¡veavqK ¯^v¶i I bvgmn mxj‡gvni

17| wefvMxq cÖav‡bi mZ¨vqb t

Av‡e`bKvix KZ…©K cÖ`Ë Dc‡iv³ Z_¨vejx mwVK| Av‡e`bKvix‡K †d‡jvwkc cÖ`v‡bi Rb¨ mycvwik Kiv nj|

ZvwiL :                                                                                           wefvMxq cÖav‡bi ¯^v¶i I bvgmn mxj‡gvni