অঙ্গীকার নামা

 

A½xKvi bvgv

(cvm‡cvU© Gi Z_¨ cwieZ©b/ms‡kvab msµšÍ)

Bs‡iwR K¨vwcUvj †jUv‡i c~iYxq

 

 

Avwg ........................................................... wcZvt.......................................................                                        gvZvt......................................................... †ckvt......................................................                     wVKvbvt........................................................ ag©t.............................. RvZxqZvt evsjv‡`kx, RvwZq cwiPq cÎ b¤^vi/Rb¥ wbeÜb b¤^vi (AcÖvß eq¯‹‡`i †ÿ‡Î) .........................................GB g‡g© A½xKvi Kwi‡ZwQ †h, Avgvi cvm‡cvU© b¤^vi ......................., Bmy¨i ZvwiLt .........................., G Av‡e`‡bi mgq Avgvi wbR bvg/wcZvi bvg/ gvZvi bvg/ Rb¥ ZvwiL fzj wjwce× Kiv nBqv‡Q| cÖK…Z c‡ÿ Avgvi RvZxq cwiPq cÎ/Rb¥ mb` (AcÖvß eq¯‹‡`i †ÿ‡Î) Abyhqx Avgvi wbR bvg/wcZvi bvg/gvZvi bvg/Rb¥ ZvwiL Ges cvm‡cv‡U© DwjøwLZ wbR bvg/wcZvi bvg/gvZvi bvg/ Rb¥ ZvwiL wb¤œiæct

 

eZ©gvb cvm‡cvU© cÖ`wk©Z fzj Z_¨	RvZxq cwiPqcÎ/ Rb¥ mb` Abyhvqx cÖK…Z Z_¨
NAME	NAME
FATHER’S NAME	FATHER’S NAME
MATHER’S NAME	MATHER’S NAME
SPOUSE’S NAME	SPOUSE’S NAME
DATE OF BIRTH	DATE OF BIRTH
PLACE OF BIRTH	PLACE OF BIRTH
OTHER,S	OTHER,S
VILL: P.O: P.S: DS:	VILL: P.O: P.S: DS:

 

Dchy©³ A½xKvibvgvi hveZxq Z_¨ mwVK fv‡e Bnvi †Kv‡bv Ask wg_¨v b‡n| Avwg †Kvb Z_¨ †Mvcb Kwi bvB| †Kvb wg_¨v Z_¨ w`qv _vwK‡j GB cwieZ©b/ms‡kvabRwbZ Kvi‡b fwel¨‡Z †Kvb cÖKvi AvBbMZ RwUjZv nB‡j Avwg `vqx _vwKe|

 

Avwg †¯^”Qvq I ¯^Áv‡b Dch©³ A½xKvibvgvi hveZxq gg© mg¨K AeMZ nBqv ¯^vÿi cÖ`vb Kwijvg|

                                          

 

    

(¯^vÿi/ Awfeve‡Ki ¯^vÿi (Av‡e`bKvix AcÖvß eq¯‹ nB‡j)