g]kfn ljbt k|flws/)f kf;kf]^{ ;fohsf] b=kmf=g+= vnf k|ltof...

4
b=kmf=g+= g]kfn ljB"t k|flws/)f v"nf k|ltof]lutfsf] b/vf:t btf{ g+=÷ldltM a}+s ef}r/÷/l;b g+= /sd ? ldlt M 1= lj!fkg g+ =M =========================== 2= kbM If]qM 3= txM ;]jfM ;d'xM pk;d'xM k/LIff s]Gb|M 4= pQm kbsf] nflu v"nf / ;dfj]zL ;d'xx? dWo] lj!fkg ePsf h"g h"g ;d"xdf cfj]bg ug]{ xf] ;f] ;d'x d"lgsf] vfnL sf]&f leq &Ls -_ lrGx nufpg] / g]kfn /fhkqdf ;'rLs[t gePsf ;dfj]zL eP ;dfj]zL k|df)fsf] k|ltlnkL pd]bjf/ :jo+ n] k|dfl)ft u/L clgjfo{ ;+nUg ug"{ kg]{% . -s_ v"nf -v_ dlxnf -u_ cflbjf;L÷hghftL -#_ dw];L -ª_ blnt -r_ ckfé -%_ lk%l*Psf] If]q 5= pDd]bjf/sf] gfdy/M -s_ b]jgful/dfM -v_ c+u|]hLdf, (BLOCK LETTER) M 6= :yfoL &]ufgfM cGrnM lhNnfM uf=lj=;=÷g=kf=M j*f g+=M ufp+÷^f]nM kmf]g g+=÷df]jfO{n g+= M 7= xfnsf] &]ufgfM cGrnM lhNnfM uf=lj=;=÷g=kf=M kmf]g g+=M df]jfOn g+=M 8= hGd ldltM la=;+ ;fn dlxgf ut] O{:jL ;Djt ;fn dlxgf ut] 9= b/vf:t lbg] clGtd ldlt;Dddf x"g] pd]/M ========jif{ ========dlxgf =======lbg 10= lnéM 11=gful/stf g+= M 12= gful/stf lnPsf] lhNnfM 13= afa"sf] gfdy/M 14= cfdfsf] gfdy/ M 15= afh]sf] gfdy/M 16= klt÷kTgLsf] gfdy/ M 17= z}lIfs of]Uotf, tflnd / sfof{g"ejM -b/vf:t kmf/fddf e/]sf] kbsf] nflu cfjZos kg]{ Go' gtd z}lIfs of]Uotf, tflnd / sfof{g"ejdfq pNn]v ug]{_ -s_ z}lIfs of]UotfM cWoog u/]sf] lzIf)f ;+:yfsf] gfd k/LIff lng] ;+:yf k|fKt z}lIfs of]Uotf ;+sfo pQL)f{ ;fn >])fL k|fKt k|ltzt -v_ tflndM la!fkgdf dfu eP cg";f/sf] tflnd pd]bjf/ :jo+n] k|ltlnkL k|dfl)ft u/L ;+nUg ug"{ kg]{ %M tflnd lbg] ;+:yf / :yfg ;+:yfsf] btf{ g+= tflndsf] gfd tflndsf] cjlw -u_ sfof{g"ejM la!fkgdf dfu eP cg";f/sf] sfof{g"ej pd]bjf/ :jo+ n] k|ltlnkL k|dfl)ft u/L ;+nUg ug"{ kg]{ %M sfof{nosf] gfd kb >])fL÷tx lgo"ltmsf] lsl;d ;]jf u/]sf] cjlw b]lv ;Dd d'vfs[tL :ki^ b]lvg] xfn;fn} lvr]sf] kf;kf]^{ ;fOhsf] kmf]^f] ^f+;L pDd]bjf/n] kmf]^f] / kmf/fddf kg]{ u/L x:tfIf/ ug]{ .

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Page 1: g]kfn ljBt k|flws/)f kf;kf]^{ ;fOhsf] b=kmf=g+= vnf k|ltof ...nea.org.np/admin/assets/uploads/supportive_docs/New form2.pdf · b=kmf=g+= g]kfn ljB"t k|flws/)f v"nf k|ltof]lutfsf]

b=kmf=g+= g]kfn ljB"t k|flws/)f v"nf k|ltof]lutfsf] b/vf:t

btf{ g+=÷ldltM

a}+s ef}r/÷/l;b g+= /sd ? ldlt M

1= lj!fkg g++=M ===========================

2= kbM If]qM

3= txM ;]jfM ;d'xM pk;d'xM k/LIff s]Gb|M

4= pQm kbsf] nflu v"nf / ;dfj]zL ;d'xx? dWo] lj!fkg ePsf h"g h"g ;d"xdf cfj]bg ug]{ xf] ;f]

;d'x d"lgsf] vfnL sf]&f leq &Ls -_ lrGx nufpg] / g]kfn /fhkqdf ;'rLs[t gePsf ;dfj]zL eP

;dfj]zL k|df)fsf] k|ltlnkL pd]bjf/ :jo+n] k|dfl)ft u/L clgjfo{ ;+nUg ug"{ kg]{% .

-s_ v"nf -v_ dlxnf -u_ cflbjf;L÷hghftL -#_ dw];L -ª_ blnt -r_ ckfé -%_ lk%l*Psf] If]q

5= pDd]bjf/sf] gfdy/M -s_ b]jgful/dfM

-v_ c+u|]hLdf, (BLOCK LETTER) M

6= :yfoL &]ufgfM cGrnM lhNnfM uf=lj=;=÷g=kf=M

j*f g+=M ufp+÷^f]nM kmf]g g+=÷df]jfO{n g+= M

7= xfnsf] &]ufgfM cGrnM lhNnfM uf=lj=;=÷g=kf=M

kmf]g g+=M df]jfOn g+=M

8= hGd ldltM la=;+ ;fn dlxgf ut] O{:jL ;Djt ;fn dlxgf ut]

9= b/vf:t lbg] clGtd ldlt;Dddf x"g] pd]/M ========jif{ ========dlxgf =======lbg

10= lnéM 11=gful/stf g+= M 12= gful/stf lnPsf] lhNnfM

13= afa"sf] gfdy/M 14= cfdfsf] gfdy/ M

15= afh]sf] gfdy/M 16= klt÷kTgLsf] gfdy/ M

17= z}lIfs of]Uotf, tflnd / sfof{g"ejM -b/vf:t kmf/fddf e/]sf] kbsf] nflu cfjZos kg]{ Go'gtd z}lIfs of]Uotf,

tflnd / sfof{g"ejdfq pNn]v ug]{_

-s_ z}lIfs of]UotfM

cWoog u/]sf] lzIf)f

;+:yfsf] gfd

k/LIff lng]

;+:yf

k|fKt z}lIfs

of]Uotf ;+sfo pQL)f{ ;fn >])fL k|fKt k|ltzt

-v_ tflndM la!fkgdf dfu eP cg";f/sf] tflnd pd]bjf/ :jo+n] k|ltlnkL k|dfl)ft u/L ;+nUg ug"{kg]{%M

tflnd lbg] ;+:yf / :yfg ;+:yfsf] btf{ g+= tflndsf] gfd tflndsf] cjlw

-u_ sfof{g"ejM la!fkgdf dfu eP cg";f/sf] sfof{g"ej pd]bjf/ :jo+n] k|ltlnkL k|dfl)ft u/L ;+nUg ug"{kg]{%M

sfof{nosf] gfd kb >])fL÷tx lgo"ltmsf] lsl;d ;]jf u/]sf] cjlw

b]lv ;Dd

d'vfs[tL :ki^ b]lvg]

xfn;fn} lvr]sf]

kf;kf] {̂ ;fOhsf]

kmf]^f] ^f+;L

pDd]bjf/n]

kmf]^f] / kmf/fddf

kg]{ u/L x:tfIf/

ug]{ .

Page 2: g]kfn ljBt k|flws/)f kf;kf]^{ ;fOhsf] b=kmf=g+= vnf k|ltof ...nea.org.np/admin/assets/uploads/supportive_docs/New form2.pdf · b=kmf=g+= g]kfn ljB"t k|flws/)f v"nf k|ltof]lutfsf]

18= lj!fkgdf dfu ul/Psf] b/vf:t;fy k]z u/]sf] sfuhftsf] ljj/)f pNn]v ug]{M

1= gful/stfsf] k|df)fkqsf] k|ltlnlk yfg

2= cfjZos Go'gtd z}lIfs of]Uotfsf] k|df)fkqsf] k|ltlnlk yfg

3= ;dfj]zLsf] k|df)fkqsf] k|ltlnlk yfg

4= tflndsf k|df)fkqsf] k|ltlnlk yfg

5= cg"ejsf k|df)fkqsf] k|ltlnlk yfg

hDdf ;+nUg k|df)fkqsf] k|ltlnkL yfgM

19= d}n] dfly pNn]v u/]sf ;a} ljj/)f &Ls ;f ¤rf] x"g\, kl%;Dd km/s kg]{ %}g, km/s k/]df jf Joxf]/f

e"m§f &xl/Pdf sfg'g adf]lhd ;x"nf j"emfp+nf .

NofKr] ;xL%fk

bfof+ jf+of

pd]bjf/sf] gfd / y/ M

pd]bjf/sf] x:tfIf/ M

ldlt M

================================================================================================================================================================

1= sfof{nosf sd{rf/Ln] eg]{

s_ b/vf:t ?h" u/L a"emg]sf] gfd / x:tfIf/ M

v_ /f]n g+=

u_ If]q M #_ k/LIff s]Gb|M

4= b/vf:t lbPsf] ;d'xx?M -s_ -v_ -u_ -#_ -ª_ -r_ -%_

2= b/vf:t r]s ug]{ sd{rf/Lsf] 3= b/vf:t k|dfl)ft ug]{ clws[tsf]

gfd y/M gfd y/M

b:tvt b:tvt

ldlt ldlt

Page 3: g]kfn ljBt k|flws/)f kf;kf]^{ ;fOhsf] b=kmf=g+= vnf k|ltof ...nea.org.np/admin/assets/uploads/supportive_docs/New form2.pdf · b=kmf=g+= g]kfn ljB"t k|flws/)f v"nf k|ltof]lutfsf]

g]kfn ljB"t k|flws/)f k/LIffyL{n] eg]{ M v"nf k|ltof]lutfsf] nflu

k|j]z kq

1= lj!fkg g++=M ============================ 2= kbM

3= txM ;]jfM ;d'xM pk;d'xM k/LIff s]Gb| M

If]qM

4= pQm kbsf] nflu v"nf / ;dfj]zL ;d'x? dWo] lj!fkg ePsf h"g h"g ;d'xdf cfj]bg ug]{ xf] ;f] ;d'x

d"gLsf] vfnL sf]&f leq &Ls -_ lrGx nufpg"xf];\ .

-s_ v"nf -v_ dlxnf -u_ cflbjf;L÷hghftL -#_ dw];L -ª_ blnt -r_ ckfé -%_ lk%l*Psf] If]q

pDd]bjf/sf] gfdy/M pDd]bjf/sf] b:tvt M

sfof{non] eg]{M clws[tsf] b:tvtM

/f]n g+= bhf{M ldltM

=====================================================================================================================================================================

k/LIffyL{n] kfngf ug"{ kg]{ lgodx? M

1= k|j]zkq ljgf k/LIffyL{nfO{ s"g} klg k/LIff -lnlvt÷k|of]ufTds / cGtjf{tf{_ df j:g lbOg] %}g / df]jfOn kmf]g ;d]t

lgif]w ul/Psf] % .

2= k/LIff z"? x"g" eGbf 15 ldg]^ cuf*L #)^Låf/f ;'rgf u/]kl% k/LIff xndf k|j]z lbOg] % .

3= Ps#)^f jf ;f] eGbf a(L ;dosf] k/LIff ePdf k/LIff z"? ePsf] 30 ldg]̂ ;Dd / Ps #)^f eGbf sd ;dosf]

k/LIff ePdf k/LIff z"? ePsf] 15 ldg]̂ ;Dd cfpg] k/LIffyL{nfO{ dfq k/LIffdf ;fd]n u/fpg ;lsg]% . k/LIff z"?

ePsf] 30 ldg]̂ kl% dfq k/LIffyL{nfO{ k/LIff xnjf^ jflx/ hfg lbOg]% . k/LIff xndf lstfj,skL,sfuh,rL^ cflb

Nofpg x"+b}g . k/LIffyL{ cfk;df s"/fsfgL / ;+s]t ug{ kfOg] %}g .

4= k/LIffyL{n] k/LIff xndf cg"lrt sfo{ u/]df jf ug]{ pBf]u u/]df s]Gb|fWoIfn] lghnfO{ k/LIff xnjf^ lg:sf;g u/L

To;sf] k|ltj]bg lgo"ltm l;kmfl/; ;ldltdf lbg]% . lgo"ltm l;kmfl/; ;ldltsf] lg)f{ocg";f/ ;hfo x"g]% .

5= ;?jf /f]u nfu]sf] k/LIffyL{nfO{ xndf k|j]z lbOg] %}g . k/LIffyL{ xndf k|j]z u/L s]xL eP sfof{no hjfkmb]xL x"g] %}g .

6= k/LIffyL{sf] gfddf lr&\&L, kmf]g, jLdf cflb s]xL rLh cfO{ k"u]df ;f] k/LIffyL{n] pQ/sfkL gj"emfP;Dd ;f] lng lbg x"b}g .

7= k/LIff o; sfof{nosf] lj!fkg jf ;'rgfdf pNn]lvt sfo{qmd cg";f/ x"g]% .

8= k/LIffyL{n] cfk'mn] k/LIff lbPsf] lbgsf] xflh/ ug{ %"^ ePsf] eP t"?Gt vj/ u/L xflh/ ug"{ kb{% .

9= k/LIffxn leq xf]xNnf ug"{ x"b}g . s"g} k|Zgkqx? c:ki^ cIf/ eO{ ;f]Wg" kbf{ p&L c?nfO{ jfwf gkg]{ u/L jf]Ng" kg]{% .

10=k|j]zkqsf] k|ltlnlk k|fKt ug{sf] nflu pDd]bjf/n] cfkm\gf] Ps k|lt kmf]̂ f] / ?=200÷ sf] ef}r/÷/l;b ;+nUg u/L

plrt sf/)f ;lxt sfof{nodf lgj]bg lbPdf k|j]zkqsf] k|ltlnlk pknAw u/fpg ;lsg]% .

11= pQ/k"l:tsfsf] tf]lsPsf] :yfgdf afx]s cGoq pQ/k"l:tsfsf] s"g} klg &f+pdf -yk slkdf ;d]t_ gfd y/, /f]n

g+=,x:tfIf/ jf cfkm" lrlGxg] s"g} ;+s]t jf lrGx n]v]df To:tf] pd]bjf/sf] pQ/k"l:tsf /@ ug{ ;lsg] % .

12= b/vf:t lbPsf] kbsf] nflu cfjZos kg]{ Go"gtd z}lIfs of]Uotf, tflnd / sfof{g"ejsf] k|df)fkqsf ;Ssn k|lt ;lxt

cGtjf{tf{df pkl:yt x"g"kg]{% t/ SLC eGbf dfly Go'gtd of]Uotf tf]lsPsf] kbsf pDd]bjf/n] SLC b]lvs} z}lIfs

of]Uotfsf sfuhftx?sf] ;Ssn k|lt ;d]t Nofpg"kg]{% _

13= k]z ug{ afsL /x]sf k|df)fkq, cg"ej, tflnd cflbsf k|ltlnlkx? cGtjf{tf{df pkl:yt x"g] lbg ;fydf lnO{ cfO{ ;f]

lbgdf ;+nUg ug"{kg]{% .

-o; k[i^sf] k%f*L lk|G^ gug{" xf]nf_

d'vfs[tL :ki^ b]lvg]

xfn;fn} lvr]sf]

kf;kf] {̂ ;fOhsf]

kmf]^f] ^f;L pDd]bjf/n]

kmf]^f] / kmf/fddf

kg]{ u/L x:tfIf/

ug]{ .

Page 4: g]kfn ljBt k|flws/)f kf;kf]^{ ;fOhsf] b=kmf=g+= vnf k|ltof ...nea.org.np/admin/assets/uploads/supportive_docs/New form2.pdf · b=kmf=g+= g]kfn ljB"t k|flws/)f v"nf k|ltof]lutfsf]

g]kfn ljB"t k|flws/)f k/LIffyL{n] eg]{ M v"nf k|ltof]lutfsf] nflu

k|j]z kq

1= lj!fkg g++=M===================================== 2= kbM

3= txM ;]jfM ;d'xM pk;d'xM k/LIff s]Gb|M

4= pQm kbsf] nflu v"nf / ;dfj]zL ;d"xx? dWo] lj!fkg ePsf h"g h"g ;d"xdf cfj]bg ug]{ xf] ;f] ;d"x

d"gLsf] vfnL sf]&f leq &Ls -_ lrGx nufpg"xf];\ .

-s_ v"nf -v_ dlxnf -u_ cflbjf;L÷hghftL -#_ dw];L -ª_ blnt -r_ ckfé -%_ lk%l*Psf] If]q

pDd]bjf/sf] gfdy/M pDd]bjf/sf] b:tvt M

sfof{non] eg]{M clws[tsf] b:tvtM

/f]n g+= bhf{M ldltM

==============================================================================================================================================

k/LIffyL{n] kfngf ug"{ kg]{ lgodx? M

1= k|j]zkq ljgf k/LIffyL{nfO{ s"g} klg k/LIff -lnlvt÷k|of]ufTds / cGtjf{tf{_ df j:g lbOg] %}g / df]jfOn kmf]g ;d]t

lgif]w ul/Psf] % .

2= k/LIff z"? x"g" eGbf 15 ldg]^ cufl* #)^Låf/f ;'rgf u/]kl% k/LIff xndf k|j]z lbOg] % .

3= Ps#)^f jf ;f] eGbf a(L ;dosf] k/LIff ePdf k/LIff z"? ePsf] 30 ldg]̂ ;Dd / Ps #)^f eGbf sd ;dosf]

k/LIff ePdf k/LIff z"? ePsf] 15 ldg]̂ ;Dd cfpg] k/LIffyL{nfO{ dfq k/LIffdf ;fd]n u/fpg ;lsg]% . k/LIff z"?

ePsf] 30 ldg]̂ kl% dfq k/LIffyL{nfO{ k/LIff xnjf^ jflx/ hfg lbOg]% . k/LIff xndf lstfj,skL,sfuh,rL^ cflb

Nofpg x"+b}g . k/LIffyL{ cfk;df s"/fsfgL / ;+s]t ug{ kfOg] %}g .

4= k/LIffyL{n] k/LIff xndf cg"lrt sfo{ u/]df jf ug]{ pBf]u u/]df s]Gb|fWoIfn] lghnfO{ k/LIff xnjf^ lg:sf;g u/L

To;sf] k|ltj]bg lgo"ltm l;kmfl/; ;ldltdf lbg]% . lgo"ltm l;kmfl/; ;ldltsf] lg)f{ocg";f/ ;hfo x"g]% .

5= ;?jf /f]u nfu]sf] k/LIffyL{nfO{ xndf k|j]z lbOg] %}g . k/LIffyL{ xndf k|j]z u/L s]xL eP sfof{no hjfkmb]xL x"g] %}g .

6= k/LIffyL{sf] gfddf lr&\&L, kmf]g, jLdf cflb s]xL rLh cfO{ k"u]df ;f] k/LIffyL{n] pQ/sfkL gj"emfP;Dd ;f] lng lbg x"b}g .

7= k/LIff o; sfof{nosf] lj!fkg jf ;'rgfdf pNn]lvt sfo{qmd cg";f/ x"g]% .

8= k/LIffyL{n] cfk'mn] k/LIff lbPsf] lbgsf] xflh/ ug{ %"^ ePsf] eP t"?Gt vj/ u/L xflh/ ug"{ kb{% .

9= k/LIffxn leq xf]xNnf ug"{ x"b}g . s"g} k|Zgkqx? c:ki^ cIf/ eO{ ;f]Wg" kbf{ p&L c?nfO{ jfwf gkg]{ u/L jf]Ng" kg]{% .

10=k|j]zkqsf] k|ltlnlk k|fKt ug{sf] nflu pDd]bjf/n] cfkm\gf] Ps k|lt kmf]̂ f] / ?=200÷ sf] ef}r/÷/l;b ;+nUg u/L

plrt sf/)f ;lxt sfof{nodf lgj]bg lbPdf k|j]zkqsf] k|ltlnlk pknAw u/fpg ;lsg]% .

11= pQ/k"l:tsfsf] tf]lsPsf] :yfgdf afx]s cGoq pQ/k"l:tsfsf] s"g} klg &f+pdf -yk slkdf ;d]t_ gfd y/, /f]n

g+=,x:tfIf/ jf cfkm" lrlGxg] s"g} ;+s]t jf lrGx n]v]df To:tf] pd]bjf/sf] pQ/k"l:tsf /@ ug{ ;lsg] % .

12= b/vf:t lbPsf] kbsf] nflu cfjZos kg]{ Go"gtd z}lIfs of]Uotf, tflnd / sfof{g"ejsf] k|df)fkqsf ;Ssn k|lt ;lxt

cGtjf{tf{df pkl:yt x"g"kg]{% t/ SLC eGbf dfly Go'gtd of]Uotf tf]lsPsf] kbsf pDd]bjf/n] SLC b]lvs} z}lIfs

of]Uotfsf sfuhftx?sf] ;Ssn k|lt ;d]t Nofpg"kg]{% _

13= k]z ug{ afsL /x]sf k|df)fkq, cg"ej, tflnd cflbsf k|ltlnlkx? cGtjf{tf{df pkl:yt x"g] lbg ;fydf lnO{ cfO{ ;f]

lbgdf ;+nUg ug"{kg]{% .

-o; k[i^sf] k%f*L lk|G^ gug{" xf]nf_

d'vfs[tL :ki^ b]lvg]

xfn;fn} lvr]sf]

kf;kf] {̂ ;fOhsf]

kmf]^f] ^f;L pDd]bjf/n]

kmf]^f] / kmf/fddf

kg]{ u/L x:tfIf/

ug]{ .