![Form lFBPY -_ I
gqQ13 Gac*go ai®V ®Q6ilg ersf
Q. -3Qqt6 8QjaiQa@i 6OQ.QQ`6! 98i6w 6i®'®i Q@I / §uQi QQi / 6eQtep Q®i
9, ?ic! q8icaG,` fl.6Gciifi6 ; €ia!6o atiG aa8Q:
a aQen®elQi8 Qifl :-g ; 8ifloi ....
`k„ `toia@QS Qi6 r @aGii6 z Qitj!6i6!, $6{ z qSfii;a.iQ @of
S. t3QLj c]!fi Gfllfi :-
3 6e6i!: qyi 6qi®.............'.-.........gl.0............-...-.-...-
as6{6ee
chaso(a
ae OrQ
!® :-qG`!& 8iQi. :-a.®!a 6q :L Q!a6ioi
9. 6Qj6`Q oa®a a9 flo: -.............................,............ f a#6:6i6TGGi fl8a ng6`O@;
r. @qoi§6,,
t. 6,tj@i QOu GiQoziis®QQ 6®9 6Q a+fiGf p;or ®!§Q{ :-
J€c. §a©iGP Qou ai@®ai6QQfi 6S96Q a g@i6 6©eiGpoi:-
Ooqd as f Qi6fla© 6©p!a3 ; fiiQ@© afiHi!q& ; 6Qa9!fi aiQ§ ; 6aGigr &@6Qien
„ voa 66u€@8 Qi§aiQ2ii6QOQ 6s966t H!v+ §q6ioide :-
Q9. fl.V6jLj €ir6 qSia© G,,,6G ©q§
6c! t6: €.yii6[ Q6i6i6Ois6i ai&c 6Q16ia a§® 2IiaQ oa! fii§ vQ0 6fliQ a§GiQ6] Q@'6fi!S G`i§e 8!fi 6`.9ar.COO 6:I:
Qq. 2i6Q i, t6i; fi. 6616i6 6al]l®oi6n ac6`iu66! Qao 6Q!QQiS i {6i!ti. £66H6i G6s zl8Stai ng¢a Old 9o @d ua ®ig
:Si®%Gi§f.`Qt6@:-i--Q6G%!€%',SQOQ-:o:a:3,3{:3:3Qa3%QG%:388%%8aa%£8,®8?da;:&Q®::,%]%6@'QQQ:£fT%,8g?a°aq
aiG, :-
G`l&6i :- an6coacjopg qua €fF aafty
asQq qdeQ Oiaei :-
Q} 56@16 Zil66'6Qro alQ6ald QIQ@ CP66i I (9) 6Q16`Q a§6Q 896} a!66`6S0 Q©Q i (qTi) QQQ gfil6l a9
t83 Qg 6fio6ii$ 6®iGr goa 6QQig ag I {S)G.i®6atlCi qffi8`ia gcii6iog itooQ 6Qi6ii8e 6|`6€Qou 6Sg66{HIV+
6qs afl`§ici gftl6! 69 i
gfl!a og :- td gffla o9 6dsa era:2i±6fte aouaeae aei gcatqicacaa6 §fiti 68ide ae Qaso 6ey oua8
i qfT§Q 6OaiQflii® anal eca a@®iQt 6G}e6co. rfuQg oeco ce oraa eeffias®
•--. 9,qdS ..........-..............,........-....... 6g gel /
qi, ai6QOQ6i6! €i ; 9ifioi,
Q!66t I a.' 606OO`Q 8i6a ai6Q®Qei6ti 6QQaGu O8ji fiQ:a zi66 I
6Q 6i8 €6r,Q6Q a®i a6fl.i© 9QQ §q €i6i §QO :-
ai6@QQa!Q.,Gp a.is@` @i 6aae
®6.6iCh ao QS
.......,............... 9 QQQi6@ 66!S ...... @d ua
9fl!&89 9016'8i611Gg C!`isQ
ola6' :
qQ, 6e6,;,
aisQOQ ag aoqs @a 6Q.D.a ©Qi S©6.3 ao!oQi 2H6`¢ie I](https://image.slidesharecdn.com/mbpyapplicationform1-190626074248/85/Mbpy-application-form1-1-320.jpg)
![g09giQa aa®iQi ; a®l®i aaGS!Gai® a6aiGr
1`,
zireQonQ96Q Q6Q6i e6uaiQa®i oenq6eQ aiQ6!i®iQ 2iqgfii® G66i o6Q gi. qoi6@ gu66 voi6Q
6His6i! ©@a 6e
6fli6i asqQiQ aQ"Qi ai6®oQ©!QiGf @Qo 6e` a6o° 6Gi` a6`6t iz!6@QQ©ienGf Qiq 6Q!SQ a.i€*ei €!gra8!Qo;
f2i§aaia6t 6ai6b` z`8e Qae]0 6i O]a©i6Q zia I OoeGiai ai6©OQa!6"Gp ©®'fii@ @ciQ ` ...........
Qd Z166 I
9j OQG16®i6tl8. ®aa „ ,...,. „..„„. @ds®q&6?.i
q» ai6G`QQ©i6* OiGp ai66`OQ 096Q 6QQ. Qm Q6s6! e&86 OiCh 6Qi6!Q O!a6iiq§©6Q Q6$6i ®6i!G!QaQi Qifi
Qao 6fl9 6OQen6` f 6fiG 6QQzi§ i Q06Qi© 6®16!a Q8a96Q Si® Qifi fiaQi€ ; fi&a§ :
5> aqQ©!flq ©flico.a 6Q ai6QOQ8i€r,6P& 6a6oQ Q#e'lQ a86 "elsa Gatlchs QiS{6 I a!66QQ a§6Q ass®
aQ! ai6aofpaiQi,Gp aoaG!'iafii6Gi 7*i6aQflGi)6ttGp ae ©ia GiQa§ .f c;i;&j® Qj6@ Q§a6 j
Sj ai6©ofl©i6Itg Qc}G a!a ©®`iaiQa§ €[ ai6QQ6`096Q oedaiGia@ fiGo o6i6ii©el6tlGo6! QGiQ %Q ; fiS'Q a6g i
2> ai6Qoa©i6tig QQ6i6ais¢ §fi6® QigQ 6@16ia a5q aiQQ a8[ 6fl.I OiB QjQifli ©dei afi66 6glfl6 ©i©
G'Qj6 I
9> at6¢o® 0966i od!aiQa©i aENmi a®Qan 6© ; frof!i® g®i6Q SQ as© i
-8qu'
cO.a.dyqfi6as
gfll© QS:
Q-arqu
ee {enfca)
(6ae 6,a.<G] each 8q§s 68refpqQi a!6®On®iQts 6®es® )
ai6GenQtee aaso6i erao a!a 6i. 9 ¥0 a a/-gi en / Ci§jG rjen I
6esap Qgraap
Q066ti$ 6Q6ien Q01 a66' / aol fltr69° i eiQv@ qCi(§6! ©Q16i" / ®6!iS(ai Q!S i
g€ Q8ae gi8cal (€cBGso
fl.` afo@ee cg6Q asB6] ®Q]oiQfroi Qfl© 6QQen dwa ©ds ng©a 6fl! ne6a ai6©Qfi©i6" SiQ'6i QQi
o'ae` 6fl6$ 6!aqs f 2`©.ciq® aG'6 I as®oQqg Qif!g6! ®lQG i
tvs ©!Qdi 6.i6© @© aa.Q6Q QqaQi 66i6as MBItv-II tier QQ6ffql®er aed6Q ©§aSi 6Q§ce
MBPT-ili 6! Qaq@ 8iasQ a&qo 6Q® !>
a,166! : 6fil96l ca6qucl](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
More Related Content
What's hot
What's hot (18)
Similar to Mbpy application form1
Similar to Mbpy application form1 (20)
More from BSSO49
More from BSSO49 (20)
Recently uploaded
Recently uploaded (20)
Mbpy application form1
- 1. Form lFBPY -_ I gqQ13 Gac*go ai®V ®Q6ilg ersf Q. -3Qqt6 8QjaiQa@i 6OQ.QQ`6! 98i6w 6i®'®i Q@I / §uQi QQi / 6eQtep Q®i 9, ?ic! q8icaG,` fl.6Gciifi6 ; €ia!6o atiG aa8Q: a aQen®elQi8 Qifl :-g ; 8ifloi .... `k„ `toia@QS Qi6 r @aGii6 z Qitj!6i6!, $6{ z qSfii;a.iQ @of S. t3QLj c]!fi Gfllfi :- 3 6e6i!: qyi 6qi®.............'.-.........gl.0............-...-.-...- as6{6ee chaso(a ae OrQ !® :-qG`!& 8iQi. :-a.®!a 6q :L Q!a6ioi 9. 6Qj6`Q oa®a a9 flo: -.............................,............ f a#6:6i6TGGi fl8a ng6`O@; r. @qoi§6,, t. 6,tj@i QOu GiQoziis®QQ 6®9 6Q a+fiGf p;or ®!§Q{ :- J€c. §a©iGP Qou ai@®ai6QQfi 6S96Q a g@i6 6©eiGpoi:- Ooqd as f Qi6fla© 6©p!a3 ; fiiQ@© afiHi!q& ; 6Qa9!fi aiQ§ ; 6aGigr &@6Qien „ voa 66u€@8 Qi§aiQ2ii6QOQ 6s966t H!v+ §q6ioide :- Q9. fl.V6jLj €ir6 qSia© G,,,6G ©q§ 6c! t6: €.yii6[ Q6i6i6Ois6i ai&c 6Q16ia a§® 2IiaQ oa! fii§ vQ0 6fliQ a§GiQ6] Q@'6fi!S G`i§e 8!fi 6`.9ar.COO 6:I: Qq. 2i6Q i, t6i; fi. 6616i6 6al]l®oi6n ac6`iu66! Qao 6Q!QQiS i {6i!ti. £66H6i G6s zl8Stai ng¢a Old 9o @d ua ®ig :Si®%Gi§f.`Qt6@:-i--Q6G%!€%',SQOQ-:o:a:3,3{:3:3Qa3%QG%:388%%8aa%£8,®8?da;:&Q®::,%]%6@'QQQ:£fT%,8g?a°aq aiG, :- G`l&6i :- an6coacjopg qua €fF aafty asQq qdeQ Oiaei :- Q} 56@16 Zil66'6Qro alQ6ald QIQ@ CP66i I (9) 6Q16`Q a§6Q 896} a!66`6S0 Q©Q i (qTi) QQQ gfil6l a9 t83 Qg 6fio6ii$ 6®iGr goa 6QQig ag I {S)G.i®6atlCi qffi8`ia gcii6iog itooQ 6Qi6ii8e 6|`6€Qou 6Sg66{HIV+ 6qs afl`§ici gftl6! 69 i gfl!a og :- td gffla o9 6dsa era:2i±6fte aouaeae aei gcatqicacaa6 §fiti 68ide ae Qaso 6ey oua8 i qfT§Q 6OaiQflii® anal eca a@®iQt 6G}e6co. rfuQg oeco ce oraa eeffias® •--. 9,qdS ..........-..............,........-....... 6g gel / qi, ai6QOQ6i6! €i ; 9ifioi, Q!66t I a.' 606OO`Q 8i6a ai6Q®Qei6ti 6QQaGu O8ji fiQ:a zi66 I 6Q 6i8 €6r,Q6Q a®i a6fl.i© 9QQ §q €i6i §QO :- ai6@QQa!Q.,Gp a.is@` @i 6aae ®6.6iCh ao QS .......,............... 9 QQQi6@ 66!S ...... @d ua 9fl!&89 9016'8i611Gg C!`isQ ola6' : qQ, 6e6,;, aisQOQ ag aoqs @a 6Q.D.a ©Qi S©6.3 ao!oQi 2H6`¢ie I
- 2. g09giQa aa®iQi ; a®l®i aaGS!Gai® a6aiGr 1`, zireQonQ96Q Q6Q6i e6uaiQa®i oenq6eQ aiQ6!i®iQ 2iqgfii® G66i o6Q gi. qoi6@ gu66 voi6Q 6His6i! ©@a 6e 6fli6i asqQiQ aQ"Qi ai6®oQ©!QiGf @Qo 6e` a6o° 6Gi` a6`6t iz!6@QQ©ienGf Qiq 6Q!SQ a.i€*ei €!gra8!Qo; f2i§aaia6t 6ai6b` z`8e Qae]0 6i O]a©i6Q zia I OoeGiai ai6©OQa!6"Gp ©®'fii@ @ciQ ` ........... Qd Z166 I 9j OQG16®i6tl8. ®aa „ ,...,. „..„„. @ds®q&6?.i q» ai6G`QQ©i6* OiGp ai66`OQ 096Q 6QQ. Qm Q6s6! e&86 OiCh 6Qi6!Q O!a6iiq§©6Q Q6$6i ®6i!G!QaQi Qifi Qao 6fl9 6OQen6` f 6fiG 6QQzi§ i Q06Qi© 6®16!a Q8a96Q Si® Qifi fiaQi€ ; fi&a§ : 5> aqQ©!flq ©flico.a 6Q ai6QOQ8i€r,6P& 6a6oQ Q#e'lQ a86 "elsa Gatlchs QiS{6 I a!66QQ a§6Q ass® aQ! ai6aofpaiQi,Gp aoaG!'iafii6Gi 7*i6aQflGi)6ttGp ae ©ia GiQa§ .f c;i;&j® Qj6@ Q§a6 j Sj ai6©ofl©i6Itg Qc}G a!a ©®`iaiQa§ €[ ai6QQ6`096Q oedaiGia@ fiGo o6i6ii©el6tlGo6! QGiQ %Q ; fiS'Q a6g i 2> ai6Qoa©i6tig QQ6i6ais¢ §fi6® QigQ 6@16ia a5q aiQQ a8[ 6fl.I OiB QjQifli ©dei afi66 6glfl6 ©i© G'Qj6 I 9> at6¢o® 0966i od!aiQa©i aENmi a®Qan 6© ; frof!i® g®i6Q SQ as© i -8qu' cO.a.dyqfi6as gfll© QS: Q-arqu ee {enfca) (6ae 6,a.<G] each 8q§s 68refpqQi a!6®On®iQts 6®es® ) ai6GenQtee aaso6i erao a!a 6i. 9 ¥0 a a/-gi en / Ci§jG rjen I 6esap Qgraap Q066ti$ 6Q6ien Q01 a66' / aol fltr69° i eiQv@ qCi(§6! ©Q16i" / ®6!iS(ai Q!S i g€ Q8ae gi8cal (€cBGso fl.` afo@ee cg6Q asB6] ®Q]oiQfroi Qfl© 6QQen dwa ©ds ng©a 6fl! ne6a ai6©Qfi©i6" SiQ'6i QQi o'ae` 6fl6$ 6!aqs f 2`©.ciq® aG'6 I as®oQqg Qif!g6! ®lQG i tvs ©!Qdi 6.i6© @© aa.Q6Q QqaQi 66i6as MBItv-II tier QQ6ffql®er aed6Q ©§aSi 6Q§ce MBPT-ili 6! Qaq@ 8iasQ a&qo 6Q® !> a,166! : 6fil96l ca6qucl