1. ckf+utf ePsf AolQmx?sf] ;zlQms/0fsf nfuL
..............................................
sfo{qmd k|:tfjgf
!= ;fdfGo hfgsf/L–
k|:tfj k]z ug]{ ;d'x M
================================
====;ldlt
;Dks{ AolQmsf] gfd tyf kb M
;+:yfsf] k'/f 7]ufgf M
6]lnkmf]g g+ M
O{d]n

2.  sfo{qmd Aoj:yfkg ug]{ lhDd]jf/ AolQm M cWoIf
–
;lrj –
If]=;of]hs –
 sfo{qd :yn M
 cjlw M
 k|:tfljt jh]6 M
 nfut Joxf]g{] lgsfo
;DjlGFwt ;:yf M
;/sf/L lgsfo dfkm{t
/fl6«o ckfË dfxf;+3 g]kfn M

3. ;+:yfsf] jf ;d'xsf] lsl;d M ckf+utf
;DjlGw sfo{/t d'gfkmf /lxt uf=lj=;= :t/sf] ;j} k|
s[ltsf ckfu+tf ePsf AolQmx?sf] ;femf ;+emfn
 ;+:yfsf] :yfkgf tyf cfj4tf btf{ ePsf]
sfof{noM– .
cfj4tf M– lhNnf ;dGjo ;ldlt ,df]/u+
sfo{ ;ldltdf /x]sf s"n ;b:o;+Vof M–
===== hgf
cfj4 ;b:o ;+Vof M– hgf

4. $= ;+:yf kl/roM–
s_ lsg ;d'x v'n]sf]
v_ slxn] v'n]sf]
u_ s] ub}{ cfO{/x}sf] 5 .
3_ ;d'xsf] ;+/rgf s:tf] 5 .
%=k[i7e'dL M
s_ ckfu+tfsf] cj:yf
v_ uf=lj=;=df ckfu+tfsf] cj:yf tyf tYofs+
u_ sfo{qmd ;+rfng lsg ug'{ kof}{ sf/0f

5. ^=sfo{qmdsf] pb]Zox? M
&=s[ofsnfkx? M
pb]Zo k'/f ug]{ sfo{qmdx? /fVg]
* =sfo{qmd sfof{Gjog k|lqmof M
( sfo{qmdsf] pknlAwx?
!) sfo{qmd k|ltj]bg
!! jh]6

6. पिरचय पत
पूण र अशक अित अशक

7. मधयम सामानय

8. कसलाई कु न
पिरचयपत ?

9. ckf+utf ePsf AolQmx?sf nfuL
z}lIfs 5fqj[lQsf] Aoj:yf
s_ >]0fL M k|lt dlxgf ?=@)))=)) sf b/n] !) dlxgfsf] ?
@),)))=)) - lxdfnL If]qsf nflu _
s_>]0fL M k|lt dlxgf ?=!,&))=)) sf b/n] !) dlxgfsf] ? !
&,)))=)) - cGo If]qsf nlu _
v_ >]0fL M k|lt dlxgf ? %))=)) sf b/n] !) dlxgfsf] ?
%,)))=))
u_ >]0fL M k|lt dlxgf ? #))=)) sf b/n] !) dlxgfsf] ?
#,)))=))
3_>]0fL M k|lt dlxgf ? %)=)) sf b/n] !) dlxgfsf] ?
%))=))

10. s_ >]0fL M k|lt dlxgf ?=!&))=)) sf b/n] !)
dlxgfsf] ? !&,)))=))
 kfl/jfl/s cfly{s cjZyf ;d]t sdhf]/ ePsf jlx/f,
b[li6ljxLg / ;':t dgl:ylt ePsf jf cGo ckfË
ljBfyL{x?
 3/ glhs cWoog cj;/ gkfPsf
 b}lgs 3/af6 ljBfno ;Dd cfjthfjt ug{ g;Sg]
 cWoogsf] nflu cGoq ljBfno jf lhNnfdf
cfO{ cfkm}n] a;f]jf;sf] ;d]t Joj:yf ug'{ kg]{

11. v_ >]0fL M k|lt dlxgf ? %))=)) sf b/n] !)
dlxgfsf] ? %,)))=))
 3/ tyf ljBfnodf lg/Gt/ c?sf] ;xof]u cfjZos kg]{
 ljBfno;Dd cfkm} cfjthfjt ug]{ g;Sg] jf c?sf] e/
kg'{kg]{ h:t} wheel chair cfjZos kg]{ t/ cfkm}
u'8fpg g;Sg] ltj| vfnsf zf/Ll/s ckfË ;]/]j|n
kNnL ax' ckfËtf ePsf cflb
 cfly{s cj:yf ;d]t sdhf]/ ePsf

12. u_ >]0fL M k|lt dlxgf ? #))=)) sf b/n] !)
dlxgfsf] ? #,)))=))
 3/af6 ljBfno;Dd oftfoft jf cGo ;fwg tyf
pks/0fsf] k|ofu u/L b}lgs cfjthfjt u/L cWokg
ug]{ cj;/ ePsf
 ul/j tyf h]x]Gbf/ zfl/l/s ckfË b[li6ljxLg ;':t
dgl:ylt, alx/f tyf cGo dWog vfnsf ckfË
ljBfyL{x?sf] nflu k|bfg ug]{ .

13. 3_>]0fL M k|lt dlxgf ? %)=)) sf b/n] !)
dlxgfsf] ? %))=))
 3/af6 ljBfno;Dd l;hn};Fu b}lgs cfjthfjt u/L
cWofg ug{ ;Sg] xNsf vfnsf z/Ll?s ckfË
b[li6ljxLg÷cNk b[li6ljxLg, alx/f Pj+ ;':t >d0f
tyf xNsf vfnsf ;':t dgl:ylt ePsf jf cGo vfnsf
ckfË laBfyL{x?sf nflu k|bfg ug]{ .