†iwr÷ v w© bs ww g - 1 ev sj v ‡ ` k †m ‡ r u¦œাতীয় পরিচয়...

†iwR÷vW© bs wW G-1

evsjv‡`k †M‡RU AwZwi³ msL¨v

KZ…©cÿ KZ…©K cÖKvwkZ

eyaevi, RyjvB 23, 2014

wbe©vPb Kwgkb evsjv‡`k

cÖÁvcb

ZvwiL, 5 kÖveY, 1421 e½vã/20 RyjvB, 2014 wLª÷vã

Gm. Avi. I. bs 196-AvBb/2014|RvZxq cwiPq wbeÜb AvBb, 2010 (2010 m‡bi 3 bs AvBb) Gi aviv 22, aviv 3, 5, 7 Ges 9 Gi mwnZ cwVZe¨, G cÖ Ë ÿgZve‡j wbe©vPb Kwgkb, miKv‡ii c~e©vby‡gv`bµ‡g, wbgœœiƒc wewagvjv cÖYqb Kwij, h_v t

1| mswÿß wk‡ivbvg I cÖeZ©b|(1) GB wewagvjv RvZxq cwiPq wbeÜb wewagvjv, 2014 bv‡g AwfwnZ nB‡e|

(2) GB wewagvjvi

(K) wewa 4 e¨ZxZ Ab¨vb¨ wewa Awej‡¤ Kvh©Ki nB‡e; Ges

(L) wbe©vPb Kwgkb, miKvwi †M‡R‡U cÖÁvcb Øviv, †h ZvwiL wba©viY Kwi‡e †mB Zvwi‡L wewa 4 Kvh©Ki nB‡e|

2| msÁv|welq ev cÖm‡½i cwicš’x wKQz bv _vwK‡j, GB wewagvjvq

(1) ÒAvBbÓ A_© RvZxq cwiPq wbeÜb AvBb, 2010 (2010 m‡bi 3 bs AvBb);

(2) ÒKwgkbÓ A_© msweav‡bi Aby‡”Q` 118 Gi Aaxb cÖwZwôZ wbe©vPb Kwgkb;

(3) ÒRvZxq cwiPqcÎÓ A_© AvB‡bi aviv 2 Gi `dv (2) G msÁvwqZ RvZxq cwiPqcÎ;

( 16525 ) g~j¨ t UvKv 24.00

16526 evsjv‡`k †M‡RU, AwZwi³, RyjvB 23, 2014

(4) ÒZ_¨-DcvËÓ A_© AvB‡bi aviv 2 Gi `dv (4) G msÁvwqZ Z_¨-DcvË;

(5) Ò`vwqZ¡cÖvß Kg©KZ©vÓ A_© GB wewagvjvi D‡Ïk¨ c~iYK‡í Kwgkb KZ…©K, mgq mgq, ÿgZvcÖvß †Kvb Kg©KZ©v;

(6) ÒbvMwiKÓ A_© AvB‡bi aviv 2 Gi `dv (5) G msÁvwqZ bvMwiK;

(7) ÒdigÓ A_© GB wewagvjvi dig;

(8) ÒwdÓ A_© wewa 8 G DwjøwLZ wd;

(9) Òev‡qv‡gwUªK wdPvi (Biometric feature)Ó A_© AvB‡bi aviv 2 Gi `dv (8) G msÁvwqZ ev‡qv‡gwUªK wdPvi;

(10) Ò†fvUvi ZvwjKv AvBbÓ A_© †fvUvi ZvwjKv AvBb, 2009 (2009 m‡bi 6 bs AvBb);

(11) Ò†fvUvi nBevi †hvM¨ b‡nb bvMwiKÓ A_© †fvUvi ZvwjKv AvB‡bi Aaxb †fvUvi nBevi †hvM¨Zv AR©b K‡ib bvB GBiƒc bvMwiK;

(12) Ò ’vbxq Kvh©vjqÓ A_© †Kvb bvMwiK †h GjvKvq †fvUvi wnmv‡e ZvwjKvfz³ Av‡Qb ev ZvwjKvfz³ nB‡Z Pv‡nb †mB GjvKvi †Rjv, Dc‡Rjv ev _vbv wbe©vPb Kvh©vjq, Ges Kwgkb KZ…©K, mgq mgq, wba©vwiZ †Kvb A ’vqx Kvh©vjqI Bnvi AšÍfz©³ nB‡e|

3| †fvUvi nBevi †hvM¨ bvMwi‡Ki cwiPq wbeÜb I RvZxq cwiPqcÎ cÖ vb|(1) †fvUvi ZvwjKv AvBb I Dnvi Aaxb cÖYxZ wewagvjv Abymv‡i †fvUvi wnmv‡e ZvwjKvfz³ bvMwi‡Ki †fvUvi ZvwjKv cÖYqb, ms‡kvab A_ev nvjbvMv`KiYKv‡j c~iYK„Z I Z &KZ…©K ¯vÿwiZ wbeÜb dig D³ bvMwi‡Ki cwiPq wbeÜ‡bi Av‡e`biƒ‡c MY¨ nB‡e Ges Kwgkb dig-2 Abymv‡i Zvnv‡K RvZxq cwiPqcÎ cÖ vb Kwi‡e|

(2) †fvUvi nBevi †hvM¨ †Kvb bvMwiK †fvUvi wnmv‡e ZvwjKvfz³ bv nB‡j Zvnv‡K cwiPq wbeÜ‡bi Rb¨ dig 1 Abymv‡i Kwgkb ev ’vbxq Kvh©vj‡q mivmwi A_ev Kwgk‡bi I‡qemvB‡Ui gva¨‡g AbjvB‡b Av‡e`b Kwi‡Z nB‡e|

(3) Dc-wewa (2) Gi Aaxb mivmwi ev AbjvB‡b `vwLjK…Z Av‡e`bcÎ Ges Dnvi mwnZ mshy³ `wjjvw` cÖvwßi ci wbgœewY©Z c`‡ÿc MÖnY Kwi‡Z nB‡e, h_v t

(K) mivmwi Av‡e`‡bi †ÿ‡Î, `vwqZ¡cÖvß Kg©KZ©v dig-1 Gi Ask-K ¯vÿiKiZ Dnv Av‡e`bKvix‡K †diZ cÖ vb Kwi‡eb A_ev AbjvB‡b Av‡e`‡bi †ÿ‡Î, mswkøó Av‡e`bKvixi †gvevBj b¤i ev B-†gBj wVKvbvq Ask-K †cÖiY Kwi‡eb t

evsjv‡`k †M‡RU, AwZwi³, RyjvB 23, 2014 16527

Z‡e kZ© _v‡K †h, `vwqZ¡cÖvß Kg©KZ©vi wbKU Av‡e`bc‡Î †Kvb ÎæwU ev Am¤ú~Y©Zv cwijwÿZ nB‡j wZwb Ask-K G Dnv D‡jøLc~e©K D³ ÎæwU ev Am¤ú~Y©Zv `~ixKi‡Yi j‡ÿ¨ cÖ‡qvRbxq c`‡ÿc MÖnY Kwievi wbwgË Av‡e`bKvix‡K Av‡e`bcÎwU †diZ cÖ vb Kwi‡eb Ges Av‡e`bKvix D³ ÎæwU ev Am¤ú~Y©Zv `~ixKi‡Yi j‡ÿ¨ cÖ‡qvRbxq c`‡ÿc MÖnY Kwiqv h_vkxNª m¤¢e Av‡e`bcÎ cybivq `vwLj Kwi‡eb Ges `vwqZ¡cÖvß Kg©KZ©v mš‘ó nB‡j Av‡e`bKvixi ev‡qv‡gwUªK wdPvi cÖ v‡bi Rb¨ ZvwiL wba©viYc~e©K Ask-K cÖ vb Kwi‡eb t

AviI kZ© _v‡K †h, `vwqZ¡cÖvß Kg©KZ©v cÖ‡qvRb g‡b Kwi‡j Av‡e`‡b DwjøwLZ Z_¨vw`i mwVKZv hvPvB‡qi Rb¨ †Kvb `vwjwjK cÖgvY mieiv‡ni Rb¨ Ask-K G D‡jøLc~e©K Dnv Av‡e`bKvix‡K cÖ vb Kwi‡eb Ges ev‡qv‡gwUªK wdPvi cÖ v‡bi Rb¨ wba©vwiZ Zvwi‡Li c~‡e© Av‡e`bKvix‡K Dnv mieivn Kwi‡Z nB‡e;

(L) Ask-K G DwjøwLZ Zvwi‡L mswkøó Av‡e`bKvix‡K Kwgkb ev, †ÿÎgZ, ’vbxq Kvh©vj‡q Dcw ’Z nBqv ev‡qv‡gwUªK wdPvi cÖ vbmn cÖ‡qvRbxq mKj c`‡ÿc m¤úbœ Kwi‡Z nB‡e;

(M) `vwqZ¡cÖvß Kg©KZ©v Av‡e`bKvix ev‡qv‡gwUªK wdPvi MÖn‡Yi Rb¨ cÖ‡qvRbxq mKj c`‡ÿc m¤úbœ Kwi‡eb Ges dig-1 Gi Ask-L ¯vÿiKiZ Dnv Av‡e`bKvix‡K cÖ vb Kwi‡eb|

(4) Dc-wewa (3) Gi Aaxb Kvh©µg m¤úbœ nBevi ci Kwgkb KZ…©K dig-2 Abymv‡i RvZxq cwiPqcÎ cÖ ‘Z Kiv nB‡e Ges Av‡e`bKvix‡K Ask-L G DwjøwLZ Zvwi‡L Dnv cÖ v‡bi cÖ‡qvRbxq e¨e ’v MÖnY Kiv nB‡e|

4| †fvUvi nBevi †hvM¨ b‡nb bvMwi‡Ki cwiPq wbeÜb I RvZxq cwiPqcÎ cÖ vb|(1) †fvUvi nBevi †hvM¨ b‡nb †Kvb bvMwi‡Ki cwiPq wbeÜ‡bi Rb¨ Zvnv‡K ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K dig-3 Abymv‡i Kwgkb ev ’vbxq Kvh©vj‡q mivmwi A_ev Kwgk‡bi I‡qemvB‡Ui gva¨‡g AbjvB‡b Av‡e`b Kwi‡Z nB‡e|

(2) Dc-wewa (1) Gi Aaxb mivmwi ev AbjvB‡b `vwLjK…Z Av‡e`bcÎmn Dnvi mwnZ mshy³ `vwjjvw` cÖvwßi ci wbgœewY©Z c`‡ÿc MÖnY Kwi‡Z nB‡e, h_v t

(K) mivmwi Av‡e`‡bi †ÿ‡Î, `vwqZ¡cÖvß Kg©KZ©v dig-3 Gi Ask-K ¯vÿiKiZ Dnv Av‡e`bKvix‡K ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K †diZ cÖ vb Kwi‡eb A_ev AbjvB‡b Av‡e`‡bi †ÿ‡Î, mswkøó Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM Awffve‡Ki †gvevBj b¤i ev B-†gBj wVKvbvq Ask-K †cÖiY Kwi‡eb t


Z‡e kZ© _v‡K †h, `vwqZ¡cÖvß Kg©KZ©vi wbKU Av‡e`bc‡Î †Kvb ÎæwU ev

Am¤ú~Y©Zv cwijwÿZ nB‡j wZwb Ask-K G Dnv D‡jøLc~e©K D³ ÎæwU ev

Am¤ú~Y©Zv `~ixKi‡Yi j‡ÿ¨ cÖ‡qvRbxq c`‡ÿc MÖnY Kwievi wbwgË

Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K Av‡e`bcÎwU †diZ

cÖ vb Kwi‡eb Ges Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK D³

ÎæwU ev Am¤ú~Y©Zv ~ixKi‡Yi j‡ÿ¨ cÖ‡qvRbxq c`‡ÿc MÖnY Kwiqv h_vkxNª

m¤¢e Av‡e`bcÎ cybivq `vwLj Kwi‡eb Ges `vwqZ¡cÖvß Kg©KZ©v mš‘ó nB‡j

Av‡e`bKvixi ev‡qv‡gwUªK wdPvi cÖ v‡bi Rb¨ ZvwiL wba©viYc~e©K Ask-K

cÖ vb Kwi‡eb t

AviI kZ© _v‡K †h, `vwqZ¡cÖvß Kg©KZ©v cÖ‡qvRb g‡b Kwi‡j Av‡e`‡b

DwjøwLZ Z_¨vw`i mwVKZv hvPvB‡qi Rb¨ †Kvb `vwjwjK cÖgvY mieiv‡ni Rb¨

Ask-K G D‡jøLc~e©K Dnv Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM

AwffveK‡K cÖ vb Kwi‡eb Ges ev‡qv‡gwUªK wdPvi cÖ v‡bi Rb¨ wba©vwiZ

Zvwi‡Li c~‡e© Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K Dnv

mieivn Kwi‡Z nB‡e;

(L) mswkøó Av‡e`bKvix‡K Ask-K G DwjøwLZ Zvwi‡L Kwgkb ev, †ÿÎgZ, ’vbxq

Kvh©vj‡q Dcw ’Z nBqv ev‡qv‡gwUªK wdPvi cÖ vbmn cÖ‡qvRbxq mKj c`‡ÿc

m¤úbœ Kwi‡Z nB‡e;

(M) `vwqZ¡cÖvß Kg©KZ©v Av‡e`bKvixi ev‡qv‡gwUªK wdPvi MÖn‡Yi Rb¨ cÖ‡qvRbxq

mKj c`‡ÿc m¤úbœ Kwi‡eb Ges dig-3 Gi Ask-L ¯vÿiKiZ Dnv

Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K cÖ vb Kwi‡eb|

(3) Dc-wewa (2) Gi Aaxb Kvh©µg m¤úbœ nBevi ci Kwgkb KZ…©K dig-4 Abymv‡i

RvZxq cwiPqcÎ cÖ ‘Z Kiv nB‡e Ges Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K

Ask-L G DwjøwLZ Zvwi‡L cÖ v‡bi cÖ‡qvRbxq e¨e ’v MÖnY Kiv nB‡e|

(4) Dc-wewa (1), (2) I (3) G hvnv wKQzB _vKzK bv †Kb, Kwgkb †fvUvi nBevi †hvM¨

b‡nb GBiƒc mKj bvMwi‡Ki cwiPq wbeÜb Ges RvZxq cwiPqcÎ cÖ v‡bi Rb¨ †`ke¨vcx

Kg©m~Px MÖnY Kwi‡Z cvwi‡e|


5| RvZxq cwiPqcÎ bevqb|(1) AvB‡bi aviv 7 Gi Dc-aviv (2) Gi D‡Ïk¨ c~iYK‡í RvZxq cwiPqcÎ bevq‡bi Rb¨ cÖ‡Z¨K bvMwiK ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K dig-5 Abyhvqx mivmwi A_ev Kwgk‡bi I‡qemvB‡Ui gva¨‡g AbjvB‡b Av‡e`b Kwi‡Z nB‡e|

(2) Dc-wewa (1) Gi Aaxb mivmwi Av‡e`‡bi †ÿ‡Î, wewa 8 Gi Dc-wewa (2) Abymv‡i wd cwi‡kvac~e©K iwk‡ì Kwc Av‡e`‡bi mwnZ mshy³ Kwiqv ÒRiæwiÓ ev ÒmvaviYÓ wnmv‡e `vwLj Kwi‡Z nB‡e A_ev AbjvB‡b Av‡e`‡bi †ÿ‡Î, wd cwi‡kvac~e©K iwk‡ì ¯‹¨vbK…Z Kwc B‡jKUªwbK c×wZ‡Z ÒRiæwiÓ ev ÒmvaviYÓ wnmv‡e `vwLj Kwi‡Z nB‡e|

(3) ÒRiæwiÓ Av‡e`b Kwgk‡b Ges ÒmvaviYÓ Av‡e`b ’vbxq Kvh©vj‡q `vwLj Kwi‡Z nB‡e Ges Av‡e`bcÎ cÖvwßi ci `vwqZ¡cÖvß Kg©KZ©v Av‡e`b dig Gi Ask-K ¯vÿiKiZ Dnv Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K †diZ cÖ vb Kwi‡eb A_ev AbjvB‡b Av‡e`‡bi †ÿ‡Î, Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK eivei †gvevBj b¤i ev B-†gBj wVKvbvq Ask-K †cÖiY Kwi‡eb t

Z‡e kZ© _v‡K †h, `vwqZ¡cÖvß Kg©KZ©vi wbKU Av‡e`bc‡Î †Kvb ÎæwU ev Am¤ú~Y©Zv cwijwÿZ nB‡j wZwb Ask-K G Dnv D‡jøLc~e©K D³ ÎæwU ev Am¤ú~Y©Zv `~ixKi‡Yi j‡ÿ¨ cÖ‡qvRbxq c`‡ÿc MÖnY Kwievi wbwgË Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K Av‡e`bcÎwU †diZ cÖ vb Kwi‡eb Ges Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK D³ ÎæwU ev Am¤ú~Y©Zv `~ixKi‡Yi j‡ÿ¨ cÖ‡qvRbxq c`‡ÿc MÖnY Kwiqv h_vkxNª m¤¢e Av‡e`bcÎ cybivq `vwLj Kwi‡eb Ges `vwqZ¡cÖvß Kg©KZ©v mš‘ó nB‡j Av‡e`bKvixi ev‡qv‡gwUªK wdPvi cÖ v‡bi Rb¨ ZvwiL wba©viYc~e©K Ask-K cÖ vb Kwi‡eb|

(4) mswkøó Av‡e`bKvix‡K Ask-K G DwjøwLZ Zvwi‡L Kwgkb ev, †ÿÎgZ, ’vbxq Kvh©vj‡q Dcw ’Z nBqv ev‡qv‡gwUªK wdPvi cÖ vbmn cÖ‡qvRbxq mKj c`‡ÿc m¤úbœ Kwi‡Z nB‡e|

(5) `vwqZ¡cÖvß Kg©KZ©v Av‡e`bKvixi ev‡qv‡gwUªK wdPvi MÖnYmn cÖ‡qvRbxq mKj c`‡ÿc m¤úbœ Kwi‡eb Ges Av‡e`b dig Gi Ask-L ¯vÿiKiZ Dnv Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K cÖ vb Kwi‡eb|

(6) Dc-wewa (3), (4) I (5) Gi Aaxb Kvh©µg m¤úbœ nBevi ci Kwgkb Ask-L G DwjøwLZ Zvwi‡L, cyivZb RvZxq cwiPqcÎ †diZ cÖ vb mv‡c‡ÿ, cyivZb RvZxq cwiPqcÎ bevqbc~e©K Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K dig-2 ev, †ÿÎgZ, dig 4 Abymv‡i GKB b¤‡i b~Zb RvZxq cwiPqcÎ cÖ v‡bi eë ’v Kwi‡e|


(7) Av‡e`‡bi ZvwiL nB‡Z, ÒRiæwiÓ Av‡e`‡bi †ÿ‡Î, 7 (mvZ) Kvh©wèm Ges

ÒmvaviYÓ Av‡e`‡bi †ÿ‡Î 30 (wÎk) Kvh©wè‡mi g‡a¨ RvZxq cwiPqcÎ bevqbµ‡g b~Zb

RvZxq cwiPqcÎ cÖ vb Kiv nB‡e|

6| nviv‡bv ev bó nBevi Kvi‡Y b~Zb RvZxq cwiPqcÎ cÖ vb|(1) †Kvb bvMwi‡Ki

RvZxq cwiPqcÎ nvivBqv †M‡j ev Ab¨ †Kv‡bvfv‡e bó nBqv †M‡j D³ bvMwiK ev, †ÿÎgZ,

Zvnvi AvBbvbyM AwffveK‡K AbwZwej‡¤ wbKU ’ _vbvq †fvUvi b¤i ev, †ÿÎgZ, RvZxq

cwiwPwZ b¤i (hw` _v‡K) D‡jøLc~e©K GKwU mvaviY Wv‡qwi Kwi‡Z nB‡e|

(2) AvB‡bi aviv 9 Gi Dc-aviv (1) Gi D‡Ïk¨ c~iYK‡í D³ bvMwiK ev, †ÿÎgZ,

Zvnvi AvBbvbyM AwffveK‡K Dc-wewa (1) G DwjøwLZ mvaviY Wv‡qwii Kwcmn dig-6

Abyhvqx mivmwi A_ev Kwgk‡bi I‡qemvB‡Ui gva¨‡g AbjvB‡b Av‡e`b Kwi‡Z nB‡e|

(3) Dc-wewa (2) Gi Aaxb mivmwi Av‡e`‡bi †ÿ‡Î, wewa 8 Gi Dc-wewa (2) Abymv‡i

wd cwi‡kvac~e©K iwk‡ì Kwc Av‡e`‡bi mwnZ mshy³ Kwiqv ÒRiæwiÓ ev ÒmvaviYÓ wnmv‡e

`vwLj Kwi‡Z nB‡e A_ev AbjvB‡b Av‡e`‡bi †ÿ‡Î, wd cwi‡kvac~e©K iwk‡ì ¯‹¨vbK…Z Kwc

B‡jKUªwbK c×wZ‡Z ÒRiæwiÓ ev ÒmvaviYÓ wnmv‡e `vwLj Kwi‡Z nB‡e|

(4) Dc-wewa (2) I (3) Gi Aaxb Av‡e`b cÖvwßi ci wewa 5 Gi Dc-wewa (3) nB‡Z

Dc-wewa (5) G ewY©Z c`‡ÿc MÖnY Kwi‡Z nB‡e|

(5) Dc-wewa (4) Gi Aaxb Kvh©µg m¤úbœ nBevi ci Kwgkb Ask-L G DwjøwLZ

Zvwi‡L Av‡e`bKvix ev, †ÿÎgZ, Zvnvi AvBbvbyM AwffveK‡K dig-2 ev, †ÿÎgZ, dig 4

Abymv‡i GKB b¤i I †gqv‡` b~Zb RvZxq cwiPqcÎ cÖ v‡bi eë ’v Kwi‡e|

(6) Av‡e`‡bi ZvwiL nB‡Z, ÒRiæwiÓ Av‡e`‡bi †ÿ‡Î 7 (mvZ) Kvh©wèm Ges

ÒmvaviYÓ Av‡e`‡bi †ÿ‡Î 30 (wÎk) Kvh©wè‡mi g‡a¨ b~Zb RvZxq cwiPqcÎ cÖ vb Kiv

nB‡e|

7| `wjjvw` webóKiY|Kwgkb Destruction of Records Act, 1917 (Act No. V

of 1917) Gi weavb Abyhvqx †gqv‡`vËxY© ev AcÖ‡qvRbxq RvZxq cwiPqcÎ Ges `wjjvw`

webóKi‡Yi eë¯’v MÖnY Kwi‡Z cvwi‡e|


8| wd, BZ¨vw`|(1) RvZxq cwiPqcÎ bevqb, nviv‡bv ev bó nBevi Kvi‡Y b~Zb RvZxq cwiPqc‡Îi Av‡e`‡bi †ÿ‡Î wbgœ †Uwe‡j DwjøwLZ wd cÖ vb Kwi‡Z nB‡e, h_v :

†Uwej

µwgK bs

Kvh©mg~n cÖ‡`q wdmg~n (UvKv)

mvaviY Riæwi

1| RvZxq cwiPqcÎ bevqb 100 (GKkZ) 150 (GKkZ cÂvk)

2| nviv‡bv ev bó nBevi Kvi‡Y b~Zb RvZxq cwiPqcÎ cÖvwß

cÖ_g evi Av‡e`b 200 (`yB) kZ 300 (wZb) kZ

wØZxq evi Av‡e`b 300 (wZb) kZ 500 (cuvP) kZ

cieZx© †h †Kvb evi Av‡e`b 500 (cuvP) kZ 1000 (GK) nvRvi

(wdmg~n A_© gš¿Yvj‡qi A_© wefv‡Mi ¯§viK bs-07.143.045.00.00.004.2007-

117, ZvwiL t 12-06-2014 Gi gva¨‡g cÖ Ë gZvgZ/Aby‡gv`b Abyhvqx wba©vwiZ)

(2) Dc-wewa (1) G DwjøwLZ wd ÒmwPe, wbe©vPb KwgkbÓ Gi AbyK~‡j †c AW©vi ev

e¨vsK WªvdU Gi gva¨‡g A_ev Kwgkb KZ…©K wbw`©óK…Z b¤‡i †gvevBj e¨vswKs ev AbjvBb

e¨vswKs Gi gva¨‡g cwi‡kva Kwi‡Z nB‡e|


wbe©vPb Kwgkb evsjv‡`k dig-1

†fvUvi nBevi †hvM¨ bvMwi‡Ki cwiPq wbeÜ‡bi Av‡e`b [ RvZxq cwiPq wbeÜb wewagvjv, 2014 Gi wewa 3(2) I †fvUvi ZvwjKv wewagvjv, 2012 Gi

wewa-10 `ªóe¨ ] dig b¤it

1| †fvUvi GjvKvi bvg t .......................... 2| †fvUvi GjvKvi b¤it

3| bvg (evsjvq) t .........................................................................................................

4| bvg (ENGLISH eo Aÿ‡i) t ...................................................................................

5| Rb¥ wbeÜb b¤i t

w`b gvm eQi

6| Rb¥ ZvwiL t 7| Rb¥ ¯’vb (†Rjv) t ......................

8| RvZxqZv t ..............................................................................................................

9| wcZvi bvg t ............................................................................................................

10| wcZvi NID b¤i t cÖ‡hvR¨ b‡nt

A_ev †fvUvi b¤i t 11| wcZv g„Z nB‡j g„Zzï mbt

12| gvZvi bvg t ..........................................................................................................

13| gvZvi NID b¤i t cÖ‡hvR¨ b‡nt

A_ev †fvUvi b¤i t 14| gvZv g„Z nB‡j g„Zzï mbt 15| wj½ t cyiæl gwnjv wnRov

16| êevwnK Ae ’v t AweevwnZ weevwnZ ZvjvKcÖvß weaev wecZœxK

17| ¯vgx/ ¿xi bvg t ................................................................................ cÖ‡hvR¨ b‡nt

18| ¯vgx/ ¿xi NID b¤i t cÖ‡hvR¨ b‡nt

`ªóe¨ t GKvwaK ¿x _vwK‡j c„_K KvM‡R cÖ‡Z¨‡Ki bvgmn RvZxq cwiPqc‡Îi b¤i (hw` _v‡K)

D‡jøLc~e©K mshy³ Kwi‡Z nB‡e|

19| ¯vgx ¿x g„Z nB‡j g„Zzï mb t

20| wkÿvMZ †hvM¨Zv t ....................................................... 21| †ckv t ...................

22| Amvg_©Zv/cÖwZewÜZvi cÖK…wZ (√ w`b) t cÖ‡hvR¨ bq AwURg ev AwURg †¯úKUªvg

wWRAW©vim gvbwmK Amy¯’ZvRwbZ cÖwZewÜZv „wó cÖwZewÜZv kvixwiK cÖwZewÜZv

kÖeY cÖwZewÜZv kÖeY-`„wó cÖwZewÜZv evK cÖwZewÜZv †mwieªvj cjwR

WvDb wmb‡Wªvg eûgvwÎK cÖwZewÜZv Ab¨vb¨ .............................................. 23| „k¨gvb mbv³KiY wPý (hw` _v‡K) t ....................................................................

24| i‡³i MÖæc (hw` Rvbv _v‡K) (√ w`b) t A+ A- B+ B- AB+ AB- O + O-

`ªóe¨ t wcZv/gvZv/¯vgx/ ¿x 2007 Gi ci g„ZzëiY Kwiqv _vwK‡j †fvUvi ZvwjKv wewagvjv, 2012 Gi dig-12 c~iY Kwi‡Z nB‡e|


25| wVKvbv t (K) eZ©gvb wVKvbv t wefvM t ............... †Rjv t ................. Dc‡Rjv/_vbv t .............

wmwU K‡c©v‡ikb/†cŠimfv/BDwbqb/K¨v›Ut †evW© t ...........IqvW© b¤it ........... †gŠRv t.......

MÖvg/gnjøv/iv Ívi bvg t ........ evmv/†nvwìs b¤it ........ WvKNi t ......... †cv÷ †KvW t }}}

Avi.Gg.I. t cjøx †cŠimfv wmwU K‡c©v‡ikb kni Ab¨ GjvKv

(L) ¯’vqx wVKvbv t wefvM t .............. †Rjv t ...............Dc‡Rjv/_vbv t ............................. wmwU K‡c©v‡ikb/‡cŠimfv/BDwbqb/K¨v›Ut †evW© t ...........IqvW© b¤it ........... †gŠRv t ......

MÖvg/gnjøv/iv Ívi bvg t ........ evmv/†nvwìs b¤it ........ WvKNi t ......... †cv÷ †KvW t

Avi.Gg.I. t cjøx †cŠimfv wmwU K‡c©v‡ikb kni Ab¨ GjvKv

26| †h wVKvbvq †fvUvi nB‡Z B”QzK t eZ©gvb wVKvbv ¯’vqx wVKvbv

27| TIN: (hw` _v‡K) t

28| WªvBwfs jvB‡mÝ b¤i (hw` _v‡K) t

29| cvm‡cvU© b¤i (hw` _v‡K) t

30| †Uwj‡dvb b¤i (hw` _v‡K) t ..................................... 31| †gvevBj †dvb b¤i t .............

32| ag© (√ w`b) t Bmjvg wn›`y †eŠ× wLª÷vb Ab¨vb¨ t .........................

33| ev` cov †fvUvi‡`i †ÿ‡Î, ev` cwoevi KviY t ..............................................................

34| Av‡e`bKvixi cÖZ¨qb t Avwg evsjv‡`‡ki bvMwiK Ges µwgK bs 1-33 ch©šÍ Z_¨ Avgvi Ávb I wek¦vmg‡Z m¤ú~Y© mZ¨|

Av‡e`bKvixi ¯vÿi/wUcmwn t ........................

35| mbv³Kvixi NID b¤i t 36| ¯vÿi t.....

37| Z_¨ msMÖnKvixi NID b¤i t 38| ¯vÿi t......

39| mycvifvBRv‡ii NID b¤i t 40| ¯vÿi t.......

41| hvPvBKvixi bvg t .....................................................................................................

42| hvPvBKvixi NID b¤i t 43| ¯vÿi t......

44| Av‡e`bKvixi Qwe, Av½y‡ji Qvc I ¯vÿi (wbeÜb †K‡›`ª cÖ vb Kwi‡Z nB‡e)

Av‡e`bKvixi cÖZ¨qb t Kw¤úDUv‡i Avgvi mKj WvUvi mwVK Gw›Uª wbwðZ Kwijvg|

(Av‡e`bKvixi ¯vÿi/wUcmwn) t .................. ZvwiL t ..........

45| WvUv Gw›Uª Acv‡iU‡ii NID b¤i t 46| ¯vÿi t....

47| wbeÜb/mnKvix wbeÜb Kg©KZ©vi ¯vÿi I ZvwiL t ...........................................................


Av‡e`bKvixi Rb¨ wb‡ ©kvejx t

(1) Av‡e`bKvixi Av‡e`bcÎ `vwL‡ji mgq A_ev Ask-K G DwjøwLZ Zvwi‡L ev‡qv‡gwUªK wdPvi cÖ v‡bi wbwgË Z_v t Qwe †Zvjv, Av½y‡ji Qvc I ^vÿi cÖ v‡bi Rb¨ Kwgk‡bi ’vbxq Kvh©vj‡q e¨w³MZfv‡e Dcw ’Z _vwK‡Z nB‡e|

(2) Av‡e`bcÎ `vwL‡ji mgq `vwqZ¡cÖvß Kg©KZ©v, cÖ‡qvR‡b, Av‡e`bKvixi e¨w³MZ ïbvwb MÖnY Ges cÖ‡qvRbxq KvMRcÎ mieiv‡ni wb‡ ©k cÖ vb Kwi‡Z cvwi‡e|

(3) Av‡e`bKvixi Av‡e`bc‡Îi mwnZ Zvnvi Rb¥ wbeÜb mb`/wcGmwm/†RGmwm/GmGmwm ev mgZzj¨ mb‡`i mZ¨vwqZ Abywjwc Rgv w`‡Z nB‡e| wbgœewY©Z e¨w³eM© mZ¨vqb Kwi‡Z cvwi‡eb t (K) msm` m`m¨, (L) ’vbxq miKv‡ii wbe©vwPZ RbcÖwZwbwa, (M) †M‡R‡UW miKvwi Kg©KZ©v Ges (N) gva¨wgK I D”P gva¨wgK wkÿv cÖwZôv‡bi cÖavb|

(4) †Kvb bvMwiK KZ©„K GKvwaK RvZxq cwiPqcÎ MÖnY AvBbZ `Ðbxq Aciva|

(5) Av‡e`‡bi †Kvb ÎæwU (hw` _v‡K) wba©vwiZ Zvwi‡Li g‡a¨ `~ixKiY bv Kwi‡j Av‡e`b evwZj ewjqv MY¨ nB‡e|


Ask-L (dig-1)

(RvZxq cwiPqcÎ cÖ v‡bi iwk`)

[ wewa-3 (3) I (4) `ªóe¨ ]

dig b¤i t

1| RvZxq cwiPqcÎ cÖ v‡bi ’vb I ZvwiL t ..............................................................

2| WvUv Gw›Uª Acv‡iU‡ii/`vwqZ¡cÖvß Kg©KZ©vi ¯vÿi I ZvwiL t .....................................

(Ask-L msiÿY Kiæb)

.......................................................................................................................

Ask-K (dig-1)

(cÖvwß ¯xKvi iwk`)

[ wewa-3 (3) I (4) `ªóe¨ ] dig b¤i t †fvUvi GjvKvi b¤i t

1| Av‡e`bKvixi bvg t .........................................................................................

2| wbeÜb †K›`ª t ...............................................................................................

3| Av‡e`‡b wbgœewY©Z ÎæwU iwnqv‡Q, hvnv ~ixKiY Avek¨K, h_v t

(K) ........................................................................................................

(L) .........................................................................................................

4| ev‡qv‡gwUªK wdPvi cÖ v‡bi wbwgË Dcw ’wZi ’vb, ZvwiL I mgq t ..............................

5| `vwqZ¡cÖvß Kg©KZ©vi ¯vÿi I ZvwiL t .....................................................................

(Ask-K msiÿY Kiæb)



dig-2 †fvUvi nBevi †hvM¨ GBiƒc bvMwi‡Ki RvZxq cwiPqc‡Îi bgybv

[ RvZxq cwiPq wbeÜb wewagvjv, 2014 Gi wewa 3(1), wewa 3(4), 5(6) I wewa 6(5) `ªóe¨ ]

m¤§yL c„ôv cðvr c„óv

MYcÖRvZš¿x evsjv‡`k miKvi Government of the People’s Republic

of Bangladesh

RvZxq cwiPqcÎ/National ID Card

bvg t (evsjv) ...................................

(Bs‡iwR) ..................................

wcZvi bvg t .....................................

gvZvi bvg t .....................................

¯vgx/ ¿xi bvg t .................................

Rb¥ ZvwiL t (Bs‡iwR) ........................

NID No. ..........................................

h_vh_ KviY e¨ZxZ cwiPqcÎavix wfbœ Ab¨ †Kvb

e¨w³i AÎ cwiPqcÎ aviY/enb kvw¯Í‡hvM¨ Aciva|

RvZxq cwiPqcÎwU †Kv_vI cvIqv †M‡j wbKU ’

†Rjv/Dc‡Rjv/_vbv wbe©vPb Awdm/ _vbvq Rgv w`b|

i‡³i MÖæc t .................(hw _v‡K)

wVKvbv t ...............................................

...............................................

(wWwRUvj WvUv wPc, RjQvc, gvB‡µv‡U·U I Ab vb¨

wmwKDwiwU wdPvi)

............................

(cÖ vbKvix KZ©„c‡ÿi vÿi) cÖ v‡bi ZvwiL...............

evi‡KvW

Qwe

¯vÿi/wUcmwn

g‡bvMÖvg



†fvUvi nBevi †hvM¨ b‡nb GBiƒc bvMwi‡Ki cwiPq wbeÜ‡bi Av‡e`b

[ RvZxq cwiPq wbeÜb wewagvjv, 2014 Gi wewa 4(1) ªóe¨ ]

dig b¤i t ................

1| bvg (evsjvq) t .............................................................................

2| bvg (Bs‡iwR eo Aÿ‡i) t .............................................................................

3| Rb¥ ZvwiL t .............................. 4| Rb¥ ’vb †Rjv) t...................

5| Rb¥ wbeÜb b¤i t

6| RvZxqZv t ..............................................................................

7| wcZvi bvg (evsjv) t .............................................................................

(Bs‡iwR) t ..............................................................................

8| wcZvi NID b¤i t

A_ev †fvUvi b¤i t

9| wcZv g„Z nB‡j g„Zzï mb t ........................................................................

10| gvZvi bvg (evsjv) t .............................................................................

(Bs‡iwR) t .............................................................................

11| gvZvi NID b¤i t

A_ev †fvUvi b¤i t

12| gvZv g„Z nB‡j g„Zzï mb t ..............................................................................

13| ¯vgx/¯¿xi bvg (cÖ‡hvR¨ †ÿ‡Î t .............................................................................

14| ¯vgx/¯¿xi NID b¤it

A_ev †fvUvi b¤i (cÖ‡hvR¨ †ÿ‡Î) t

`ªóe¨ t GKvwaK ¯¿x _vwK‡j c„_K KvM‡R cÖ‡Z¨‡Ki bvgmn RvZxq cwiPqc‡Îi b¤i (hw` _v‡K) D‡jøLc~e©K mshy³ Kwi‡Z nB‡e|

15| ¯vgx/¯¿x g„Z nB‡j g„Zzï mb (cÖ‡hvR¨ †ÿ‡Î) t................................................................


16| AvVv‡iv erm‡ii Kg eq¯‹ wKsev Av`vjZ KZ©„K AcÖK…wZ¯’ †NvwlZ e¨w³i wcZv/gvZv/AvBbvbyM

Awffve‡Ki (cÖ‡hvR¨ †ÿ‡Î)

(K) bvg t .................................................................................

( (L) NID b¤i t

17| wj½ (√ w`b) t cyiæl gwnjv wnRiv

18| ˆeevwnK Ae ’v (cÖ‡hvR¨ †ÿ‡Î) t AweevwnZ weevwnZ ZvjvKcÖvß weaev wecZœxK

19| wkÿvMZ †hvM¨Zv (cÖ‡hvR¨ †ÿ‡Î) t ...........................................................................

20| †ckv (cÖ‡hvR¨ †ÿ‡Î) t ............................................................................................

21| Amvg_©Zv/cÖwZewÜZvi cÖK…wZ (√ w b) t cÖ‡hvR¨ b‡n AwURg ev AwURg †¯úKUªvg wWRAW©vim

gvbwmK Amy ’ZvRwbZ cÖwZewÜZv „wó cÖwZewÜZv kvixwiK cÖwZewÜZv kÖeY cÖwZewÜZv

kÖeY- „wó-cÖwZewÜZv evK cÖwZewÜZv †mwieªvj cjwR WvDb wmb‡Wªvg eûgvwÎK

cÖwZewÜZv Ab¨vb¨ cÖwZewÜZv ..............................................................................

22| „k¨gvb mbv³KiY wPý t ........................................................................................

23| i‡³i MÖæc (hw Rvbv _v‡K) (√ w b) t

24| eZg©vb wVKvbv t

wefvM t ------------------ †Rjv t -------------------Dc‡Rjv/_vbv t ----------------------

wmwU K‡c©v‡ikb/†cŠimfv/BDwbqb/K¨v›U t †evW© t -------- IqvW© b¤i t------ †gŠRv t-----------

MÖvg/gnjøv/iv Ívi bvg t -----------------evmv/†nvwìs b¤i t ----------- WvKNi t ------------

†cv÷ †KvW t Avi. Gg. I. t cjøx †cŠimfv

wmwU K‡cv©‡ikb kni Ab¨ GjvKv --------------------

25| ’vqx wVKvbv t

wefvM t ----------------- †Rjv t -----------------Dc‡Rjv/_vbv t ------------------------

wmwU K‡c©v‡ikb/†cŠimfv/BDwbqb/K¨v›U t †evW© t -------- IqvW© b¤it----- †gŠRv t-----------

MÖvg/gnjøv/iv Ívi bvg t -----------------evmv/†nvwìs b¤i t --------- WvKNi t --------------

†cv÷ †KvW t Avi. Gg. I t cjøx †cŠimfv

wmwU K‡cv©‡ikb kni Ab¨ GjvKv --------------------

A+ A- B+ B- AB+ AB- O+ O-


26| ag© t Bmjvg wn› y †eŠ× wLª÷vb Ab¨vb¨ t ----------------

27| cvm©‡cvU© (hw` _v‡K) t -------------------28| †Uwj‡dvb b¤i (hw` _v‡K) t-----------------

29| †gvevBj †dvb b¤i t --------------------------------------------------------------------

30| †fvUvi nBevi A‡hvM¨Zvi KviY (AcÖ‡hvRbxq Ask KvwUqv w`b ) t

AvVv‡iv eQ‡ii Kg eq¯‹ Av`vjZ KZ…©K AcÖK…wZ¯’ †NvwlZ Bangladesh

Collaborators (Special Tribunals) Order, 1972 (P. O. No. 8 of 1972) Aax‡b `wÐZ International Crimes (Tribunals) Act, 1973 (Act, No. XIX of 1973) Gi Aax‡b `wÐZ Ab¨vb¨ t --------------------------------------------------------------------

ZvwiL t -------------- --------------- Av‡e`bKvixi ¯vÿi/wUcmwn|

31| wcZv/gvZv/AvBbvbyM Awffve‡Ki cÖZ¨qb t

AÎ Av‡e`bc‡Îi DwjøwLZ Z_¨vw` Avgvi Ávb I wek¦vmg‡Z m¤ú~Y© mZ¨|

ZvwiL t -------------- ---------------

wcZv/gvZv/AvBbvbyM Awffve‡Ki ¯vÿi/wUcmwn|

32| mbv³Kvixi bvg t ------------------------------------------------------------------

333| mbv³Kvixi NID b¤i t 34| ¯vÿi t -------

35| hvPvBKvixi bvg t -------------------------------------------------------------------------- 336| mbv³Kvixi NID b¤i t 37| ¯vÿi t -------

38| Av‡e`bKvixi Qwe, Av½y‡ji Qvc I ¯vÿi (wbeÜb †K‡› ª cÖ vb Kwi‡Z nB‡e) wcZv/gvZv/AvBbvbyM Awffve‡Ki cÖZ¨qb t Kw¤úDUv‡i mKj WvUvi mwVK Gw›Uª wbwðZ Kwijvg|

ZvwiL t -------------- --------------- wcZv/gvZv/AvBbvbyM Awffve‡Ki ¯vÿi/wUcmwn

339| WvUv Gw›Uª Acv‡iU‡ii NID b¤i t

¯vÿi t---------------

40| `vwqZ¡cÖvß Kg©KZ©vi ¯vÿi I ZvwiL t --------------------------------------------


Av‡e`bKvix Rb¨ wb‡ ©kvejx t

(1) Av‡e`bKvixi Av‡e`bcÎ `vwL‡ji mgq A_ev Ask-K G DwjøwLZ Zvwi‡L ev‡qv‡gwUªK

wdPvi cÖ v‡bi wbwgË Z_v t Qwe †Zvjv, Av½y‡ji Qvc I ¯vÿi cÖ v‡bi Rb¨ Kwgk‡bi ’vbxq

Kvh©vj‡q (†fvUvi nBevi †hvM¨ b‡nb GBiƒc bvMwiK †hB GjvKvq emevm K‡ib, †mB GjvKvi

†Rjv ev Dc‡Rjv ev _vbv wbe©vPb Kvh©vjq; Bnv Qvov Kwgkb KZ…©K mg‡q mg‡q wba©vwiZ A ’vqx

†K›`ªmg~n Bnvi AšÍfz©³ nB‡e) e¨w³MZfv‡e Dcw ’Z _vwK‡Z nB‡e|

(2) Av‡e`bcÎ `vwL‡ji mgq `vwqZ¡cÖvß Kg©KZ©v, cÖ‡qvR‡b Av‡e`bKvixi e¨w³MZ ïbvwb MÖnY

Ges cÖ‡qvRbxq KvMRcÎ mieiv‡ni wb‡`©k cÖ vb Kwi‡Z cvwi‡e|

(3) Av‡e`bKvixi Av‡e`bc‡Îi mwnZ Zvnvi Rb¥ wbeÜb/wcGmwm/†RGwm/GmGmwm mb‡`i

mZ¨vwqZ Abywjwc Rgv w`‡Z nB‡e|

wbgœewY©Z e¨w³eM© mZ¨vqb Kwi‡Z cvwi‡eb t (K) msm` m`m¨, (L) ’vbxq miKv‡ii wbe©vwPZ

RbcÖwZwbwa, (M) †M‡R‡UW miKvwi Kg©KZ©v, Ges (N) gva¨wgK I D”P gva¨wgK wkÿv

cÖwZôv‡bi cÖavb|

(4) AvVv‡iv erm‡ii Kg eq¯‹ wKsev Av`vjZ KZ…©K AcÖK…wZ ’ †NvwlZ e¨w³i wcZv/gvZv/

AvBbvbyM AwffveKcÎ Av‡e`bc‡Î ¯vÿi Kwi‡eb| Av‡e`bc‡Îi mwnZ D³ wcZv/gvZv/

AvBbvbyM Awffve‡Ki RvZxq cwiPqc‡Îi Abywjwc Aek¨B Rgv w`‡Z nB‡e|

(5) †Kvb bvMwiK KZ…©K GKvwaK RvZxq cwiPqcÎ MÖnY AvBbZ `Ðbxq Aciva|

(6) Av‡e`‡bi †Kvb ÎæwU (hw` _v‡K) wba©vwiZ Zvwi‡Li g‡a¨ ~ixKiY bv Kwi‡j Av‡e`b

evwZj ewjqv MY¨ nB‡e|


Ask L (dig-3)

[ wewa 4(2) `ªóe¨ ]

(RvZxq cwiPqcÎ cÖ v‡bi iwm`)

dig b¤i t-----------------

1| RvZxq cwiPqcÎ cÖ v‡bi ’vb I ZvwiL t --------------------------------------------

2| WvUv Gw›Uª Acv‡iU‡ii/`vwqZ¡cÖvß Kg©KZ©vi ¯vÿi I ZvwiL t ---------------------------


Ask K (dig-3)

[wewa 4(2) `ªóe¨]

(Av‡e`bcÎ cÖvwß ¯xKvi iwm`)

dig b¤i t-----------------

1| Av‡e`bKvixi bvg t ------------------------------------------------------------------

2| wcZv/gvZv/AvBbvbyM Awffve‡Ki bvg (cÖ‡hvR¨ †ÿ‡Î )t -------------------------------

3| Av‡e`‡b wbgœewY©Z ÎæwU iwnqv‡Q, hvnv ~ixKiY Avek¨K, h_v t

(K) ------------------------------------------------------------------------------

(L) -------------------------------------------------------------------------------

4| ev‡qv‡gwUªK wdPvi cÖ v‡bi wbwgË Dcw ’wZi ’vb, ZvwiL I mgq t -----------------------

------------------------- `vwqZ¡cÖvß Kg©KZ©vi ¯vÿi (wmj‡gvni) (Ask-K msiÿY Kiæb)



dig -4

†fvUvi nBevi †hvM¨ b‡nb GBiƒc bvMwi‡Ki RvZxq cwiPqc‡Îi bgybv

[ RvZxq cwiPq wbeÜb wewagvjv, 2014 Gi wewa 4(3), wewa 5(6) I wewa 6(5) `ªóe¨ ]

m¤§yL c„ôv cðvr c„ôv

MYcÖRvZš¿x evsjv‡`k miKvi

Government of the people’s

Repulic of Bangladesh

RvZxq cwiPqcÎ/National ID Card

bvg t (evsjv) ----------------------

(Bs‡iwR) ----------------------

wcZvi bvg t ------------------------

gvZvi bvg t ------------------------

¯vgx/ ¿xi bvg t ---------------------

Rb¥ ZvwiL t (Bs‡iwR) --------------

NID No. ----------------------------

h_vh_ KviY e¨ZxZ cwiPqcÎavix/AvBbvbyM

AwffveK wfbœ Ab¨ †Kvb e¨w³i AÎ cwiPqcÎ

aviY/enb kvw Í‡hvM¨ Aciva| cwiPqcÎwU †Kv_vI

cvIqv †M‡j wbKU ’ †Rjv/Dc‡Rjv/_vbv wbe©vPb

Awdm/_vbvq Rgv w`b|

i‡³i MÖæc t ------------------- (hw` _v‡K)

wVKvbv t --------------------------------------

-------------------------------------- AvVv‡iv erm‡ii Kg eq ‹/AcÖK…wZ ’ cwiPqcÎavix

------------ -------------

wcZv/gvZv/AvBbvbyM Awffve‡Ki bvg vÿi

(wWwRUvj WvUv wPc, RjQvc, gvB‡µv‡U·U I

Ab¨vb¨ wmwKDwiwU wdPvi)

-----------

(cÖ vbKvix KZ…©c‡ÿi ¯vÿi) cÖ v‡bi ZvwiL-------- evi‡KvW

Qwe

¯vÿi/wUcmwn

g‡bvMÖvg



dig-5

RvZxq cwiPqcÎ bevq‡bi Av‡e`b

[ RvZxq cwiPq wbeÜb wewagvjv, 2014 Gi wewa 5(1) `ªóe¨ ]

dig b¤i...........................(Awdm KZ…©K c~iYxq)

Riæwi mvaviY

1| bvg t ...........................................................................................................

2| RvZxq cwiwPwZ b¤i t ......................................................................................

3| RvZxq cwiPqcÎ cÖ v‡bi ZvwiL t .......................................................................

4| Av‡e`bc‡Îi mwnZ wd wnmv‡e.........UvKv.........Gi gva¨‡g........eivei `vwLj Kiv nBj|

ZvwiL t ............................. ................................................

Av‡e`bKvixi ¯vÿi/wUcmwn


AÎ Av‡e`bc‡Î DwjøwLZ Z_¨vw` Avgvi Ávb I wek¦vmg‡Z m¤ú~Y© mZ¨|

.........................................................

wcZv/gvZv/AvBbvbyM Awffve‡Ki ¯vÿi/wUcmwn


(1) Av‡e`bc‡Î cÖ Ë Av‡e`bKvixi ¯vÿi Kwgk‡bi WvUv‡e‡R msiwÿZ Av‡e`bKvixi ¯vÿi Abyiƒc nB‡Z nB‡e| AvVv‡iv erm‡ii Kg eq¯‹/Av`vjZ KZ©„K AcÖK…wZ ’ †NvwlZ RvZxq cwiPqcÎavixi †ÿ‡Î, wcZv/gvZv/AvBbvbyM AwffveK AÎ Av‡e`bc‡Î ¯vÿi Kwi‡eb| Av‡e`bc‡Îi mwnZ D³ wcZv/gvZv/AvBbvbyM Awffve‡Ki RvZxq cwiPqc‡Îi Abywjwc Aek¨B Rgv w`‡Z nB‡e|

(2) Av‡e`bc‡Î Ave‡`bKvixi RvZxq cwiPqc‡Îi g~j Kwc A_ev Abywjwc Rgv w`‡Z nB‡e|

(3) Av‡e`bc‡Îi mwnZ Riæwi ev mvaviY D‡jøLc~e©K wewa 8 Gi Aaxb wd Rgv w`‡Z nB‡e|

(4) Av‡e`‡bi †Kvb ÎæwU (hw` _v‡K) wba©vwiZ Zvwi‡Li g‡a¨ ~ixKiY bv Kwi‡j Av‡e`b evwZj ewjqv MY¨ nB‡e|

.......................................................................................................................


Ask-L (dig-5)

[ wewa-5(5) `ªóe¨ ]


dig b¤i t ....................

1| RvZxq cwiPqcÎ cÖ v‡bi ’vb I ZvwiL t...............................................................

2| WvUv Gw›Uª Acv‡iU‡ii/`vwqZ¡cÖvß Kg©KZ©vi ¯vÿi I ZvwiL t......................................


........................................................................................................................

Ask-K (dig-5)

[ wewa-5(3) I (4) `ªóe¨ ]

(Av‡e`bcÎ cÖvwß ¯xKvi iwk`)

dig b¤i t.................................

1| Av‡e`bKvixi bvg t..........................................................................................

2| wcZv/gvZv/AvBbvbyM Awffve‡Ki bvg (cÖ‡hvR¨ †ÿ‡Î) t............................................

3| Av‡e`‡b wb¤œewY©Z ÎæwU iwnqv‡Q, hvnv ~ixKiY Avek¨K, h_vt

(K) ........................................................................................................

(L) .........................................................................................................

4| ev‡qv‡gwUªK wdPvi cÖ v‡bi wbwgË Dcw ’wZi ’vb, ZvwiL I mgq t................................

...................................

`vwqZ¡cÖvß Kg©KZ©vi ¯vÿi (wmj‡gvni) (Ask-K msiÿY Kiæb)



nviv‡bv ev bó nBevi Kvi‡Y b~Zb RvZxq cwiPqcÎ cÖvwßi Rb¨ Av‡e`b [ RvZxq cwiPq wbeÜb wewagvjv, 2014 Gi wewa 6(2) `ªóe¨ ]

Riæwi mvaviY dig b¤i t .....................(Awdm KZ…©K c~iYxq)

1| bvg t............................................................................................................ 2| Rb¥ wbeÜb b¤i t

w`b gvm eQi 3| Rb¥ ZvwiL t

4| †fvUvi b¤i/RvZxq cwiwPwZ b¤i (NID) (hw` _v‡K) t

5| WªBwfs jvB‡mÝ b¤i (hw` _v‡K) t

6| cvm‡cvU© b¤i (hw` _v‡K) t

7| wcZvi bvg t................................................................................................

8| wcZvi NID b¤i t cÖ‡hvR¨ b‡n t

A_ev †fvUvi b¤it 9| wcZv g„Z nB‡j g„Zz¨i mb t 10| gvZvi bvg t------------------------------------------------------------------------- 11| gvZvi NID b¤i t cÖ‡hvR¨ b‡n t

A_ev †fvUvi b¤i t 12| gvZv g„Z nB‡j g„Zz¨i mb t

13| ¯vgx/ ¿xi bvg t...................................................................... cÖ‡hvR¨ b‡n t

14| ¯vgx/ ¿xi NID b¤i t cÖ‡hvR¨ b‡nt

ªóe¨ t GKvwaK ¿x _vwK‡j c„_K KvM‡R cÖ‡Z¨‡Ki bvgmn RvZxq cwiPq c‡Îi b¤i (hw` _v‡K) D‡jøLc~e©K mshy³ Ki‡Z n‡e| 15| Av‡e`bc‡Îi mwnZ wd wnmv‡e ---------- UvKv ----------- Gi gva¨‡g --------- eivei `vwLj Kiv nBj|

ZvwiL t --------------------------- ------------------------- Av‡e`bKvixi ^vÿi/wUcmwn


AÎ Av‡e`bc‡Î DwjøwLZ Z_¨vw` Avgvi Ávb I wek¦vmg‡Z m¤ú~Y© mZ¨|

------------------------- wcZv/gvZv/AvBbvbyM Awffve‡Ki ¯vÿi/wUcmwn



(1) Av‡e`bc‡Î cÖ Ë Av‡e`bKvixi ¯vÿi Kwgk‡bi WvUv‡e‡R msiwÿZ Av‡e`bKvixi ¯vÿ‡ii Abyiƒc nB‡Z nB‡e| AvVv‡iv erm‡ii Kg eq¯‹/Av`vjZ KZ…©K AcÖK…wZ ’ †NvwlZ RvZxq cwiPqcÎavixi †ÿ‡Î, wcZv/gvZv/AvBbvbyM AwffveK AÎ Av‡e`bc‡Î ¯vÿi Kwi‡eb| Av‡e`bc‡Îi mwnZ D³ wcZv/gvZv/AvBbvbyM Awffve‡Ki RvZxq cwiPqc‡Îi Abywjwc Aek¨B Rgv w`‡Z nB‡e|

(2) RvZxq cwiPqcÎ nvivBqv wMqv‡Q ev bó nBqv‡Q g‡g© _vbvq iæRyK…Z mvaviY Wv‡qwi (wR.wW.) †Z mswkøó cwiPqcÎavixi †fvUvi b¤i/RvZxq cwiwPwZ b¤i/wbeÜb dig b¤i (hw` _v‡K) D‡jøL Kwi‡Z nB‡e| †fvUvi b¤i/wbeÜb dig b¤i Rvbv bv _vwK‡j, mswkøó †Rjv/Dc‡Rjv/_vbv wbe©vPb Kvh©vjq nB‡Z msMÖn Kiv hvB‡e|

(3) Av‡e`bc‡Îi mwnZ mvaviY Wv‡qwi (wR.wW.) Kwc mshy³ Kwi‡Z nB‡e|

(4) Av‡e`bc‡Îi mwnZ nviv‡bv ev bó RvZxq cwiPqc‡Îi Abywjwc (hw` _v‡K) mshy³ Kwi‡Z nB‡e|

(5) Av‡e`bc‡Îi mwnZ Riæwi ev mvaviY D‡jøLc~e©K wewa 8 AbymiY Kwi‡Z nB‡e|

(6) †Kvb bvMwiK KZ…©K GKvwaK RvZxq cwiPqcÎ MÖnY AvBbZ `Ðbxq Aciva|

(7) Av‡eb`c‡Îi mwnZ Rb¥ wbeÜ‡bi Abywjwc `vwLj Kwi‡Z nB‡e|

(8) Av‡e`‡bi †Kvb ÎæwU (hw` _v‡K) wba©vwiZ Zvwi‡Li g‡a¨ `~ixKiY bv Kwi‡j Av‡e`b evwZj ewjqv MY¨ nB‡e|


Ask-L ( (dig-6) [ wewa-6(4) I (5) `ªóe¨ ]


dig b¤i t..................... 1| RvZxq cwiPqcÎ cÖ v‡bi ’vb I ZvwiL t............................................................... 2| WvUv Gw›Uª Acv‡iU‡ii/`vwqZ¡cÖvß Kg©KZ©vi bvg, ¯vÿi I ZvwiL t...............................

(Ask-L msiÿY Kiæb) ........................................................................................................................

Ask-K (dig-6)

[ wewa-6(4) `ªóe¨ ]

(Av‡e`bcÎ cÖvwß ¯xKvi iwk`)

dig b¤i t................................. 1| Av‡e`bKvixi bvg t.......................................................................................... 2| wcZv/gvZv/AvBbvbyM Awffve‡Ki bvg (cÖ‡hvR¨ †ÿ‡Î) t

.......................................................................... 3| Av‡e`‡b wb¤œewY©Z ÎæwU iwnqv‡Q, hvnv ~ixKiY Avek¨K, h_vt

(K)........................................................................................................... (L)...........................................................................................................

4| ev‡qv‡gwUªK wdPvi cÖ v‡bi wbwgË Dcw ’wZi ’vb, ZvwiL I mgq t................................ ................................... (wmj‡gvni) .................................... (Ask-K msiÿY Kiæb) `vwqZ¡cÖvß Kg©KZ©vi ¯vÿi

wbe©vPb Kwgk‡bi Av‡`kµ‡g

†gvt wmivRyj Bmjvg fvicÖvß mwPe

†gvt bRiæj Bmjvg (DcmwPe), DccwiPvjK, evsjv‡`k miKvwi gy ªYvjq, †ZRMuvI, XvKv KZ…©K gyw ªZ| Ave yi iwk` (DcmwPe), DccwiPvjK, evsjv‡`k dig I cÖKvkbv Awdm,

†ZRMuvI, XvKv KZ…©K cÖKvwkZ| web site : www.bgpress.gov.bd

†iwr÷ v w© bs ww g - 1 ev sj v ‡ ` k †m ‡ r u¦œাতীয় পরিচয়...

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