Registration form ANM

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cg';"rL – ! -lgod !% ;Fu ;DalGwt_ gfdbtf{sf] nflu b/vf:t lbg] kmf/fd gfdbtf{sf] nflu b/vf:t lbg] kmf/fd gfdbtf{sf] nflu b/vf:t lbg] kmf/fd gfdbtf{sf] nflu b/vf:t lbg] kmf/fd g]kfn gl;{ª kl/ifb\ sf7df8f}+ . g]kfn gl;{ª kl/ifb g]kfn gl;{ª kl/ifb g]kfn gl;{ª kl/ifb g]kfn gl;{ª kl/ifb\ P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb\ lgodfjnL, @)%# sf] lgod !% lgodfjnL, @)%# sf] lgod !% lgodfjnL, @)%# sf] lgod !% lgodfjnL, @)%# sf] lgod !% adf]lhd g]kfn gl;{ª kl/ifb adf]lhd g]kfn gl;{ª kl/ifb adf]lhd g]kfn gl;{ª kl/ifb adf]lhd g]kfn gl;{ª kl/ifb\sf] btf{ lstfadf g;{ ÷ c=g=dL sf] btf{ lstfadf g;{ ÷ c=g=dL sf] btf{ lstfadf g;{ ÷ c=g=dL sf] btf{ lstfadf g;{ ÷ c=g=dL= df gfd btf{ u/fpg b]xfoadf]lhdsf] = df gfd btf{ u/fpg b]xfoadf]lhdsf] = df gfd btf{ u/fpg b]xfoadf]lhdsf] = df gfd btf{ u/fpg b]xfoadf]lhdsf] ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' . ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' . ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' . ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' . != k'/f gfd / y/ ========================================================================================================= Name & Family Name: (In Block Letter) ............................................................................................................................ @= lktfsf] gfd ============================================================================================================= #= ljjflxt eP klt jf kTgLsf] gfd================================================================================== $= :yfoL 7]ufgf M c~rn====================================== lhNnf================================================= ufpF ljsf; ;ldlt ÷ gu/kflnsf ================================================================================ jf8{ g+= ================== 6f]n ================================= ufpF ================================================ %= c:yfoL 7]ufgfM c~rn =================================lhNnf ===================================================== ufpF ljsf; ;ldlt ÷ gu/kflnsf ================================================================================ jf8{ g+= ================== 6f]n ================================= ufpF ================================================== ^= kq Jojxf/ ug]{ 7]ufgf ================================================================================================== b'a} sfg b]lvg] kf;kf]6{ ;fOhsf] kmf]6f] -xfn;fn} lvlrPsf]_

description

nepal ANM registration form

Transcript of Registration form ANM

Page 1: Registration form ANM

cg';"rL – !

-lgod !% ;Fu ;DalGwt_ gfdbtf{sf] nflu b/vf:t lbg] kmf/fd gfdbtf{sf] nflu b/vf:t lbg] kmf/fd gfdbtf{sf] nflu b/vf:t lbg] kmf/fd gfdbtf{sf] nflu b/vf:t lbg] kmf/fd

g]kfn gl;{ª kl/ifb\ sf7df8f}+ . g]kfn gl;{ª kl/ifbg]kfn gl;{ª kl/ifbg]kfn gl;{ª kl/ifbg]kfn gl;{ª kl/ifb\\ \\ P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb P]g, @)%@ sf] bkmf !^ / g]kfn gl;{ª kl/ifb\\ \\ lgodfjnL, @)%# sf] lgod !% lgodfjnL, @)%# sf] lgod !% lgodfjnL, @)%# sf] lgod !% lgodfjnL, @)%# sf] lgod !% adf]lhd g]kfn gl;{ª kl/ifbadf]lhd g]kfn gl;{ª kl/ifbadf]lhd g]kfn gl;{ª kl/ifbadf]lhd g]kfn gl;{ª kl/ifb\\ \\sf] btf{ lstfadf g;{ ÷ c=g=dLsf] btf{ lstfadf g;{ ÷ c=g=dLsf] btf{ lstfadf g;{ ÷ c=g=dLsf] btf{ lstfadf g;{ ÷ c=g=dL= df gfd btf{ u/fpg b]xfoadf]lhdsf] = df gfd btf{ u/fpg b]xfoadf]lhdsf] = df gfd btf{ u/fpg b]xfoadf]lhdsf] = df gfd btf{ u/fpg b]xfoadf]lhdsf] ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' . ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' . ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' . ljj/0f vf]nL of] b/vf:t k]z u/]sf] 5' .

!= k'/f gfd / y/ =========================================================================================================

Name & Family Name:

(In Block Letter) ............................................................................................................................ @= lktfsf] gfd ============================================================================================================= #= ljjflxt eP klt jf kTgLsf] gfd================================================================================== $= :yfoL 7]ufgf M c~rn====================================== lhNnf================================================= ufpF ljsf; ;ldlt ÷ gu/kflnsf ================================================================================ jf8{ g+= ================== 6f]n ================================= ufpF ================================================ %= c:yfoL 7]ufgfM c~rn =================================lhNnf ===================================================== ufpF ljsf; ;ldlt ÷ gu/kflnsf ================================================================================ jf8{ g+= ================== 6f]n ================================= ufpF ================================================== ^= kq Jojxf/ ug]{ 7]ufgf ==================================================================================================

b'a} sfg b]lvg] kf;kf]6{ ;fOhsf] kmf]6f] -xfn;fn} lvlrPsf]_

Page 2: Registration form ANM

&= xfn s'g} :jf:Yo ;+:yfdf sfo{/t eP :jf:Yo ;+:ysf]

gfd ========================================================================================================================

7]ufgf =====================================================================================================================

*= z}lIfs of]Uotfsf] ljj/0f s= Jofj;flos

qm= ;+=qm= ;+=qm= ;+=qm= ;+= z}z}z}z}lIfs pkflwlIfs pkflwlIfs pkflwlIfs pkflw

cWoog ;+:yfgcWoog ;+:yfgcWoog ;+:yfgcWoog ;+:yfg ;fn;fn;fn;fn >]0fL>]0fL>]0fL>]0fL s}lkmots}lkmots}lkmots}lkmot

!=

@=

#=

$=

v= ;fdfGo

qm= ;+=qm= ;+=qm= ;+=qm= ;+= z}lIfs pkflwz}lIfs pkflwz}lIfs pkflwz}lIfs pkflw

cWoog ;+:yfgcWoog ;+:yfgcWoog ;+:yfgcWoog ;+:yfg ;fn;fn;fn;fn >]0fL>]0fL>]0fL>]0fL s}lkmots}lkmots}lkmots}lkmot

!=

@=

#=

$=

Joj;flos tflnd;DaGwL ljj/0fM

qm= ;+=qm= ;+=qm= ;+=qm= ;+= tflndsf]tflndsf]tflndsf]tflndsf] ljifo ljifo ljifo ljifo

Tflnd lbg] ;+:yfTflnd lbg] ;+:yfTflnd lbg] ;+:yfTflnd lbg] ;+:yf ;fn;fn;fn;fn >]0fL>]0fL>]0fL>]0fL s}lkmots}lkmots}lkmots}lkmot

!=

@=

#=

$=

pk/f]Qmadf]lhd n]lvPsf] ljj/0f 7Ls ;Ffrf] 5 . em'¶f 7x/] sfg"gadf]lhd ;x'Fnf a'empFnf .

lgj]bssf] c:tfIf/M =======================================

k'/f gfd y/ M ==============================================

ldltM ========================================================= b«i6Jo M b/vf:tjfnfn] b/vf:t;fy kf;kf]6{ ;fO{hsf] rf/ k|lt kmf]6f], gful/stfsf] k|df0fkq / b/vf:t kmf/fdf n]lvPadf]lhdsf] z}lIfs pkflw, tflndsf] k|df0fkqsf] ;Ssn jf k|dfl0ft gSsn Ps k|lt ;d]t ;+nUg ug'{ kg]{5{ .