2
 ** নলােইন  আবদন  কেরত  হল  http:/ /bris.lgd.gov. bd/beta/ pub/? pg= application_form কানায়  লগইন  কন (Rgwb dig - 1) w e b vg~ ‡j ¨we Zi Yi Rb¨ Rb¥w beÜbA v ‡e` bcÎ 1  1. w beÜbv ax be¨w ³ i w eei Y: bvg: ev sj v q B s i Rx(eo n v Zi i) R b¥Zv w i L (L Ö x:) m sL¨v q ( w `b- gv m - erm i ) w j ½  bv i x  cy i“ l R ¯v ‡bi w VKv bv(ev sj v q) : R ¯v ‡bi w V K v bv(Bs ‡i Rx) : ‡`k: ev s j v ‡`k 2. w cZvI gv Zv i w eei Y : w cZv i bvg: ev sj v q Rv Z x qZ v :  Bs i Rx(eo n v ‡Zi i) gv Zv i bv g :  ev sj v q Rv Z x qZ v :  Bs i Rx(eo n v ‡Zi i) 3. ¯’v qx w VK v bv: ( ev sj v q)  ¯’ v q x w VK vbv: ( Bs ‡iRx)  e Z © g v bw VK v bv: ( ev sj v q)  eZ© g v bw VK v bv: ( Bs ‡iRx)  4. Av e`bKv i x i c Ö Z ¨ qb (w beÜbv ax b e¨w ³i eqm18 ev Z ` y a Ÿ © nB‡ j w Z w bwb‡R w b‡æ i K j v ‡g ¯^ v i / w Uc m w n w `‡Z c v w i ‡eb ): A vw g  ¯^ Áv ‡b  †N v l YvKw i ‡ZwQ †h, Dc ‡i ew Z hv eZ x q Z ¨ m w V K , w beÜbv ax b e¨w ³ i A †Kv v I Rb¥w bew ÜZ nq bv B| A v ‡e`‡bi Z v w i L (m sL ¨v q) bvg ¯^ v i / w Uc mw n  m¤úK©  w cZv  gv Zv ( wUK w w `b ) | Ab¨ v ( m¤úK © w j L y b ): ........................................... w `b g v m e rm i 5. Z ¨m sM Ö nKv i x / hv Pv BKv i x i c Ö Z¨qb: R‡b ¥ i 5 e Q ‡i i g‡ Av ‡e `‡bi †¶‡Î ï ay gv Î 1 b s Kj v ‡g cÖ Z¨qb cÖ ‡q v Rb nB ‡e | R‡b ¥ i 5 eQ i c‡i Av ‡e `‡b i †¶‡Î w vc Ö w v ‡bi eZ© gv b evcÖ v ³ b Q v Î / Q v Î xnB ‡j 2 bsKj v ‡g ï ay gv Î  mswk-  ó w vc Ö w Z ô v b c Ö av ‡b i cÖ Z¨q b cÖ ‡q v Rb nB ‡e| Ab¨ v Av ‡e`bKv i x ‡`i ‡¶‡Î eqmcÖ gv ‡Yi Rb¨ 2 bs Kj v ‡g Ggw ew eGmW v ³ v i Ges Rb¥ ¯v b/ ¯v qx w VKvbv cÖ gv ‡Yi Rb¨ 3 bs Kj v ‡g BD w c m`m ¨/ Kv D w Ýj ‡i i cÖ Z¨q b cÖ ‡qvRb nB‡e| Z‡e w beÜK KZ…© K w b w `© óK… Z †Kv b Gb w RI KgxeqmI Rš§ ¯ v b/ ¯ v qxw VK v bvcÖ gv ‡Yi Rb¨3bsKj v ‡g cÖ Z¨qb Kw i ‡Z cv w i ‡eb| GQv o vBw cAv BKv W © / GmGmw m e v m g g v b i m vw w d‡KU/ cv m ‡cv U © / nv m cv Zv ‡j Rb¥m v šÍ Qvoc Î / Rb¥Zv w i L Ges Rb¥¯v b m ¤cw K © Z w beÜK †hBi ƒc cÖ ‡qv Rb g‡b Kw i ‡eb †m Bi ƒc †h† Kvb `w j ‡j i Aby w j w c ( †h †Kv b cÖ  _g e vw ØZxq  Y x i m i Kv i xKg© KZv © evw kvc Ö w Zôv ‡bi Aa¨¶ /c Ö av b w k ¶K KZ© K mZ¨v w qZ) m shy ³ v w K‡j w b‡gœ i †Kv b Kj v ‡g cÖ Z¨q b cÖ ‡qv Rb nB‡e bv | Z_¨m sM Ö nKv i x i 2  c Ö Z¨qb ( bvg, c`ex , ¯^ v ¶i I Zv w i L) GgweweGm Wv³vi ev mswk-  ó wk¶v cÖ  wZôv bi cÖ avb w ‡Ki cÖ Z¨qb (¯^ v ¶i , Zv w i L I bv gm n m x j) BDw c m `m¨/ Kv Dw Ý j i/ GbwRI K x i Z¨qb ^ v ¶i, Z v w i L I bv gm n m x j ) (1) (2) (3) 6. w be܆K i K v v jq KZ…© K c~ iYxq: w be܇ Ki Aby ‡gv `bt ¯^ v i , Zv w i L I bvgm nm x j w be Übe w n‡Z w j w ce×K v i x i ¯^ v i , Zv w iL I bvgm nm x j  w b b ew n b s : w be Ü †b i Zv w i L: ............/.........../........... e¨w ³ cw i w Pw Z bs( e¨cb)t e¨c‡bi †kl Q q As Kt Rb¥m b` c Ö `v‡bi m ¤¢ v e¨Z v w i L ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Av ‡e` b K v i x i Ask 3 : (Z_¨ m sM Ö nKv i x / §w beÜb Av ‡e` b c Î M Ö nYKv i xw b‡Pi Askw Uc ~ i Y K w i qvAv ‡e`bKv i x ‡K †d i Z w `‡eb) w e v a x ew ³ v g A v ‡e`bK v ix i bv g Rb¥m b` cÖ ` v ‡bi m ¤¢ v e¨ Z v w i L ......... / .......... / .............  Z ¨m sM Ö nKv i x / Av ‡e`b cÎ nY Kv i x i bvg I c`ex : Z v w i L m n ¯^ i : 1  GB di gw UBDw bqb / †cŠ im f v / w m w UK‡cv © ‡i kb/ K¨v ›U b‡g›U†ev ‡W © Rb¥w be܇bi Rb¨cÖ ‡hv hv nv Av ‡e`bKv i xevw beÜK Kw c Kw i qve¨env i Kw i ‡Z cv w i ‡eb| 2  BDw bq‡bi †¶‡Î w VKv bv t (1) M Ö v g, (2) BDw bqb, (3) D c‡Rj v , (4) †Rj v | Ab¨ v †¶‡Î  wVKvbvt (1) †nvwìs/ evmv bs (2) mo‡Ki bvg ev bs (3) †gŠRv/ gnj-  v (4) IqvW©  bs (5) †cŠimfv/ wmwU K‡c v © ‡i kb/ K¨v ›U b‡g›U†ev W © | Rb ¥ ¯v ‡bi †ÿ ‡Î nv mcv Zv j ev†Kvb cÖ w v ‡b R b¥n‡ j †m Bw VK v bv |  3  Kv Dw Ýj i /BD w c m `m ¨, ¯ ^ v ¯’¨Kgx© , c w i ev i cw i bvKgx © , Gbw RI gv VKgx © , nv m cv Z v j ev w K¬ wbK KZ… © , †R j m y cv i , w vcÖ w Zôv ‡bi Aa¨ / cÖ av b w kK |  4  mb` M Ö n‡ Yi m gq Av ‡e`bKv i xZv i As‡ ki Aci côvq  ¯^  v¶i Kwiqv mswk-  ó KZ…  © c‡¶i wbKU Rgv w`‡eb Ges Rb¥ mb` msMÖ  n Kwi‡eb |  

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  • ** http://bris.lgd.gov.bd/beta/pub/?pg=application_form

    (Rgwb dig - 1) webvg~j weZiYi Rb

    Rb wbeb Ave`bc 1 1. wbebvaxb ewi weeiY:

    bvg: evsjvq

    BsiRx (eo nvZi Ai) Rb ZvwiL (Lx:)

    msLvq (w`b- gvm- ermi)

    wj bvix cyil

    Rbvbi wVKvbv (evsjvq) :

    Rbvbi wVKvbv (BsiRx) : `k: evsjv`k 2. wcZv I gvZvi weeiY :

    wcZvi bvg: evsjvq RvZxqZv:

    BsiRx (eo nvZi Ai)

    gvZvi bvg: evsjvq RvZxqZv:

    BsiRx (eo nvZi Ai) 3. vqx wVKvbv: (evsjvq)

    vqx wVKvbv: (BsiRx)

    eZgvb wVKvbv: (evsjvq)

    eZgvb wVKvbv: (BsiRx)

    4. Ave`bKvixi cZqb (wbebvaxb ewi eqm 18 ev Z y`a nBj wZwb wbR wbi Kjvg ^vi/ wUcmwn w`Z cvwieb): Avwg ^vb NvlYv KwiZwQ h, Dci ewYZ hveZxq Z_ mwVK, wbebvaxb ewi Ab Kv_vI Rb wbewZ nq bvB| Ave `bi ZvwiL (msLvq)

    bvg

    v^i/ wUcmwn mK wcZv gvZv (wUK wP w`b)| Abvb (mK wjLyb): ........................................... w`b gvm ermi

    5. Z_ msMnKvix/ hvPvBKvixi cZqb: Rbi 5 eQii ga Ave`bi aygv 1 bs Kjvg cZqb cqvRb nBe| Rbi 5 eQi ci Ave`bi wkv cwZvbi eZgvb ev cvb Qv/ Qvx nBj 2 bs Kjvg aygv mswk wkv cwZvb cavbi cZqb cqvRb nBe| Abvb Ave`bKvix`i eqm cgvYi Rb 2 bs Kjvg GgweweGm Wvvi Ges Rb vb/ vqx wVKvbv cgvYi Rb 3 bs Kjvg BDwc m`m/ KvDwjii cZqb cqvRb nBe| Ze wbeK KZK wbw`KZ Kvb GbwRI Kgx eqm I Rvb/ vqx wVKvbv cgvYi Rb 3bs Kjvg cZqb KwiZ cvwieb| GQvov BwcAvB KvW/ GmGmwm ev mggvbi mvwUwdKU/ cvmcvU / nvmcvZvj Rb msv Qvoc/ Rb ZvwiL Ges Rbvb mcwKZ wbeK hBic cqvRb gb Kwieb mBic hKvb `wjji Abywjwc (h Kvb c_g ev wZxq kYxi miKvix KgKZv ev wkv cwZvbi Aa /cavb wkK KZK mZvwqZ) mshy _vwKj wbgi Kvb Kjvg cZqb cqvRb nBe bv|

    Z_ msMnKvixi2 cZqb (bvg, c`ex, v^i I ZvwiL)

    GgweweGm Wvvi ev mswk wkv cwZvbi cavb wkKi cZqb (^vi, ZvwiL I bvgmn mxj)

    BDwc m`m/ KvDwji/ GbwRI Kgxi cZqb (^vi, ZvwiL I bvgmn mxj)

    (1) (2) (3)

    6. wbeKi Kvhvjq KZK c~iYxq: wbeKi Abygv`bt ^vi, ZvwiL I

    bvgmn mxj wbeb ewnZ wjwceKvixi v^i, ZvwiL

    I bvgmn mxj wbeb ewn bs: wbebi ZvwiL: ............/.........../...........

    e w cwiwPwZ bs(ecb)t

    ecbi kl Qq AsKt

    Rb mb` c` vbi mve ZvwiL

    ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Ave`bKvixi Ask3: (Z_ msMnKvix/ R wbeb Ave`b c MnYKvix wbPi AskwU c~iY Kwiqv Ave`bKvixK diZ w`eb)

    wbebvaxb ewi bvg Ave`bKvixi bvg Rb mb` c` vbi mve ZvwiL ........./ ........../ ............. Z_ msMnKvix/ Ave`b c MnYKvixi bvg I c`ex:

    ZvwiLmn ^vi:

    1 GB digwU BDwbqb/ cimfv/ wmwU Kcvikb/ KvUbgU evW Rb wbebi Rb chvR hvnv Ave`bKvix ev wbeK Kwc Kwiqv eenvi KwiZ cvwieb| 2 BDwbqbi wVKvbvt (1) Mvg, (2) BDwbqb, (3) DcRjv, (4) Rjv| Abvb wVKvbvt (1) nvws/ evmv bs (2) moKi bvg ev bs (3) gRv/ gnjv (4) IqvW bs (5) cimfv/ wmwU

    Kcvikb/ KvUbgU evW| Rb vbi nvmcvZvj ev Kvb cwZvb Rb nj mB wVKvbv| 3 KvDwji/BDwc m`m, ^v Kgx, cwievi cwiKbv Kgx, GbwRI gvVKgx, nvmcvZvj ev wKwbK KZc, Rj mycvi, wkv cwZvbi Aa/ cavb wkK | 4 mb` MnYi mgq Ave`bKvix Zvi Aski Aci cvq v^i Kwiqv mswk KZci wbKU Rgv w`eb Ges Rb mb` msMn Kwieb|