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INTERNET COPY

Affix your passport


size photograph here
and sign it

AFF 5ZL1FFVM DF8[G\] Z:8=[XG OMD" JQF"o Z_!$vZ_!5


Z_!$vZ_!5
AFCI VeIF;DG]\ GFD o
GM\W6L G\AZ o

OL Z;LN G\AZ VG[ TFZLB o


5ZL1FFG]\ DFwIDo

5ZL1FF S[g o

sU]HZFTL q lCgNL q V\U|[f

!P lJnFYL" GL lJUT o
V8S

l5TFq5lTG\] GFD

GFD

sK[<,L 5F; SZ[, 5ZL1FFGL DFS"XL8 D]HA GFD ,BJ]\ f


In English Capital Words
Surname

Student's Name

Father / Husband's Name

ZP 5+ jIJCFZG]\ ;ZGFD]\ o
5LG SM0 G\AZ o
#P OMG G\AZ sSM0 G\AZ ;FY[ fs3Zfo

sOMG G\AZ ,BJM OZIFT K[Pf

DMAF., G\AZo
$P 5ZL1FFGL DFlCTL o

Whole (W) Part (P) ATKT (A)

5ZL1FF 5wWlT o

;[D[:8ZqJFlQF"S

;[D[:8Z S|Do

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Page 1

Combination
Code

EX

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HgD :Y/o

<,M o

*P S[8[UZL o
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(P :+L
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GFD
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;[
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5ZL1FFG
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lJUT
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V[RPV[;P;L
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Z

G\AZ o
TFZLBo

V[;PJFIPq;[D[:8ZP#
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S[; G\AZo

8LPJFIPq;[D[:8ZP5
&

V[DPV[PqV[DPSMDP!
sEFU !qZf
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&

VgI

BF;GM\
BF;GM\Wov OMD" ;FY[ AWF JQF"GL AWL H DFS"XL8 HM0JL OZIFT K[P
VFYL C\] 5|lT7F 5}J"S H6FJ]\ K]\ S[4 p5Z H6FJ[, TDFD DFlCTL DFZL HF6 VG[ ;DH 5|DF6[ ;FRL K[ VG[ HM SM>56DFlCTL S[ lJUT BM8L S[
U[ZDFU[" NMZGFZL S[ K]5FJ[,L H6FX[ TM DFZM 5|J[X ZN YJF 5F+ U6FX[ VG[ T[ DF8[ EZ[,L AWL OL 5ZT D/X[ GCLP T[ ;FY[ C]\ ;\DT YFp K]\P
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lJnFYL"V[ SZJFG]\ V[SZFZGFD]\


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lJnFYL"GL ;CL

SFIF",IGF p5IMU
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Page 2

sVFRFI""`F|L GL ;CLq l;SSMf

JLZ GD"N Nl1F6 U]HZFT I]lGJl;"8L


I]lGJl;"8L S[d5;4 pWGF v DUN<,F ZM04 ;]ZT v #)5__*

SM,[H SFIF",IGF p5IMU DF8[ JQF"o Z_!$


Z_!$ v!5

TFH[TZGM lJnFYL"GM
5F;5M8" ;F.hGM
OM8M RM8F0L OM8F 5Z

GM\W6L 5|DF65+ TYF 5ZL1FFB\0 DF8[ lJnFYL"G]\ VM/B5+


AFCI VeIF;DG]\ GFD o

;[D[:8ZqJFlQF"S

5ZL1FF 5wWlT o
GM\W6L G\AZ o

lJnFYL"G]\ GFD o

lJnFYL"G]\ ;ZGFD]\ o

5ZL1FF S[g o
OL Z;LN G\AZ o

lJnFYL"V[ ;CL SZJL

lJnFYL"GM OMG G\AZ osDMf

TFZLB o

3Zo
JQF["

VFYL 5|DF65+ VF5JFDF\ VFJ[ K[ S[

V[1F8G", 5ZL1FF DF8[ GM\W6L SZJFDF\ VFJL K[P

,[JFGFZ

;[D[:8Z S|Do

5ZL1FFG]\ DFwIDo
GM\
GM\W o lJnFYL"V[ 5;\N SZ[,F lJQFI 5FK/GF EFUDF\ VJxI ,BJFP

sVFRFI"`F|LGL ;CLq l;SSMf

lJnFYL"GL ;CL

JLZ GD"N Nl1F6 U]HZFT I]lGJl;"8L


I]lGJl;"8L S[d5;4 pWGF v DUN<,F ZM04 ;]ZT v #)5__*

lJnFYL"GF p5IMU DF8[[ JQF"o Z_!$


Z_!$v!5
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TFH[TZGM lJnFYL"GM
5F;5M8" ;F.hGM
OM8M RM8F0L OM8F 5Z

GM\W6L 5|DF65+ TYF 5ZL1FFB\0 DF8[ lJnFYL"G]\ VM/B5+


5ZL1FF 5wWlT o

AFCI VeIF;DG]\ GFD o

;[D[:8ZqJFlQF"S

GM\W6L G\AZ o

lJnFYL"G]\ GFD o

lJnFYL"G]\ ;ZGFD]\ o

5ZL1FF S[g o
OL Z;LN G\AZ o

lJnFYL"V[ ;CL SZJL

lJnFYL"GM OMG G\AZ osDMf

TFZLB o

3Zo
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VFYL 5|DF65+ VF5JFDF\ VFJ[ K[ S[

V[1F8G", 5ZL1FF DF8[ GM\W6L SZJFDF\ VFJL K[P

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GM\
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Page 3

TD[ 5;\
UG
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5;\N SZ[,F lJQFIM GLR[ D]HA K[PslJQFIM V\
V\U[
:TSFDF\ NXF"jIF D]HA H :5Q8
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!

&

GM\
GM\W o SM.56 ;\HMUMDF\ lJQFI AN,L VF5JFDF\ VFJX[ GlCP
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lJnFYL"GL ;CL

TD[ 5;\
UG
[ L lJUTM DlCTL 5]l:TSFDF\
5;\N SZ[,F lJQFIM GLR[ D]HA K[PslJQFIM V\
V\U[
:TSFDF\ NXF"jIF D]HA H :5Q8 ZLT[ ,BJFGL HJFANFZL lJnFYL"GL ZC[X[f

&

GM\
GM\W o SM.56 ;\HMUMDF\ lJQFI AN,L VF5JFDF\ VFJX[ GlCP
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lJnFYL"GL ;CL

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