রেজিস্ট্রেশন ফর্ম

h‡kvi cwj‡UKwb‡Ki 50 eQi c~wZ© I wgjb †gjv-2015

AvnevqK I Aa¨‡ÿi Kvh©vjq, h‡kvi cwj‡UKwbK Bbw÷wUDU ‡gvevBj bs: 01552-469498, 01558-103210

WvP evsjv e¨vsK,Avi Gb †ivW, h‡kvi kvLv, PjwZ wnmve bs: 16311014541

	Abyôv‡bi  ZvwiL : 25-26 wW‡m¤^iÕ 2015 wbe›a‡bi ‡kl ZvwiL : 16 wW‡m¤^iÕ 2015

 

wbeÜb dig

bvg                 t .....................................................................................................................................

evsjvq                t .....................................................................................................................................

Bs‡iRx‡Z           t ...................................................................................................................................

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

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

¯’vqx wVKvbv          t .................................................................................................................................

eZ©gvb wVKvbv       t .................................................................................................................................

¯^vgx/¯¿xi bvg t ......................................................................... ¯^vgx/¯¿xi †ckv t ....................................

‡gvevBj bs   t

B-†gBj t

fwZ©i wkÿv el© t ......................................................................... cv‡mi mb t ....................................

wbeÜb wd

1| c~Y© m`m¨ 1000/-, †eKvi m`m¨ 500/-,  AwZwi³ Rb cÖwZ 500/-, †RwcAvB wkÿK wKšÍÍy †RwcAvB QvÎ bq Ggb m`m¨ 500/-, †RwcAvB QvÎ 200/-, †RwcAvB 3q †kÖbxi Kg©Pvix 200/-, ‡RwcAvB 4_© †kÖbxi Kg©Pvix 100/- |

‡gvU m`m¨ msL¨v t                                                            ‡gvU UvKvt

 

                                                                                                     Av‡e`bKvixi ¯^v¶i  I  ZvwiL

h‡kvi cwj‡UKwbK 50 eQi c~wZ© I wgjb †gjv-2015

AvnevqK I Aa¨‡ÿi Kvh©vjq, h‡kvi cwj‡UKwbK Bbw÷wUDU

WvP evsjv e¨vsK, Avi Gb †ivW, h‡kvi kvLv, PjwZ wnmve bs: 16311014541

bvg                                t ......................................................................................

m`m¨ msL¨v                     t .............................. ........................................................

‡gvU UvKvi cwigvb            t .............................K_vq.....................................................................................

                                                                                                  wbeÜbKvixi ¯^v¶i  I  ZvwiL