Diploma Course Form

feb/Rwgi
Ae¯’vbMZ Qwe
(bvgdjKmn) Ges
eë¯’vcbv KwgwUi
m`m¨‡ì wPwýZ
MÖ“c Qwe evsjv‡`k KvwiMwi wk¶v †evW©
AvMviMvI, †k‡ievsjv bMi
XvKv-1207|
†Pqvig¨vb
evsjv‡`k KvwiMwi wk¶v †evW©
AvMviMvI, †k‡ievsjv bMi, XvKv|
`„t Avt cwiPvjK (KvwiKzjvg), evsjv‡`k KvwiMwi wk¶v †evW©, XvKv|
welqt wW‡c−vgv Bb BwÄwbqvwis wk¶vµ‡gi cÖwZôvb ¯’vc‡bi Av‡e`b dig|
1. wk¶v cÖwZôv‡bi cwiwPwZ

K. cÖ¯ÍvweZ wk¶v cÖwZôv‡bi bvg evsjv :
Bs‡iwR (eo A¶‡i) :
L. c~Y© wVKvbv : MÖvg/moK: †cv:
Dc‡Rjv/_vbv: †Rjv:
M. †Uwj‡dvb (j¨vÛ): †gvevBj b¤î: B-†gBj:
N. msm`xq GjvKv :
2. e¨w³ bv‡g cÖwZôvb : □ cÖ‡hvR¨ bq □ cÖgvYcÎ mshy³ □ cÖgvYcÎ mshy³ bq

(15 j¶ UvKv cÖwZôvb‡K cÖ`vbmn msiw¶Z Znwe‡j Rgvi cÖgvYcÎ
ms‡hvRb Kiyb)
3. wk¶v cÖwZôvb ¯’vc‡bi mvsMVwbK KwgwU : □ Av‡Q □ †bB
(KwgwUi m`m¨‡ì bvg/wVKvbvmn ZvwjKv I MÖ“c Qwe mshy³ Ki“b)
K. mfvcwZi bvg :
L. eZ©gvb KwgwU MV‡bi ZvwiL :
M. KwgwU msµvšÍ †Kvb gvgjv/Awf‡hvM Av‡Q wK bv : □ Av‡Q □ †bB
N. cÖwZôvb cwiPvjbvi aib : □ mvaviY □ ms¯’v □ ¯^-A_©vq‡b □ GbwRI
O. cÖwZôvb ¯’vc‡bi wm×všÍ : †iRy‡jkb eB‡qi wm×v‡šÍi Kwc mshy³ Ki“b
4. cÖvw_©Z †UK‡bvjwRmg~n : 1| 2|
3| 4|
5. Rwg I †fŠZ AeKvVv‡gv : mve †iwRóªvi Awd‡mi bvg:
wefvMxq kn‡i 10 kZvsk Ges †Rjv/Dc‡Rjvq 15 kZvsk
Rwg cÖwZôv‡bi bv‡g/KwgwUi m`‡mï bv‡g _vK‡Z n‡e| Rwgi gvwj‡Ki bvg:
Rwg m`‡mï bv‡g _K‡j ¯’vc‡bi AbygwZi c‡i D³ Rwg
cÖwZôv‡bi bv‡g †iwRw÷ª I bvgRvwi K‡i †Ìqvi
eë¯’vcbv KwgwU‡Z c`we:
Aw½Kvivbvgv (300 UvKvi bb-RywWwkqvj ÷v‡¤ú ) _vK‡Z

`wjj bs : †iwR: ZvwiL:
n‡e|
(bvgdjKmn Rwg/fe‡bi Qwe mshy³ Kiæb)
Rwgi weeiY: †gŠRv- †RGj bs- LwZqvb bs-
`vM bs Rwgi cwigvY- kZvsk| bvgRvwi LwZqvb bs-
bvgRvwii ZvwiL: me©‡kl LvRbv cÖ`v‡bi ZvwiL:
(†iwRw÷ª `wjj, bvgRvwi LwZqvb. wWwmAvi, LvRbvi iwm` I Rwgi Ae¯’vb wPwýZ †gŠRv g¨vc mshy³ Ki“b)
†PŠnwÏ: DË‡i--------------------`wÿ‡b-----------------------c~‡e©----------------------cwð‡g-----------------------
6. fe‡bi weeiY (cwiKíbv Abymv‡i) †j-AvDU c−¨vb mshy³ Ki“b (K¶ I j¨v‡ei bvgmn)
• †gvU K‡¶i msL¨v : wU|
• †kªwY K‡¶i msL¨v : wU|

• IqvK©kc/j¨v‡ei msL¨v
: wU|
• Awdm I Ab¨vb¨
: wU|
Pjgvb cvZv-
-2-
7. Avw_©K ms¯’vb :
K. Av‡qi Drm :
L. evrmwiK Av‡qi cwigvY :
M. e¨vsK e¨v‡jÝ :
(1) msiw¶Z Znwej (mZ¨vwqZ Kwc) : e¨vs‡Ki bvg: GdwWAvi b¤î:
Bmyi ZvwiL: †gqv`:
cwigvY:-----------------UvKv, □ Kwc mshy³ □ mshy³ Kiv nqwb
(2) mvaviY Znwej (nvj bvMv` e¨vsK †óU‡g›U) : e¨vs‡Ki bvg: wnmve b¤î:
cwigvY:-----------------UvKv, □ Kwc mshy³ □ mshy³ Kiv nqwb
8. cÖwZôvb GjvKvq wkí KviLvbv _vK‡j Zvi aib I wVKvbv :
9. wk¶v cÖwZôv‡bi my‡hvM-myweav
K. êa we`y¨r ms‡hvM : □ Av‡Q □ †bB □ cÖwµqvaxb
(ms‡hvM _vK‡j me©‡kl cwi‡kvwaZ we`y¨r we‡ji
d‡UvKwc ms‡hvRb Kiyb)
L. hvZvqvZ myweav : □ Av‡Q □ †bB
M. cvwb myweav : □ Av‡Q □ †bB
N. Uq‡jU myweav : □ Av‡Q □ †bB
10. †Rjvq KvwiMwi †evW© Aby‡gvw`Z Abyiƒc †Kvm© cwiPvjbvKvix cÖwZôvb msµvšÍ Z_¨ :
K. cÖwZôv‡bi msL¨v (†Rjv wfwËK) : wU|
L. Av‡ew`Z Dc‡Rjv/_vbvq cÖwZôv‡bi msL¨v : wU|
11. cÖ¯ÍvweZ cÖwZôvb n‡Z we`¨gvb cÖwZôv‡bi g‡a¨ `~iZ¡ : □ mb` mshy³ □ mshy³ Kiv nqwb
DËi w`‡K---------wKtwgt, `w¶Y w`‡K------------wKtwgt, c~e© w`‡K------------wKtwgt Ges cwðg w`‡K------------wKtwgt

(GKB †Rjvq cÖ¯ÍvweZ cÖwZôvb n‡Z Abyiƒc †Kvm© cwiPvjbvKvix we`¨gvb cÖwZôv‡bi g‡a¨ †Rjv cÖkvmK/Dc‡Rjv wbe©vnx Awdmvi KZ…©K
cÖ`Ë `~i‡Z¡i mb` ms‡hvRb Kiyb)
12. cÖwZôvb GjvKvi b~¨bZg RbmsL¨v (wbR Dc‡Rjvq) : -------------------------Rb □ mb` mshy³ □ mshy³ Kiv nqwb
[Dc‡Rjv cwimsL¨vb Kg©KZ©v KZ…©K cÖ`Ë mb`cÎ mshy³ Kiyb]
13. Aw½Kvibvgv (bxwZgvjvi aviv 29 (K) I cwiwkó-2 Abymv‡i mshy³ Kiyb) : 300 UvKvi bb-RywWwkqvj ÷v‡¤ú
Dc‡ivwj−wLZ weeiY¸‡jv mZ¨| Av‡e`‡b Dwj−wLZ wk¶vµg cwiPvjbvi Rb¨ cÖwZôvb ¯’vc‡bi c~e©vbygwZ cÖ`v‡bi Rb¨ Aby‡iva Kiv n‡jv|
c~e©vbygwZ cvIqv †M‡j †evW© wb©avwiZ mg‡qi g‡a¨ wk¶vµg cwiPvjbv Dc‡hvMx cÖwZôvb ¯’vcb Ki‡Z Ges evsjv‡`k KvwiMwi wk¶v †ev‡W©i
wk¶vµg cwiPvjbv msµvšÍ mKj AvBb Kvbyb †g‡b Pj‡Z eva¨ _vKe|
mfvcwZi ¯^v¶i m`m¨-mwP‡ei ¯^v¶i

ZvwiL t ZvwiL t
bvg t bvg t
wVKvbv t wVKvbv t
evsjv‡`k KvwiMwi wk¶v †evW©
AvMviMuvI, †k‡i evsjv bMi
XvKv-1207|
evsjv‡`k KvwiMwi wk¶v †ev‡W©i AvIZvq wk¶vµg cwiPvjbvi Rb¨ †emiKvwi cÖwZôvb ¯’vc‡bi
cÖKí QK
cÖwZôv‡bi
bvg................................................................................................................................
wVKvbv (g~j Av‡e`b dig Abyhvqx t
1| cÖKí e¨q t
µwgK bxwZgvjv Abymv‡i †gvU eZ©gv‡b we`¨gvb
AvB‡Ug AwZwi³ cÖ‡qvRb cÖ‡qvRbxq UvKvi cwigvb
bs cÖ‡qvRb Av‡Q
1. Rwg
2. †fŠZ AeKvVv‡gv t
K. †kªwY K¶
L. j¨ve‡iUix/IqvK©mc
M. Aa¨¶ K¶
N. Awdm K¶
O. GKv‡WwgK K¶
P. cix¶v wbqš¿Y K¶
Q. jvB‡eªix
R. QvÎx‡ì Kgbi“g
S. QvÎ‡ì Kgbi“g
T. wUPvm© Kgbi“g
U. †÷vi
V. Uq‡jU (cyi“l I gwnjv‡ì
Rb¨ Avjv`v)
W. Ab¨vb¨
3. wk¶K
4. Kg©Pvwi
5. hš¿cvwZ
6. wk¶v DcKiY
7. AvmevecÎ
8. eB cy¯ÍK
†gvU =
2| Kvh©µg ev¯Íevqb wmwWDj t
µt bs 1g ch©vq (4 gvm) 2q ch©vq (1 ermi) 3q ch©vq (1 ermi) 4_© ch©vq (1 ermi)
AvB‡Ug cwigvb/ UvKv cwigvb/ UvKv cwigvb/ UvKv cwigvb/ UvKv
msL¨v msL¨v msL¨v msL¨v
1. Rwg
2. †fŠZ AeKvVv‡gvt
K. †kªwY K¶
L. j¨ve‡iUix/IqvK©mc
M. Aa¨¶ K¶
N. Awdm K¶
O. GKv‡WwgK K¶
P. cix¶v wbqš¿Y K¶
Q. jvB‡eªix
R. QvÎx‡ì Kgbi“g
S. QvÎ‡ì Kgbi“g
T. wUPvm© Kgbi“g
U. †÷vi
V. Uq‡jU (cyi“l I gwnjv‡ì
Rb¨ Avjv`v)
W. Ab¨vb¨
Pjgvb cvZv - 2
-2-
µt bs 1g ch©vq (4 gvm) 2q ch©vq (1 ermi) 3q ch©vq (1 ermi) 4_© ch©vq (1 ermi)
AvB‡Ug cwigvb/ UvKv cwigvb/ UvKv cwigvb/ UvKv cwigvb/ UvKv
msL¨v msL¨v msL¨v msL¨v
3. wk¶K
4. Kg©Pvwi
5. hš¿cvwZ
6. wk¶v DcKiY
7. AvmevecÎ
8. eB cy¯—K
†gvU =
3| A‡_©i Drm t
µt bs AvB‡Ug 1g ch©vq (4 gvm) 2q ch©vq (1 ermi) 3q ch©vq (1 ermi) 4_© ch©vq (1 ermi)
1. Aby`vb
2. Puv`v
3. QvÎ-QvÎx‡ì †eZb
4. Rwg †_‡K Avq
5. Ab¨vb¨
we:`ª: 1| cÖKí e¨q Ges 2| Kvh©µg ev¯Íevqb wmwWDj Gi µwgK bs 3 n‡Z 8 ch©šÍ wel‡qi ch©vq wfwËK we¯ÍvwiZ weeiYx Avjv`v
KvM‡R D‡j−L Ki“b|
mfvcwZi ¯^v¶i I ZvwiL cÖwZôvb cÖav‡bi ¯^v¶i I ZvwiL

bvg I wVKvbv bvg I wVKvbv

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feb/Rwgi

1. wk¶v cÖwZôv‡bi cwiwPwZ

Bs‡iwR (eo A¶‡i) :

L. c~Y© wVKvbv : MÖvg/moK: †cv:

2. e¨w³ bv‡g cÖwZôvb : □ cÖ‡hvR¨ bq □ cÖgvYcÎ mshy³ □ cÖgvYcÎ mshy³ bq

Aw½Kvivbvgv (300 UvKvi bb-RywWwkqvj ÷v‡¤ú ) _vK‡Z

• †kªwY K‡¶i msL¨v : wU|

DËi w`‡K---------wKtwgt, `w¶Y w`‡K------------wKtwgt, c~e© w`‡K------------wKtwgt Ges cwðg w`‡K------------wKtwgt

mfvcwZi ¯^v¶i m`m¨-mwP‡ei ¯^v¶i

mfvcwZi ¯^v¶i I ZvwiL cÖwZôvb cÖav‡bi ¯^v¶i I ZvwiL

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