Application Form for BTS Registration

/Qm ;~rf/ s]Gb| btf{sf] nflu cfa]bg kmf/fdsf] gd'gf






k|:tfljt /Qm ;~rf/ s]Gb|sf] gfd M
;Dks{ 7]ufgf M
7]ufgf M
kmf]g g+=M
km\ofS; g+=M
Od]nM
:yfkgf ug{ vf]lhPsf] /Qm ;~rf/ s]Gb|sf] k|sf/
 5'6\6} /Qm ;rf/ s]Gb| -Stand alone Blood Bank_
 c:ktfndf cfwfl/t /Qm ;~rf/ s]Gb|
 cGo
olb c:ktfndf cfwfl/t xf] eg], c:ktfnsf] gfdM
nufgLsf] ;|f]tM
s]Gb|n]









;~rfng ul//x]sf] lqmofsnfkx?
/Qmbftf pTk|]/0ff÷egf{
/Qm ;+sng
aflif{s /Qm ;+sng kl/df0f
k/LIf0f
ODo"gf]x]df6f]nf]hL -/Qm ;d"xLs/0f ;]/f]nf]hL÷pko'Qmtf k/LIf0f_
/Qm tTjx?sf] k|zf]wg
e08f/0f
ljt/0f
cGo
btf{ x'g rfx]sf] /Qm ;~rf/ s]Gb|sf] Sof6f]u/L
A
B
C
D1
D2
E
s] /Qm ;~rf/ s]Gb| klxn] b]lv ;~rfngdf 5<
5
5}g
 olb 5 eg], clxn]sf] /Qm ;~rf/ s]Gb|sf] So6f]u/LM
 olb 5}g eg], :yfkgfsf] nflu cfzo kq k|fKt u/]sf] 5 <
cfzo kq gDa/ -czo kq ;DaGwL b:tfj]h ;DnUg ug]{_M
sd{rf/L
sfo{
/Qmbftf kl/rfng
/Qm ;+sng
k|of]uzfnf k/LIf0f
/ut k|zf]wg
ljt/0f
e08f/0f
dd{t ;+ef/
u'0f:t/ Joj:yfkg
tYof+s Joj:yfkg
:yfgM
hDdf If]qkmn -ju{ ld6/df_
sf]7f ;+Vof
pknJw ;'ljwfx?
;jf/L ;fwg
6]nLkmf]g
km\ofS;
OG6/g]6
lah'nL Jofsck
rf}lj;} 306f vfg]kfgL ;"ljwf
cGo
sd{rf/L ;Vof
of]Uotf
pks/0fM
gfd
An8 a}+s /]lk|mlh/]6/ -jf ;f]xL Ifdtfsf] sf]N8 ?d_
/Qm tTj tof/L d]lzg
c6f]d]6]8 PnfOhf l/8/ / jf;/
c6f]d]l6s ;]n sfp06/
Kn]6n]6 ;]s/
ufdf /]l8P;g r]Da/
cl8{g/L ;]lG6«lkm\o"h
Jofn]G;
c6f] Sn]e
OGs'j]6/
jf6/ jfy
l8k lk|mh/ (-80°C )
l8k lk|mh/ (-20°C )
x6 Po/ cf]eg
8an l8li6n];g Knf06
/Qm ;~rf/ ;"rgf k|0ffnL ;lxtsf] sDKo"6/ lk|G6/, ;e{/, af/sf]8 /fO6/÷l/8/
dfOqmf]:sf]k
lel8cf/Pn /f]6]6/
/Qmbfgsf nflu cfjZos pks/0fx?
/Qm ;d"xLs/0f ;]/f]nf]hL÷l6=l6=cfO{= l:slgËsf] nflu l/Ph]06, ls6
Unf; jo/\;{ nufotsf ;fdfu|Lx?
/Qm ;+sng df]jfOn Eofg, PDa'n]G;
sfof{no k|of]hgsf] nflu ;jf/L ;fwg
ljh'nL Jofscksf] nflu h]g]/]6/
lgl8n l8:6f]jo/
cfjZostf cg';f/sf cGo pks/0fx?
;Vof
g]kfn /]8qm; ;f];fO6L;+u ul/Psf] ;Demf}tf -MOU) M 5
5}g
olb 5 eg]M ;Demf}tfsf] lsl;d -;Demf}tfsf] kmf]6f]skL ;DnUg ug]{_ M
olb 5}g eg]M /utsf] cfjZostf kl/k"tL{ ug]{ tkfO{;+u s:tf] of]hgf 5< la:t[t pNn]v ug'{xf]; .
b]xfosf laifoa:t'x? ;d]l6 la:t[t k|:tfjgf k|:t't ug'{ kb{5 .
s_ nufgLsf] ;|f]t
v_ ;]jf k|jfx z'? ug{] ;dofjwL -of]hgf_
u_ pknJw x'g] k"jf{wf/, dfgj ;+;fwg, ;'ljwf÷pks/0f
3_ olb /ut ;+sng ug]{ xf] eg] o:tf] ;+sng :jlR5s cj}tlgs x'g' kb{5 . o;/L
;+sngsf] nflu cfof]hgf ul/g] SofDkx?sf] af/]df la:t[t of]hgf .
ª_ s]Gb|df sfo{/t sd{rf/Lx?sf] lj:t[t ljj/0f / Pg=Pr=lk=l;= btf{ sf] k|ltlnkL
r_ /Qm ;~rf/ ;]jf u}/ gfkmf d"ns x''g' clgjfo{ 5 .
5_ /Qm ;~rf/ gLlt / lgb]{lzsfx?sf] k"0f{ kfngfsf] k|lta4tf .
h_ /Qm ;~rf/ s]Gb|n] /ut tyf /Qm tTjx?sf] tf]lsPsf] b/ efp .
olb /Qm ;~rf/ s]Gb| lghL c:ktfndf cfwfl/t 5 eg], Kofg g+= pNn]v ug]{ -kmf]6f]skL ;DnUg
ug]{_ M
ldltM
/Qm ;~rf/ s]Gb|sf] cflwsfl/s JolQmsf] gfdM
b:tvt M
O{d]n 7]ufgf M
;Dks{ kmf]g g++ M