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sportz cfielz izvYlpmYNt rYPrl / arjLI Pfrm - sPf 2<br />
kI quhfzf bwcf koeI dvfeI lY irhf hY (ikrpf krky ilKo) _________________________________________________________________<br />
qusIN bwcy dy ivkfs nfl sMbMiDq shfieqf dI mMg ikAuN kr rhy ho? (slfh lYx dy kfrn; bwcy dIaF loVF aqy/jF rog dI pCfx):_______________<br />
____________________________________________________________________________________________________________<br />
cfielz kyar dI jfxkfrI<br />
mOjUdf cfielz kyar df nF: ______________________________________________ Pon nMbr: ________________________________<br />
aYzrYs:______________________________________________________________________________________________________<br />
sMprk nF: _________________________________________ quhfzf bwcf ies poRgrfm ivc kdoN afieaf: _________________________<br />
hPqy dy Auh idn aqy idn dy GMty jdoN quhfzf bwcf cfielzkyar ivc afAuNdf hY: _________________________________________________<br />
purfxI cfielz kyar df nF: ______________________________________________________________________________________<br />
kI shfieqf dI loV sI? hF nhIN<br />
jy hF qF iks iksm (iksmF) dI shfieqf: bwcy dy ivkfs bfry slfhkfr dI shfieqf sFJf hor stfP inwjI hor stfP<br />
jy cfielzkyar ivc nhIN hY qF cfielzkyar dy qrjIhI poRgrfm dI iksm : ( ) pRIskUl ( ) gruwp zya kyar<br />
( ) PYimlI cfielz ( ) skUl qoN bfhr sMBfl<br />
kyar<br />
( ) XUQ poRgrfm<br />
jy quhfzy mn ivc koeI cfielzkyar poRgrfm hY qF Aus df nF (jy lfgU huMdf hY)______________________________________________<br />
qusIN afpxy bwcy nUM cfielzkyar ikvyN lY ky jfvogy? kfr rfhIN bws `qy qur ky hor: ___________________________________<br />
sMBfl qoN skUl qoN bfhr dy poRgrfm leI, ikrpf krky Bro:<br />
bwcy df skUl: gryz: Pon:<br />
tIcr df nF:<br />
skUl ivc sMprk:<br />
hor syvfvF dI jfxkfrI<br />
ikrpf krky hor syvfvF bfry vI kuJ jfxkfrI idAu, ijs ivc quhfzy bwcy/pirvfr nfl sMbMiDq zfktrF aqy hor mfhrF dI jfxkfrI vI sLfml hY:<br />
aissmYNt hoeI sihmqI<br />
srivs dyx vfly df nF eyjMsI df nF Pon nMbr aYzrYs<br />
(jy lfgU huMdf hY) (Coty dsKq)<br />
Referral/Application Form July 2005 [<strong>Punjabi</strong>]
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