Anexo 3 Formulario Registro Individual
October 12, 2022 | Author: Anonymous | Category: N/A
Short Description
Download Anexo 3 Formulario Registro Individual...
Description
GHPNO G¶ mn YNJHT]YA
NT]KMA VO^YHGKDHAGKO MN IAOHPHK EHGHT]NYHA MN ]YKIKBA, NEVONA X VYNPHTHÔG TADHKO PHDNEHGHT]NYHA PHDNEHGHT]NYH A MN ]YKIKBA X VYNPHTHÔG VYNPHTHÔG TADHKO MHYNDDHÔG JNGNYKO MN ]YKIKBA, CHJHNGN X TNJ^YHMKM AD^VKDHAGKO
@AOHA
@AYE^OKYHA MN YNJHT]YA HGMHPHM^KO VYA@NTHAGKONT X ]ÈDGHDAT NG CHJHNGN, TNJ^YHMKM AD^VKDHAGKO X ENMHDHGK MNO ]YKIKBA
o k h d a T g ô h s h v n r V
No prnsngtn `areuokrha mnin snr oongkma ng `arek mhjhtko, k eëquhgk a dag ontrk mn heprngtk ng ok `arek eës dokrk y daepontk pashion. Ok hg`arekdhôg hg`arekdhôg prapar prapardhagkmk dhagkmk mnin snr rnko y mmnihmkengtn nihmkengtn rnspkomkmk dag maduengtkdhôg pkrk pkrk `kdhohtkr oas trëeh trëehtns tns mn hgsdrhpdhôg. Dukoquhnr `kosnmkm hgvkohmkrë no rnjhstra darrnspagmhngtn.
;. MK]A ]AT T JN JNG GNY NYKO KON NT ;.; Kpnoohma pktnrga ]HDAGK ;.9 Oujkr mn gkdhehngta
Kpnoohma ektnrga DAGMAYH
Gaeirns KG]AGHA ;.9.; @ndck mn gkdhehngta
OK VKR VYAPHGDHK E^YHOOA NO KO]A
Måk ;: ;.4.; Nstkma dhvho ;.4.9 D. Hmngthmkm DKTKMA =333:>0 OV
;.4 Gkdhagkohmkm IAOHPHKGA
Ens Kûa NGNYA ;8:3 ;.4.4 Tnxa Caeirn ( S ) Eubnr( )
;.= Mhrnddhôg kdtuko (Dkoon, (Dkoon, Gra., Ragk, Dhumkm, Mnpta.) DKOON 4, G² =60> RAGK PHOOK HGJNGHA NO KO]A, OK VKR
;.0 ]no`.
;.> Mhrnddhôg Vnrekgngtn (Dkoon, Gr Gra., Ragk, Dhumkm, Mnpta.) DKOON 4, G² =60> RAGK PHOOK HGJNGHA NO KO]A, OK VKR k.
Ngthmkm magmn trkikbk
;.: @A]AJYK@ÅK (*)
Dkrja(s) qun mnsnepnûk @HTDKO MN TNJ^YHMKM HGM.
;.3 ]no`.
Mhrnddhôg. NEIAO T.K. NO KO]A KP. B^KG VKIOA HH
]no`. :9=864=6
r n t s h g h E
T.G.
NEV. PKODNT@YK
9. EA EA]H ]HPA PA MN OK TAO TAOHD HDH] H]^M ^M 9.; ]hpa mn saohdhtum (daoaqun S magmn darrnspagmk) Ynjhstra Gunva
Yngavkdhôg
9.9 Nspndhkohmkmns (daoaqun S magmn darrnspagmk) Tkoum Adupkdhagko
S
Chjhngn Adupkdhagko
Vr Vrnv nvnngd gdhhôg mn Yh Yhnnsjas sjas Ok Okia iark rkoons
S
Enmh Enmhddhgk mn mnoo ]r ]rkkik ikbba
Nrjagaeåk
S
S
Atras Yn-dktnjarhzkdhôg
Tnjurhmkm Adupkdhagko
S
Nspndh`hqun atras2
Mhrnddhôg2 Dkoon Xkgkdadck nsq. Enrdkma T/G ]noè`aga2 Dngtrko Vhoata Vhoata 9=63060 www.ehgtrkikba.jai.ia
y a n o p e N , a b k i k r ] n m a h
S
4. NM^ NM^DKD DKDHÔG HÔG I IËTH ËTHDK DK,, HG] HG]NYE NYENMH NMHK K X ENM ENMHK HK Gaeirn mn ok Hgsthtudhôg Hgsthtudhôg y oujkr magmn dursô nstumhas nstumhas ^GHMKM NM^DK]HPK YNX TKOAEAG
Murkdhôg : KÛAT
]åtuoas aitnghmas IKDCHOONY NG C^EKGHMKMNT
Gaeirn mn ok Hgsthtudhôg Hgsthtudhôg y oujkr magmn dursô nstumhas nstumhas ^GHPNYTHMKM VÒIOHDK MN NO KO]A
Murkdhôg (ensns ô kkûas) ûas) > KÛAT
^GHPNYTHMKM VÒIOHDK MN NO KO]A
> KÛAT
]åtuoas aitnghmas OHDNGDHKMA NG HGJNGHNYÅK NG JKT X VN]YA[^ÅEHDK HGJNGHNYA NG JKT X VN]YA[^ÅEHDK
=. NM NM^D ^DKD KDHÔ HÔG G T^VN T^VNYH YHAY AY
>. NT]^ NT]^MHAT MHAT M MN N VAT] VAT]JYKM JYKMA A (MHV (MHVOAEKM OAEKMA, A, NTV NTVNDHK NDHKOHMKM OHMKMNT, NT, EKN EKNT]YÅK T]YÅK,, MAD]AYKMA, A]YAT)
^GHPNYTHMKM VÒIOHDK MN NO KO]A - NO KO]A
Murkdhôg (snekgks, ensns ô kûas) 4 ENTNT
^GHPNYTHMKM VÒIOHDK MN NO KO]A - NO KO]A
4 ENTNT
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
Gaeirn mn ok Hgsthtudhôg Hgsthtudhôg y oujkr magmn dursô nstumhas nstumhas
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
]åtuoas aitnghmas MHVOAEKMA NG NM^DKDHÔG T^VNYHAY X JNT]HÔG MN K^OK MHVOAEKMA NG HGPNT]HJKDHÔG DHNG]Å@HDK DNY]H@HDKMA, JNT]HAG MN OK TNJ^YHMKM HGM^T]YHKO MN KGKOHTHT MN YHNTJA… DNY]H@HDKMA, ACTKT ;366; THT]NEKT MN JNT]HAGXMN OK NG TNJ^YHMKM TKO^M NO ]YKIKBA… DNY]H@HDKMA, VNYEHTAT MN ]YKIKBAT NG DKOHNG]N, KO]^YK, NTVKDHAT DAG@HGKMAT, IOA[^NA X N]H[^N]KMA. DNY]H@HDKMA, EKGHV^OKDHÔG X YNTV^NT]K DAG T^T]KGDHKT VNOHJYATKT, CABKT MN TNJ^YHMKM... DNY]H@HDKMA, HTA ;=66; THT]NEKT MN JNT]HÔG KEIHNG]KO, X HMNG]H@HDKDHÔG
Mhrnddhôg2 Dkoon Xkgkdadck nsq. Enrdkma T/G ]noè`aga2 Dngtrko Vhoata Vhoata 9=63060 www.ehgtrkikba.jai.ia
o k h d a T g ô h s h v n r V y a n o p e N , a b k i k r ] n m a h r n t s h g h E
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
DNDKV DAGT^O]HGJ — OK VKR
0 CAYKT
NPKO^KDHÔG MN KTVND]AT… DNY]H@HDKMA, VYNVKYKDHÔG X YNTV^NT]KT MN NENYJNGDHKT… DNY]H@HDKMA, EN]AMAOAJÅKT X ]ÈDGHDKT MN DAGT^O]AYÅK NG TNJ^YHMKM HGM… DNY]H@HDKMA, VYHENYAT K^SHOHAT IËTHDAT X JNT]HÔG MN TKO^M N CHJHNGN AD^VKDHAGKO.
0. D^Y D^YTAT, TAT, D D^YTH ^YTHOOAT OOAT X A]YAT (NG O OAT AT [^ [^N N TN VKY] VKY]HDHV HDHVÔ) Ô) D^YTAT YNKOHRKMAT
HGT]H]^DHÔG
Murkdhôg (carks, måks ô snekgks)
M^YKDHÔG MNO NPNG]A Ng carks a ensns
:. D^Y D^YTAT, TAT, D^ D^YTHOO YTHOOAT AT X A]Y A]YAT AT MHD MHD]KMA ]KMAT T VAY OK VNY VNYTAGK TAGK G GK]^Y K]^YKO KO NPNG]AT YNKOHRKMAT
HGT]H]^DHÔG
Murkdhôg (Carks, måks ô snekgks)
M^YKDHÔG MNO NPNG]A ng carks a ensns
D^YTAT
DAG@NYNGDHKT X TNEHGKYHAT
A]YAT
3. VYAM VYAM^DD ^DDHÔG HÔG HG HG]NOND] ]NOND]^KO ^KO N HG HGPNT]H PNT]HJKDH JKDHAGNT AGNT YN YNKOHRK KOHRKMKT MKT VAY OK VNYTAGK GK]^YKO HGPNT]HJKDHÔG
HGT]H]^DHÔG
@NDCK
AITNYPKDHAGNT
(OHIYA) CABKT MN TNJ^YHMKM MN OAT MNYHPKMAT MNO VN]YAONA DY^MA, IAOHPHK
YN@HGNYÅK J^KOINY]A PHOOKYYANO
96;4-96;8
OHIYA
8. V^IO V^IOHDKD HDKDHAGNT HAGNT YNKO YNKOHRKM HRKMKT KT V VAY AY O OK KV VNYTAG NYTAGK K GK GK]^YKO ]^YKO HGPNT]HJKDHÔG
HGT]H]^DHÔG
@NDCK
Mhrnddhôg2 Dkoon Xkgkdadck nsq. Enrdkma T/G ]noè`aga2 Dngtrko Vhoata Vhoata 9=63060 www.ehgtrkikba.jai.ia
AITNYPKDHAGN T
o k h d a T g ô h s h v n r V y a n o p e N , a b k i k r ] n m a h r n t s h g h E
;6. NSVN NSVNYHNG YHNGDHK DHK M MN N ]YK ]YKIKBA IKBA Ngthmkm(ns) a Neprnsk(s) magmn prnstô sus snrvhdhas ^GHP ^G HPNY NYTH THMK MKM M V^I V^IOH OHDK DK MN MN NO KO] KO]A A ^GHP ^G HPNY NYTH THMK MKM MV V^I ^IOH OHDK DK MN NO KO]A KO]A ^GHPNYTHMKM V^IOHDK MN NO KO]A
^GHPNYTHMKM V^IOHDK MN NO KO]A
^GHPNYTHMKM V^IOHDK MN NO KO]A
NEVYNTK VYXTNH
NEVYNTK PKODNT@YK HGJNGHNYÅK X TNYPHDHAT HGM^T]YHKONT
Dkrja jass mn mnsnepnûk ûkmmas MADN MADNG] G]N N ([^H ([^HEHD EHDK K JNGNYKO) MADN MADNG] G]N N (HGJ. (HGJ. MN JKT GK]^YKO H) MADNG]N (TNJ^YHMKM HGM. X TKO^M AD^VKDHAGKO) MADNG]N (TNJ^YHMKM HGM. X TKO^M AD^VKDHAGKO) MADNG]N (TNJ^YHMKM HGM. X TKO^M AD^VKDHAGKO) T^VNYPHTAY MN TNJ^YHMKM HGM^T]YHKO X TKO^M AD^VKDHAGKO @HTDKO MN TNJ^YHMKM HGM^T]YHKO X TKO^M AD^VKDHAGKO
Nxpnrhngdhk ]atko
Nxpnrhngdhk Nspndå`hdk
Måk 6;
Ens 68
Kûa 96;:
@ndck mn duoehgkdhôg Måk Ens Kûa 4; ;9 96;:
6;
64
96;3
46
60
96;3
69
63
96;3
4;
;9
96;3
@ndck mn mn hhgghdha
6;
69
96;8
46
60
96;8
6;
63
96;8
4;
;9
96;8
;9
6;
96;3
;>
;6
96;8
93
;6
96;8
98
69
9696
Kûas2
Ensns2
=
9
Kûas2
Ensns2
9
9
;;. MNDOKYKDHAG B^YKMK Xa KG]AGHA ]HDAGK DAGMAYH ekyar mn nmkm, dag D.H. G¶ =333:>0 Nxp. O V, mndokra ikba burkengta ok vnrkdhmkm mn ehs mktas hgmhdkmas ng no prnsngtn @areuokrha mn Ynjhstra Gkdhagko mn Vra`nshagkons y ]èdghdas ng Chjhngn, Tnjurhmkm Adupkdhagko y Enmhdhgk mno ]rkikba y ksuea pongk rnspagskihohmkm mn ok nxkdthtum mn oas mktas dagshjgkmas, kdajhègmaen ko ekrda onjko vhjngtn y mn pradnmhehngtas kmehghstrkthvas kmehghstrkthvas ng jng jngnrko< nrko< `hrekgma ng shjga mmnn kdnptkdhôg. Mhrnddhôg2 Dkoon Xkgkdadck nsq. Enrdkma T/G ]noè`aga2 Dngtrko Vhoata Vhoata 9=63060 www.ehgtrkikba.jai.ia
o k h d a T g ô h s h v n r V y a n o p e N , a b k i k r ] n m a h r n t s h g h E
Oujkr y @ndck2 OK VKR 69 MN EKYRA MN 9696
……………………………… @hrek mno pastuokgtn
* no pugta ;.: snrë oongkma par ok Mhrnddhôg Jngnrko mn ]rkikba, Chjhngn y Tnjurhmkm Adupkdhagko mno Ehghstnrha mn ]rkikba, Nepona y Vrnvhshôg Tadhko.
o k h d a T g ô h s h v n r V y a n o p e N , a b k i k r ] n m a h r n t s h g h E
Mhrnddhôg2 Dkoon Xkgkdadck nsq. Enrdkma T/G ]noè`aga2 Dngtrko Vhoata Vhoata 9=63060 www.ehgtrkikba.jai.ia
View more...
Comments
