fd :s"n pd
k'gd{"Nofª\gsf nflu cg'dlt — ;xdlt kmf/fd aRrfsf] gfd M
k'gd{"Nofª\gsf nflu cg'dlt — ;xdlt kmf/fd
:s"n pd]/
k'gd{"NofÍg ug{sf nflu aRrfsf] cleefjsaf6 lnlvt ;xdlt k|fKt ug{sf nflu :s"n sd{rf/Ln] of] kmf/fd hf/L ug{'kb{5 . aRrfsf] gfd M k7fPsf] ldlt -dlxgf÷lbg÷aif{_ cfdfafa'÷cleefjs÷;/f]u]6sf] gfd / 7]ufgf M PnOP k|of]usf nflu dfq M ;xdlt kmf/fd k|flKtsf] ldlt
lk|o
M
xfdL tkfO{Fsf] aRrfnfO{ lgDglnlvt sf/0f-x¿_ sf nflu k'gd{"NofÍg ub}{5f}F M cfOOlk ;d"xn] tkfO{Fsf] aRrf;Fu ;DalGwt xfnsf] d"NofÍg tYofÍ ;dLIff u/]sf] 5 / tkfO{Fsf] aRrf ;DaGwL c´ w]/} hfgsf/Lsf] cfjZostf /x]sf] s'/f l;kmfl/z u/]sf] 5 . rflxPsf] cltl/Qm hfgsf/Ldf lgDg s'/f ;fd]n 5g\ :
k'gd{"NofÍgsf nflu cleefjsLo cg'/f]w cGo -s[kof cf}FNofpg'xf];\_ M
k|:tflat k'gd{"NofÍgdf, xfdL lgDg lsl;dsf d"NofÍgsf cf}hf/x¿, k/LIf0fx¿ / k| lj|mofx¿ k|of]u ug]{5f}F :
xfdLn] k'gd{"NofÍg z'? ug{'eGbf cufl8 g} ;xdlt cg'/f]w ul/g'kb{5 . oBlk, s[kof Wofg lbg'xf]nf, o'lQm;Ët -k|z:t_ k|of;x¿kl5, xfdLn] tkfO{Faf6 k|ltlj|mof k|fKt gu/]df, xfdLnfO{ k'gd{"NofÍg cufl8 a9fpg] sfg'gg cg'dlt 5 . k|:tflat k'gd{"NofÍg Pp6f ;d"xn] ug]{5 . cleefjs-x¿_ sf ¿kdf tkfO{F k'gd{"NofÍg ;d"xsf] ;b:o x'g'x'G5 . tkfO{Fn] k|bfg u/]sf] h'g;'s} hfgsf/L xfdLnfO{ dxTjk"0f{ 5 . s[kof xfdLnfO{ cfk\mgf larf/ / rf;f]x¿ lnlvt ¿kdf k7fOlbg'xf];\ jf olb tkfO{F rf;f]x¿ 5nkmn ug{ rfxg'x'G5 eg] tnsf] JolQmnfO{ JolQmut ¿kdf ;Dks{ ug{'xf];\ . olb ;d"x a}7s eof] eg] tkfO{FnfO{ lgdGq0ff ul/g]5 . ;a} ;d"x ;b:ox¿af6 k|fKt hfgsf/L k'gd{"NofÍg k|lj|mofsf j|mddf larf/ ul/g]5 . tkfO{Fsf] aRrfnfO{ laz]if lzIff / ;DalGwt ;]jfx¿ hf/L /fvL/fVg' kg]{ cfjZostf 5 jf tkfO{Fs f] aRrf ;f]sf nflu of]Uo g} 5 eGg] s'/f ;d"xn] lgw{f/0f ug]{5 . k'gd{"NofÍgsf] glthf k'gd{"NofÍg k|ltj]bg-cf/cf/_ df /]vlfÍt ul/g]5 . olb tkfO{s F f] aRrfnfO{ laz]if lzIff hf/L /fVg] cfjZostf b]lvG5 eg], JolQms[t lzIff sfo{j|md-cfOOlk_ ;d"xnfO{ l;kmfl/zx¿ k|bfg ul/g]5 . cfk\mgf] aRrfnfO{ k'gd{"NofÍg ug{ tkfO{Fn] lbPsf] lnlvt cg'dlt xfdLn] k|fKt u/]sf] ^) Sofn]G8/ lbg;Dd xfdLn] k'gd{"NofÍg k|ltj]bg k"/f ul/;Sg'kg]{5 / tkfO{FnfO{ lbO;Sg'kg]{5 . o; ^) lbg] ;do;Ldfn] u|LidsfnLg labfnfO{ ;fd]n ub}{g . ^) lbg] ;do;Ldf To; lbg ;'? x'G5 hlta]nf xfdL k'gd{"NofÍg ;~rfng ug{ tkfO{Fn] ;xL u/]sf] ;xdlt kmf/fd k|fKt u5f}{F . of] kmf/fdsf] Ps k|lt cfk\mgf] clen]vsf nflu /fVg'xf]nf . olb tkfO{F;Fu s'g} k|Zg 5 eg], jf olb tkfO{FnfO{ bf]efif]sf] ;]jf rflxG5 eg], s[kof dnfO{ ;Dks{ ug{'xf];\ . gfd M kb M kmf]]g M Page 1 of 2
Od]n M July 2008 Revisions
PERMISSION TO REEVALUATE – CONSENT FORM Nepali
k'gd{"Nofª\gsf nflu cg'dlt — ;xdlt kmf/fd aRrfsf] gfd M
cfdfafa'÷cleefjs÷;/f]u]6sf nflu lgb]{zg M s[kof cfO6d ! jf @ 5fGg'xf];\ . OR5f nfu]df cfO6d # 5fg'xf];\ . !.
d k'gd{"NofÍgsf nflu ;xdt 5' .
@.
d k'gd{"NofÍgsf nflu ;xdt 5}g, d lgDgsf] nflu ;do ldnfpg rfxG5' : dWo:ttf afFsL k|lj|mof ;'g'jfO
3.
d cg'/f]w 5nkmn ug{sf nflu :s"n sd{rf/L;Fu cgf}krfl/s a}7s to ug{ rfxG5' .
oxfF b:tvt ug{'xf];\ M
cfdfafa'÷cleefjs÷;/f]u]6sf] b:tvt
ldlt -dlxgf÷lbg÷aif{_
lbpF;f]sf] kmf]g gDa/
s[kof of] kmf/fd lgDg 7]ufgfdf k7fpg'xf];\ M Gffd M 7]ufgf M
k|la|mofut ;'/Iff ;"rgfsf] k|lt tkfO{Fsf] aRrfsf] :s"naf6 cg'/f]w ul/Pdf pknAw u/fOG5 . o; b:tfj]hn] tkfO{Fsf] clwsf/sf] JofVof u5{ / o;df tkfO{Fsf clwsf/x¿ / laz]if lzIff k|la|mofn] s;/L sfd u5{ eÌ] s'/f a'´\g tkfO{FnfO{ ;xof]u ug{ pknAw /fHo / :yfgLo jsfnt ;Ë7gx¿nfO{ ;fd]n ul/Psf] 5 . o; kmf/fdnfO{ a'´\g ;xof]u ug{, l6Kk0fL;lxtsf] k'gd{"Nofª\gsf nflu cg'dlt - ;xdlt kmf/fd lkPl6l6PPg j]a;fO6 www.pattan.net df pknAw 5 . ;f] vf]Hgsf nflu j]a;fO6sf] vf]h v08df æPgf]6]6]8 kmD{;Æ 6fOk ug{'xf];\ . olb OG6/g]6 tkfO{sf] kx'Frdf 5}g eg] lkPl6l6PPg nfO{ *))–$$!–#@!% df kmf]g u/]/ l6Kk0fL;lxtsf] kmf/fd cg'/f]w ug{ ;Sg'x'G5 .
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July 2008 Revisions
PERMISSION TO REEVALUATE – CONSENT FORM Nepali
k'gd{"Nofª\gsf nflu cg'dlt — ;xdlt kmf/fd
:s"n pd]/
k'gd{"NofÍg ug{sf nflu aRrfsf] cleefjsaf6 lnlvt ;xdlt k|fKt ug{sf nflu :s"n sd{rf/Ln] of] kmf/fd hf/L ug{'kb{5 . aRrfsf] gfd M k7fPsf] ldlt -dlxgf÷lbg÷aif{_ cfdfafa'÷cleefjs÷;/f]u]6sf] gfd / 7]ufgf M PnOP k|of]usf nflu dfq M ;xdlt kmf/fd k|flKtsf] ldlt
lk|o
M
xfdL tkfO{Fsf] aRrfnfO{ lgDglnlvt sf/0f-x¿_ sf nflu k'gd{"NofÍg ub}{5f}F M cfOOlk ;d"xn] tkfO{Fsf] aRrf;Fu ;DalGwt xfnsf] d"NofÍg tYofÍ ;dLIff u/]sf] 5 / tkfO{Fsf] aRrf ;DaGwL c´ w]/} hfgsf/Lsf] cfjZostf /x]sf] s'/f l;kmfl/z u/]sf] 5 . rflxPsf] cltl/Qm hfgsf/Ldf lgDg s'/f ;fd]n 5g\ :
k'gd{"NofÍgsf nflu cleefjsLo cg'/f]w cGo -s[kof cf}FNofpg'xf];\_ M
k|:tflat k'gd{"NofÍgdf, xfdL lgDg lsl;dsf d"NofÍgsf cf}hf/x¿, k/LIf0fx¿ / k| lj|mofx¿ k|of]u ug]{5f}F :
xfdLn] k'gd{"NofÍg z'? ug{'eGbf cufl8 g} ;xdlt cg'/f]w ul/g'kb{5 . oBlk, s[kof Wofg lbg'xf]nf, o'lQm;Ët -k|z:t_ k|of;x¿kl5, xfdLn] tkfO{Faf6 k|ltlj|mof k|fKt gu/]df, xfdLnfO{ k'gd{"NofÍg cufl8 a9fpg] sfg'gg cg'dlt 5 . k|:tflat k'gd{"NofÍg Pp6f ;d"xn] ug]{5 . cleefjs-x¿_ sf ¿kdf tkfO{F k'gd{"NofÍg ;d"xsf] ;b:o x'g'x'G5 . tkfO{Fn] k|bfg u/]sf] h'g;'s} hfgsf/L xfdLnfO{ dxTjk"0f{ 5 . s[kof xfdLnfO{ cfk\mgf larf/ / rf;f]x¿ lnlvt ¿kdf k7fOlbg'xf];\ jf olb tkfO{F rf;f]x¿ 5nkmn ug{ rfxg'x'G5 eg] tnsf] JolQmnfO{ JolQmut ¿kdf ;Dks{ ug{'xf];\ . olb ;d"x a}7s eof] eg] tkfO{FnfO{ lgdGq0ff ul/g]5 . ;a} ;d"x ;b:ox¿af6 k|fKt hfgsf/L k'gd{"NofÍg k|lj|mofsf j|mddf larf/ ul/g]5 . tkfO{Fsf] aRrfnfO{ laz]if lzIff / ;DalGwt ;]jfx¿ hf/L /fvL/fVg' kg]{ cfjZostf 5 jf tkfO{Fs f] aRrf ;f]sf nflu of]Uo g} 5 eGg] s'/f ;d"xn] lgw{f/0f ug]{5 . k'gd{"NofÍgsf] glthf k'gd{"NofÍg k|ltj]bg-cf/cf/_ df /]vlfÍt ul/g]5 . olb tkfO{s F f] aRrfnfO{ laz]if lzIff hf/L /fVg] cfjZostf b]lvG5 eg], JolQms[t lzIff sfo{j|md-cfOOlk_ ;d"xnfO{ l;kmfl/zx¿ k|bfg ul/g]5 . cfk\mgf] aRrfnfO{ k'gd{"NofÍg ug{ tkfO{Fn] lbPsf] lnlvt cg'dlt xfdLn] k|fKt u/]sf] ^) Sofn]G8/ lbg;Dd xfdLn] k'gd{"NofÍg k|ltj]bg k"/f ul/;Sg'kg]{5 / tkfO{FnfO{ lbO;Sg'kg]{5 . o; ^) lbg] ;do;Ldfn] u|LidsfnLg labfnfO{ ;fd]n ub}{g . ^) lbg] ;do;Ldf To; lbg ;'? x'G5 hlta]nf xfdL k'gd{"NofÍg ;~rfng ug{ tkfO{Fn] ;xL u/]sf] ;xdlt kmf/fd k|fKt u5f}{F . of] kmf/fdsf] Ps k|lt cfk\mgf] clen]vsf nflu /fVg'xf]nf . olb tkfO{F;Fu s'g} k|Zg 5 eg], jf olb tkfO{FnfO{ bf]efif]sf] ;]jf rflxG5 eg], s[kof dnfO{ ;Dks{ ug{'xf];\ . gfd M kb M kmf]]g M Page 1 of 2
Od]n M July 2008 Revisions
PERMISSION TO REEVALUATE – CONSENT FORM Nepali
k'gd{"Nofª\gsf nflu cg'dlt — ;xdlt kmf/fd aRrfsf] gfd M
cfdfafa'÷cleefjs÷;/f]u]6sf nflu lgb]{zg M s[kof cfO6d ! jf @ 5fGg'xf];\ . OR5f nfu]df cfO6d # 5fg'xf];\ . !.
d k'gd{"NofÍgsf nflu ;xdt 5' .
@.
d k'gd{"NofÍgsf nflu ;xdt 5}g, d lgDgsf] nflu ;do ldnfpg rfxG5' : dWo:ttf afFsL k|lj|mof ;'g'jfO
3.
d cg'/f]w 5nkmn ug{sf nflu :s"n sd{rf/L;Fu cgf}krfl/s a}7s to ug{ rfxG5' .
oxfF b:tvt ug{'xf];\ M
cfdfafa'÷cleefjs÷;/f]u]6sf] b:tvt
ldlt -dlxgf÷lbg÷aif{_
lbpF;f]sf] kmf]g gDa/
s[kof of] kmf/fd lgDg 7]ufgfdf k7fpg'xf];\ M Gffd M 7]ufgf M
k|la|mofut ;'/Iff ;"rgfsf] k|lt tkfO{Fsf] aRrfsf] :s"naf6 cg'/f]w ul/Pdf pknAw u/fOG5 . o; b:tfj]hn] tkfO{Fsf] clwsf/sf] JofVof u5{ / o;df tkfO{Fsf clwsf/x¿ / laz]if lzIff k|la|mofn] s;/L sfd u5{ eÌ] s'/f a'´\g tkfO{FnfO{ ;xof]u ug{ pknAw /fHo / :yfgLo jsfnt ;Ë7gx¿nfO{ ;fd]n ul/Psf] 5 . o; kmf/fdnfO{ a'´\g ;xof]u ug{, l6Kk0fL;lxtsf] k'gd{"Nofª\gsf nflu cg'dlt - ;xdlt kmf/fd lkPl6l6PPg j]a;fO6 www.pattan.net df pknAw 5 . ;f] vf]Hgsf nflu j]a;fO6sf] vf]h v08df æPgf]6]6]8 kmD{;Æ 6fOk ug{'xf];\ . olb OG6/g]6 tkfO{sf] kx'Frdf 5}g eg] lkPl6l6PPg nfO{ *))–$$!–#@!% df kmf]g u/]/ l6Kk0fL;lxtsf] kmf/fd cg'/f]w ug{ ;Sg'x'G5 .
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July 2008 Revisions
PERMISSION TO REEVALUATE – CONSENT FORM Nepali
