1. MYcÖRvZš¿x evsjv‡`k miKvi
gwnjv welqK Awa`ßi
gwnjv I wkï welqK gš¿Yvjq
37/3, B¯‹vUb Mv‡W©b †ivW, XvKv|
A_© eQi...........................
evsjv‡`k gwnjv Kj¨vY cwil` nB‡Z evwl©K GKKvjxb mvaviY/we‡kl Aby`vb cÖvwßi Av‡e`b dg©|
1| ms¯’vi bvg t...........................................................................................................
(mb`cÎ Abyhvqx ¯úófv‡e wjL‡Z n‡e)|
2| c~Y© wVKvbv t
MÖvg/iv¯—v bs.........................................BDwbqb/IqvW©.................................
WvKNi ......................... Dc‡Rjv ............................ †Rjv .......................
`~ivjvcbx b¤^i (hw` _v‡K) ................................................................................
3| mwgwZ Pvjy Kivi ZvwiL t..................................................................................
4| mb`cΠbs ...................................wbe܇bi ZvwiL ..............................
bevq‡bi ZvwiL.............
5| mwgwZi Kvh©µ‡gi GjvKvmg~n .........................................................
6| PjwZ Kg©m~Pxi weeib......................................................................................
..........................................................................................................
7| Pvwn`vi cwigvY t.......................................
8| evsjv‡`k gwnjv Kj¨vY cwil` n‡Z cÖvß Aby`v‡bi weeiYt
mvaviY we‡kl †¯^”Qvaxb A_© eQi
(K)
(L)
(M)
(N)
9| Ab¨ †Kvb miKvix ev †emiKvix cÖwZôvb/`vZv ms¯’v †_‡K cÖvß mvnv‡h¨i weeiY (ermiIqvix)
cÖvß mvnvh¨ A_© eQi
10| 8 I 9bs µwg‡K ewY©Z n‡Z 4 eQ‡ii AwaKKvj mgq Aby`vb ‡c‡q _vK‡j cªwZôv‡bi ïi“ n‡Z KZ
erm‡i †gvU KZ UvKv Aby`vb ‡c‡q‡Qb Zvi cwigvbt..............................................

2. 11| ms¯’vi wbev©wPZ eZ©gvb Kvh©Kix cwil` m`m¨‡`i wb‡gœ ewY©Z QK Abymv‡i wfbœ cvZvq ZvwjKv mshy³
Ki‡Z n‡e t
µwgK
bs
bvg c`ex I wVKvbv wbe©vP‡bi
ZvwiL
Rb¥ ZvwiL I
wk¶vMZ
†hvM¨Zv
mgvR Kj¨vY
g~jK Kv‡Ri
AwfÁZv
1 2 3 4 5
12| wbgœewY©Z wel‡q msw¶ß weeiY ms‡hvRb Ki‡Z n‡e t
(K) ms¯’vi D‡Ïk¨
(L) c~e©eZ©x erm‡ii Kvh©µg I evwl©K wi‡cvU© `vwLj Ki‡Z n‡e |
(M) eZ©gvb erm‡ii Pvjy Kg©m~Px |
(N) AvMvgx eQ‡i Kv‡Ri cwiKíbv |
(O) wbe܇bi mb`cÎ I bevqb Kv‡W©i mZ¨vwqZ d‡UvKwc|
(P) †Rjv/Dc‡Rjv gwnjv welqK Kg©KZ©v KZ©„K m‡iRwg‡b cwi`k©b|
(Q) c~‡e© cÖvß Aby`v‡bi e¨envi msµvš— m‡iRwg‡b g~j¨vqb cÖwZ‡e`b|
(R) G hver m¤úvw`Z Kv‡Ri weeiY|
(S) Aby`v‡bi A_© †h Kv‡R e¨envi Kiv n‡e Zvi weeiY|
13| wb‡gœi Z_¨vejx ms‡hvRb Ki‡Z n‡e
(K) miKvi Aby‡gvw`Z Kg©KZ©v ev ms¯’vi Øviv mwgwZi 2(`yB) eQ‡ii Avq e¨‡qi wnmve (AwWU) cÖwZ‡e`b
(L) mvavib m`m¨ KZ©„K Aby‡gvw`Z PjwZ Avw_©K erm‡ii ev‡RU weeiYx |
(M) we‡kl Aby`v‡bi ‡¶‡Î †Rjv/Dc‡Rjv gwnjv welqK Kg©KZ©vi m‡iRwg‡b cwi`k©b cÖwZ‡e`b |
(N) we‡kl Aby`v‡bi ‡¶‡Î mwgwZi wbR¯^ RvqMv/N‡ii gvwjKvbvi mc‡¶ `wjjcÎ|
†NvlYvcÎ
Avgiv ms¯’vi mfv‡bÎx/ mvaviY m¤úw`Kv/†Kvlva¨¶v G g‡g© †NvlYv KiwQ †h, Dc‡i ewY©Z Z_¨vejx
m¤ú~Y© mZ¨| Avgiv AviI †NvlYv KiwQ †h,gwnjv welqK Awa`ßi KZ…©K eivÏK…Z Aby`vb msµvš— Awc©Z hveZxq
kZv©ejx ‡g‡b Pj‡Z eva¨ _vKe| G QvovI AsMxKvi KiwQ †h, †Kvb wg_¨v Z_¨ cwi‡ekb Kwiwb ev †Kvb mZ¨
†Mvcb Kwiwb|
†Kvlva¨¶vi ¯^v¶i I
ZvwiLmn bvgvw¯‹Z mxj
mvaviY m¤cvw`Kvi ¯^v¶i I
ZvwiLmn bvgvw¯‹Z mxj
mfv‡bÎxi ¯^v¶i I
ZvwiLmn bvgvw¯‹Z mxj
(1) mwgwZi Kvh©µg m¤ú‡K© Dc‡Rjv/†Rjv gwnjv welqK Kg©KZ©vi gZvgZ
‡Rjv/Dc‡Rjv gwnjv welqK Kg©KZ©v
gwnjv welqK Awa`ßi
............................ Dc‡Rjv/Dc‡Rjv
(bvg I mxj)