FORM

1. m0iz0 xzkeh.k vk;qfoZKku ,oa vuqla/kku laLFkku
vkosnu izk:Ik
1- foKkiu la[;k % 03@fjEl ,.M vkj @2015&16 fn- 25&04&2015
2- cSad Mªk¶V la[;k --------------------------- cSad dk uke
----------------------------------------------jkf”k -------------- fnukad ---------------------
3- in dk uke %-
&----------------------------------------------------------------------------------------------------
4- vH;FkhZ dk uke ¼fgUnh eas½
%&-----------------------------------------------------------------------------------------------------
5- vH;FkhZ dk uke ¼vaxzsth esa½
%&-----------------------------------------------------------------------------------------------------
¼gkbZLdwy izek.k i= vuqlkj½
6- tUe frfFk %&-------------------------------------------------- ¼fn-01&07&2015 dks vk;q½
------------------- o"kZ ------------- ekg ------------------ fnu
7- fyax ¼L=h@iq:"k½ %&----------------------------------------------------
8- vkjf{kr Js.kh ¼lkekU;@vuq0tkfr@vuq0tutkfr@vU;fiNM+k oxZ½ %&
--------------------------------
¼vkjf{kr oxZ ds vH;FkhZ uohu izk:Ik ij l{ke vf/kdkjh }kjk fuxZr tkfr izek.k i= dh izekf.kr izfr
layXu djsa½A
9- firk@ifr dk uke
%&-----------------------------------------------------------------------------------------------------
10- i=kpkj dk irk
%&-------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------
1
viuk
ikliksVZ
lkbt
QksVks

2. ----------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
yS.Mykbu Uka0@eksckbZy uEcj
--------------------------------------------------------------------------- bZ&esy
vkbZ0Mh0----------------------------------------------------------
11- LFkk;h irk %&
-----------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
yS.Mykbu Uka0@eksckbZy uEcj
--------------------------------------------------------------------------- bZ&esy
vkbZ0Mh0----------------------------------------------------------
12- ewy fuoklh ¼jkT; dk uke½
%&-----------------------------------------------------------------------------------------------------
13- /keZ %&-----------------------------------------------------------------------------------------------------
14- oSokfgd fLFkfr ¼fookfgr@vfookfgr½
%&-----------------------------------------------------------------------------------------------------
15- “kSf{kd ;ksX;rk ¼Loizekf.kr Nk;kizfr;kW layXu djsa½%&
2

3. D
z
-
ijh{kk dk
uke
cksMZ@laLFkk@
fo”ofo|ky; dk uke
jftLVªs
”ku
la[;k o
fnukad
Ok’k
Z
iw.kkZ
d
izkIrk
ad
Js.kh
16-rduhdh ;ksX;rk ¼Loizekf.kr Nk;kizfr;kW layXu djsa½%&
D
z
-
ijh{kk dk
uke
cksMZ@laLFkk
@
fo”ofo|ky; dk uke
Ok’kZ iw.kkZd izkIrkad Js.kh
3

4. 17- vuqHko ¼Loizekf.kr Nk;kizfr;kW layXu djsa½%&
D
z-
Iknuke ,oa
osrueku
laLFkk dk uke ,oa
irk
dc ls dc
rd
dqy
vof/
k
fjekdZ
?kks"k.kk
eSa ,rn~}kjk ?kksf"kr djrk gWw@djrh gWw fd mi;qZDr lwpuk;sa lR; gSa vkSj dksbZ
rF; fNik;k ugha gSA ;fn dksbZ lwpuk xyr ik;h tkrh gS rks esjk vkosnu i= fujLr dj fn;k tk;sA
;fn fu;qfDr gks tkus ds mijkUr lsok “krksZ ds izfrdwy dksbZ fLFkfr izdk”k esa vk;s rks esjh
lsok;sa lekIr dj nh tk;saA
layXudksa dh la[;k ---------------------------- gLrk{kj %
----------------------------------------------
LFkku] fnukad % ------------------------------------------------ vH;FkhZ
dk uke %--------------------------------------------
4