ivSw:-

fPekfJs gVskb pYifMg Bk j'D ;pzXh srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs
izlHw

,sims ______________________________
ivKy imqI ___________ qoN hux q`k kMm kr

rhy hn[ iehnW dI rYgUlr inXukqI dI imqI ___________ qoN hux q`k
skUl dy irkwrf Anuswr koeI vI iSkwieq pVqwl pYifMg nhIN hY[

hsqwKr (skUl mu`KI smyq

mohr)

fJzN?rfoNh ;pzXh ;oNhfce/N

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

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izlHw

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_______________________

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rhy hn [ fJj d/P d/ ;zftXkB ns/ nkgDh fvT{Nh gqsh g{oh soQK
tckdko jB ns/ fJBQK dh fJzN?rfoNh s/ e'Jh PZe BjhA j?.

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gfBPw?AN ;pzXh ;oNhfce/N

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs
izlHw ___________

, sims _____________________________
ivKy imqI ___________ qoN hux q`k kMm kr

rhy hn [ iehnW dI rYgUlr inXukqI dI imqI ___________ qoN hux q`k

fJjBK Bz{ gzikp f;tb ;/tktK gfBPw?AN ns/ nghb o{bi 1970 d/ fB:w 8
nXhB e'Jh th d'P ;{uh ikoh BjhA j'Jh ns/ Bk jh e'Jh ;ik j'Jh j?.

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ftihb?A; e/; ;pzXh srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

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izlHw

,sims

__________________________

ivKy imqI ___________ qoN hux q`k kMm

kr rhy hn [ iehnW dI rYgUlr inXukqI dI imqI ___________ qoN hux

q`k skUl dy irkwrf Anuswr koeI vI ftihb?A; e/;, g[fb; e/; ns/ efowhBb
e/; pYifMg nhIN hY[

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prK smW pwr krn sbMDI srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs
izlHw __________

, sims _____________________________
ivKy imqI ___________ qoN hux q`k kMm kr

rhy hn [ iehnW ny inXukqI p`qr iv`c drj Srq Anuswr Awpxw ____
swl dw prK smW pwr kr ilAw hY[

hsqwKr (skUl mu`KI smyq mohr)

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XUnIvristIAW/borfW qoN
nw hox sbMDI srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

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, sims _____________________________

izlHw ___________ ivKy imqI ___________ qoN hux q`k kMm kr rhy hn
[iehnW

B/

nkgDhnK

ividAk

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Pyk/

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n?vto; fowkoe; Bk d/D ;pzXh

srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs
izlHw ___________

, sims _____________________________
ivKy imqI ___________ qoN hux q`k kMm kr

rhy hn [ iehnW dI rYgUlr inXukqI dI imqI ___________ qoN hux q`k

fJjBK dhnK ;bkBk r[gs fog'oNK ftZu n?vtoe; fowkoe; BjhA fdZs/ rJ/.

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gYr hwjrI ;pzXh

srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs
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, sims _____________________________
ivKy imqI ___________ qoN hux q`k kMm kr

rhy hn [ irkwrf Anuswr ienW ny ibnHw qnKwh Cu`tI nhIN leI jw gYr
hwjr nhIN rhy qy nw hI hux Cu`tI qy hn[

hsqwKr (skUl mu`KI smyq mohr)

kMm Aqy cwl clx sbMDI srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs

, sims ____________________________

izlHw ___________ ivKy imqI ___________ qoN hux q`k kMm kr rhy
hn[ iehnW dI rYgUlr inXukqI dI imqI ___________ qoN hux q`k dy
smyN dOrwn kMm Aqy Awcrx qs`lIbKS hY[

hsqwKr (skUl mu`KI smyq mohr)

fIbwr sMbMDI srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs

, sims ____________________________

izlHw ___________ ivKy imqI ___________ qoN hux q`k kMm kr rhy
hn[ ieh krmcwrI kdy vI lYkcrwr pRomot nhIN hoieAw hY[jykr
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ekoB d;' B'fN; g?fvzr Bk j'D ;pzXh srtIiPkyt[

qsdIk

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jWdw

hY

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ik

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ivKy

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d;' B'fN; jwrI nhIN kIqw igAw j?.

hsqwKr (skUl mu`KI smyq mohr)

Awift pYrw g?fvzr Bk j'D ;pzXh srtIiPkyt[

qsdIk

kIqw

jWdw

hY

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__________________________ izlHw ___________

ik

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ivKy

imqI

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Awift pYrw g?fvzr nhIN j?.

hsqwKr (skUl mu`KI smyq mohr)

POjdwrI jW hor kys/doS sUcI sbMDI srtIiPkyt[

qsdIk kIqw jWdw hY ik SRI/SRImqI __________________jo

bqOr mwstr/imstRYs

, sims _____________________________

izlHw ___________ ivKy imqI ___________ qoN hux q`k kMm kr rhy hn
[ iehnW dy ivru`D koeI vI POjdwrI

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hY ijs qihq ienHW nUM nOkrI qoN AXog TihrwieAw igAw hovy jW
TihrwieAw jw sky[

hsqwKr (skUl mu`KI smyq mohr)