tPl;L thlif xg;ge;jg; gj;jpuk;

20__ Mk; tUlk;> ______ khjk;> ______ - Mk;

Njjp>____________________house owner
address_________________________________________________________
_______; (tPl;bd; cupikahsu;) mtu;fs; 1-tJ ghu;l;bahfTk;:

______ ______ ______ ______ ______ ______ ______ ______

______ ______ ______ ______ (thlifjhuu;) mtu;fs; 2-tJ
ghu;l;bahfTk;:

Nkw;gb 1-tJ ghu;l;bf;F G+uz nrhe;jkhd House owner address vd;w

Kftupapy; mike;Js;s tPl;bd; Kjy; jsj;jpy; cs;s xU gFjpapy;
kl;Lk;> ek;kpy; 2-tJ ghu;l;b thliff;F ,Ue;J tUtjw;F
Nfl;Lf;nfhz;ljpd; Ngupy; mjw;F 1-tJ ghu;l;bAk; rk;kjpj;J>

(tPl;bw;F nrhe;jffhuu;) (thlifjhuu;)

1-tJ ghu;l;b 2-tJ ghu;l;b
 -2-
Mf ehk; ,U ghu;l;bfSk; Nru;e;J kdg;G+u;tkha; rk;kjpj;J vOjpf; nfhz;l
tPl;L thlif xg;ge;jg; gj;jpuk; vd;dntd;why;:

fPo;fz;l epge;jizfspd;gb thliff;F ,Ue;J tUtjha; 2-tJ

ghu;l;b> 1-tJ ghu;l;bf;F cWjp mspj;J> ,d;W Njjpapy; ehk; ,U
ghu;lbfSk; Nru;e;J rk;kjpj;J ,e;j thlif xg;ge;j Mtzj;ij vOjp
Vw;gLj;jpf;nfhz;Ls;Nshk;.

epge;jizfs;
1. ,jd;gb ek;kpy; 1- tJ ghu;l;bf;F G+uz nrhe;jkhd House owner address
vd;w Kftupapy; mike;Js;s tPl;bd; Kjy; jsj;jpy; cs;s xU
gFjpapy;; ,d;W ______ Kjy; ______ tiu 11 khjq;fSf;F kl;Lk;
,e;j tPl;L thlif xg;ge;jj;ij ehk; ,U ghu;l;bfSk; nra;J
nfhs;fpNwhk;.

2. thlif njhif khjk; xd;Wf;F &gha; ______/- (vOj;jhy; &gha;

______ Mapuk; kl;Lk;) tPjk; gpujp khjk; 5-e; Njjpf;Fs; 1tJ
ghul;bf;F 2-tJ ghu;l;b jtwhky; nrYj;jp tpl Ntz;baJ.

3. Nkw;gb tPl;Lf;F Kd;gzkhf &gha; ______/- (vOj;jhy; &gha;

______Mapuk; kl;Lk;) 1tJ ghul;b 2-tJ ghu;l;baplk; ,Ue;J
nuhf;fkhf ngw;Wf; nfhz;Ls;shu;. ,e;j Kd;gz njhiff;F tl;b VJk;
fpilahJ.

4. Nkw;gb tPl;L thlif xg;ge;jk; ,d;W Njjp Kjy; 11 khj fhyj;jpw;F

kl;Lk; nry;Yk;. 11 khj fhyj;jpw;F kl;Lk; NkNy Fwpg;gpl;l thlif.
mjw;Fg; gpwF NtnwhU xg;ge;jk; vOjpf;nfhz;lhy; thlif kw;Wk;
Kd;gzk; ,uz;ilAk;> 1-tJ ghu;l;b cau;j;jp nrhy;tij Vw;W> thlif
kw;Wk; Kd;gzk; ,uz;ilAk;> cau;j;jpf; nfhLf;f 2-tJ ghu;l;b
rk;kjpf;fpd;whu;.

(tPl;bw;F nrhe;jffhuu;) (thlifjhuu;)

1-tJ ghu;l;b 2-tJ ghu;l;b
 -3-
5. Nkw;gb tPl;Lf;F kpd; fl;lzj;ij 2-tJ ghu;l;b 1-tJ ghu;l;baplk;
nrYj;jptpl Ntz;baJ. 1-tJ ghu;l;b kpd; fl;lzj;ij kpd;rhu
mYtyfj;jpy; nrYj;jptu Ntz;baJ.

6. Nkw;gb tPl;Lf;F> kpd; fl;lzk;> tPl;L tup> FbePu; tup kw;Wk; ,ju
tupfis epu;tfpf;Fk; nghWg;G Kw;wpYk; 1-tJ ghu;l;bia rhu;e;jjhFk;.

7. 11 khj fhy nfLtpw;Fs; 1-tJ ghu;l;bf;F tPL Njitg;gl;lhy;> 3

khjq;fSf;F Kd;ghfNt 2-tJ ghu;l;bf;F; mwptpg;G nfhLf;f Ntz;Lk;.
mNj Nghy; 2-tJ ghu;l;b tPl;il fhyp nra;a tpUk;gpdhy; 3
khjq;fSf;F Kd;ghfNt mwptpg;G nfhLj;Jtpl;L fhyp nra;a
Ntz;baJ.

8. 2-tJ ghu;l;b Nkw;gb tPl;by; trpg;gJ jtpu NtW ve;j tpjkhd

cgNahfj;jpw;Fk; gadgLj;jf;$lhJ. Nkw;gb tPl;by; rl;l tpNuhjkhd
nray;fspy; <Lgl $lhJ. Nkw;gb tPl;il Nky; thliff;F my;yJ
cs; thliff;F tplf;$lhJ. Nkw;gb tPl;il itj;J 2-tJ ghu;l;b
tq;fpf; fld; thq;ff;$lhJ. mt;thwhd nray;fs; VjhtJ 1-tJ
ghu;l;bf;F njupate;jhy; vt;tpjkhd Kd;dwptpg;Gk; ,d;wp tPl;il fhyp
nra;J tpl 1-tJ ghu;l;bf;F KO cupik cz;L.

9. tPl;bd; fl;bl mikg;ig khw;wp mikf;f 2-tJ ghu;l;bf;F cupik

,y;iy. 1-tJ ghu;l;b jw;NghJs;s tPl;bid vg;gb xg;gilj;jhNuh mNj
epiyapy; 2-tJ ghu;l;b Nkw;gb tPl;bid fhyp nra;Ak; rkaj;jpy;
Nrjkpy;yhky; xg;gilf;f Ntz;Lk;.

10. Nkw;gb tPl;by; FbapUf;Fk; tiu thlifjhuu; Foha; ,izg;Gfs;

kw;Wk; kpd; ,izg;Gfis ey;y epiyapy; itj;jpUf;f Ntz;Lk;. kpd;
cUfp (Electrical Fuse) gOJ> Foha;fspy; Vw;gLk; cilg;G kw;Wk;
frpT Nghd;w rpW gOJfis 2-tJ ghu;l;bNa rup nra;J nfhs;s
Ntz;baJ. ngupa gOJfshf ,Ue;jhy; 1-tJ ghu;l;b nra;J nfhLf;f
Ntz;baJ.

(tPl;bw;F nrhe;jffhuu;) (thlifjhuu;)

1-tJ ghu;l;b 2-tJ ghu;l;b
 -4-
11. 2-tJ ghu;l;b tPl;il fhyp nraAk;NghJ> tPl;L thlif> kpd; fl;lzk;
kw;Wk; tPl;bd; guhkupg;G nryT Mfpatw;wpy; VNjDk; ghf;fp
itj;jpUe;jhy;> Kd;gz njhifapypUe;J mijg; gpbj;Jf; nfhz;L
kPjk; cs;s njhifia 1-tJ ghu;l;b 2-tJ ghu;l;baplk; nfhLj;Jtpl
Ntz;baJ.

12. tPl;L thlif epYit itj;jhy; 2-tJ ghu;l;bia fhyp nra;a 1-tJ
ghu;l;bf;F KO mjpfhuk; cz;L. ,jw;fhf 2-tJ ghu;l;b fhty;Jiw
kw;Wk; ePjpkd;w cjtpia ehlf;$lhJ.

,g;gbahf ehk; ,U ghu;l;bfSk; Nru;e;J kdg;G+u;tkha; rk;kjpj;J fPo;fz;l

rhl;rpfspd; Kd;dpiyapy; vOjpf;nfhz;l tPl;L thlif xg;ge;j gj;jpuk;.

thlif nrhj;J tptuk;

________________________________________________________________
______________________________________vd;w Kftupapy; mike;Js;s
tPl;bd; ______ jsj;jpy; xU gFjp.

(tPl;bw;F nrhe;jf;fhuu;) (thlifjhuu;)

1-tJ ghu;l;b 2-tJ ghu;l;b

rhl;rpfs;:

1.

2.