gnve¨e¯’vcK

G·‡cwÛPvi g¨v‡bR‡g›U wWcvU©‡g›U

(AvMvg kvLv)
evsjv‡`k e¨vsK
cÖavb Kvh©vjq
XvKv|
‡gvUi mvB‡Kj AvMvg gÄyix cÖm‡½ |
g‡nv`q,

‡gvUi mvB‡Kj AvMvg msµvšÍ cÖPwjZ bxwZgvjvi AvIZvq Avgvi e¨env‡ii Rb¨ GKwU †gvUi mvB‡Kj µ‡qi D‡Ï‡k¨
Avgv‡K Uv:----------------------- (UvKv---------------------------------------------) gvÎ AvMvg cÖ`vb Kivi Rb¨ Avwg
wbgœ¯^v¶iKvix wb‡gœv³ Z_¨vejx †ckc–e©K Av‡e`b KiwQ | GZ`ms‡M we‡µZvi wbKU †_‡K cÖvß GKLvbv Price Quotation Ges
Avgvi Salary Sheet ms‡hvRb KiwQ | D‡jøL¨ †h, eZ©gv‡b Avgvi weiæ‡× †Kvb kvw¯Íg–jK e¨e¯’v we‡ePbvaxb †bB | ‡gvUi
mvB‡Kj AvMv‡gi wecix‡Z wb‡gœ Avgvi Ges Rvwgb`viM‡Yi (Kgc‡¶ 3(wZb) Rb ) Z_¨vw` †ck Kijvg |

01 µ‡q”Qy ‡gvUi mvB‡Kj Brand Gi bvg

02 ‡gvUi mvB‡Kj Gi cÖ¯vÍ weZ g–j¨
03 we‡µZv/`i`vZv(wWjvi)Gi bvg I wVKvbv
04 c–‡e© M„nxZ †gvUi Kvi/‡gvUi mvB‡Kj AvMvg †diZ cÖ`v‡bi ZvwiL

Land/Flat/Car/M.Cycle
Applicant’s Name Desig- Index No. SAP ID No. Mortgaged/Hypothecated
Signature
nation (Yes or No)
01
Land/Flat/Car/M.Cycle
Sureties Name Desig- Index No. SAP ID No. Mortgaged/Hypothecated
Signature
nation (Yes or No)
01
02
03

04

Avwg G g‡g© wbðqZv cÖ`vb KiwQ †h,Avgv‡K †gvUi mvB‡Kj AvMvg gÄyi Kiv n‡j-

(K) AvMvg MÖn‡bi c–‡e© wbqg gvwdK Pzw³bvgv, Surety Bond I Ab¨vb¨ Avbylw½K `wjjcÎvw` (Undertaking/Charge
documents etc) BZ¨vw` m¤úv`b Kie|

(L) AvMvg MÖn‡bi 1(GK) gv‡mi g‡a¨ ‡gvUi mvB‡Kj µq K‡i Dnv AbwaK 3(wZb) gv‡mi g‡a¨ wb‡Ri bv‡g eøy-eyK m¤úv`b
KiZt e¨vs‡Ki AbyK‚‡j eÜKx cÖ`vb Kie|

(M) cÖ`Ë AvMv†gi AwZwi³ g~j¨ Avwg wb‡R enb Kie|

(O) e¨vs‡Ki wbKU iw¶Z Avgvi mg¯Í m¤úwË e¨vs‡Ki wbKU `vqe× (Lien) _vK‡e|

ms‡hvRbx t Avcbvi wek¦¯,Í

¯^v¶i t
bvg t
c`ex t
wefvM t
evsjv‡`k e¨vsK,cÖavb Kvh©vjq,XvKv |
†dvb b¤^i t
†gvevBj ‡dvb t
ZvwiL t