QksVks

dEI;wVj }kjk tkjh ykHkik= igpku dksM ua0..........................

lkekftd U;k; ,oa vf/kdkfjrk foHkkx] gfj;k.kk
ckSuk HkŸkk ds fy;s vkosnu&i=
ftyk ........................ [k.M@”kgj ........................... xzke@okMZ ............................. vkosnu frfFk ..............................
1- izkFkhZ dk uke Jh@Jherh........................ .....................iq:’k efgyk
2- firk@ifr dk uke Jh............................................ iq= Jh....................................
3- tUe frfFk ¼tUe izek.k i= layXu djs½a ..................................................vk;q.........................................
4- vkosnd dh ÅapkbZ@dn ..................................................................................................
¼eSfMdy izek.k&i= layXu djs½ ..................................................................................................
5 iw.kZ irk ----------------------------------------------------------------------------------------------------------------------
¼d½ mijksDr iŸks ij fdl frfFk ls jgrk gS ...............................................................................................
6- Mkd fiu dksM
7- vk/kkj dkMZ la[;k¼vko”;d gSa½

8- vki ds xkao@okMZ esa ykHkik= iSa”ku fdl ek/;e ls izkIr dj jgs gS \ ml ek/;e ds cSad@Mkd[kkus@
ch0lh0,0 ds ikl [kkrs dk fooj.k nsAa cSad@Mkd[kkus dk uke -------------------------------------------“kk[kk ---------------------------------
vkbZ0,Q0,l0lh0dksM ------------------------------------------------ [kkrk la[;k -------------------------------------------------------------------------------------------

9- dSVkfxjh ,l0lh0 ch0lh0 lkekU;

10- ifjokj dh lHkh lk/kuksa ls okf’kZd vk; --------------------------------------------------------------------------------------------------------------------
11- xjhch js[kk lwfp la[;k@ ..................................................................................................
Lkkekftd vkfFkZd tkrh; x.kuk la[;k
12- D;k vkosnd gfj;k.kk jkT; dk vf/koklh gS \ gka ugha
13- eksckbZy Qksu ua0

vkosnd ds gLrk{kj@vaxwBs dk fu”kku

“kiFk
eSa] Jh@Jherh@dq0 .................................................... iq=@iq=h@iRuh@Jh ...............................................
fuoklh ...........................................................................................................................................................................
lR;fu’BkiwoZd ?kks’k.kk djrk@djrh gwa fd Åij fn;k x;k fooj.k esjs loksZre Kku vkSj fo”okl vuqlkj Bhd ,oa
lR; gSA ;fn esjs }kjk xyr rF; crkdj HkŸkk izkIr fd;k x;k] rks ljdkj dks esjh lHkh izdkj dh is”a ku@HkŸkk cUn
djus o 12 izfr”kr C;kt lfgr izkIr dh xbZ jkf”k dks olwy djus dk vf/kdkj gksxkA esjh HkŸkk vkbZ0Mh0 ds lkFk]
esjh vk/kkj la[;k dks tksM+us o cSadksa@ljdkjh foHkkxks ds lkFk lwpuk lka>k djus ij] eq>s dksbZ vkifŸk ugh gaSA ;fn
esjs }kjk rhu ekl esa ,d ckj HkŸkk jkf”k ck;kseSfVªd i}fr@MsfcV okÅpj ls ugh fudyokbZ tkrh gS ;k fQj thou
izek.ki= ugh fn;k tkrk gS rks foHkkx dks esjk HkŸkk cUn djus o esjs [kkrs esa tek HkŸkk jkf”k dks okfil ysus dk
vf/kdkj gksxkA

lR;kiu ¼lEcfU/kr ljiap@uEcjnkj@okMZ ik’kZn@jktif=r vf/kdkjh }kjk½ vkosnd ds gLrk{kj@vaxwBs dk fu”kku

uke ................................................................... in ...................................................................
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
¼dsoy dk;kZy; iz;ksx gsrq½
ftyk lekt dY;k.k vf/kdkjh
Lohd`r vLohd`r

uksV%& ;fn vkosnu QkeZ vLohd`r fd;k gS rks vLohd`fr dk dkj.k nsosa------------------------------------------------------------------------------------------
frfFk ................................... gLrk{kj ..................................................