Gd-10

wWgvÛ cÖwgmwi †bvU

UvKv.......................... ZvwiL ......../........./2024

M„nxZ g~‡j¨i Rb¨ Avwg/Avgiv Avbmvi-wfwWwc Dbœqb e¨vsK ev Bnvi

Avw`ó‡K Pvwnev gvÎ UvKv .............................
(K_vq...............................................................................) Ges Dnvi Dci GB ZvwiL
nB‡Z evwl©K kZKiv.....................nv‡i cªwZ mvßvwnK/gvwmK/‰ÎgvwmK/
lvb¥vwmK/evwl©K wfw³‡Z cÖ‡hvR¨ my` I mvwf©m PvR©mn cwi‡kva Kwi‡Z
A½xKvi Kwi‡ZwQ|

¯^vÿi t.........................
ivRm¦ wUwKU
bvg t ........................

wet `ªt cÖ¯‘ZKvix †bv‡Ui ZvwiL Ges †bv‡U cÖ`Ë Zvnvi ¯^vÿ‡ii ZvwiL A_v©r GBiƒc
wjL‡bi cÖK…Z ZvwiLmn cª‡qvRbxq ó¨v‡¤úi Dci ¯^vÿi Kwiqv ó¨v¤úwU evwZj Kwi‡eb|