ImVm ImobZo H$m \$m_© … gmd{Y O_m
(AmdoXZ gh-Z_yZm hñVmja H$mS>©)

`wZmBQ>oS> ~¢H$ Am°\$ B§{S>`m
_________________ emIm                                    {XZm§H$_____________
_¢/h_ AmnHo$ ~¢H$ _| {ZåZ{b{IV ImVm ImobZo H$m AZwamoY H$aVm hÿ±/H$aVr hÿ±/H$aVo h¢Ÿ&
 
nmgnmoQ>© AmH$ma
H$m
\$moQ>mo bJmZo H$s
OJh
  
gmd{Y O_m  {H$gr AÝ` O_m `moOZm H$m Zm_

Zm_m§H$Z gw{dYm

Ano{jV nyU©ê$noU ^am hþAm g§b½Z ànÌ S>rE-1
Ano{jV Zht
AmdVu O_m é. _________________
(à. _m.)
én`o_____________________________ é. __________________
________________________________ dfm}/_{hZm|/{XZm| Ho$ {bE
__________________________ % ã`mO Xa n[anŠdVm am{e
nyam Zm_ (ñnï> Ajam| _|) ì`dgm` amï—>r`Vm

àW_ O_mH$Vm© H$s OÝ_{V{W (Ad`ñH$ hmoZo na)

 
1    
àW_ O_mH$Vm© Ho$
{nVm/n{V H$m Zm_		 X X
2     Ad`ñH$ Ho$ A{^^mdH$ H$m Zm_ Ed§ g§~§Y
g§ 1 go g§~§Y X X
3    
g§ 1 go g§~§Y X X
àW_ O_mH$Vm© H$m nVm
    		Xya^mf g§.
n[aMmbZ {d{Y
_oao Ûmam  

g§`wŠV ê$n go
h_mao Ûmam

 h__o go H$moB© EH$/CÎmaOrdr Ûmam nyd©dVu ì`pŠV `m
CÎmaOrdr Ûmam		 Ad`ñH$ H$s Amoa go
g§ajH$ Ûmam
n[anŠdVm na O_m Ho$ {ZnQ>mZ hoVw {deof {ZX}e (`{X H$moB© hmo)
    		{deof {ZX}e (`{X H$moB© hmo)
O_m H$s n[anŠdVm Ho$ nyZ© g§`wŠV O_mH$Vm© _| go {H$gr EH$ H$s _¥Ë`w hmoZo H$s Xem _|, CÎmaOrdr O_mH$Vm© g^r CÎmaOrdr O_mH$Vm©Amo Ho$ AZwamoY na, ~¢H$ H$s Ny>Q> hmoJr `Ú{n ~mÜ` Zht Am¡a n[anŠdVm Ho$ nyd© O_m H$mo MwH$Vm H$aZo `m CgH$s à{Vny{V Ho$ ~Xbo A{J³_ H$s ñdrH¥${V CZ eVm| na H$aZo H$m nyU© A{YH$mar hmoJm {OZ na ~¢H$ nyU© {ddoH$ go {ZU©` H$a gH$Vm h¡ Am¡a n[anŠdVm go nyd© Eogr AmXm`Jr d¡Y MwH$m¡Vr _mZr OmEJrŸ&
_¢/h_ Bg ImVo H$mo g_`-g_` na {Z`§{ÌV H$aZodmbo ~¢H$ {Z`_m| Ed§ {d{Z`_m| go AmdÕ hmoZm ñdrH$ma H$aVm hÿ±/H$aVr hÿ±/H$aVo h¢Ÿ&

  1. _____________________

  2. _____________________

  3. _____________________
hñVmja :
  1. __________________
  2. __________________
  3. __________________
n[aM`

_¢ n«_m{UV H$aVm hÿ±/H$aVr hÿ± {H$ _¢ ________
H$mo {nN>bo_____ _hrZm|/dfm} go OmZVm hÿ±/OmZVr hÿ±
Ed§ CZH$s Or{dH$m Ed§ nVo H$s nw{ï> H$aVm hÿ±/H$aVr hÿ±Ÿ&
hñVmja ____________________________
ImVm g§ ___________________________
Zm_ Ed§ nVm ________________________
_________________________________

 Ho$db H$m`m©b`rZ Cn`moJ Ho$ {bE
n[aMm`H$ H$m hñVmja AZwà_m{UV
A{YH$mar H$m hñVmja ____________________________
Zm_ _________________________________________
ImVm ImobZo H$s VmarI______ImVm g§
ImVm Imobm Om gH$Vm h¡Ÿ&
àm{YH¥$V A{YH$mar H$m hñVmja ______________________
nXZm_ ________________________________________
ànj S>rE - 1
~¢qH$J {d{Z`_Z A{Y{Z`_, 1949 H$s Ymam 45 OoS> E Ed§ ~¢qH$J (Zm_m§H$Z) {Z`_, 1985 Ho$ {Z`_ 2(1) Ho$ A§VJ©V ~¢H$ O_mam{e hoVw Zm_m§H$ZŸ& _¢/h_
Ÿ_____________________________________________________________________________
(Zm_ Am¡a nVm)

{ZåZ{b{IV ì`{ŠV H$mo Zm{_V H$aVm hÿ±/H$aVr hÿ±/H$aVo h¢, {OÝho _oao/h_mar Ad`ñH$ H$s _¥Ë`w hmoZo na Cn`w©ŠV ImVo H$s O_ma{e `wZmBQ>oS> ~¢H$ Am°\$ B§{S>`m _____________________________ (emIm/H$m`m©b` H$m Zm_ Am¡a nVm, Ohm§ O_mam{e h¡) Ûmam bm¡Q>mB© OmEŸ&

Zm{_Vr H$m {ddaU

Zm_ nVm O_mH$Vm© go g§~§Y, `{X hmo Vmo Am`w `{X Zm{_V ì`pŠV Ad`ñH$ hmo, Vmo CgH$s OÝ_{V{W
             
               
            
+2. My§{H$ Zm{_V ì`pŠV AmO H$s VmarI _| Ad`ñH$ h¡, _¢/h_ lr/lr_Vr/Hw$_mar

(Zm_ nVm Am¡a Am`w)

H$mo {Z`wŠV H$aVm hÿ±/H$aVr hÿ±/H$aVo h¢ Omo Zm{_V ì`pŠV H$s Amoa go CgH$s Zm~m{bJ AdñWm _| _oao/h_mar/Ad`ñH$ H$s _¥Ë`w hmoZo na O_mam{e àmá H$a|JrŸ&

ñWmZ : __________________________________________

VmarI : _________________________________________
gm{j`m| Ho$ Zm_, hñVmja Ed§ nVm ____________________________
« O_mH$Vm© (Am|) H$m(Ho$) hñVmja/A§JyR>m-{ZemZ@
« Ohm§ am{e {H$gr Ad`ñH$ Ho$ Zm_ O_m hmo ahm hmo, dhm§ Zm_m§H$Z nÌ Eogo ì`pŠV Ûmam hñVmj[aV hmoZm Mm{hE Omo

 

H$mZyZr Vm¡a na Cg Ad`ñH$ H$s Amoa go H$m`© H$aZo H$m hH$Xma hmoŸ&
+ `{X Zm{_V ì`pŠV Ad`ñH$ Z hmo Vmo H$mQ> X|Ÿ&
@ A§JyR>m-{ZemZ Xmo gm{j`m| Ûmam Adí` g§Ë`m{nV hmoZm Mm{hEŸ&