wewbqvM evW

vbxq wewbqvM wk cK wbebi Ave`b dig

w`b: wUK ( ) wP w`b: 1 2 vweZ cvweZ we`gvb

3 4

wk cKi bvg t wVKvbvt (K) Awdmt evox/cU/nvws bst moK bs I GjvKvt _vbv/DcRjvt kni/Rjvt dvbt dvt B-gBjt (L) KviLvbvt evox/cU/nvws bst moK bs I GjvKvt _vbv/DcRjvt kni/Rjvt dvbt dvt B-gBjt eevcbv cwiPvjK/eevcbv Askx`vi/^ZvwaKvixi bvg, I hvMvhvMi wVKvbvt evwl evwlK Drcv`b gZv t cY/mevi bvg

cwigvY

AvbygvwbK g~j(wgt UvKv)

5 6

evwYwRK Drcv`b ii ZvwiL t we`gvb t wewbqvMt (K) vqx wewbqvM t (1) fwg (2) feb/kW (3) hcvwZ I mivgvw` (4) Abvb (L) PjwZ g~jab (3 gvmi)t megvUt wgwjqb UvKv mgcwigvY wgwjqb gvt Wjvi wewbqvMi Drmt Drm vbxq gy`vq

cvweZ t vbxq gy`vq e`wkK gy`vq (wgwjqb UvKv) gvU

e`wkK gy`vq

gvU

(wgwjqb UvKvq) FY c`vbKvix msv I `ki bvg

(K) D`vvi mgg~jab (L) vbxq FY (M) e`wkK FY megvU t bxqfve msM hcvwZ I mivgvw`i weeiY t c_K jUvinW cvW Avg`vwbKZ(Ze) Ges vbxqfve msMnxZ(Ze) msLv I g~jmn 3 mU hcvwZ I mivgvw`t msLv AvbygvwbK g~j(wgt UvKv)

(K) vbxqfve msMnxZ/msMnxZet

(L) Avg`vwbKZ/Avg`vbxZet 1
Form/mar/08

KuvPvgvj I gvoK DcKiYi weeiYt (K) vbxq t Avg`vbxhvM t

10

cqvRbxq DchvM-mevi weeiYt (we`yr, Mvm, Uwjdvb, cvwb, cqtwbvkb ivv BZvw`; bv _vKj BZvw`) DchvM-mevi bvg we`yr Mvm Uwjdvb ivv cvwb cqtwbvkb s Kgmsvb (K) eevcbv (L) KgPvix/kwgK gvUt mshvMi myweav AvQ wK? nuv/ bv wbKU mshvM Drm nZ mve `yiZ (wgUvi/wKtwgt)

11

vbxq (Rb) cyil gwnjv

we`kx (Rb) cyil gwnjv

gvU (Rb) cyil gwnjv

12 13 14 15

wecYb t

vbxq .................%

ivbx .............%

UW jvBm b^i I c`vbKvix KZct t wU AvB Gb b^it cc-AWvi/evsK Wvd&U(evsKi bvgmn) b^i I ZvwiL UvKvt

Avwg Nvlbv KiwQ h Avgvi RvbvgZ ewYZ Z_vejx mZ I mwVK|

^vit ....................................................................... bvgt c`ext (eevcbv cwiPvjK/eevcbv Askx`vi/^ZvwaKvix) I mxj h mKj KvMRcvw` Rgv w`Z ne t K) wewbqvM evW nZ cv wk cK wbeb Ave`b dig- 2 Kwc L) cvewjK/cvBfU wjwgUW Kvvbxi BbKicvikb mvwUwdKUmn ggviWvg G AvwUKjm Ae Gmvwmqkb, Askx`vix cwZvb nj Askx`vix Pzw c-Gi mZvwqZ Kwc- 1(GK) mU; M) mswk gYvjq/wefvM/`i/Kwgkb/msvi AbygwZ/Qvoc (chvR ); N) cK Rwgi gvwjKvbv mwKZ `wjji mZvwqZ Kwc (fvovKZ Rwg/feb nj fvovi Pzwbvgvi mZvwqZ Kwc- 1 mU); O) gvU cK eq UvKv 100 wgwjqbi AwaK nj cR cvdvBj 1(GK) mU; P) m`mwbevnx Pqvigvb I m`m-mwPe, wewbqvM evW-Gi eivei wbeb wd-Gi c-AWvi/evsK WvdU; Q) D`vv`i bvg, wVKvbv, RvZxqZvi weeiY jUvinW cvW 2(`yB) Kwc; R) UW jvBm-Gi Kwc S) wUAvBGb mb` ci Kwc| wet `t mKj KvMRc eevcbv cwiPvjK/eevcbv Askx`vi/^ZvwaKvix KZK mZvwqZ I mxjKZ nZ ne| 2
Form/mar/08