dig-11

[wewa 32(2) `ªóe¨]

†fvUvi ZvwjKvq bZzb bvg Ašf©yw³i Av‡e`b
cÖvcK,
†iwR‡÷ªkb Awdmvi
.........................................
1| `vex`v‡ii bvg :

2| wcZvi bvg :

3| gvZvi bvg :

4| ¯^vgx/¯%xi bvg :

5| wVKvbv :
MÖvg/gnj+v : ............................................................................................................
(K) iv¯,vi bvg I b¤^i : ..................................................................................................
(L) evox b¤^i I †dvb (hw` _v‡K) : ..................................................................................
(M) WvKNi : ...............................................................................................................
(N) IqvW© : ................................................................................................................
(O) BDwbqb/†cŠi GjvKv : ............................................................................................
(P) _vbv : .................................................................................................................
(Q) †Rjv : ...............................................................................................................
(R) wefvM : ...........................................................................................................
5| †fvUvi ZvwjKvq bvg Aš,f©y³ bv nIqvi KviY :
6| eZ©gvb wVKvbvq ...............ermi .......................gvm emevm Kwi‡ZwQ Ges Avgvi `vexi mc‡¶
wb‡æv³ cÖgvYvw` `vwLj Kwijvg|
†PŠwK`v‡ii iwk` †cŠiKi iwk` evox fvovi iwk` BDwUwjwU wej Ab¨vb¨

7| Avwg GZØviv †NvlYv Kwi‡ZwQ †h,

(K) Avwg evsjv‡`‡ki bvMwiK;
(L) Avwg †Kvb Dchy³ Av`vjZ KZ©„K AcÖK…wZ¯’ †NvwlZ nB bvB;
(M) 200 ---- mv‡ji 1jv Rvbyqvix Zvwi‡L Avgvi eqm ...............ermi ..............gvm .................w`b
(eqm cÖgv‡Yi wbwgË Gm,Gm,wm mvwU©wd‡KU A_ev mswk+ó wk¶v cÖwZôv‡bi mb`cÎ-Gi mZ¨vwqZ Abywjwc ev
Rb¥ wbeÜb mb`cÎ ev †Pqvig¨vb/Kwgkbv‡ii cÖZ¨qbcÎ mshy³ Kwi‡Z nB‡e)
(N) Avwg Ab¨ †Kvb †fvUvi GjvKvi †fvUvi ZvwjKvq bvg Aš,f©yw³i Rb¨ Av‡e`b Kwi bvB wKsev Avgvi bvg
ZvwjKvfz³ nq bvB|
8| GZGe, 5 b¤^i Zwg‡K ewY©Z wVKvbvq cÖ¯‘ZK…Z †fvUvi ZvwjKvq Avgvi bvg Aš,f©yw³i Rb¨ Av‡e`b
Kwi‡ZwQ Ges GBg‡g© cÖZ¨qb Kwi‡ZwQ †h, Avgvi Ávb I wek¦vm g‡Z Dc‡i D‡j+wLZ weeiY mZ¨ |
GZ`ms‡M wba©vwiZ 2 b¤^i dig c^iY c^e©K mshy³ Kiv nBj|

ZvwiL ................................
.....................................................
Av‡e`bKvixi/ ¯^v¶i ev wUcmwn
¶gZvcÎ
Avwg Avgvi wcZv/gvZv/¯^vgx/¯%x/fMœx/cyÎ/Kb¨v
.....................................................................................................
wcZv/¯^vgx ................................................. †K Avgvi c‡¶ GB Av‡e`b †ck Kivi ¶gZv cÖ`vb
Kwi‡ZwQ|

ZvwiL t .................................
.................................................
Av‡e`bKvixi ¯^v¶i ev wUcmwn
..................................
cÖwZwbwai ¯^v¶i ev wUcmwn
wVKvbv : .....................................
.......................................
(†iwR‡÷ªkb Awdmv‡ii Kvh©vjq KZ©„K c^iY Kwi‡Z nB‡e)
Av‡e`b b¤^i .....................
†c‡ki ZvwiL ..............................
ïbvbxi ZvwiL (cÖ‡qvRb‡ev‡a)....................
†iwR‡÷ªkb Awdmv‡ii wm×vš, :
ZvwiL :

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†iwR‡÷ªkb Awdmv‡ii ¯^v¶i