jkpH;ehL muR

czt[ bghUs; tHA;fy; kw;Wk; Efh;Bthh; ghJfhg;g[j; Jiw

FLk;g ml;il bgWtjw;fhd tpz;zg;gk;
kz;lyk; / tl;lk; tpz;zg;g vz; (fzpdp bjhlh; vz;)

tpz;zg;gjhuhpd; ifbahg;gk;
(my;yJ)
FLk;gj;
nlJif bgUtpuy; Buif
jiythpd;
(Fwpg;g[: tpz;zg;gj;jpid fUg;g[
g[ifg;glk;
ikapdhy; g{h;j;jp bra;at[k;.)
gh¡;Bghh;l;
(5 cm x 3.5 cm)

1. tpz;zg;gjhuh; bgah;
bgah; (jkpHpy;)

2. je;ij / fzth; bgah;

bgah; (jkpHpy;)

3. KG Kfthp

bjhiyBgrp vz;: bry;yplBgrp: kpd; mq;ry;:

4. FLk;gj;jpYs;s egh;fspd; tptuA;fs;

khj tUkhdk;

thf;fhsh; g[ifg;gl
gpwe;j Bjjp

cwt[ Kiw

(U}ghapy;)
ehl;odk;
ghypdk;

bjhHpy;

t. milahs ml;il
bgah;
vz; vz; (18 taJf;F Bky;
nUg;gpd;)
1
2
3
4
5
6
7
8
9
10

5. nizf;fg;gl;Ls;s MtzA;fs; (  of; bra;at[k;);:

1 giHa Kfthpapy; FLk;g ml;il bgw;W nUg;gpd; rk;ge;jg;gl;l ml;il tHA;Fk; mYtyhplkpUe;J
bgwg;gl;l xg;g[tpg;g[ rhd;W (my;yJ)
2 bgw;Bwhh; my;yJ fhg;ghsh; FLk;g ml;ilapy; nUe;J bgah; ePf;fk; bra;jjw;fhd rhd;W
my;yJ njw;F Kd; FoapUe;j nlj;jpy; FLk;g ml;ilapy; bgah; ny;iy vd;w rhd;W (my;yJ)
3 giHa Kfthpapy; FLk;g ml;il bgwg;glhky; nUg;gpd; rk;ge;jg;gl;l ml;il tHA;Fk;
mYtyhplkpUe;J bgwg;gl;l ml;il ny;yh rhd;W
tpz;zg;gj;ij rkh;g;gpj;jg;gpd; tpz;zg;gjhuh; tl;l/kz;ly mYtyfj;jpypUe;J bjhlh; vz;Zld; xg;g[jy; rPl;oid bgw;Wr; bry;y
Btz;Lk;. MtzA;fSld; KGikahd tpz;zg;gA;fs; 60 ehl;fSf;Fs; tl;l tHA;fy; mYtyh; /cjtp Mizauhy; jPh;t[ bra;ag;gl Btz;Lk;.
 6. Kfthp Mjhu Mtzk;: Kd; gf;fj;jpy; Fwpg;gplg;gl;Ls;s MtzA;fSld;; jw;Bghija Kfthpapy; tpz;zg;gjhuh;
vt;tst[ fhykhf trpj;J tUfpwhh;? fPH;f;fz;l Mjhu MtzA;fspy; VBjDk; xd;wpd; efiy nizf;ft[k; (mjpy;
kDjhuhpd; bgah; / Kfthp nlk; bgw Btz;Lk;)
Mtzk; (  ) of; bra;at[k; Mtz vz;
1. thf;fhsh; milahs ml;il
2. brhe;j tPlhf nUg;gpd; me;j tPl;od; brhj;J thp urPJ
3. kpd;fl;lzk; brYj;jpajw;fhd urPJ.
4. bjhiyBgrp fl;lzk; brYj;jpa urPJ.
5. tA;fp fzf;F g[j;jfj;jpd; Kd;gf;fk;
6. Foir khw;W thhpak; vd;why; mjd; xJf;fPL Miz

7. rikay; vhptha[ nizg;g[ tptuk; :

m) rikay; vhptha[ nizg;g[ cs;sjh?; (  ) of; bra;at[k; : Mk; / ny;iy
M) “Mk;“ vdpy; fPH;f;fhZk; tptuA;fis g{h;j;jp bra;at[k;
tptuk; nizg;g[ -1 nizg;g[ -2
m) ve;j FLk;g cWg;gpdh; bgahpy; nizg;g[ cs;sJ?
M) vhptha[ Efh;Bthh; vz;
n) vz;bza; epWtdk; (BPC / IOC / HPC)
N) vhptha[ tHA;Fk;; Kfth; bgah;
c) rpypz;lh;fspd; vz;zpf;if 1 2 1 2

8. tpUg;gk; (  ) of; bra;at[k;

mhprp kw;Wk; midj;Jg; bghUl;fs;
mhprpf;F gjpy; TLjy; rh;f;fiu
bghUl;fs; vJt[k; bgw tpUg;gkpy;iy
fhtyh; ml;il
tdj;Jiw gzpahsh; ml;il

9. rhd;W: BkBy mspf;fg;gl;Ls;s tptuA;fs; midj;Jk; cz;ik vd;W rhd;W mspf;fpBwd;. ehd; jtwhd my;yJ
cz;ikf;F khwhd jfty;fs; mspj;jpUg;gjhf gpw;fhyj;jpy; bjhpa te;jhy; FLk;g ml;il uj;J bra;ag;gLk;
vd;gij kl;Lky;yhJ nd;wpaikah gz;lA;fs; rl;lk; (10 tJ kj;jpa rl;lk; ), 1955-d; fPH; vdf;F vjpuhf
eltof;if vLf;fg;gLk; vd;gija[k; mwpBtd;.
nlk;:
ehs;: tpz;zg;gjhuh; ifbahg;gk;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - - - - - - - -
mYtyf gzpf;F kl;Lk; (for Office Use only)
District Code District Head Quarter? Yes No Local Body Name

Taluk Code LPG : Oil Company

Place Code Cylinders Local Body Grade:

VP / TP / Mcplty/ Corporation
Area Code Dealer

Ward Code Card Option : jzpf;if Ma;thsh; bgah;

Shop Code Income (monthly) :

Street Code Category General Forest Police AAY cjtp Mizah; / tl;l tHA;fy;
mYtyh; bgah; :
Pin Code Old Family card No:

jzpf;if Ma;thsh; Ma;t[ Fwpg;g[ :

ifbahg;gk;
cjtp Mizah; / tl;l tHA;fy; mYtyh; Miz:

ifbahg;gk;
cjtp Mizah;/tl;l tHA;fy; mYtyfk; mspf;Fk; Britfis Bkk;gLj;JtJ Fwpj;J cA;fs; fUj;Jf;fis ehA;fs; tuBtw;fpBwhk;.
gjpt[ bra;a mZFA;fs;: www.consumer.tn.gov.in