Application No.

15360
SCEME No.
Reg No.
District:
tIcf kwm\ `h \ \nmW t_mUv
`h\ \nmW hmbv]m At]
(]q-cn-n ^mdhpw \n_--\-Ifpw Hcp tImnbpw
Ab-bvpI)

1.

At]--Is t]cpw
]q-amb tahn-e m-khpw

2.

t]mm-^o-kns t]cpw
]ntImUv \cpw

3.

As/`m-hns/
`mcy-bpsS t]cv

4.

(F) t\man-\n-bpsS t]cv

5.

hbpw P \-\-Xo-b-Xnbpw

6.

(F) PmXn

(_n) ]n-I -PmXn/]nI h-ns

Bfm-sW-n AXns hni -Z-h n-h cw

hmjnI hcp-a m\w At] --Is

1. `m-hns / `mcy-b psS
2. ap am--fn \nv

:
:

BsI

\nn-m Dt-i n-p hoSns

Dti sNehv

8.

Bh-iy-s-Sp hmbv]m-XpI

9.

(F) hoSp \nn-m Dt-i n-p ew :

10.

At]--Is ]q ssIh-inepw
Ah-I m-i-nepw BtWm?

7.

(F) hoSp \nn-p-h m-\p-t-in-p

e-ns ]q-h n-h -c -

1.
2.
3.
4.
5.
6.
12.

Pn
Xmeqv
hntPv
kt \
]m-bv/apkn- m-enn/tIm-td-j
e-ns bYm hnkvXow
Sn e-ns {Ib-h n-{ Ib
Ah-Imi kzmX{yw Dt-m?

:
:
:
:
:
:

13.

Cs-n GXp hn[ -n-ep

Ah-I m-iamWv DXv?

14.

hoSv hbvp -hm Dt-i n-p e- n\v

Fs-nepw _myXbpt-m?
Ds--n hni-Zo-I -c n-pI
(ssa-\-dns t]cn-ep hkvXphpw
_my-X -bp hkvXphpw kzoIm-cy-a- )

:
:

15.

Ingv :
hoSv \nn-p-hm Dt-i n-p
sXv
e-ns AXn-cp-I
]Sn-mdv
:

16.

Sn e-ns Dti hne

16.

At]--I \v tPmen Ds--n

{]Xn-amk thX-\-n \npw hmbv] -bpsS
amk--h -W-I CuSm-p--X n\v
k-X-amtWm?
:

17.

hmbv] Xncn- -S-bvm am-c p-s S-s b-nepw

klmbw -{]-Xo-n-p-p-s--n Sn
Bfns t]cpw Sn Bfp-am-bp _hpw
Sn Bfns hcp-am-\hpw

18.

19.

hSv:

at-sX-nepw `h \ \nmW ]-Xn-b\p

kcnv At]--I -stbm `mcy-bp-sStbm
a-h -I m-in-I -f p-sStbm t]cn hmbv]
hmn-bn-p-s--n AXns
hni-Z-h n-hcw \IpI

At]--tbm-sSmw AS-bvp cPnkvt{S

j ^okns hnh-c- (^okv t{Imkv
sNbvX _mv {Um^vm-bn-cn--Ww. {Um^vn
s \cpw _mns t]cpw Fgp-X -Ww
\n_--\-bnse 3mw JWvUnI ImWp-I )

tIcf tv luknwKv t_mUv Bhn-jv-cn- n-p `h\ \nmW ]-Xnbp

sS hyh- -Ifpw \n_--\-Ifpw Rm a\- n-emn Ah A\p-k-cn-m F\nv

k-X-a m-sWpw apI -fn sImSp- n-p hnh-c - XnIpw kXyamsWpw
F\ntm Fs `mcy/`m-hv {]mb-]qn-bm-Im a Fn-htm kzambn Xmak tbmKy-amb thsd hoSv C Fpw CXn-\ m Ddp \Ip-p. [\-Imcy
m]-\ --fpsS klm-b-m \S- m- p Hcp ]-Xn-bmWv CsXpw Imem-I m-e-fn Ah \S-n hcp-p \n_--\-Iv A\p-k-c-W-ambn t_mUv \nt-i np \n_--\-I Rm A\p-k-cnp sImm-sapw Ddv \Ip-p.

At]-Is t]cv:
XobXn
Hv/hnc-e-S-bmfw
Sn hmbv]bvv Iqp--c-h m-Zn-bmbn \nm F\nv k-X-am-Wv.
ew:
XobXn:
Iqp --c-h m-Zn-b m-bn-c n-p Bfns t]cpw Hpw hnc-e -S-b m-f hpw: