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EX/Rec/17/14

khjpup tpz;zg;ggbtk; (mYtyf cgNahfj;;jpw;F)


fpof;F khfhz nghJr;Nritapd; jfty; kw;Wk; njhlHghly; njhopEl;g cjtpahsH>
; nra;tjw;fhd jpwe;j Nghl;bg;guPl;ir – 2017
juk; III gjtpf;F Ml;Nrh;gG
ghPl;irf;Fj; Njhw;Wk; nkhop%yk; : ghPl;irf;F Njhw;Wk; efu vz; :
jkpo; - T, rpq;fsk; - S (11 tJ ge;jpapy; Fwpg;gplg;gl;l
(cupa vOj;ij $l;bDs; ,lTk;) guPl;ir efu ,yf;fj;ijf; Fwpg;gpLf.)

epue;ju tjptpl khtl;lk; : …………………………………………………………………………………………………

1.0. 1.1 KjnyOj;Jf;fis ,Wjpahf ,l;L KjnyOj;Jf;fSld; ngah;: jpU/jpUkjp/nry;tp ………………


(Mq;fpy nfg;gpw;wy; vOj;jpy;) (cjh : MR.PERERA, A.B.C) …………………………………………..
1.2. KOg;ngah; (Mq;fpy nfg;gpw;wy; vOj;jpy;) : ……………………………………………………………..
1.3. KOg;ngah; (rpq;fsj;jpy;/jkpopy;) : ………………………………………………………………………...

1.4. ghy; : ( ngz; - F / Mz; - M


(cupa vOj;ij $l;bDs; ,lTk;)
1.5. njhiyNgrp ,y. : ……………………………………………………………………………........................

2.0. 2.1. epue;ju Kftup : …………………………………………………………………………….............................


(Mq;fpy nfg;gpw;wy; vOj;jpy;)
2.2. epue;ju Kftup : ………………………….………………………………………………………………........
(rpq;fsj;jpy;/jkpopy;)
2.3. mDkjp ml;il mDg;g Ntz;ba Kftup : ……………………………………………………………….
(Mq;fpy nfg;gpw;wy; vOj;jpy;)

3.0. 3.1. ePq;fs; ,yq;if gpui[ahapd;> Njrpa milahs ml;il ,y.

3.2. gpwe;j jpfjp : Mz;L khjk; jp jpfjp

3.3. 2017.07.28 Me; jpfjpapy; taJ>


tUlq;fs; ; khjq;fs; ehl;fs;

4.0. ,dk; : rpq;fsth; ,yq;ifj;jkpoh; K];ypk; NtW


(cupa $l;bDs;  ,lTk;)

5.0. fy;tpj;jifikfs; :
5.1. f.ngh.j (rh/j) guPl;ir gw;wpa tpguk; :
I. guPl;irapd; tUlk; :………………………
II. guPl;ir Rl;byf;fk; :………………………
III. ngWNgW :
ghlk; ngWNgW ghlk; ngWNgW
1. 6.
2. 7.
3. 8.
4. 9.
5. 10.
5.2. f.ngh.j (c/j) guPl;ir gw;wpa tpguk; :
I. guPl;irapd; tUlk; :………………………
II. guPl;ir Rl;byf;fk; :………………………
III. ngWNgW :
ghlk; ngWNgW ghlk; ngWNgW
1. 3.
2. 4.

5
6.0. njhopy;rhh; jifikfs; :
6.1 epWtdj;jpd; ngah; : …………………………………………………………………………………………...
6.2 fw;ifnewpapd; ngaH : ………………………………………………………………………………………...
6.3 fw;ifnewpf;fhd fhyk; : ……………………………………………………………………………………...
6.4 fw;ifnewpia G+Hj;jp nra;j jpfjp :……………………………………………………………………….....

7.0. ePq;fs; ,yq;if ePjpkd;wk; xd;wpy; vg;NghjhtJ Fw;wthspahff; fhzg;gl;Ls;sPuh?


mt;thnwdpd; tpguj;ijf; Fwpg;gpLf. ……………………………………………………………………..............
…………………………………………………………………………………………………………………………

8.0. mur / fpof;F khfhz nghJr;Nritia Nrh;e;jtuhapd;>


8.1. jpizf;fsk; : ………………………………………………………………………………...........................
8.2 jw;Nghija gjtp : ……………..……………………………………………………………………………...
8.3. Kjy; epakdj; jpfjp : ………………………………………………………………………………………...
8.4. ,r;Nritapy; epue;jukhf;fg;gl;l jpfjp : ……………………………………………………………………..
9.0. guPl;irf; fl;lzk; nrYj;jg;gl;l (njspthd tpguq;fSld;) gw;Wr;rPl;bid chpa $l;bDs; fouhjthW
,q;F xl;lTk; njhlh;ghd tpguq;fs;
gw;Wr;rPl;L %yg;gpujpapid fouhjthW ,q;F xl;lTk;

10.0. tpz;zg;gjhuupd; cWjpAiu :


(m) ,t;tpz;zg;gj;jpy; ehd; je;Js;s tpguq;fs; vdJ mwptpw;F vl;ba tiuapy; cz;ikahdit vdTk;> rupahdit
vdTk; ehd; ,j;jhy; ntspg;gLj;Jfpd;Nwd;. ,jpy; VNjDnkhU gFjp G+u;j ;jp nra;ag;glhjjd; my;yJ vitNaDk;
jfty;fs; gpioahfr; Nru;f;fg;gl;Ls;sjd; tpisthf Vw;glf;$ba VjhtJ ,og;ig ehd; Vw;Wf;nfhs;tjw;F
cld;gLfpd;Nwd;. NkYk; ,q;F midj;J gFjpfisAk; rupahf G+u;j;jp nra;Js;Nsd; vdTk; ntspg;gLj;Jfpd;Nwd;.
(M) vd;dhy; nra;ag;gl;l ,f;$w;W ngha;ahdit vdj; njupate;jhy; epakdj;jpw;F Kd;duhd jifik ePf;fj;jpw;Fk;>
epakdj;jpw;Fg; gpd;du; njupate;jhy; NritapypUe;J ePf;fg;gLtjw;F MshNtd; vd;gijAk; ehd; mwpNtd;.
(,) NkYk; ,g;guPl;ir elhj;Jjy; njhlu;ghf khfhz nghJr;Nrit Mizf;FO nrayhsupdhy; tpjpf;fg;gLk;
rl;ljpl;lq;fSf;F mike;njhOFNtd; vd;Wk; ntspg;gLj;Jfpd;Nwd;.
(<) ,jpy; jug;gl;Ls;s jfty;fs; vjidAk; gpd;duhf khw;wk; nra;akhl;Nld;.

………………………………….
tpz;zg;gjhupapd; ifnahg;gk;
jpfjp : ……………………
11.0. tpz;zg;gjhuupd; ifnahg;gj;ij cWjpg;gLj;jy; : (,t;twptpj;jypd; 9.5 ,d;gb)
,e;j tpz;zg;gj;ij rku;g;gpf;Fk; jpU/jpUkjp/nry;tp ……………………………….. vd;gtu; vdf;Fj;
jdpg;gl;l Kiwapy; njupe;jtu; vd;Wk;> mtu; jdJ ifnahg;gj;ij vdJ Kd;dpiyapy;
……………………………. Me; jpfjpapy; ,l;lhu; vd;Wk;> cupa guPl;irf; fl;lzj;ij
nrYj;jpAs;shu; vd;Wk; mg;gw;Wr;rPl;L xl;lg;gl;Ls;snjd;Wk; ehd; ,j;jhy; cWjpg;gLj;Jfpd;Nwd;.

……………………………………
ifnahg;gj;ij cWjpg;gLj;Jk;
jpfjp :……………………… cj;jpNahfj;juJ ifnahg;gk;.
ifnahg;gj;ij cWjpg;gLj;Jk;
cj;jpNahfj;jupd; KOg; ngau; :…………………………….
gjtp :………………………………………………………….
Kftup :……………………………………………………….
(gjtp Kj;jpiu %yk; cWjpg;gLj;jg;gl Ntz;Lk;.)
12.0 jpizf;fsj; jiytupd; cWjpAiu : (mur/fpof;F khfhz nghJr;NritapYs;s tpz;zg;gjhhpfSf;fhdJ)
,j;jpizf;fsj;jpy; epue;ju cj;jpNahfj;juhff; flikahw;Wk; jpU/jpUkjp/nry;tp
…................................................. mth;fspd; tpz;zg;gj;ij rpghh;R nra;J rkh;g;gpf;fpd;Nwd;. mth;
tpz;zg;gpj;Js;s gjtpf;F njhpT nra;ag;gLkplj;J mtiu mg;gjtpf;F tpLtpf;f KbAk; vd;gijAk;
,q;F mtuhy; Fwpg;gplg;gl;l tplaq;fs; ahTk; rhpahdit vd;gijAk; ,j;jhy;
cWjpg;gLj;Jfpd;Nwd;.
……………………………………….
jpizf;fsj;jiythpd; ifnahg;gk;
jpfjp :……………………
KOg; ngau; :…………………………………………….
gjtp :…………………………………………………….
Kftup :…………………………………………………..
(gjtp Kj;jpiu %yk; cWjpg;gLj;jg;gl Ntz;Lk;.)

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