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eivei

Dc-cwiPvjK
†Rjv mgvR‡mev Kvh©vjq
I
m`m¨ mwPe
†Rjv cÖwZeÜx Kj¨vY KwgwU
†dbx|

gva¨g t Dc‡Rjv mgvR‡mev Awdmvi, ...................................., †dbx|

welq t .................................. cÖwZeÜx wn‡m‡e wbeÜxKiY|

g‡nv`q,
h_vwenxZ m¤§vbc~e©K webxZ wb‡e`b GB †h, Avwg wbgœ ¯^vÿiKvix/wUcmwn
cÖ`vbKvix GKRb ........................... cÖwZeÜx| GKRb cÖwZeÜx wn‡m‡e wbeÜxKi‡bi Rb¨ ¯’vbxq
BD.wc †Pqvig¨vb cÖ`Ë mb`cÎ, Rb¥ wbeÜb mb`, wmwfj mvR©b cÖ`Ë cÖwZeÜx mb`cÎ I 3 (wZb)
Kwc ó¨v¤ú mvBR mZ¨vwqZ Qwemn wb‡gœ Avgvi Z_¨vw` †ck Kijvg|
1| bvg t
2| cÖwZeÜxZvi aib t
3| wcZvi bvg t
4| gvZvi bvg t
5| ¯^vgx/¯¿xi bvgt
6| Rb¥¯’vb t
7| Rb¥ ZvwiL t
8| eZ©gvb eqm t
9| Rb¥ wbeÜb bs t
10| ¯’vqx wVKvbv t K) MÖvg/moK t
L) WvKNi t M) BDwbqb/‡cŠimfv t
N) Dc‡Rjv t O) †Rjv t
11| eZ©gvb wVKvbv t K) MÖvg/moK t
L) WvKNi t M) BDwbqb/‡cŠimfv t
N) Dc‡Rjv t O) †Rjv t
12| RvZxqZv t
13| ag© t
14| wj½ t
15| i‡³i MÖæc t

AZGe, Avgvi Av‡e`b we‡ePbvc~e©K Avgv‡K ............................... cÖwZeÜx wnmv‡e


wbeÜxKiYcye©K cwiPqcÎ/m`b`cÎ cÖ`vb Kwi‡Z g‡nv`‡qi m`q gwR© Kvgbv KiwQ|

ZvwiLt
¯^vÿi/wUcmwnt
†gvevBj
bs- .............................
mshy³t
1| BDwc †Pqvig¨v‡bi mb`cÎ (gyjKwc)- 1wU|
2| wmwfj mvR©b mb`cÎ (gyjKwc)- 1wU|
3| ó¨v¤ú mvBR Qwe (mZ¨vwqZ)- 3 Kwc|
4| Rb¥wbeÜb KvW© (mZ¨vwqZ)- 2Kwc|
5| evwo cwi`k©b Z`šÍ cÖwZ‡e`b- 1 Kwc|

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