*--r. qir!?

''- - EE

:--F !
!

+r \q ilw rer T.f S frt sTrtq{

1. qr+ii6' S qfrm t gfuqr s.r€ :-

2. eilt(fr in {u otlrl : ............,.......
r0 u ciidt
f,. qq ftfS
' (cmclC il{q)
4. frqrff fil Wf Tdr :......................

F) trdtno

fel em..
fln oTnr/qrrrT cfr{tr \fir$urn
1p r+ar* iln ct 16
qR rfr t d sTid-{o. 6T
Til .._..................qdr.........
5.

6.

7.

B.

9.
10.
3rril<q d,E er.fr.Ef

1fru of dq,zvruq Wt
d ftrd fr.q,f d ftrd ftq1 qy rlEt @
qrfr or ffi-q vi€Tro. :................

11. 3rr*ffi d fr-dr 6-r qrq............

12. 3rt'fffi d qrdl t5T trrl :........

13. qmr-ft-dr 6-r irq

sro 'rS .h1 fufr { sqero sl qFr..
14. orrlq-fi d qfr tnT;nq.... ...
15. *rrf,r-fudr qfr al HrReft

0/varun/Cast Cenif icates

I
Ff- .: -.

'-r-

qr6r qh
lul $ffiow
Isl qq ;nq

lqI Tnr-drrff ffi

qfr
(D +n (*ifiq
(ii) tR;Tr5T.....

0iD ATqlilq. $fi?F{ur qR at{ *r

0v) rrE q{ ftgfu qn

(v) qrt /T< qr q+{h

etrg (qR drrL d)
Iql 3t=il-irr6flq €rrcrr

rrg. gft*s, ftes Grnerq

fudcrq

(i) sltr{ i
(ii) $< qH.
(iii) d-qr at
(fr-{T6

(ilt) T.g/Isr$ 3lerrrdr .apf € d n) dl-B frFqq)

(iv) m/3fffi el serrrflI 6t 6rftq ,rq * qe

d ,r-qr d r

(v) wrr$ 3rerrf,r znr

D/varun/Cast Cerlrf rCates

 rsl qkfi tlm sq*q snfr
0) rfrrfi ifr;TFt

(iD [rE itrI ;mrl

0ii) qq rr{
ffi qfr

rql ttrFRffi rfr) qrl ovfr Eq fi{m?r ffiT

ffififrfr{{ qdt at qrwr qrd qfif, qFEfrm qfi
0), (rq qrq
(ii) tffiqtq
i

tEl arrflr{I Trf @ Bi-so,{ TE frtln tc) eth (rD d sn$ t

eiq tqr ontqrr stq fi Frn gt auEn I
0)i w-frfuor/gfu
rql sqfu S wnt

tHl EE dH (qrnr, frnr srans EEd s Rrtr€ t-)

(1) orqfuTfr

(2) olo or gfl?Dx

(3) o- fHfue
s-frfro1Eor
1.

2.

3.

TI sRifuo r

4. vrw 1fr {ftqrfrMd3{$i-{ sko-oq rto

e}-l n f$fr-d or qfrca t

D/varuo/Casr Certrf icat es

 qfr Eif6 ron qft t
*ry*rfrff
dfql S srBaln{
IFI&I I gllqn IR qa ftikr vitwr
6. {. s q} et:fsry qfurq *qr *, d qa qk 6I sfrvril
T 0) mrq
(l) qp67

0l) srqfufr
(lll) qFrF

l3r1 (ll) T'rftq t}d ut =rrn qrfi fffi {fr sfnr/ql tr{r
(l) rrqfr qft 3rqfuft r

(ll) rrxft 6T Eqhr

(lll) vrdrr f$NrS frq {6 ,rO tr
tEl srliq /{q
(l) trrw rdtdf t Egq qft enq (irtrdt .ih Efr Tfr enq 6i irurqfrfd
6Td gq)

0t) Eqr ax-{rflr t (6rlTS) qR Er d .ro ft+ qqt qfr qfr qfr fr qrdr
(lll) qqr tl=r ?Fr 3rEftqq d sTrar t (aZr€f) (qR t d Edyr Atuq)
tHl errq 6t{ 3r}gfrilqi I

t<1 {
rqrf}lf, tmn ( fu frMqr tt'sqtq sltY frwrs d
3r$ilyRwilt3tqft{er
soq t 3tt fu { qrff qft
htfr ftrirc Tfr ( eilv erq
frtG q.fr d frrA qTvkd ftq f{qlr fut ani or t(l qwrd[d
qT qqqrd ffi fr tII r?rd qr$ -iri at il qr our*ar or
Wd{r A
(Itrr qeri w, { T{5rgrtrr q snq{f,TZftgfrn r-fi *,fr of{ d tS
ortrqr$ d ftrd eil-q smr
qrti r
drg..rT
"il frB 3ttr qr S w-{fud q,1
qq-ftq,

{am

PfrT6 or*rTlaff d mmerr

D/varun/Casr Cenrf icates

¼i½ xokg* :
eSa iq=@iq=h Jh fuoklh
foHkkx dk uke in ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gwa fd]
izkFkhZ@izkFkhZ;k iq=@iq=h Jh fuoklh
dks Hkyh izdkj ls tkurk gwa ;s vU; fiNMk oxZ dh mitkfr dk@dh gSa] rFkk muds
}kjk layXu c;ku esjs le{k fn;k x;k gS tks iw.kZ lR; gSA
¼gLrk{kj xokg@mÙkjnk;h O;fDr½
¼ii½ xokg* :
eSa iq=@iq=h Jh fuoklh
foHkkx dk uke in ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gwa fd]
izkFkhZ@izkFkhZ;k iq=@iq=h Jh fuoklh
dks Hkyh izdkj ls tkurk gwa ;s vU; fiNMk oxZ dh mitkfr dk@dh gSa] rFkk muds
}kjk layXu c;ku esjs le{k fn;k x;k gS tks iw.kZ lR; gSA

¼gLrk{kj xokg@mÙkjnk;h O;fDr½

'kiFk&i=
eSa ---------------------------iq=@iq=h Jh---------------------------fuoklh-------------------------xkao@'kgj-----------------rglhy---------------
ftyk------------------------------jktLFkku dk@dh gwAa eSa 'kiFk iwoZd c;ku djrk@djrh gwa fd %
¼1½ eSa jktLFkku ds vU; fiNMk oxZ dh vf/kd`r lwph esa lfEefyr tkfr----------dk@dh lnL; gwAa
¼2½ eSa mijksDr izdj.kksa dh lk{; gsrq vko';d izek.k@lk{; miyC/k djkus dks rS;kj gw¡aA
¼3½eSa vkSj esjk ifjokj vU; jkT; ls jktLFkku jkT; esa ekbZxzsV ¼foLFkkfir½ gksdj ugha vk;s gSaA
¼4½ ;g fd eSaus fdlh Hkh ftys@izn's k ls tkfr dk izek.k i= ugha cuok;k gSA
gLrk{kj 'kiFkxzfgrk
tkfr dh iqf"V gsrq izFker;k% jktLo fjdkMZ ;Fkk Hkwfe tekcanh ;k vU; nLrkosat vkWuykbZu
miyC/k ugha gksus dh fLFkfr esa gYdk iVokj tk¡p fjiksVZ
Jheku~ eqrkfcd tk¡p] xokgksa ,oa 'kiFk i= ds vk/kkj ij vkosnd Jh@Jherh@dqekjh----------------------------
iq=@iq=h Jh-----------------------------------------------------fuoklh--------------------------------------------------------------ds@dh gSA ;g vU;
fiNMk oxZ dh mitkfr--------------------------dk@dh gSaA izkFkhZ dk jk'ku dkMZ uEcj ------------------------------

fnukad
gLrk{kj iVokjh
gydk ua --------------------
rglhy -------------------
mi[k.M ---------------------
ftyk ----------------------
1. vkosnd dh uohure QksVks ftls vkosnu i= ij fn;s x;s LFkku ij fpidk,a ¼LVsiy ugha djuk gS½
2. Lo;a ;k firk dh tkfr ds lk{; gsrq izek.k i= tSls& izFker;k jktLo fjdkMZ ;Fkk Hkwfe dh tekcanh ,oa
vko';d gks rks uxjikfydk@ fodkl izkf/kdj.k@ uxj fodkl U;kl@ xzke iapk;r }kjk tkjh Hkw[k.M ds
iV~Vs ftlesa tkfr vafdr gks dh izekf.kr izfr ;fn vkWu ykbZu ugha gks rksA
3. vk; izek.k i=@vk; dj fjVuZ lEcU/kh nLrkost dh izfr ;fn vkWuykbZu nLrkost a ugha gks rks
4. vkosnu i= esa fn;s x;s 'kiFk i= dks mRrjnk;h O;fDr ls lR;kfir djkosAa
5. nks mÙkjnk;h O;fDr;ksa ds izek.k i= ;Fkk& laln lnL;@fo/kku lHkk lnL;@jktdh;
vf/kdkjh&deZpkjh@ftyk ize[q k@iz/kku@ftyk ifj"kn lnL;@ljiap@xzke lsod@iVokjh @egkikSj
¼lfpo½@uxj fuxe lnL;@uxj ikfydk v/;{k@Ldwy ds gSM ekLVj@lacaf/kr ih-,p-lh-@lh-,p-lh- ds
MkWDVj@ch-Mh-vks-@lgk;d vfHk;Urk
6. iqjkuk tkfr izek.k i= dh izfr ;fn vkWuykbZu ugha gks rks