IHF[.

59
lfiR qu(q) qklt

e+ eq?ra qqrot qQcs q.{t EFIi .{qFrB efi? qmvrffi qrr{q-{

ql'fs s

S"rcq'fl1qttqt fr*Dr srfrqla

&"Eq,Evqll{t

rqql..........

)i s]r<q-{stff" $q s .........

Ir qt${ {ftEs"rq;rffi (NID) I ............

6&l qfru's"rrE< etnrfrft qiry Tkru etrq)
sr q{ glRi B ...............

8I <d{i{ \otfrEtx& qrwlv ioqfifr-

€ER arfl s ....."..
cglfia ,qqrsB qfls .......... ................cq8F q.Tr{r{ rx;r r ........
SrftqErlArfi ; ............... .. ffitl 3...............

Ex[FlsE TN ts;rrq r .............. ...qlrycifl&({inl s.......

c r R €E1?FE q1q|s{ qA€ fIE-{_

cqqr ! .....8"ns-ryqril c

dfuTn/cqtqttq rst{ ilR B ..............

\b I c, n'{i Gfrrc Rfis ssl{tT cq ,Fal qt[s \rirE$r efirs.re{ s.

q I qHtsriK sr{{3
 b r c ;rc-n crfrm <{Ss ff<Ft-{f{ w{{,'fi(:{rdn fum qGm& {qg rRrs *ts s

(e) a{r 6Qq 1ffy Tnt{r:rB rflr& q&BBBE ffiqm7 frtr vc{trsn&{ -€r{
ms{ le{M
T&fu?FSFffi qfrqE cs$rqrFr vf+ qq.c eFrlFI
"ra r

(<) ?E&Bf tuoqEA (s& cltr$)

("t) <6 wt qFtcldffi ra afitqlc*<.+n ?FlqFEtlT,

tlE<q{-+.rAR aFF{ <I FfiR

qlrdqrn{ars rFr? s

qI[ 3 ........
q1$l{ qft6fiq:r{;;1 i
&+tlt;

trrqanlE lrerq qFrqrrir{ qrrl

rilRqTs qffi {ftsks ....rsFrd qqr<Fr{ q*{i Efts cglbm \otGm €rs ,rlq
$rdq q<( .....rsFlr qqfsB TE sWs rral qtq r

$n5qqyq-4 fr'{tq qff

en&*+,ra qa

.qrrrei;t?ix:wit

crqqotfts:rtry<