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PvwiwÎK mb`cÎ

GB g‡g© cÖZ¨qb Kiv hvB‡Z‡Q †h, Avikv`yj Bgvg Z¡vnv,


wcZv- G.we.Gg †Mvjvg wKewiqv, gvZv- iægvbv nxiv, mvs-
1/M/1, Qvqvexw_ B÷vY© nvDwRs, ga¨ evmv‡ev, †cvt
evmv‡ev, IqvW© bs- 4 (mv‡eK 27), _vbvt meyRevM, XvKv-
1214 Gi GKRb evwm›`v Ges Rb¥m~‡Î evsjv‡`kx bvMwiK| †m
GKRb m¤£všÍ gymwjg cwiev‡i mšÍvb| Zvnvi ¯^fve PwiÎ fvj| †m
†Kvb cªKvi ivóª ev mgvR we‡ivax Kg©Kv‡Û RwoZ bq|

Avwg Zvnvi Rxe‡bi mvdj¨ Kvgbv Kwi|


PvwiwÎK mb`cÎ

GB g‡g© cÖZ¨qb Kiv hvB‡Z‡Q


†h, ........................................., wcZv-.....................................,
gvZv- ...................................., mvs- ..................,
‡cvt-........................., _vbv-...................., †Rjv-.....................-†K
Avwg e¨w³MZfv‡e wPwb I Rvwb| †m GK Rb m¤£všÍ gymwjg
cwiev‡i mšÍvb| Zvnvi ¯^fve PwiÎ fvj| †m †Kvb cªKvi ivóª ev
mgvR we‡ivax Kg©Kv‡Û RwoZ bq|

Avwg Zvnvi Rxe‡bi mvdj¨ Kvgbv Kwi|

¯^v¶i

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