;/tk fty/

sfj;hbdko ;kfjp
b[fXnkDk (gZSwh$g{oph) c'N'

ft;ak iksh$nB[;{fus iksh ;oNhfce/N ikoh eoB pko/.

;qh wkB ih,

p/Bsh j? fe w? j/m fby/ nB[;ko fojkfJ;a oZydk jK .w? ___________________________________ iksh

Bkb ;pzX oZydk jK.feogk eoe/ w?Bz{ _____________________a iksh dk ;oNhfce/N ikoh ehsk ikt/, iK w/o/ pZu/
d/ BK ____________________________s/ ikoh ehsk ikt/.
1HgqkoEh dk Bkw ________________________________
2Hfgsk dk Bkw ________________________________
3HpZu/ dk Bkw ________________________________
4Hgsk ________________________________________________
wekB Bzpo ____________wZjbk________________ rbh BzL _______________fgzv dk BKw
________________________________fibk b[fXnkDk .
5HiBw ;EkB: __________________
w? s;dhe eodk jK fe ;qh _________________________ g[Zso ;qh _________________________tk;h
___________________________________________________________________________ fijVk fe
______________________________________ iksh Bkb ;pzX oZydk j? Bz{ w? fBZih s'o s/ ikDdk jK ns/ fJ; Bz{
_____________________________iksha dk ;oNhfce/N fdZsk ikDk :'r j?.

e'A;bo$Bzpodko$;ogzu
(j;skyo ;w/s w'jo)
j;p^s;dhe _________________________g[Zso ;qh __________________________________ tk;h
____________________________ fdZs/ gs/ sa/ ofjzdk j? s/ T[j__________________________iksh oydk j??.T[;
Bz{ ;oNhfce/N fdZsk ikDk :'r j?.
j;skyo gNtkoh
w? gNtkoh ___________________ jbek _____________________ d/ j;skyoK dh s;dhe eodk jK fe gqkoEh Bz{
______________________iksh dk ;oNhfce/N fdZsk ikDk :'r j?.
j;skyo ekBz{r'
T[es fog'oNk nB[;ko ;oNhfce/N ikoh j't/
b[fXnkDk(b[fXnkDk)