hcpam\ kÀ«n^n¡än\mbn kaÀ¸n¡p¶ At]£bnÂ

hntÃPv Hm^okÀ ap¼msI kaÀ¸n¡p¶ kXyhmMvaqew

(FÃm tImf§fpw ]qcn¸n¡pI. hnhc§Ä CÃm¯ tImf§Ä Cà F¶v tcJs¸Sp¯pI. 18 hbÊv
]qÀ¯nbmIm¯ At]£I³ BsW¦n c£IÀ¯mhv H¸ph¨ kXyhmMvaqew kaÀ¸n¡pI)

................................................Xmeq¡n ................................................hntÃPn ................................................

........................................................................................................................................F¶ taÂhnemk¯nÂ
Xmakn¡p¶ .................................................................F¶ Rm³ (.............hbÊv) hntÃPv Hm^okÀ
ap¼msI kaÀ¸n¡p¶ kXyhmMvaqew

1 kÀ«n^n¡äv F´v Bhiy¯n\v

2 kÀ«n^n¡äv BhiyapÅ BfpsS t]cv

3
kÀ«n^n¡äv BhiyapÅbmÄ P\n¨p
hfÀ¶ Xmeq¡v /hntÃPv
kÀ«n^n¡äv BhiyapÅ BfpsS
4
sshhmlnI ØnXn (AhnhmlnX³/
AhnhmlnX, hnhmlnX³/ hnhmlnX,
hn[h/ hn`mcy³

ssIhi `qan kw_Ôn¨ hnhc§Ä

t]cv FÃm hntÃPpIfnsebpw BsI
ssIhi `qantbmSv hnkvXo˨w
5
kÀ«n^n¡äv
BhiyapÅbmÄ
6 ]nXmhv
7 amXmhv
8 `mcy/ `À¯mhv

sXmgnepw hcpam\hpw kw_Ôn¨ hnhc§Ä

C³Iw SmIvkv
kztZiw/ F´v Xcw amk dnt«¬ ^bÂ
hntZiw tPmen hcpam\w sN¿p¶pt­m
9
kÀ«n^n¡äv
BhiyapÅbmÄ
]nXmhv (kÀ«n^n¡äv
BhiyapÅbmÄ
10 AhnhmlnX³/AhnhmlnX
BsW¦n am{Xw
]qcn¸n¡pI)
amXmhv (kÀ«n^n¡äv
BhiyapÅbmÄ
11 AhnhmlnX³/AhnhmlnX
BsW¦n am{Xw
]qcn¸n¡pI)
12 `mcy/ `À¯mhv

13 AhnhmlnXcmb a¡Ä

14 hmSI C\¯nepÅ amkhcpam\w

15 aäp hcpam\§Ä
ta {]kvXmhn¨ hnhc§Ä F³sd Adnhnepw D¯a hnizmk¯nepw icnbmWv F¶v hnhcw
kXyhmMvaqew sN¿p¶p. hmkvXh hncp²ambn Fs´¦nepw {]kvXmh\ Is­¯nbmÂ
kÀ«n^n¡äv dn_v sN¿p¶XmsW¶pw BbXv kw_Ôn¨v in£m\S]SnIÄ¡v Rm³
hnt[b\msW¶v F\n¡v t_m[yapÅXmWv.

XobXn t]cv H¸v

Bhiyamb tcJIÄ
1. kÀ«n^n¡äv BhiyapÅ BfpsS B[mÀ 2. tdj³ ImÀUv 3. `q\nIpXn ckoXn 4. _nkn\kv
5. s{]m^jW hn`mKamsW¦n C³Iw SmI-vkv dnt«¬ 5. kÀ¡mÀ/ s]mXptaJe/
Un^³kv Poh\¡mÀ BsW¦n kmedn Én¸v/ i¼f tcJ 6. s]³j³/^manen s]³j³
ssI¸äp¶hÀ BsW¦n s]³j³ kÀ«n^n¡äv/s]³j³ XpI hyàam¡p¶ tcJ