g~mK-26

MYcÖRvZš¿x evsjv‡`k miKvi

RvZxq ivR¯^ †evW©

XvKv

Ae¨eüZ ev e¨envi Abyc‡hvMx DcKiY wb®úwËi Av‡e`bcÎ

[wewa 40 `ªóe¨]

bvg : Ki`vZv mbv³KiY msL¨v :

Kvh©μg †KvW :
wVKvbv : GjvKv †KvW :

†Uwj‡dvb b¤^i :

μwgK DcKi‡Yi μq Pvjvbc‡Îi cwigvY cÖK…Z cÖ`Ë g~j¨ eZ©gvb Abyc‡hvwMZvi

msL¨v bvg μwgK msL¨v I weμq g~j¨ ms‡hvRb g~j¨ KviY

cy¯Í‡Ki μwgK msL¨v
Ki

(1) (2) (3) (4) (5) (6) (7) (8)

Avwg †NvlYv Kwi‡ZwQ †h, GB Av‡e`‡b cÖ`Ë mKj Z_¨vw` mZ¨ I mwVK|

ZvwiL :.............................. Ki`vZv/e¨e¯’vcbv KZ©„c‡¶i ¯^v¶i

 Ki`vZvi Rb¨ wb‡`©kvewj
1| Ki`vZv mbv³KiY msL¨v, GjvKv †KvW, Kvh©μg †KvW, bvg I wVKvbv, wbeÜbc‡Îi wfwˇZ mwVKfv‡e wjwL‡Z nB‡e|
2| DcKiYi bvg (Kjvg (2)), Dnvi μq mswkøó Pvjvbc‡Îi wfwˇZ nB‡Z nB‡e Ges Kjvg (3)-G †h Pvjvbc‡Îi wfwˇZ
DcKi‡Yi μq mgvav nBqv‡Q †mB Pvjvbc‡Îi μwgK msL¨v μqcy¯Í‡Ki mswkøó μwgK b¤^i D‡jøL Kwi‡Z nB‡e|
3| Kjvg (4)-G Abyc‡hvMx DcKi‡Yi cwigvY (GKKmn) Ges D³ cwigvY DcKi‡Yi cÖK…Z g~j¨ (GKK cÖwZ) (Pvjvbc‡Îi
wfwˇZ) Kjvg (5) G mwVKfv‡e wjwL‡Z nB‡e| eZ©gvb g~‡j¨i Kjv‡g [Kjvg-(7) G] D³iƒc DcKiY (cÖwZ GKK) †h
g~j¨ mieivn nIqv m¤¢e (Abyc‡hvMx nIqvi Kvi‡Y) Zvnv wjwL‡Z nB‡e|
4| DcKi‡Yi Ici cÖ`Ë g~j¨ ms‡hvRb Ki Pvjvbc‡Îi wfwˇZ 6 bs Kjv‡g wjwL‡Z nB‡e|
5| †h Kvi‡Y DcKiY e¨env‡ii Abyc‡hvMx nBqv‡Q Zvnv ms‡¶‡c I mwVKfv‡e 8 bs Kjv‡g wjwce× Kwi‡Z nB‡e|
(¯’vbxq g~j¨ ms‡hvRb Ki Kvh©vjq c~iY Kwi‡e)
1| `vwLjK…Z Av‡e`‡b †Kvb AvcwË bvB Ges DwjøwLZ g~‡j¨ mieiv‡ni AbygwZ cÖ`vb Kiv nBj|
2| `vwLjK…Z Av‡e`‡bi cwi‡cÖw¶‡Z Ges cix¶vi wfwˇZ cÖZxqgvb nq †h ¶wZMÖ¯Í DcKiY mieiv‡ni A‡hvM¨; GB
cwi‡cÖw¶‡Z aŸs‡mi wb‡`©k cÖ`vb Kiv nBj|
3| evwZj‡hvM¨ †iqv‡Zi cwigvY .................................................UvKv|
4| wbgœwjwLZ wel‡q AvcwË Av‡Q :
cÖ‡hvR¨ μwgK msL¨v gšÍe¨ cÖ‡hvR¨ μwgK msL¨v gšÍe¨

5| DwjøwLZ AvcwËi Kvi‡Y mycvwikK…Z evwZj‡hvM¨ †iqv‡Zi cwigvY ...........UvKv|

6| cÖ_g Abywjwc M„nxZ nBj Ges wØZxq Abywjwc mycvwikmn Ki`vZv KZ©„c¶‡K cÖ`vb Kiv nBj|

1
[ivR¯^ Kg©KZ©v]-Gi ¯^v¶i
ZvwiL : bvg:.............................

(wefvMxq Kg©KZ©vi `ßi c~iY Kwi‡e)

1
1| [ivR¯^ Kg©KZ©v]-Gi 1g ev 2q mycvwi‡ki wfwˇZ DcKiYmg~n DwjøwLZ g~‡j¨ weμ‡qi AbygwZ ev aŸsm Kwievi wb‡`©k
cÖ`vb Kiv nBj|
2| ¶wZMÖ¯Í DcKiY ....................... UvKvq weμq‡hvM¨ ewjqv wbY©xZ nIqvq weμq g~j¨ I cÖK…Z g~‡j¨i Abycv‡Z
.............. UvKvi †iqvZ evwZj Kivi wb‡`©k cÖ`vb Kiv nBj|
3| DcKiY m¤ú~Y©iƒ‡c aŸsmcÖvß ewjqv MY¨ nIqvq ..............................UvKvi †iqvZ evwZj Kiv nBj|
4| AvswkKfv‡e aŸsm‡hvM¨ weavq aŸsm‡hvM¨ DcKi‡Yi cwigvY.......................... UvKv; aŸs‡mi mg‡q Dcw¯’Z Kg©KZ©vi
bvg.............................................|
5| †iqvZ evwZjK…Z.................UvKv PjwZ wnmv‡e mgš^‡qi Rb¨ wb‡`©k cÖ`vb Kiv nBj|
6| Avcbvi Av‡e`b wb‡gœv³ Kvi‡Y evwZj Kiv nBj : ......................................

wefvMxq Kg©KZ©vi ¯^v¶i

ZvwiL :...................... bvg :........................

1
g~mK GmAviI bs 564, ZvwiL : 30/06/2010