QksVks

dEI;wVj }kjk tkjh ykHkik= igpku dksM ua0&&&&&&&&&&&&&&&&&&&&

lkekftd U;k; ,oa vf/kdkfjrk foHkkx] gfj;k.kk
d”ehjh foLFkkfir ifjokjksa ds fy;s foŸkh; lgk;rk vkosnu&i=
ftyk ........................ [k.M@”kgj ........................... xzke@okMZ ............................. vkosnu frfFk .............................
1- ifjokj ds eqf[k;k dk uke Jh@Jherh................................................................... iq:’k efgyk
2- firk@ifr dk uke Jh....................................................iq= Jh.........................................
3. vk;q tUe frfFk ------------------------------------------ vk;q ------------------------------------------------------
4- iw.kZ LFkkbZ irk -------------------------------------------------------------------------------------------------------------------------------------
5- orZeku irk ------------------------------------------------------------------------------------------------------------------------------------
6- Mkd fiu dksM

7- vk/kkj dkMZ la[;k¼vko”;d gSa½

8- vki ds xkao@okMZ esa ykHkik= iSa”ku fdl ek/;e ls izkIr dj jgs gS \ ml ek/;e ds cSad@Mkd[kkus@
ch0lh0,0 ds ikl [kkrs dk fooj.k nsAa cSad@Mkd[kkus dk uke -------------------------------------------“kk[kk ---------------------------------
vkbZ0,Q0,l0lh0dksM ------------------------------------------------ [kkrk la[;k -------------------------------------------------------------------------------------------
9- dSVkfxjh ,l0lh0 ch0lh0 lkekU;
10- d”ehj esa jgus ds le; ifjokj ds lnL;ksa dk fooj.k
uke vkosnd ds lkFk lEcU/k
¼1½
¼2½
¼3½
¼4½
¼5½
11- D;k vkosnd fdlh ljdkjh@v/kZljdkjh@LFkkuh; gka ugha
fudk;@cksMZ@fuxe@;k fdlh m|e esa ukSdjh
dj jgk gSa@lsokfuo`r gqvk gS \
;fn gka] rks iw.kZ fooj.k nsA ............................................................................................................

12- vkosnd fdlh ljdkjh@v/kZ ljdkjh@LFkkuh; fudk;@

cksMZ@fuxe@laxBu@dEiuh] ftlesa fdlh Hkh ljdkj@ gka ugha
LFkkuh; fudk; }kjk foŸkh; fuos”k@lgk;rk iznku
dh tkrh gS] ls vk;@isa”ku@ikfjokfjd is”a ku izkIr
dj jgk gS \
13- ifjokj dh lHkh lk/kuksa ls okf’kZd vk; ................................................................................................
¼blesa osru lHkh izdkj dh is”a ku] ikfjokfjd is”a ku]
ih0,Q0 ij feyus okyk C;kt vkfn Hkh “kkfey gSA½
14- xjhch js[kk lwfp la[;k@ ..................................................................................................
Lkkekftd vkfFkZd tkrh; x.kuk la[;k

15- tEew&d”ehj ls foLFkkfir gksdj gfj;k.kk

esa dc ls jg jgs gSaA .................................................................................................
¼foLFkkiu dk izek.k&i= lyaXu djs½
16- eksckbZy Qksu ua0

ifjokj ds eqf[k;k ds gLrk{kj@vaxwBs dk fu”kku

 &2&
“kiFk
eSa] Jh@Jherh@dq0 .................................................... iq=@iq=h@iRuh@Jh ...............................................

fuoklh ...........................................................................................................................................................................
lR;fu’BkiwoZd ?kks’k.kk djrk@djrh gwa fd Åij fn;k x;k fooj.k esjs loksZre Kku vkSj fo”okl vuqlkj Bhd ,oa
lR; gSA ;fn esjs }kjk xyr rF; crkdj foŸkh; lgk;rk izkIr dh xbZ] rks ljdkj dks esjh lHkh izdkj dh
isa”ku@foŸkh; lgk;rk cUn djus o 12 izfr”kr C;kt lfgr izkIr dh xbZ jkf”k dks olwy djus dk vf/kdkj gksxkA
esjh isa”ku vkbZ0Mh0 ds lkFk] esjh vk/kkj la[;k dks tksM+us o cSadksa@ljdkjh foHkkxks ds lkFk lwpuk lka>k djus ij]
eq>s dksbZ vkifŸk ugh gaSA ;fn esjs }kjk rhu ekl esa ,d ckj iSa”ku jkf”k ck;kseSfVªd i}fr@MsfcV okÅpj ls ugh
fudyokbZ tkrh gS ;k fQj thou izek.ki= ugha fn;k tkrk gS rks foHkkx dks esjh foŸkh; lgk;rk cUn djus o esjs
[kkrs esa tek foŸkh; lgk;rk jkf”k dks okfil ysus dk vf/kdkj gksxkA

lR;kiu ¼lEcfU/kr ljiap@uEcjnkj@okMZ ik’kZn@jktif=r vf/kdkjh }kjk½ vkosnd ds gLrk{kj@vaxwBs dk fu”kku

uke ................................................................... in ...................................................................

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
¼dsoy dk;kZy; iz;ksx gsrq½
ftyk lekt dY;k.k vf/kdkjh

Lohd`r vLohd`r

uksV%& ;fn vkosnu QkeZ vLohd`r fd;k gS rks vLohd`fr dk dkj.k nsosa------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

frfFk ................................... gLrk{kj ..................................................