ÒQKÓeivei

Dc-cywjk Kwgkbvi (m`i `ßi)XvKv †g‡UªvcwjUb cywjk36, knx` K¨v‡Þb gbmyi Avjx miYxigbv, XvKv-1000|

welqt.................................................................................c‡`

wb‡qv‡Mi Rb¨ Av‡e`b|

1| bvg

t.....................................................................................|

2| wcZv/¯^vgxi bvg

t.....................................................................................|

3| gvZvi bvg

t.....................................................................................|

4| eZ©gvb †hvMv‡hv‡Mi wVKvbv

t.....................................................................................|

................................................................................

......|

5| ¯’vqx wVKvbv

t.....................................................................................|

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6| wbR †Rjv

t.....................................................................................|

7| Rb¥ ZvwiL

t.....................................................................................|

Ges 01-11-2012 wLªt Zvwi‡L mwVK

eqmt.........ermi.......................gvm.....................w`b|

8| †Kvb we‡kl †KvUvq Av‡e`b K‡i _vK‡j †KvUvi

bvg........................................|

9| wkÿvMZ †hvM¨Zvi weeiYt

cixÿvi bvg wefvM/†MÖW/†kªYx mb

‡evW©/wek¦we`¨vjq

K)

L)

M)

N)

Qwe

‡ivj bs-

10| Ab¨vb¨ †hvM¨Zv/AwfÁZvi eY©bv (hw` _v‡K) t

11| ‡UªRvix Pvjvb b¤^i t............................................ ZvwiL

t.......................................

e¨vs‡Ki bvg

t...............................................................................................

Av‡e`bKvixi ¯^vÿi I

ZvwiL

mshyw³ mg~‡ni eY©bv t

1|...................................................................

2|...................................................................

3|...................................................................

4|....................................................................

5|....................................................................

cÖ‡ek cÎ

MYcÖRvZš¿x evsjv‡`k miKvi

evsjv‡`k cywjk

XvKv †g‡UªvcwjUb cywjk †nW‡KvqvU©vm©

36, knx` K¨v‡Þb gbmyi Avjx miYx, igbv, XvKv-1000|

(evg cv‡k¦©i Ask Awdm KZ©©„K c~iYxq) (Wvb cv‡k¦©i Ask cÖv_x© KZ…©K c~iYxq)

‡ivj bs-†Rjv t........................................ c‡`i bvg

t..................................................

cixÿv †K‡›`ªi bvg t........................................ bvg

t.................................................. cixÿvi ZvwiL

t..........................................wcZv/¯^vgxi

bvgt ...............................................

cixÿvi mgq t........................................ eZ©gvb †hvMv‡hv‡Mi

wVKvbv t.................................

.....................................................

...............

.....................................................

...............

‡ivj bs-Qwe

(AvVv w`‡q jvMv‡Z n‡e)

.......................................................................................................................................

cÖ‡ek cÎ

MYcÖRvZš¿x evsjv‡`k miKvi

evsjv‡`k cywjk

XvKv †g‡UªvcwjUb cywjk †nW‡KvqvU©vm©

36, knx` K¨v‡Þb gbmyi Avjx miYx, igbv, XvKv-1000|

(evg cv‡k¦©i Ask Awdm KZ©©„K c~iYxq) (Wvb cv‡k¦©i Ask cÖv_x© KZ…©K c~iYxq)

‡ivj bs-†Rjv t........................................ c‡`i bvg

t..................................................

cixÿv †K‡›`ªi bvg t........................................ bvg

t.................................................. cixÿvi ZvwiL

t..........................................wcZv/¯^vgxi

bvgt ...............................................

cixÿvi mgq t........................................ eZ©gvb †hvMv‡hv‡Mi

wVKvbv t.................................

.....................................................

...............

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................. .............................

.......................................

‡ivj bs-Qwe

(AvVv w`‡q jvMv‡Z n‡e)