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2009 þ se {]hmkn tIc-fo-b-cpsS t£a ]²Xn t^mdw \¼Àþ1kn

(JWvUnI 15 (1F), (1_n) ImWpI)

ImäKdn amä¯n\pff At]£

1. At]-£-Isâ/ At]£IbpsS t]cv : _______________________________________________ 2. \nehnepff AwKXz \¼cpw AwKXzw

{]m_ey¯nÂ h¶ XobXnbpw : _______________________________________________

3. Ct¸mÄ \nehnepff ImäKdn : {]hmkn tIc-fo-b³ (hn-tZ-iw) 1(F) Xncn¨p-h¶ {]hm-kn tIcfo-b³ (hn-tZiw)þ1_n

4. amäw Bhiys¸Sp¶ ImäKdn : {]hmkn tIc-fo-b³ (hn-tZ-iw) 1(F) Xncn¨p-h¶ {]hm-kn tIcfo-b³ (hn-tZiw)þ1_n

5. AwiZmbambn AS¨ BsI XpI : _______________________________________________

6. tIcf¯nÂ I¯nS]mSv \S¯p¶Xn\pff _______________________________________________ ]qÀ® taÂhnemkw _______________________________________________ (sSen t^m¬ \¼À, _______________________________________________ ]n³tImUv, CþsabnÂ DÄs¸sS) _______________________________________________

1 _n þbnte¡v amdp¶hÀ¡v 7. hntZi¯v tPmen sNbvX Imebfhv ………………………….. apXÂ…………….………….. hsc

8. \m«nÂ Xncns¨¯nb XobXn : _______________________________________________ (1_n þbnte¡mWv amäw th−sX¦nÂ an\naw c−v hÀjw hntZi¯v Xmakn¨Xv sXfnbn¡p¶ hnkbpsS km£ys¸Sp¯nb ]IÀ¸pw Ct¸mÄ \m«nÂ Øncambn

Xmakn¡p¶p F¶Xn\v KkäUv HmôkÀ /hntÃPv HmôkÀ/Xt±i kzbw`cW Øm]\¯nsâ {]knUâv AsÃ¦nÂ sk{I«dn \ÂInb km£y]{Xhpw

lmPcm¡Ww)

1 F þbnte¡v amdp¶hÀ¡v 9. ho−pw hntZi¯v t]mbXnsâ ]qÀ® hnhcw : _______________________________________________

(t]mb XobXn, GXv cmPyt¯¡mWv, _______________________________________________

hnkbpsS Imemh[n) _______________________________________________ 10. hntZi cmPys¯ hnemkw : _______________________________________________

_______________________________________________ (1Fþbnte¡mWv amäw th−sX¦nÂ {]m_ey¯nepff hnkbpsS km£ys¸Sp¯nb ]IÀ¸v lmPcm¡Ww. hntZi¯v \n¶v At]£n¡pIbmsW¦nÂ kzbw

km£ys¸Sp¯nbmÂ aXn.

11. aäv hnhc§Ä : _______________________________________________

km£y]{Xw taÂ]dª hnhc§Ä Fsâ Adnhnepw D¯a hnizmk¯nepw kXy-am-sW¶pw hnk d±mbn \m«nÂ Xncn-̈ p-h-cp-t¼mtgm

ho−pw hntZ-i¯v t]mIp-t¼mtgm hnhcw bYm-k-abw t£a\n[n t_mÀUns\ Adnbn¨p-sIm-Åm-sa¶pw km£y-s¸-Sp-¯nsIm-Åp-¶p. ImäKdn amdp¶X\pkcn¨v AwiZmbw IpSnÈnI XoÀ¯v ASbv¡Wsa¶pw Hcp XhW am{Xsa ImäKdn amäw A\phZn¡pIbpffp F¶pw Rm³ a\Ênem¡p¶p.

Øew : XobXn : At]-£-Isâ t]cpw, H¸pw

Hmôkv D]-tbm-K-¯n\v

1. At]£ e`n¨ XobXn :

2. \nehnepff AwKXz \¼À :

3. amäw hcp¯nb AwKXz ImäKdn :

4. ImäKdn amäw {]m_ey¯nÂ h¶ XobXn : No v̂/ taJe/PnÃm FIvkn-Iyq-«ohv Hmô-kÀ

Øew : XobXn :

Hcp IfÀ t^mt«m

]Xn-¡pI

3.5 cm x 3.5 cm

\n_-Ô-\-IÄ

1. AwKXz Imä-Kdn hrXn-bm\w Hcp XhW am{Xta A\p-h-Zn-¡p-I-bp-f-fq.

2. AwKXz hrXn-bm\w hcp-¯nb Imä-Kdn {]Im-c-ap-ff B\p-Iq-ey-§Ä¡p am{Xta AwK-¯n\v AÀl-X-bp-−m-bn-cn-¡p-I-bp-f-fq.

3. Imä-Kdn hrXn-bm\w hcp-¯p-t¼mÄ BsI AS-¨n-«p-ff Awi-Zmbw hrXn-bm\w hcp-̄ -s¸« Imä-Kdn {]Imcw AwKXz XobXn apXÂ ]p\:{Iao-I-cn-¡p-¶-Xm-Wv. C{]-Imcw AwKXzw ]p\:{Iao-I-cn-¡p-t¼mÄ

(F) Bh-iy-am-b-XnÂ IqSp-XÂ XpI Awi-Zm-b-ambn AS-¨n-«p-s− -¦nÂ Sn XpI (]-eni IqSm- sX)AwK-̄ n\v 60 hbÊv ]qÀ¯nbm-Ip¶ apdbv¡v XncnsI \evIp-¶-Xm-Wv.

(_n) A[n-I-ambn AS-bvt¡−n hcp¶ Awi-Zmb XpI (]-eni CuSm-¡p-¶-X-Ã) ]c-am-h[n c−v KUp-¡-fmbn Imä-Kdn amäw \ne-hnÂ h¶v c−v amk-¯n-\p-f-fnÂ AS-¨p-XoÀ t¡− -Xm-Wv.

4. {]hmkn tIc-fo-b³ (hn-tZ-iw) (1F Imä-K-dn) Btbm Xncn-¨p-h¶ {]hmkn tIc-fo-b³ (hntZiw) (1_n Imä-K-dn) Btbm cPn-ÌÀ sNbvX tijw hntZ-i-̄ p-\n¶v aS§nh-cn-Itbm hntZ-i¯v XncnsI t]mIp-Itbm sN¿p¶ GsXmcp AwK-¯n\pw AhÀ GXv Imä-K-dn-bn-emtWm DÄs¸-«n-cp-¶Xv AXmXv Imä-K-dn-I-fnÂ Xs¶ XpS-cm-hp-¶Xpw B Imä-K-dn- {]Im-c-ap-ff B\p-Iq-ey-§Ä¡v AÀl-X-bp-−m-bn-cn-¡p-¶-Xpam-Wv.

5. Hcp hÀj-̄ nÂ IqSp-XÂ Awi-Zmb IpSn-ÈnI hcp-̄ n-b-XpsIm−v AwKXzw kzta-[bm d±mb AwK-§-fpsS Imä-Kdn hrXn-bm-\-̄ n-\m-bp-ff At]£ ]-cn-K-Wn-¡p-¶-X-Ã.

6. \ne-hn-ep-ff AwKXzw d±m-bn-t]m-bn-«ps−¦nÂ IpSn-Èn-I-bmb Awi-Zm-bhpw kÀ¡mÀ \nÝ-bn¨n-«p-ff 14% ]ngbpw 1% ]ng ]en-ibpw tNÀ v̄ AS¨v AwKXzw ]p\:Øm]n- -̈Xn\v tijw Imä-Kdn hrXn-bm\w kw_-Ôn¨ At]£ kaÀ¸n-¡m-hp-¶-Xm-Wv.

hnizkv-X-X-tbm-sS,

Sd/‐

No v̂ FIvkn-Iyq-«ohv Hm^o-kÀ

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