Annexure-B

dsUnz ,oa jkT; vU; fiNMk oxZ ds fy;s vkosnu i= dk izk:i

1- vkosnd ds ifjokj dh tuk/kkj dkMZ la[;k%&

2- vkosnd dk iqjk uke%&----------------------------------------------------------------------------------------- izkFkhZ dk
3- tUe frfFk%& ------------------------------------------------------------------------------------------ dyj QksVksa
4- fuokl dk iw.kZ irk%& -------------------------------------------------------------------------------------------
¼d½ orZeku irk%& --------------------------------------------------------------------------------------------
¼[k½ LFkk;h irk%& - ---------------------------------------------------------------------------------------------

D;k vki@vkidk ifjokj jktLFkku ds ewy fuoklh gSa% gka ugh

;fn ugh gSa rks vkosnd dk ewy jkT; ------------------------------- ftyk ---------------------------- rglhy-------------------------------- irk------------------------------

5- /keZ%& -----------------------------------------------------------------------------------------------------------------------------------
6- Tkkfr%& ------------------------------------------------------------------------------------------------------------------------------------
7- mitkfr%&--------------------------------------------------------------------------------------------------------------------------------
8- mithfodk&oxZ%&-------------------------------------------------------------------------------------------------------------------
9- vkosnd dsUnz v-fi-oxZ ds fy, ;k jkT; v-fi- oxZ ds fy, fd;k tk jgk gSa dsUnz jkT;

10- v-fi-o- dh dsUnz@jkT; lwph esa

tkfr dk Øe la[;kad%&-------------------------------------------------------------------------------------------------------
11- vkosnd ds firk dk uke%& ------------------------------------------------------------------------------------------------
12- vkosnd dh ekrk dk uke%&-------------------------------------------------------------------------------------------------
13- ekrk&firk dk uke Kkr ugha gksus dh n'kk esa lj{kd dk uke%&---------------------------
14- vkosnd ds ifr dk uke%&---------------------------------------------------------------------------------------------------
15- vkosnd dk eksckbZy uacj%&-------------------------------------------------------------------------------------------------
16- ekrk&firk dh izkfLFkfr%&-----------------------------------------------------------------------------------------------------
 firk ekrk ifr

¼d½ laoS/kkfud in% ----------------------------- ------------------------------- --------------------------

¼[k½ in dk uke% ----------------------------- ------------------------------- --------------------------

¼x½ ljdkjh lsok;s% ----------------------------- ------------------------------- --------------------------

firk ekrk ifr

(i) lsok¼dsfUnz;@jkT;½ ----------------------------- ------------------------------- --------------------------

(i i) in uke ----------------------------- ------------------------------- --------------------------

(iii)osrueku] oxhZdj.k lfgr] ;fn dksbZ gks

(iv)in ij fu;qfDr dh rkfj[k

(v)oxZ@in ij inksUUkfr ds le;%

vk;q ¼;fn ykxw gks½

¼/k½ vUrjjk"Vªh; laxBu mnkgj.kkFkZ la;qDr jk"Vª];wfulsQ] fo”o LokLF; laxBu es fu;kstu

(i) laxBu dk uke% --------------------------------------------------------------------------------------------------------------------

(ii)in dk uke% --------------------------------------------------------------------------------------------------------------------

(iii)lsok dh dkyko/kh% --------------------------------------------------------------------------------------------------------------

¼fnukad ------------------------------------------------------ lsa----------------------------------------------------- rd½

(iv)e`R;w@ LFkkbZ v{kerk¼;fn ykxw ugh gks rks NksM fnft;s½a

(v)e`R;q@vf/kdkjh dh LFkk;h v{kerk dh rkjh[k tc ls og lsok ds v;ksX; gks x;k gksA

(vi)LFkk;h v{kerk dk C;kSjk%

 ¼M½ ifCyd lsDVj miØe vkfn ls fu;kstu

(i) laxBu dk uke%

(ii) in dk uke%

(iii) in ij fu;qfDr dh rkjh[k

¼p½ iSjk fefyVjh cyksa dks lfEefyr djrs gq;s l'kL= cy

¼blesa flfoy inksa dks /kkj.k djus okys O;fDr lfEefyr ugh gksaxsa½

(i) in uke%

(ii) osrueku%

¼N½ O;olk; oxZ¼mudks NksMdj tks en la[;k ¼[k½vkSj¼x½ ds vUrxZr vkrs gS vkSj
O;kikj] dkjksckj vkSj m/kksx es yxs gq, O;fDrA
(i) mi&thfodk@o`fRr

¼t½ laifRr ds Lokeh

¼>½ d`f’k tksrs ¼ekrk]firk vkSj vo;Ld cPpksa ds LokfeRo esa½

¼1-½v/kfLFkfr
¼2-½tksr dk vkdkj
¼3-½d& flafpr
[k& flafpr Hkwfe dk izdkj

1- -
2- -
3- -
Xk& vflafpr

¼4-½ jkT; Hkwfe vf/kdre lhek {ks= fo"k;ksa ds v/khu dkuwuh vf/kdre lhek {ks= esa flafpr

tksr dk izfr'krA
¼5-½;fn tksr flafpr@vflafpr nksuksa izdkj dh gS rks& jkT; Hkwfe vf/kdre lhek {ks= fof/k esa
laifjorZu QkeZyk ds vk/kkj ij dqy flafpr tksrA
¼6-½ 4 vkSj 5 ds vuqlkj vf/kdre lhek {ks= es dqy flafpr tksr dk izfr'krA
¼d½ ckxku
(i) Qly@Qy
(ii) vofLFkfr
(iii) ckxku dk {ks=
¼[k½ uxfj; {ks=ksa ;k uxj cLrh es fjDr Hkwfe vkSj@ ;k Hkou
(i) lEifRr dh vofLFkfrA
(ii) lEifRr dk C;kSjkA
(iii) mi;ksx ftlds fy, og j[kh x;h gksA
¼x½ vk;@/ku
(i) leLRk L=ksrksa ls dqVqEc dh okf"kZd vk;¼osruksa vkSj d`f"k Hkwfe ls vk; dks vioftZr djrs gq,½
(ii) D;k djnkrk gS ¼gka@ugh½ ¼ ½ ;fn gka rks rhu o"kZ dh izfr nh tkosAa
(iii) D;k /ku dj vf/kfu;e ds varxZr vkrk gS ¼gka@ugha½ ¼;fn ,slk gsrks C;kSjk nhft,s½a
¼/k½ vU; dksbZ vH;qfDr;kWa
¼M½ eSa izekf.kr djrk gwa fd mi;qZDr fof'k"Bh;k esjs lokZsRre Kku vkSj fo”okl ds vuqlkj lR; gS vkSj fd
eSa vU; fiNMsa oxkZsa dh Øhehfy;j dk gwa ;k ugh gwa vksj vU; fiNMsa oxkZas ds fy, vkjf{kr inks ads fy,
fopkj fd;s tkus dk ik= gwaA p;u ds iwoZ ;k i'pkr fdlh Hkh lwpuk ds feF;k ;k xry Ikk;s tkus dh
n'kk esa ;k vik=rk dk irk pyus ij] eS le>rk gwa fd vH;FkZrk@ fu;qfDr j} dj.kh; gksxh vkSj eSa ,slh
dk;Zokgh ds fy, mRRknk;h gksmaxk tks fof/k ;k fu;eksa ds micaf/kr dh tk;saA

LFkku%
Hkonh;

fnukad% vH;FkhZ ds gLrk{kj

¼i½ xokg˟ %
eSa iq=@iq=h Jh fuoklh foHkkx dk uke in
ij dk;Zjr gwa ,oa “kiFk iwoZd c;ku djrk gwa fd izkFkhZ@izkFkhZ;k iq=@iq=h Jh
fuoklh dks Hkyh izdkj ls tkurk gwa ;s vU; fiNM+k oxZ dh mitkfr
dk dh gS] rFkk muds }kjk layXu c;ku esjs le{k fn;k x;k gS tks iw.kZ lR; gSA

¼gLrk{kj xokg@mÙkjnk;h o;fDr½

¼ii½ xokg˟ %
eSa iq=@iq=h Jh fuoklh foHkkx dk uke in
ij dk;Zjr gwa ,oa “kiFk iwoZd c;ku djrk gwa fd izkFkhZ@izkFkhZ;k iq=@iq=h Jh
fuoklh dks Hkyh izdkj ls tkurk gwa ;s vU; fiNM+k oxZ dh mitkfr
dk dh gS] rFkk muds }kjk layXu c;ku esjs le{k fn;k x;k gS tks iw.kZ lR; gSA

¼gLrk{kj xokg@mÙkjnk;h o;fDr½

“kiFk&i=
eSa----------------------------------iq=@iq=h Jh---------------------------------fuoklh------------------------------xkao@”kgj------------------------------rglhy---------------------ftyk--------
jktLFkku dk@dh gwAa eS “kiFk iwod Z c;ku djrk@djrh gwa fd %
¼1½ eSa jktLFkku ds vU;@fo”ks’k fiNM+k oxZ dh vf/kÑr lwph esa lfEefyr tkfr------------------------------------------------------dk@dh lnL; gwa
¼2½ eSa mijksDr izdj.kksa dh lk{; gsrq vko”;d izek.k@lk{; miyC/k djkus dks rS;kj gwAa
¼3½ eSa vkSj esjk ifjokj vU; jkT; ls jktLFkku jkT; esa ekbZxszV ¼foLFkkfir½ gksdj ugha vk;s gSA
¼4½ ;g fd eSaus fdlh Hkh ftys@izns”k ls tkfr dk izek.k i= ugh cuok;k gSA
gLrk{kj “kiFkxzfgrk

tkfr dh iqf’V gsrq izFker;k% jktLo fjdkMZ ;Fkk Hkwfe tekacnh ;k vU; nLrkost vkWuykbZu miyC/k ugh
gksus dh fLFkfr esa gYdk iVokj tk¡p fjiksVZ
Jheku~ eqrkfcd tk¡p] xokgksa ,oa “kiFk i= ds vk/kkj ij vkosnd Jh@Jherh@dqekjh------------------------------------------------------------iq=@iq=h
Jh--------------------------------------------fuoklh-------------------------------------------ds@dh gSA ;g vU;@fo”ks’k fiNM+s oxZ dh tkfr------------------------------------------
dk@dh gSA izkFkhZ dk jk”ku dkMZ uEcj--------------------------------------------------------
fnukad
gLrk{kj iVokjh
gYdk ua--------------------------------------
rglhy---------------------------------------
mi[k.M--------------------------------------
ftyk-------------------------------------------

1- vkosnd dh uohure QksVks ftls vkosnu i= ij fn;s x;s LFkku ij fpidk,a ¼LVsiy ugh djuk gS½
2- Loa; ;k firk dh tkfr ds lk{; gsrq izek.k i= tSls& izFker;k jktLo fjdkMZ ;Fkk Hkwfe dh tekcanh ,oa vko”;d
gks rks uxjikfydk@fodkl izkf/kdj.k@uxj fodkl U;kl@xzke iapk;r }kjk tkjh Hkw[k.M ds iV~Vs ftlesa tkfr
vafdr gks dh izekf.kr izfr ;fn vkWu ykbZu ugha gks rksA
3- vk; izek.k i=@vk; dj fjVuZ lEcU/kh nLrkost dh izfr ;fn vkWuykbZu nLrkost ugha gks rksA
4- vkosnu i= esa fn;s x;s “kiFk i= dks mRrjnk;h O;fDr ls lR;kfir djkosAa
5- nks mÙkjnk;h O;fDr;ksa ds izek.k i= ;Fkk& laln lnL;@fo/kku lHkk lnL;@jktdh; vf/kdkjh&deZpkjh@ftyk
izeq[k@iz/kku@ftyk ifj’kn lnL;@ljiap@xzke lsod@iVokjh@egkikSj ¼lpho½@uxj fuxe lnL;@uxj
ikfydk v/;{k@Ldwy ds gsM ekLVj@lacaf/kr ih-,p-lh-@lh-,p-lh ds MkWDVj@ch-Mh-vks-@lgk;d vfHk;Urk
6- iqjkuk tkfr izek.k i= dh izfr ;fn vkWuykbZu ugh gks rksA
 ifjf'k"B & vkbZ
vk; dk ?kks"k.kk & i=
vkosnu lEcU/kh vko';d lwpuk ¼oSdfYid fcUnq √dks ls p;u djsa½

01- izkFkhZ dk uke % uohure QksVks

fpidk;sa
02- firk dk uke %
03- fuokl LFkku dk iw.kZ irk %&
¼d½ orZeku irk %
¼[k½ LFkkbZ irk %

04- xkao @'kgj rglhy ftyk

05- tUe fnukad tUe LFkku mez

06- fyax iq:"k efgyk oSokfgd fLFkfr fookfgr vfookfgr

07- /keZ ¼vkosnd½ tkfr mitkfr

08- D;k vki @ vkidk ifjokj jkTkLFkku ds ewy fuoklh gSa \ gk¡ ugha
09- D;k vki vk;dj nkrk gSa \ gk¡ ugha
10- eksckbZy uEcj
11- isu dkMZ gksus dh n'kk esa isu dkMZ uEcj ------------------------------------,oa vk;dj foHkkx dh fjVuZ dh
v|ru izfr layXu djsaA
12- fVu uEcj gksus dh n'kk esa fVu uEcj ---------------------------------------- ,oa okf.kT; dj foHkkx dh fjVuZ
dh v|ru izfr layXu djsaA
13- ifjokj ds lnL; o mudh okf"kZd vk; dk fooj.k %&
Ø- lnL; dk uke mez eqf[k;k ls vk;@O;olk; o okf"kZd vk;
l- lEcU/k mldh izd`fr ¼:Ik;s½

vU; L=ksr ls vk; ¼;Fkk edku fdjk;k] C;kt] isa'ku]'ks;j] E;wpqvy Q.M½ -----------------------------------
14- mDr rF;ksa ds lR;kiu Lo:Ik nks mÙknk;h O;fDr;ksa dh lk{; izek.k i= ,oa Lo;a dk 'kiFk
i= layXu djasA
eSa rLnhd djrk@djrh gw¡ fd mijksDr fooj.k esjh tkudkjh ,oa fo'okl ds vuqlkj lgh gSa A
fnuakd % --------------------------
LFkku % --------------------------- izkFkhZ ds gLrk{kj
 ifjf'k"B & tss
'kiFk i=

uohure QkVs ks
fpidk;sa

eS-a--------------------------------------------------------iq=@iq=h@iRuh Jh -----------------------------------------------------------------------------
mez--------------------- o"kZ] fuoklh -------------------------------------------------rglhy --------------------------ftyk -------------------
jkT; ----------------------------------------- 'kiFk iowZd fuEu c;ku djrk @djrh gaw fd &
01- ;g gS fd eq>s o esjs ifjokj dh okf"kd
Z vk; ¼o"kZ ---------------½ ds izek.k Lo:Ik esa mn~?kk"sk.kk
djrh gS A
02- ;g gS fd eq>s o ejss ifjokj dh okf"kd
Z vk; ¼o"kZ -----------½ ds rF;kRed tkudkjh
fuEukuqlkj gS &
Ø-l- ifjokj ds lnL; dk uke O;olk; izkFkhZ ls okf"kZd vk;
lEcU/k ¼:Ik;s esa½
1 2 3 4 5

;ksx
03- ;g gS fd esjs ifjokj ds lnL;ksa }kjk /kkfjr Hkwfe @o uks'kuy 'ks;j ds /kkfjr dqy Hkwfe
dk fooj.k bl izdkj gS &
xkao dk uke rglhy [kljk uEcj jdck flafpr@ okf"kZd vk;
vflafpr
1 2 3 4 5 6

04- ;g gS fd esjs ifjokj es vU; L=ksr ls vk; fuEu izdkj gS &

Ø-l- vk; ds vU; L=ksr okf"kZd vk;
¼;Fkk Hkou lEifr fdjk;k] C;kt]isa'ku] 'ks;j] E;wP;wyQ.M
vkfn ls vk;½
1 2 3

dqy leLr okf"kZd vk; pj.k¼iSjk½ 2]3]4 dk ;ksx

05- ;g gS fd eSa 'kiFk iwoZd ?kksf"kr djrk @djrh gwaW fd mijksDrkuqlkj esjs ifjokj dh dqy@
leLr okf"kZd vk; --------------------------------------- :Ik;s v{kjs ------------------------------------------------- :Ik;s gSaA
06- ;g gS fd eSa 'kiFk iwoZd ?kksf"kr djrk @djrh gwaW fd esjs ifjokj ds fdlh lnL; us foxr
esa mDr vafdr okf"kZd vk; ls fHkUu vk; fdlh iz;kstukFkZ ugha n'kkZ;h gS rFkk ugh bl
ckcr~ dksbZ vk; izek.k i= izkIr fd;k gSA
07- ;g gS fd eSa 'kiFk iwoZd ?kksf"kr djrk @djrh gwaW fd ;g rF; esjh tkudkjh esa gS f dbl
'kiFk i= esa vafdr rF; ,oa 'kiFk iwoZd mn~?kksf"kr okf"kZd vk; dk xyr vFkok fEkF;k
gksuk Hkkjrh; n.M lafgrk ds vUrxZr n.Muh; vijk/k gSA
gLrk{kj 'kiFkxzfgrk
 lR;kiu

eSa 'kiFk iwoZd ?kks"k.kk djrk@djrh gwaW fd 'kiFk i= dh pj.k la[;k 1 ls 7 esjh futh
tkudkjh ls fy[kk;k x;k gS tks lgh gS ! blesa dksbZ rF; ugha Nqik;k x;k gS vkSj u gh
vlR; fy[kk gS A bZ'oj lk{kh gSA

gLrk{kj 'kiFkxzfgrk

gLrk{kj igpkudrkZ
1- ----------------------------------------------------------------
2- ----------------------------------------------------------------
¼uke] irk] LFkku o fnukad lfgr½

izek.khdj.k

mijksDr 'kiFkdrkZ uke ------------------------------------------------------- firk dk uke -----------------------------------------------

tkfr --------------------------mez --------------- o"kZ ] fuoklh --------------------------------------------------------------------------- us esjs le{k
mifLFkr gksdj 'kiFkiwoZd mDrkuqlkj vfHkdFku fd;k gS ftls izek.khd`r fd;k tkrk gSA izkFkhZ dh
igpku ---------------------------------------------------- ds }kjk dh xbZ gSA

LFkku % -----------------------------
fnuakd % ----------------------------
gLrk{kj
izek.khdj.k vf/kdkjh ¼dk;Zikyd eftLVªsV@uksVsjhifCyd½
dk uke o in e; lhy
 ifjf'k"B & ds

mÙkjnk;h O;fDr;ksa ds lk{; izek.k i=

(i) xokg *
eSa-------------------------------------------------------------------------------------- iq=@iq=h Jh -----------------------------------------------------
fuoklh -----------------------------------------------------------------------------------------------------------------------------------------------------------
foHkkx dk uke ------------------------------------------------------------------------------------- in------------------------------------------------------
ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gWwa fd
izkFkhZ @izkFkhZ;k ----------------------------------------------------------------- iq=@iq=h Jh ---------------------------------------------------------
fuoklh ---------------------------------------------------------------------------------------------------------------------------------------------------------------------
dks Hkyh izdkj tkurk gwWa budh okf"kZd vk; ------------------------------------ :Ik;s gS] blds vykok izkFkhZ
ds ikl vk; dk dksbZ vU; L=ksr ugha gSA

gLrk{kj@mRrjnk;h xokg
uke ---------------------------------------------------- fnukad ---------------

(ii) xokg *
eSa-------------------------------------------------------------------------------------- iq=@iq=h Jh -----------------------------------------------------
fuoklh -----------------------------------------------------------------------------------------------------------------------------------------------------------
foHkkx dk uke ------------------------------------------------------------------------------------- in----------------------------------------------------
ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gWwa fd
izkFkhZ @izkFkhZ;k ----------------------------------------------------------------- iq=@iq=h Jh ---------------------------------------------------------
fuoklh ---------------------------------------------------------------------------------------------------------------------------------------------------------------------
dks Hkyh izdkj tkurk gwWa budh okf"kZd vk; ------------------------------------ :Ik;s gS] blds vykok izkFkhZ
ds ikl vk; dk dksbZ vU; L=ksr ugha gSA

gLrk{kj@mRrjnk;h xokg
uke ---------------------------------------------------- fnukad ---------------

uksV%& vkonsd dh uohure QksVks ftls vkosnu i= esa fn;s x;s LFkku ij fpidk,sa ¼LVsiy ugha djuk gS½ rFkk mls
vfHk'ka"kk djus okys mRRkjnk;h O;fDr ls LkR;kfir djkosaA
* mRrjnk;h O;fDr ;Fkk & llan lnL;@fo/kkulHkk lnL;@jktif=r vf/kdkjh@ ftyk izeq[k@iz/kku@ iz/kku ftyk
ifj"kn lnL;@xzke lsod@iVokjh@ egkikSj@uxj fuxe lnL;@uxj ikfydk lnL;@ Ldwy ds gsMekLVj@
lEcfU/kr ih-,p-lh-@ lh-,p-lh- ds fpfdRld@ ch-Mh-vks-@ lgk;d vfHk;UrkA