mYtyf cgNahfj;Jf;fhf:-

fy;tp eltbf;iffis Nkw;nfhs;tjw;F nghUshjhu trjpaw;w juk; 1 Kjy; juk; 11 tiu fy;tp
fw;Fk; khzt khztpfSf;fhf rdhjpgjp epjpak; %yk; toq;fg;gLk; Gyikg;guprpYf;fhd
tpz;zg;gk; - 2024 /2025
(jaTnra;J tpz;zg;gj;ijg; G+u;j;jpnra;tjw;F Kd;du; mwpTWj;jy; gj;jpuj;ijg; ghu;f;fTk;)

khfhzk; :- ................................ khtl;lk; :- ......................... fy;tp tyak; :- ...............................

gFjp I
01 tpz;zg;gjhupapd; jdpg;gl;l jfty;fs;
1.1 khztd;/ khztpapd; :- ................................................................................................
KjnyOj;Jf;fSld; ngau; (jkpopy;)
1.2 KjnyOj;Jf;fs; Fwpf;Fk; ngau;fs; :- ................................................................................................
(jkpopy;)
1.3 KjnyOj;Jf;fSld; ngau; (Mq;fpyj;jpy;) :- ................................................................................................

1.4 fy;tp fw;Fk; ghlrhiyapd; ngau; :- ................................................................................................

1.5 fy;tp fw;Fk; juk; :- ................................................................................................

gpwe;j jpfjp
1.6 :- (YYYY-MM-DD)

1.7 jha;/je;ij/ghJfhtyupd; ngau; ................................................................................................

(YYYY –MM –DD)
1.8 jha;/je;ij/ghJfhtyupd; Njrpa :-
milahs ml;il ,yf;fk;

1.9 njhiyNgrp ,yf;fk; (FWe;jfty; mDg;g :-

0 7
KbAkhd)
1.10 :-
njhiyNgrp ,yf;fk; (njhlu;Gnfhs;s
KbAkhd)
jdpg;gl;l Kftup (jkpo;)
1.11 :- ................................................................................................
................................................................................................
1.12 jdpg;gl;l Kftup (Mq;fpyk;) :- ................................................................................................
................................................................................................
gFjp II
FLk;gk; gw;wpa jfty;fs; - rfy juq;fSf;Fkhd
01. ngw;Nwhupy; jq;fp thOk; 21 taJf;F Fiwe;j FLk;gj;jpy; cs;s rNfhju rNfhjupfs; vz;zpf;if kw;Wk;
ngw;Nwhu; gw;wpa tpguk;
Gs;sp
1.1 khztd;/khztp cs;spl;l rNfhju rNfhjupfs; vz;zpf;if ,uz;L Nguhf ,Ug;gpd; :-
1.2 khztd;/khztp cs;spl;l rNfhju rNfhjupfs; vz;zpf;if %d;W Nguhf ,Ug;gpd; :-
1.3 khztd;/khztp cs;spl;l rNfhju rNfhjupfs; vz;zpf;if ehd;F Ngu; my;yJ mjw;F :-
mjpfkhf ,Ug;gpd;
1.4 ePqfs; cq;fsJ ngw;Nwhu;fs; ,UtupdJk; ghJfhg;gpy; cs;suP ;fsh? Mk;/ ,y;iy :-
1.5 ePq;fs; cq;fsJ jha; my;yJ je;ij Mfpa ,UtUs; xUtuJ; ghJfhg;gpy; khj;jpuk; :-
cs;suP ;fsh? ……………. khj;jpuk; cs;shu;.
1.6 ePq;fs; cly; uPjpahd Fiwghl;Lf;F MshfpAs;suP ;fsh? Mk;/ ,y;iy :-
me;j cly; uPjpahd FiwghL ahJ? ...................................................................
ngw;w nkhj;j Gs;spfs;
(Mff;$ba Gs;spfs; 25 MFk;)

1
02 khzt khztpfspd; nraw;jpwd; milT
juk; 1 Kjy; juk; 5 tiuahd juq;fspYs;s khzt khztpfSf;F khj;jpuk;
2.1 juk; 1 Kjy; juk; 5 tiu fy;tp fw;Fk; khzt khztpfs; ngw;Wf;nfhz;l tpUg;g fy;tp milT
kl;lk;

ngw;Wf;nfhz;l milT kl;lk; Gs;spfs;

100%
75%
50%
(Mff; $ba Gs;spfs; 50)

2.1.2 ghlrhiy kl;lj;jpy; eilKiwg;gLj;jg;gLk; nka;ty;Yeu; tpisahl;L / nr];/

ePr;ry;/ [pk;dh];bf;/ fuhj;Nj/ Rw;whly; gilazp; /,irf;fUtp ,irj;jy;;/ ghl;L /
Xtpak; /eldk;/ rhuzu; / rpwpa ez;gp (Flh kpJup) kw;Wk; Vida mDkjpf;fg;gl;l
,izg;ghltpjhd nraw;ghLfs;

,izg;ghltpjhd ghlrhiy kl;lk;

nraw;ghLfs; 1 Mk; ,lk; 2 Mk; ,lk; 3 Mk; ,lk;
1.
2.
3.
nkhj;jk;
(Mff;$ba Gs;spfs; 08)
2.2 juk; 6 Kjy; juk; 11 tiuahd khzt khztpfSf;F khj;jpuk;
2.2.1 khztd;/ khztp 2023 Mk; Mz;L eilngw;w ,Wjpj; jtizg; guPl;irapy; ngw;w epiy
,lk; tpz;zg;gjhup ngw;w ,lk; Gs;sp
01 Mk; epiy Kjy; 03 Mk; epiy tiu
04 Mk; epiy Kjy; 06 Mk; epiy tiu
07 Mk; epiy Kjy; 10 Mk; epiy tiu
11 Mk; epiy Kjy; 15 Mk; epiy tiu
16 Mk; epiy Kjy; 20 Mk; epiy tiu
ngw;w nkhj;j Gs;spfs;
(Mff;$ba Gs;spfs; 50 MFk;)

2.2.2. ,izg;ghltpjhd nraw;ghLfs; (tpisahl;L/ mofpaw;fiy kw;Wk; Vidait)

ghlrhiy kl;lj;jpy; eilKiwg;gLj;jg;gLk; xw;iwau; /FO uPjpahd tpisahl;L kw;Wk;

nka;ty;Yeu; tpisahl;L> ,izg;ghltpjhd nraw;ghLfs; (rq;fq;fs; Nghd;wd cs;spl;l)
%yk; ngw;Ws;s ntw;wpfs;
tpisahl;L> ghlrhiy tya khfhz kl;lj;jpy; Njrpa
mofpaw;fiy kl;lj;jpy; kl;lj;jpy; (Mff;$ba Gs;spfs; kl;lj;jpy;
kw;Wk; (Mff;$ba (Mff;$ba 07) (Mff;$ba
Vidait Gs;spfs 05) Gs;spfs; 06) Gs;spfs; 08)
1 Mk; 2 Mk; 1 Mk; 2 Mk; 1 Mk; 2 Mk; 1 Mk; 2 Mk;
,lk; my;yJ 3 ,lk; my;yJ 3 ,lk; my;yJ 3 ,lk; my;yJ 3
Mk;; ,lk; Mk;; Mk;; ,lk; Mk;;
,lk; ,lk;
1.
2.
3.
ngw;w nkhj;j Gs;spfs;
(Mff;$ba Gs;spfs; 08 MFk;)

2
03. khztu; jiyikj;Jtk; - midj;J juq;fSf;fhfTk;
Gs;sp
01 ghlrhiyapd; jiyik khztu; jiytu;/ ghlrhiyapd;
cg khztu; jiytu;
02 khztu; jiytu; (fdp\;l/ rpNu\;l)
03 tFg;Gj; jiytu;
ngw;w nkhj;j Gs;spfs;
( Mff;$ba Gs;spfs; 07 MFk;)

04. khztd;/ khztp mwnewpg; ghlrhiyf; fy;tp fw;wy;. midj;J juq;fSf;fhfTk;

(mwnewpg; ghlrhiy mjpguhy; toq;fg;gl;l cWjpg;gLj;Jtjw;fhd Mtzk; rku;g;gpj;jy; Ntz;Lk;)

Gs;sp
01 mwnewpg; ghlrhiyf; fy;tp fw;wy;
(Mff;$ba Gs;spfs; 10 MFk;)

05. Gs;spfspd; rhuhk;rk; 01 FLk;gk; gw;wpa jfty;fs;

02 khzt / khztpaupd; nraw;jpwd;

juk; 1 njhlf;fk; juk; 5 tiu
 tpUg;g fy;tp milT kl;lk;
 ,izg;ghltpjhd nraw;ghLfs;
juk; 6 njhlf;fk; juk; 11 tiu
 ,Wjp jtizg; guPl;irapy; ngw;w
epiy
 ,izg;ghltpjhd nraw;ghLfs;

03 khztu; jiyikj;Jtk;

04 tpz;zg;gjhup mwnewpg; ghlrhiyf; fy;tp

fw;wy;
ngw;w nkhj;j Gs;spfs;

NkNy fhl;lg;gl;Ls;s tplaq;fs; cz;ikahdJk; rupahdJnkd cWjpnra;fpd;Nwd;. Njitahd NghJ

Vw;Gila rhd;wpjo;fspd; %yg;gpujpia rku;g;gpg;gjw;F ehd; ,zq;Ffpd;Nwd;.

jpfjp : …...................... …………………….. .............................................................

tpz;zg;gjhupapd; xg;gk; jha;/je;ij/ghJfhtyupd; ngaUk; xg;gKk;

tpz;zg;gjhupahy; Fwpg;gplg;gl;l jfty;fs; rupahdnjd cWjpnra;fpNwd;.

jpfjp : …...................... ................................................................

tFg;ghrpupau;/tFg;ghrpupiaapd; ngaUk; xg;gKk;

3
FLk;gj;jpd; khjhe;j tUkhdk; gw;wpa $w;W :-
(jha;/je;ij/ghJfhtyuhy; G+u;j;jpnra;ag;gly; Ntz;Lk;)
ehd; ......................................................................................... njhopy; Gupfpd;Nwd;./ njhopy; Gupatpy;iy.
(njhopiyf; Fwpg;gplTk;)
vdJ fztu;/kidtp ............................................ epWtdj;jpy; njhopy; Gupfpd;whu;./ njhopy; Gupatpy;iy.
vkJ FLk;gj;jpd; khjhe;j tUkhdk; &: …………. vd ntspg;gLj;Jfpd;Nwd;.

............................................
jha;/je;ij/ghJfhtyupd; xg;gk;

jpfjp : ...................... ngau; : ......................................

NkNy Fwpg;gplg;gl;l tUkhdk; gw;wpa tplaq;fs; cz;ikahdnjd cWjpnra;fpd;Nwd;.

....................................
fpuhk mYtyupd; xg;gk;
jpfjp : ....................... (gjtp Kj;jpiu)

Nkw;Fwpj;j tUkhdk; gw;wpa tplaq;fs; rupahdnjd gupe;Jiu nra;fpNwd;.

...............................
gpuNjr nrayhsu;
jpfjp : ...................... (gjtp Kj;jpiu)

ghlrhiyj; njupTf;FO cWg;gpdu;fspd; tpguq;fs; kw;Wk; gupe;Jiu:-

ngau; gjtp xg;gk; gupe;Jiu nra;fpNwd; /
gupe;Jiu nra;atpy;iy
1. .............................................. .............................. .......................... ..............................
2. .............................................. .............................. ......................... ..............................
3. ............................................... .............................. .......................... ...............................
tyaf; fy;tpg; gzpg;ghsu;>
NkNy 1-5 tiu Fwpg;gplg;gl;Ls;s Gs;spfs; ghlrhiyj; njupTf;FO %yk; guPl;rpf;fg;gl;ljhfTk;> Vida
jdpg;gl;l jfty;fs; cz;ikahdJk; rupahdJnkdTk; cWjpnra;fpNwd;. MfNt
................................................................... khztd;/khztpahy; rku;g;gpf;fg;gl;Ls;s tpz;zg;gj;ij tyaj;jpd;
njupTf;FOtpw;F gupe;Jiu nra;J rku;g;gpf;fpd;Nwd;.
mt;thNw Gyikg;guprpy; ngWeupd; jha;/je;ij/ghJfhtyUld; $l;bize;j khjhe;j Gyikg;guprpiyg;
ngw;Wf;nfhs;sf;$ba tifapy; (tpNrl ,ize;j fzf;F) eilKiwapYs;s fzf;F kw;Wk;
jha;/je;ij/ghJfhtyupd; Njrpa milahs ml;ilapd; mj;jhl;rpg;gLj;jg;gl;l epow;glg; gpujp ,jNdhL
,izf;fg;gl;Ls;sJ.
...............................
mjpgupd; xg;gk;
jpfjp : .................... (gjtp Kj;jpiu)

tyaf; fy;tp mYtyfj;jpd; cgNahfj;jpw;fhf

tyaj;jpd; njupTf;FO cWg;gpdu;fspd; tpguk;
ngau; gjtp xg;gk;
1. .............................................. .............................. ..........................
2. .............................................. .............................. .........................
3. ............................................... .............................. ..........................