VAZHIVILAKKU Kerala Government Welfare -Financial assistance schemes Application forms by James Adhikaram

Vazhvilakkay Printed & Published by Arogyakeralam Palliative Care Project 2013 (Pariraksha) Malappuram Pariraksha Palliative Care Team, Malappuram District Layout & Cover : Shaji Paloly Printed at : RHBC IMHANS, Calicut E-mail: imhansclt@gmail.com

BapJw hnhn[ Xcw tcmK-ßƒ _m[n®pw sshIeyw kw`-hn®pw Zo¿L-Imew hneIq-Snb acp-∂p-Iƒ Ign®pw Pohn-X-Imew apgp-h≥ bmX\A\p-`-hn-t°≠n hcp∂ Ht´sd hy‡n-Ifpw IpSpw-_-ßfpw \ap-°p-Np‰pw D≠v. Cßs\]eIm-c-W-ß-fmepw InS-∏n-em-Ip-∂-Xn-\m¬ km[m-c-W-Po-hnXw Zpcn-X-]q¿Æambn Xo¿∂ tcmKn-I-sfbpw Ah-cpsS IpSpw-_-ß-sfbpw klm-bn-°p-∂Xn\v k¿°m¿ Imem-Im-e-ß-fmbn \nc-h[n NnIn-’m-]-≤-Xn-Ifpw klm-bßfpw Bhn-jv°-cn®v \S-∏n-em-°p-∂p-≠v. F∂m¬ Cu B\p-Iq-ey-ßƒ e`n-°p-∂-Xn\v At]-£m-t^mdw FhnsS \n∂v e`n°pw, FhnsS-bmWv At]£ \¬tI-≠-Xv, At]-£-tbm-sSm∏w Fs¥√mw tcJ-I-fmWv lmP-cm-t°-≠-Xv, klm-b-Øp-Ibmbn F{X cp] e`n-°pw, CXn-\mbn GXv Hmô-kp-I-fn-sem-s°-bmWv t]mtI-≠-Xv, F∂nßs\Ht´sd Imcy-ß-fn¬ hy‡-amb Adnhv C√m-Ø-Xn-\m¬ A¿l-cmb ]e¿°pw Ch e`n-°msX t]mIp-∂p. Bcp-sSbpw Ip‰-a-s√-¶nepw CsXmcp kmaq-lnI A\o-Xn-bmbn A\p-`-h-∏-Sp-∂p. CØcw {]iv\-ßƒ°v Ign-bp-∂{X ]cn-lmcw D≠m-°Ww F∂ B{K-ltØmsS \ne-hn¬ hnhn[ hIp-∏p-I-fn-eqsS k¿°m¿ \S-∏n-em-°p∂ B\pIq-ey-ßsf Ipdn®pw klm-b-ß-sf-°p-dn®pw ]c-am-h[n hnh-c-ßƒ tiJcn®v Hcp ]pkvXI cq]-Øn¬ Xøm-dm-°n-bn-cn-°p-I-bm-Wv. hnhn[ klm-bßƒ kw_-‘n® eLp-hmb hnh-cWw, At]-£m-t^m-d-ß-fpsS amXr-IIƒ, saUn-°¬ k¿ń-^n-°-‰p-I-fpsS amXr-I-Iƒ F∂n-h-sb√mw ]I¿∏pIƒ FSpØv D]-tbm-Kn-°m-hp-∂-X-c-Øn¬ CXn¬ Dƒs∏-Sp-Øp-hm≥ Ignbm-hp-∂{X {ian-®n-´p-≠v. e`y-am-Ip∂ klm-b-ßfpw klm-b-ß-fpsS ]cn-[nbpw Imem-\p-kr-X-ambn amdn-s°m-≠n-cn-°p-∂-Xn-\m¬ D≈S°w ]q¿Æ-am-sW∂v ]d-bm-\m-In-√. F∂n-cp-∂mepw tcmKo-]-cn-N-cW taJ-e-bp-ambn _‘-s∏´v {]h¿Øn°p∂ F√m-h¿°pw Cu ssI]p-kvXIw Hcp klm-b-amIpw F∂p-Xs∂ {]Xo-£n-°p-∂p. NnIn-’m-sN-e-hp-Iƒ Xmßm-\m-hmsX hgn-apń \n¬°p∂ Iptd-t∏¿s°¶nepw Bizm-k-Øn\v hgn-sbm-cp-°m≥ Cu {ia-ßƒ sIm≠v Ignbpw F∂ {]Xo-£-tbm-sS...

kvt\-l-]q¿∆w, ]cn-c-£ ]m-en-tb-‰o-hv sI-b¿ Sow a-e-∏p-dw Pn√

Xt±i ÿm]-\-ßƒ hgn e`y-am-Ip∂ klm-b-ßƒ CµncmKm‘n tZiob hm¿≤IyIme s]≥j≥ CµncmKm‘n tZiob hm¿≤IyIme s]≥j≥ (At]£m t^mdw) hnIemwKs]≥j≥ am\-knI sh√p-hnfn t\cn-Sp-∂-h¿°p≈ s]≥j≥ (At]£m t^mdw) imco-cnI sh√p-hnfn t\cn-Sp-∂-h¿°p≈ s]≥j≥ (At]£m t^mdw) I¿jI sXmgnemfn s]≥j≥ I¿jI sXmgnemfn s]≥j≥ (At]£m t^mdw) hn[hms]≥j≥ hn[hms]≥j≥, hn-hm-l-tam-Nn-X¿°p≈ s]≥j≥ (At]-£m-t^mdw) km[p°fmb hn[hIfpsS s]ä°ƒ°p≈ hnhml [\klmbw km[p°fmb hn[hIfpsS s]ä°ƒ°p≈ hnhml [\klmbw (A-t]£m t^mdw) Ahn-hm-ln-X-cmb 50 hb- n\v apI-fn-ep≈ kv{XoIƒ°v s]≥j≥ Ahn-hm-ln-X-cmb 50 hb- n\v apI-fn-ep≈ kv{XoIƒ°v s]≥j≥ (A-t]£m t^mdw) kwÿm\hnI-emwK tIm¿∏-td-j≥ hgn e`y-am-Ip∂ klm-b-ßƒ hnI-emwK¿°v saUn-°¬ k¿ń-^n-°-‰pw Xncn-®dnb¬ Im¿Upw hnI-emwK¿°v saUn-°¬ k¿ń-^n-°-‰pw Xncn-®dnb¬ Im¿Upw (A-t]£m t^mdw) hnIemwK Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ [\-k-lmbw hnI-emwK Zpcn-Xm-izm-k-\n-[n-bn¬ \n∂pw [\-k-lmbw (A-t]£m t^mdw) Zmcn{Zy tcJbv°v Xmsg-bp≈ hnI-emw-K- s]Ïp-ń-bpsS hnhm-l-Øn\v [\-k-lmbw Zmcn{ZytcJbv°v Xmsg-bp≈ hnI-emw-K-s]Ïp-ń-bpsS hnhm-l-[\-k-lmbw (A-t]£m t^mdw) hnI-emw-K¿, A‘¿, _[n-c-¿ F∂n-h¿°v kzImcy _kp-I-fn¬ bm{Xm ]mkv hnI-emw-K¿°v KSRTC _kp-I-fn¬ bm{Xm ]mkv _p≤n-am-µy-ap-≈-h¿°v KSRTC _kp-I-fn¬ bm{Xm]mkv hnI-emw-K¿,- A-‘¿,- _-[n-c¿ F∂n-h¿°v kzIm-cy-_-kp-I-fn¬ bm{Xm-]mkv (A-t]£m t^mdw) hnI-emw-K¿°v KSRTC _kp-I-fn¬ bm{Xm ]mkv (A-t]£m t^mdw) _p≤n-am-µy-ap-≈-h¿°v KSRTC _kp-I-fn¬ bm{Xm]mkv (A-t]£m t^mdw) hnI-emw-K¿°v klmb D]-I-cWw (kw-ÿm\hnI-emwK tIm¿∏-td-j≥ aptJ\) hnI-emw-K¿°v klmb D]-I-cWw (A-t]£m t^mdw) hnI-emw-K¿ \S-Øp∂ sXmgn¬ kwcw-`-ßƒ°v [-\-k-lmbw (_m¶v tem¨-˛-k-_vkn-Un) hnI-emw-K¿ \S-Øp∂ sXmgn¬ kwcw-`-ßƒ°v [-\-k-lmbw (A-t]£m t^mdw) hnI-emw-K¿°v b{¥-h¬IrX ap®{I hml-\-Øn\v k_vknUn hnI-emw-K¿°v b{¥-h¬IrX ap®{I hml-\-Øn\v k_vknUn (A-t]£m t^mdw) hnI-emw-K-cmb tem´dn GP‚p-am¿°p≈ [\-k-lmbw hnI-emw-K-cmb tem´dn GP‚p-am¿°p≈ [\-k-lmbw (A-t]£m t^mdw) hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-t]£m t^mdw) hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 1) hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 2) hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 3)

8 9, 10 8 11, 12 13, 14 15 16, 17 15 18, 19 20 21, 22 20 23, 24 25 26, 27 25 28 25 29, 30 31 31 31 32 33 34, 35 36 37 36 38 36 39 36 40 41 42, 43 44 45 46

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 4) 47 hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 5) 48 hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (9˛mw ¢mknepw apI-fnepw) 41 hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (9˛mw ¢mknepw apI-fnepw) (A-t]£m t^mdw) 49, 50, 51 imco-cn-I,- am-\-knI sshI-eyw t\cn-Sp-∂h¿°v Nmb Im∏n sh‚nwKv sajn≥ 52 imco-cn-I,- am-\-knI sshI-eyw t\cn-Sp-∂h¿°v Nmb Im∏n sh‚nwKv sajn≥ (A-t]£m t^mdw) 53, 54 Kpcp-X-c-amb AwK-ssh-Ieyw _m[n® Ipń-Iƒ°p≈ \nt£] ]≤Xn 52 ]ń-I-PmXn hnI-k\hIp∏v hgn e`y-am-Ip∂ klm-b-ßƒ amcI tcmK-ßƒ°v ASn-a-s∏´ ]ń-I-PmXn/]ń-I-h¿§°m¿°v [\-k-lmbw 55 amcI tcmK-ßƒ°v ASn-a-s∏´ ]ń-I-PmXn/]ń-I-h¿§°m¿°v [\-k-lmbw (A-t]£m t^mdw) 56 ]nt∂m° ]ńI kap-Zmb a{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂pw [\-k-lmbw 55 ]nt∂m°]ńI kap-Zmb a{¥n-bpsS Zpcn-Xm-izmk \n[n [\-k-lmbw (A-t]£m t^mdw) 57, 58 an{ihnhmlnX¿°v ]ń-I-PmXn/ ]ń-I-h¿K hnI-k\hIp-∏n¬ \n∂pw [\-k-lmbw 55 an{ihnhmlnX¿°v ]ń-I-PmXn/ ]ń-I-h¿K hnI-k\hIp-∏n¬ \n∂pw k-lmbw(A-t]£m t^mdw) 59, 60, 61 kmaq-ly-t£a hIp∏v/kmaqly kpc-£m-an-j≥ hgn-bp≈ klmbw Bizm-k-In-cWw ˛ tcmKnsb ]cn-N-cn-°p-∂-h¿°p≈ [\-k-lmbw 62 Bizm-k-In-cWw ˛ tcmKnsb ]cn-N-cn-°p-∂-h¿°p≈ [\-k-lmbw (A-t]£m t^mdw) 63, 64, 65 h\n-X-Iƒ Krl-\m-Y-cmb IpSpw-_-ß-fnse Ipń-Iƒ°v hnZym-`ymk [\-k-lmbw 66 h\n-X-Iƒ Krl-\m-Y-cmb IpSpw-_-ß-fnse Ipń-Iƒ°v hnZym-`ymk -k-lmbw (A-t]£m t^mdw) 67 hn[hm ]p\¿hn-hml [\-k-lmbw˛ aw-Key 66 hn[hm ]p\¿hn-hml [\-k-lmbw˛ aw-Key (A-t]£m t^mdw) 68 kvt\l kv]¿iw ]≤Xn ˛ Ahn-hm-ln-X-cmb AΩ-am¿°p≈ ]≤Xn 66 kvt\l kv]¿iw ]≤Xn ˛ Ahn-hm-ln-X-cmb AΩ-am¿°p≈ ]≤Xn (A-t]£m t^mdw) 69, 70 an{ihnhmlnX¿°v kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbw 71 an{ihnhmlnX¿°v kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbw (A-t]£m t^mdw) 72, 73 Xmtemew ˛ Ipń-Iƒ°p≈ Nn-In’m ]≤Xn 74 Im≥k¿ kpc£ ˛ Ipń-Iƒ°p≈ Nn-In’m ]≤Xn 75 kvvt\l]q¿∆w ˛Ipń-Iƒ°p≈ hnZym-`ymk ]≤Xn 76 kvvt\l]q¿∆w ˛Ipń-Iƒ°p≈ hnZym-`ymk ]≤Xn 77, 78, 79, 80 hnt√Pv/dh\yq hIp∏v hgn-bp≈ [\klmbw apJy-a-{¥n-bpsS Zpcn-Xm-izmk \n[n 81 apJy-a-{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂pw[\-k-lm-bw (A-t]£m t^mdw) 82, 83 AK-Xn-Iƒ°p≈ kmº-ØnI klmbw (£bw, IpjvTw, Im≥k¿ tcmKn-Iƒ°v) 84 AK-Xn-Iƒ°p≈ kmº-ØnI klmbw (£bw,IpjvTw,Im≥k¿ tcmKn-Iƒ°v) (A-t]£m t^mdw) 85, 86 {][m\a{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ klm-bw 87 {][m\a{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ klm-bw (A-t]£m t^mdw) 88, 89 tZiob IpSpw_ t£a ]≤Xn 87 tZiob IpSpw_ t£a ]≤Xn (A-t]£m t^mdw) 90, 91, 92 te_¿ Hmôkv aptJ\e`n-°p∂ [\klmbw tIcf acw-I-b‰ sXmgn-emfn t£a-]-≤Xn {]Imcw [\-k-lm-bw 93

tIcf acw-I-b‰ sXmgn-emfn t£a-]-≤Xn {]Imcw [\-k-lm-bw (A-t]£m t^mdw) Akw-L-SnX taJ-e-bnse sXmgn-em-fn-Iƒ°v NnIn’m klmbw Akw-L-SnX taJ-e-bnse sXmgn-em-fn-Iƒ°v NnIn’m klmbw (A-t]£m t^mdw) a‰v Hm^o-kp-Iƒ aptJ\ e`n-°p∂ [\klmbßƒ skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿ skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿ (A-t]£m t^mdw) cmjv{Snb BtcmKy \n[n (Rashtriya Arogya Nidhi) cmjv{Snb BtcmKy \n[n (Rashtriya Arogya Nidhi) (A-t]£m t^mdw) ImcpWy _\-h-e‚v kvIow ImcpWy _\-h-e‚v kvIow (A-t]£m t^mdw \º¿ 1) ImcpWy _\-h-e‚v kvIow (A-t]£m t^mdw \º¿ 2) ImcpWy _\-h-e‚v kvIow (A-t]£m t^mdw \º¿ 3) ImcpWy _\-h-e‚v kvIow (Expenditure Statement) ImcpWy _\-h-e‚v kvIow (Utilization Certificate) {ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ {ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A-t]£m t^mdw) {ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A\p-_‘w 1) {ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A\p-_‘w 2) {ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A\p-_‘w 3) {ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A\p-_‘w 4) {ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (k-Xy-hm-Mvaq-ew) kvt\l km¥z\w ]≤Xn˛ F≥tUm-kƒ^m≥ _m[n-X¿°p≈ ]≤Xn kvt\l km¥z\w ]≤Xn ˛F≥tUm-kƒ^m≥ _m[n-X¿°p≈ ]≤Xn (A-t]£m t^mdw) F≥tUm-kƒ^m≥ _m[n-X-cmb hnZym¿∞n-Iƒ°v hnZym`ymk klmbw F≥tUm-kƒ^m≥ _m[n-X-cmb hnZym¿∞n-Iƒ°v hnZym`ymk klmbw (A-t]£m t^mdw) F≥tUm-kƒ^m≥ _m[n-X¿°p≈ {]Xn-amk s]≥j≥ ]≤Xn Im≥k¿ tcmKn-Iƒ°v s{Sbn≥ bm{Xm I¨k-j≥ Im≥k¿ tcmKn-Iƒv/A‘¿/hn-I-emw-K¿ F∂nh¿°v s{Sbn≥ bm{Xm I¨k-j≥ (k¿´n-^n-°-‰v) ka{K BtcmKy C≥jpd≥kv ]≤Xn (RSBY) & (CHIS) Bw BZvan _nam tbmP\ (AABY) Bw BZvan _nam tbmP\ (AABY) (A-t]£m t^mdw) km¥z\˛{]-hmkn Zpcn-Xm-izmk \n[n km¥z\˛{]-hmkn Zpcn-Xm-izmk \n[n (A-t]£m t^mdw) {]-hmkn t£a-]-≤Xn ˛ t\m¿° dq´vkvsNb¿am≥ ^≠n¬ \n∂v klmbw {]-hmkn t£a-]-≤Xn ˛ t\m¿° dq´vkvsNb¿am≥ ^≠n¬ \n∂v klmbw (A-t]£m t^mdw) ImcpWyw ˛{]-hmkn t£a-]-≤Xn ImcpWyw ˛{]-hmkn t£a-]-≤Xn (A-t]£m t^mdw) P\\n kpc£ tbmP\˛ {]kh [\-k-lmbw P\\n inip kpc£m Imcy{Iw (JSSK) Ubm-en-kn-kv tcm-Kn-Iƒ-°p-≈ k-am-izm-k ]≤Xn

94, 95 96 97, 98 99 100, 101, 102,103 104 105, 106 107, 108 109, 110 111, 112 113,114 115 116, 117 118 119, 120, 121 122 123 124 125 126˛130 118 131, 132 118 133, 134 118 135 136, 137, 138 139 140 141 142 143,144 142 145, 146 147 148, 149, 150 147 147 152,153, 154,

CµncmKm‘n tZiob hm¿≤IyIme s]≥j≥

A¿lX 65 hb v ]q¿Ønbmbncn°Ww. IpSpw_ hm¿jnI hcpam\w 3 e£w cq]bn¬ IhnbcpXv, F.]n.F¬., _n.]n.F¬ hy-Xym-kw C√. tIcfØn¬ 3 h¿jsa¶nepw ÿncXmakw D≠mbncn°Ww, hr≤ kZ\Øntem, icWmebØntem, At¥hmkntbm bmNI hrØn \SØp∂htcm BIcpXv, a‰v s]≥j\pIƒ ssI]‰p∂h¿°v A¿lXbn√. lmPcmt°≠ tcJIƒ \n›nX amXrIbnep≈ At]£ 2 ]I¿∏v {]mbw sXfnbn°p∂ Xmsg]dbp∂ tcJ (GsX¶nepw H∂v) km£ys∏SpØnb ]I¿∏v (2 tIm∏n hoXw) 1. P\\k¿ń^n°‰v 2. kvIqƒ k¿ń^n°‰v 3. ]mkvt]m¿´v 4. hb v sXfn-bn°p-∂-Xn\v Akn. k¿P\n¬ IpdbmØ dm¶nep≈ tUmIvSdpsS km£y]{Xw, At]£I≥ Dƒs∏Sp∂ tdj≥ Im¿Uns‚ km£ys∏SpØnb ]I¿∏v-, Ce£≥ IΩoj≥ \¬Inb Xncn®dnb¬ Im¿Uns‚ v km£ys∏SpØnb ]I¿∏v-- At]£ ka¿∏n-t°-≠Xv : Xt±i kzbw`cW ÿm]\Ønse sk{I´dn°v s]≥j≥ XpI {]Xnamkw 550/˛ cq] s]≥jW¿ acn®pt]mIp∂ tIkpIfn¬ IpSn»nIbp≈ s]≥j≥XpI B{inX¿°v e`n°pw 80 hb- n-\p-ta¬ {]mbap-≈-h-¿°v {]Xn-amkw 1100/-˛ cq] hsc s]≥j≥ e`n°pw. Cu B\p-Iqeyw e`n°-W-sa-¶n¬ saUn-°¬ t_m¿Uns‚ k¿ń-^n-°‰v/ 80 hb v sXfn-bn-°p-∂-tcJ Hcp tIm∏n hoXhpw tdj≥ Im¿Uns‚bpw Ah-km\w s]≥j≥ hmßnb aWntbm¿U-¿ cko-Xns‚ tIm∏nbpw Xncn®dnb¬ Im¿Uns‚ tIm∏nbpw ka¿∏n-°Ww. F√m h¿-jhpw G-{]n¬ am-kØn¬ K-k‰Uv Hm-ô-kn¬ \n∂pw sse-^v k¿-ń-^n°-‰v hm-ßn ]-©m-b-Øn¬ lm-P-cm-°Ww.

hnIemwKs]≥j≥ (hnIemwK¿, AwKsshIeyw kw`hn®h¿, am\knI imcocnI sh√phnfnIƒ t\cnSp∂h¿ F∂nh¿°p≈ s]≥j≥ ]≤Xn) A¿lX imcocnIambn AhiX t\cnSp∂h¿, aqIt\m, _[nct\m, A‘t\m, Aÿnkw_‘ambn hnIeXbp≈ht\m, ÿncambn tijn \jvSs∏´ht\m Bbncn°Ww. IpSpw_ hm¿jnI hcpam\w {Kma{]tZißfn¬ ]camh[n 20000/˛ cq]bpw AwKsshIeyw 40% F¶nepw D≠mbncn°Ww. lmPcmt°≠ tcJIƒ (2 tIm∏n hoXw) \n›nX amXrIbnep≈ At]£ 2 ]I¿∏v AwKsshIeyw sXfnbn°p∂ tcJbpsS km£ys∏SpØnb ]I¿∏v Xnc®dnb¬ Im¿Uns‚ icn∏I¿∏v At]£I≥ Dƒs∏Sp∂ tdj≥Im¿Uns‚ km£ys∏SpØnb ]I¿∏v hcp-am\k¿´n-^n-°‰v At]£ ka¿∏n-t°-≠Xv : Xt±i kzbw`cW ÿm]\Ønse sk{I´dn°v s]≥j≥ : {]Xnamkw 700/˛ cq] 80% imco-cnI sshIeyw D≈-h¿°v {]Xn-amkw 1100/-˛ cq] hsc s]≥j≥ e`n°pw s]≥jW¿ acn®pt]mIp∂ tIkpIfn¬ IpSn»nIbp≈ s]≥j≥XpI B{inX¿°v e`n°pw F√m h¿-jhpw sse-^v k¿-´n-^n°-‰v lm-P-cm-°Ww.

I¿jI sXmgnemfn s]≥j≥ A¿lX 1. I¿jIsXmfnemfn t£a\n[nbn¬ AwKambncn°Ww 2. At]£mXoøXnbn¬ 60 hb v XnI™ncn°Ww 3. IpSpw_ hm¿jnI hcpam\w {Kma{]tZißfn¬ ]camh[n 20000/˛ \Kc{]tZißfn¬ 22375 cq] 4. At]£mXoøXn°v sXm´papºv tIcfØn¬ 10 h¿jsa¶nepw Xmakn®ncn°Ww lmPcmt°≠ tcJIƒ (Kk-‰Uv Hm^o-k¿ km£y-s∏-Sp-Øn-bXv 2 tIm∏n hoXw) \n›nX amXrIbnep≈ At]£ hb v sXfnbn°p∂ tcJ `qkzØns‚ hnhcßƒ I¿jI sXmgnemfn t£a\n[n t_m¿Un¬ \n∂p≈ hnSpX¬ km£y]{Xw At]£I≥ Dƒs∏Sp∂ tdj≥Im¿Uns‚ km£ys∏SpØnb ]I¿∏v At]£Is‚ Xncn®dnb¬ Im¿Uns‚ icn]I¿∏v At]£ Xt±iÿm]\Øns‚ sk{I´dn°v ka¿∏n°Ww s]≥j≥ XpI : {]Xnamkw 500/˛ cq]

hn[hms]≥j≥ (hn[-h-Iƒ, hnhm-l-tam-Nn-X¿ F∂n-h¿°v Xt±i ÿm]-\-ßƒ aptJ\ A\p-h-Zn-°p∂ s]≥j≥.) A¿lX `¿Ømhv acn® tijw ]p\¿hnhmlw sNbvXnń√mØ kv{Xo `¿Ømhn\m¬ Dt]£n°s∏´ kv{Xo 7 h¿jambn `¿Ømhns\Ipdn®v bmsXmcp hnhchpw C√mØh¿ IpSpw_ hm¿jnI hcpam\w {Kma{]tZißfn¬ ]camh[n 20000/˛ cq]bpw \Kc{]tZißfn¬ 22375/˛ cq]bpw {]mb ]cn[n C√. lmPcmt°≠ tcJIƒ (Kk-‰Uv Hmô-k¿ km£y-s∏-Sp-Øn-bXv 2 tIm∏n hoXw) \n›nX amXrIbnep≈ At]£ 2 ]I¿∏v At]£I Dƒs∏Sp∂ tdj≥Im¿Uns‚ km£ys∏SpØnb ]I¿∏v Xnc®dnb¬ Im¿Uns‚ icn∏I¿∏v hn[h/ hnhml tamNnX\mWv F∂v sXfnbn°p∂ tcJ ( hnt√Pv Hmôkn¬ \n∂pw) `¿Ømhv acn®XmsW¶n¬ acW k¿ń^n°‰ns‚ ]I¿∏v At]£ ka¿∏n-t°-≠Xv: Xt±i kzbw`cW ÿm]\Ønse sk{I´dn°v s]≥j≥ : {]Xnamkw 700/˛ cq]

km[p°fmb hn[hIfpsS s]¨a°ƒ°p≈ hnhml [\klmbw

A¿lX IpSpw_ hm¿jnI hcpam\w 20000/˛ cq]bn¬ IhnbcpXv s]Ïpń°v \¬Ip∂ BsI kºØv (kz¿Æw Dƒs∏sS) 6000/˛ cq]bn¬ IhnbcpXv BZy hnhmlw Bbncn°Ww, 18 hb v ]q¿Ønbmbncn°Ww tIcfØn¬ 3 h¿jsa¶nepw ÿncXmakw D≠mbncn°Ww hnhml XoøXn°v Hcpamkw apºv At]£ Xt±i ÿm]\Øn¬ \¬IWw. X°Xmb ImcWw sIm≠v At]£ \¬Im≥ IgnbmsX h∂m¬ am∏v At]£ klnXw 3 amkw hsc At]£ \¬Imw. aq∂v amkImetam, AXne[nItam Imeambn hnhml tamNnXcmbn Ignbp∂ kv{XoIfpsS s]ä°ƒ°pw klmbØn\v A¿lXbp≠v. lmPcmt°≠ tcJIƒ \n›nX amXrIbnep≈ At]£ 2 ]I¿∏v `¿Ømhns‚ acW k¿ń^n°‰v hnhmlnXbmIp∂ s]ÏpńbpsS P\\k¿ń^n°‰v At]£Ibpw ]tcX\mb `¿ØmhpamWv s]ÏpńbpsS amXm]nXm°ƒ F∂v sXfnbn-°p∂ tcJ. hnhmlw \n›bn®Xp kw_‘n® tcJ hcpam\w sXfnbn°p∂ tcJ At]£Ibpw s]Ïpńbpw Dƒs∏Sp∂ tdj≥ Im¿Uns‚ km£ys∏SpØnb ]I¿∏v At]£IbpsSbpw s]ÏpńbpsSbpw Xncn®dnb¬ Im¿Uns‚ icn]I¿∏v IpSpw_ hnlnXamtbm, amXm]nXm°fpsStbm, CjvSZm\amtbm, s]ÏpńbsS t]cnep≈Xv (hkvXp, B`cWw, ]Ww apXembh) 6000/˛ cq]bn¬ IhnbmØ XpIbmWv F∂ km£y]{Xw. klmb XpI : 30,000/˛ cq] At]£ ka¿∏n-t°-≠Xv: Xt±i kzbw`cW ÿm]\Ønse sk{I´dn°v

50 hb v Ign™ AhnhmlnXƒ°p≈ s]≥j≥ A¿lX 50 hb v XnI™ AhnhmlnXcmb kv{XoIƒ kz¥ambn hcpam\w D≠mIm≥ ]mSn√ IpSpw_ hm¿jnI hcpam\w {Kma{]tZißfn¬ ]camh[n 20000/˛ cq]bpw \Kc{]tKißfn¬ 22375/˛ cq]bpw lmPcmt°≠ tcJIƒ: (Kk-‰Uv Hmô-k¿ km£y-s∏-Sp-Øn-bXv 2 tIm∏n hoXw) \n›nX amXrIbnep≈ At]£ 2 ]I¿∏v {]mbw sXfnbn°p∂ Xmsg]dbp∂ tcJ (GsX¶nepw H∂v) 1. P\\k¿ń^n°‰v (icn]I¿∏v) 2. kvIqƒ k¿ń^n°‰v 3. ]mkvt]m¿´v 4. Akn. k¿P\n¬ IpdbmØ dm¶nep≈ tUmIvSdpsS km£y]{Xw 5 hnhmlnXb√ F∂v sXfnbn°p∂ km£y]{Xw (hnt√Pn¬ \n∂v) 6 tdj≥ Im¿Uns‚ km£ys∏SpØnb ]I¿∏v 7. Xncn®dnb¬ Im¿Uns‚ icn∏I¿∏v 8. At]-£m-t^m-d-Øn¬ ]m-kvt]m¿´v sskkv t^mt´m ]Xn-bv°Ww hnhm-ln-X-b√ F∂p≈ kXy-hm-Mvaqew hnt√Pv Hmô-k-dn¬ \n∂pw Hmtcmh¿jhpw Xt±-i `cW sk{I-´-dn°v \¬IWw a‰v GsX¶nepw s]≥j≥ hmßp∂h¿°v A¿lXbn√. s]≥j≥ : {]Xnamkw 700/˛ cq] At]£ ka¿∏n-t°-≠Xv: Xt±i kzbw`cW ÿm]\Ønse sk{I´dn°v

km[p-°-fmb hn[-h-I-fpsS s]¨a-°-fpsS hnhm-l-Øn\v [\-k-lm-b-Øn\v D≈ At]£ 1. At]-£-I-bpsS t]cpw ta¬hn-em-khpw

2. acn®p t]mb `¿Øm-hns‚ t]cpw ta¬hn-em-k-hpw:

3. `¿Øm-hns‚ acWw kw`-hn® Xnb-Xn, ÿew.: 4. ac-W-Im-cWw

5. At]-£-I-bpsS k¥m-\-ß-fpsS hnh-c-ßƒ (t]-cv, P\-\- Xn-b-Xn) : s]Ïp-ń-Iƒ F{X? : BÏp-ń-Iƒ F{X

6. hnhmlw sNbvXv Ab-°m≥ Dt±-in-°p∂ s]¨Ip-´n-bpsS P\-\-Xn-bXn

7. hnhmlw Xo¿®-s∏-Sp-Øn-bn-´p≈ {]Xn-{ipX hcs‚ t]cpw ta¬hn-em-khpw

8. {]Xn-{ipX hcs‚ sXmgn¬

9. At]-£-I-bpsS {]Xn-amk hcp-am\w

10. Bh-iy-s∏-Sp∂ klm-b-[\w

11. GXv Bh-iy-Øn-\mWv klm-b-[\w Bh-iy-s∏-Sp-∂Xv

12. hnhmlw \S-Øm≥ \n›-bn-®n-´p≈ Xob-Xnbpw hnhm-l-ÿ-ehpw

At]-£-IbpsS H∏v

hnhmlw Ign-°m≥ Dt±-in-°p∂ s]¨Ip-´n-bpsS H∏v

At\z-jW dnt∏m¿´v (B-^nkv D]-tbm-K-Øn\v) 1. At]-£-I-bpsS t]cpw ta¬hn-em-khpw

2. hb v

3. IpSpw-_-Ønse AwK-kwJy

4. At]-£-I-bp-sSbpw IpSpw-_mw-K-ß-fp-sSbpw ssIh-i-ap≈ `qan-bpsS hnh-c-ßƒ(-k¿t∆ : \º¿, hnkvXo¿Æw apX-em-b-h)

5. At]-£-I-bp-sSbpw IpSpw-_mw-K-ß-fp-sSbpw hm¿jnI hcp-am-\w, `qan-bn¬ \n∂pw Irjn, iº-fw, I®-h-Sw , Iqen-th-e, a‰n-\-ß-fn¬ : \n∂p-≈h˛BsI

Fs‚ At\z-j-W-Øn¬ t_m[y-s∏-´-X-\p-k-cn®v At]-£-I-bpsS hm¿jnI hcp-am\w ta¬{]-Im-cam-W∂v km£y-s∏-SpØn sIm≈p-∂p.

sk{I-´dn {Kma-]-©m-bØv/ ap\n-kn-∏m-en‰n/ tIm¿∏-tj≥

hm¿Uvsa-º¿/ Iu¨kn-e¿ {Kma-]-©m-bØv/ ap\n-kn-∏m-en‰n/ tIm¿∏-td-j≥

A`n-{]mbw

]©m-bØv IΩn-‰n/ ap\n-kn-∏¬ Iu¨kn¬/ tIm¿∏-td-j≥

Xocp-am\w

hnI-emwK¿°v saUn-°¬ k¿ń-^n-°-‰n-\pw Xncn-®dnb¬ Im¿Un-\pap≈ At]£ hnIemwK-cmb BfpIƒ°v k¿ń-^n-°‰pw Xncn-®-dn-b¬ Im¿Upw e`n-°p-∂-Xn\v \n›nX t^md-Øn¬ AXmXv Pn√-bnse Xmeq°v Pn√m Bip]-{Xn-I-fnse kq{]-≠n\pw/ Pn√m hnI-emwK ]p\c-[n-hmk tI{µw aptJ-\bpw At]£ ka¿∏n-°-Ww. 5 cq]-bpsS tIm¿´v ô Ãmºv ]Xn® At]£tbm-sSm∏w Ce-£≥ Xncn-®-dn-b¬ Im¿Uv, tdj≥ Im¿Uv F∂n-h-bpsS ]I¿∏v, ]mkvt]m¿´v sskkv t^mt´m F∂nh ka¿∏n-°-Ww. At]£ ka¿∏n®v \n›nX Ime-b-f-hn-\p-≈n¬ saUn-°¬ t_m¿Uv At]-£-Is\]cn-tim-[-\bv°v hnt[-b-am°n sshIeyw kw_-‘n-®p≈ k¿ń-^n-°‰v A\p-h-Zn-bv°pw. hnI-emw-Ksc AXmXv {Kma ]©m-bØp /tªm°v Xe-Øn¬ hnfn®p tN¿Øv tkmjy¬ skIyq-cn‰n anjs‚ t\Xr-Xz-Øn¬ Iymºv \SØn sshIeyw kw_-‘n® k¿ń-^n-°-‰p-Ifpw Xncn-®-dn-b¬ Im¿Up-Ifpw hnX-cWw sNøp-∂p. 40% ¬ A[nIw sshIeyw D≈-h¿°v k¿ń-^n-°-‰n\p ]pdta Xncn-®-dn-b¬ Im¿Upw \¬Ip-∂p. sNdnb sshI-ey-ßƒ°v Imem-h[n \nP-s∏-Sp-Øn-bp≈ k¿ń^n°‰pIfpw \¬Ip-∂p-≠v.

hnIemwK Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ [\-k-lmbw A¿lXbp-≈-h¿ Zmcn-{Zy-tc-Jbv°v Xmsg-bp≈ hnI-emw-K¿ NnIn-’-bv°p≈ [\-lmb- XpI \nP-∏-Sp-Øn-bn-ń-√. lmPcmt°≠ tcJIƒ \n¿±njvS At]t£m t^mdw ]qcn-∏n-®Xv c≠v tIm∏n. saUn-°¬ t_m¿Uns‚ k¿ń-^n-°‰ns‚ A‰-ÃUv tIm∏n. NnIn-’n-°p∂ Kh tUmIvS-dn¬ \n∂p≈ saUn-°¬ k¿ń-^n-°-‰v, tdj≥ Im¿Uns‚ km£ys∏SpØnb ]I¿∏v Xncn®dnb¬ Im¿Uns‚ icn∏I¿∏v hcp-am\ k¿ń-^n-°‰v Pn√m -tkm-jy¬ sh¬s^b¿ Hmô-k¿°v At]£ ka¿∏n-°-Ww.

Zmcn{Zy tcJbv°v Xmsg-bp≈ hnI-emw-K-cmb s]Ïp-ń-bpsS hnhm-l-Øn\v [\-k-lmbw A¿lXbp-≈-h¿ Zmcn-{Zy -tc-J°v Xmsg-bp-≈-h¿°v BWv Cu ]m≤Xn {]Imcw [\-k-lm-b-Øn\v A¿l-X-bp-≈-Xv. lmP-cm-t°≠ tcJ-Iƒ: \n¿±njvS -t^mdØnep≈ At]£ 2 tIm∏n, tdj≥ Im¿Uns‚ ]I¿∏v hnI-emwK Xncn-®-dn-b¬ Im¿Uns‚ km£y-s∏-Sp-Ønb ]I¿∏v hnt√Pv Hm^n-kn¬ \n∂p≈ hcp-am\k¿ń-^n-°-‰v˛ At]-£-I-t‚Xv(22000/˛cp-]-bn¬ Xmsg) hnhmlw Ign-®-b-°m≥ Dt±y-in-°p∂ s]Ïp-ń-bpsS P\\XnbXn sXfn-bn-°p∂Xn\m-h-iy-amb k¿ń-^n-°-‰ns‚ km£y-s∏-Sp-Ønb ]I¿∏v. hnhm-l-£-W-]{Xw {]Xn-{ipXhcs‚ kXy-hmMvaqew ˛ At]£ Pn√m tkmjy¬ sh¬s^-b¿ Hmô-k¿°v ka¿∏n-°Ww. B\p-Iqeyw ssI∏-‰p∂ ka-bØv hnhml k¿ń-^n-°‰v lmP-cm-°Ww ]c-am-h[n klmbw 10,000/

At]£ \º¿.................................................................

saUn°¬ Iymºv \S°p∂ ÿew..................................

Pn√........................................................................................

tªm°v..........................................................................................

Xmeq°v................................................................................

]©mbØv...................................................................................

hnt√Pv..................................................................................

hm¿Uns‚t]cv........................................................................... hm¿Uv \º¿..............................................................................

t^mdw 1

hnIemwK k¿´n^n°‰n\pw Xncn®-dnb¬ Im¿Un\pap≈ At]£ (As per Sub Rule (2) of Rule 5 of the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Kerala Rules, 2000)

t]cpw ta¬hnemkhpw (aebmfØn¬)

t]cpw ta¬hnemkhpw (Cw-•o-jn-¬])

sSet^m¨ \º¿ : 2.

hn`mKw

hb pw P\\oØobXnbpw

At]£Is\ {]Xn\n[m\w sNøpItbm H∏w hcnItbm sNøp∂ amXm]nXm°ƒ/c£I¿Ømhv As√-¶n-¬ ASpØ _‘phns‚ t]cpw ta¬hnemkhpw

Telephone Number : ]pcpj≥/kv{Xo hb v

Znhkw

amkw

h¿-jw

sshIeyØns‚ kz`m-hw

sshIeyw Xmev°menItam/ÿnctam

Aÿn ImgvN tIƒhn am\knI _p≤n amµyw kw_ °p-d-hv °pdhv/ tcm-Kw ‘amb kwkmc _p≤n tijn°p ap´p-Iƒ d-hv Xm¬°menIw / ÿn-cw

sshIeyw P≥a\mbpfftXm/B¿÷nXtam

P∑\mbpffXv

a‰p hnhcßƒ ({]tXyIn®v tcJs∏SpØm≥ Ds≠-¶n¬ am{Xw)

sshhmlnI \ne

(AhnhmlnX¿/hnhmlnX¿/hnhml_‘w th¿s]SpØnbh¿/hn[h)

10.

hy‡nsb Xncn®dnbp∂Xn\pff ASbmfßƒ (2 FÆw)

1. 2.

F) Ce£≥ sFU‚ vn‰n Im¿Uv \º¿

F)............................................................................

_n) tdj≥Im¿Uv \-º¿

_n)...........................................................................

B¿-PnXw

F._n

H +-

12.

ªUv {Kq∏v ˛

13.

hnZym`ymk tbmKyX

14.

sXm-gn¬

15.

tdj≥Im¿Uv {]Imcapff amkhcpam-\w

16.

Fwtπmbvsa‚ v FIvktN-©n¬ t]cv cPnkv‰¿ sNbvXn-´pt≠m

D≠v

17.

Fwtπmbvsa‚ v cPnkvt{Sj≥ \-º¿

18.

kvs]-jy¬ Fwtπmbvsa‚ v cPnkvt{Sj≥ \-º¿

19.

F) Xm¶ƒ°v apºv sa-Un°¬ k¿´n^n°‰v e`n®n-´pt≠m?

D≠v / C√

_n) Ds≠-¶n¬ F{X iXam\w sshIeyamWv tcJs∏SpØnbn´p≈Xv?

40 \p Xmsg

C-√

40 \p ap-I-fn¬ 20.

At]£m Xob-Xn

21.

At]£Is‚ H∏v

27 kXy{]kvXmh\

Rm≥................................................................................................................................................................................ ........................................................................................................................................................................................................... (t]cpw A{Ukpw) ap-I-fn¬ {]kvXmhn®n´p-≈ F√m Imcyßfpw Fs‚ Adnhnepw DØa hnizmkØnepw kXyamsW∂v CXn-\m¬ km£ys∏SpØp-∂p. t]¿k¨kv hnØv Untk_nen‰nkv (Cu-Iz¬, Hm∏¿®yqWn‰okv, s{]m´£≥ Hm^v ssd‰vkv B‚ v ^pƒ ]m¿´nknt∏j≥) BIvSv 1995 s‚ sk£≥ 59 {]Imcw sX‰mb hnhcßƒ \¬In k¿´n^n°‰v Icÿam°p∂Xv Ip‰IcamsW∂v F\n°v Adnhp≈XmIp∂p.

XobXn.....................................

At]£Is‚ H∏v/c£I¿Ømhns‚ H-∏v

hnI-emwK Zpcn-Xm-izm-k-\n-[n-bn¬ \n∂pw [\-k-lmbw \¬Ip-∂-Xn-\p≈ At]-£m-t^mdw 1. At]-£-Is‚ t]cpw ÿnc-ta¬hn-em-khpw (t^m¨ \º¿ Dƒs∏-sS) :

2. Ct∏mƒ Xma-kn-°p∂ ]©m-b-Øns‚ t]cv :

3. At]-£-Is‚ P\-\-ÿew (F) tZiw (_n) hnt√Pv (kn) Xmeq°v (Un) Pn√

: : : : :

4. At]-£-Is‚ t]cpw Ct∏m-gsØ ta¬hn-em-khpw

5. ]nXm-hns‚/ c£m-I¿Øm-hns‚ t]cpw ta¬hn-em-khpw

6. AwK-ssh-I-eysØ kw_-‘n-°p∂ hni-Z-hn-hcw (sa-Un-°¬ t_m¿Uv k¿´n-^n-°‰v lmP-cm-°-Ww)

7. IpSpw-_-Øns‚ hm¿jnI hcp-am\w (hn-t√Pv Hm^n-k¿ km£y-s∏-Sp-Øn-b-Xv)

8. [\-k-lm-b-ambn Bh-iy-s∏-Sp∂ XpI

9. ASn-b-¥-c-[-\-k-lm-b-Øns‚ Bh-iy-IX : 10. Zpcn-Xm-izm-k\n[nbn¬ \n∂pw [\-k-lmbw CXn\p apºv e`n-®n-´pt≠m?

11. at‰-sX-¶nepw [\-k-lmbw e`n-°p-∂pt≠m?: (AXns‚ hni-Z-hn-h-cw)

kXy-{]-kvXm-h\ apI-f-en¬ ]d-™n-cn-°p∂ hkvXp-X-I-sf√mw Fs‚ Adn-hnepw hnizm-k-Ønepw s]´n-S-tØmfw kXy-am-sW∂v Rm≥ CXn-\m¬ km£y-s∏-Sp-Øp-∂p.

At]-£-Is‚ H∏v/ hnc-e-S-bmfw ÿew : XnøXn :

A\p-_‘w H∂v

Zmcn-{Zy-tc-J°v Xmsg-bp≈ hnI-emw-K-cmb s]¨Ip-´n-I-fpsS hnhm-l-Øn\v [\-k-lm-b-Øn-\p≈ At]£ 1. At]-£-I-bpsS t]cpw ta¬hn-em-khpw (t^m¨ \º¿ Dƒs∏-sS) :

2. c£m-I¿Øm-hns‚ t]cv, ]q¿Æ-amb ta¬hn-em-khpw

3. At]-£-I-bpsS hb- v, P\-\-Xn-øXn sXmgn¬, {]Xn-io¿j-h-cp-am\w

4. c£m-I¿Øm-hns‚ sXmgn¬, {]Xn-io¿j hcp-am\w

5. hnhmlw Xo¿®-s∏-Sp-Øn-bn-´p≈ {]Xn-{ipX hcs‚ t]cpw ta¬hn-em-khpw :

6. {]Xn-{ip-X-h-cs‚ sXmgn¬

7. Bh-iy-s∏-Sp∂ klm-b-[\w

8. hnhmlw \S-Øm≥ \n›-bn-®n-´p≈ Xoø-Xnbpw hnhm-l-ÿ-ehpw

At]-£-I-bpsS H∏v

c£m-I¿Øm-hns‚ H∏v ÿew: XnøXn:

{]Xn-{ipX hcs‚ kXy-hm-Mvaqew .................................................................................................-Pn-√-bn¬........................................................................................ Xmeq-°n¬.....................................................................................-hn-t√-Pn¬............................................................................ .............................................................................................................................................................................................-ho-ń¬ .....................................................................................................................................................................aI-\mb Rm≥ Cu At]-£-bn¬ ]d-™n-cn-°p∂.............................................................................................................................................. F∂ s]Ïp-ń-sb ..............................................................................................................-Xo-øXn hnhmlw sNøm≥ Xocp-am-\n-®n-cn-°p-∂p F∂ hnhcw t_m≤y-s∏-Sp-Øn-s°m-≈p-∂p.

H∏v

t]cv :

ta¬hn-emkw:

30 ÿew: XoøXn:

hnI-emw-K¿, A-‘¿,- _-[n-c¿ F∂n-h¿°v kzImcy _kp-I-fn¬ bm{Xm ]mkv hnI-emw-K¿°v kzImcy _kp-I-fn¬ bm{Xm ]mkv A\p-h-Zn-°p-∂-Xn\v Pn√m tdmUv {Sm≥kvt]m¿´v Hmô-k¿°v \n¿±njvS -t^mdØnep≈ At]£ ka¿∏n-°Ww. A-t]-£bn¬ t^mt´m ]Xn®v Kk-‰Uv Hmô-k¿ km£y-s∏-Sp-Ø-Ww. hn-I-emw-K¿°v 40% imco-cnI sshIeyw D≠m-bn-cn-°Ww (sX-fn-bn-°p-∂-Xn\v t_m¿Uns‚tbm/kvs]jy-enÃv tUmIvS-dp-sStbm) k¿ń-^n-°‰v lmP-cm-°-Ww.

saUn-°¬

hnI-emw-K¿°v KSRTC _kp-I-fn¬ bm{Xm ]mkv hn-I-emw-K¿°v 50% imco-cnI sshIeyw D≠m-bn-cn-°Ww (sX-fn-bn-°p-∂-Xn\v saUn-°¬ t_m¿Uns‚ k¿´n- ^n-°‰v lmP-cm-°-Ww. kn‰n,- Hm¿Un-\-dn,- ^mÃv ]mk-©¿ F∂o _kp-I-fn¬ kwÿm-\Øn\-IØp am{Xta kuP\yw A\ph-Zn-°p-I-bp-≈q.\n-e-hnep≈ bm{Xm-\n-c-°ns‚ 70% kuP\yw A\p-h-Zn-°p-∂-Xm-Wv.A-t]-£-Is‚ hm¿jnI hcp-am\w 15000/˛I-hn-bm≥ ]mSn-√. Pn√m {Sm≥kvt]m¿´v Hm^o-k¿°v At]£ ka¿∏n-°Ww

_p≤n-am-µy-ap-≈-h¿°v KSRTC _kp-I-fn¬ bm{Xm]mkv 50% sshIeyw D≠m-bn-cn-°Ww (sX-fn-bn-°p-∂-Xn\v saUn-°¬ t_m¿Uns‚ km£y-s∏-Sp-Ønbk¿ń^n-°‰v lmP-cm-°-Ww. k¿°m¿ Bip-]-{Xn-bnse sskIym{Sn/\yqtdmfPn F∂o FsX-¶nepw hn`m-K-ßfnse Akn.- k¿Ps‚ dm¶n¬ Ipd-bmØ tUmIvS-dpsS k¿ń-^n-°-‰v lm-P-cm-°-Ww. ]mkvt]m¿´v sskkv t^mt´m ]Xn®v A‰Ãv sNø-Ww. kn‰n,- Hm¿Un-\-dn, -^mÃv ]mk-©¿ F∂o _kp-I-fn¬ Xmak ÿe-Øp-\n∂pw 40 In.ao Zqcw am{Xta kuP\yw A\p-h-Zn-°p-I-bp-≈q. \n-e-hnep≈ bm{Xm-\n-c-°ns‚ 50% kuP\yw A\p-h-Zn-°p-∂-Xm-Wv.A-t]-£-Is‚ hm¿jnI hcp-am\w 15000/˛I-hn-bm≥ ]mSn-√. Pn√m {Sm≥kvt]m¿´v Hmô-k¿°v At]£ \¬IWw

APPENDIX -I

Application for issue Identity Card to Physically Handicapped/Blind/Deaf in Private Buses 1 Name of Applicant

2 Address

3 Age & Date of birth of applicant

4 Signature of the applicant

(Space for Photograph)

5 Percentage of disability and details (to be certified by the Medical Officer Not below the rank of an Assistant Surgan in the Orthopediac, Eye or ENT Branch of a recognized Hospital)

6 Name and Address of Medical Officer

7 Signature of the Medical Officer with Date : Sd/ Superintendent

KSRTC 612

tIcf kvt‰‰v tdmUv {Sm≥kvt]m¿´v tIm¿∏-td-j≥ hnI-emw-K¿°v ]mkv e`n-°p-∂-Xn-\p≈ At]£m ^mdw 1

At]-£-Is‚ ]q¿Æ-amb t]cv

2 hb pw P\-\-Xo-b-Xnbpw

3 ]pcp-j-t\m,- kv{Xotbm

4 ]q¿Æ-amb hnemkw

5 sXmgn¬

6 DtZym-K-ap-≈-h-cm-sW-¶n¬ Ah-cpsS HutZym-KnI ta¬hn-emkw

7 At]-£-Is‚ Xmak ÿe-Øn-\-SpØp≈ sI.-F-kv.-B¿.-Sn.kn Hm^o-kv. (Un.-‰n.H / F.-‰n.-H. Hm^o-kv) : 8 hm¿jnI hcp-am\w

kXy-{]-kvXm-h\ Fs‚ hm¿jnI hcp-am\w..................................................................................................................................... cq] BIp-∂p.- (A-°-Ønepw A£-c-Ønepw Fgp-XpI) ta¬ kqNn-∏n® hnh-c-ßƒ kXy-am-sW∂v {]kvXmhn-®p-sIm-≈p-∂p.Sn hnh-c-ßƒ sX‰m-sW∂v t_m≤y-s∏-Sp∂ ]£w At]£ \nc-kn-°m\pw A\p-hZn® ]mkv ap∂-dn-bn∏v IqSmsX d±m-°p-hm\pw sI.-F-kv.-B¿.-Sn.kn.°v ]q¿Æ-amb A[n-Imcw Ds≠∂v Rm≥ a\- n-em-°p-∂p.

ÿew

H∏v

XnbXn :

t]cv

Hm^okv D]-tbm-K-Øn\p am{Xw

tIcf kvt‰‰v tdmUv {Sm≥kvt]m¿´v tIm¿∏-td-j≥ _p≤n-am-µy-ap-≈-h¿°v ]mkv e`n-°p-∂-Xn-\p≈ At]£m ^mdw 1 At]-£-Is‚ ]q¿Æ-amb t]cv (]mkv Bh-iy-ap≈ Bƒ)

2 hb pw P\-\-Xo-b-Xnbpw

3 ]pcp-j-t\m,- kv{Xotbm

4 ]q¿Æ-amb hnemkw

5 Xmak ÿe-Øn-\-Sp-Øp≈ _kv tÃm∏v

6 sXmgn¬

7 DtZym-K-ap-≈-h-cm-sW-¶n¬ Ah-cpsS HutZym-KnI ta¬hn-emkw

8 At]-£-Is‚ Xmak ÿe-Øn-\-SpØp≈ sI.-F-kv.-B¿.-Sn.kn Hm^o-kv. (Un.-‰n.H / F.-‰n.-H. Hm^o-kv) : 8 hm¿jnI hcp-am\w

: kXy-{]-kvXm-h\

Fs‚ hm¿jnI hcp-am\w................................................................................................................................................... cq] BIp-∂p.- (A-°-Ønepw A£-c-Ønepw Fgp-XpI) ta¬ kqNn-∏n® hnh-c-ßƒ kXy-am-sW∂v {]kvXm-hn-®p-sIm-≈p-∂p.Sn hnh-c-ßƒ sX‰m-sW∂v t_m≤y-s∏-Sp∂ ]£w At]£ \nc-kn-°m\pw A\p-h-Zn® ]mkv ap∂-dn-bn∏v IqSmsX d±m-°p-hm\pw sI.- F-kv.- B¿.- Sn. kn. °v ]q¿Æ-amb A[n-Imcw Ds≠∂v c£m-I¿Øm-hmb Rm≥ a\- n-em-°p-∂p.

ÿew :

At]-£-Is‚ t]cv, H∏v

XnbXn : c£m-I¿Øm-h-ns‚ t]cv (]q¿Æ-amb hnemkw)

Hm^okv D]-tbm-K-Øn\p am{Xw

MEDICAL CERTIFICATE / DISABILITY CERTIFICATE

Certified that I have examined Sri/Smt/Kum............................................................................. ..........................................................................................................................................whose photograph is affixed and found that He / She.......................................................................... .................................................................................................................................................... and also,

I certify that He/She is Mentally Retarded to the extent of Permanent disability up to....…… ...................................................................................................................%............................ Identification Marks: 1 2

photograph

Affix Office Seal on the Photograph

Designation of Doctor

Countersigned by……………...………. Superindentend of the Institute

Name of Hospital…………………….. Date………… Place………..

hnI-emw-K¿°v klmb D]-I-cWw (Free Distribution of aids and appliances) kwÿm\hnI-emwK tIm¿∏-td-j≥ hgn imco-cn-I-ambn sh√p-hn-fn-Iƒ t\cn-Sp∂ ]mh-s∏-´-h¿°v KpW-ta-∑-bp≈ klmb D]-I-c-W-ßƒ kwÿm\ hnI-emwK tIm¿∏-d-j≥ hgn \¬Ip-∂p. 60000/˛ cq]-bn¬ Xmsg hm¿jnI hcp-am-\-ap-≈-h¿°v BWv klmb D]-I-c-W-ßƒ \¬Ip-∂-Xv. B¿´n-^n-jy¬ enw_vkv,- ap-®{I hml-\-ßƒ,- ho¬ sNb-dp-Iƒ,- Im-en-t∏-gvkv,- {I-®-kv,- {i-h-W-k-lm-bnIƒ, -ssh‰v tIbv≥kv, -sIm-tfm-Ãan _mKvkv XpSßnb D]-I-c-W-ßƒ 3 h¿j-Øn¬ Hcn-°¬ \¬Ip∂p. Xt±i ÿm]-\-ß-fp-sSbpw, kwÿm\ BtcmKy hIp-∏n-s‚bpw kl-I-c-W-tØmsS Pn√m-X-e-Øntem tªm°v Xe-Øntem saUn-°¬ Iymºv \S-Øn-bmWv KpW-t`m-‡m-°sf sXc-s™-Sp-°p-∂-Xv. A√mØ ]£w t\cn´v hnI-emwK tIm¿∏-td-j-\n¬ At]£ ka¿∏n-°Ww hcp-am\w sXfn-bn-°p-∂-tc-J lmP-cm-°Ww

hnI-emw-K¿ \S-Øp∂ sXmgn¬ kwcw-`-ßƒ° v[-\-k-lmbw (_m¶v tem¨-˛-k-_vkn-Un) hnI-emw-K-cm-bn-´p≈ Bfp-I-fn¬ \n∂pw kzbw sXmgn¬ kwcw-`-ßƒ Bcw-`n-°p-∂-Xn\v Hmtcm h¿jhpw hnI-emwK t£a tIm¿∏-td-j≥ At]-£-Iƒ £Wn-°p-∂p≠v . Cu At]-£-Iƒ ]cn-tim[n®v kl-I-cW _m¶p-I-fn-te°v tem¨ A\p-h-Zn-°p-∂-Xn-\mbn ip]m¿i sNøp-∂p. _m¶v tem¨ apgp-h-\mbpw e`n-®p-I-gn-™m¬, A\p-h-Zn® tem¨ XpIbv°v B\p-]m-Xn-I-amb k_vknUn kwÿm\ hnI-emwK tIm¿∏-d-j≥ hgn \¬Ip-∂p.

A\p-h-Zn-°p∂ tem¨ XpI 20000/˛ cq] hsc 20000/˛ \p apI-fn¬ 50000/˛ hsc 50000/˛ \p apI-fn¬ 100000/˛hsc 100000/˛ \p apI-fn¬

A\p-h-Zn-°p∂ k_vknUn tem¨ XpI-bpsS 50% (]c-am-h[n 5000) tem¨ XpI-bpsS 30% tem¨ XpI-bpsS 25%(Ip-d-™Xv 15000/˛) tem¨ XpI-bpsS 20%(Ip-d-™Xv25000/˛]c-am-h[n100000/˛)

5 e£w hsc [\-k-lmbw e`n°pw. 3 e£-Øn\v apI-fn-ep≈ [\-k-lm-b-Øn\v kzØv Pmayw \¬IWw hni-Z-amb s{]mPIvSv dnt∏m¿´v ka¿∏n-°-Ww. hml\w hmßp-∂-Xn\v klmbw A\p-h-Zn-°p∂-X-√. kwcw`w XpS-ßnb tijw ]©m-bØv {]kn-U‚ns‚ km£y-]{Xw _m¶n¬ ka¿∏n-°-Ww.

hnI-emw-K¿°v b{¥-h¬IrX ap®{I hml-\-Øn\v k_vknUn imcocn-I-ambn sh√p-hn-fn-Iƒ t\cn-Sp-∂,- kzbw sXmgn¬ kwcw-`-ß-fn¬ G¿s∏-´n-cn-°p∂ bphm-°ƒ°v b{¥-h¬IrX ap®-{I-hm-l-\-ßƒ hmßp-∂-Xn\v kwÿm\hnI-emwK tIm¿∏-d-j≥ 10000/˛ cq] hsc k_vknUn \¬Ip-∂p.\n¿±njvS ^md-Øn¬, \n¿t±-in-®n-cn-°p∂ tcJ-Iƒ klnXw At]£ kwÿm\ hnI-emwK tIm¿∏-tdj≥ am\-PnwKv Ub-d-IvS¿°v ka¿∏n-°-Ww.

hnI-emw-K-cmb tem´dn GP‚p-am¿°p≈ [\-k-lmbw hnI-emw-K-cmb tem´dn GP‚p-am¿°p-th≠n tIcf kwÿm\hnI-emwK tIm¿∏-d-j≥, tI-cf kwÿm\ tem´dn hIp-∏p-ambn tN¿∂v \S-∏n-em-°p∂ {]tXyI ]≤-Xn-bm-Wn-Xv. kwÿm-\-sØm-´m-sI-bp≈ hnI-emw-K-cmb tem´dn GP‚p-amcn¬ \n∂pw sXc-s™-Sp-°-s∏-Sp-∂-h¿°v tem´dn hmßp-∂-Xn\pw hn¬°p-∂-Xn-\p-ambn 5000/˛(-A-øm-bn-cw) cq] hsc kmº-ØnI klmbw \¬Ip-∂p. \n¿±njvS ^md-Øn¬, \n¿t±-in-®n-cn-°p∂ tcJ-Iƒ klnXw At]£ kwÿm\ hnI-emwK tIm¿∏-tdj≥ am\-PnwKv Ub-d-IvS¿°v ka¿∏n-°-Ww.

tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥ slUv Hm^okv Pph-ss\¬ tlmw tImw]u-≠v, ]qP-∏p-c, Xncp-h-\-¥-]pcw ˛12, t^m¨ : 0471 - 2347768 doPn-b-W¬ Hm^okv tImÃv Km¿Un\v FXn¿hiw _n¬UnwKv t^m¿´v sIm®n, sIm®n ˛ 682 001 t^m¨ : 0484 - 2116880

C≥^¿ta-j≥ Hm^okv Nt°m-c-Øp-Ip-fw, luknwKv t_m¿Uv tImgn-t°mSv ˛ 673 004 t^m¨ : 0495 - 2765669

hnI-emw-K¿°v Bh-iy-amb klmb D]-I-c-W-ßƒ°p≈ At]-£m-t^mdw Pn√ ......................................................._vtfm°v ..................................................-]-©m-bØv............................................. 1. At]-£-Is‚ t]cpw ]q¿Æ-hn-em-khpw

kv{Xo / ]pcp-j≥ {]mbw

2. Bh-iy-s∏-Sp∂ D]-I-cWw

3. ap≥]v D]-I-c-W-ßƒ e`n-®n-´p-s≠-¶n¬ hniZ hnhcw

Fs‚ hm¿jnI hcp-am\w ............................................. cq]-bm-sW∂pw Ign™ aq∂p h¿j-Øn-\p-≈n¬ CØ-c-Øn-ep≈ D]-I-cWw e`n-®n-´n-√m-sb∂pw F\n°v e`n-°p∂ D]-I-cWw kz¥w Bh-iy-Øn\v am{Xw D]-tbm-Kn-°p-∂-Xm-sW∂pw CXn-\m¬ kXy-{]-kvXm-h\ sNbvXpsIm≈p-∂p.

ÿew .......................................................XobXn ........................................At]-£-Is‚ H∏v ....................................

hnZKvZ tUmIvS-dpsS k¿´n-^n-°‰v {io / {ioaXn ............................................................................................................................. ]cn-tim-[\ \S-Øn-bXn¬ Snbm\v A‘X / tIgvhn°pdhv / Aÿn-ssh-Ieyw Ds≠∂p ImWp-∂-Xn-\m¬ At]-£-I\p klm-b-Øn-\mbn ............................................................ D]-I-cWw AXym-h-iy-am-sW∂v CXn-\m¬ k¿´nss^ sNøp-∂p.

ÿew ..........................................................XobXn......................................... H∏pw t]cpw ................................................. HutZym-KnI ]Zhn

................................................ \º¿ tdj≥Im¿Uv / hcp-am\k¿´n-^n-°‰v A\p-k-cn®v At]£Is‚ hm¿jnI IpSpw-_-h-cp-am\w ......................................... cq]-bm-sW∂p km£y-s∏-SpØn sIm≈p-∂p. k¿´nss^ sNøp∂ DtZym-K-ÿs‚ H∏pw koepw D]-I-cWw ssI∏-‰n-bn-cn-°p∂p

XobXn ..............................

THE KERALA STATE HANDICAPPED PERSON’S WELFARE CORPORATION LIMITED Head Office : 17/230 (1), Juvenile Home Compound, Poojappura, Tvpm - 12 Phone : 2347768 Regional Office : tImÌv KmÀUn\v FXnÀhiw t^mÀ«v sIm¨n, sIm¨n þ 682 001 t^m¬ : 0484 2116880

Information Office : Nt¡m c ¯p Ip fw, luknwKv t_mÀUv _nÂUnwKv tImgn t¡mSv þ 673 004 t^m¬ : 0495 2765669

hnI-emw-K¿°p kzbw sXmgn¬ Is≠-Øp-∂-Xn\v _m¶v hmbv]-bv°p≈ At]-£m-t^mdw 1. At]-£-Is‚ t]cpw ta¬ -hn-em-khpw X≠-t]cp klnXw

2. 3. 4. 5.

hb v, P\-\-Xo-bXn hnZym-`ymk tbmKyX sshI-ey-Øns‚ kz`mhw Ortho / Blind / Deaf Ct∏mƒ G¿s∏-´n-cn-°p-∂ sXmgn-ens‚ hni-Z-hn-hcw

6. sXc-s™-Sp-°-s∏´ sXmgn¬ 7. ap≥]-cn-Nbw XpS-ßm≥ Dt±-in-°p∂ sXmgn-en¬ ap≥]-cn-Nbw 8. sXmgn¬ XpS-ßp-∂-Xn\p kz¥-ambn ÿetam, sIń-Stam ssIh-i-ap-s≠-¶n¬ AXns‚ hni-Z-hn-hcw 9. _m¶n¬ \n∂pw FSp-°m≥ Dt±-in-°p∂ XpI 10. hmbv] e`n-t°-≠p-∂ _m¶ns‚ hy‡-amb t]cpw ta¬hn-em-khpw ]n≥tImUv klnXw 11. ap≥]v tIm¿∏-td-j-\n¬ \n∂pw k_vknUn hmßn-bn-´pt≠m? {]Xn⁄ ta¬ {]kvXm-hn-®n-´p≈ F√m Imcy-ß-fpw Fs‚ DØa hnizm-k-Ønepw Adn-hnepw icnbpw kXy-hp-amsW∂pw _m¶n¬ \n∂pw e`n-°p∂ hmbv] CtX-Im-c-W-Øn\p Xs∂ D]-tbm-K-s∏-Sp-Øp-Ibpw \n›nX Xh-WI-fmbn _m¶n¬ Xncn-®-S-®p-sIm-≈m-sa∂pw CXn-\m¬ Rm≥ {]Xn⁄ sNbvXp sIm≈p-∂p. ÿew: XobXn: At]-£-Is‚ H∏pw t]cpw Ipdn∏v : Cu At]-£-tbm-sSm∏w Xmsg-∏-d-bp∂ tcJ-Iƒ IqSn Ab-bvt°-≠-Xm-Wv. 1. 40% tam AXn\p apI-fntem sshIeyw sXfn-bn-°p∂ k¿ń-^n-°-‰ns‚ tIm∏n 2. tdj≥ Im¿Uns‚ 1, 2 t]Pns‚ tIm∏n 3. tem´dn FP≥kn k¿ń-^n-°-‰ns‚ tIm∏n 4. c≠v ]mkvt]m¿´v sskkv t^mt´m

tIcf kwÿm\hnIm-ew-K-t£a tIm¿∏-td-j≥ slUm-^okv : ‰n.-kn.17/230 (1), ]qP-∏p-c, Xncp-h-\-¥-]pcw -12 t^m¨ \º¿ : 0471 ˛2347768 hnI-emw-K¿°v kv°q´-dn¬ A[nI ho¬ ^n‰v sNbvX-Xn\v, k_vkn-Un-°p≈ At]-£m-^mdw 1. At] £ Isâ t]cv 2. kv{Xo / ]pcp j³ 3. ]qÀ® taÂhn emkw ]n³ tImUv t^m¬ \¼À/samss_Â \¼À _Ô s¸« ]©m b¯v/ap³kn ¸m enän/ tImÀ¸ td j³ 4. P\\Xob Xn, hbÊv 5. hnZym `ymk tbmKyX 6. hmÀjnI hcp am\w 7. i) sshI ey ¯nsâ kz`mhw ii)F{X iX am\w 8. (F) hml\w \nÀ½n¨ I¼ \n bpsS t]cv (_n) hml \ ¯nsâ t]cv (kn) \nÀ½n¨ hÀjw (Un) cPn ÌÀ \¼À (C) hml\w hm§nb XobXn (F ^v) hml \ ¯nsâ hne 9. hml\w hm§n b Xnsâ Dt±iyw 10. ap³]v Cu ]²Xn {]Imcw k_v knUn hm§n bn «pt m

þ þ þ þ

]mkv-t]m¿-´v ssk-kv t^mt´m

þ þ þ þ þ þ þ þ þ þ þ þ þ

{]Xn⁄ taÂ {]kvXm hn ¨n «pÅ FÃm Imcy §fpw Fsâ D¯a hnizm k ¯nepw Adn hnepw icnbpw kXy hp am sW¶pw CXn \mÂ Rm³ {]XnÚ sN¿pXp sImÅp¶p. Øew : XobXn : At] £ Isâ t]cpw H¸pw At]£ AwKo I cn¨v .................................... XpI A\p h Zn ¨n cn ¡p ¶p. At]£ \nc kn ¨n cn ¡p ¶p. Imc Ww.................................................................................................................................. Ipdn¸v :þ Cu At] £ tbm sSm¸w Xmsg ] d bp¶ tcJ IÄ IqSn AäÌv sNbvXv lmP cm t¡ Xm Wv. 1. _nÃv, BÀ. kn. _p¡v F¶n h bpsS tIm¸n 2. ss{UhnwKv ssek³knsâ tIm¸n 3. hcp am\ kÀ«n ^n ¡ änsâ tIm¸n (hmÀjnI hcp am\w 60,000/þ cq] bnÂ Xmsg) 4. hnI emw KXzw sXfn bn ¡p¶ kÀ«n ^n ¡ änsâ tIm¸n 5. tdj³ ImÀUnsâ 1,2 t]Pnsâ tIm¸n 6. sskUvhoÂ LSn ¸n¨ hml \ ¯nÂ \¼À ImWp ¶ hn [ ¯nÂ Ccp s¶ Sp¯ t^mt«m þ2 amt\ PnwKv Ub d IvSÀ

tIcf kwÿm\ hnI-emwKt£a tIm¿∏-td-j≥ slUv Hm^okv, ‰n,-kn.17/230 (1) ]qP-∏p-c Xncp-h-\-¥-]pcw ˛12

tem´dn k_vkn-Un-°p≈ At]-£m-t^mdw 1.

2. 3.

At]-£-Is‚ t]cv : kv{Xo / ]pcp-j≥ : ]q¿Æ- ta¬ hn-em-kw : ]n≥tImUv : t^m¨ \º¿ / samss_¬ \º¿

4. 5.

P\\Xob-Xn, hb v (a) sshI-ey-Øns‚ kz`mhw (b) iX-am\w

CXn\p ap≥]v Cu ]≤Xn {]Imcw klmbw e`n-®n-´p-t≠m, Ds≠-¶n¬ GXp h¿jw : hm¿jnI hcp-am\w : tem´dn GP≥kn-bpsS \º¿ : hnZym-`ymk tbmKyX

7. 8. 9.

: : :

{]Xn⁄ ta¬ {]kvXm-hn-®n-´p≈ F√m Imcy-ß-fpw Fs‚ DØa hnizm-k-Ønepw Adn-hnepw icnbpw kXy-hp-am-sW∂pw CXn-\m¬ Rm≥ {]Xn⁄ sNbvXp sIm≈p-∂p. ÿew XobXn

At]-£-Is‚ H∏pw t]cpw

At]£ AwKo-I-cn®v ........................................................... XpI A\p-h-Zn-®n-cn-°p-∂p. At]£ \nc-kn-®n-cn-°p-∂p, ImcWw ........................................................................................................... At]-£-tbm-sSm∏w Xmsg ]d-bp∂ tcJ-Iƒ IqSn A‰Ãv sNbvXv lmP-cm-t°-≠-Xm-Wv. 1. 2. 3. 4.

40% tam AXn\p apI-fntem sshIeyw sXfn-bn-°p∂ k¿´n-^n-°-‰ns‚ tIm∏n tdj≥ Im¿Uns‚ 1, 2 t]Pns‚ tIm∏n tem´dn FP≥kn k¿´n-^n-°-‰ns‚ tIm∏n c≠v ]mkvt]m¿´v sskkv t^mt´m Managing Director

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) 1 apX¬ 8 hsc ¢m p-I-fn¬ ]Tn-°p∂ hnI-emw-K-cmb kvIqƒ hnZym-¿∞n-Iƒ°v kvtImf¿jn∏v \¬Ip-∂Xn-\p-th≠n kmaq-ly-t£-a-h-Ip∏v aptJ\ \S-∏n-em-°p∂ ]≤-Xn-bm-Wn-Xv. k¿°m¿ kvIqfp-I-fn-tem, k¿°m¿ AwKo-IrX kvIqfp-I-fntem ]Tn-°p∂ hnI-emwK hnZym-¿∞n-Iƒ°mWv kvtImf¿jn∏n\v A¿l-X-bp-≈-Xv. at‰- s X- ¶ nepw kv t Imf¿jn∏v e`n- ° p- ∂ - h ¿°pw hnI- e mw- K - s ]≥j≥ e`n- ° p- ∂ - h ¿°pw Cu kvtImf¿jn∏n\v A¿l-X-bn-√. Pn√m hnZym-`ymk Hmô-kp-Iƒ hgn kwtbm-PnX hnZym-`ymk ]cn-]m-Sn-b\p-k-cn®v klmbw e`n-°p-∂-h¿ Cu kvtImf¿jn∏n\v At]-£n-t°-≠-Xn-√. hnZym-¿∞n- Dƒs∏-Sp∂ IpSpw-_-Øns‚ hm¿jnI hcp-am\w 15000/˛ cq]-bn¬ Ihn-bm≥ ]mSn-√. \n›nX t^md-Øn¬ Xøm-dm-°nb At]-£-tbm-sSm∏w hnZym¿∞n ]Tn-°p∂ ÿm]-\-Ønse ÿm]-\-ta[m-hn-bn¬ \n∂p≈ k¿ń-^n-°-‰v, hnt√Pv Hmô-kn¬ \n∂p≈ hcp-am\k¿ń-^n-°‰v F∂nh Cu At]-£tbm-sSm-∏-ap≈ amXr-I-bn¬ Xøm-dm°n ka¿∏n-°-Ww. A‘¿, _[n-c¿, Aÿn-kw-_-‘-amb sshI-ey-ap-≈-h¿ F∂n-ßs\sshI-ey-Øns‚ kz`m-h-Øn-\-\p-kcn®v _‘-s∏´ taJ-e-bnse hnZKv≤ tUmIvS¿ \¬Ip∂ k¿ń-^n-°‰v Cu At]-£-tbm-sSm∏w D≈ amXrI-bn¬ Xøm-dm-°n-bXv At]-£-tbm-sSm∏w ka¿∏n-°-Ww. dotUgvkv Ae-h≥kv e`n°p-∂-Xn-\mbn ÿm]-\-ta-[mhn \¬Ip∂ \n¿±njvS amXr-I-bn-ep≈ km£y]{Xw IqSn At]-£-tbm-sSm∏w ka¿∏n-°-Ww. ]qcn-∏n® At]£ F√m tcJ-Ifpw klnXw ka-b-]-cn-[n-°p-≈n¬ Pn√m kmap-ly-t£a Hmô-k¿°v ka¿∏n-t°-≠-Xm-Wv.

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (9˛mw ¢mknepw AXn\p apI-fnepw) 9˛mw ¢mknepw AXn\p apI-fnepw ]Tn-°p∂ hnI-emw-K-cmb hnZym-¿∞n-Iƒ°v kvtImf¿jn∏v \¬Ip-∂-Xn\p-th≠n kmaq-ly-t£-a-h-Ip∏v aptJ\ \S-∏n-em-°p∂ ]≤-Xn-bm-Wn-Xv. k¿°m¿ ÿm]-\-ß-fntem, k¿°m¿ AwKo-IrX ÿm]-\-ß-fntem ]Tn-°p∂ hnI-emwK hnZym-¿∞nIƒ°mWv kvtImf¿jn∏n\v A¿l-X-bp-≈-Xv. at‰-sX-¶nepw kvtImf¿jn∏v e`n-°p-∂-h¿°pw hnI-emw-K-s]≥j≥ e`n-°p-∂-h¿°pw Cu kvtImf¿ jn∏n\v A¿l-X-bn-√. ]mc-e¬ tImtf-Pp-I-fntem ]m¿´vssSw tImgvkp-Iƒt°m ]Tn-°p∂ hnZym-¿∞nIƒ kvtImf¿jn∏n\v At]-£n-t°-≠-Xn-√. ap≥ hm¿jnI ]co-£-bn¬ 40% F¶nepw am¿°v Ic-ÿ-am-°n-bn-ń-√m-Ø-h¿ Cu kvtImf¿jn∏n\v At]£n-t°-≠-Xn√ hnZym-¿∞n- Dƒs∏-Sp∂ IpSpw-_-Øns‚ hm¿jnI hcp-am\w 36000/˛ cq]-bn¬ Ihn-bm≥ ]mSn-√. \n›nX t^md-Øn¬ Xøm-dm-°nb At]-£-tbm-sSm∏w hnZym¿∞n ]Tn-°p∂ ÿm]-\-Ønse ÿm]-\-ta[m-hn-bn¬ \n∂p≈ k¿ń-^n-°-‰v, hnt√Pv Hmô-kn¬ \n∂p≈ hcp-am\k¿ń-^n-°‰v F∂nh ka¿∏n-°Ww. A‘¿, _[n-c¿, Aÿn-kw-_-‘-amb sshI-ey-ap-≈-h¿ F∂n-ßs\sshI-ey-Øns‚ kz`m-h-Øn-\-\p-kcn®v _‘-s∏´ taJ-e-bnse hnZKv≤ tUmIvS¿ \¬Ip∂ k¿ń-^n-°‰v At]-£-tbm-sSm∏w ka¿∏n-°-Ww. dotUgvkv Ae-h≥kv e`n°p-∂-Xn-\mbn ÿm]-\-ta-[mhn \¬Ip∂ \n¿±njvS amXr-I-bn-ep≈ km£y]{Xw IqSn At]-£-tbm-sSm∏w ka¿∏n-°-Ww. ]pXnb tImgvkp-I-fn¬ ]T\w \S-Øp-∂-hcpw \n¿±n-jvS-amb tImgvkp-I-fnse ]T-\-Øn\v apS°w hcp-Øn-bn´p-≈-hcpw kvtImf¿jn∏v ho≠pw A\p-h-Zn-°p-∂-Xn\v ]pXp-Xmbn At]-£n-t°-≠-Xm-Wv. ¢mkv Bcw-`n® Xob-Xn- ap-X¬ Hcp amk-Øn-\Iw kvtImf¿jn∏v ]pXp-°p-∂-Xn-\p≈ At]£ ÿm]-\-ta[m-hnbn¬ \n∂v ]qcn-∏n-®p-In-ń-bm¬ am{Xta tImgvkns‚ XpS¿∂p≈ h¿j-ß-fn¬ kvtImf¿jn∏v ]pXp°n A\p-h-Zn-°p-I-bp-≈q. ]qcn-∏n® At]£ F√m tcJ-Ifpw klnXw ¢mkv Bcw-`n® Xob-Xn- ap-X¬ c≠v amk-Øn-\Iw kwÿm\kmap-ly-t£a hIp∏v Ub-d-IvStd‰v, hnImkv `h≥ Xncp-h-\-¥-]p-cw˛33 F∂ hnem-k-Øn¬ ka¿∏n-t°-≠-Xm-Wv.

tIcf k¿°m-¿

hnI-emwK hnZym¿∞n-Iƒ°v kvtImf¿jn-∏n-\p≈ At]£mt^mdw 1 apX¬ 8 hsc ¢m p-I-fn¬ `mKw˛1 Ipdn∏v : (1) ]qcn-∏n® At]-£-Iƒ AXmXv Pn√m kmaq-ly-t£a Bô-k¿°v ka¿∏n-t°-≠-Xm-Wv. (2) A]q¿Æ-ambpw \n›nX Xob-Xn-°p-ti-jhpw In´p∂ At]-£-Iƒ kzoI-cn-°p-∂-X-√. (3) IpSpw_ hm¿jnI hcp-am\w 15,000 cq]-bn¬ Ihn-bm≥ ]mSn-√. (4) hnI-emwK s]≥j≥ In´p-∂-h¿ kvtImf¿jn-∏n\v A¿l-c-√. (5) _‘s∏SmØ `mK-ßƒ shń-°-f-tb-≠-Xm-Wv. (6) Pn√m hnZym-`ymk Hmô-kp-hgn kwtbm-PnX hnZym-`ymk ]≤-Xn-b-\p-k-cn®v [\-k-lmbw e`n°p∂h¿ Cu kvtImf¿jn-∏n\v At]-£n-t°-≠-Xn-√.

1. 2.

]q¿Æ-amb t]cv sshI-ey-Øns‚ kz`mhw

: :

3. 4.

]Tn-°p∂ ¢mkv ÿnc-amb ta¬hn-em-kw, Pn√

: :

5. P\-\-Øo-bXn : 6. (F) A—s‚ /c£m-I¿Øm-hns‚ t]cv : c£m-I¿Øm-hp-am-bp≈ _‘w : (_n) A—s‚ /c£m-I¿Øm-hns‚ : sXmgn¬ 7. amXm-]n-Xm-°-fpsS/c£m-I¿Øm-hns‚ : hm¿jnI hcp-am\w 8. as‰sX-¶nepw kvtImf¿jn-t∏m, : hnZym-`ymk B\p-Iq-eytam e`n-°p -∂pt≠m ? In´p-∂p-s≠-¶n¬ : (ap…ow s]Ïp-ń-Iƒ, \mSm¿ s]¨ Ipń-Iƒ F∂n-h¿°p≈ kvtImf¿jn-∏p-Iƒ) (1) e`n-°p-∂p-s≠-¶n¬ AXv A\p-h-Zn-°p∂ : hIp-∏v, klm-b-Øns‚ kz`mhw

(2) {]Xn-amkw e`n-°p∂ XpI 9.

dh\yq Un∏m¿´vsa‚n¬ \n∂pw hnI-emwK s]≥j≥ In´p-∂pt≠m

A‘¿/_[n-c¿ / Aÿn-kw-_-‘-amb sshI-ey-ap-≈-h¿

e`n-°p∂p / e`n-°p-∂n√

: :

]nXm-hns‚ /c£m-I¿Øm-hns‚ H∏v /hn-c-e-S-bmfw

D≠v / C√ hnZym¿∞n-bpsS H∏v /hnc-e-S-bmfw

{]kvXmh\ 1. apI-fn¬ {]kvXm-hn-®n-´p≈ hkvXp-X-Iƒ Fs‚ Adn-hnepw hnizm-k-Ønepw s]´n-S-tØmfw kXy-am-W v . kvtImf¿jn∏v A\p-h-Zn-°p-∂Xv kw_-‘n-®v bmsXmcp hkvXp-X-Ifpw ad-®p-sh-®n-´n-√. 2. kvtImf¿jn∏v e`n-°p∂ Ime-L-´-Øn¬ a‰v [\-k-lm-b-ß-sfm∂pw Fs‚ aI≥ / aIƒ kzoI-cn-°p-∂ X-s√∂pw {]kvXm-hn-®p-sIm-≈p-∂p. ÿew : XobXn :

]nXm-hns‚ /c£m-I¿Øm-hns‚ H∏v

`mKw˛2

ÿm]\ta[mhn ]qcn-∏n-t°-≠Xv 1. (F) hnZym¿∞n-bpsS t]cv (_n) ]Tn-°p∂ ¢mkv (kn) Ct∏mƒ ]Tn-°∂ ¢m n¬ tN¿∂ XobXn

: : :

2. (F) At]-£-I\v kuP\y `£Ww As√-¶n¬ : Xmakw As√-¶n¬ at‰-sX-¶nepw Xc-Øn-ep≈ B\p-Iqeyw Kh¨sa‚n¬ \nt∂m As√-¶n¬ Xt±i kzbw-`-cW ÿm]-\-Øn¬ \nt∂m In´p-∂pt≠m ? (_n) Ds≠-¶n¬ In´p∂ B\p-Iq-ey-Øns‚ : {]Xn-amk aqeyw 3. (F) At]-£-I≥ ]ń-I-PmXn /]ń-I-h¿§ Øn¬s∏´ BfmtWm ? : (_n) AsX-sb-¶n¬ ]ń-I-PmXn hnI-k\hIp : -∏n¬ \n∂pw [\k-lmbw In´p-∂pt≠m ? (kn) Ds≠-¶n-¬ e`n-°p∂ kl-mb-Øns‚ :

D≠v / C√

kz`m-hhpw e`n-°p∂ XpIbpw (Un) At]-£bv°v \mSm¿ s]Ïp-ń-I-fp-sStbm : ap…ow s]Ïp-ń-I-fp-sStbm [\-k-lmbw Ds≠-¶n¬ e`n-°p∂ XpI 4.

A‘¿°p am{Xw : At]-£-I≥ hmbn®p sImSp-°m≥ Bsf : \ntbm-Kn-®n-´pt≠m ? Ds≠-¶n¬ A\p-_‘w A©n¬ sImSp-Øn-´p≈ ^mdw ]qcn-∏n-°pI ASp-Øp≈ tÃ‰v _m¶ns‚ imJ :

D≠v / C√

{]kvXm-h\ 1˛mw `mK-Øn¬ \¬In-bn-´p≈ hkvXp-X-Iƒ icn-bm-sW∂pw ; At]-£-I≥ Cu hnZym-e-b-Ønse hnZym¿∞n-bm-sW∂pw ; Cu hnZym-ebw tIcf k¿°m-dns‚ AwKo-Im-c-ap-≈-Xm-sW∂pw (Aw-Ko-Imcw DØ-chv \º¿) Rm≥ km£y-s∏-Sp-Øn-s°m-≈p-∂p. ÿm]-\-Øns‚ ta[m-hn-bpsS H∏v : t]cv : ÿm\-t∏cv : ta¬hn-emkw : ÿew : XobXn : ÿm]-\-Øns‚ ta[m-hn-bpsS ap{Z

1. 2. 3.

A\p-_‘w˛1

hcp-am\k¿ń-^n-°‰v (hn-t√Pv Hmô-k¿ \¬tI-≠-Xv) (B-h-iy-an-√mØ `mKw shń-°-f-bp-I)

.............................................................................Xmeq-°n¬....................................................................................hnt√-Pn¬ .................................................................................................................................................................-F∂ ho´n¬ {io /{ioaXn........................................................................................................................................................F∂ BfpsS aI≥ / aIƒ ..............................................................................F∂ Ip´n°v hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn-∏n\v At]-£n-t°≠ Bhiym¿∞w.........................................................mw XnbXn ka¿∏n® At]-£-bn¬ Fs‚ At\z-j-W-Øn¬ Snbms‚ hm¿jnI IpSpw_ hcp-am\w............................................cq] (...........................................................................................................................................................) BsW∂v R≥ km£y-s∏-Sp-Øp-∂p.

IqSmsX Sn Ipń°v dh\yq hIp-∏n¬ \n∂pw s]≥j≥ e`n-°p-∂p≠v / e`n-°p-∂n√ F∂pw Sn Ipń ]ń-I-PmXn / ]ń-I-h¿§-Øn¬s∏´ Bƒ BsW∂pw / As√∂pw CXn-\m¬ km£y-s∏-Sp-Øp-∂p.

44 ÿew : XobXn :

hnt√Pv Hm^o-k-dpsS t]cpw H∏pw hnt√-Pns‚ t]cv

(Hm ^okv ap{Z)

A\p-_‘w˛2

A‘¿°p≈ saUn-°¬ k¿´n-^n-°‰v (c-Pn-Ã¿ sNbvXn-´p≈ Hcp \b-\-tcmK hnZ-KvZ\pam{Xw \¬Im-hp-∂-XmWv Cu k¿´n-^n-°‰v) tUm..........................................................................-c-PnÃ¿ \º¿ ...................................................................Bb Rm≥ 200.........................................................................................mw Znhkw Xmsg hnh-c-ßƒ tN¿Øn-´p≈ At]-£-Iƒ ]cn-tim-[n-®n-´p-s≠∂pw Abmƒ ta¬∏-d™ \n¿∆-N-\-Øns‚ ]cn-[n-°p-≈n¬ hcp-∂ps≠∂pw km£y-s∏-Sp-Øp-∂p. 1. At]-£-Is‚ t]cv : 2. ]nXm-hns‚ t]cv : 3. BtWm , s]tÆm : 4. GI-tZi hb v : 5. Xncn-®-dn-bm-\p≈ AS-bm-f-ßƒ : 6. ImgvN Ah-ti-jn-®n-´p-s≠-¶n¬ : heXp IÆv / CSXp IÆv AXns‚ tXmXv 7. A‘-X-bpsS Bcw w (A-‘X P∑\m : D≈-XmtWm ]n∂oSv _m[n-®-XmtWm F∂v ]d-bp-I, ]n¬°meØp-≠m-b-Xm-sW-¶n¬ AXv _m[n® hb pw AXns‚ Imc-Whpw kqNn-∏n-°mw) 8. A‘-X-bpsS \n¿∆-N-\w, kvtImf¿jn-∏v : Bh-iy-ßƒ°mbn (1) ]q¿Æ-amb ImgvN-bn-√mbva : (2) Xmc-X-tay\ \√ \ne-bnep≈ IÆn\v : klm-bI se≥tkmSp IqSn-bp≈ 6/60 AYhm 20/200 (kvs\-√≥)˛¬ Ihn-bmØ Z¿i\hy‡X (3) 20 Un{Kn tImW-Øns‚ ]cn-[n-bn¬ : HXp-ß-Ø-°-h-Ætam AXn-t\-°mƒ tami-s∏´ \ne-bntem ImgvN-bpsS hym]vXn-°p≈ ]cn-anXn At]-£-Is‚ Isøm∏v (hn-c-e-S-bm-fw)

ÿew : XobXn : (Hm^okv ap{Z)

t\{X-tcmK hnZ-KvZs‚ Isøm∏v ÿm\-t∏cv : tbmKyX : ta¬hn-emkw :

A\p-_‘w˛3

_[n-c¿°p≈ saUn-°¬ k¿´n-^n-°‰v (C.-F≥.-Sn. hnZ-KvZ-\p-am{Xw \¬Im-hp-∂-Xv) tUm................................................................................................... cPn-Ã¿ \º¿ ....................................... Bb Rm≥ 200 ................................mw Znh-k-amb C∂v Xmsg hnh-c-ßƒ tN¿Øn-´p≈ At]-£-Is\]cn-tim-[n-®n-´p-s≠∂pw Abmƒ ta¬∏-d™ \n¿∆-N-\-Øns‚ ]cn-[n-°p-≈n¬ hcp-∂p-s≠∂pw km£y-s∏-Sp-Øp-∂p.

1. At]-£-Is‚ t]cv

2. ]nXm-hns‚ t]cv

3. BtWm / s]tÆm

4. GI-tZi hbkv

5. Xncn-®-dn-bm-\p≈ AS-bm-f-ßƒ

6. {ih-W-tijn Ah-ti-jn-®n-´p-s≠-¶n¬ AXns‚ tXmXpw B tXmXv IW-°m-°m≥ kzoI-cn® ASn-ÿm-\hpw (1) heXp sNhn (2) CSXp sNhn

7. _[n-c-X-bpsS Bcw`w (_-[n-cX P≥a\m D≈-XmtWm F∂pw ]n∂oSv _m[n-®-XmtWm F∂pw tcJ-s∏-Sp-Øp-I. AXv ]n¬°m-eØv D≠m-b-Xm-sW-¶n¬ _[n-cX _m[n® hb pw AXns‚ Imc-Whpw kqNn-∏n-°mw.) _[n-c-cpsS \n¿∆-N\w

km[m-c-W-amb Pohn-Xm-h-iy-ßƒ°p {ih-Wtijn {]mh¿Øn-I-a-√m-Xn-cn-°p∂ Bfp-I-fmWv _[n-c-∑m¿, kmam-\y-ambn 500, 1000, 2000 F∂o Bhr-Øn-I-fn¬ 70 sUk-s_t√m AXn¬ \jvSs∏-´m¬ Ah-injvS {ih-W-tijn {]mh¿Ø-Ia-√m-Xm-bn-Øo-cpw. : 8. BUo-tbm-{Kw Nm¿´v D≈-S°w sNøpI

At]-£-Is‚ Isøm∏v

C.-F≥.-Sn. hnZ-KvZs‚ Isøm∏v ÿm\-t∏cv : tbmKyX : ta¬hn-emkw :

ÿew : XnbXn :

Hm^okv ap{Z

A\p-_‘w˛4

Aÿn-kw-_-‘-amb AwK-ssh-I-ey-ap≈ At]-£-Isc kw_-‘n® saUn-°¬ k¿´n-^n-°‰v (c-Pn-kvt{SUv Hm¿tØm ]oUnIv hnZ-Kv≤≥ am{Xw \¬tI≠ k¿´n-^n-°-‰v) kvtImf¿jn-∏m-h-iy-Øn\v Aÿn-kw-_-‘-amb AwK-ssh-I-ey-Øns‚ \n¿h-N\w Aÿn-Iƒ, amwk-t]-in-Iƒ, k‘nIƒ F∂nhbpsS km[m-cWKXn-bn-ep≈ {]h¿Ø-\-Øn-\p-X-S- -ambn Xoc-Ø-°-hÆw ico-cn-I-amb sshI-eytam sshIy-Xtam D≈ Bfp-I-fmWv Aÿn kw_-‘-ambn AwK-ssh-I-ey-ap-≈-h¿

tUm................................................................................................... cPn-Ã¿ \º¿ ....................................... Bb Rm≥ 200 ................................mw Znh-k-amb C∂v Xmsg hnh-c-ßƒ tN¿Øn-´p≈ At]-£-Is\]cn-tim-[n-®n-´p-s≠∂pw Abmƒ ta¬∏-d™ \n¿∆-N-\-Øns‚ ]cn-[n-°p-≈n¬ hcp-∂p-s≠∂pw km£y-s∏-Sp-Øp-∂p. 1. 2. 3. 4. 5. 6.

At]-£-Is‚ t]cv ]nXm-hns‚ t]cv BtWm / s]tÆm ]nXm-hns‚ t]cv GI-tZi hbkv (F) Ah-i-X-bpsS kz`mhw (Xmsg tN¿°p∂ ]ń-I-bn¬ {]k-‡-am-bn-´p -≈Xv AS-bm-f-s∏-Sp-Øp-I) t]mfn-tbm-sb-Øp-S¿∂p≈ Xf¿hm-Xw, slan-πn -Un-Pn-b, Iy{Um-πo-UvPn-b, th≠-hn[w Iqń-t®-cm Ø Fs√m-Sn-hv, \mUn Xf¿hm-Xw, apI-f-‰-Øp≈ apS¥v, Iog-‰-Øp≈ apS-¥v, thZ-\m-P-\-I-amb AwKssh-Ir-Xw, P≥a\m D≈tXm ]n∂oSv _m[n-®tXm, Im¬ap-ń-\p-ap-I-fn¬, tXmfn¬, ap≥h-iw, Hcp-hiw, Ccp-hiw (_n) Ah-i-X-bpsS hym]vXn ico-c-im-kv{X-sØbpw {]h¿Ø-\-sØbpw tcmKn-tbbpw ]cn-tim-[-I-s\bpw tI{µ-am°n sIm≠p≈ hnen-cp-Ø-ens\ASn-ÿm-\-am°n iXmw-i-ambn (Fw.-kn.-ss{_Uv kvsIbn¬) IW-°m-°pI, 25-˛¬ Ipdhv, 25˛75 ¬ Ipd-hv, 75-˛90 ¬ Ipdhv BsI-bp≈ Ah-i-X. (kn) D]-I-c-W-ß-fpsS D]-tbmKw (Xmsg tN¿°p∂ ]ń-I-bn¬ {]k-‡-am-bXv AS-bm-f-s∏-Sp-ØpI) :˛ Iymen-∏n-b¿, {I®v Im¬ap-ń\v apI-fn¬ Im¬ap-ń-\p -Xm-sg, Ir{Xn-amwKw (t{]m-kvsX-Un-kv) hSn, tXmƒ, tXmfn-\p-Xmsg slan-s]¬sh-Ivt{Sman, tXmƒ _‘hn-t—Zw (Un) \S-∂n-´p-≈tXm \n¿≤n-jvStam Bb ikv{X-{Inb : (C) Ah-i-X-bp-sS GsX-¶nepw D]-I-cWw D]-tbm-Kn-°p-∂pt≠m 7 sshI-ey-Øns‚ kz`m-h-sØ-tbm, hym]vXntbtbm kw_-‘n®v k¿P≥ Fs¥¶nepw Np≠n-°m-Wn-°m≥ B{K-ln-°p-∂p-s≠-¶n¬ A°mcyw hy‡-am-°p∂ a‰p hnh-c-ßƒ

At]-£-Is‚ ssIsbm∏v ÿew : XnbXn :

Hm^okv ap{Z

: : : : : :

: :

: Hm¿tØm-∏o-UnIv hnZ-KvZ-[s‚ ssIsbm∏v ÿm-\-t∏cv : tbmKyX : ta¬hn-emkw :

A\p-_‘w ˛5

dotUgvkv Ae-h≥kv A\p-h-Zn-°p-∂-Xn-\p≈ ^mdw (ÿm]\ta[mhn ]qcn-∏n-t°≠Xv) hnZym¿∞n / hnZym¿∞n-\n-bpsS t]cv ....................................................................................................................................... h¿jw ............................. amkw .......................................................... XnbXn apX¬ XpS¿®-bmbn (hm-bn-°p∂ Bfns‚ t]cv) ............................................................................................................................... sb hmbn®v klm-bn-°p-∂-Xn-\p-th≠n \nb-an-®n-´p-s≠-∂p-≈Xv F\n°v Adn-hp-≈-Xm-Wv, hmbn-®p-sIm-Sp-°p∂ Bfns‚ ta¬ hnem-khpw hnZym-`ym-ktbm-Ky-X-Ifpw Xmsg ImWn-®n-cn-°p-∂p.

ÿm]\ta[m-hn-bpsS H∏v hmb\klm-bn-bpsS H∏v

ÿmew : XobXn : (ap{Z)

`mcX k¿°m¿ t£a-a-{¥m-ebw

9˛mw Ãm≥tU¿Unepw AXn\p apI-fnepw ]Tn-°p∂ hnI-emw-K¿°p≈ kvtImf¿jn∏v Ipdn∏v : 1. ]q¿Æ-ambn ]qcn-∏n® At]£ ¢mkv Bcw-`n® XobXn apX¬ c≠p-am-k-Øn-\Iw kwÿm\ k m a q ly-t£a hIp∏v Ub-d-IvS-td-‰v, hnImkv `h≥, Xncp-h-\-¥-]pcw ˛33 F∂ hnem-k-Øn¬ F Ø n - t ° ≠-Xm-Wv. 2. F√m tImf-ßfpw ]q¿W-ambpw hy‡-ambpw ]qcn-∏n-t°-≠-Xm-Wv. 3. Xma-kn-®p-In-´p∂ At]-£-Ifpw A]q¿Wtam sX‰mb hnh-c-ßƒ AS-ßn-btXm Bb At]-£Ifpw XZv£Ww \nc-kn-t°-≠-Xm-Wv. 4. {]k-‡-a-√mØ `mK-ß¬ shń-°-f-bp-I. 5. ap≥ hm¿jo-I-∏-co-£-bn¬ 40% F¶nepw am¿°v Ic-ÿ-am-°n-bn-ń-√mØ Ipń-Iƒ At]-£n-t°-≠ Xn-√. 6. amXm-]n-Xm-°-fpsS kwbp-‡-amb hm¿jnI IpSpw-_-h-cp-am\w/c£m-I¿Øm-hns‚ samØw hm¿jnI IpSpw-_-h-cp-am\w 36,000 cq]-bn¬ IqSp-X-emb hnZym¿∞n-Iƒ At]-£n-t°-≠Xn-√. 7. ]mc-e¬ tImtf-Pp-I-fntem ]m¿ssSw tImgvkp-Iƒt°m ]Tn-°p∂ Ipń-Iƒ At]-£n-t°-≠Xn√. 8. ]pXnb tImgvkp-I-fn¬ ]T\w \S-Øp-∂-hcpw \n¿±n-jvT-amb tImgvkp-I-fnse ]T-\-Øn\p apS°w hcp-Øn-bn-´p-≈-hcpw kvtImf¿jn∏v ho≠pw A\p-h-Zn-°p-∂-Xn\v ]pXp-Xmbn At]-£n-t°-≠ XmWv. 9. ¢mkv Bcw-`n® XobXn apX¬ Hcp-am-k-Øn-\Iw kvtImf¿jn∏v ]pXp-°p-∂-Xn-\p≈ At]£ ÿm]-\-Ø-e-h-\n¬ \n∂p ]qcn-∏n®p Inń-bm¬ am{Xta tImgvkns‚ XpS¿∂p≈ h¿j-ß-fn¬ kvtImf¿jn∏v ]pXp°n A\p-h-Zn-°p-I-bp-≈q.

]pXp-Xmbn kvtImf¿jn∏v A\p-h-Zn-°m-\p≈ At]£ `mKw ˛ 1 (A-t]-£-I≥ ]qcn-∏n-t°-≠-Xv) 1. \nßƒ ]Tn-°p∂ ÿm]-\-Øns‚ t]cpw ta¬hn-em-khpw Pn√bpw : 2. hnZym¿∞n-bpsS t]cv : 3. AwK-ssh-I-ey-Øns‚ kz`mhw : A‘X/_[n-cX/Aÿn-kw-_-‘-amb sshIeyw/am\-knI hf¿®-bn-√m-bva (-X-∂n-´p≈ {]k-‡-amb t^mdw ]qcn-∏n®p tN¿°p-I) 4. ]pcp-jt\m kv{Xotbm : 5. (F) \nßƒ Hcp C¥y≥ ]uc-\mtWm : (_n) ]´n-I-PmXn / ]´n-I-h¿K-Øn¬ s]´-bmƒ BtWm : 6. P\\ØobXn ({In.hn) :

7. ]nXm-hns‚ /c£m-I¿Øm-hns‚ t]cpw ]nXm-hns‚ / c£m-I¿Øm-hns‚ t]cv ta¬hn-em-khpw c£m-I¿Øm-hn\v ........................................................................................................... hnZym¿∞n-bp-am-bp≈ _‘w sXmgn¬ ......................................................................................... ta¬hn-emkw .............................................................................. ........................................................................................................... ........................................................................................................... c£m-I¿Øm-hp-am-bp≈ _‘w............................................ 8. amXm-]n-Xm-°-fpsS (c-≠p-t]-cp-sSbpw tN¿∂/ c£m-I¿Øm-hns‚ BsI hm¿jnI hcp-am\w (\n¿ZnjvS t^md-Øn¬ _‘-s∏´ hnt√Pv Hmô-k-dpsS k¿ń-^n-°‰v tN¿°p-I) : 9. \nßƒ hcp-am\w kºm-Zn-°p-∂pt≠m :D≠v / C√ F∂p hy‡-am-°pI Ds≠-¶n¬ , (1) hcp-am\am¿Kw (2) amk-h-cp-am\XpI 10. (F) Ct∏mƒ ]Tn-°p∂ tImgvkn¬ {]th-i\-Øn-\p≈ tbmKy-Xm-]-co-£-bpsS t]cv : (_n) Pbn® tbmKy-Xm-]-co-£-bn¬ Ic-ÿ-am-°nb am¿°ns‚ iX-am-\w (-kw-KoX ]co-£-bpsS Imcy-Øn¬ Ic-ÿ-am-°nb Unhn-j≥) : 11. Cu ]≤Xn {]Im-c-ap≈ kvtImf¿jn∏v CXn\p apºv Ft∏m-sg-¶nepw \nßƒ°v : D≠v / C√ Inń-bn-´pt≠m Ds≠-¶n¬ (1) tImgvkv / ]T-\-L´w (2) GXp Ime-b-f-hn-emWv kvtImf¿jn∏v e`n-®Xv : (3) DØ-c-hns‚ d^-d≥kv \º¿ : 12. tI{µ /kwÿm\k¿°m¿ AwKo-I-cn-®n-´p-≈Xpw: {]mb-]q¿Øn-bmb A‘/_[n-c¿°p-≈-Xp-amb GsX-¶nepw ]cn-io-e\tI{µ-Øn¬ \n∂v \nßƒ GsX-¶nepw tImgvkn¬ ]cn-io-e\w t\Sn-bn-´pt≠m F∂p hy‡-am-°p-I. : 13. (1) Ct∏mƒ GXv tImgvkn-\mWv kvtImf¿jn∏v : In´m≥ B{K-ln-°p-∂-Xv. (2) tImgvkv Bcw-`n® XobXn :

(3) tImgvkns‚ Ime-b-fhv (4) tImgvkn¬ Ct∏mƒ ]Tn-°p∂ Ãm≥tU¿ Un¬ Cu A≤y-b\h¿jw tN¿∂ Xob -Xn-bpw, Cu A≤y-b\h¿j-Øn¬ Cu Ãm≥tU¿Unse ]T\w ]q¿Øn-bm-Ip∂ GI-tZi Xob-Xnbpw 14. A‘sc kw_-‘n®v ˛ \nßƒ hmb-\m-k-lm-bn-bpsS tkh\w D]-tbm-Kn-°p-∂pt≠m ? Ds≠-¶n¬, (1) {]Xn-amkw \¬Ip∂ XpI (2) G¿s∏-Sp-Ønb XobXn (\n¿±njvS t^mdw bYm-hn[n ]qcn-∏n®v tN¿°p-I)

(1) apI-fn¬ sImSp-Øn-´p≈ kvIoa-\p-k-cn®v F\n°v C≥Uym Kh¨sa‚ v kvtImf¿jn∏v A\p-h-Zn-°pI-bm-sW-¶n¬ AXns‚ Ime-b-f-hn¬ Syqj≥ ^okv Cfhv Hgn®v GsX-¶nepw Xe-Øn-ep≈ {]Xn-^-etam, kvtImf¿jnt∏m ssÃs∏≥tUm, at‰-sX-¶nepw [\-k-lm-b-tam a‰v hn[-Øn-ep≈ {Kmt‚m, shsd GsX-¶nepw tI{µ-Øn¬ \n∂v Rm≥ kzoI-cn-°p-∂-X-s√∂pw

51 AYhm ..................................................................................................................................................................................... ¬ \n∂v ..................................................................................................................... cq] hcp∂ [\-k-lmbw ]‰ns°m≠n-cn°p-I-bm-sW∂pw kvtImf¿jn∏v A\p-h-Zn®p In´p-I-bm-sW-¶n¬ B [\-k-lmbw FhnsS \n∂mtWm F\n°v Inń-bXv B tI{µ-Øn\v {]kvXpX XpI, F\n°v kvtImf¿jn∏v e`y-am-Ip∂ amkw apX¬ aS°ns°mSp-°p-∂-Xm-sW-∂pw F\n°v kvtImf¿jn∏v A\p-h-Zn®p Inń-bm¬ AXns‚ Ime-b-f-hn-\p-≈n¬ ôkn-f-shm-gnsI GsX-¶nepw [\-k-lm-btam thX-\tam kvtImf¿jn-∏p-Itfm ssÃs∏≥tUm as‰sX-¶nepw cq]-Øn-ep≈ {Kmt‚m Rm≥ ssI∏-‰p-∂-X-s√∂pw (2) Cu At]-£-bn¬ \¬In-bn-´p≈ {]kvXm-h-\-Iƒ Fs‚ ]q¿Æ-amb Adnhpw DØ-a-hn-izm-k-hp-a-\pk-cn®v kXy-am-sW∂pw kvtImf¿jn-∏n\v sXc-s™-Sp-°p∂ Imcy-Øn¬ {]k-‡n-bp≈ kmc-amb bmsXmcp hkvXp-Xbpw ad®pshbv°p-Itbm shfn-s∏-Sp-Øm-Xn-cn-°p-Itbm sNbvXn-ń-s√∂pw Rm≥ CXn-\m¬ km£y-s∏-Sp-Øn-s°m-≈p-∂p. hnZym¿∞n-bpsS H∏v ÿew : XobXn :

hnZym¿∞nbv°v {]mb-]q¿Øn-bm-bn-´n-s√-¶n¬ c£m-I¿Øm-hns‚ tasem∏v

imco-cn-I,-am-\-knI sshI-eyw t\cn-Sp-∂h¿°v Nmb Im∏n sh‚nwKv sajn≥ imco-cnI am\-knI sshIeyw t\cn-Sp∂ ]mh-s∏´ IpSpw-_-ß-fnse hnI-emw-K¿°v D]-Po-h-\-Øn-\mbn Nmb, Im∏n sh‚nwKv sajn≥ ÿm]n-°p-∂-Xn\v kwÿm\hnI-emwK tIm¿∏-td-j≥ aqtJ\[\-klmbw \¬Ip∂p. \n¿±n-jvS-t^m-d-Øn¬ Xøm-dm-°nb At]-£-tbm-sSm∏w Xmsg-∏-d-bp∂ tcJ-Iƒ lmP-cm-°Ww lmP-cm-t°≠ tcJ-Iƒ 40 iX-am-\tam AXn¬ IpSp-Xtem sshIeyw sXfn-bn-°p∂ saUn-°¬ t_m¿Uv \¬Inb k¿ń-^n-°-‰ns‚ Kk-‰Uv Hmô-k¿ km£y-s∏-Sp-Ønb ]I¿∏v, hnIemwK Xncn-®-dn-b¬ Im¿Uv, tdj≥ Im¿Uv, hcp-am\ k¿ń-^n-°‰v F∂n-h-bpsS A‰-ÃUv tIm∏n, D]-I-cWw hbv°m≥ Dt±-in-°p∂ Hmô-kns‚ /ÿe-Øns‚ ta[m-hn-bpsS kΩ-X-]{Xw. sh≈w, Id‚ v F∂nh D]-tbm-Kn-°p-∂-Xn-\v(-_n√v AS-bv°m-sa∂ hyhÿ {]Im-cw)-k-Ω-X-amsW-∂p-IpSn ImWn-°Ww KpW-t`m-‡m-hns‚ D]-Po-h-\-Øn\p th≠n-bmWv D]-I-cWw hmßp-∂Xv F∂p ImWn-°p∂ IØv Xt±i ÿm]-\-Øn¬ \n∂pw hmßn-b-Xv. ]qcn-∏n® At]-£-Iƒ amt\-PnwKv Ub-d-IvS¿, tIcf kwÿm\ hnI-emwK t£a tIm¿∏-tdj≥, ]qP-∏p-c, Xncp-h-\-¥-]p-cw˛12, t^m¨ 0471 2347768 F∂ hnem-k-Øn¬ Ab-bv°-Ww.

Kpcp-X-c-amb AwK-ssh-Ieyw _m[n® Ipń-Iƒ°p≈ \nt£] ]≤Xn F´p hb- n¬ Xmsg-bp≈ Kpcp-X-c-amb Aw-K-ssh-Ieyw kw`-hn® Ipń-Iƒ°v kmº-Øn-I kpc£nXXzw Dd-∏m-°p-∂-Xn\v tIcf kwÿm\hnI-emwK tIm¿∏-d-j≥ \S-∏n-em-°p∂ ]≤-Xn-bmWnXv. 8 hb- n¬ Xmsg-bp≈ 60% ¬ A[nIw sshI-ey-ap≈ Ipń-Iƒ°mWv klm-b-Øn\v A¿l-X. c-£mI¿Øm-°-fpsS hm¿jnI hcp-am\w 60000/˛cq-]-bn¬ Xmsg-bm-bn-cn-°-Ww. BÏp-ń-I-fpsS t]cn¬ 15000/˛cq-]-bpw,-s]Ïp-ń-I-fpsS t]cn¬ 20000/˛ cq]bpw kwÿm\hnIemwK tIm¿∏-d-j≥ \nt£-]n-°p-∂p. Ipń°v 18 hb v Ign-bp-tºmƒ kzbw sXmgn¬ kwcw-`-ßƒ XpS-ßp-∂-Xn-t\m,- hn-hml Bh-iyØnt\m At]-£-bpsS ASn-ÿm-\-Øn¬ XpI aS°n \¬Ip-∂p.

tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥ Pph-ss\¬ tlmw tIm-ºu-≠v, ]qP-∏p-c, Xncp-h-\-¥-]p-cw˛12 t^m¨ 0471 2347768 tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥ CuÃv ^n¬ tdmUv, Nt°m-cØvIpfw, tImgn-t°m-Sv.t^m¨ 0495 2765669

imco-cn-I,-am-\-knI sshI-eyw t\cn-Sp-∂h¿°v Nmb Im∏n sh‚nwKv sajn≥ A\p-h-Zn°p-∂Xn-\p≈ At]-£m-t^mdw 1 KpW-t`m-‡m-hns‚ t]cv

ho´p t]cv

t]mÃv

hgn

Pn√

t^m¨ \w]¿

2 A—s‚/AΩ-bpsS/c£n-Xm-hns‚ t]cv

3 hb-kv, P\\XobXn

4 sh‚nwKv sajo≥ ÿm]n-°m≥ Dt±-in-°p∂ ÿew

5 Hm^okv ta[mhn

6 Hm^okv hnemkw

7 sh≈w, Id‚ v F∂nh A\p-h-Z-\o-b-amtWm: 8 sh≈w, Id‚ v F∂nhbpsS _n√v AS-bv°p-hm≥ Xøm-dmtWm

: H∏v t]cv

lmP-cm-t°≠ tcJ-Iƒ 1. 40 iX-am-\tam AXn¬ IpSp-Xtem sshIeyw sXfn-bn-°p∂ saUn-°¬ t_m¿Uv \¬Inb k¿ń^n-°-‰ns‚ Kk-‰Uv Hmô-k¿ km£y-s∏-Sp-Ønb ]I¿∏v, hnIemwK Xncn-®-dn-b¬ Im¿Uv, tdj≥ Im¿Uv, hcp-am\k¿ń-^n-°‰v F∂n-h-bpsS A‰-ÃUv tIm∏n, 2. D]-I-cWw hbv°m≥ Dt±-in-°p∂ Hmô-kns‚ /ÿe-Øns‚ ta[m-hn-bpsS kΩ-X-]{Xw.sh≈w, Id‚ v F∂nh D]-tbm-Kn-°p-∂-Xn-\v(-_n√v AS-bv°m-sa∂ hyhÿ {]Im-cw)-k-Ω-X-am-sW-∂p-IpSn ImWn-°Ww 3. KpW-t`m-‡m-hns‚ D]-Po-h-\-Øn\p th≠n-bmWv D]-I-cWw hmßp-∂Xv F∂p ImWn-°p∂ IØv Xt±i ÿm]-\-Øn¬ \n∂pw hmßn-b-Xv. Abt°≠ hnemkw

amt\-PnwKv Ub-d-IvS¿, tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥, ]qP-∏p-c, Xncp-h-\-¥-]p-cw˛12, t^m¨ 0471 2347768

amcI tcmK-ßƒ°v ASn-a-s∏´pw A]-I-S-ß-fn¬ s]´pw Zo¿L-Im-eambn NnIn-’-bn¬ Ign-bp∂ ]ń-I-PmXn/]ń-I-h¿§ hn`m-K-Ønse ]mh-s∏´ Bfp-Iƒ°v [\-k-lmbw amc-I-tcm-K-ßƒ°v ASn-a-s∏-´-hcpw A]-I-S-Øn¬ s]´v Zo¿L-Imeambn NnIn-’-bn¬ Ign-bp∂ ]ńI PmXn/]ń-I-h¿K-hn`m-K-Ønse ]mhs∏´ Bfp-Iƒ°p≈ [\-klm-bw. lmP-cm-t°≠ tcJ-Iƒ \n¿±njvS At]-£m-t^mdw ]qcn-∏n-®Xv PmXn-k¿ń-^n-°‰v (Xm-eq°v Hmô-kn¬ \n∂v) NnIn-’n-°p∂ Bip-]-{Xn-bn¬ \n∂p≈ saUn-°¬k¿ń-^n-°‰v Pn√m/tªm°v ]ń-I-PmXn ]ń-I-h¿K hnI-k\Hmô-k¿°v At]£ \¬I-Ww. At]-£-I¿ Zmcn-{Zy-tc-Jbv°v Xmsg-bp-≈-h¿ Bbn-cn-°-Ww. 10000/˛ cq]-h-sc-bp≈ klmbw Pn√m ]ń-I-PmXn/ ]ń-I-h¿K hnI-k\Hmô-kdpw AXn\p apI-fn-ep≈ XpI kwÿm\]ń-I-PmXn/ ]ń-I-h¿K hnI-k\Hmô-kdpw BWv A\p-h-Zn-°p-∂-Xv.

]nt∂m° ]ńI kap-Zmb a{¥n-bpsS Hut±ym-KnI \ma-t[-b-Øn¬ cq]o-I-cn-®n-´p≈ Zpcn-Xm-izmk \n[n-bn¬ \n∂pw [\-k-lmbw ]nt∂m° hn`m-K-°m-cpsS BI-kvan-I-amb Bh-iy-ßƒ°v ]cn-lm-cw ImWp-∂-Xn-\mbn ]nt∂m° ]ńI kap-Zmb a{¥n-bpsS HutZym-KnI \ma-t[-b-Øn¬ Hcp Zpcn-Xm-izmk \n[n cq]o-I-cn-®n-´p-≠v. 25000/˛cp-]-bn¬ Xmsg hm¿jnI hcp-am-\-ap≈ ]ńI PmXn IpSpw-_-ß-fnse hcp-am-\-Zm-b-I¿ tcmKw aqew ac-W-s∏-Sp-I, IpSpw-_mw-K-ßƒ°v Zo¿L-Ime NnIn’ Bh-iy-ambn hcn-I, {]IrXnt£m`w, Xo]nSpØw F∂nh aqew kmº-ØnI _p≤n-ap-´p-Iƒ A\p-`-hn-t°≠n hcnI XpS-ßnb AXym-lnX kµ¿`-ßfn¬ kmº-ØnI klmbw \¬Ip-∂-XmWv Cu ]≤-Xn. Zpcn-Xm-izmk \n[nbn¬ \n∂pw ]c-am-h[n 50000/˛ cq] hsc kmº-ØnI klmbw \¬Ip-∂-Xm-Wv. 9999/˛ cq] hsc-bp≈ klmbw ]ń-I-PmXn hnI-k\Ub-d-IvS-dpw, 25000/˛ cq] hsc-bp≈ [\-k-lmbw hIp∏v sk{I-´-dnbpw A\p-h-Zn-°p-∂-Xm-Wv. PmXn, hcp-am-\w, NnIn-’n-°p∂ tUmIvS-dpsS k¿ń-^n-°-‰v, F∂nh klnXw \n›nX t^md-Øn¬ At]£ Pn√m ]ńI PmXn hnI-k\Hmô-k¿t°m, _‘-s∏´ tªm°v/ap≥kn-∏m-en‰n/tIm¿∏-td-j≥ ]ń-PmXn hnI-k\Hmôk¿t°m, t\cn´v ]nt∂m° ]ńI kap-Zmb a{¥nbvt°m ka¿∏n-°m-hp-∂-Xm-Wv.

an{ihnhmlw aqew t¢i-ßƒ A\p-`-hn-°p-∂-h¿°v ]ń-I-PmXn/ ]ń-I-h¿K hnI-k\hIp-∏n¬ \n∂pw [\-k-lmbw an{i hnhmlw apew kmap-ln-I-amb H‰-s∏-Sp-Ø-en\pw ]nV-\-ß-ƒ°pw hn[-bamIp-∂-h¿°vBizmk \S]Sn F∂ \ne-bn¬ [\-k-lmbambn \¬Ip∂ ]≤-Xn. ]ń-I-PmXn/]ń-I-h¿K-Øn¬ Dƒs∏-´-h-cp-ambn hnhmlw \S-°p-Ibpw Hcp h¿j-Im-e-sa-¶nepw H∂n®v Xma-kn-°p-Ibpw sNbvXn-´p-≈-h¿°mWv [\-k-lm-b-Øn\v A¿l-X-bp-≈-Xv. lmP-cm-t°≠ tcJ-Iƒ ZºXn-Iƒ Hcp h¿j-Im-e-ambn H∂n®v Xma-kn-°p-∂p F∂v Kk-‰Uv Hmô-k¿ \¬Inb km£y-]-{Xw. PmXn sXfn-bn-°p∂ km£y ]{Xw (Xmeq°v Hmô-kn¬ \n∂v) hcp-am\k¿ń-^n-°‰v (hn-t√Pv Hmô-kn¬ \n∂v) 40000/˛˛ cq]bv°p Xmsg hnhml cPn-kvt{S-j≥ k¿ń-^n-°-‰v. ZºXn-IfpsS hb-kv, Xncn-®dn-b¬ tcJ F∂nh klnXw ]ń-I-PmXn/]ń-I-h¿K- hnI-k\Hmô-k¿°v At]£ ka¿∏n-°-Ww. hnhmlw Ign™v Hcp h¿j-Øn\p tijw ap∂v h¿j-Øn-\Iw At]-£n-°-Ww. At]-£-I≥/At]-£I ]ń-I-PmXn / ]ń-I-h¿§-Øn¬ s]´-bm-fm-bn-cn-°Ww [\-klmbw 50000/˛cq]

Xocmhym[naqew bmX\A\p`hn°p∂ ]´nIPmXn°m¿°v, ]´nIhnIk\hIp∏n¬ \n∂pw kmºØnI klmbw A\phZn°p∂Xn\p≈ At]-£m-t^mdw 1. At]£Is≥d t]cpw ]q¿Æamb ta¬hnemkw

2. At]£Is≥d P\\ØobXnbpw hbkpw

3. PmXn k¿´n^n°¡v (dh\yq A[nImcnbn¬ \n∂pw lmPcm°Ww) :

4. hm¿jI IpSpw_hcpam\w (dh\yq A[nImcnbn¬ \n∂pw lmPcm°Ww

5. At]£Is≥d sXmgn¬

6. NnIn’bpsS Imemh[n

7. NnIn’bn¬ sNehmb XpI

8. tcmKnbpsStbm {]thin∏n® Bip]{XnbpsS kz`mhw ({]thi\sØ∏¡n hy‡am°p∂ k¿´n^n°¡v lmPcmt°≠XmWv)

9. NnIn’n°p∂ tUmIvSdpsS t]cv

kXy{]kvXmh\ apIfn¬ {]kvXmhn®n´p≈ hnhcßƒ Fs≥d Adnhnepw. hnizmkØnepw s]´nStØmfw kXyamsW∂v Rm≥ CXn\m¬ {]Xn⁄ sNbvXpsIm≈p∂p.

At]£Is≥d H∏v: ÿew: XobXn :

]´n-I-Pm-Xn hnI-k-\ h-Ip∏v ]n-t∂m-° ]´n-I k-ap-Zm-bt£-a h-Ip-∏v a-{¥n-bpsS Hu-tZym-Kn-I-\m-a-t[-b-Øn¬ cq]o-I-cn-®n-´p-≈ Zp-cn-Xm-izm-k \n[n-bn¬-\n∂pw D-≈ [-\-k-lm-b-Øn-\p-≈ A-t]-£ 1. A-t]-£I-s‚ t]-cv,hb v

2. C-t∏mg-sØ ]q¿-Æamb ta¬-hn-emkw

3. Pm-Xn(X-l-ko¬-Zm-cn¬- \n-∂p-≈ Pm-Xn k¿-ń-^n-°-‰v lm-P-cm-°-Ww): 4. Ip-Spw-_-hm¿jn-I h-cp-am-\w(hn-t√Pv Hm-ô-k-dn¬ \n-∂p-≈ (h-cpam-\ k¿-ń-^n°-‰v lm-P-cm-°-Ww)

5. A-t]-£-sX-gn¬

6. A-kp-J-Øn-s‚ t]c v/ A-Xym-ln-X-Øn-s‚ t]cvv

7. F-∂p-ap-X¬ Nn-In-’-bn-emWv? C-\n F-{X-Im-ew Nn-In’ th-≠n-hcpw?: 8. Nn-In-’-bv-°v \m-fn-Xph-sc F-{X cq-] sN-e-hmbn? C-\nbpw F-{X cq-]- ap-S-t°-≠n-hcpw?

9. G-Xv B-ip-]-{Xn-bn-emWv?

10. Nn-In-’n-°p-∂ Kh.tUm-Œ-dn¬ \n∂pw D-≈ k¿-´n-^n°-‰v

(lm-P-cm-°n-bn-´p-t≠m? B-b-Xv {]-Im-cw Nn-In-’ F-{X cq-]-bm-Wv?: 11. Nn-In-’ B-h-iy-am-bn h-∂Xv A-t]-£n-°p-∂ hy-‡n-bv-°v A-s√-¶n¬ B¿°p-th-≠n-bm-Wv A-t]-£n-°p-∂Xv? B hy-‡n-bp-am-bp-≈ _-‘w: 12. C-tX B-h-iy-Øn-\v ap-ºv G-sX-¶nepw h-Ip-∏n¬ \n∂pw [-\-k-lm-bw e-`n-®n-´pt≠m: 13. F-¶n¬ G-Xv h-Ip-∏n¬ \n-∂v F-{X cq-]?

k-Xy-{]-kv-Xmh-\ ap-I-fn¬ ]-d-™n-cn-°p-∂ Im-cy-ßƒ k-Xy-am-sW-∂v Rm≥ C-Xn-\m¬ km-£y-s∏-Sp-Øp-∂p

ÿ-ew:

A-t]-£I-s‚ H∏v:

XoøXn:

t]-cv

]-´n-I-Pm-Xn hIk-\ Hm-^o-k-dp-sS A-`n-{]m-bw (tªm°v / ap-\n-kn-∏m-en-‰n / tIm-¿-∏-tdj≥)

MEDICAL CERTIFICATE FOR AVAILING FINANCIAL ASSISTANCE FOR TREATMENT (Tobe issued by the head of the hospital where the patient undergone treatment)

1. Name and address of the patient

2. Order no: with date of Registration/Admission :

3. Description of disease

4. Treatment recommended

5. Expenditure already incurred, if any

6. Anticipated expenditure of the treatment Undergoing/recommended

7. Remarks

Signature and name of the Issuing authority Name and address of the hospital

Date: (seal)

]´n-I-Pm-Xn hnI-k-\ h-Ip-∏v A-\p-_-‘w˛19

an-{i-hn-hm-lw aq-ew Iv-tf-i-ßƒ A-\p-`-hn-°p-∂-h¿-°v ]-´n-I-Pm-Xn hnI-k-\ h-Ip-∏n¬-\n∂pw [-\k-lm-bw A-\p-h-Zn-°p-∂-Xn-\p-≈ A-t]£

1. A-t]-£-I-cp-sS t]cpw ]q¿-Æ- ta¬hn-em-k-hpw

(F) A-t]-£-I¿ \n-e-hn¬ Xm-a-kn-°p∂ ta¬-hn-em-kw tc-J-s∏-Sp-tØ-≠-Xm-Wv

(_n)

2. hn-hm-l-Øn-\p-ap-ºp-≈ ]q¿Æ tam¬-hn-em-kw (F)

(_n)

3. Pm-Xn(k¿-´n-^n°-‰v k-lnXw) (F) `¿-Øm-hv

(_n) `m-cy

4. A-t]-£ k-a¿-∏n-°p-tºmg-sØ sXm-gnepw am-k-h-cp-am-\hpw (`¿-Øm-hn-s‚bpw / `m-cy-bp-sSbpw k¿-´n-^n°-‰v k-ln-Xw): 5. hn-hm-l-Øn-s‚ hn-i-Z-hn-h-c-ßƒ (F) hn-hm-l-k-ab-sØ {]m-bw (1) `¿-Øm-hv

: :

(2)`m-cy (_n) c-Pn-kv-‰¿ hn-hm-l-am-bn-cpt∂m F-¶n¬ c-Pn-kv-t{S-j≥ \-ºcpw Xo-ø-Xnbpw c-Pn-kv-{Sm¿ Hm-^o-kn-s‚ t]cpw (hnhm-l D-S-º-Sn-bp-sS A ¬ lm-P-cm-°n-bn-´pt≠m?F-¶n¬ hn-h-cw)

6. hn-hm-l-Øn\p-ti-jw Z-º-Xn-Iƒ G-sX-¶nepw Im-e-b-f-hn¬ th¿-]n-cn-™v Xm-a-kn-®n-´pt≠m ? D-s≠-¶n¬ (F) th-¿-]n-cn-™v Xm-a-kn-® Im-e-b-f-hv

(_n) th¿-]n-cn-™v Xm-a-kn-°m-\p≠m-b Im-c-Ww

7. Z-º-XnIƒ H-cp-h¿-j-Øn¬ A-[n-I-ambn H-cp-an-®v Xm-a-kn-°p-∂p F-∂ k¿-´n-^n-°‰v (K-k‰Uv Hm-^ok¿ / Fw.]n/ Fw.F¬.F. F-∂n-h-cn¬ \n-∂pw)

8. [-\-k-lm-bw A-\p-h-Zn-°p-∂ ]-£w F-¥p Im-cy-Øn-\p th≠n sN-e-hm-°m-\m-Wv D-t±-in-°p-∂-Xv

9. (an-{i-hn-hm-lw aq-ew Z-º-Xn-Iƒ-°v A-\p-`-hn-t°-≠n h-cp-∂ I-„-X-Ifpw {]-bm-k-ßfpw F-s¥√mw)

{io-am≥.................................{io-a-Xn........................F-∂nh-cmb R-ßƒ ap-I-fn¬ ,tN¿-Ø F√m-hn-h-c-ßfpw k-Xyhpw i-cn-bp-am-sW-∂v C-Xn-\m¬ R-ßƒ {]-Xn-⁄ sN-øp∂p.

ÿew:

`¿-Øm-hns‚ H∏v:

Xo-ø-Xn:

`m-cy-bpsS H∏ v:

]-´n-I-Pm-Xn hnIk-\ Hm-^o-k-dp-sS A-`n-{]m-bw

ta¬-∏-d-™ Im-cy-ß-sf-∏-‰n A-t\z-jn-®-Xn¬,A-h k-Xy-am-sW∂pw Cu hy-X-‡nIƒ _p-≤n-ap-´-\p-`-hn°p-∂-h-cm-sW∂pw t_m-≤y-s∏-´n-cn-°p-∂-Xm-bn Rm≥ km-£y-s∏-Sp-Øp∂p.

]-´n-I-Pm-Xn hnIk-\ Hm-^o-k¿ tªm°v / ap-\n-kn-∏m-en‰n /tIm¿-∏-td-j≥

Ip-dn-∏v: Pm-Xn sX-fn-bn-°p-∂ k¿-ń-^n°-‰v X-l-ko¬-Zmcpw h-cp-am-\w sX-fn-bn-°p-∂ k¿-ń-^n°‰v hn-t√-Pm-ô-kdpw \-ev-In-bn-cn-°-Ww. ]-ń-I-Pm-Xn hnIk-\ Hm-ô-k¿-°m-Wv A-t]-£ k-a¿-∏n-t°≠Xv

CERTIFICATE

Certified that Sri.......................................................................................................................... .................................................................................................................................................... And Smt ..................................................................................................................................... ........................................................................................................................(Name & Address of the husband and wife)seeking financial assistance under the schemes of payments of grant to persons placed under hard circumstance due to inter-caste marriage are personally known to me and that they are living together as husband & wife for not less than one year. Place:

Name:

Date:

Designation: (Gazetted Officer)

61 (seal)

Bizm-k-In-cWw imco-cn-Ihpw am\-kn-Ihpw Bb sh√p-hn-fn-Iƒ t\cn-Sp∂ InS-∏n-emb tcmKn-Isf ]cn-N-cn-°p-∂-Xn\v Zmcn{Zy tcJbv°p Xmsg-bp≈ tcmKn-bpsS _‘p-hnt\m IpSpw-_mw-K-ßƒt°m [\-k-lmbw \¬Ip∂ ]≤-Xn. -tcm-Kn°pw ]cn-N-cWw \¬Ip-∂-bmƒ°pw \nXy-hr-Øn°p a‰v hgn-bn-s√-¶n¬ am{Xta Cu ]≤-Xn-bpsS B\p-Iqeyw e`n-°p-I-bp-≈q. A¿l-X-bp-≈-h¿ imco-cn-Ihpw am\-kn-Ihpw Bbn (80% ¬ A[n-Iw) sh√p-hn-fn-Iƒ t\cn-Sp∂ InS-∏n-emb tcmKn-Iƒ, ssZ-\w-Zn\Imcy-ßƒ \n¿h-ln-°p-∂-Xn\v as‰m-cm-fpsS klmbw IqSntb Xocq F∂ Ah-ÿ-bnep≈ InS-∏n-em-b-h¿, am\-knI tcmKn-Iƒ, Hm´n-kw, skdn-{_¬ ]ƒkn, sa‚¬ dn´m¿tU-j≥, Im≥k¿, ]£m-Lm-Xw, XpS-ßnb tcmKn-Isf ]cn-N-cn-°p∂h¿. ]cn-N-cWw \¬Ip∂-bmƒ k¿°m¿ klm-b-ßtfm s]≥j-\p-Itfm ssI∏-‰p-∂-bmƒ BI-cp-Xv. ]cn-NcWw \¬Ip-∂-bmƒ 18˛65 {]mb-]-cn-[n-bn¬ Dƒs∏-´-bmƒ Bbn-cn-°-Ww. ]cn-N-cWw \¬Ip-∂-bmƒ ]cn-N-cWw Ah-km-\n-∏n-°p-Itbm ,tcm-Kn-bpsS acWw kw`-hn-°p-Itbm sNbp-∂-tXmsS klmbw \¬Ip-∂Xv Ah-km-\n-∏n-°p-∂-Xm-bn-cn-°pw. tcmKo-]-cn-N-c-W-Øn\v thX-\m-Sn-ÿm-\-Øn¬ tPmen sNbp-∂-h¿°pw tlmw \gvkp-am¿°pw klmbw e`n-°p-∂-X-√. ka-¿∏n-t°≠ tcJ-Iƒ \n¿±njvS t^md-Øn-ep≈ At]£ tcmKn-bpsS tdj≥ Im¿Uns‚ ]I¿∏v km£y-s∏-Sp-ØnbXv tcmKn-bp-sS-bpw, ]cn-N-cn-°p-∂-bm-fp-sSbpw Xncn-®-dn-b¬ Im¿Uns‚ km£y-s∏-Sp-Ønb ]I¿∏v

tcmKn-bpsS t^mt´m 1 tIm∏n km£y-s∏-Sp-ØnbXv tcmKn-bpsS hcp-am\k¿ń-^n-°-‰v ({Kma-ß-fn¬20000/˛cp-]-bn¬ Xmsg, \K-c-{]-tZ-i-ßfn¬ 22375/˛ \p Xmsg)/ _n.-]n.-F¬ k¿ń-^n-°‰v Hmtcm h¿jhpw G{]n¬ 30 \Iw ]cn-N-cWw \¬Ip-∂-bm-fp-sS-bpw,- ]-cn-N-cn-°-s∏-Sp-∂-bm-fp-sSbpw sse^v k¿ń-^n-°‰v sF.-kn.-Un.-F-kv.-kq-{]-ssh-k¿ km£y-s∏-SpØn kn.-Un.-]n.H aptJ\kmaqly kpc-£m-an-j≥ Ub-d-IvS¿°v ka¿∏n-°-Ww. \n¿±njvS t^md-Øn-ep≈ tNmZyw \w]¿ 4 \v hni-Z-amb tcJ-∏-Sp-Ø¬ D≠m-bn-cn-°Ww {]Xn-am-kw 525/˛ cq-] [-\-kml-bw e-`n-°p∂p.

At]-£-Iƒ ka¿∏n-t°≠ hnemkw FIvkn-°yq-´ohv Ub-d-IvS¿,tI-cf kmaqly kpc-£m-an-j≥,km-aq-ly-t£a C≥Ãn-‰yq-j≥ tImwπ-Ivkv,]q-P-∏p-c, Xncp-h-\-¥-]pcw ˛ 12

kmaqly t£a hIp∏v (BizmkIncWw ]≤Xn) am\knI/imcocnI sh√phnfnIƒ aqew AhiXbp≈hsc ]cnNcn°p∂h¿°pff [\klmbØn\pff At]£m t^mdw

1. At]£Is‚ t]cpw ta¬hnemkhpw : (]cnNcn°p∂ Bƒ) ho´pt]cv : ho´p \º¿, hm¿Uv \º¿ : ]©mbØv/ap\nkn∏men‰n/tIm¿∏tdj≥ : t]mÃv Hmôkv : Pn√ : At]£Is‚ P\\XobXnbpw hb pw : kv{Xotbm ]pcpjt\m : 2. (F) ]cnNcn°s∏Sp∂ BfpsS t]cpw ta¬hnemkhpw : ho´pt]cv : ho´p \º¿, hm¿Uv \º¿ : ]©mbØv/ap\nkn∏men‰n/tIm¿∏tdj≥ : t]mÃv Hmôkv : Pn√ : kv{Xotbm ]pcpjt\m : _n) ]cnNcn°s∏Sp∂ BfpsS P\\XobXnbpw hb pw : kn) At]£I\pambpff _‘w : 3. ]cnNcn°s∏Sp∂ Bƒ B{ib/_n.]n.F¬ IpSpw_Øn¬s]´ Bƒ BtWm/Bizmk IncWw ]≤Xnb\pkcn®pff hcpam\]cn[nbv° IØpffIpSpw_mwKtamtWm ? (BsW¶n¬ Bhiyamb k¿ń^n°‰v lmPcm°Ww) 4. ]cnNcn°s∏Sp∂ Bƒ am\Zfi {]Imcapff AhiXbpff BfmtWm? BsW¶n¬ F¥mWv AhiX (tUmIvSdpsS k¿ń^n°‰v lmPcm°Ww) 5. At]£I≥ ÿnchcpam\apff BfmtWm? BsW¶n¬ {]Xnamkhcpam\w :

:AsX/A√.

kXy{]kvXmh\ At]£bn¬ ]dbp∂ {]Imcw ]cnNcWw Bhiyapff {io./{ioaXn/Ipamcn .........................................................................................................................................................................F∂bmƒ Fs‚ ]cnNcWØnemsW∂pw Snbmƒ am\knI/imcocnI sh√phnfn aqew AhiXbpffbmfmsW∂pw At]£bn¬ ]dbp∂ hnhcßƒ ]q¿Æambpw icnbmsW∂pw {]kvXmh\sNbvXpsImffp∂p.

ÿew : Xob-Xn :

At]£Is‚ t]cpw H∏pw

(Hm^okv D]-tbm-K-Øn\v am{Xw)

sF.-kn.-Un.-F-kv.- kq-∏¿ssh-k-dpsS At\z-jW dnt∏m¿´v

{io./{ioa-Xn./Ipam-cn............................................................................................................k-a¿∏n® At]£bpw A\p-_-‘-tc-J-Ifpw ]cn-tim-[n-°p-Ibpw At]-£-bn≥ta¬ Bh-iy-amb At\zjWw \SØp-Ibpw sNbvXn-´p-≠v. Snbmƒ Bizm-k-In-cWw ]≤Xn am\-Z-WvU-ßƒ A\p-k-cn®v B\p-Iq-eyØn\v A¿l-\mWv/A¿l-bm-Wv.-[-\-k-lmbw A\p-h-Zn-°p-∂-Xn\v ip]m¿i sNbvXp-sIm-≈p-∂p.

ÿew :

H∏v :

XnbXn :

t]cv :

.........................................................sF.-kn.-Un.-F-kv.- s{]mPIvSv

inip hnI-k\]≤Xn Hm^o-k-dpsS A`n-{]mbw

ÿew : XnbXn :

Hm^o-kv ap{Z

H∏v : t]cv :

.........................................................sF.-kn.-Un.-F-kv.- s{]mPIvSv .........................................................Pn√ Hm^okv t^m¨ \w]¿....................................................................

kmaqly kpc-£m-an-j≥ FIvkn-Iyq-´nhv Ub-d-IvS-dpsS Xocp-am\w {io./{ioa-Xn/Ipamcn.....................................................................................................F∂bmƒ°v........................ ..................................................................(.............................................................................cq]) am{Xw {]Xn-amk [\-klmbw A\p-h-Zn-®n-cn-°p-∂p.

cPn.-\º¿ : XnbXn : H∏v FIvkn-Iyq-´nhv Ub-d-IvS-¿

ASWASAKIRANAM SCHEME Place : Date :

PHOTO of bedridden patient attested by Doctor

CERTIFICATE FOR BED RIDDEN PATIENTS This is to certify that I have examined Shri /Smt /Kumari/ Master .................................................................................................................................................... .........................................(Name and address of the applicant) aged .................... years on (............................. Date). He /She is having ........................... % (......................................) (Percentage in words) of Permanent / Temporary disability and is bed ridden / needs a full time caregiver due to .......................................................................................................................... Identification marks of the applicant 1. 2. Name of the Doctor ................................................................................... Registration No. Name of the Hsopital Signature and Seal

Thump impression of the patient

To, EXECUTIVE DIRECTOR KERALA SOCIAL SECURITY MISSION POOJAPPURA THIRUVANANTHAPURAM

h\n-X-Iƒ Krl-\m-Y-cmb IpSpw-_-ß-fnse Ipń-Iƒ°v hnZym-`ymk [\-k-lmbw Zmcn{Zy tcJbv°v Xmsg-bp≈ h\n-X-Iƒ Krl-\m-Y-cmb IpSpw-_-ß-fnse Ipń-Iƒ°v A¿lamb hnZym`ymkw e`n-°p-∂-Xn\v [\-k-lmbw \¬Ip-∂-Xn-\mbn kmaq-ly-t£a hIp∏v aptJ\\S-∏n-em-°p∂ ]≤-Xnbm-Wn-Xv. At]-£I Krl-\m-Y-bm-sW∂pw Zmcn{Zy tcJbv°v XmsgbmsW∂pw sXfn-bn-°p∂ tcJ lmP-cm-°-Ww. (hn-t√Pv Hmô-kv, ]©m-bØv Hmô-kn-¬ \n∂pw) Hcp IpSpw-_-Øn¬ \n∂pw ]c-am-h[n c≠v Ipń-Iƒ°v [\-k-lmbw A\p-h-Zn-bv°pw. kwÿm\tI{µ k¿°m-cn¬ \n∂pw Hcp hn[-Øn-ep≈ kvtImf¿jn∏pw e`n-°p-∂n√ F∂ km£y-]{Xw hnZym-`ymk ÿm]\ta[m-hn-bn¬ \n∂pw hmßn At]-£-tbm-sSm∏w \¬tI-≠-Xm-Wv. a‰v kvtImf¿jn-∏pIƒ e`n-°p-∂-h¿ Cu klm-bØn\v A¿l-c√. At]-£-I-fn¬ Ipń-Iƒ ]Tn-°p∂ hnZym-`ymk ÿm]-\-ta-[mhn km£y-s∏-Sp-Øn-bn-cn-°-Ww. At]-£-I-bpsS tdj≥ Im¿Uv, Xncn-®-dn-b¬ Im¿Uv F∂n-h-bpsS ]I¿∏p-Iƒ km£y-s∏-SpØn ka¿∏n°-Ww. Fkv.-F-kv.-F¬.-kn.- ap-X¬ +2 hsc ]Tn-°p∂ Hcp Ipńbv°v {]Xn-amkw 250/˛ cq]m {]Imcw 10 amk-tØ°v 2500/˛ cq]bpw Un{Kn Xew apX¬ ]Tn-°p∂ Ipń-Iƒ°v Xp-S¿ hnZym-`ym-k-Øn\v {]Xn-amkw 500/˛ cq] hoXhpw BWv [\-k-lm-b-ambn A\p-h-Zn-bv°p-∂Xv. Zmcn{Zy tcJbv°v apI-fn-ep≈ hn`m-K-Øn¬ (F.-]n.-F¬) HIV/AIDS _m[n-X¿,- km-aq-ln-I-ambn hnth-N\w A\p-`-hn-°p-∂-h¿, bp≤-Øn¬ acn® Phms‚ hn[-h-Iƒ XpS-ßnb IpSpw-_-ß-fnse Ipń-Iƒ F∂n-hsc ]cn-K-Wn-°p-∂-Xm-Wv. (-C-Xn-\p≈ tcJ-Iƒ lmP-cm-°-Ww)

hn[hm ]p\¿hn-hml [\-k-lmbw˛"aw-Key' 66

hn[-h-I-fpsS ]p\¿hn-hm-lsØ t{]m’m-ln-∏n-°p-∂-Xn-\mbn tIcf tkmjy¬ sh¬^-b¿ Un∏m¿´p-sa‚ v hgn \S-∏n-em-°p∂ ]≤-Xn-bmWv hn[hm ]p\¿hn-hml ]≤-Xn-˛-aw-Key 18 hb p apX¬ 50 hb- p-hsc {]mb-ap≈ \nb-a-]-c-ambn hnhm-l-_‘w th¿s]-Sp-Ønb h\n-X-Iƒ°pw hn[-h-Iƒ°pamWv Cu ]≤Xn {]Imcw [\-k-lamb e`n-°p-∂-Xv. 25000/˛ cp]-bmWv [\-k-lamb A\p-hZn-°p-∂-Xv.-]p-\¿hn-hmlw \S-Ønb cPn-Ã¿ Hmô-kn¬ \n∂p≈ tcJ lmP-cm-°-Ww. sF.-kn.-Un.-Fkv Hmôkv aptJ\tkmjy¬ sh¬^-b¿ Ub-d-IvS¿°mWv At]£ ka¿∏n-t°-≠-Xv. Xmsg-∏-d-bp∂ tcJ-Iƒ lmP-cm-°Ww 1 BZy hnhmlw \S-∂-Xns‚ sXfnhv 2 BZy `¿Øm-hns‚ acW k¿ń-^n-°‰v 3 \nb-a-]-c-ambn _‘w th¿s]-Sp-Øn-b-Xns‚ tcJ 4 _n.]n F¬ hn`mKw BsW∂p sXfn-bn-°p∂ tcJ 5 hb v sXfn-bn-°p-∂-Xn\v _‘-s∏´ A[n-Im-cn-I-fn¬ \n∂pw e`n-°p∂ k¿ń-^n-°‰v 6 ]p\¿hn-hml k¿ń-^n-°‰v

kvt\l kv]¿iw ]≤Xn \nb-am-\p-kr-X-amb hnhml _‘-Øn¬ IqSn-b-√msX Ahn-hm-lnX Ah-ÿ-bn¬ AΩ-bm-b-h¿°v BtcmKy ]cn-c-£, sXmgn¬, inip-kw-c-£Ww F∂n-hbv°v klmbw \¬Ip-∂-Xn\p th≠n tIcf kmaply kpc£m anj≥ aptJ\\S-∏n-em-°p∂ ]≤-Xn-bmWv kvt\l kv]¿iw . AwK≥hmSn hgn At]-£-Iƒ kzoI-cn®v sF.-kn.-Un.-F-kv.-kq-{]-ssh-k¿, kn.-Un.-]n.H F∂n-h¿ ip]m¿i sNbvXv Pn√m kmap-ly-t£a Hmô-k¿°v \¬Ip-∂p. Pn√m kmap-ly-t£a Hmô-k¿ ip]m¿i sNbvXv tImcf kmaqly kpc-£m-an-j≥ FIvkn-Iyq-óhv Ub-dIvS¿°v Ab-bv°p-∂p.-A-hnsS \n∂v [\-k-lmbw A\p-h-Zn-°p-∂p.

h\n-X-Iƒ Kr-l-\m-Y-cm-bp-≈ Ip-Spw-_-ß-fn-se Ip-´n-Iƒ-°v hn-Zym-`ym-k [-\-k-lm-bØn-\p-≈ A-t]-£. 1. 2. 3. 4. 5. 6. 7. 8.

A-t]-£-bp-sS t]-cv, A-{U- v, ]n≥-tIm-Uv, t^m¨ \w. hn-Zym-`ym-k [-\-k-lm-bw e-`n-t°-≠ Ip-´n-bp-sS t]cv, P-\-\-Xoø-Xn ]Tn-°p-∂ ¢m v, kv-°qƒ kwÿm\ / tI-{µ k-¿-°mcn¬ \n∂pw kv-tIm-f¿jn-∏v e-`n-°p-∂p-t≠m? "D-≠v' F-¶n¬ hn-i-Z-hnh-cw ap≥-h¿-jw hn-Zym-`ym-k [-\-k-lm-bw e-`n-®n-´pt≠m? "D-≠v' F-¶n¬ hn-i-Z-hnhcw A-t]£-I-bp-sS-sXm-gn¬, h-cp-am-\w A-t]-£-I _n.]n.F¬.hn-`m-K-Øn¬-s∏-´-bmfmtWm? (_n.]n.F¬. k¿-´n-^n°-‰v lm-P-cm-°Ww) A-t]-£-I F.]n.F¬ hn-`m-K-Øn¬-s∏-´ Nph-sS ]d-bp-∂ hn-`m-K-Øn¬-s∏-´-bm-fm-tWm? F-¶n¬ G-Xv hn-`m-K-Øn¬? HIV/AIDS _m-[nX¿, kmaqln-I hn-thN-\w A-\p-`-hn-°p-∂h¿, bp-≤-Øn¬ a-cn-® P-hm-s‚ hn-[-h-Iƒ

ÿew : Xnø-Xn :

A-t]-£-I-bp-sS t]cv, H-∏v

hn-Zym-`ym-k ÿm]\ ta-e-[n-Im-cn-bp-sS ip-]m¿-i ...................................................................F-∂ Ip-´n Cu hn-Zym-`ym-k- ÿm-]-\-Øn¬............................................]-Tn°p-I-bm-sW∂pw Sn-bm\v tI{µ/ kwÿm-\ k¿-°m-cp-I-fn¬ \n∂pw kv-tIm-f¿-jnt∏m a-‰v hn-Zym-`ym-k [\-k-lm-btam e-`n-°p-∂n√ F∂pw kv-£y-s∏-Sp-Øp∂p. Xnø-Xn (ko¬) hn-Zym-`ym-k ÿm-]\ ta-e-[n-Im-cn-bpsS H-∏v

in-ip hnI-k-\ ]≤Xn Hm-^o-k-dp-sS ip-]m¿i ta¬ kq-Nn-∏n-® A-t]£-I H-cp h\n-X Kr-l-\m-Y-bm-sW∂pw BPL Ip-Spw-_-Øn¬/APL/P-hm-s‚ hn[-h / HIV /AIDS_m-[nX¿/ hn-thN-\w A-\p-`-hn-°p-∂h¿ / B-sW∂pw t_m-[y-s∏-´n-cn-°p-∂-Xn-\m¬ ta¬ A-t]-£ ip-]m¿-i sN-bv-Xv sIm-≈p∂p.

(Hm-^o-kv ko¬)

in-ip-hnI-k-\ ]≤Xn Hm-^o-k-dpsS H∏v. ko¬

NB:A-t]-£-I Kr-l-\m-Y-bm-sW∂pw- BPL Ip-Spw-_-Øn¬-s∏-´ B-fm-sW∂pw APL B-sW-¶n¬ A¿-l-X-s∏-´ hn-`m-K-Øn¬s∏-Sp-∂-h-cm-sW-∂pw sX-fn-bn-°p∂ tc-J-Iƒ D-≈S-°w sNøWw

hn[hm ]p\¿hn-hml [\-k-lm-b-Øn-\p≈ At]£

1 At]-£-I-bpsS t]cv, A{U- v, ]n≥tIm-Uv, t^m¨ \º¿

2 At]-£-I-bpsS P\-\-Xo-bXn

3 ac-W-a-S™ `¿Øm-hns‚ t]cv, hnemkw (ac-W- k¿´n-^n-°‰v lmP-cm-°-Ww)

4 ac-W-a-S-™-bm-fpsS hn[-h-bmWv At]-£I F∂v sXfn-bn-°p-∂-Xn-\p≈ tcJ

5 hnhm-l-_‘w th¿s]-Sp-Øn-b-Xm-sW-¶n¬ hnhm-l-_‘w th¿s]-Sp-Ønb tImSXn DØ-c-hns‚ ]I¿∏v

6 ]p\¿hn-hmlw Ign® `¿Øm-hns‚ t]cv, A{Ukv, hnhml k¿´n-^n-°‰v

7 ]p\¿hn-hm-lw, cPn-kvt{S-j≥ \w, XobXn (hnhml k¿´n-^n-°‰v lmP-cm-°-Ww)

8 At]-£-I-bpsS sXmgn¬, hcp-am\w

9 ]p\¿hn-hmlw sNbvX `¿Øm-hns‚ sXmgn¬, hcp-am\w

10 At]-£-Isb B{i-bn®v Ign-bp∂ Ip´n-I-fpsS hniZ hnhcw

11 `¿Øm-hns\ B{i-bn®v Ign-bp∂ Ip´n-I-fpsS hni-Z- hn-hcw

12 Ct∏mƒ Xma-kn-°p∂ Pn√, tªm°v, {Kma-]-©m-bØv

13 [\-k-lmbw At]-£n-°p-∂Xv F¥v Bh-iyØn-\m-Wv, hni-Z-hn-hcw, XpI

ÿew : XobXn :

At]-£-I-bpsS H∏v, t]cv

Un.Un.-]n.-H.-bpsS ip]m¿i ........................................................................................................................................................................................................... ........................................................................................................................................................................................................... ...........................................................................................................................................................................................................

(Hm^okv ko¬)

Un.Un.-]n.-H.-bpsS H∏v

ko¬

A-t]£m- t^m-dw ku-P-\y-amWv

kv-t\-l-kv-]¿-iw ]≤-Xn \n-b-am-\p-kr-Xam-b hn-hm-l-_-‘-Øn¬ Iq-sS-b√m-sX A-hn-hmln-X A-h-ÿ-bn¬ A-Ω-bm-b-h¿-°v [-\-k-lm-b-Øn-\p≈- A-t]-£m ^m-dw 1. A-t]-£-I-bp-sS t]-cv

2. hb- v / P-\-\-Xo-ø-Xn

3. ]q¿-Æamb ta¬-hn-em-kw

(]n≥-tIm-Uv k-lnXw) 4. A-t]-£-I-bp-sS hn-t√-Pv

A-t]-£-I-bp-sS Xm-eq-°v

A-t]-£-I-bp-sS ]-©m-b-Øv

5. A-t]-£-I-bp-sS Pm-Xn

6. Ip-´n-I-fp-sS F-Æw 7. Ip-´n-I-fp-sS t]-cv 1.

2. 3. 4. 5. 6. 8. \n-b-am-\p-kr-Xam-b hn-hm-l-_-‘-Øn¬ Iq-sS-b√m-sX A-Ω-bm-bXmtWm?

9. C-t∏mƒ hn-hm-ln-Xbm-tWm?

10. sXm-gn¬

11. hm¿jn-I h-cp-am-\w

12. kz-¥-am-bn `q-anbpw hoSpw Dt≠m?

13. a-t‰-sX-¶nepw s]≥-j≥ e-`n-°p-∂p-t≠m?: 14. D-s≠-¶n¬ G-sX-∂v hy-‡-am-°pI

kXy-{]-ÿmh-\ ..................................................F-∂ Rm≥ ap-I-fn¬ hn-h-cn-®n-´p-≈ F√m Im-cy-ßfpw Fs‚ A-dn-hnepw k-ΩX-Ønepw k-Xy-am-Wv F-∂v t_m-[n-∏n-°p∂p.

ÿew : XnøXn :

A-t]-£-I-bpsS H-∏v / hn-c-e-S-bmfw

]-cn-tim-[-\ dn-t∏m¿-´v A-t]-£bpw A-\p-_‘ tc-J-Ifpw ]cn-tim-[n-®p. {io-a-Xn........................................................................................ h-b- v........................hn-em-kw.................................................................................................................................................... ...................................................................{]n-Xn-am-kw..........................cq-] ho-Xw [-\-k-lm-b-am-bn e-`n-°m≥ A¿l-X-bp≠v.

Aw-K≥-hm-Sn \-º¿............

Aw-K≥-hm-Sn h¿-°-dp-sS t]cpw H∏pw

XoøXn :

sF.kn.Un.F-kv.kq∏¿-ssh-k-dp-sS & kn.Un.]n.H bp-sS ip-]m¿i 70 A-t]-£bpw A-\p_-‘-tc-J-Ifpw ]cn-tim-[n-®p.{io-a-Xn....................................................................................s‚ A-t]-£ [-\-k-lm-b-Øn-\m-bn ip-]m¿-i sN-øp∂p.

Xo-ø-Xn:

Hm-^o-kv ap{Z

sF.kn.Un.F-kv.kq∏¿-ssh-k-dp-sS t]cp. H∏pw

kn.Un.]n.H bp-sS t]cpw H∏pw

Pn√m km-aq-lyt£-a Hm-^o-k-dp-sS dn-t∏m¿-´v ta¬ ]cn-tim-[-\-I-fp-sS A-Sn-ÿm-\-Øn¬ {io-a-Xn............................................................................s‚ A-t]-£ [-\- k-lm-b-Øn-\m-bn ip-]m¿-i sN-bv-Xv F-Iv-kn-Iyp-´o-hv U-b-d-Œ¿, tI-c-f km-aqly kpc-£m anj-\v \¬-Ip∂p.

Xo-ø-Xn:

Hm-^o-kv ap-{Z Pn√m km-aq-lyt£-a Hm-^o-k-dp-sS t]cpw H∏pw

an{ihnhmlw aqew t¢i-ßƒ A\p-`-hn-°p-∂-h¿°v kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbw an{i hnhmlw apew kmap-ln-I-amb H‰-s∏-Sp-Ø-en\pw ]nV-\-ß-ƒ°pw hn[-bamIp-∂-h¿°v Bizmk \S-]Sn F∂ \ne-bn¬ kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbw \¬Ip∂ ]≤-Xn. hyXykvX PmXn-bn¬ Dƒs∏-´-h-cp-ambn hnhmlw \S-°p-Ibpw Hcp h¿j-Im-e-sa-¶nepw H∂n®v Xma-kn°p-Ibpw sNbvXn-´p-≈-h¿°mWv [\-k-lm-b-Øn\v A¿l-X-bp-≈-Xv. lmP-cm-t°≠ tcJ-Iƒ 1 ZºXn-IfpsS PmXn sXfn-bn-°p∂ km£y ]{Xw (hnt√Pv v Hmô-kn¬ \n∂v) 2 hcp-am\k¿ń-^n-°‰v (hn-t√Pv Hmô-kn¬ \n∂v) 3 an{ihnhmlw Xß-fpsS Hm^-kn¬ cPn-Ãdv sNbvXp F∂p-Im-Wn-®n-sIm≠v Xmsg-∏-d-bp∂ GsX-¶nepw Hcp hy‡n-bn¬ \n∂p≈ k¿ń-^n-°-‰v. (A)k_v cPn-kv{Sm¿, (B) ]©m-bØv {]kn-U‚ v, (C)- K-h¨sa‚ v AwKo-I-cn® an{i hnhml kwL-S-\, (D) -Hcp t£{X-Ønse amt\-P¿ As√-¶n¬ {ioIm-cy-°m¿, (E) Ic-tbmKw sk{I-´dn, (F) SNDP imJm-tbmKw sk{I-´-dn, (G) ]≈n A[n-Im-cn. 4 ZºXn-Iƒ Hcp h¿j-Im-e-ambn H∂n®v Xma-kn-°p-∂p F∂v ImWn-°p-∂Xpw Kk-‰Uv Hmôktdm, ]m¿e-sa‚ v saº-tdm, ePn-t…-‰ohv Akwªn saºtdm \¬In-b-Xp-amb k¿ń-^n-°‰v 5 ZºXn-IfpsS hb-kv, Xncn-®dn-b¬ tcJ F∂nh klnXw Pn√m kmaq-ly-t£a Hmô-k¿°v At]£ ka¿∏n-°-Ww. hnhmlw Ign™v Hcp h¿j-Øn\p tijw ap∂v h¿j-Øn-\Iw At]-£n-°-Ww. [\-klmbw 30000/˛cq]

an{ihnhmlw aqew t¢i-ßƒ A\p-`-hn-°p-∂-h¿°v kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbØn-\p≈ At]£ t]cpw ]q¿Æ-amb hnem-khpw

(A) `¿Øm-hns‚ (B) `mcy-bpsS

hnhm-l-Øn\p ap≥]p≈]q¿Æ-amb hnemkw

(A) `¿Øm-hns‚ (B) `mcy-bpsS

PmXn (A) `¿Øm-hns‚ (B) `mcy-bpsS hnhm-l-Øn\p ap≥]p≈ sXmgnepw {]Xn-amk hcp-am-\hpw

(A) `¿Øm-hns‚ (B) `mcy-bpsS

At]-£n-°p∂ ka-b-Øp≈ sXmgnepw {]Xn-amk hcp-am-\hpw (A) `¿Øm-hns‚ (B) `mcy-bpsS hnhmlw kw_-‘n-®p≈ hnh-c-ßƒ

(A) hnhmlw \S-°p-tºmƒ {]mbw 1 `¿Øm-hns‚ 2 `mcy-bpsS (B) hnhmlw cPn-Ã¿ sNbvXn-´pt≠m F∂v Ds≠¶n¬ cPn-Ã¿ \º¿, Xob-Xn, cPn-Ã¿ sNbvX Hm^o-kns‚ t]cv (C) hnhmlw \SØn F∂p sXfn-bn-°p-∂Xn\v Fs¥-¶nepw sXfn-hp-Iƒ lmPcm°p∂p F¶n¬ lmP-cm-°p∂ {]amW-ß-fpsS hnhcßƒ

hnhm-l-Øn\p tijw ZºXnIƒ Ft∏m-sg-¶nepw th¿s]´v Xma-kn-®n-´pt≠-m (A) Ds-≠-¶n¬ F{X \mƒ th¿s]´v Xmakn®p

(B) th¿s]´v Xma-kn-°m-\p≈ Imc-W-ßƒ

[\-k-lmbw e`n-°p-I-bm-sW-¶n¬ AXv F¥v Bhiy-Øn-\p-th≠-n D]-tbm-Kn°mw

an{i hnhmlw \S-Øn-bXp ImcWw Fs¥-¶nepw {]bm-k-ßtfm IjvS-X-Itfm A\p-`-hn-°p-s∂-¶n¬ AXns‚ ]q¿Æ hnhcw

apI-fn¬ sImSp-Øn-´p≈ hnh-c-ßƒ kXy-am-sW∂pw icn-bm-sW∂pw Rßƒ.............................................. ......................................................................................................CXn-\m¬ hn\-b-]p-c- cw Dd-∏p-sN-øp-∂p.

`¿Øm-hns‚ H∏v `mcy-bpsS H∏v ÿew XobXn

Pn√m kmaq-ly-t£a Hm^o-k-dpsS k¿´n-^n-°‰v Fs‚ At\z-j-W-Øn¬ apI-fn¬ sImSp-Øn-´p≈ F√m hnh-c-ßfpw kXy-am-sW∂pw Zº-Xn-Iƒ an{ihnhmlw \nanØw _p≤n-ap´v A\p-`-hn-°p-I-bm-sW∂pw Rm≥ km£y-s∏-Sp-Øp-∂p.

Pn√m kmaq-ly-t£a Hm^o-k-¿

Xmtemew˛Ipń-Iƒ°p≈ Nn-In’m ]≤Xn amc-I-am-b Akp-J-ßƒ aqew ZpcnXw A\p-`-hn-°p∂ 18˛h-b- n¬ Xmsg-bp≈ Ipń-I-fpsS NnIn-’bv°mbn tIcf tkmjy¬ sk°yq-cn‰n anj≥ \S-∏n-em-°p∂ ]≤-Xn-bmWv Xmtem-ew. 18˛h-b- n¬ Xmsg-bp≈ Ipń-I-fn¬ ]pXn-b-Xmbn Is≠-Øp∂ amc-I-tcm-K-ß¬°v NnIn’m klmbw \¬Ip-∂-XmWv Cu ]≤-Xn. hr° tcmK-ßƒ,- lr-Zb tcmK-ßƒ,Aÿn kw_-‘-amb tcmK-ß¬,-ikv{X-{Inb Bh-iy-amb \mUo-tcm-K-ßƒ,- Zo¿L-Ime NnIn’ Bh-iy-ambn hcp∂ lotam-ô-en-b, Xme-ko-an-b, kn°nƒ sk¬ A\o-an-b, Kn√≥ _mcn, Ubm-en-kn-kv, taP¿ k¿Pdn Bh-iy-ambn hcp∂ BIvkn-U‚p-Iƒ F∂n-h-bvs°√mw Cu ]≤Xn aptJ\ klmbw e`y-am-Wv. NnIn-’-bn-en-cnt° Ipń°v 18˛h-b v ]q¿Øn-bm-bm¬ IqSn saUn-°¬ dnt∏m¿´p-I-fp-sS-bpw, _‘-s∏´ tUmIvS¿, Bip-]{Xn kq{]≠v F∂n-h-cpsS Xocp-am-\-Øns‚ ASn-ÿm-\-Øn¬ XpS¿∂pw Hcp h¿jw hsc NnIn’ A\p-h-Zn-°m≥ tIcf tkmjy¬ sk°yq-cn‰n anj\v A[nImc-ap-≠v. Kh¨sa‚ v Bip-]-{Xn-Iƒ, saUn-°¬ tImtf-Pp-Iƒ, ]≤Xn \S-∏n-em-°m≥ \n¿t±-in-°-s∏-ń-´p≈ a‰v Bip-]-{Xn-Iƒ F∂n-hn-S-ß-fnse P\-d¬ hm¿Up-Ifn¬ NnIn-’bn-en-cn-°p-∂-h¿°p am{Xta ]≤XnbpsS B\pIqeyw e`n-°p-I-bp-≈q. Ubm-en-knkv HgnsI InSØnNnIn-’-bn-ep≈ tcmKn-Iƒ°mWv ]≤-Xn-bpsS B\p-Iqeyw e`n-°p-∂-Xv. XpS¿®-bmbn Ubm-en-knkv \n¿_-‘-ambn hcp∂ tcmKn-Iƒ°v _‘s∏´ tlmkv]n-‰¬ Iu≠-dn¬ \n∂pw saUn-kn≥ hmßp-∂-Xn\v klmbw e`n-°pw. XpS-°-Øn¬ 50000/˛ cp] hsc-bp≈ klm-b-amWv ]≤Xn {]Imcw e`n-°p-∂-Xv.- A-[nI [\-k-lmbw e`n-°p-∂Xv _‘-s∏´ tUmIvS¿, Bip-]{Xn kq{]≠v F∂n-h-cpsS Xocp-am-\-Øns‚ ASn-ÿm-\Ønepw, tIcf tkmjy¬ sk°yq-cn‰n anjs‚ FIvkn-Iyq-ńhv IΩ-‰n-bpsS Xocp-am-\-Øns‚ ASn-ÿm\-Ønepw Bbn-cn-°pw. Cu ]≤Xn {]Imcw NnIn’ e`n-°p∂ Bip-]-{Xn-Iƒ

doPn-b-W¬ Im≥k¿ sk‚¿, Xncp-h-\-¥-]p-cw.

Fkv.-F.‰n tlmkv]n-‰¬, Xncp-h-\-¥-]p-cw.

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xncp-h-\-¥-]p-cw.

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tIm´bw

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Be-∏pg

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xr»q¿

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tImgn-t°mSv

C≥Ãn-‰yq´v Hm^v sat‰-W¬ B‚ v ssN¬Uv sl¬Øv, tIm´bw

C≥Ãn-‰yq´v Hm^v sat‰-W¬ B‚ v ssN¬Uv sl¬Øv, tImgn-t°mSv

sNÃv tlmkv]n-‰¬,- Xr-»q¿

tIm˛-Hm-∏-td-‰nhv saUn-°¬ tImtf-Pv,- sIm®n

A°m-Uan Hm^v saUn-°¬ kb≥kv tlmkv]n-‰¬,- ]-cn-bmcw

ae-_m¿ Im≥k¿ sk‚¿ Xe-t»-cn, I-Æq¿

{ioNn-Ønc Xncp-\mƒ C≥Ãn-‰yq´v Hm^v saUn-°¬ kb≥kv B‚ v sSIvt\m-f-Pn;- Xn-cp-h-\-¥-]pcw. (-d-^-d¬ tIkp-Iƒ am{Xw)

Cu ÿm]-\-ß-fn¬ Xmtemew ]≤-Xn-°p-th≠n {]tXyI Iu≠-dp-Iƒ {]h¿Øn-°p-∂p≠v

Im≥k¿ kpc£˛ Ipń-Iƒ°p≈ NnIn’m ]≤Xn 18˛h-b-kn\p Xmsg-bp≈ Im≥k¿ _m[n-X-cmb Ipń-Iƒ°v NnIn’m klmbw A\p-h-Zn-°p-∂-Xn\mbn tIcf tkmjy¬ sk°yq-cn‰n anj≥ \S-∏n-em-°p∂ ]≤-Xn-bmWv Im≥k¿ kpc-£m-]-≤Xn.01˛11˛2008 \p tijw tcmK-_m[ Is≠-Øp-Ibpw NnIn’ Bcw-`n-°p-Ibpw sNbvX-h¿°mWv Cu ]≤Xn aptJ\ klmbw e`n°p-∂-Xv. _tbm-]vkn, tdUn-tbm-f-Pn-°¬ Cta-PnwKv dnt∏m¿´v F∂n-h-bpsS ASnÿm\-Øn¬tcmKw ÿnco-I-cn®-ti-j-amWv tcmKnsb ]≤-Xn-bn-te°v cPn-Ã¿ sNbp-∂-Xv. NnIn’m sNehv Xmßm-\m-hmØ ]mh-∏´ IpSpw-_-ß-fnes# Ipń-Iƒ°v th≠n-bp-≈-XmWv Cu ]≤-Xn. NnIn-’-bn-en-cnt° Ipń°v 18˛h-b v ]q¿Øn-bm-bm¬ IqSn saUn-°¬ dnt∏m¿´p-I-fp-sS-bpw, _‘-s∏´ tUmIvS¿, Bip-]{Xn kq{]≠v F∂n-h-cpsS Xocp-am-\-Øns‚ ASn-ÿm-\-Øn¬ XpS¿∂pw Hcp h¿jw hsc NnIn’ A\p-h-Zn-°m≥ tIcf tkmjy¬ sk°yq-cn‰n anj\v A[nImc-ap-≠v. XpS-°-Øn¬ 50000/˛ cp] hsc-bp≈ klm-b-amWv ]≤Xn {]Imcw e`n-°p-∂-Xv.- A-[nI [\-k-lmbw e`n-°p-∂Xv _‘-s∏´ tUmIvS¿, Bip-]{Xn kq{]≠v F∂n-h-cpsS Xocp-am-\-Øns‚ ASn-ÿm-\Ønepw, tIcf tkmjy¬ sk°yq-cn‰n anjs‚ FIvkn-Iyq-ńhv IΩ-‰n-bpsS Xocp-am-\-Øns‚ ASn-ÿm\-Ønepw Bbn-cn-°pw. Cu ]≤Xn {]Imcw NnIn’ e`n-°p∂ Bip-]-{Xn-Iƒ 1

doPn-b-W¬ Im≥k¿ sk‚¿, Xncp-h-\-¥-]p-cw.

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xncp-h-\-¥-]p-cw.

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tIm´bw

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Be-∏pg

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xr»q¿

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tImgn-t°mSv

P\-d¬ tlmkv]n-‰¬,-F-d-Wm-Ipfw

]cn-bmcw tIm˛Hm∏-td-‰ohv saUn-°¬ tImtfPv

ae-_m¿ Im≥k¿ sk‚¿ Xe-t»-cn,-I-Æq¿ Hmt¶m-f-Pn, tdUn-tbm-sX-dm∏n ta[mhn tcmKnsb ]≤-Xn-bn¬ cPn-Ã¿ sNbp-∂-Xn-\mbn ip]m¿i sNbp-Ibpw, Bip-]-{Xn-I-fn¬ CXn-\mbn Bcw-`n-®n-´p≈ {]tXyI Iu≠¿ aptJ\tkh\w e`y-am-hp-Ibpw sNbp-∂p.

"kvvt\l]q¿∆w'˛Ipń-Iƒ°p≈ hnZym-`ymk ]≤Xn A—\-Ω-am¿ acn® Ipń-Iƒ°v hnZym-`ym-k-Øn\v [\-k-lmbw \¬Ip-∂-Xn-\v tIcf kmaq-lnI kpc£m-an-j≥ \S-∏n-em-°p∂ ]≤-Xn-bmWv kvt\l-]q¿∆w ]≤-Xn. A—-\Ωamcn¬ Hcmƒ acn®pt]mIp-Ibpw Pohn-®n-cn-°p∂ Bƒ°v Ipńsb kwc-£n-°m≥ {]m]vXn C√msX hcn-Ibpw sNbvXmepw ]≤-Xn-bpsS {]tbm-P\w e`n-°pw. k¿°m-dn¬ \n∂v {]Xn-amk kvtImf-¿jnt∏m a‰v k¿°m¿ B\p-Iq-ey-ßtfm e`n-°p-∂p-s≠-¶n¬ Cu ]≤Xn {]Im-c-ap≈ klmbw e`n-°n-√. A\m-Ym-e-b-ß-fn-epw, tamU¬ dkn-U≥jy¬ kvIqfp-I-fntem tlmÃ-ep-I-fntem \n∂p ]Tn-°p-∂-h-scbpw ]cn-K-Wn-°n-√. 5 hb- n¬ Xmsg-bp≈ Ipń-Iƒ°v klmbw e`n-°p-∂-Xn\v ssN¬Uv sh¬s^-b¿ IΩ‰n sNb¿ams‚ k¿ń-^n-°‰v thWw. πkv h¨,- πkv Sp hnZym¿∞n-Iƒ°v 1000/˛ cq] hoX-amWv {]Xn-amk [\-k-lm-bw.9,10 ¢mkp-I-fnse Ipń-Iƒ°v 750/˛ cq] hoX-hpw, 5 apX¬ 8 hsc-bp≈ Ipń-Iƒ°v 500/˛ cp] hoXhpw 1 apX¬ 4 hsc ¢mknse Ipń-Iƒ°v kml-N-cy-ßƒ IW-°n-se-SpØv 500/˛ cq] hsc \¬Ipw. lmP-cm-t°≠ tcJ-Iƒ amXmhv/]nXm-hns‚ acW k¿ń-^n-°-‰v,kvIqƒ ta[m-hn-bn¬ \n∂p≈ k¿ń-^n-°-‰v, Ip-ń-bpsS P\\k¿ń-^n-°‰v. Xt±i ÿm]-\-Øn¬ \n∂p≈ _n.-]n.-F¬ k¿ń-^n-°‰v/hnt√Pv Hmô-kn¬ \n∂p≈ hcp-am\ k¿ń^n-°-‰v.

Xt±i kzbw `cW ÿm]-\-Ønse A≤y-£≥/saº¿/Fw.]n/Fw.-F¬.F F∂n-h-cn¬ Bcp-sSsb-¶nepw k¿ń-^n-°‰v. hnZym¿∞n-bp-sSbpw c£m-I¿Øm-hn-s‚bpw t]cn¬ tZi-km¬IrX _m¶n¬ Bcw-`n® kwbp‡ tkhnwKvkv _m¶v A°u-≠ns‚ hnh-c-ßƒ, Ipń-bp-sS B-[m¿- Im¿Uv. ]qcn-∏n® At]-£-Ifpw _‘-s∏´ tcJ-Ifpw tIcf kmaqly kpc£m anj≥ FIvkn-°yq-óhv Ub-d-IvS¿°v ka¿∏n-°-Ww.

\º¿

tI-c-f km-aq-ly kpc-£m an-j≥ kv-t\-l-]q¿-∆w ]≤-Xn

1. hn-Zym¿-∞n-bp-sS t]cpw ta¬-hn-em-khpw

ho-´v \-º¿,hm¿-Uv-\-º¿

]©mbØv/ ap-\n-kn-∏m-en-‰n / tIm¿-∏-tdj≥

Pn√

P-\-\-Xo-ø-Xnbpw h-b- pw

B¨ / s]¨

2. c-£-I¿-Øm-hn-s‚ t]-cp ta¬-hn-em-k-hpw

3. t^m-¨-\-º¿

4. hn-Zym¿-∞n-bp-am-bp-≈ _-‘w

5. (F) ]Tn-°p-∂ kv-Iq-fn-s‚ t]-cv

(_n)kv-Iq-fn-s‚ kz-`m-hw

(K-h/F-bvU-Uv / A¨-F-bv-UUv)

6. ]Tn-°p-∂ ¢m- v

(5 h-b- n-\p Xm-sg-bp-≈ Ip-´n-Iƒ-°v ssN¬-Uv sh¬-s^-b¿ I-Ωn-‰n sN-b¿-am-s‚ k¿-´n^n°-‰v lm-P-cm-t°-≠-XmWv)

7. Ip-Spw-_-Øn-s‚ hm¿jn-I h-cp-am-\w(_n.]n.F¬ Ip-Spw-_mw-K-am-sW-¶n¬ X-t±-i-kz-bw`-cW ÿm-]-\-Øn¬ \n-∂p-≈ km-£y-]-{Xhpw hn-t√-Pv B-ô-k-dn¬ \n-∂p-≈ h-cp-am-\- k¿-ń-^n-°‰pw lm-P-cm-t°-≠-Xm-Wv) : 8. Ip-ń-Iƒ-°v k¿-°m-cn¬-\n∂pw {]-Xnamk kv-tIm-f¿-jnt∏m /a-‰v k¿-°m¿ B-\p-Iq-ey-ßtfm e-`n-°p-∂pt≠m (D-s≠-¶n¬ hy-‡-am°pI)

9. Ip-Spw-_mw-Kß-sf kw-_-‘n-® hn-h-c-ßƒ : {I-a

Ip-Spw-_w-K-ß-fpsS-t]-cv

hb- v

sXm-gn¬

G-sX-¶nepw im-co-cn-I

dn-am¿-Ivkv

ssh-Ieyw _m-[n-®n-´pt≠m? (D≠-v / C√) A-—≥ A-Ω *c-£-I¿-Øm-hv k-tlm-Z-c-ßƒ

a-c-W-s∏-´-h-cp-sS(A-—≥/A-Ω)a-c-W-k¿-´n-^n°-‰v lm-P-cm°p-I *(A-—-\pw-A-Ωbpw a-cn-®-h¿-°v am-{Xw)

10.c-£-I¿-Øm-hv km-ºØn-I ]-cm-[o-\-X

: D≠-v /C√

A-\p-`-hn-°p-∂p-t≠m?(C-Xv kw-_-‘n-®v hy-‡-am-b ip-]m¿-i _-‘-s∏-´-h-cn¬ \n∂pw hm-tß-≠-XmWv) 11. (F).hn-Zym¿-∞n-bp-sSbpw c-£-I¿-Øm-hn-s‚bpw

t]-cn¬ tZ-i-km¬Ir-X _m-¶n¬ B-cw-`n-®n-´p≈ tk-hnw-Kv-kv _m-¶v A-°u≠-v \-º¿ (tPm-bn‚ v A-°u≠v) (_n). A-°u≠-v B-cw-`n-®n-´p-≈ hy-‡n-I-fpsS-t]cv : 1 :2 (kn). _m-¶n-s‚ t]-cv (Un). {_m-©v

k-Xy {]-kv-Xm-h\ .........................................................F-∂ Ip-ń ]q-¿-Æ-ambpw F-s‚ kw-c-£-W-bn-em-sW∂pw Ip-ń C-t∏mƒ ...............................¢m- n¬ ]Tn-°p-I-bm-sW-∂pw ta¬ {]-ÿm-hn-® hn-h-c-ßƒ k-Xy-am-sW∂pw C-Xn-\m¬ km-£y-s∏-Sp-Øn-s°m-≈p∂p. Ip-ń A-\m-Ym-e-b-Øn-se-tbm a-‰v ÿm-]-\Øntetbm A-t¥-hm-kn-bs√∂pw F-s‚ hoń¬ \n-∂p X-s∂ hn-Zym-`ym-k-ÿm-]-\-Øn¬ t]m-Ip-∂-sX∂pw km-£y-s∏-Sp-Øp∂p.

H∏v t]cv: _‘w: (A-—≥ / A-Ω / c-£-I-¿-Øm-hv)

hn-Zym-`ym-k ÿm-]-\-Øn-s‚ ta-e-[n-Im-cn \¬-Ip-∂ km-£y-]{Xw ....................................................................F-∂ hn-Zym¿∞n................................................................................................. kv-Iq-fn¬................................¢m- n¬ ]Tn-°p-I-bmWv. Sn-bm≥ / Sn-bmƒ-°v k¿-°m-dn¬ \n-∂p-≈ {]-Xnam-k kv-tIm-f¿-jnt∏m / a-‰v k¿-°m¿ B-\p-Iq-ey-ßtfm e-`n-°p-∂n-s√∂pw kv-t\-l-]q¿-∆w ]≤-Xn {]-Im-c-ap≈ B-\p-Iq-ey-Øn-\v Sn-bm≥/Sn-bmƒ A¿-l-bm-sW∂pw Ip-´n A-\m-Ym-e-bØntem a-‰v ÿm-]\Øntetbm A-t¥-hm-kn-b-s√∂pw km-£y-s∏-Sp-Øp∂p.

H∏v:

t]cv:

sl-Uv-am-kv-‰¿ / sl-Uv-an-kv-{S-kv / {]n≥-kn-∏¬

ÿ-ew:

kv-Iqƒ-ap-{Z

kv-Iq-fn-s‚ t]-cv

Xoø-Xn

km-£y-]{Xw (P-\-{]-Xn-\n-[n-Iƒ \¬-tI-≠Xv)

79 .................................................................................Ip-ń-bp-sS am-Xm-hv / ]n-Xm-hv a-c-W-s∏-ń-´p-s≠∂pw Sn-bm≥/Snbmƒ C-t∏mƒ ............................................................................... kw-c-£-W-bn-em-sW∂pw Sn-bm-s‚/Sn-bm-fp-sS hn- Z ym- ` ym- k sN- e - h p- I ƒ h- l n- ® p- h - c p- ∂ am- X mhm- b / ]n- X mhm- b c- £ - I ¿- Ø mhm- b ..................................................................................... \v km-º-Øn-I-ambn ]-cm-[o-\-X A-\p-`-hn-°p-∂p-sh∂pw kv-t\-l-]q¿-∆w ]-≤-Xn-{]-Im-c-ap-≈ [-\-k-lm-b-Øn-\v A¿-l-\m-sW∂pw Ip-ń A-\mYm-e-b-Ønsetbm a-‰v ÿm-]-\-Ønsetbm A-t¥-hm-kn-b-s√∂pw km£y-s∏-Sp-Øp∂p.

H∏v:

t]cv:

ÿm-\-t∏cv:

ÿew: Xn-øXn: (NB:-k-¿-´n-^n°-‰v Xt±-i kz-bw `-c-W ÿm-]\ß-fn-se ta-b¿/sN-b¿-am≥/{]-knU‚ v/Iu¨-kne¿/saº¿/Fw.]n/Fw.F¬.F. F-∂n-h-cn¬ B-cp-sS-sb-¶nepw B-bn-cn°Ww)

km-£y-]{Xw (5 h-b- n-\p Xm-sg-bp-≈ Ip-´n-Iƒ-°v am-{Xw)

..................................................Ip-´n-bp-sS am-Xmhv / ]n-Xm-hv a-c-W-s∏-´n-´p-s≠∂pw Sn-bm≥/Sn-bmƒ C-t∏mƒ ........................................................kw-c-£-W-bn-em-sW-∂pw Sn-bm-s\ h-f¿-Øn hn-Zym-`ym-kw sN-øp-∂-Xn\p am-Xmhm-b/]n-Xm-hm-b..............................................................................................................................\v ambn

]-cm-[o-\-X

A-\p-`-hn-°p-∂p-sh∂pw

kv-t\-l-]q¿-∆w

]≤-Xn

{]-Im-c-ap-≈

km-º-Øn-I[-\-k-lm-

bw.................................................Ip-´n-°v A-\p-h-Zn-°-W-sa∂pw ip-]m¿-i sN-bv-Xp sIm-≈p∂p. Ip-´n A-\mYm-e-bØntetbm a-‰v ÿm-]-\Øntetbm A-t¥-hm-kn-b-s√∂pw km-£y-s∏-Sp-Øp∂p.

H∏v:

t]cv:

sN-b¿-am≥:

ssN¬-Uv sh¬-s^-b¿ I-Ωn‰n:

ÿew: Xo-øXn:

A-t]-£-bn≥-ta-ep-≈ Xo-cp-am-\w ............................................................................s‚ A-t]-£bpw A-\p-_-‘ tc-J-Ifpw ]cn-tim-[n®-Xn¬ ................................................................\v......................................................cq-]-bp-sS {]-Xnam-k [-\-k-lm-b-Øn\v A¿-l-X-bp-≈-Xm-bn Im-Wp-∂p. {]-kvXp-X Xp-I A-\p-h-Zn-bv°p∂p.

F-Iv-kn-Iyq-´o-hv U-b-d-Œ¿ tI-c-f km-aq-ly kp-c-£m- anj≥

apJy-a-{¥n-bpsS Zpcn-Xm-izmk \n[n Zmcn-{Zy-tc-J°v Xmsg-bp≈ P\-ßƒ°p-≠m-hp∂ amc-I-amb tcmK-ßƒ°v NnIn¬km klmbw \¬IpI . A]-I-S-a-c-W-ßƒ°v Cc-bm-Ip-∂-hcpsS B{in-X¿°v ASn-b-¥nc [\-k-lmbw \¬Ip-I,sXm-gn¬ Ipg∏w D≠m-Ip-tºmƒ Zpcn-X-Øn-em-hp∂ sXmgn-em-fn-Iƒ°v kuP\y tdj≥ A\p-h-Zn-°pI F∂n-ß-s\-bp≈ Bh-iy-ßƒ°mWv apJy a{¥n-bpsS Zpcn-Xm-izmk \n[n cq]o-I-cn-®n-´p-≈-Xv. 1000 cq] apX¬ 5000 cq] hsc klmbw e`n°pw [\-k-lmbw e`n-°p-∂-Xn-te-°m-bn-\n-›nX amXr-I-bn-ep≈ At]£ Xøm-dm°n Bdv amk-Øn¬ Ihn-bmØ saUn-°¬ k¿ń-^n-°‰v kln-Xhpw A]-I-S-a-cWw kw_-‘n® [\-k-lm-b-Øn\mbn {]kvXpX At]-£-tbm-sSm∏w acW k¿ń-^n-°‰v F^v sF B¿ ,t]m-Ãp-tam¿´w k¿ń-^n-°‰v F∂nh-bpsS ]I¿∏v kln-Xhpw hnt√Pôkv /Xmeq-°môkv /If-Iv‰-td‰v F∂n-hn-S-ß-fn¬ At]£ ka¿∏n-°m-hp-∂-Xm-Wv. Ime-Xm-akw Hgn-hm°p∂-Xn-te-°mbn At]£ hnt√-Pm-ô-kn¬ ka¿∏n-°p∂-XmWv DNn-Xw. Fw F¬ F aptJs\apJy-a-{¥n-bpsS Hm^n-kn¬ t\cn´pw \evIm-hp-∂-Xm-Wv. Hcp hy‡n°v Hcp XhW am{Xsa apJy-a-{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂pw [\-k-lmbw A\ph-Zn-°p-I-bp-≈p. At]-£-Is‚ IpSpw_ hm¿jnI hcp-am-\w 20000 cq]bv°v Xmsg-bm-bn-cn-°-Ww..Iym≥k¿ ,InUv\n ,lr-Zb kw_-‘-amb Akp-J-ßƒ XpS-ßnb amcI tcmK-ßƒ°v {]tXyI kmlNcyw ]cn-K-Wn®v Hcn-°¬ [\klmbw e`n®v c≠v h¿j-Øn\v tijw ho≠pw At]-£n-°m-hp-∂-XmWv. _n.]n.F¬. Ip-Spw-_-Øn-se ap-Jy A-∂-Zm-Xm-hv a-c-W-s∏-´m¬ 1 e-£w cq-]h-sc B-{in-X¿-°v Ip-Spw_ k-lm-b-am-bn e-`n-°p∂p.

{]IrXn Zpc-¥-ß-fn¬ s]´-h¿°p≈ [\-k-lmbw Ime-h¿j-s°-SpXn aqew ZpcnXw A\p-`-hn-°p-∂-h¿°pw, Kpcp-X-c-amb ]cn°v ]‰p-∂-h¿°v NnIn-’bv°mbpw [\-k-lmbw A\p-h-Zn-bv°p-∂p. ]cn-°ns‚ Afhv \n›-bn-°p-hm≥ k¿°m¿ tUmIvS-dp-sStbm, k¿°m¿ AwKo-I-cn® ]´n-I-bn-ep≈ tUmIvS-dpsStbm k¿´n-^n-°‰v lmP-cm-°Ww klm-b-ßƒ

Ime-h¿j-s°-SpXn aqew acWw kw`-hn-®m¬ B{in-X¿°v 100000/˛ [\-k-lmbw Kpcp-X-c-amb ]cn°v ]‰n ssIIm-ep-Itfm, ItÆm \jvS-s∏-´m¬ 40% apX¬ 75% hsc sshIeyw kw`-hn®m¬ 35000/˛ cp] [\-k-lmbw 75% \p apI-fn¬ sshIeyw kw`-hn-®m¬˛ 50000/˛ cp] [\-k-lmbw ]cn-°p-]‰n Hcm-gvN-bn¬ IpSp-X¬ Bip-]-{Xn-bn¬ InS-∂m¬-, 7500/˛ ]cn-°p-]‰n Hcm-gvN-bn¬ Ipdhv Bip-]-{Xn-bn¬ InS-∂m¬-, 2500/˛ sh≈-s∏m-°-Øn¬ hoSv \jvS-am-Ip∂ Hmtcm IpSpw-_-Øn\pw hkv{Xw, 1000/˛ IpSmsX ho´p-]-I-c-Wßƒ,1000/˛ \n›nX t^md-Øn¬ Bh-iy-amb Xlkn¬Zm¿°v At]£ \¬IWw

tcJ-Iƒ

klnXw

hnt√Pv

Hm^o-k-dpsS

dnt∏m¿t´msS

apJy-a-{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂pw [\-k-lm-b-Øn-\p≈ At]£m-t^mdw

1. At]-£-Is‚ t]cpw hnem-khpw

(hn-t√-Pv, Xmeq-°v, Pn√ kln-Xw)

2. AXym-lnXw/ Akp-J-Øn-\n-c-bmb hy‡nbpw At]-£Ipw XΩn-ep≈ _‘w : 3. AXym-lnXw/ AkpJw kw`-hn-®-bmƒ {]mb-]q¿Øn-bmb Btfm A√tbm

4. At]-£-Is‚ hb pw sXmgnepw

5. AXym-ln-X-Øns‚/ Akp-J-Øns‚ kz`mhw (B-h-iy-amb tcJ-I-fpsS ]I¿∏v D≈-S°w sNbvXn-cn-°p-∂p)

6. IpSpw-_-hm¿jnI hcp-am\w

7. CXn\v apºv GsX-¶nepw \jvS-]-cn-lmcw/ kmº-ØnI klmbw e`n-®n-´pt≠m?

Ds≠-¶n¬ hni-Z-hn-hcw

km£y-]{Xw ta¬ {]kvXm-hn-®n-´p≈ hkvXp-°ƒ kXy-am-Wv. ta¬ Imc-W-Øn\v apJy-a-{¥n-bpsS Zpcn-Xm-izm-k-\n-[nbn¬ \n∂pw Rm≥ CXn\v apºv klm-b-[-\-sam∂pw ssI]-‰n-bn-´n-s√∂v km£y-s∏-Sp-Øp-∂p.

At]-£-Is‚ t]cpw H∏pw ÿew: XnøXn:

hnt√Pv Hm^n-k-dpsS At\z-jW dnt∏m¿´v \º¿:

hnt√Pv Hm^n-k¿

hnt√Pv: XnbXn:

Xl-kn¬Zm-dpsS ip]m¿i \º¿:

hnt√Pv : XnbXn :

Pn√m-I-fIvS-dpsS ip]m¿i \º¿:

Pn√m If-Ivt{S‰v XobXn

83 Pn√m If-IvS¿ Bh-iy-s∏-´n-´p≈ XpI Pn√m If-IvS-dpsS A[n-Imc ]cn-[n-°p-≈n-em-sW-¶n¬ DNn-X-amb \S-]Sn kzoI-cn-®-tijw ,I-f-IvS¿am¿ hnhcw k¿°m-dns\ And-bn-t°-≠-Xm-Wv.

apJy-a-{¥n-bpsS DØ-chv \º¿:

hnt√Pv : XnbXn :

hnt√Pv Hm^o-k¿

AK-Xn-Iƒ°p≈ kmº-ØnI klmbw £b-tcm-Kn-Iƒ°p≈ [\-k-lmbw kmº-Øn-I-ambn ]nt∂m°w \n¬°p∂ £b-tcm-Kn-Iƒ°p≈ kmº-ØnI klmb ]≤-Xn. [\klm-b-Øn\v A¿l-X-bp-≈-h¿: -A-t]£ ka¿∏n-°p∂ Xob-Xn°v tIc-f-Øn¬ Hcp h¿j-Øn¬ IqSp-X¬ ÿnc Xmakw D≈-hcpw F∂m¬ kwÿm-\-Øn-\-I-Øp≈ GsX-¶nepw Sn _n ¢n\n-°n-tem- B-ip-]-{Xn-bntem km\n-t´m-dn-bØntem {]th-in-∏n-®n-ń-√m-Ø-h-cp-amb \n¿[-\-cm-b-F√m £b tcmKn-Iƒ°pw Cu ]≤Xn A\p-k-cn®p≈ kmº-ØnI klm-b-Øn\v At]£ ka¿∏n-°m-hp-∂-XmWv . hm¿jnI hcp-am\w 2400 cq] Akn-Ã‚ v k¿P≥ ]Z-hn-bn¬ Xmsg A√mØ Hcp saUn-°¬ Hmô-k¿ At]-£-bnse Ijn Hcp £b tcmKn-bm-sW∂pw Abmƒ°v Bdv amk-tØs°¶nepw NnIn’ Bh-iy-am-sW∂pw km£y-s∏-SptØ-≠-Xm-Wv. At]£ ka¿∏n-t°-≠Xv Xmep°v Hmôkv / hnt√Pv Hmôkv (X-l-ko¬Zm-cpsS Xocp-am-\-Øn-s\Xnsc B¿. Un. H. °v A∏o¬ ka¿∏n-°m-hp-∂-Xm-Wv. 800/-cq-] {]-Xnam-k [-\-k-lmbw.

IpjvT tcmKn-Iƒ°p≈ [\-k-lmbw kmº-Øn-I-ambn ]n∂m°w \nev°p∂ tcmKn-Iƒ°p≈ kmº-ØnI klmb ]≤-Xn.

kwÿm\\nhm-kn-Iƒ, At]£ ka¿∏n-°p∂ Xnb-Xn°v tIc-f-Øn¬ Hcp h¿j-Øn¬ IqSp-X¬ ÿnc Xmakw D≈-hcpw F∂m¬ kwÿm-\-Øn-\-I-Øp≈ GsX-¶nepw km\n-t´m-dn-b-Øntem {]thin-®n-ń-√m-Ø-h-cp-amb \n¿[-\-cmb F√m IpjvT tcmKn-Iƒ°pw Cu ]≤Xn A\p-k-cn-®p≈ kmºØnI klm-b-Øn\v At]£ ka¿∏n-°m-hp-∂-Xm-Wv. hm¿jnI hcp-am\w 2400 cq]. At]£ ka¿∏nt°-≠Xv Xmep°v Hmôkv / hnt√Pv Hmôkv .(X-l-ko¬Zm-cpsS Xocp-am-\-Øn-s\-Xnsc B¿ Un Hm °v A∏o¬ ka¿∏n-°m-hp-∂-Xm-Wv. At]-£-tbm-sSm∏w hcp-am\k¿ń-^n-°-‰v, Akn-Ã‚ v k¿P≥ ]Z-hn-bn¬ Xmsg A√mØ saUn-°¬ Hm^n-k¿, I£n Hcp IpjvT tcmKn-bm-sW∂pw Bdv amk-sØ-s°-¶nepw NnIn’ Bh-iy-am-sW-∂pap≈ k¿ń-^n-°-‰v. 800/-cq-] {]-Xnam-k [-\-k-lmbw.

Im≥k¿ tcmKn-Iƒ°p≈ [\-k-lmbw kmº-Øn-I-ambn ]n∂m°w \nev°p∂ tcmKn-Iƒ°p≈ kmº-ØnI klmb ]≤-Xn. kwÿm\\nhm-kn-Iƒ, At]£ ka¿∏n-°p∂ Xnb-Xn°v tIc-f-Øn¬ Hcp h¿j-Øn¬ IqSp-X¬ ÿnc Xmakw D≈-hcpw F∂m¬ kwÿm-\-Øn-\-I-Øp≈ Im≥k¿ tcmKm-ip-]-{Xn-bntem ¢n\n°ntem {]th-in-®n-ń-√m-Ø-h-cp-amb \n¿[-\-cmb F√m Im≥k¿ tcmKn-Iƒ°pw Cu ]≤Xn A\p-k-cn®p≈ kmº-ØnI klm-b-Øn\v At]£ ka¿∏n-°m-hp-∂-Xm-Wv. hm¿jnI hcp-am\w 2400 cq]. At]-£-tbm-sSm∏w hcp-am\k¿ń-^n-°-‰v, Akn-Ã‚ v k¿P≥ ]Z-hn-bn¬ Xmsg A√mØ saUn-°¬ Hm^n-k¿ I£n Hcp Im≥k¿ tcmKn-bm-sW∂pw Bdv amk-sØ-s°-¶nepw NnIn’ Bh-iy-am-sW-∂pap≈ k¿ń-^n-°-‰v. At]£ ka¿∏n-t°-≠Xv Xmep°v Hmôkv / hnt√Pv Hmôkv (X-l-ko¬Zm-cpsS Xocp-am-\-Øn-s\-Xnsc B¿ Un Hm °v A∏o¬ ka¿∏n-°m-hp-∂-Xm-Wv. Im≥k¿, £bw, IpjvTw F∂o tcmKw _m[n®-h¿°p≈ [\-k-lm-b-Øn\v "AK-Xn-Iƒ°p≈ kmºØnI klmb At]£mt^mdw' (t^mdw\º¿ 1)D]-tbm-Kn-°-Ww. hnt√Pv Hmô-k-dpsS dnt∏m¿´v, AXmXv ]n.-F-®v.kn bnse saUn-°¬ Hmô-k-dn¬ \n∂p≈ saUn-°¬ k¿ń-^n-°‰v F∂nh At]£-tbm-sSm∏w lmP-cm-°-Ww.k¿°m-dn¬ \n∂pw a‰v [\-k-lmbw In´p-∂-h¿°pw Cu B\p-Iq-eyØn\v A¿l-Xbp-≠m-bn-cn-°p-∂-Xm-Wv. {]Xn-amkw 800/˛cq]bmWv [\-k-lm-bw. Hmtcm h¿jhpw saUn-°¬ k¿ń-^n-°‰v ]pXp°n \¬tI-≠-Xm-Wv. At]-£-bpsS aq∂v sk‰v ka¿∏n-°-Ww

t^mdw \º¿ 1

AK-Xn-Iƒ°p≈ kmº-ØnI klmb At]£m t^mdw 1

At]£Is‚ t]cpw ]p¿Æ-amb hnem-khpw

2 3 4

hb v A—s‚/ AΩ-bpsS/`¿Øm-hns‚ t]cv At]-£-I≥ {]mb-]q¿Øn BIm-Ø-bmtfm _p≤n°v ÿncX C√m-Ø-bmtfm BsW-¶n¬ c£m-I¿Øm-hns‚ t]cpw]p¿Æ-ambhnem-khpw Xma-kn-°p∂ ÿehpw F{X Ime-ambn AhnsS Xma-kn-°p∂p F∂pw GXv hn`m-K-Øn¬s∏´ klm-b-Øn\v th≠n-bmWv At]-£n-°p-∂Xv F∂v (B-h-iy-an-√mØ `mKw sh´n-°-f-bp-I)

: :

5 6

: :

Im≥k¿/£bw/IpjvTw

{]Xn⁄ 1 Rm≥ CXn\v ap≥]v kmº-ØnI klm-b-Øn\v th≠n At]-£n-®n-ń√. As√-¶n¬ At]-£n-®n-´p-≠v,-A-Xn≥ta¬ Xocp-am\w Xmsg hnh-cn-°p∂ {]Imcw Bbn-cp-∂p. (B-h-iy-an-√mØ `mKw shń-°-f-bp-I). 2. Fs‚ Ime-bm-]-\-Øn\v bmsXmcp am¿K-hp-an√ 3. Xmsg hnh-cn-°p∂ _‘p-°ƒ F\nbv°p≠v.A-—≥/AΩ/`¿Ømhv/`mcy/aI≥/aIs‚ aI≥(B-h-iy-an-√mØ `mKw shń-°-f-bp-I) 4. ap-I-fn¬ hnh-cn-®n-´p≈ _‘p-°ƒ°m¿°pw {]Xn-amkw A≥]Xv cp]-bn¬ Ihn™ hcp-am\w C√. 5. Rm≥ tIc-fo-b-\m-Wv. 6. K-h¨sa‚n¬ \nt∂m, a‰v ÿm]-\-ß-fn¬ \nt∂m F\n°v XpS¿®-bmb [\-k-lamb bmsXm∂pw e`n-°p-∂n-√. 7. Rm≥ Ct∏mƒ Cu kwÿm-\-Øp≈ GsX-¶nepw IpjvT-tcm-Km-ip-]-{Xn-bntem km\n-t´m-dn-bØntem Im≥k¿ hm¿Untem {]th-in-°-s∏´v NnIn’ \S-Øp-∂n√/\S-Øp-∂p-≠v 8. apI-fn¬ ]d-™n-cn-°p∂ hkvXp-X-Iƒ F√mw kXy-am-Wv.

ÿew: XobXn: 8

At\z-j-W-dn-t∏m¿´v

Xlko¬Zm-cpsS DØ-chv

At]-£-Is‚ H∏v/hnceS-bmfw

hnt√Pv Hm^n-k¿ Xl-kn¬Zm¿

saUn ¡Â B^o k dpsS kÀ«n ^n ¡äv {io/{ioaXn.................................................................................................................................................................................... ..............................................Xob Xn......................................................................................Øe ¯p h¨v ]cn tim [n ¨p. A t]£ I£n..........................................................................................Im³kÀ tcmK _m [n X \mWv/_m[n X \Ã £b tcmK _m [n X \mWv/_m[n X \Ã /IpjvT tcmK _m[n X \m Wv./_m[n X \ Ã. SnbmÄ¡v..............................................hÀjs¯ NnInÕsb nepw Bhiyam sW¶pw Sn. bmsf Ct¸mÄ kwØm \s¯ GsX nepw Im³kÀ hmÀUntem, km \n täm dn b ¯n tem IpjvT tcm Km ip ] {Xn bn tem, {]th in ¸n ¨n «nÃ F¶pw km£y s¸ Sp ¯p ¶p.

A¯cw GsX nepw Øm] \ ¯nÂ {]th in ¡ s¸ «n «p s

Øew XobXn

tUmIvS dpsS t]cpw H¸pw HutZym KnI taÂhn em kw

(Hm ^okv ap{Z)

nÂ B hnhcw hni Z ambn Fgp Xp I.

{][m\a{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ klm-bw. Im≥k¿, hr°-tcm-K-ßƒ, lrZb tcmK-ßƒ XpS-ßnb amdmtcmK-ßƒ aqew ZpcnXw A\p-`-hn-°p-∂h¿°pw {]Ir-Xn-t£m`w aqew ZpcnXw A\p-`-hn-°p-∂-h¿°pw kmº-Øn-I k-lmbw \¬Ip∂ ]≤-Xn.H-∂n¬Iq-Sp-X¬ XhW Cu]-≤Xn {]Imcw [\-klmbw e`n-°n-√ tI{µ-˛-kw-ÿm\Poh-\-°m¿°pw Ah-cpsS B{in-X¿°pw Cu [\-k-lm-b-Øn\v A¿l-X-bn-√. NnIn’°v sNe-hn\v B\p-]m-Xn-I-ambn klmbw e`n-°pw. hnt√Pv Hm^n-kv, Xmeq°v Hm^n-kv, Pn√m Ie-IvS¿, Fw. ]n F∂n-h¿ apJm-¥ncw At]£ ka¿∏n-°m-hp-∂-XmWv. ]qcn-∏n® \n¿±njvS At]-£-tbmsSm∏w hcp-am\k¿´n-^n-°‰v (Xmeq°v Hm^nkn¬ \n∂v˛12000/˛ cp]-bn¬ Xmsg) Hcp ]mkvt]m¿´v sskkv t^mt´m, saUn-°¬ k¿´n-^n-°‰v, acp-∂ns‚ No´v, _n√v F∂nh \¬I-Ww.

tZiob IpSpw_ t£a ]≤Xn 1.11.1995 ¬ \ne-hn¬ h∂ ]≤-Xn-bmW#nXv . Cu ]≤Xn {]Imcw Zmcn{Zy tcJ°v Xmsg-bp≈ IpSpw-_Ønse apJy A∂ ZmXmhv ac-W-s∏-´m¬ 10000 cq] [\-k-lmbw A\p-h-Zn-°p-∂-XmWv . IpSpw-_-Ønse GXv hy‡n°pw Ah-Imin F∂ \ne-bn¬ {]kvXpX IpSpw-_-Øns‚ {][m\hcpam\am¿§w B¿÷n-°p∂ hy‡n ac-W-s∏-´m¬ B\p-Iq-ey-Øn\v At]£ ka¿∏n-°m-hp-∂-XmWv . acWs∏´ hy‡n acWw kw`-hn-°p-∂-Xn\v sXm´v ap≥]v aq∂v h¿jw tIc-f-Øn¬ ÿnc Xma-k-am-bn-cn°-Ww.18 \pw 64\pw CS-bn¬ {]mb-ap-≈-hcpw hcp-am\w D≠m°n IpSpw-_sØ kw-c-£n®v hcp-∂-h-cp-ambn-cn-°-Ww. IpSpw_ hm¿jnI hcp-am\w 11000 cq]-bn¬ IqSm≥ ]mSn-√. Ah-Im-in-I-fpsS ]´n-I-bn¬ `mcy ,`¿Ømhv {]mb-]q¿Øn-bm-ImØ a°ƒ,-hn-hm-ln-X-cm-ImØ s]¨ a°ƒ B{i-bn®v Ign-bp∂ A—-\-Ω-am¿ F∂n-h¿ Dƒs∏-Sp-∂p. \n¿±njvS t^md-Øn-ep≈ 2 {]Xn At]£Iƒ Pn√m If-Iv‰¿t°m At±lw Npa-Xes∏SpØnb DtZymK-ÿ\v ap≥]m-sItbm ka¿∏n-°Ww . acWw kw`-hn®v Hcp amk-Øn-\p-≈n¬ At]£ ka¿∏n°-Ww. X°-Xmb Imc-W-ß-fp-s≠∂v t_m[y-am-bm¬ Ime-Xm-akw am∏m-°p-∂-Xn\v If-Iv‰¿°v A[n-Im-c-ap-≠v.

FORMAT TO BE SUBMITTED FOR PRIME MINISTER'S RELIEF FUND 1 Name of the Patient

(IN BLOCK LETTERS) 2 Age

3 Present & Permanent Address

4 whether belongs SC/ST (please attach certificate from Thahasildar): 5 Father's/Husbandâ&#x20AC;?s Name

6 Wheather the Applicant or the Person on whome He/She depends is an employee of the Central/State Government

7 Occupation and monthly income of the applicant and his family,with full address of the employee( a certificate from BDO/Thahasildar or other functionaries of district or his/her level income must be attached in original

8 Source of livelihood if information in col.6 is nil: 9 Quantum of Financial Assistance required: 10 Wheather financial assistance (i)has been received from or (ii)denied by the Ministry of Health & Family : Welfare in the past.If so give full details 11 Item wise boke up expenditure for which financial assistance has been applied for along with justification

12.Wheather financial assistance for the same purpose (i) has been received from or (ii) a request has been /is being made to some department/agency, authority, other than the: Ministry of Health &F&W If so give full details 13 Any other information

: DECLARATION

I declare that the information given above id correct and complete in all respects and that I am in no position at all to arrange for/provide funds for the purpose stated above.I also declare that neither I not any patient is an employee of the Central/State Government or a Local body. Date:

Signature of the

Place:

Parent/Patient/Husband

TO BE FILLED BY THE MEDICAL OFFICER IN CHARGE OF THE CASE/HOSPITAL ETC.WHERE THE PATIENT IS RECEIVING THE TREATMENT 1 Ashort note on the present Clinical : codition of the Patient including 2 List of reports of the important investigations done: 3 DIAGNOSIS (i) Basic illness (ii)Complications : (iii)Associated illness:

4 Is the Patient hospitalised? If so where?: 5 Name of the consultant /Drs who treated the patient: 1 2 3

6 Amount of money recommended and reasons other of

Date:

Signature of the Medical Officer in charge of the Case/hospital/Medical Institution (Office Seal)

Certificate that the patients particulars given above are true to the best of my knowledge and belief. Signature of the Medical Officer in charge of the Case/hospital/Medical Institution

tZiob kmaqly klmb ]≤Xn IpSpw_ klm-b-Øn-\p≈ At]£mt^mdw (A-t]-£-I≥ ]qcn-∏n-t°-≠-Xv)

1 At]-£-Is‚/ At]-£-I-bpsS t]cv

2 ]q¿Æ-amb X]m¬ ta¬hn-emkw

3 ac-W-s∏´ Bfns‚ t]cv

4 ac-W-s∏´ Bfns‚ {]mbw

5 ac-W-s∏´ Bƒ F¥v sXmgn-en-¬ G¿s∏-´n-cp∂p?

6 ac-W-s∏´ Bƒ IpSpw-_-Ønse {][m\

hcp-am-\-°m-c-\m-bn-cp-∂pthm?

7 At]-£-I\v ac-W-s∏´ Bfp-am-bp≈ _‘w aIt\m/ aItfm BsW-¶n¬ {]mbw, hnhm-ln-X-\mtWm?

8 acW ImcWw

F) kzm`m-hnIw

: :

_n) A]-I-Sw

9 IpSpw_ hm¿jnI hcp-am\w

10 At]-£-I≥ ]´n-I-PmXn/ ]´n-I-h¿§w/

hnI-emw-K≥ F∂n-h-bm-sW-¶n¬ tcJ-s∏-Sp-ØWw

11 IpSpw-_-Ønse a‰p AwK-ß-fpsS hni-Z - hn-hcw (t]-cv, {]mbw, sXmgn¬, ac-W-s∏´ Bfp-am-bp≈ _‘w Ch tcJ-s∏-Sp-Ø-Ww):

Rm≥ kXy-k-‘-ambpw {]kvXm-hn-°p∂p

Fs‚ IpSpw_ hm¿jnI hcp-am\w 11000 cq]-bn¬ Ipd-hm-Wv. Rm≥ ........................................................................................................................................(ac-W-s∏´ Bƒ) aI≥/ aIƒ/ `¿Ømhv/ `mcy/ A—≥/ AΩ BWv. ac-W-s∏´ Bƒ acn® Xnb-Xn°v sXm´p-ap-ºp≈ aq∂v h¿j°mew................................................................................................................................................................................... ...........................................................................................................F∂ ÿeØv ÿnc-Xm-a-k-°m-c≥/ Imcn-bm-Wv.

Cu At]-£-bn¬ ]d-™n-cn-°p∂ hnh-c-ßƒ Fs‚ Adn-hnepw hnizm-k-Ønepw s]´n-S-tØmfw kXyam-Wv F∂v Rm≥ CXn-\m¬ t_m[n-∏n®p sIm≈p-∂p.

ÿew: XnøXn: At]-£-Is‚ H∏v/ hnc-e-S-bmfw

91 At\z-jW dnt∏m¿´v:

INCOME CERTIFICATE Enquiry shows that the total annual family income of Sri./Smt............................................................ ...............................................................................................................................................residing at ..........................................................................House ........................................................................... ......................................................village,...................................Thaluk................................................ .............................................post office.............................................district of Kerala State is Rupees.............................................(in words........................................................................................ .......................................................................from all source. This certificate is issued at the request of Sri./Smt................................................................................ ...........................................................................................................................................................for applying for the financial assistance from the Prime Minister's Distress Relief Fund for his/her treatment of his/her.................................................................................................................................

Name of Taluk Office Date:

Tahasildar

tIcf acw-I-b‰ sXmgn-emfn t£a-]-≤Xn {]Imcw [\-k-lm-b-Øn-\p≈ At]£ tPmen-°n-S-bn¬ ac-Øn¬ \n∂pw hoWv ]cn°v ]‰n-b-h¿°v sXmgn¬ hIp-∏n¬ \n∂pw [\-k-lmbw A\p-h-Zn-°p-∂Xv. ]cp°v ]‰n-b-h¿°v 25000 cq] H‰ XhW klmbw. Bh-iy-amb tcJ-Iƒ ˛\n¿±njvS At]£ t^mdØn¬ (2 tIm∏n) At]£, A-t]-£-Is‚ ]mkvt]m¿´v sskkv t^mt´m˛1, \n¿±njvS amXr-I-bn-ep≈ saUn-°¬ k¿´n-^n-°‰v. A]-I-Sw \S∂v c≠v amk-Øn-\Iw _‘-s∏´ A[n-Im-cn-Iƒ°v At]£ ka¿∏n-°-Ww. Ime-Xm-akw h∂m¬ Xmsg ]d-bp∂ coXn-bn-ep≈ am∏-t]£ FgpXn AXXv Pn√m te_¿ Hm^o-k¿°v ka¿∏n-°-Ww. _lp-am-\-s∏´...................................Pn√m

te_¿

Hm^o-k¿

apºmsI.........................................Pn√bn¬

..................................ho-´n¬..........................................{io/{ioa-Xn.................................................................................. t_m[n-∏n-°p∂ At]-£.

k¿, ..............................Xnb-Xn-bn¬ tPmen-°n-S-bn¬ ac-Øn¬ \n∂pw hoWv ]cp°v ]‰n NnIn-’-bn-emWv Rm≥. tPmen-°n-S-bn¬ ac-Øn¬ \n∂pw hoWv ]cp°v ]‰p-∂-h¿°v k¿°m-dn¬ \n∂pw [\-k-lmbw e`n-°p∂-Xmbn Ad-nbp-∂p.- B-bXv F\n°pw A\p-h-Zn-°-W-sa∂v At]-£n-°p-∂p.-\n¿±njvS t^md-Ønse At]-£bpw A\p-_‘ tcJ-Ifpw CtXm-sSm∏w ka¿∏n-°p-∂p. At]-£ ka¿∏n-°p-∂Xn\v Ime-Xmakw t\cn-´Xv am∏m-°-W-sa∂v At]-£n-°p-∂p. F∂v At]-£-Is‚ H∏v tPmen-°n-S-bn¬ ac-Øn¬ \n∂pw hoWv ]cn°v ]‰n acn® sXmgn-em-fn-bpsS B{in-X¿°v sXmgn¬hIp∏n¬ \n∂pw [\-k-lmbw A\p-h-Zn-°p-∂Xv 50000/˛ cq] H‰ XhW klmbw. Bh-iy-amb tcJ-Iƒ ˛\n¿±njvS At]£ t^mdØn¬ (2 tIm∏n)At]£ ,A-t]-£-Is‚ ]mkvt]m¿´v sskkv t^mt´m˛1, acW k¿ń-^n-°‰ns‚ icn-]-I¿∏v,- t]mÃv tam¿´w dnt∏m¿ńs‚ icn-]I¿∏v,- kw-`-hp-ambn _‘-s∏´v cPn-Ã¿ sNbvX tIkns‚ F^v.-sF.-B¿ ]I¿∏v. A]-I-Sw \S∂v c≠v amk-Øn-\Iw _‘-s∏´ A[n-Im-cn-Iƒ°v At]£ ka¿∏n-°-Ww.Ime-Xm-akw h∂m¬ Xmsg ]dbp∂ coXn-bn-ep≈ am∏-t]£ FgpXn AXXv Pn√m te_¿ Hmô-k¿°v ka¿∏n-°-Ww. _lp-am-\-s∏´...................................Pn√m

te_¿

Hm^o-k¿

apºmsI.........................................Pn√bn¬

k¿, ...............................Xnb-Xn-bn¬ tPmen-°n-S-bn¬ Fs‚ `¿Ømhv/]nXmhv/aI≥..........................................F∂bmƒ ac-Øn¬ \n∂pw hoWv acn-®p- t]m-b-XmWv.Sn-bmƒ Rß-fpsS IpSpw-_-Ønse {][m\hcp-am-\-°mc≥ Bbn-cp∂p CØ-c-Øn-ep-≈-h¿ acn-°p-tºmƒk¿°m-dn¬ \n∂pw [\-k-lmbw e`n-°p-∂-Xmbn And-bp-∂p.-B-bXv F\n°pw A\p-h-Zn-°-W-sa∂v At]-£n-°p-∂p.-\n¿±njvS t^md-Ønse At]£bpw A\p-_‘ tcJ-Ifpw CtXm-sSm∏w ka¿∏n-°p-∂p. At]-£ ka¿∏n-°p-∂Xn\v Ime-Xm-akw t\cn-´Xv am∏m-°-W-sa∂v At]-£n-°p-∂p. F∂v At]-£-Is‚ H∏v

tIcf acwIb‰ sXmgn-emfn t£a-]-≤Xn {]Imcw [\-k-lm-b-Øn-\p≈ At]£ t^mdw 1. 2. 3. 4.

At]-£-Is‚ t]cv ]pcp-j≥ /kv{Xo hb pw P\-\-Xn-ø-Xn-bpw ta¬hn-emkw 1) ÿnc ta¬hn-emkw

: : : :

2) Ct∏m-gsØ ta¬hn-emkw

5. 6. 7. 8. 9. 10. 11. 12.

sXmgn-em-fn-bp-am-bp≈ _‘w hnhm-ln-X-\mtWm A√tbm F∂v kmº-ØnI klm-b-Øn\v A¿l-X-bpt≠m sXmgn-em-fn-bpsS t]cv hnhm-ln-X-\mtWm A√tbm ? A]-I-S-k-a-bsØ hb v sXmgn-em-fn-bpsS A—s‚/c£n-Xm-hns‚ t]cv sXmgn-em-fn-bpsS ta¬hn-emkw

: : : : : : :

94 13. sXmgn-ep-S-a-bp-sS t]cpw ta¬hn-em-khpw

14. acWw/ AwK-ssh-Ieyw sXfnbn°p-∂-Xn\v lmP-cm-°nb tcJ 15. acWw A]-ISw kw`-hn® XoøXn 16. Bh-iy-s∏-Sp∂ kmº-ØnI klmbw 17. saUn-°¬ k¿ń-^n-°‰v lmP-cm-°n-bn-´pt≠m 18. ]©m-b-Øns‚ t]cv 19. ]ńI PmXn/]ńI h¿§Øn¬ s]Sp∂ BfmtWm

: : : : : :

{]kvXm-h\ ..................................................................................................(t]cv tN¿°p-I) F∂ Rm≥ apI-fn¬ {]kvXm-hn® Imcy-ßƒ Fs‚ Adn-hnepw hnizm-k-Ønepw icnbpw kXyhpw BsW∂v {]kvXm-hn®p sIm≈p∂p. ÿew: XoøXn:

H∏v /hnc-e-S-bmfw At]-£≥/\nb-a-]-c-amb A\-¥-cm-h-Imin

CERTIFICATE

This is to certify that I have examine Shri/Smt................................................... ................................................................................S/o........................................................................... ...................................................................................whose specimen Signature is given and found that he is suffering from ..............................................................................................due to a fall from a tree on.................................. Also certify that the injury resulted in permanent disablement rendering the above employee incapable of continuing in avocation of climbing coconut,areca nut,pamyran etc trees.

Signature Name & Designation of the Medical Officer

Akw-L-SnX taJ-e-bn¬ {]h¿Øn-°p∂ sXmgn-em-fn-Iƒ°v e`n-°p∂ NnIn’m klmbw 2000 cq] H‰-X-hW

Im≥k¿, s\©v tcmKw, £bw, InUv\n tcmKw, Syqa¿ XpS-ßnb AkpJw _m[n® Iim∏v ime tPmen°m¿, acw-ap-dn-°m¿, ]m¬, \yqkv t]∏¿ hnX-c-W-°m¿ dn£m-sXm-gn-em-fn-Iƒ F∂n-h¿°v NnIn-’bvImbn \¬Ip∂ [\-k-lm-bw. Bh-iy-amb tcJ-Iƒ ˛\n¿±njvS At]£ t^mdØn¬ (2 tIm∏n) At]£, A-t]-£-Is‚ ]mkvt]m¿´v sskkv t^mt´m˛1, saUn-°¬ k¿´n-^n-°‰v (k¿°m¿ Bip-]-{Xn-bnse Akn-Ã‚ v k¿P≥, kzImcy Bip-]{Xn kq{]-≠v, sXmgn-ep-S-a, Xt±-i-kz-bw-`-cW ÿm]\saº¿/ {]kn-U‚ v F∂n-h-cpsS km£y-]{Xw

t^mdw ˛1

Akw-L-SnX taJ-e-bn¬ {]h¿Øn-°p∂ sXmgn-em-fn-Iƒ°v NnIn’m klmbw e`n-°p-∂-Xn-\p≈ At]£ 1. At]-£-Is‚ t]cv

2. kv{Xotbm, ]pcp-jt\m

3. hb pw, P\-\-Xn-ø-Xnbpw

4. ta¬hn-emkw (F) ÿnc-amb ta¬hn-emkw

(_n) Ct∏m-gsØ ta¬hn-emkw

5. ta¬]-≤Xn {]Im-c-ap≈ GX sXmgn¬ hn`m-K-Øn-¬ Dƒs∏-Sp-∂p-sh∂v 6. At]-£-Is‚ A—s‚/ c£m-I¿Øm-hns‚ t]cv :

7. ]≤Xn-Iƒ hyhÿ sNbvXn-´p≈ Ah-i-X-bn¬ GXn-\mWv At]-£n-°p-∂Xv F∂v : 8. sXmgn-em-fn-I-fpsS Ah-iX kw_-‘n® \evInb sXfn-hp-Iƒ

9. saUn-°¬ k¿´n-^n-°‰v D≈-S-°w sNbvXn-´pt≠m?

kXy-{]-kvXm-h\ ...................................................................................F∂ Rm≥ Akw-L-SnX taJ-e-bn¬s]´..................................... .......................................................................................................sXm-gn¬ hn`m-K-Ønse sXmgn-em-fn-bm-Wv. apI-fn¬ {]kvXm-hn-®n-´p≈ hnh-c-ßƒ Fs‚ Adn-hnepw DØ-a-hn-izm-k-Ønepw kXyhpw hmkvX-h-hp-am-sW∂v t_m[n-∏n®p sIm≈p-∂p.

At]-£-Is‚ / At]-£-I-bpsS H∏v hnc-e-S-bmfw ÿew: XnøXn:

Xt±i kzbw-`-cW A[n-Im-cn-bpsS ip]m¿i ................................................................Pn√bn¬..................................................Xmeq°n¬................................................. ................................................... - h n- t √- P n¬ ..................................................]©m- b - Ø n¬/ap\n- k n- ∏ m - e n- ‰ nbn¬/tIm¿∏-td-j-\n¬ ........................................................................................................................... ho´n¬ Xma-kn°p∂...................................................................................... F-∂-bmƒ Akw-L-SnX taJ-e-bn¬ s]´ sXmgnemfnbmsW-∂pw,- Sn-bmƒ°v NnIn’m klmbw A\p-h-Zn-°m-hp-∂-Xm-sW∂pw ip]m¿i sNbp-∂p.

{Kma ]©m-bØv {]kn-U‚ v/ap\n-kn-∏¬ sNb¿am≥/tab¿ Xt±i ÿm]-\-Øns‚ t]cv ............................................................

NnIn-’n-°p∂ tUmIvS-dpsS km£y-]{Xw {io/{ioaXn.................................................................................................................................................................................... ....................Xob-Xn-.................................................................................................................ÿe-Øp-h®v ]cn-tim-[n-®p.A-t]£ I£n........................................................................................................................................-tcmK _m[n-X-\mWv. Snbmƒ°v..................................................h¿jsØ NnIn’sb¶nepw Bhiyam-sW∂pw Sn.-bmsf

Ct∏mƒ kwÿm-\sØ GsX-¶nepw IpjvT-tcm-Km-ip-]-{Xn-bn-tem,-km-\n-t‰m-dn-b-Øn-tem,-Im≥k¿ hm¿Untem {]th-in-∏n-®n-´n√ F∂pw km£y-s∏-Sp-Øp-∂p.

ÿew XobXn

tUmIvS-dpsS H∏pw t]cpw HutZym-KnI ta¬hn-em-kw

(Hm-^okv ap{Z)

skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿ (Society for Medical Assistance to the Poor) Im≥k¿tcmK NnIn-’ (ikv{X-{In-b,- Io-tam-sXm-dm-∏n,- td-Un-tb-j≥) InUv\ntcmK-ßƒ (-hr-°-am-‰n-hbv°¬ ikv{X-{In-b, Ubm-en-kn-kv) Aÿnkw_-‘-amb ikv{X-{In-b-Iƒ(1 -Syq-a¿ dnU-£\pw t{]mkknwKpw, 2 ew_m¿, sXmdm-kn-Iv, sh¿ń-{_¬ t_mUn-I-fn¬ Syqa¿) lrZbw Xpd-∂p≈ ikv{X-{Inb, t]kvta-°¿ ÿm]n-°¬, B≥Pn-tbm-πm-Ãn, akvXnjvI kw_-‘-amb ikv{X-{In-b-Iƒ, Icƒ am‰n-hbv°¬ ikv{X-{In-b-Iƒ, XpS-ßnb AkpJw _m[n® ]mh-∏-´-h¿°v NnIn’m [\-k-lmb skmssk‰n-bn¬ \n∂pw NnIn-’m [\-k-lmbw e`y-am-°p-∂-Xn-\p-≈-XmWv Cu ]≤-Xn hm¿jnI IpSpw-_-h-cp-am\w 24000/˛ (C-cp-]-Øn-\m-em-bn-cw) cp]bv°v Xmsg-bp-≈-h¿°p am{Xta Cu NnIn’m klmb ]≤-Xn-bn-te°v At]-£n-°p-hm≥ ]mSp-≈q. F√m tI{µ-˛-kw-ÿm\k¿°m¿/ A¿≤-k¿°m¿ Bip-]-{Xn-I-sf-bp-amWv Cu ]≤-Xn-bn¬ Dƒs∏-SpØn-bn-´p-≈-Xv. NnIn-’n-°p∂ tUmIvS-dpsS km£y-]-{Xw, hnt√Pv Hmô-kn¬ \n∂pw D≈ hcpam\k¿ń-^n-°-‰v, Xt±i kzbw-`-cW A[n-Im-cn-bpsS ip]m¿i F∂nh Dƒs∏-Sp∂ At]£ Xmsg ]d-™n-cn-°p∂ hnem-k-Øn¬ Ab-°-Ww. klm-b-Øn\v ]cn-[n-bn-√. klmbw Xm-sg ]-d-bp∂ Bip]{Xn ta[m-hn-bpsS t]cn¬ A\p-h-Zn-bv°pw. ]mkmb XpIbv°v B\p-]m-Xn-I-amb XpI-bv°p≈ _n√pIƒ Bip-]{Xn ta[m-hnbv°v ka¿∏n-°p∂ apdbv°v XpI _‘-s∏´ I£n°v e`n-bv°pw.- C-Xn-\mbn sh≈-t]-∏-dn¬ A]m£ ka¿∏n-°-Ww. saº¿ sk{I-´dn, skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿ Un.- F-®v.- F v Hmô-kv (-P-\-d¬ Bip-]-{Xn°v kao]w)

klmbw \¬Ip-∂-Xn-\mbn AwKo-I-cn-®n-´p≈ ÿm]-\-ßƒ 1

doPn-b-W¬ Im≥k¿ sk‚¿, Xncp-h-\-¥-]p-cw.

{ioNn-Ønc Xncp-\mƒ C≥Ãn-‰yq´v Hm^v saUn-°¬ kb≥kv B‚ v sSIvt\m-f-Pn,-Xn-cp-h-\-¥-]p-cw.

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xncp-h-\-¥-]p-cw.

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tIm´bw

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Be-∏pg

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xr»q¿

Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tImgn-t°mSv

kl-Icw lrZ-bme saUn-°¬ tImtfPv t]mkv]n-‰¬ ]cn-bmcw,I-Æq¿.

C≥Ãn-‰yq´v Hm^v sat‰-W¬ B‚ v ssN¬Uv sl¬Øv tImgn-t°mSv

tIm˛-Hm-∏-td-‰nhv saUn-°¬ tImtf-Pv,-sIm®n

ae-_m¿ Im≥k¿ sk‚¿ Xe-t»-cn,-I-Æq¿

{io Ahn´w Xncp-\mƒ Bip-]-{Xn, Xncp-h-\-¥-]p-cw.

C.-Fw.-F- v.-sa-tΩm-dn-b¬ klI-cW Bip-]{Xn, s]cn-¥¬a-Æ, ae-∏pdw

tIcf k¿°m¿ BtcmKy IpSpw-_-£a hIp∏v (Socity for Medical Assistance to the Poor)

]mh-∏-´-h¿°v NnIn’m [\-k-lmb skmssk-‰n-bn¬ \n∂pw NnIn’m [\-k-lmbw e`n-°p-∂-Xn-\p≈ At]-£m-^mdw

At]-£-Is‚ t]cv

tcmKn-bpsS t]cv

tcmKn-bpsS hb v

kv{Xotbm , ]pcp-jt\m

At]-£-I-\p-am-bp≈ _‘w

At]-£-Is‚ ta¬hn-emkw

tcmKn-bpsS ta¬hn-emkw

100 8

tcmKn-bpsS IpSpw_ hm¿jnI hcp-am\w :

tcmK-Øns‚ t]cv

NnIn’ \S-Øp∂ tUmIvS-dpsS t]cpw HutZym-KnI ta¬hn-em-khpw :

NnIn’ \S-Øp∂ Bip-]-{Xn-bpsS ta¬hn-em-kw

klmbw Bh-iy-s∏-Sp-∂Xv GXv NnIn’/Hm∏-td-j\p th≠n

NnIn’/Hm∏-td-j≥ \S-Øm≥ Dt±-in-°p∂ XobXn

NnIn-’-bv°mbn tcmKn°v ap≥]v k¿°m-cn¬ \n∂pw [\-k-lmbw e`n-®n-´pt≠m?(hn-i-Z-hn-hcw hy‡-am-°pI):

CXn\pap≥]v Cuskmssk-‰n-bn¬ NnIn’m [\-k-lm-bØn\v At]£ \¬In-bn-´pt≠m? (hn-i-Z-hn-hcw hy‡-am-°pI)

ta¬ ]d-™n-cn-°p∂ Imcy-ßƒ Fs‚ And-hnepw hnizm-k-Ønepw kXy-k-\v[-am-bn-´p-≈-XmsW∂v CXn-\m¬ t_mZv[ys∏-Sp-Øp-∂p.

At]-£-Is‚ H∏v/hnc-e-S-bmfw (t]cp kln-Xw)

tcmKn-bpsS H∏v/hnc-e-S-bmfw (t]cp kln-Xw

ÿew XnbXn

NnIn-’n-°p∂ tUmIvS-dpsS km£y-]{Xw {io/{ioaXn.................................................................................................................................................................................... ...........................................Xob-Xn- ap-X¬....................................................................................................-B-ip-]{Xnbn¬ .....................................................................................................................................................................................tcm-K-Øn\v Rm\mWv NnIn’ \SØp-∂-sX-∂pw, Cu tcmK-Øn-\v NnIn-’-bv°m-bn........................................................... .............................................................................................................................................................XpI th≠n-h-cp-sa∂pw CXn-\m¬ km£y-s∏-Sp-Øp-∂p.

tasem∏v

tUmIvS-dpsS H∏pw t]cpw

Bip-]{Xn kq{]≠v/Ub-d-IvS¿

HutZym-KnI ta¬hn-em-kw

(Hm-^okv ko¬)

101

hnt√Pv Hm^o-k-dpsS km£y-]-{Xw \w-]¿

(A-\p-_‘w 2)

hnt√Pv Hm^o-kv........................................................... Xob-Xn........................................

...................................................Pn√bn¬...................................................Xmeq°n¬............................................................. ...............................................hn-t√-Pn¬...................................................ho-ń¬...................................................... {io/{ioa-Xn.................................................................................................................................................................k-a¿∏n® At]-£bn¬............................................................................................................................................................................... B-hiyØn-\p-th≠n Hcp hcp-am\k¿ń-^n-°‰v Bh-iy-s∏-ń-cp-∂p.Sn bms‚ hm¿jnI IpSpw_ hcpam\w...................................................cq-]-bm-sW∂v (...................................................)-{]-kvXm-hn-®n-´p-≠v.- Fs‚ At\zj-W-Øn≥ t_m≤y-s∏-´-X-\p-k-cn®v Snbms‚ hm¿jnI IpSpw_ hcp-am\w Xmsg-°m-Wn®v {]Imc-am-sW∂v Rm≥ CXn-\m¬ km£y-s∏-Sp-Øp-∂p. IpSpw-_-Ønse AwK-kw-Jy..........................-B-Wv.-A-Xn¬ tPmen-bp-≈-h¿.........................Dw ]Tn-°p-∂-

BZmb amÀK §Ä

`qan bnÂ \n¶pÅ BZmbw

i¼fw s]³j³ IpSpw _ s]³j³ H gnsI

I¨ hSw

Iqen the

hntZi tPm en bp Å h cpsS hcp am\w

hmSI

aän\§Ä

BsI

h¿.........................-Dw tPmen C√m-Ø-h¿.........................Dw BWv.

102

AwK §Ä

sam¯ ¯n enÅXpI (A ¡ ¯nÂ) (A £ c ¯nÂ) aq¶v Ip«n I fnÂ IqSp XÂ DÅ h cpsS Imcy ¯nÂ IqSp XÂ Ip«n IÄ¡v Ipdhv sNt¿ Xv

(A ¡ ¯nÂ) _m¡n (A £ c ¯nÂ)

Hm^okv koÂ

H¸v t]cpw DtZym K t¸cpw

Xt±i kzbw-`-cW A[n-Im-cn-bpsS ip]m¿i ...................................................... Pn√bn¬................................................... Xmeq°n¬....................................................... .........................................hn-t√-Pn¬..................................................................................]©m-b-Øn¬/ap\n-kn-∏m-en-‰nbn¬/tIm¿∏-td-j-\n¬ ...........................................................................................................................ho´n¬ Xma-kn°p∂...........................................................................................................................................................................................\v NnIn’m[\klmbskmss‰bn¬ (Socity for Medical Assistance to the Poor) \n∂pw NnIn’m klmbw \¬tI-≠-Xm-sW∂v ip]m¿i sNøp-∂p.

{Kma ]©m-bØv {]kn-U‚ v/ap\n-kn-∏¬ sNb¿am≥/tab¿ Xt±i ÿm]-\-Øns‚ t]cv...............................................................

Hm^okv D]-tbm-K-Øn\v .................................................................................................................................................................................F-∂-bmƒ°v ...........................................................................................................Nn-In-’-bv°m-bn.............................................................. ................................................................................................................-B-ip-]-{Xn-bn-te-°v ..........................................XpI A\p-h-Zn-°m-hp-∂-Xm-Wv.

saº¿ sk{I-´dn skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿

NnIn’m klmbw A\p-h-Zn®p/A\p-h-Zn-®n√

sNb¿am≥ skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿

103

cmjv{Snb BtcmKy \n[n (Rashtriya Arogya Nidhi) ]mh-s∏´ IpSpw_ßfn¬s∏´ AwK-ßƒ°v amc-I-am-bXpw Zo¿L-\m¬ NnIn’ th≠Xpw As√¶n¬ hf-sc-b-[nIw kmº-ØnI _m[yX hcp∂ Hm∏-td-j≥ th≠-Xp-amb tcmK-ßƒ°v kmº-ØnI klmbw \¬Ip-∂-Xn-\mbn tI{µ-K-h¨sa‚ns‚ BtcmKy IpSpw-_-£-a-h-Ip∏v Bhn-jvI-cn®n´p≈ ]≤-Xn-bmWv cmjv{Sob BtcmKy \n[n (RAN). \n›nX amXr-I-bn-ep≈ At]-£-tbm-sSm∏w AXns‚ c≠m-asØ t]Pnse saUn-°¬ k¿ń-^n-°‰v IqSn _‘-s∏´ Bip-]-{Xn-bn¬ \n∂pw hmßn ka¿∏n-°-Ww. IqSmsX (1) _n.-]n.-F¬ Im¿Uns‚ km£y-s∏-Sp-Ønb ]I¿∏v, (2) _n.-]n.-F¬ enÃn¬ Dƒs∏-ń-´ps≠∂p≈ _n.-Un.H bpsS k¿ń-^n-°-‰v (3) tdj≥ Im¿Un¬ Dƒs∏-ń-´p≈ F√m AwK-ß-fp-sSbpw IpSn-bp≈ {]Xn-amk hcp-am\w ImWn°p∂ Xl-ko¬Zm-dpsS k¿ń-^n-°‰v F∂n-h-IqSn CtXmSsSm∏w ka¿∏n-°-Ww.- k¿ń-^n-°-‰p-Isf√mw Cw•o-jn-em-bn-cn-°-Ww.

104

Kh¨sa‚ v Bip-]-{Xn-bnse NnIn-’bv°p am{Xta klmbw e`n-°p-I-bp-≈q.

tI{µ ˛ kwÿm\Poh-\-°m¿°pw s]mXp-ta-Jem ÿm]-\-ß-fn¬ tPmen sNøp-∂-h¿°pw klmbw e`n-°p-I-bn-√.

_n.]n.F¬ IpSpw-_-Øn¬s∏-´-h¿°p-am-{Xta klmbw e`n-°p-I-bp-≈q.

\S-Øn-°-gn-™p≈ NnIn-’-bpsS ]Ww e`n-°p-∂-Xn-\p≈ At]£ ]cn-K-Wn-°p-I-bn-√.

km[mcW-bm-bp≈ Akp-J-ßƒ°pw,- ku-P-\yNnIn’ e`n-°p-∂-Xpw,- a-t‰-sX-¶nepw GP≥kn-bn¬ \n∂pw klmbw e`n-®p-sIm-≠n-cn-°p-∂-Xp-amb Akp-J-ßƒ°pw Cu ]≤-Xnbn¬ klmbw e`n-°p-I-bn-√.

NnIn’m klm-b-Øn\v ]cn-[n-bn-√.

APPLICATION FORM FOR RASHTRIYA AROGYA NIDHI-(RAN) 1

Name of Patient(in blok letters)

Age

(A) Permanent Address

(B)Address for Correspondance

Father's/ husband's Name

Whether the applicanton the person on whom He/She depends is an Employee of Central/State Government

Name of the applicant if the patient does not make the application

Applicant's relationship to the Patient

Disease from which suffering

Name of Hospital where the treatment is being received

10 Income of the Patient/Parent(monthly) duly

105

certified by the Block/Mandal Development Officer of Municipal boards and district officer certifying : that the beneficiary belong to the family living below poverty line in the area of their jurisdiction, in original 11 Quantum of one-time Financial assistance required: 12 Whether Financial Assistance for the same purpose(I)Has been received from(II)A request has been /is being made to: some Departments/Agency/Authority other than Ministry of Health & Family Welfare,if so,give full particulars 13 Any other information

: DECLARATION

I declare that the information given above is correct and complete in all respects and I am in no position at all to arrange for /provide funds for purpose stated above. I also declare that neither I nor my parent is an employee of the Central or State Government or a Local Body

Date:

Signature of the Applicant/Patient

TO BE FILLED BY THE MEDICAL OFFICER IN CHARGE OF THE CASE/HOSPITAL ETC.WHERE THE PATIENT IS RECEIVING THE TREATMENT

106

Patient's Name & Hospital Registration : Number

List of Report of Important Investigation Done

Diagnosis( A Short Note on the Present Clinical Condition May Be Given) :

Is the Patient Is Hospitalised? If So,the Name of the Hospital

the Amount of Money Recommended

Item-wise Break-up of Expenditure of the Amount Recommended At Column-5

Name of the Consumables/medicines Required For the Operation/treatment

Cost In Rupees

A. B. C. D. Signature of the Medical officer In Charge Below the Level of Consultant/asst.proffessor

Counter Signature of the head of the Department With office Seal

Certified That the Patients Particulars Given Above Are True To the Best of My Known And Belief.

ImcpWy _\-h-e‚ v kvIow Im≥k¿,- lotam-ô-en-b, hr°tcmK-ßƒ, lrZbtcm-K-ß¬, Icƒtcm-K-ßƒ, XpS-ßn-bh aqew ZpcnXw A\p-`-hn-°p∂ tcmKn-I-fpsS NnIn-’bv°v kmº-ØnI klmbw \¬Ip-∂-Xn\v tIcf tem´dn hIp-∏ns‚ kl-I-c-W-tØmsS k¿°m¿ \S-∏n-em-°p∂ ]≤-Xn-bmWv ImcpWy _\-h-e‚ v kvIow. NnIn-’m-sN-ehv Xmßm≥ Ign-bmØ ]mh-s∏´ IpSpw-_-Ønse AwK-ß¬°p th≠n-bmWv Cu ]≤Xn. Zmcn-{Zy-tc-Jbv°p apI-fnep≈ ]c-am-h[n aq∂v e£w cq] hsc hm¿jnI hcp-am-\-ap≈ IpSpw-_Ønse -ap≥Iq¿ NnIn-’m-\p-a-Xnbv°pw [\-k-lm-b-Øn\pw t^mdw \º¿ 1 epw, ASn-b-¥nc L´-ßfn¬ ap≥Iq¿ A\p-hmZw hmßmsX k¿°m¿ Bip-]-{Xn-I-fn-tem, A{I-Un-‰Uv Bip-]-{Xn-I-fn-tem NnIn’ tXSn-bn-´p-≈-h¿ t^mdw \º¿ 2 epw,In-SØn NnIn-’bv°p hnt[-b-am-Ip-∂-h¿°v F√m AkpJ-ßƒ°pw H‰-X-hW kam-izmk NnIn’m [\-k-lm-b-Øn\v t^mdw \º¿ 3 epw At]£ Xømdm°n Pn√m`mKy-°pdn Hmô-k¿°v ka¿∏n-°-Ww. At]-£-Iƒ Pn√m tem´dn Hmô-kn¬ \n∂v t\cnt´m, temćn GP‚p-am¿ hgn-tbm, tIcf tem´-dn-bpsS sh_v ssk‰n¬ \n∂v Uu¨temUv sNbvtXm e`y-am-Wv. [\-k-lamb e`n-°p-∂-Xn-\p≈ \n_-‘-\-Iƒ NnIn’ XpS-ßp-∂-Xn\v ap≥]v tcmKn ÿnc-Xm-a-k-ap≈ / tcmKn-bpsS tdj≥ Im¿Uv D≈ Pn√-bnse If-IvS¿ A≤y-£-\m-bp≈ Pn√m-Xe kan-Xn-bpsS ap≥Iq¿ A\p-hmZw tcJm-aqew hmßn-bn-cn-°-Ww. ASn-b-¥nc NnIn’/Hm∏-td-j≥ thW-sa-∂p≈ tUmIvS-dpsS k¿ń-^n-°‰v kln-X-amWv At]£ \¬tI-≠-Xv. [\-k-lm-b-Øn\v At]£ ka¿∏n-°p∂ Ah-k-c-Øn¬ tcmKn GsX-¶nepw k¿°m¿ Bip-]-{Xnbntem, Cu ]≤Xn \S-Øp-∂-Xn\v AwKo-Imcw sImSp-Øn-´p≈ a‰v Bip-]-{Xn-bntem InSØn NnIn’bv°v hnt[-b-ambncn°p-I-tbm,-Hm-∏-td-j≥ Dƒ∏-sS-bp≈ NnIn-’bv°v XobXn \n›-bn-®n-´p-≈tXm Bbn-cn-°-Ww. Ubm-en-knkv sNøp∂ tcmKn-Iƒ k¿°m¿ Bip]-{Xn-I-fn¬ Ubm-en-kn-kn\v hnt[-b-am-bm¬ am{Xta Cu ]≤Xn {]Imcw [\-k-lamb e`n-°p-I-bp-≈q. NnIn’ ]q¿Øn-bm-°n-b-tijw At]-£n-°p-∂-h¿°v Cu ]≤Xn {]Im-c-ap≈ [\-k-lm-b-Øn\v A¿l-Xbn-√. At]-£-tbm-sSm∏w Xmsg ]d-bp∂ tcJ-Iƒ lmP-cm-°Ww 1 tdj≥ Im¿Uns‚ 1, 2, 3, 22 t]Pns‚ ]I¿∏v (A-t]-£-bn¬ tImfw 6 ¬ sImSp-Øn-cn-°p∂ hm¿jnI hcp-am\w icn-bm-sW∂p sXfn-bn-°p∂ Hcp kXy-hm-Mvaqew H∏n´p \¬I-Ww) 2 tcmKn-bpsS ]mkvt]m¿´v sskkv t^mt´m 3 BtcmKy C≥jz-d≥kv Im¿Uns‚ ]I¿∏v(-C-s√-¶n¬ kXy-hm-Mvaq-ew) 4 hoSv ImW-Ø° hn[-Øn¬ tcmKnbpw IpSpw-_hpw tN¿∂v hoSns‚ ap≥]n¬ \n∂v FSpØ t^mt´m 5 NnIn-’bv°p th≠n-h-cp∂ hnhn[ sNe-hp-Iƒ C\w Xncn®v IW-°m°n NnIn’ \S-Øp∂ Bip-]-{Xn-bn¬ \n∂pw e`n-°p∂ FÃn-ta-‰(-A-\-Ivk¿˛4) 6 sF.]n Sn°-‰ns‚ Hdn-Pn-\¬ 7 tdj≥ Im¿Un¬ tcmKn-bpsS t^mt´m C√m-Ø-]£w Xncn-®-dn-b¬ Im¿Uns‚ ]I¿∏v. [\-k-lmbw AXmXv Bip-]-{Xn-Iƒ°v A\p-h-Zn-bv°pw. F√m tcmK-ßƒ°pw \¬Ip∂ H‰-Ø-hW kam-izmk NnIn’m [\-k-lm-b-Øn\v At]-£n-°p-tºmƒ KpW-t`m-‡m-hns‚ _m¶v A°u≠v hnhcw tcJ-s∏-Sp-Ø-Ww. aWn-Hm¿U¿ Bbpw XpI A\p-h-Zn-°m-dp-≠v.

107

[\-k-lmbw e`n-°p∂ {][m\Bip-]-{Xn-Iƒ

108

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

kwÿm-\sØ F√m k¿°m¿ Bip-]-{Xn-Iƒ {io NnØnc Xncp-\mƒ C≥Ãn-‰yq´v Hm^v saUn-°¬ kb≥kv B‚ v sSIvt\m-f-Pn. doPn-b-W¬ Im≥k¿ sk‚¿, Xncp-h-\-¥-]pcw ae-_m¿ Im≥k¿ sk‚¿, ]cn-bmcw tIm˛-Hm-∏-td-‰ohv saUn-°¬ tImtfPv Fd-Wm-Ipfw kl-I-cW saUn-°¬ tImtfPv Inwkv ˛ Bip-]-{Xn, Xncp-h-\-¥-]pcw saUn-{So\Bip-]-{Xn, ]´w, Xncp-h-\-¥-]pcw {iotKm-Ipew saUn-°¬ tImtf-Pv, Xncp-h-\-¥-]pcw Imc-t°mWw kn.-F- v.sF saUn-°¬ tImtf-Pv. F v.-bp.Sn saUn-°¬ tImtf-Pv, h´-∏md , Xncp-h-\-¥-]pcw ]ﬂm-hXn lm¿´v ^ut≠-j≥, sIm√w {Smh≥Iq¿ saUn-°¬ tImtf-Pv, sIm√w apØq‰v tlmkv]n-‰¬, tImg-t©cn am¿ {KntKm-dn-bkv satΩm-dn-b¬ apØq‰v saUn-°¬ sk‚¿, ]Ø-\w-Xn´ sk‚ v {KntKm-dn-bkv Im¿Untbm hmkvIp-em¿ sk‚¿, ]cp-ae tPmk^v I≠-Øn¬ satΩm-dn-b¬ Im≥k¿ sk‚¿, tN¿Øe sNØn-∏pg sk‚ v tXmakv tlmkv]n-‰¬, tIm´bw Imcn-Ømkv Bip-]-{Xn, tIm´bw tlmfn ^manen tlmkv]n-‰¬, sXmSp-]pg Nmgn-°mSv Bip-]-{Xn, sXmSp-]pg saUn-°¬ {SÃv tlmkv]n-‰¬ Fd-Wm-Ipfw enkn tlmkv]n-‰¬, Fd-Wm-Ipfw sk‚ v sPbnwkv tlmkv]n-‰¬, Nme-°pSn Aae Im≥k¿ sk‚¿, Xr»q¿ h≈p-h-\mSv Bip-]-{Xn.-H-‰-∏mew e£van tlmkv]n-‰¬, ]me-°mSv aZ¿ Im¿Uv tlmkv]n-‰¬, aÆm¿ImSv A¬jn^ Bip-]-{Xn, s]cn-¥¬aÆ A¬amkv tlmkv]n-‰¬, tIm´-°¬ Fw.-C.-F v saUn-°¬ tImtf-Pv, ae-∏pdw ae-_m¿ C≥Ãn-‰yq´v Hm^v saUn-°¬ kb≥kv, tImgn-t°mSv t__n satΩm-dn-b¬ tlmkv]n-‰¬, tImgn-t°mSv ]ohokv tlmkv]n-‰¬, tImgn-t°mSv sI.-kn.-Fw.-Sn.-sa-Un-°¬ tImtf-Pv, ap°w kl-I-cW Bip-]-{Xn, Xe-»-cn.

At]£Is‚ t^mt´m

t^mdw˛1

ImcpWy s_\-h-e‚ v ^-≠v ap≥Iq¿ NnIn’ A\paXn°pw [\-k-lm-b-Øn-\pw th≠-nbp≈ At]£ 1. KpW-t`m-‡m-hns‚ t]cv

2. ]pcp-j≥/ kv{Xo

3. ta¬hn-emkw: ho´v t]cv

hm¿Uv/ho´v \º¿

{]tZiw/hnt√Pv

{Kma-]-©m-bØv/\K-c-k`

t]mÃv

]n≥tImUv

Xmeq-°v 4. hb v

Pn√

t^m¨ \w.

5. sXmgn¬

6.hm¿jnI IpSpw_hcp-am\w

7. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv APL/BPL

8. tdj≥ Im¿Uv \º¿

9. B[m¿ \º¿

10. RSBY/ CHIS+ Xncn-®-dn-b¬ \º¿

109

11. tcmKn A√ At]£n°p∂sX¶n¬ ˛ At]£Is‚ t]cv

tcmKnbpambp≈ _‘w

12. tcmKhnhcw 13. NnIn’ \S-Øp∂- Bip-]-{Xn-bpsS t]cv ta¬hn-emkw 14. NnIn-’-bpsS Ime-ssZ¿Lyw

15. Hm∏-td-j≥ XobXn

16. Bip-]-{Xn-bn¬ {]th-in-∏n®n-s√¶n¬ {]th-in-∏n°m≥ Dt±-in-°p-∂- XobXn 17. Bip-]-{Xn-bn¬ {]th-in-∏n®n-´ps-≠¶n¬ XobXn

sF.]n. \º¿

18. NnIn-’mNnehv IW°m°n Bip-]-{Xn-bn¬ \n∂pw e`n® FÃn-ta‰v XpI cp. 19. Kh.kvIoan¬ NnIn’m sNehv doCw-t_-gvkvsa‚ v/RSBY, CHIS+, apJy-a-{¥n-/{][m\a{¥nbpsS Zpcn-Xm-izm-k-\n[n XpSßnbhbn¬ \n∂v kmº-ØnI klmbw e`n-®n-´pt-m ? D-v/C√ 20. NnIn’ [\-k-lm-bw e`n®n-´ps≠-¶n¬ e`n-® XpIbpsS hnhcßƒ: RSBY

CHIS plus

21. ImcpWy ^-≠nte°v At]£n°p∂ XpI

a‰p kvIoapIƒ

BsI

22. B\p-Iqeyw e`n-°p-∂-Xn-\mbn At]-£-tbm-sSm∏w lmP-cm-°nb tcJ-Iƒ ˛

1. tdj≥ Im¿Uv ]I¿∏v (t]Pv 1,2,3,22)

2. NnIn’m Nnehv FÃnta‰v

3. tcmKnbpw IpSpw_mKßfpw Dƒs∏sSbp≈ t^mt´m 4. a‰v tcJIƒ (hy‡am°pI) ........................................................................................................................................................................................................... kXy-{]-kvXm-h\ ta¬]-d™ hnh-c-ß-sf√mw Fs‚ Adn-hnepw hnizm-k-Ønepw kXy-am-sW∂pw Cu ]≤Xn {]Imcw F\nt°m Fs‚ IpSpw_Ønse a‰wKßƒt°m NnIn’m [\klmbw e`n®n´ns√∂pw tImfw 6˛¬ {]kvXmhn®n-´p≈ hm¿jnI IpSpw-_-h-cp-am\w Fs¥-¶nepw Imc-W-h-im¬ sX‰msW∂v t_m[y-s∏-´m¬ Cu ]≤Xn-{]-Imcw ssI∏-‰nb apgp-h≥ XpIbpw 12% ]en-i- k-lnXw H‰-X-h-W-bmbn Xncn-®-S-®p-sIm-≈m-sa∂pw XpI Xncn-®-Sbv°p∂Xn¬ hogvN-h-cp-Øn-bm¬ \nba \S-]-Sn-I-fn-eqsS k¿°mcn\p e`n-t°- XpI hkq-em-°p-hm≥ kΩX-amsW∂pw t_m[n-∏n-®p-sIm-≈p-∂p.

ÿew :

At]-£-Is‚ H∏v/hnceSbmfw

XobXn :

t]cv

-............................................................................................................................................................................................................................. Hm^okv D]-tbm-K-Øn\v At]£ ssI∏-‰nb XobXn :

110

tU‰ F≥{Sn hcp-Ønb XobXn :

tU‰m F≥{Sn \SØnbt∏mƒ e`n® sF.Un.\º¿:

Pn√mXe IΩn-‰nbv°v ka¿∏n® XobXn :

Pn√m `mKy-°pdn Hm^o-k¿ .............................................................................................................................................................................................................................. Pn√mXe IΩn-‰n-bpsS Xocp-am\w a.

ap≥Iq¿ A\p-hmZw \evIp∂p / ap≥Iq¿ A\p-hmZw \nckn°p∂p. (DØchv \w. ....................................................... XobXn..............................................)

........................................ cq] NnIn’m [\-k-lm-b-ambn Xmsg ]dbp∂ NnIn’m ]mt°Pn¬ Dƒs∏SpØn A\p-h-Zn-°p-hm≥ ip]m¿i sNøp-∂p. 1). 2).

Xmsg-]-d-bp∂ Imc-W-ß-fm¬ At]£ \nc-kn-°p-∂p. 1) 2)

ÿew XobXn

Pn√m If-IvS¿ (I-Ωn‰n sNb¿am≥)

At]£Is‚ t^mt´m

t^mdw˛2

ImcpWy s_\-h-e‚ v ^≠v NnIn’ [\-k-lm-b-Øn-\p≈ At]£

(\nehn¬ k¿°m¿/As{IUn‰Uv Bip]{Xnbn¬ NnIn’bn¬ Ignbp∂hcpw ASnb¥ncL´ßfn¬ ap≥Iq¿ A\phmZw IqSmsX k¿°m¿ Bip]{XnIfn¬ NnIn’ tXSnbn´p≈hcpw ka¿∏n-t°≠- At]£m^mdw)

1. KpW-t`m-‡m-hns‚ t]cv

2. ]pcp-j≥/ kv{Xo

3. ta¬hn-emkw: ho´v t]cv

hm¿Upw/ho´v \ºcpw

{]tZiw/hnt√Pv

{Kma-]-©m-bØv/\K-c-k`

t]mÃv

]n≥tImUv

Xmeq-°v 4. hb v

Pn√

t^m¨ \w.

5. sXmgn¬

6. hm¿jnI IpSpw_ hcp-am\w

7. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv 8. tdj≥ Im¿Uv \º¿ 11. RSBY/ CHIS+ Xncn-®-dn-b¬ \º¿ 12. tcmKnA√ At]£n°p∂sX¶n¬ ˛ At]£Is‚ t]cv

9. APL/BPL

10. B[m¿\º¿

111 tcmKnbpambp≈ _‘w

13. tcmKhnhcw

14. NnIn’ \S-Øp∂- Bip-]-{Xn-bpsS t]cv, ta¬hn-emkw 15. NnIn-’-bpsS Ime-ssZ¿Lyw 17. {]th-in-∏ns®¶n¬ XobXn

16. Bip-]-{Xn-bn¬ {]th-in-∏nt®m? 18. sF. ]n. \º¿

19. NnIn’ Ct∏mgpw XpS-cp-∂pt-≠m? 19. F. Ds-≠¶n¬ hni-Z-hn-hcw 19. _n. Hm∏tdj≥ XobXn

19. kn. hnSp-X¬ sNbvX XobXn

20. NnIn-’mNnehv IW°m°n Bip-]-{Xn-bn¬ \n∂pw e`n® FÃn-ta‰v XpI cp. 21. Kh.kvIoan¬ NnIn’m sNehv doCw-t_-gvkvsa‚ v/RSBY, CHIS+, apJy-a-{¥n-/{][m\a{¥nbpsS NnIn’mk-lmb\n[n XpSßnbhbn¬ \n∂v kmº-ØnIklmbw e`n-®n-´pt≠-m ? D≠-v/C√

22. NnIn’m[\-k-lm-bw e`n®n´ps-¶n¬ e`n-® XpIbpsS hnhcßƒ: RSBY CHIS plus a‰p kvIoapIƒ

BsI

23. ImcpWy ^-nte°v At]£n°p∂ XpI cq. 22. B\p-Iqeyw e`n-°p-∂-Xn-\mbn At]-£-tbm-sSm∏w lmP-cm-°nb tcJ-Iƒ ˛

1. tdj≥ Im¿Uv ]I¿∏v (t]Pv 1,2,3,22)

2. NnIn’m Nnehv FÃnta‰v

ÿew :

At]-£-Is‚ H∏v/hnceSbmfw

XobXn :

t]cv

tU‰ F≥{Sn hcp-Ønb XobXn :

112 tU‰m F≥{Sn \SØnbt∏mƒ e`n® sF.Un.\º¿:

Pn√mXe IΩn-‰nbv°v ka¿∏n® XobXn :

At]£ A\p-h-Zn-°m-hp-∂-XmWv.

....................................... cq] NnIn’m [\-k-lm-b-ambn Xmsg ]dbp∂ NnIn’m ]mt°Pn¬ Dƒs∏SpØn A\p-h-Zn-°p-hm≥ ip]m¿i sNøp-∂p. 1). 2).

Xmsg-]-d-bp∂ Imc-W-ß-fm¬ At]£ \nc-kn-°p-∂p. 1) 2)

ÿew XobXn

Pn√m If-IvS¿ (I-Ωn‰n sNb¿am≥)

^mdw ˛ 3

ImcpWy s_\-h-e‚ v ^≠v-v kamizmk NnIn’ [\-k-lm-b-Øn-\p≈ At]£ (3000 cq] hsc H‰ØhW [\klmbw) 1. tcmKn-bpsS t]cv

3. ta¬hn-emkw

t]mÃv B^o v Pn√ : 5. tPmen 4. hb v

: : :

2. ]pcp-j≥/ kv{Xo

]n≥tImUv : t^m¨ \w. : 6. hm¿jnI IpSpw_ hcp-am\w. cq.

7. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv

8. tdj≥ Im¿Uv \º¿ : 1 0. tcmKn A√ At]-£n-°p-∂-sX-¶n¬ At]-£-Is‚ t]cv :

9. APL/BPL :

11. tcmKhnhcßƒ

113 tcmKnbpam-bp≈ _‘w :

12. NnIn’m hnh-c-ßƒ ˛ Bip-]-{Xn-bpsS t]cv : ta¬hn-emkw :

13. sF. ]n. \w

14. NnIn-’n® tUmIvSdpsS t]cv

XobXn

15. B\p-Iqeyw e`n-°p-∂-Xn-\mbn At]-£-tbm-sSm∏w lmP-cm-°nb tcJ-Iƒ : 1. tdj≥ Im¿Uv ]I¿∏v

2 sF. ]n. Sn°‰v

kXy-{]-kvXm-h\ ta¬]-d™ hnh-c-ß-sf√mw Fs‚ Adn-hnepw hnizm-k-Ønepw kXy-am-sW∂pw Cu ]≤Xn {]Imcw F\nt°m Fs‚ IpSpw_Ønse a‰wKßƒt°m NnIn’m [\klmbw e`n®n´ns√∂pw tImfw 6˛¬ {]kvXmhn®n-´p≈ hm¿jnI IpSpw-_-h-cp-am\w Fs¥-¶nepw Imc-W-h-im¬ sX‰msW∂v t_m[y-s∏-´m¬ Cu ]≤Xn-{]-Imcw ssI∏-‰nb apgp-h≥ XpIbpw 12% ]en-i- k-lnXw H‰-X-h-W-bmbn Xncn-®-S-®p-sIm-≈m-sa∂pw XpI Xncn-®-Sbv°p∂Xn¬ hogvN-h-cp-Øn-bm¬ \nba \S-]-Sn-I-fn-eqsS k¿°mcn\p e`n-t°- XpI hkq-em-°p-hm≥ kΩX-amsW∂pw t_m[n-∏n-®p-sIm-≈p-∂p.

ÿew :

At]-£-Is‚ H∏v/hnceSbmfw

XobXn :

t]cv

tU‰ F≥{Sn hcp-Ønb XobXn :

tU‰m F≥{Sn \SØnbt∏mƒ e`n® sF.Un.\º¿:

kwÿm\Xe IΩn-‰nbv°v ka¿∏n® XobXn : AUvan\nkvt{S‰¿ .............................................................................................................................................................................................................................. kwÿm\Xe IΩn-‰n- sNb¿-ams‚ Xocp-am\w

114

....................................... cq] kamizmk NnIn’m [\-k-lm-b-ambn A\p-h-Zn-®ncn°p-∂p.

XobXn

sNb¿am≥

....................................... cq] kamizmk NnIn’m [\-k-lm-b-ambn A\p-h-Zn-®ncn°p-∂p. ..............................................................................................................................................................................................................................

NnIn’m [\-k-lm-b-w e`n°phm≥ A¿lXbn√mØXn\m¬ At]£ \nc-kn-°p-∂p.

XobXn

sNb¿am≥

KARUNYA BENEVOLENT FUND (Directorate of State Lotteries) ESTIMATE OF EXPENDITURE (To be obtained from the consulting Doctor & countersigned by the authorized person of the Hospital concerned and submitted along with the application for financial assistance under Karunya Benevolent Fund)

1. Name & Address of the Hospital: 2. Name of Patient : 3. Address : (as per hospital records) i. House Name/No.:

ii. Place/Village:

iii. Grama Panchayat/Municipality/Corporation: iv. Post Office:

PIN:

v. Taluk:

vi. District:

4. Age:

5. Name of Father/Mother/Husband:

6. Registration No. / I P No. :

Date :

7. Diagnosis: 8. Proposed date for Operation: 9. Priority of treatment/Operation: Emergency / within 3 months/within 3 to 6 months 10. Approximate period of treatment required:

115

11. Approximate expenditure for â&#x20AC;&#x201C; a. Investigations Rs.

b. Drugs

c. Surgery

Rs.

d. Chemotherapy Rs.

e. Radiotherapy

Rs.

f. Hospital stay

Rs.

h. Other items

Rs.

g. Supportive careRs.

Rs.

Total Estimated expenditure : Rs. 12. Whether the patient has availed / proposed to avail any financial assistance from State /Central Govt. If so please give details: 13. Remarks:

Signature

Name & Designation

of the Consulting Doctor Head Date

of the Hospital/Authorized signatory \

(Office seal)

Details of Hospitalâ&#x20AC;&#x2122;s Bank A/c to which the Amount is to be transfer credited A/c No.

Name of Bank

IFSC Code

UTILISATION CERTIFICATE (To be submitted by the Hospital authorities concerned receiving financial assistance under Karunya Benevolent Fund) Certified that the amount received for the treatment of Shri/Smt................................................................................. (Address) ...................................................................................................................................................................... admitted in ........................................................................... (Name of Hospital) on ................................................... vide IP No.......................................... had under gone treatment for ........................................................................... ............................................................................................................ and the amount sanctioned

/received for treatment has been fully / partially utilised for the treatment as mentioned below:-

1. Date of Admission .............................. Date of Discharge: .............................. 2. Total amount Received: .................... (Vide Order No. ............................ Dated: ..............................) 3. Expenditure Details:-

116

a. Investigations:

Rs.

b. Drugs

Rs.

c. Surgery

Rs.

d. Chemotherapy

Rs.

e. Radiotherapy

Rs.

f. Hospital stay

Rs.

g. Supportive Care

Rs.

h. Other items (Please specify)

Total Expenditure: Rs. Balance amount available Rs.

Signature

Name of the Consulting Place: Date:

Doctor Name & Designation Head of the Hospital/Authorised person (Office Seal)

km£y]{Xw (Kp-W-t`m-‡-mhn¬ \n∂pw hmtß-≠-Xv)

........................................................... mw \º¿ DØ-chv {]Imcw ...................................˛mw XobXn F\n°v/ Fs‚ _‘phmb .............................................................................................. t]¿°v ImcpWy s_\-h-e‚ v ^-≠n¬ \n∂pw ............................................................................................................................... tcmK-NnIn-’-bv°mbn .............................................................................................................................................. Bip-]-{Xn-bn-te°v

* A\p-h-Zn-®n-cp∂ NnIn’m [\-k-lmbamb cq ......................................................................./-˛ (............................................................................................................................................................... cq]m am{Xw) Fs‚ / **Snbms‚ NnIn-’-bv°mbn ]q¿Æambpw {]kvXpX Bip-]-{Xn-bn¬ \n∂pw sNe-h-gn-®n-´ps≠-∂v Rm≥ km£y-s∏-Sp-Øp-∂p.

* A\p-h-Zn-®n-cp∂ NnIn’m [\-k-lmbamb cq ......................................................................./-˛ (................................................................................................................................................................. cq]m) bn¬ Fs‚ / **Snbms‚ NnIn-’-bv°mbn `mKnI-ambn .............................................................................. cq] am{Xw {]kvXpX Bip-]-{Xn-bn¬ \n∂pw sNe-h-gn-®n-´p≠-v F∂v Rm≥ km£y-s∏-Sp-Øp-∂p.

H∏v/hnc-e-S-bmfw ÿew

t]cv

XobXn

]q¿Æ-amb ta¬hn-emkw

* _m[-I-a-√m-ØXv sh´n-°-f-bp-I. ** NnIn’°nsS tcmKn acn®p t]mIpItbm tcmKn°v AkpJwaqew kzt_m[tØmSpIqSn km£y]{Xw H∏nSphm≥ km[n°msX hcpItbm sNbvXm¬ tcmKnbpsS ]nXmhv / amXmhv /`mcy / `¿Ømhv /a°ƒ / ktlmZcßƒ F∂nhcn¬ B¿s°¶nepw km£y]{Xw H∏n´p\evImw. km£y]{Xw H∏n´p\evIp∂bmfpw cmKnbpambp≈ _‘w hy‡am°nbncn°Ww.

117

{ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ aq∂v hb- n\p Xmsg {]mb-ap≈ tIƒhn-i-‡n-bn-√mØ Ipń-Iƒ°v tImIvfn-bm¿ Cwπm-t‚-j≥ sNøp-∂-Xn\v klmbw \¬Ip∂ k¿°m¿ ]≤-Xn-bmWv {ipXn Xcw-Kw. A¿l-X-b-bp-≈-h¿˛ 1 aq∂v hb- n\p Xmsg {]mb-ap≈ tIƒhn-bn-√mØ Ipń-Iƒ 2 Ipńbv°v tImIvfn-bm¿ Cwπm-t‚-j≥ k¿Pdn AXym-h-iy-amWv F∂p \njvI¿jn-°p∂ saUn-°¬ tcJIƒ D≠m-bn-cn-°-Ww. 3 tIc-f-Øn¬ ÿnc-Xm-a-k-°m¿ Bbn-cn-°Ww 4 c£m-I¿Øm-°-fpsS hm¿jnI IpSpw-_-h-cp-am\w c≠p-e£w cp]-bn¬ Xmsg-bm-bn-cn-°Ww 5 Ipń-bpsS c£m-I¿Ømhv 100/˛ap-{Z-]-{X-Øn¬ Hcp F{Kn-sa‚ v A\p-_‘w 1 {]Imcw H∏n´v \¬I-Ww. ikv{X{Inb-bpsS hnP-b-km-[yX ]cn-K-Wn®v 5 hb v hsc {]mb-ap≈ Ipń-I-sfbpw ]cn-K-Wn-°p-∂-Xn\v kv{Io\nwKv IΩ-‰n°v A[n-Imcw D≠m-bn-cn°pw

kvt\l km¥z\w ]≤Xn F≥tUm-kƒ^m≥ Zpcn-X-_m-[n-X-cmb sshIeyw kw`-hn-®-h¿°pw InS-∏n-em-b-h¿°pw as‰m-cm-fpsS klmbw IqSmsX Pohn-°m≥ Ign-bm-Ø-h¿°pw ]cn-N-cWw \¬Ip∂ hy‡n°v [\-k-lmbw \¬Ip∂Xn\v kmaq-lyt£a hIp∏v hgn \S-∏n-em-°p∂ ]≤-Xn-bmWv kvt\l km¥z-\w. lmP-cm-t°≠ tcJ-Iƒ sshIeyw sXfn-bn-°p∂ k¿ń-^n-°-‰ns‚ tIm∏n, F≥tUm-kƒ^m≥ Zpcn-X-_m-[n-X-cmsW∂v sXfn-bn-°p∂ tUmIvS-dpsS k¿ń-^n-°‰v At]-£-Iƒ AwK≥hmSn h¿°¿ aptJ\At\z-jWw \S-Øn sF.-kn.-Un.-F-kv.-kq-{]-ssh-k¿ ip]m¿i sNbvXv Pn√m inip hnI-k\ Hmô-k¿°v \¬Ip-∂p.

118

F≥tUm-kƒ^m≥ _m[n-X-cmb hnZym¿∞n-Iƒ°v hnZym`ymk klmbw F≥tUm-kƒ^m≥ _m[n-X-cmb IpSpw-_-ß-fnse Ipń-Iƒ°v hnZym-`ym-k-Øn\v [\-k-lmbw \¬Ip-∂-Xn\p th≠n tIcf kmaqly kpc£m anj≥ aptJ\\S-∏n-em-°p∂ ]≤-Xn-bmWnXv. F≥tUm-kƒ^m≥ _m[nX {]tZ-i-ß-fn¬ BtcmKy hIp∏v \S-Ønb k¿t∆ {]Imcw Dƒs∏-ń-´p≈ IpSpw-_-ßfnse hnZym¿∞n-Iƒ°v Cu ]≤Xn {]Imcw hnZym-`ymk [\-k-lmbw A\p-h-Zn-°p-∂p. H∂mw ¢m p apX¬ +2 hsc ¢m p-I-fn¬ k¿°m¿ kvIpfp-I-fn¬ ]Tn-°p∂ hnZym¿∞n-Iƒ°mWv Cu ]≤Xn {]Imcw klmbw e`n-°p∂-Xv. H∂mw ¢m p apX¬ 7 hsc ¢m nse Ipń-Iƒ°v 1000/˛ {]Im-c-hpw, 8 apX¬ 10 hsc ¢m nse Ipń-Iƒ°v 2000/˛ {]Im-c-hpw, π v h¨, π v Sp hnZym¿∞n-Iƒ°v 2500/˛ cq] {]Im-chpw A\p-h-Zn-°p∂p. kvIqƒ h¿jw XpS-ßp-tºmƒ H‰-Ø-h-W-bmbn [\-k-lmbw A\p-h-Zn-°p-∂p.

F≥tUm-kƒ^m≥ _m[n-X-cmbh¿°p≈ s]≥j≥ ]≤Xn kwÿm-\Øv Imk¿tImUv Pn√-bn¬ F≥tUm-kƒ^m≥ _m[n-X-cmbn sXmgn-se-Sp-°m-\m-hmsX hoń¬ Ign-bp∂-h¿°v kmaqly-t£a hIp∏v aptJ\{]Xn-amk s]≥j≥ \¬Ip-∂p. F≥tUm-kƒ^m≥ _m[nX {]tZ-i-ß-fn¬ Btcm-Ky-h-Ip∏ \S-Øp∂ k¿t∆-bpsS ASn-ÿm-\-Øn¬ Pn√m IeIvS¿ AwKo-I-cn-°p∂ enÃv {]Imcw Kpcp-X-c-am-bXpw Zo¿L-Ime NnIn’ Bh-iy-ap-≈-Xp-amb tcmKm-h-ÿ-bn-ep≈-hcpw sXmgn-se-Sp-°m≥ Ign-bmsX hoń¬ Ign-bp-∂-h¿°pw 2000/˛ cq] {]Xn-amkw A\p-h-Zn-°p-∂p. Xt±i kzbw `cW ÿm]-\-ß-fn¬ \n∂v hnI-emwK s]≥j≥ e`n-°p-∂-h¿°v s]≥j≥ XpI Ign-®p≈ _m°n XpI 2000/˛ cq] F∂ ]cn-[n°v hnt[-b-ambn´mbn-cn°pw A\p-h-Zn-°p-I. hnI-emw-K-s]≥j≥ e`n-°m-Ø-h¿°v s]≥j≥ XpI apgp-h-\mbpw kmaqly t£a hIp∏v aptJ\e`n-°p-∂p. F≥tUm-kƒ^m≥ ZpcnX _m[nXcn¬ tcmKnIfmb a‰p-≈-h¿°v 1000/˛ cq] hoXw {]Xn-amk klmbw e`n-°p-∂p. F√m-h¿jhpw G{]n¬ amkØn¬ KpW-t`m-‡m-hn\v tcmK-]-cn-tim-[\k¿ń-^n-°‰v /sse^v k¿ń-^n-°‰v ]Xp°n \¬tI-≠-Xm-Wv.

tIc-f km-aq-ly kpc-£m an-j≥ tkm-jy¬ sh¬-s^-b¿ C≥-Ãn-c-‰yq-j≥ tImw-π-Iv-kv ]q-P-∏p-c,Xn-cp-h-\-¥-]p-cw˛12

tIm-¢n-bm¿ Cw-πm-t‚-j≥ k¿P-dn ]≤-Xn tcm-Kn-bp-sS ]mkvt]m¿-´v h-en∏-Ønep-≈ t^mt´m (C.F≥.‰n.k¿-P≥ A-‰-kv-‰v sN-bv-XXv)

{I-a-\-º¿ :

A-t]-£m-t^m-dw 1. k¿P-dn B-h-iy-ap≈ tcm-Kn-bp-sS t]cv

2. h-b pw P-\-\-Øo-ø-Xn-bpw

3. enw-Kw

: B¨-Ip´n /s]¨-Ip-´n

4. tcm-Kn-bp-sS c-£-I¿-Øm-hn-s‚ hn-h-c-ßƒ t]-cv : ho´p-t]-cv

hm¿-Uv

tIm¿-∏-td-j≥

Xm-eq-°v

Pn√

]n≥-tIm-Uv

119

5. sS-e-t^m¨ \-º-cpIƒ 1.em‚ v t^m¨(F-kv.‰n.Un.tIm-Uv k-lnXw): 2.sam-ss_¬ t^m¨ : 6. Ip-Spw-_-Øn-s‚ sa-Ø hm¿jn-I h-cp-am-\w (td-j≥ Im¿-Uv {]-Imcw)

7. Ip-Spw-_mw-Kß-sf kw-_-‘n-°p-∂ hn-h-cßƒ:

{I-a- Ip-Sw-_mw-K-ßƒ \º¿

120

tcm-Kn-bp-sS A-—≥

tcm-Kn-bp-sS AΩ

tcm-Kn-bp-sS k-tlm-Zc≥ 1

tcm-Kn-bp-sS k-tlm-Z-c≥ 2

tcm-Kn-bp-sS k-tlm-Z-cn 1

tcm-Kn-bp-sS k-tlm-Z-cn 2

a-‰v Ip-Spw-_mw-K-ßƒ (B-sc-∂v hy-‡-am-°p-I)

h-b v hn-Zym sXm-gn¬ {]Xn G-sX-¶n-epw `ym-k am-k im-co-cn-I tbm-KyX h-cp-am-\w ssh-I-eyw _m-[n-®n-´p t≠m (D-≠v/ C√)

a-‰v {]-Xy-In®v D-≈ hn-h-cßƒ F-s¥¶nepw Ds≠-¶n¬ F-gpXpI

8. tcm-Kn-°v {i-hW ssh-Ieyw D-≈-Xm-bn I-≠p-]n-Sn®-Xv G-Xv {]m-b-Øn-em-Wv

: .......................h-b- v.......................am-kw

9. {ih-W- ssh-Ieyw- G-Xp X-c-Øn¬-s∏-´-XmWv

10.{ih-W- ssh-I-ey-Øn-s‚ Af-hv F-{X Un-{Kn

11.tcm-Kn-°v Np-h-sS-∏-d-bp-∂-h-bn¬ _m-[-I-amb-Xv ( ) A-S-bm-fw tc-J-s∏-Sp-Øp-I. (F) ]-Xn-hm-bn kv-]o-®v sXm-dm-∏n \-¬-Ip-∂p. (_n) {]o-kv-Iqƒ ]-cn-ioe-\w \¬-Ip-∂p.

( ) ( )

(kn). kv-s]-jy¬ kv-Iq-fn¬ t]m-Ip∂p. (Un). km-[m-c-W kv-°q-fn¬ t]m-Ip-∂p.

( ) ( )

(C). ta¬-∏d-™-h Iq-Sm-sX a-s‰-s¥-¶nepw sN-øp-∂p-t≠m?

: .......................................

12.k¿-°m¿ [-\-k-lm-b-ap-]-tbm-Kn-®v tcm-Kn-bv°v 13.tIm-¢n-bm¿ Cw-πm-t‚-j≥ k¿P-dn \-S-Øp-∂Xn\v G-Xv B-ip-]-{Xn-bm-Wv sX-sc-s™-Sp-°m≥ D-t±-in-°p-∂-Xv. (B-ip-]-{Xn-bp-sS t]-cv ap≥-K-W-\m-{I-a-Øn¬ F-gp-Xp-I) 14.k¿-P-dn°p- tijw Hm-Un‰-dn sh¿-_¬ sXm-dm-∏n Xp-S¿-∂p \-S-Øp-∂-Xn-\v sX-sc-s™-Sp-°m≥ D-t±-in-°p-∂-Xv. (B-ip-]-{Xn-bp-sS t]-cv ap≥-K-W-\m-{I-a-Øn¬ F-gp-Xp-I)

: (1)...................................................................

(2).................................................................. (3) : (1).................................................................... : (2).................................................................. : (3)...................................................................

121

{]-ÿm-h\ Rm≥.......................................................(t]cv) ta¬ {]-kvXm-hn-®n-´p-≈ Im-cy-ßƒ F-s‚ A-dn-hnepw hn-izm-k-Ønepw i-cnbpw k-Xy-hp-am-sW-∂v C-Xn-\m¬ km-£y-s∏-Sp-Øn-s°m-≈p∂p.

ÿ-ew:

tcm-Kn-bp-sS c-£-I¿-Øm-hns‚

Xo-ø-Xn:

t]-cpw........................................................ H-∏pw..........................................................

A-\p-_-‘w˛1 (Appendix-1)

h-cp-am-\ -k¿-´n-^n-°-‰v tI-c-f km-aq-ly kp-c-£m-an-j≥ h-gn -k¿-°m¿ \-S-∏n-em-°p∂ tIm-¢n-bm¿ Cw-πm-t‚j≥ k¿-P-dn-°v [- \ - k - l m- b w

e- ` y- a m- ° p- ∂ - X n- \ p

th- ≠ n

A- t ]- £

k- a ¿- ∏ n- ® n- ´ p- ≈

{io/{io- a - X n

.......................................................................................................................................bp-sS Ip-Spw-_ hm¿jn-I h-cp-am-\w ................................................................ cq-]-bm-sW-∂v C-Xn-\m¬ km-£y-∏-Sp-Øn-s°m-≈p∂p.

Xo-ø-Xn

122

hn-t√-Pv ap-{Z

hn-t√Pv Hm-^o-k-dpsS/ X-l-ko¬-Zm-cp-sS t]cpw H∏pw

A-\p-_-‘w˛2 (Appendix-2)

HmUn-tbm-f-Pn-kv-‰v B‚ v kv-]o-®v em-wtKz-Pv ]m-tØm-f-Pn-kv-‰v km-£y-s∏-Sp-Øn \¬-tI≠-Xv

1. Details on Hearing Aid Usage of Patient Sl.No. Name of the Hearing Aid

Body level / Behind the Ear

Analog / Digital

Duration of Use

1. 2. 3. 4.

2. Recommendation byAudiologist and Speech-Language Pathologist (SLP) I hereby recommended that the patient.............................................................................................S/o .............................................................................................................................has been diagnosed as ...........................................................................................................................................ans has limited benefit from suitable hearing aids. He has been advised to undergo Cochlear Implantation and therapy as early as possible. The necessary documents have been provided as mentioned at the end of this application. Date: Place:

(Office Seal)

Name and Signature of theAudiologist and Speech-Language Pathologist: RCI Reg.No. Name of the hospital / centre:

123

A-\p-_-‘w˛3 (Appendix-3)

C.F≥.‰n k¿-P≥ km-£y-s∏-Sp-Øn \¬-tI≠-Xv

1. Helth issues of the Patient. Sl. No.

124

IssuesStatus (put ( ) if present

History of Meningitis

Any congenital anomaly

Jaundice requiring exchange transfusion

Vision Problems

Mental sub normality

Recommendation by ENT Surgeon

I hereby certify that I have personally examined the patient...................................................... S/o.........................................................................................OP No........................................... and his/her test results. He/she has been advised to undergo Cochlear Implantation at the earliest to improve hearing and communication ability.The necessary documents have been provided as required at the end of this application.

Date: Place:

(Office Seal)

Name of the ENT Surgeon: MCI Reg.No. Name of the hospital / centre:

A-\p-_-‘w˛4 (Appendix-4 )

C.F≥.‰n k¿-P\pw B-Un-bm-f-Pn-kv‰v B‚ v kv-]o-®v emw-tKz-Pv ]m-tØm-f-Pn-kv‰pw km-£y-s∏-Sp-Øn \¬-tI-≠-Xv. sN-°v en-kv-‰v (F√m-‰n-s‚bpw Htcm tIm-∏n ho-Xw h-bv-t°≠Xvv)

Sl. No.

Tests

BERA/Audiogram

ASSR

OAE

Tympanogram

Aided thresholds(BOA / Audiogram) with

Status (Yes /No)

Date of Evaluation

125

Rt..................................................aid Lt..................................................aid 6.

Speech-Language test

HRCT of the temporal bones

MRI of head and inner ear

Audiological test report

Seal and Signature of Audiologist and Speech Language Pathologist

Seal and Signature of ENT surgeon

kXyhmßvaqew

tIcfm Kh¨sa‚ns‚ kuP\y tIm¢nbm¿ Cwπmt‚j≥ ]≤Xnbmb {ipXnXcwKw ]≤XnbneqsS kuP\y tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn°v Xncs™Sp°s∏´ ........................................................ F∂ Ip´nbpsS A—≥/ c£I¿Ømhv {io. ................................................................................ AΩ/ c£I¿Ømhv {ioaXn............................................................................................................................................................................................. ta¬hnemkw................................................................................................................................................................................ ........................................................................................................................................................................................................... tN¿∂v tIcf tkmjy¬ skIyqcn‰n anj≥ FIvknIyq´ohv UbdIvS¿ apºmsI ka¿∏n°p∂ kXyhmßvaqew.

Fs‚*/RßfpsS* Ip´nbv°v tIƒhn°pdhps≠∂pw tIm¢nbm¿ Cwπmt‚j≥ ]≤Xn aptJ\Ip´nbv°v tIƒhn i‡nbpw XZzmc kwkmctijnbpw Xncn®v In´m≥ km[yX Ds≠∂pw Rm≥ * / Rßƒ * a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπmt‚js‚ hnPbkm[yX ]e LSIßsfbpw B{ibn®mWv \nesIm≈p∂Xv F∂v F\nbv°v*/Rßƒ°v* t_m≤yap≠v. tIƒhnIpdhns‚ ImcWw, Imebfhv, tIƒhnIpdhns‚ tXmXv, Cwπm‚ v sNøp∂ {]mbw, B¥cnI LSIßƒ CXphsc \Inbn´p≈ NnIn’bpsS KpWta∑, kwkmc t{]cIßsf Xncn®dnbm\p≈ Ignhv, Ip´nbpsS s]mXphmb BtcmKytijn, IpSpw_Øns‚ A¿∏Wt_m[w, Cwπm‚ v Soans‚ D]tZi \n¿t±ißƒ A\pkcn®p≈ apSßmsXbp≈ BUntbm sh¿_¬ lm_nent‰j\pff k∂≤X F∂nh tIm¢nbm¿ Cwπmt‚js‚ hnPbkm[yXsb kzm[o\n°p∂ {][m\LSIßƒ BsW∂v a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn°v apºv \St°≠ {]o Iu¨kenwKv Rßƒ°v d^¿ sNbvX tUmIvS¿ \Inbn´p≠v.

lnbdnwKv FbvUv h®v XpS¿®bmbn 3 amksa¶nepw kv]o®v sXdm∏n \Inb Ip™pßsfbmWv tIm¢nbm¿ Cwπmt‚j≥ k¿Pdnbv°v hnt[b\mt°≠Xv F∂v a\knem°nbn´p≠v. Fs‚*/RßfpsS* Ip´nsb AØcw NnIn¬kbv ° v hnt[b\m°nbn´p≠v F∂v km£ys∏SpØp∂p.

tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØnbXpsIm≠p am{Xw kwkmctijn Xncn®pInńs√∂pw k¿Pdn°ptijw kwkmctijn In´m≥ NpcpßnbXv c≠v h¿j°metØs°¶nepw BUn‰dn sh¿_¬ lm_nent‰j\v Ipńsb hnt[bamt°≠Xp≠v F∂pw Rßƒ a\ nem°nbn´p≠v. Aßs\ sNbvXns√¶n¬ RßfpsS Ipńsb A\mhiyambn Hcp taP¿ k¿Pdn°v hnt[b\m°pIbmsW∂pw k¿PdnsIm≠v am{Xw kwkmctijn Xncn®v Inńs√∂pw NnIn’nbv°p∂ tUmIvS¿ Rßsf t_m≤ys∏SpØn-bn´p≠v.

BUn‰dn sh¿_¬ lm_nent‰j\v hnt[bambns√¶n¬ tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn sIm≠v {]tbmP\ans√∂pw Aßs\ kw`hn®m¬ D]IcWØns‚ hne ]eni klnXw CuSm°m≥ k¿°mcn\v ]q¿Æ A[nImcap≠mbncn°p∂XmsW∂v a\ nem°nbn´p≠v.

Kh¨sa‚ v \n¿t±in°p∂ AwKoIrX sk‚dpIfn¬ BUn‰dn sh¿_¬ lm_nent‰j\v apSßmsX sIm≠p htc≠ _m[yX c£nXm°ƒ°msW∂v a\ nem°nbp≠v.

126

tIm¢nbm¿ Unsshkv Iº\nbpsS C124RE Cochlear Implant with Straight electrode, Freedom Sound Processor (BTE Controller), Advanced Bionics s‚ Auria HiResolution Bionic Ear Cochlear Implant system with Auria Speech Processor F∂o tIm¢nbm¿ Cwπm‚pIfmWv {ipXnXcwKw ]≤Xnbn¬ D]tbmKn°p∂Xv F∂v a\knem°nbn´p≠v. Fs‚ Ip´nbv°v GXv Cwπm‚mWv sXcs™Sp°p∂Xv F∂v Xocpam\nt°≠ NpaXe tIcf kmaqly kpc£m anj\mWv.

kv]o®v t{]mkk¿ AXXv Iº\nIfpsS am¿K\n¿t±ißf\pkcn®v {i≤m]q¿∆w ssIImcyw sNøWsa∂pw A{i≤ sImt≠m, hogvN, A]ISßƒ apXemb BLmXßƒ sImt≠m D≠mIp∂ tISp]mSpIƒ hmd≠nbn¬ Dƒs∏SmØXn\m¬ AXv dn∏b¿ sNtø≠Xpw BhiyamsW¶n¬ am‰n hbv ° m\pap≈ NpaXe c£nXm°ƒ°v BsW∂pw a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπm‚ns‚bpw/kv]o®v t{]mkkdns‚bpw hmd≠nbn¬ Dƒs∏SmØ kvs]b¿ ]m¿´pIfpsS hnebpw, I¨kyqa_nƒ sF‰wkns‚ hnebpw, hmd≠n I≠oj\n¬ Dƒs∏SmØ Imcyßƒ aqeap≠mIp∂ \mi\jvSßfpsS hnebpw, dn∏b¿ Nm¿÷pIfpw Bhiyambn hcptºmƒ c£nXm°ƒ hlnt°≠XmsW∂pw a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπm‚ns‚ _m‰dn do Nm¿÷_nƒ _m‰dnbmsW∂pw Iº\nIfpsS am¿K\n¿t±ißf\pkcn®v do Nm¿÷v sNbvXm¬ am{Xsa _m‰dn IqSpX¬ Imew \ne\n¬°pIbp≈qsh∂pw a\ nem°nbn´p≠v. _m‰dnbpsS hmd≠n aq∂v amkw BsW∂pw hmd≠n Imemh[n°p tijw _m‰dn am‰m\p≈ sNehv c£nXm°ƒ hlnt°≠XmsW∂pw a\ nem°nbn´p≠v.

kv]o®v t{]mkkdn\v 4 h¿jhpw Cwπm‚n\v 10 h¿jhpamWv hmd≠nbpffXv F∂v a\ nem°nbn´p≠v. hmd≠n ]ocoUn\p tijw Ahbv°p kw`hn°mhp∂ tISp]mSpIƒ dn∏b¿ sNtø≠Xpw kvs]b¿ ]m¿´pIfpsS Imemh[n Ignbptºmƒ Ah amt‰≠Xpw A]q¿∆ambn ]q¿Æambpw {]h¿Ø\clnXamIpIbpamsW¶n¬ ]q¿Æambpw am‰nhbvt°≠Xpw c£nXm°fpsS NpaXebmsW∂v a\ nem°nbn´p≠v. ]Øp h¿j hmd≠n°ptijw, hfsc A]q¿∆ambn kw`hn°mhp∂ Cwπm‚ vam‰n hbv°¬, Bhiyambn hcp∂ ]£w c£nXm°ƒ Xs∂ kz¥w sNehn¬ sNtø≠XmsW∂pw a\knem°nbn´p≠v.

{ipXnXcwKw ]≤Xn hgn 4,56,521/˛ cq] hnebp≈ tIm¢nbm¿ Cwπm‚n\pff XpI Iº\nIƒ°pw, am∏nwKn\pw BUn‰dn sh¿_¬ lm_nent‰j\papff 50,000/˛ cq] Fw]m\ sNøs∏´ AXXv Bip]{XnIƒ / sk‚dpIƒ°pw tIcf kmaqly kpc£m anj≥ t\cn´v \IpIbmWv sNøpI F∂pw a nem°nbn´p≠v. Cu ]≤Xn hgn tcmK \n¿ÆbØn\pw NnIn’Iƒ°pw tcmKnbv°v/ c£nXm°ƒ°v sNehmb bmsXmcp XpIbpw doCwt]gvkvsa‚ v Bbn e`n°pIbn√msb∂v a\ nem°nbn´p≠v.

kzImcy Bip]{XnIfn¬ k¿Pdn \n¿hln°pIs∏SpIbmsW¶n¬ AXXv Bip]{XnIfpambn tIcf kmaqly kpc£m anj≥ D≠m°nb [mcWm]{Xw {]Imcap≈ XpI c£nXm°ƒ hlnt°≠XmsW∂pw a\ nem°nbn´p≠v. [mcWm]{Xw A\pkcn®p≈ XpIb√msX as‰mcp XpIbpw Bip]{XnIƒ°v k¿Pdnt°m, am∏nwKnt\m, BUn‰dn sh¿_¬ lm_nent‰jt\m \¬tI≠Xns√∂pw a\ nem°nbn´p≠v.

kv]o®v t{]mkk¿ A]vt{KUv sNøphm\p≈ kuIcyw D≈XmsW¶nepw k¿°m¿ ]≤Xn hgn e`yam°p∂ kv]o®v t{]mkkdpIƒ k¿Pdn Ign™v 4 h¿jsØ hmd≠n ]ocoUv Ignbp∂Xphsc {]kvXpX D]IcWw A]vt{KUv sNøpIbn√msb∂v Dd∏p \Ip∂p. {ipXn

127

XcwKw ]≤XnbpsS GIoIrX kzm`mhØn\pw, hnPbØn\pw CXv AXymhiyamWv F∂v a\ nem°nbn´p≠v.

128

Hm∏tdj≥ kw_‘amtbm, NnIn’ kw_‘amtbm D≠mIp∂ ]m¿izêßsf∏‰n tUmIvS¿am¿ Rßƒ°v ]d™v a\ nem°n X∂n´p≠v. A]q¿∆ambn kw`hn°mhp∂ AØcw ]m¿izêßƒ°v Ipńsb NnIn’n°p∂ tUmIvStdm, Bip]{Xntbm, AhnSsØ Poh\mtcm, tIcf kmaqly kpc£m anjt\m DØchmZnb√ F∂v t_m[ys∏ń´p≠v. A{]Xo£nXamb Fs¥¶nepw ImcWhim¬ Hcp ]p\¿ k¿Pdnbv°v Ipńsb hnt[bamt°≠n h∂m¬ AXn\v Rßƒ XømdmIpsa∂v kΩXn°p∂p.

k¿°m¿/k¿°mtcXc ]≤XnIƒ hgntbm, C≥jzd≥kv ]≤XnIƒ hgntbm tIm¢nbm¿ Cwπmt‚j≥ k¿Pdnbv°mbn bmsXmcm\pIqeyhpw \mfnXphsc ssI∏‰nbn´n√msb∂pw C°mcyØn¬ Kh¨sa‚ns‚ am¿§\n¿t±ißƒ A\pkcn®p am{Xta {]h¿Øn°pIbpffq sh∂pw km£ys∏SpØp∂p.

Cu kXyhmßvaqew ka¿∏n°p∂XvsIm≠v am{Xw Fs‚ Ipń {ipXnXcwKw ]≤Xnbnse kuP\y Cwπmt‚j\v Xncs™Sp°s∏Spw F∂v Rm≥ IW°m°p∂n√sb∂pw kpc£m anj≥ UbdIvSdn¬ \n∂pw tcJmaqeap≈ \n¿t±iw e`n®m¬ am{Xta Cu ]≤XnbpsS kuP\y B\pIqeyw Rßƒ°v e`n°pIbp≈qsh∂pw a\ nem°nbn´p≠v. tIcf Kh¨sa‚ns‚ {ipXnXcwKw ]≤Xn hgn \SØs∏Sp∂ tIm¢nbm¿ Cwπm‚ v k¿PdnbpsS hnPbw C.F≥.‰n kvs]jyenÃv, HmUntbmfPnÃv, kv]o®v sXdm∏nÃv, k¿t∆m]cn IpńbpsS c£nXm°ƒ F∂nhcpsS Iq´mb {]h¿Ø\ØneqsS am{Xta IcKXamIq F∂v a\ nem°nbn´p≠v. tIcf kmaqly kpc£m anjs‚ DØchmZnXzw Cu Iq´mbvasb ]n¥pW°pIbpw t\XrXz]camb ]¶v hln°pIbpw sNøpI am{XamWv. ta¬ Iq´mbvabn¬ c£nXm°ƒ F∂ \nebn¬ RßfpsS ]¶v bYmhn[n \n¿hlns®¶n¬ am{Xsa RßfpsS Ipńbv°v tIgvhni‡ntbmsSm∏w kwkmctijnbpw Xncn®v In´pIbp≈q F∂v DØaambn t_m≤ys∏ń´p≠v. hnPbIcamb k¿Pdn, Xr]vXnIcamb BUn‰dn sh¿_¬ lm_nent‰j≥ F∂nhbv°v tijhpw AXy]q¿∆amb kmlNcyßfn¬ Dt±in® ]ptcmKXn hcmXn°m\pff kmlNcyw D≠mImw F∂v a\knem°nbn´p≠v. CXv sshZyimkv{X]camb hkvXpXbmsW∂pw AXn\v Kh¨sat‚m, Bip]{Xn A[nIrXtcm, kpc£m anjt\m H∂pw Xs∂ DØchmZnb√ F∂v F\nbv°v t_m≤yap≠v. ta¬ hnhcn®n´p≈ hkvXpXIƒ Fs‚ */RßfpsS* Adnhnepw hnizmkØnepw ]q¿Æambpw t_m≤ys∏ń´p≈XmsW∂pw apIfn¬ {]kvXmhn® hkvXpXIƒ ]q¿Æambn ]ment°≠Xv Fs‚ */ RßfpsS* _m[yXbmsW∂pw Ah ]q¿Æambn ]men°p∂Xn\v ]q¿Æ a\t msS k∂≤cmsW∂pw CXn\m¬ km£ys∏SpØp∂p. ta¬ hnhcn® Imcyßƒ ]men°mØXp sIm≠v k¿°mcn\p≠mIp∂ \jvSw *Rm≥/Rßƒ hlnt°≠XmsW∂v a\knem°nbn´ps≠∂v km£ys∏SpØp∂p. Fs‚ Ipńbv°v Ct∂ XobXnhsc tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØnbnńs√∂pw ta¬ {]kvXmhn® hyhÿIƒ°v hnt[bambn Fs‚*/ RßfpsS* aI≥/aIƒ .......................................... F∂ Ipńsb {ipXnXcwKw ]≤XnbneqsS Kh¨sa‚ v \n¿t±in°p∂ Bip]{Xnbn¬ tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn°v hnt[bam°m≥ F\nbv°v kΩXamWv. Fs‚/RßfpsS IpńbpsS P\\XoøXn..................................BWv F∂v km£ys∏SpØp∂p. * Fs‚/RßfpsS Ipńsb ............................................Bip]{Xnbn¬ k¿Pdn sNøm\mWv F\nbv°v Xm¬]cysa¶nepw Cu ImcyØn¬ A¥na Xocpam\w FSpt°≠Xv tIcf tkmjy¬ skIyqcn‰n anj\mWv F∂v F\nbv°v/Rßƒ°v t_m≤yap≠v.

* RßfpsS Xm¬]cy{]Imcw kzImcy Bip]{Xnbn¬ sXcs™Sp°s∏SpIbmsW¶n¬ kzmImcy Bip]{XnIfn¬ \n¿Æbn°s∏´n´p≈ k¿Pdn Nm¿Pmb 60,000/˛ cq] ASbv°m≥ Rm≥ * /Rßƒ * k∂≤\mWv . tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn sNbvX tUmIvStdm/Cwπmt‚j≥ Sotam \n¿t±in°p∂ NnIn’-If√msX sNøp∂ NnIn’Iƒ aqeap≠mIp∂ Ipg∏ßƒ°v Rm≥/Rßƒ DØchmZnIfmbn-cn°psa∂v t_m≤yap≠v. Fs‚ Ip´nbpsS NnIn’m kw_‘amb hnhcßsf√mw ]T\ßƒ°pw KthjWßƒ°pw D]tbmKs∏SpØp∂Xn\v F\nbv°v kΩXamWv. `mhnbn¬ CXp kw_‘n®v h√ \nba{]iv\fpw D≠mbm¬ Ah ]cnlcnt°≠Xv Xncph\¥]pcw tIm¿∏tdj≥ ]cn[nbnepff tImSXnIƒ hgnbmWv F∂v a\knem°nbn´p≠v. *...........................................................................................s‚ ]nXmhmb Rm\pw amXmhmb Fs‚ `mcy ....................................... Dw

Pohn®ncn∏ps≠∂pw.......................................\v

tIm¢nbm¿

Cwπmt‚j≥ k¿Pdn \SØp∂Xn\v Rßƒ°ncph¿°pw ]q¿ÆkΩXamsW∂pw CXn\m¬ km£ys∏SpØp∂p. * .................................................................................................... s‚ {io./{ioaXn ....................................... acWs∏´n´ps≠∂pw

]nXmhv / amXmhv

]nXmhmb/amXmhmb

Rm≥..............................................................am{Xta Pohn®ncn∏pffpsh∂pw Ip´nbpsS ]q¿Æamb DØchmZnXzw F\n°msW∂pw Ip´nbv°v tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØp∂Xn\v

129

F\n°v ]q¿Æ kΩXamsW∂pw CXn\m¬ km£ys∏SpØp∂p. *..............................................................................................F∂ Rm\pw Fs‚ `mcy/`¿Ømhv ................................................. ambn \nba]cambn hnhml_‘w th¿s]SpØnbn´ps≠∂pw ................................................F∂

Ip´nbpsS

\nba]camb

NpaXe

amXmhmb/]nXmhmb

F\nbv°msW∂v km£ys∏SpØp∂p........................................ F∂ Ip´nbpsS amXmhpw ]nXmhpw Pohn®ncn∏ns√∂pw

Ip´nbpsS

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

(t]cv )

c£I¿Ømhv BsW∂pw

........................................(_‘w) Ip´nbpsS

]q¿Æamb

DØchmZnXzw

F\n°msW∂pw Ip´nbv°v tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØp∂Xn\v F\n°v ]q¿Æ kΩXamsW∂pw CXn\m¬ km£ys∏SpØp∂p. 201.......................amkw ........................................ XobXn Xmsg ]dbp∂ km£nIfpsS apºmsI DØat_m≤ytØmSpIqSn Cu kXyhmßvaqeØn¬ kzta[bm H∏psh°p∂p.

*Ip´nbpsS A—s‚ t]cpw, ta¬hnemkhpw, H∏pw

*Ip´nbpsS AΩbpsS t]cpw, ta¬hnemkhpw, H∏pw

* Ip´nbpsS c£I¿Ømhns‚ t]cpw ta¬hnemkhpw H∏pw

km£nIƒ : 1. 2. NB : Cu `mKw Ãmºv t]∏dn¬ tN¿t°≠Xn√.

* (Bhiyan√mØXv shńIfbpI) *(100 /˛ cq] ap{Z]{XØnemWv kXyhmßvaqew \tI≠Xv. A√msXbp≈h kzoImcya√. IpńbpsS A—\pw AΩbpw kXyhmßvaqeØn¬ H∏nńcn°Ww. c≠nsemcmƒ am{Xsa Pohn®ncn∏p≈qsh¶n¬ Ah¿ H∏n´m¬ aXn. c≠p t]cpw Pohn®ncn∏ns√¶n¬ c£I¿Ømhn\v H∏nSmhp∂XmWv.)

130

kvt\lkm¥z\w ]≤Xn At]£m ^mdw 1. F≥tUmkƒ^m≥ _m[nXbmb Bfns‚ t]cv

2. ]q¿Æamb ta¬hnemkw ho´pt]cv tdmUv/sebn≥ ÿew hnt√Pv Pn√ t]mÃv Hm^okv ]n≥tImUv sSet^m¨ \w. (hoSv/samss_¬) As√¶n¬ _‘s∏tS≠ \º¿

3. tcmKnbpsS hb v 4. sshIeyØns‚ kz`mhw/tcmKw

: : : : : : : : : : : :

(F) P∑\mbpffXv (_n) B¿PnXambXv (kn) ÿncw (Un) Xm¬°menIw

5. hnIemwKXzØns‚ iXam\w 6. ]q¿Æambpw InS∏nemtWm 7. ssZ\wZn\Imcyßƒ sNøp∂Xn\v as‰mcmfpsS klmbw BhiyamtWm

131 : :

AsX/A√

D≠v/C√

8. Blmcw Ign°p∂Xn\v as‰mcmfpsS klmbw BhiyamtWm

9. FWo‰ncn°m≥ as‰mcmfpsS klmbw BhiyamtWm

10. saUn°¬ t_m¿Uns‚ Unk_nen‰n k¿´n^n°‰pt≠m? (Ds≠¶n¬ ]I¿∏v DffS°w sNøpI)

11. F≥tUmkƒ^m≥ ZpcnX _m[nXcmsW∂v sXfnbn°p∂Xn\mbn tUmIvSdns‚ ]°¬ \n∂pff saUn°¬ k¿´n^n°t‰m _tbmsa{SnIv Im¿tUm Dt≠m : D≠v/C√ (Ds≠¶n¬ ]I¿∏v DffS°w sNøpI)

12. hnIemwK s]≥j≥ e`n°p∂pt≠m?

D≠v/C√

]cnNcn°p∂ Bfns‚ hnhcßƒ 1. ]cnNcn°p∂ Bfns‚ t]cv 2. ]q¿Æamb ta¬hnemkw ho´pt]cv tdmUv/sebn≥ ÿew hnt√Pv Pn√ t]mÃv Hm^okv ]n≥tImUv sSet^m¨ \w. (hoSv/samss_¬) As√¶n¬ _‘s∏tS≠ \º¿ 3. tcmKnbpambpff _‘w

: : : : : : : : : : : F≥tUmkƒ^m≥ _m[nXbmb Bfns‚ H∏v/hnceSbmfw

132

]cntim[\\SØnb AwK≥hmSn h¿°dqsS H∏v: AwK≥hmSn h¿°dqsS t]cv: XobXn:

(Hm^okv D]tbmKØn\v am{Xw)

sF.kn.Un.Fkv. kq∏¿sshkdpsS ip]m¿i Rm≥ {io/{ioaXn ..................................................................................................................................., kq∏¿sshk¿, ................................................................ sF.kn.Un.Fkv. t{]mPIvSv At]£I\v {]kvXpX ]≤Xn ]Imcw [\klmbw \Ip∂Xn\mbn ip]m¿i sNøp∂p / sNøp∂n√.

XobXn :

sF.kn.Un.Fkv. kq∏¿sshkdpsS H∏v (Hm^okv ap{Z)

inip hnIk\]≤Xn Hm^okdpsS km£y ]{Xw ta¬ hnhcßƒ {]kvXpX AwK≥hmSn h¿°¿am¿ aptJ\ t\cn´v ]cntim[n°pIbpw At\zjWw \SØpIbpw sNbvXn´p≠v F∂v km£ys∏SpØnsImffp∂p.

XobXn :

kn.Un.]n.H bpsS t]cv : H∏v: (Hm^okv ap{Z)

\º¿

tI-c-f km-aq-ly kp-c-£m an-j≥ F≥-tUm-kƒ-^m≥ ]≤-Xn {]-Im-c-ap-≈ hn-Zym-`ym-k [-\-k-lm-b-Øn-\p-≈ A-t]-£ 1. hn-Zym¿-∞n-bp-sS t]-cv ho´v-t]-cv ho-´v \-º¿,hm¿-Uv- \-º¿ ]-©m-b-Øv/ ap-\n-kn-∏m-en-‰n / tIm-¿-∏-td-j≥ Pn√

: : : : :

hn-Zym¿-∞n-bp-sS P-\-\-Øo-ø-Xnbpw h-b- pw : B¨ /s]¨

2. c-£-I¿-Øm-hn-s‚ t]cpw ta¬-hn-em-k-hpw

3. t^m¨ \-º¿

4. hn-Zym¿-∞n-bp-am-bp-≈ _-‘w

5. (a) hn-Zym¿-∞n ]Tn-°p-∂ kv-Iq-fns‚ t]-cv : (b) kvIq-fn-s‚ kz-`m-hw : (K-h¨-sa‚ v / F-bv-U-Uv / A¨-F-bv-UUv) 6. ]Tn-°p-∂ ¢m- v (2011˛12 A-≤ym-b-\ h¿jw) :

133

7. hn-Zym¿∞n / Ip-Spw-_mw-K-ß-fn¬ B-sc-¶n-epw B-tcm-Ky h-Ip-∏v \-SØn-b k¿-t∆-bpsS A-Sn-ÿm-\-Øn¬ Pn√m I-e-Œ¿ Aw-Ko-I-cn-® en-kv-‰n¬ (F≥-tU-kƒ-^m≥ _m-[n-X-cp-sS Iq-´-Øn¬)Dƒ-s∏-´XmtWm? : 8. hn-Zym¿-∞n F≥-tUm-kƒ-^m≥ Zpcn-X _m[n-X \-s√-¶n¬ F≥-tUm-kƒ-^m≥ _m-[n-X-cp-sS en-Ãn¬ Dƒ-s∏-´ hy-‡n-bp-sS t]cpw hn-Zym¿-∞n-bp-am-bp-≈ _-‘hpw: A-—≥ / A-Ω / k-tlm-Z-c≥ k-tlmZ-cn

k-Xy-{]-kv-Xm-h\ Rm≥ ..................................F-s‚ a-I≥/a-Iƒ .............................................F≥-tUm-kƒ-^m≥ Zp-cn-Xw _m-[n-® B-fm-sW-∂pw Sn-bm≥ / Sn-bmƒ............................................................................... (kv-Iqƒ)..................................... ¢m- n¬ ]Tn-°p-∂ hn-Zym¿-∞n-bmWv. ta¬ {]-kv-Xm-hn-® hn-h-c-ßƒ k-Xy-am-sW∂v C-Xn\m¬ km-£ys∏-Sp-Øn sIm-≈p∂p.

H∏v : t]-cv :

(B-^o-kv D-]-tbm-K-Øn-\v am-{Xw)

k-Xy-{]-ÿmh\

At]£bn¬ ]dbp∂ {]Imcw Ipamcn / amÃ¿ ....................................................................................................... ........................................................................................................................................................................................................... ............................................................................ F∂ Ip´n F≥tUmkƒ^m≥ ZpcnX _m[nX IpSpw_Ønse AwKamsW∂pw

F≥tUmkƒ^m≥

hnj_m[nX\msW∂pw

F≥tUmkƒ^m≥

ZpcnX

_m[nXcpsS enÃn¬ Dƒs∏ń´ps@∂pw Bhiyamb At\zjWw \SØn t_m[ys∏ń´p≈XmsW∂v km£ys∏SpØn sIm≈p∂p. Sn hnZym¿∞n ]≤Xn am\Zfißƒ°\pkcn®v B\pIqeyØn\v A¿l\mWv/A¿lbmWv. [\klmbw A\phZn°p∂Xn\v ip]m¿i sNbvXp sIm≈p∂p. ÿew :

H∏v :

XobXn :

t]cv : ....................... sF.kn.Un.Fkv. t{]mPIv‰v

kvIqƒ A[nIrXcpsS km£y]{Xw Ipamcn/amÃ¿.............................................................................................................................................................................. ............................................................................................................................................................................................. 2011˛12

134

A≤yb\h¿jØn¬ Cu kvIqfnse ..................................... ¢m n¬ ]Tn°p∂ hnZym¿∞nbmsW∂v km£ys∏SpØn sIm≈p∂p.

ÿew : XobXn :

H∏v : Hm^okv ap{Z:

t]cv :

kvIqfns‚ t]cv : .......................... Pn√ : Hm^okv t^m¨ \º¿ :

kmaqly kpc£m anj≥ FIvknIyq´ohv UbdIvSdpsS Xocpam\w ..............................................................................................................................................s‚/sS At]£bptSbpw a‰v k¿´n^n°‰pIfpsSbpw ASnÿm\Øn¬ ..................................................................................................................... ...................s‚/sS hnZym`ymkØn\v..................... /˛ cq] (............................................................... cq] am{Xw) 2011˛12 A≤yb\h¿jtØbv°p≈ hnZym`ymk [\klmbw A\phZn®ncn°p∂p.

XobXn :

H∏v : FIvknIyq´ohv UbdIvS¿

Im≥k¿ tcmKn-Iƒ°v s{Sbn≥ bm{Xm I¨k-j≥ Im≥k¿ tcmKn-Iƒ°v s{Sbn≥ bm{XmIq-en°v 100% hpw IqsS bm{X sNøp∂ Hcmƒ°v 50% hpw Cfhv \¬Ip-∂-Xn\v bm{Xm-]mkv A\p-h-Zn-°p-∂p. bm{Xm-]mkv e`n-°p-∂-Xn\v \n›nX amXrIbnep≈ At]£ ]qcn-∏n®v sdbn¬th tÃj≥ amÃ¿°v ka¿∏n-°-Ww. At]£tbm-sSm∏w Ce-£≥ Xncn-®-dn-b¬ Im¿Uv, tdj≥ Im¿Uv F∂n-h-bpsS ]I¿∏v, ]mkvt]m¿´v sskkv t^mt´m, Im≥k¿ tcmKn-Iƒ NnIn’ tXSp∂ Bip-]-{Xn-bn¬ \n∂p≈ saUn-°¬ k¿´n-^n°‰v F∂nh ka¿∏n-°-Ww. hcp-am\]cn-[n-bn-√. NnIn’ B¿.-kn.kn bn¬ \n∂m-sW-¶n¬ tlmkv]n-‰en-te°v At]£ Ab-°p∂ apd°v sdbn¬th-]mkv e`y-am-°p-∂-Xm-Wv.

135

RAILWAY CONCESSION CERTIFICATE Form of the purpose of issue of Railway Concession to Cancer Patients To be signed by the OFFICER-IN-CHARGE of the CANCER HOSPITAL/INSTITUTE/CLINIC

This is to certify that Sri/Smt……………………...............................…………………………………………. ……………………………………………………………............…Hospital No……..........…………………. Whose particulars are furnished below is a bonafied cancer patient and is required to travel from………………………............................…Station to ………………….................………….. Station with one attendant.

For periodical check-up after re-examination at………………………………………….. (a) Age…………….years (b) Sex……………………….. (c ) Personal identification Marks:

136 Signature or Lefthand Thumb Impression of the Cancer patient

Station Date

Signature of the Officer- In- Charge of the Clinic

1 The certificate is valid for one month from the date of issue. 2. No alteration in the form is permitted unless attested by the issuing officer valid 3. Certificate should be issued to patients only for travellong from and to stations serving the place of his residence in and from the stations servicing the Hospital/Institute/Clinic.

137

138

cmjv{Sob kzmÿy _oa tbmP\ (RSBY) ka{K BtcmKy C≥jpd≥kv ]≤Xn (CHIS) _n.]n.F¬ IpSpw_ßƒ°v {]tXy-In®v AkwLSnX taJebnse sXmgnemfnIfpsS IpSpw-_-ß-fnse tcmK-_m-[n-X¿°v k¿°m¿ taJ-e-bn-epw, kzImcytaJ-e-I-fnepw KpW-\n-e-hm-c-ap≈ NnIn’ e£yam°nbp≈ tI{µk¿°m¿ ]≤XnbmWv RSBY kwÿm\k¿°mdns‚ enÃnep≈ Zcn{Zcmb IpSpw_ßtfbpw, F.]n.F¬ IpSpw_ßtfbpw tN¿Øp sIm≠v kwÿm\k¿°m¿ BhnjvIcn® C≥jpd≥kv ]≤XnbmWv CHIS. Cu c≠v ]≤XnIfnepw tNcp∂ IpSpw_ßƒ°v Htc XcØnep≈ B\pIqeyßfmWv e`n°pI. kwÿm-\Øv ]≤Xn \S-∏n-em-°p-∂Xv tImw{]-sl≥kohv sl¬Øv C≥jz-d≥kv GP≥kn, tIc-f (CHIAK) BWv ]≤XnbpsS B\pIqeyßƒ AwKamIp∂ IpSpw_Øn\v Hcp h¿jw 30000 cq] hscbp≈ NnIn’ sXcs™Sp°s∏´ k¿°m¿, C.Fkv.sF, tIm˛Hm∏td‰ohv, kzImcy Bip]{XnIfn¬ \n∂v kuP\yambn e`n°pw. Cu B\pIqeyw IpSpw_Øn\v samØØnep≈XmWv. IpSpw_\mYt\m, \mYbvt°m A]ISap≠mbm¬ C≥jpd≥kv Iº\n 50000/˛ cq] acWm\¥c klmbambn AhIminIƒ°v \¬Ip∂XmWv. 60% IqSpX¬ Xos]m≈¬ G‰m¬ NnIn’°mbn 50000/˛ cq] e`n°pw. Bip]{Xnbn¬ InSØn NnIn’ Bcw`n°p∂Xn\v Hcp Znhkw apºp≈Xpw, NnIn’ Ign™v UnkvNm¿Pv BbXn\v tijw 5 ZnhktØ°p≈ acp∂pIƒ Dƒs∏sSbp≈ XpS¿ NnIn’m sNehpIfpw Bip]{Xn hln°p∂XmWv. Hmtcm {]mhiyhpw Bip]{Xn NnIn’ Ign™pt]mIptºmƒ bm{XmsNehmbn 100/˛ F∂ tXmXn¬ Bip]{Xnbn¬ \n∂pw \¬Ip∂XmWv. Cu XpI Hcp h¿jw ]camh[n 1000/˛ cq]bmbncn°pw. Im¿Untbm-f-Pn, Hmt¶m-f-Pn, s\t{^mfPn tcmKn-Iƒ°v A[nI NnIn’mklmbw e`n-°pw. ]≤Xnbn¬ Dƒs∏´ AkpJßƒ 1.

Bip]{Xnbnse InSØn NnIn’°mWv B\pIqeyw

NpcpßnbXv 24 aWn°q¿ F¶nepw InSØn NnIn’ Bhiyamb AkpJambncn°Ww

H.]n NnIn’°v B\pIqeyw e`n°p∂X√.

]≤Xnbn¬ tNcptºmƒ \nehnep≈ AkpJßƒ°pw B\pIqeyw e`n°p∂XmWv.

]≤Xnbn¬ tNcp∂Xn\v {]mb]cn[n C√.

24 aWn°q¿ AUvanj≥ Bhiyan√mØ Ubmenknkv, IotamsXdm∏n, tdUntbj≥ Xnanc ikv{X{Inb F∂nh°v NnIn’m B\pIqeyw e`n°p∂XmWv.

]≤Xn {]Imcw B\pIqeyw e`n°mØ AkpJßƒ P≥a\m D≈ AkpJßƒ aZyw, ab°pacp∂v aqeap≈ AkpJßƒ ssewKnI tcmKßƒ h‘yXm NnIn’, {]Xntcm[ IpØnsh∏v, BﬂlXym{iaw. IpSpw_ßfpsS t^mt´m FSpØp Ignbptºmƒ e`n°p∂ kvam¿´v Im¿Uv \n¿_‘ambpw NnIn’°pt]mIptºmƒ sIm≠p t]mtI≠XmWv. Bip]{XnIfn¬ Cu tkh\w e`yamIp∂Xn\v {]XyIw sl¬]v sUkvIv

139

Bw BZvan _nam tbmP\ (AABY) A©v sk‚n¬ Xmsg am{Xw `qan-bp≈ ]mh-s∏´ {KmaoW IpSpw-_-ß-fpsS kmaqly kpc£ Dd-∏m-°p∂-Xn\p th≠n tI{µ-˛k#wÿm\k¿°m-cp-Iƒ 2008 apX¬ \S-∏n-em-°p∂ ]≤-Xn-bmWv Bw BZvan _nam tbmP-\.- sse^v C≥jz-d≥kv tIm¿∏-td-js‚ kl-I-c-W-tØm-sS-bmWv ]≤Xn \S-∏n-em-°p-∂-Xv. C≥jz-d≥kv ]cn-c-£bv°p ]pdta Hcp IpSpw-_-Ønse H≥]Xmw ¢mkp apX¬ πkv Sp hsc ¢mkp-Ifn¬ ]Tn-°p∂ c≠v Ipń-Iƒ°v {]Xn-amkw 100/˛ cq] {]Imcw hnZym-`ymk kvtImf¿jn∏v B\p-Iqeyw e`n-°p-∂p. ]≤-Xn-bpsS {]tbm-P-\-ßƒ 1 AwK-Øns‚ kzm`m-hnI ac-W-Øn\v 30000/˛cq] 2 A]-IS ac-W-Øn\v 75000/˛cq] 3 A]-ISw ae-ap-≠m-Ip∂ ]¿Æ AwK-ssh-I-ey-Øn\v 75000/˛ cq] 4 A]-I-S-Øn¬ c≠v IÆp-Ifpw Imep-Ifpw \jvS-∏w-´m¬ 75000/˛ cq] 5 A]-I-S-Øn¬ Hcp IÆpw Hcp Imepw \jvS-s∏-´m¬ 37000/˛ cq] 6 H≥]Xmw ¢mkp apX¬ πkv Sp hsc ¢mkp-I-fn¬ ]Tn-°p∂ c≠v Ipń-Iƒ°v {]Xn-amkw 100/˛ cq] Bh-iy-amb tcJ-Iƒ 1. \n¿±njvS t^md-Øn¬ A]£, 2. tdj≥ Im¿Uns‚ tIm∏n, 3. t]mfnkn k¿ń-^n-°‰v, 4. acWk¿ń^n-°‰v

140

141

km¥z\˛{]-hmkn Zpcn-Xm-izmk \n[n

142

{]hmkn Imcy hIp∏v a{¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂pw [\-k-lmbw A\p-h-Zn-bv°p-∂-Xn\p≈ ]≤-Xn. hntZ-iØv \n∂v XncnsI FØnb \n¿[-\-cmb {]hm-kn-Isf AXym-hiy L´-ß-fn¬ klm-bn-°p-∂-Xn-\p≈ k¿°m¿ t£a ]≤-XnbmWv, km¥z-\. Xmsg ]d-bp∂ Xc-Øn-ep≈ klm-b-ß-fmWv Cu ]≤Xn {]Imcw e`n-°p-∂-Xv. 1 hntZ-iØv tPmen sNbvX Bƒt°m, IpSpw-_mw-K-ßƒt°m Kpcp-Xc tcmK-ßƒ°v 20000/˛ cp] hsc NnIn’m [\-k-lamb 2 hntZ-iØv tPmen-bp-≠m-bn-cp∂ Bƒ ac-W-s∏-´m¬Ip-Spw-_mw-K-ßƒ°v ac-Wm-\-¥c sNe-hpIƒ°v 20000/˛cp] hsc [\-k-lmbw 3 hntZ-iØv tPmen-bp-≠m-bn-cp∂ BfpsS aI-fpsS hnhm-l-Øn\v 15000/˛ cq] [\-klmbw 4 ho¬ sNb¿/{I®kv/B¿ń-^n-jy¬ enw_v F∂nh hmßp-∂-Xn\v 1000/˛ cp] [\-k-lm-bw. hntZ-iØv tPmen Ign™v \mń-se-Øn-bm¬,-hn-tZ-iØv tPmen sNbvX Ime-b-f-hn\v B\p-]m-Xn-I-amb Ime-ssZ¿Lyw ]c-am-h[n 10 h¿jw CXn¬ GXmtWm Ipdhv F∂p IW-°m°n B\p-Iq-ey-Øn\v ]cn-KWn-°p-∂-Xm-Wv. At]-£-I≥ At]-£n-°p∂ ka-bØpw B\p-Iqeyw ssI∏-‰p∂ ka-bØpw hntZiØv tPmen-°m-c-\m-bn-cn-°-cp-Xv. ka¿∏n-t°≠ tcJ-Iƒ 1 ]mkvt]m¿´v, hnk 2 tdj≥Im¿Uv, Xncn-®-dn-b¬ Im¿Uv F∂n-h-bpsS km£y-s∏-Sp-Ønb ]I¿∏v 3 hcp-am-\-k¿ń-^n-°‰v Hdn-Pn-\¬(25000/˛ cp]-bn¬ Xmsg) 4 saUn-°¬ k¿ń^n°‰v/ saUn-°¬ _n¬ 5 hnhml [\-klmbØn\v( hnhml k¿ń-^n-°-‰v/_‘w sXfn-bn-°p∂ tcJ, hnhml £W°Øv 6 acW k¿ń-^n-°‰v (a-c-Wm-\-¥c klm-b-Øn-\m-bn) 7 ho¬ sNb¿/{I®kv/B¿ń-^n-jy¬ enw_v F∂nh hmßp-∂-Xn\v, Cu D]-I-c-W-ßƒ tcmKn°v Bh-iy-ap≠v F∂p≈ tUmIvS-dpsS k¿ń-^n-°-‰v, kma-{Kn-Iƒ hmßnb _n√v

{]-hmkn t£a-]-≤Xn ˛ t\m¿°˛dq´vkv sNb¿am≥ ^≠n¬ \n∂v klmbw {]hmkn ae-bm-fn-I-fpsS t£a-Øn\p th≠n t\m¿° dq´vkv aptJ\tIcf k¿°m¿ \S-∏n-em-°p∂ t£a ]≤-Xn-bm-Wn-Xv. t\m¿°˛dq´vkv sNb¿am≥ ^≠n¬ \n∂p≈ [\-k-lmb ]≤-Xn-bn-eqsS NnIn’mklmbw, acWm\¥cklmbw F∂nh \¬Inhcp∂p. km¥z\]≤Xn hgn [\klmbwe`n®h¿°v sNb¿am≥ ^≠v hgn B\p-Iqeyßƒ e`n°p∂X√. H∂n¬ IqSpX¬ XhW Cu ]≤Xnhgn klmbw e`n°p∂X√. t\m¿°˛dq´vkns‚ Xncph\¥]pcw, tImgnt°mSv, FdWmIpfw HmôkpIfn¬ At]£ \¬Imhp∂XmWv. At]£bn≥ta¬ At\zjWØn\v t\m¿°˛-dq´vkns‚ Hmôkn¬ \n∂v Adnbn°p∂ Znhkw t\cn´v lmPcmtI≠XmW.v lmPcmIptºmƒ At]£I≥tdj≥ Im¿Uv, hcpam\k¿ń^n°‰v, ]mkvt]m¿´v (hntZiØv t]mb h¿jw, Xncns®Ønb h¿jwF∂nh tcJs∏SpØnb t]PpIƒklnXw)F∂nh lmPcm°Ww. NnIn’mklmbØn\v At]£n°p∂h¿ AwKoIrX tUmIvS¿ km£ys∏SpØnb saUn°¬ k¿ń^n°‰v, NnIn’mtcJIƒ, saUn°¬ _n√pIƒ F∂nhbpw acWm\¥c klmbØn\mbn acWk¿ń^n°‰v, At]£Is‚/bpsS Xncn®dnb¬ Im¿Uv F∂nh lmPcm°Ww.

Norka Roots, Norka Centre, Near Govt. Guest House, Thycaud Thiruvananthapuram 695 014, Tele No: 2332416, 2332452

km¥z-\ [-\-klm-b ]-≤-Xn A-t]-£m- t^mdw 1

{]-hm-kn-bp-sS t]-cv (]mkv-t]m¿-´v {]-Im-cw Po-hn-®n-cn-∏n-s√-¶n¬ "Late' F-s∂-gpXpI)

ta¬-hn-em-kw (]n≥-tIm-Uv k-lnXw)

sSen-t^m¨ \-º¿

P-\-\-Xo-øXn, hb- v

\m-´n¬ tPm-en sN-øp-∂pt≠m? D-s≠-¶n¬ hn-i-Z-hn-hcw.

hn-tZi-Øv tPm-en sNbv-X cm-Py-ßƒ

A-t]-£Is‚ / A-t]-£-I-bp-sS ]m- v t]m¿-´v ssk-kv t^mt´m

Im-e-bf-hv ap-X¬˛hsc

143 7

]mkv-t]m¿-´v \-º¿˛Xoø-Xn

hn-tZi-Øv sN-bv-Xn-cp-∂- sXm-gn¬ I-º-\n-bp-sS t]-cv kv-t]m¨-k-dp-sS t]-cv a-‰v hn-i-Zmw-i-ßƒ

hn-tZi-Øv \n∂pw A-h-km-\-am-bn tI-c-f -Øn¬ h-∂ Xnø-Xn

{]-hm-kn a-c-W-s∏-s´-¶n¬ a-c-W-s∏-´ Xoø-Xn

A-t]-£I-s‚ Ip-Spw-_ hn-h-cßƒ :

Ip-Spw-_ hm¿jn-I h-cp-am-\w (hn-t√-Pv B-^o-k-dpsS k¿-´n-^n°-‰v \-ºcpw Xo-ø-Xnbpw)

t\man-\n-bmWv At]£ ka¿∏n-°p-∂-sX¶n¬ t]cv, {]hm-kn-bp-am-bp≈ _‘w

t\man-\n-bpsS hnemkw (]n≥tImUv kln-Xw) sSent^m¨ \-º¿ km¥z\ ]≤-Xn-bn¬ A\p-h-Zn-°p∂ klmbw kw_-‘n® hnh-c-ßƒ

A\p-tbm-Py-am-b-Xn\p t\sc

sNøpI

NnIn-’m-k-lmbw

acWm\¥c klmbw

hnhml [\klmbw

ho¬ sNb¿, {I®kv F∂nhbv°v.

Bh-iy-amb XpI

hni-Zmw-i-ßƒ

kXy{]ÿmh\)

144

ta¬∏d™ hkvXpXIƒ ]q¿Whpw kXyk‘hpamsW∂pw CXn\p ap≥]v km¥z\ ]≤-Xn-bn≥ Iogn¬ Hcp [\ klm-bhpw e`n-®n-´n-s√∂pw Cu At]-£-bpsS ta¬ t\m¿°-˛-dq´vkv FSp-°p∂ F√m Xocpam\ßfpw A\pkcn°msa∂pw Rm≥ km£ys∏SpØp∂p. XobXn : ÿew : (At]£Is‚ H∏v)

At]-£n-t°- hn[w t\m¿° dq´vkv \S-∏n-em-°n- h-cp∂ km¥z\m ]≤Xn hgn NnIn’mklmbw, acWm\¥c klmbw, hnhml[\klmbw, ho¬ sNb¿, {I®kv F∂nh hmßp∂Xn\p≈ klmbw F∂nh \¬Inhcp∂p. H∂n¬ IqSpX¬ XhW Cu ]≤Xn hgn klmbw e`n°p∂X√. t\m¿°m dqńs‚ Xncph\¥]pcw, tImgnt°mSv, FdWmIpfw HmôkpIfn¬ At]£ \¬Imhp∂XmWv. At]£bn≥ta¬ At\zjWØn\v t\m¿° dq´vkns‚ Hmôkn¬ \n∂v Adnbn°p∂ Znhkw t\cn´v lmPcmtI-≠XmWv. t\cn´p≈ At\zjWØn\v lmPcmIptºmƒ At]£I≥ s]mXphmbn tdj≥ Im¿Uv, hcpam\ k¿ń^n°‰v, ]m vt]m¿´v (hntZiØv t]mb h¿jw, Xncns®Ønb h¿jw F∂nh tcJ-s∏-Sp-Ønb t]PpIƒ kln-Xw) F∂nh lmP-cm-°-Ww. NnIn’m klmbØn\v At]-£n-°p-∂-h¿ AwKo-IrX tUmIvS¿ km£y-s∏-Sp-Ønb saUn°¬ k¿ń^n°‰v, NnIn’m tcJIƒ, saUn-°¬ _n√p-Iƒ F∂n-hbpw acWm¥c klmbØn\mbn acWk¿ń^n°‰v, At]£Is‚/bpsS Xncn®dnb¬ Im¿Uv, hnhml [\klmbØn\mbn hnhml]{XnI, _‘w sXfnbn°p∂ k¿ń^n°‰v, ho¬ sNb¿ {I®kv F∂nh hmßp∂Xn\v tUmIvSdpsS \n¿t±iw ImWn°p∂ k¿ń^n°‰v, hmßnb _n√ns‚ tIm∏n F∂nh lmPcm°Ww. ka¿∏n°p∂ F√mtcJIfpsSbpw lmPcmt°-XmWv.

Hmtcm

tIm∏nbpw

\S- ] - S n- { I- a - ß ƒ

Ffp- ∏ - a m- ° p- ∂ - X n\v

NORKA ROOTS, Norka Centre, Near Govt. Guest House, Thycaud, Thiruvananthapuram – 695014 Phone: 0471-2332416, 2332452, Fax: 0471-2326263, e-mail: mail@norkaroots.net URL:www.norkaroots.net

t\m¿°˛dq´vkv sNb¿-am≥ ^≠v-v [\-k-lm-bØn\p-ff At]£

A-t]-£Is‚ / A-t]-£-I-bp-sS ]m- vt]m¿-´v ssk-kv t^mt´m

1. {]hmknbpsS t]cv (]mkvt]m¿´nteXpt]mse)

2. ta¬hnemkw (]n≥tImUv klnXw) 3. sSent^m¨ \º¿ 4. P\\ØobXn, hb-kv 5. \m´n¬ tPmen sNøp∂pt≠-m? Ds≠-¶n¬ hniZhnhcw hntZiØv tPmensNbvX cmPyßƒ

Imebfhv apX¬ ˛ h-sc

145

7. ]mkvt]m¿´v \º¿ ˛ XobXn

hntZiØv sNbvXncp∂ sXmgn¬ Iº\nbpsS t]-cv 8. kvt]m¨kdpsS t]cv a‰p hniZmwißƒ

9. hntZiØp\n∂pw Ahkm\ambn tIcfØn¬ h∂ XobXn 10. {]hmkn acWs∏s´¶n¬ acWaS™ XobXn 11. At]£Is‚ IpSpw_hnh-cßƒ:

12. IpSpw_ hm¿jnI hcpam\w (hnt√Pv B^okdpsS k¿´n^n°‰v \ºcpw XobXnbpw) 13. t\man\nbmWv At]£ ka¿∏n°p∂sX¶n¬ t]cv, {]hmknbpambp≈ _‘w 14. t\man\nbpsS hnemkw (]n≥tImUv klnXw) sSent^m¨ \º¿ sNb¿am≥ ^≠-v A\phZn°p∂ klmbw kw_‘n® hnhcßƒ A\ptbmPyambXn\p t\sc sNøpI

Bhiyamb XpI

hniZmwißƒ

NnIn’mklmbw

2 acWm\¥c klm-bw

kXy{]kvXmh\ ta¬∏d™ hkvXpXIƒ ]q¿Whpw kXyk‘hpamsW∂pw CXn\v ap≥]v km¥z\ ]≤Xn /sNb¿am≥ ^-n\v Iogn¬ Hcp [\klmbhpw e`n®n´ns√∂pw Cu At]£bpsS ta¬ t\m¿°˛dq´vkv FSp°p∂ F√m Xocpam\ßfpw A\pkcn°msa∂pw Rm≥ km£ys∏SpØp∂p

146

XobXn: ÿew: ( At]£Is‚ H∏v)

At]£nt°≠ hn[w t\m¿°˛dq´vkv sNb¿am≥ ^-n¬ \n∂p≈ [\-k-lmb ]≤-Xn-bn-eqsS NnIn’mklmbw, acWm\¥cklmbw F∂nh \¬Inhcp∂p. km¥z\ ]≤Xn hgn [\klmbw e`n®h¿°v sNb¿am≥ ^-v hgn B\p-Iqeyßƒ e`n°p∂X√. H∂n¬ IqSpX¬ XhW Cu ]≤Xn hgn klmbw e`n°p∂X√. t\m¿°˛dq´vkns‚ Xncph\¥]pcw, tImgnt°mSv, FdWmIpfw HmôkpIfn¬ At]£ \¬Imhp∂XmWv. At]£bn≥ta¬ At\zjWØn\v t\m¿°˛-dq´vkns‚ Hmôkn¬ \n∂v Adnbn°p∂ Znhkw t\cn´v lmPcmtI-XmWv lmPcmIptºmƒ At]£I≥ tdj≥ Im¿Uv, hcpam\ k¿ń^n°‰v, ]mkvt]m¿´v (hntZiØv t]mb h¿jw, Xncns®Ønb h¿jw F∂nh tcJs∏SpØnb t]PpIƒ klnXw)F∂nh lmPcm°Ww. NnIn’mklmbØn\v At]£n°p∂h¿ AwKoIrX tUmIvS¿ km£ys∏SpØnb saUn°¬ k¿ń^n°‰v, NnIn’mtcJIƒ, saUn°¬ _n√pIƒ F∂nhbpw acWm\¥cklmbØn\mbn acWk¿ń^n°‰v, At]£Is‚/bpsS Xncn®dnb¬ Im¿Uv F∂nh lmPcm°Ww. Norka Roots, Norka Centre, Near Govt. Guest House, Thycaud Thiruvananthapuram – 695014 Tele No: 2332416, 2332452 Fax: 91 471 2326263, e mail: mail@norkaroots.net URL: www.norkaroots.net

ImcpWyw ˛{]-hmkn t£a-]-≤Xn hntZ-iØv Bbn-cnt° ac-W-s∏-´-bm-fpsS arX-tZlw \mń-te°v sIm≠p-h-cp-∂-Xn\v [\-k-lmbw \¬Ip∂ ]≤Xn. ka¿∏n-t°-≠ tcJ-Iƒ {]hm-kn-Im-e-b-fhv sXfn-bn-°p-∂-Xn\v {]hm-kn-bpsS d±v sNbvX ]m v-t]m¿ńs‚ hnk ]Xn® t]Pp-I-fpsS Kk-‰Uv Hm-ô-k¿ km£y-s∏-Sp-Ønb ]I¿∏v, acW k¿ń-^n-°‰ns‚ km£y-s∏-Sp-Ønb ]I¿∏v, arX-tZlw sIm≠p hcp-∂-Xnte°v Bh-iyamb]Ww ÿm]-\tam kvt]m¨ktdm sNe-hm-°n-bn-ń√ F∂v AXXv Fw_ n/ tIm¨kte‰v km£y-s∏-Sp-Ønb tcJ, tPmen sNbvXn-cp∂ ÿm]-\-Øn¬\n∂p≈ k¿ń-^n-°-‰v. arX-tZlw sIm≠p hcp-∂-Xn-te°v sNe-hn´ ]Ww kw-_‘n® _n√p-Iƒ, arX-tZlwsIm≠p hcp-∂Xpambn _‘-s∏´ F√m sNe-hp-Ifpw At]-£-I≥ Xs∂-bmWv hln-®Xv F∂p sXfn-bn-°p∂ Kk‰Uv Hm-ô-k¿ km£y-s∏-Sp-Ønb tcJ. At]-£-I≥/At]-£-Ibv°v {]hm-kn-bp-am-bp≈ _‘w sXfn-bn-°p∂ tcJbpsS km£y-s∏-Sp-Ønb ]I¿∏v, {]hm-kn-bpsS \nb-a-]-c-amb Ah-Im-in-bmWv F∂v sXfn-bn-°p∂Ah-Imi k¿ń-^n-°ns‚ km£y-s∏Sp-Ønb ]I¿∏v, Xncn-®-dn-b¬ tcJbpsS km£ys∏-Sp-Ønb ]I¿∏v, ImcpWyw ]≤Xn hgn kmº-ØnI klm-b-Øn-\mbn FSpØhm¿jnI hcp-am\k¿ń-^n-°-‰ns‚ A ¬ * ka¿∏n°p∂ F√m tcJIfpsSbpw Hmtcm tIm∏nbpw \S]Sn{Iaßƒ Ffp∏am°p∂Xn\v lmPcmt°-XmWv. Norka Roots, Norka Centre, Thycaud, Near Govt. Guest House, Thiruvananthapuram 695014

P\\n kpc£ tbmP\ ˛ {]kh [\-k-lmbw Zmcn{Zy tcJbv°p Xmsg-bp≈ kv{XoIƒ°v BZysØ c≠v {]k-h-ßƒ°v [\-k-lmbw \¬Ip∂ k¿°m¿ ]≤-Xn. {KmaoW taJ-e-bn-ep≈ kv{XoIƒ°v k¿°m¿/ k¿°m¿ AwKo-IrX Bip-]-{Xn-bn¬ h®p \S-°p∂ {]k-h-Øn\v 700/˛ {]Imcw A\p-h-Zn-°p-∂p. \K-c-{]-tZ-i-ßfnep≈ kv{XoIƒ°v k¿°m¿/ k¿°m¿ AwKo-IrX Bip-]-{Xn-bn¬ h®p \S-°p∂ {]k-h-Øn\v 600/˛ {]Imcw A\p-h-Zn-°p-∂p. ]ń-I-PmXn /]ńI h¿§ kv{XoIƒ°v hcp-am\]cn[n t\m°msX 700/˛ cp] {]Imcw A\p-h-Zn-°p-∂p. hoń¬ h®p \S-°p∂ {]k-h-Øn\v 500/˛cp] {]Imcw A\p-h-Zn-°p-∂p. {]k-h-tØm-S-\p-_-‘n-®p≈ bm{Xm-sN-e-hn\v 300/˛cp] {]Imcw \¬Ip-∂p. At]-£-Iƒ Bim {]h¿Ø-I¿ hgn ka¿∏n-°m-hp-∂-Xm-Wv.

P\\n inip kpc£m Imcy{Iw (JSSK) kv{XoI-fp-sSbpw Ip´n-I-fp-sSbpw Btcm-Kyhpw kpc-£bpw Dd∏m-°p-∂-Xn\p th≠n tI{µ BtcmKy IpSpw-_-t£a a{¥m-ebw \S-∏n-em-°p∂ ]≤-Xn-bmWv.P-\\n inip kpc£m Imcy-{Iw.-\m-[m-cW {]kh-Øn-\m-bmepw kntk-dn-b≥ Bbmepw XnI®pw kuP-\y-amb NnIn-’-bmWv Cu ]≤Xn {]Imcw K¿`nWn-Iƒ°v e`y-am-°p-∂-Xv. P\n®v 30 Znhkw hsc \h-PmX inip-°ƒ°v D≠m-Ip∂ Akp-J-ßƒ°pw Cu ]≤Xn {]Imcw kuP\y NnIn’ e`n-°p-∂p. {]tXy-I-X-Iƒ bmsXmcp kmº-Øn-I- sN-e-hp-Ifpw C√msX, Xn-I-®pwkuP\yamb {]khw P\n®v 30 Znhkw hsc \h-PmX inip-°ƒ°v D≠m-Ip∂ Akp-J-ßƒ°pw kuP\y NnIn-’. acp-∂p-Ifpw a‰v Ah-iy-km-[-\-ßfpw XnI®pw kuP-\yw. ¢n\n-°¬ ]cn-tim-[-\-Iƒ F√mw kuP-\y-ambn sNøp-∂p.B-ip-]-{Xn-bn¬ InS-°p∂ Znh-k-ß-fn¬ kuP\y `£-Ww.

147

148

149

150

ka¿∏n-t°-≠ tcJ-Iƒ {]hm-kn-Im-e-b-fhv sXfn-bn-°p-∂-Xn\v {]hm-kn-bpsS d±v sNbvX ]m v-t]m¿ńs‚ hnk ]Xn® t]Pp-IfpsS Kk-‰Uv Hm-ô-k¿ km£y-s∏-Sp-Ønb ]I¿∏v, acW k¿ń-^n-°‰ns‚ km£y-s∏-Sp-Ønb ]I¿∏v, arX-tZlw sIm≠-p hcp-∂-Xnte°v Bh-iy-amb ]Ww ÿm]-\tam kvt]m¨ktdm sNe-hm°n-bn-ń√ F∂v AXXv Fw_ n/tIm¨kte‰v km£y-s∏-Sp-Ønb tcJ, tPmen sNbvXn-cp∂ ÿm]\-Øn¬\n∂p≈ k¿ń-^n-°-‰v. arX-tZlw sIm≠-p hcp-∂-Xn-te°v sNe-hn´ ]Ww kw-_‘n® _n√pIƒ, arX-tZlw sIm≠-p hcp-∂-Xpambn _‘-s∏´ F√m sNe-hp-Ifpw At]-£-I≥ Xs∂-bmWv hln®Xv F∂p sXfn-bn-°p∂ Kk-‰Uv Hm-ô-k¿ km£y-s∏-Sp-Ønb tcJ. At]-£-I≥/At]-£-Ibv°v {]hm-kn-bp-am-bp≈ _‘w sXfn-bn-°p∂ tcJbpsS km£y-s∏-Sp-Ønb ]I¿∏v, {]hm-kn-bpsS \nb-a]-c-amb Ah-Im-in-bmWv F∂v sXfn-bn-°p∂ Ah-Imi k¿ń-^n-°ns‚ km£y-s∏-Sp-Ønb ]I¿∏v, Xncn-®-dn-b¬ tcJbpsS km£ys∏-Sp-Ønb ]I¿∏v, ImcpWyw ]≤Xn hgn kmº-ØnI klm-b-Øn\mbn FSpØ hm¿jnI hcp-am\ k¿ń-^n-°-‰ns‚ A ¬. * ka¿∏n°p∂ F√m tcJIfpsSbpw Hmtcm tIm∏nbpw \S]Sn{Iaßƒ Ffp∏am°p∂Xn\v lmPcmt°-XmWv. Norka Roots, Norka Centre, Thycaud, Near Govt. Guest House, Thiruvananthapuram – 695014 Tele No: 0471-2332416, 2332452 Fax: 91 471 2326263, e mail: mail@norkaroots.net URL: www.norkaroots.net

151

cPnÃ¿ \w.

kmaqly \oXn hIp∏v tIcf kmaqly kpc£m anj≥ kamizmkw ]≤Xn

Ubmenknkv tcmKnIƒ°v [\klmbØn\p≈ At]£m t^mdw (_n.]n.F¬ hn`mKØn¬s∏Sp∂ ÿncw Ubmenknkv sNøp∂h¿ am{Xw At]£n°pI) 1. At]£Is‚ t]cv

: : :

3. t^m¨ \º¿, : em‚ v t^m¨/samss_¬

4. At]£Is‚ hb pw, P\\XobXnbpw

5. kv{Xotbm/]pcpjt\m

152

6. tcmKn _n.]n.F¬ IpSpw_mwKamtWm : (Xt±i kzbw`cW ÿm]\Øn¬ \n∂pff _n.]n.F¬ km£y]{Xw/Kk‰Uv B^ok¿ A‰Ãv sNbvX _n.]n.F¬ tdj≥Im¿Uv F∂nh lmPcm°pI) 7. Ct∏mƒ Ubmenknkv sNøp∂ tI{µw (F). NnIn¬kn°p∂ tUmIvS¿

: :

8. Ubmenknkv Bcw`n® XobXn : (F). amkØn¬ F{X XhW Ubmenknkv sNtø≠-n hcp∂p : 9. (F). _m¶v A°u≠-v \º¿ : (]mkv_p°ns‚ BZysØ t]Pns‚ ]I¿∏v) (_n) _m¶ns‚ t]cv

(Un). sF.F^v.Fkv. tImUv \º¿

10. B[m¿ \º¿/ B[m¿ cPnkvt{Sj≥ \º¿ :

kXy{]kvXmh\ ta¬]d™ Imcyßƒ Fs‚ Adnhnepw t_m[ØnepwkXyamsW∂pw Rm≥ Ubmenknkn\v hnt[bambn Ignbp∂ tcmKnbmsW∂pw CXn\m¬ t_m[ys∏SpØns°mffp∂p.

ÿew : XobXn:

At]£Is‚ t]cpw H∏pw.

iniphnIk\]≤Xn B^okdpsS At\zjW dnt∏m¿´v

{io/ {ioaXn/ Ipamcn ........................................................................................ ka¿∏n® At]£bpw A\p_‘ tcJIfpw ]cntim[n°pIbpw At]£bnt∑¬ Bhiyamb At\zjWw \SØpIbpw D-≠mbn. Snbm≥/ Snbmƒ amkØn¬ ........... XhW Ubmenknkn\v hnt[bambn hcp∂Xmbn At\zjWØn¬ a\ nem°nbn´p≠-v. _n.]n.F¬ IpSpw_mwKamb Snbm\v/ Snbmƒ°v \nehnse ]≤Xn am\Zﬁ {]Imcw [\klmbØn\v A¿lXbpffXn\m¬ {]kvXpX [\klmbØn\v ip]m¿i sNbvXp sImffp∂p. H∏v : t]cv : B^okv ap{Z

................................................ sF.kn.Un.Fkv. t{]mPIvSv ............................................................................................... Pn√ B^okv t^m¨ \º¿ .........................................................

ÿew :

153

XobXn :

tIcf kmaqly kpc£m anj≥ FIvknIyq´ohv UbdIvSdpsS Xocpam\w

{io/ {ioaXn/ Ipamcn ......................................................................... F∂bmƒ°v ........................................ (................................................................................................. cq]) am{Xw

..............amkw apX¬ {]Xnamk

[\klmbw A\phZn®ncn°p∂p.

cPnÃ¿ \º¿ : XobXn :

FIvknIyq´ohv UbdIvS¿

(At]£I¿ Cu t]Pns‚ t^mt´mÃm‰v FSpØv kq£n°pI)

am¿§\n¿t±ißƒ 1. At]£I≥ amkØnsemcn°se¶nepw ÿncambn Ubmenknkn\v hnt[bcmIp∂ _n.]n.F¬ IpSpw_mwKambncn°Ww. 2. At]£m ^mdØnt\msSm∏apff saUn°¬ k¿ń^n°‰ns‚ \n›nX t^mdØn¬ k¿°m¿/ kzImcy Bip]{Xnbnse hr°tcmK hnZKv[\n¬ \n∂pw k¿ń^n°‰v hmßn At]£tbmsSm∏w tN¿t°-≠XmWv. 3. At]£Is‚ sse^v k¿ń^n°‰pw XpS¿NnIn’m k¿ń^n°‰pw k¿°m¿/ kzImcy Bip]{Xnbnse hr°tcmK hnZKv≤\n¬ \n∂pw tiJcn®v 6 amkØnsemcn°¬ Cu ImcymebØn¬ ka¿∏nt°≠XmWv. 4. At]£Is‚ t]cn¬ \mjWssekvUv _m¶n¬ Bcw`n°p∂ _m¶v A°u≠-v \º¿, _m¶ns‚ t]cv, {_m©ns‚ t]cv, IFS tImUv \º¿ F∂nh At]£bn¬ \n¿_‘ambpw tcJs∏SpØWw. 5. At]£I≥ Ubmenknkv Bcw`n® XobXn sXfnbn°p∂Xn\mbn Ubmenknkv tcJs∏SpØp∂ _p°ns‚ ]I¿∏v saUn°¬ Bôk¿ km£ys∏SpØn ka¿∏nt°-≠XmWv.

154

6. At]£bn¬ Bhiyamb apgph≥ hniZmwißfpw tN¿Øv iniphnIk\ ]≤Xn Bôk¿°v ka¿∏n°Ww. 7. amkØn¬ Hcp {]mhiysa¶nepw Ubmenknkn\v hnt[bcmIp∂h¿°v am{Xta [\klmbØn\v A¿lXbp-mbncn°pIbpffq. 8. sse^v k¿ń^n°‰pw XpS¿ NnIn’m k¿ń^n°‰pw anjs‚ Xncph\¥]pcw Bÿm\ Bôknte°v t\cn´v Ab®p Xtc≠-XmWv. hnemkw NphsS tN¿°p∂p. 9. At]£Iƒ kw_‘n®p≈ tN¿t°≠XmWv.

F√m

IØnS]mSpIfnepw

cPnÃ¿

10. B[m¿ Im¿Uv e`n®h¿ BbXns‚ t^mt´mÃm‰v AS°w sNøWw. hnemkw : FIvknIyq´ohv UbdIvS¿, tIcf kmaqly kpc£m anj≥, c-≠mw\ne, htbmP\]I¬ ]cn]me\tI{µw, ]qP∏pc, Xncph\¥]pcw ˛ 695012

\º¿

\n¿_‘ambpw

Acknowledgment Form Ãmºv

cPnÃ¿ \w. (At]£I≥ H´n-t°-≠Xv)

kamizmkw ]≤Xn [\klmbØn\v th-≠n Xm¶ƒ ka¿∏n® At]£ ]cntim[n®Xn¬ .................................XobXn

apX¬

B\pIqeyØn\v

A¿l\msW∂dnbn°p∂p.

taen¬

B^okpambn _‘s∏Sptºmƒ apIfn¬ tcJs∏SpØnbncn°p∂ cPnÃ¿ \º¿ \n¿_‘ambpw tcJs∏SptØ-≠XmWv. kamizmkw ]≤Xn [\klmbØn\v th-n Xm¶ƒ ka¿∏n® At]£ ]cntim[n®Xn¬ \nehnse ]≤Xn

am\Zﬁ

{]Imcw...................................................................................................................ImcWØm¬

Xm¶ƒ°v [\klmbØn\¿lX ImWp∂n√. AXn\m¬ Xm¶fpsS At]£ \nckn®Xmbn Adnbn°p∂p.

155 FIvknIyq´ohv UbdIvS¿, sI.Fkv.Fkv.Fw

At]£Is‚ t]cpw ]q¿Æamb ta¬ hnemkhpw (At]£I≥ tcJs∏SptØ≠-Xv)

(At]£I¿ Cu t]Pns‚ t^mt´mÃm‰v FSpØv kq£n°pI)

photograph

Medical Certificate Certified that (Name and Address of Patient)......................................................................................... ................................................................................................................................................................ is undergoing regular dialysis for (Specify Diagnosis).......................................................................... ................................................................................................................................................................ Frequency of Dialysis per month is around .......................................................................................... And he / she requires regular dialysis for.........................................month / years/ lifelong. Place : Date : Seal.

156

Signature : Name: Reg. No: Name of Hospital & Designatio:. BZy At]£I¿°v tijw Hmtcm Bdv amkØnepw ]qcn∏n®v \¬tI≠-Xv

Medical Certificate and Life Certificate Certified that (Name and Address of the Patient)................................................................................... ................................................................................................................................................................ is undergoing regular dialysis and he / she is alive on this day ............/............month of 20......... and he/she requires further regular dialysis for ................................ month / year. He undergone Renal Transplantation on ............... (date, month and year) . Place : Date : Seal.

Signature : Name: Designation: Reg. No: Name of Hospital :