Kerala Government - Distress Relief and Assistance To The Poor - Vazhivilakku Uploaded by T James Joseph, Adhikarathil, Kumaranalloor, Kottayam (Deputy Collector Alappuzha)

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 hne-

Iq-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\]e-
Im-c-W-ß-fmepw InS-∏n-em-Ip-∂-Xn-\m¬ km[m-c-W-Po-hnXw Zpcn-X-]q¿Æ-
ambn 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-b-
ßfpw 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∂n-
ßs\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-l-
tØmsS \ne-hn¬ hnhn[ hIp-∏p-I-fn-eqsS k¿°m¿ \S-∏n-em-°p∂ B\p-
Iq-ey-ßsf Ipdn®pw klm-b-ß-sf-°p-dn®pw ]c-am-h[n hnh-c-ßƒ tiJ-
cn®v Hcp ]pkvXI cq]-Øn¬ Xøm-dm-°n-bn-cn-°p-I-bm-Wv. hnhn[ klm-b-
ßƒ kw_-‘n® eLp-hmb hnh-cWw, At]-£m-t^m-d-ß-fpsS amXr-I-
Iƒ, saUn-°¬ k¿ń-^n-°-‰p-I-fpsS amXr-I-Iƒ F∂n-h-sb√mw ]I¿∏p-
Iƒ FSpØv D]-tbm-Kn-°m-hp-∂-X-c-Øn¬ CXn¬ Dƒs∏-Sp-Øp-hm≥ Ign-
bm-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≥ 8
CµncmKm‘n tZiob hm¿≤IyIme s]≥j≥ (At]£m t^mdw) 9, 10
hnIemwKs]≥j≥ 8
am\-knI sh√p-hnfn t\cn-Sp-∂-h¿°p≈ s]≥j≥ (At]£m t^mdw) 11, 12
imco-cnI sh√p-hnfn t\cn-Sp-∂-h¿°p≈ s]≥j≥ (At]£m t^mdw) 13, 14
I¿jI sXmgnemfn s]≥j≥ 15
I¿jI sXmgnemfn s]≥j≥ (At]£m t^mdw) 16, 17
hn[hms]≥j≥ 15
hn[hms]≥j≥, hn-hm-l-tam-Nn-X¿°p≈ s]≥j≥ (At]-£m-t^mdw) 18, 19
km[p°fmb hn[hIfpsS s]ä°ƒ°p≈ hnhml [\klmbw 20
km[p°fmb hn[hIfpsS s]ä°ƒ°p≈ hnhml [\klmbw (A-t]£m t^mdw) 21, 22
Ahn-hm-ln-X-cmb 50 hb- n\v apI-fn-ep≈ kv{XoIƒ°v s]≥j≥ 20
Ahn-hm-ln-X-cmb 50 hb- n\v apI-fn-ep≈ kv{XoIƒ°v s]≥j≥ (A-t]£m t^mdw) 23, 24
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 25
hnI-emwK¿°v saUn-°¬ k¿ń-^n-°-‰pw Xncn-®dnb¬ Im¿Upw (A-t]£m t^mdw) 26, 27
hnIemwK Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ [\-k-lmbw 25
hnI-emwK Zpcn-Xm-izm-k-\n-[n-bn¬ \n∂pw [\-k-lmbw (A-t]£m t^mdw) 28
Zmcn{Zy tcJbv°v Xmsg-bp≈ hnI-emw-K- s]Ïp-ń-bpsS hnhm-l-Øn\v [\-k-lmbw 25
Zmcn{ZytcJbv°v Xmsg-bp≈ hnI-emw-K-s]Ïp-ń-bpsS hnhm-l-[\-k-lmbw (A-t]£m t^mdw) 29, 30
hnI-emw-K¿, A‘¿, _[n-c-¿ F∂n-h¿°v kzImcy _kp-I-fn¬ bm{Xm ]mkv 31
hnI-emw-K¿°v KSRTC _kp-I-fn¬ bm{Xm ]mkv 31
_p≤n-am-µy-ap-≈-h¿°v KSRTC _kp-I-fn¬ bm{Xm]mkv 31
hnI-emw-K¿,- A-‘¿,- _-[n-c¿ F∂n-h¿°v kzIm-cy-_-kp-I-fn¬ bm{Xm-]mkv (A-t]£m t^mdw) 32
hnI-emw-K¿°v KSRTC _kp-I-fn¬ bm{Xm ]mkv (A-t]£m t^mdw) 33
_p≤n-am-µy-ap-≈-h¿°v KSRTC _kp-I-fn¬ bm{Xm]mkv (A-t]£m t^mdw) 34, 35
hnI-emw-K¿°v klmb D]-I-cWw (kw-ÿm\hnI-emwK tIm¿∏-td-j≥ aptJ\) 36
hnI-emw-K¿°v klmb D]-I-cWw (A-t]£m t^mdw) 37
hnI-emw-K¿ \S-Øp∂ sXmgn¬ kwcw-`-ßƒ°v [-\-k-lmbw (_m¶v tem¨-˛-k-_vkn-Un) 36
hnI-emw-K¿ \S-Øp∂ sXmgn¬ kwcw-`-ßƒ°v [-\-k-lmbw (A-t]£m t^mdw) 38
hnI-emw-K¿°v b{¥-h¬IrX ap®{I hml-\-Øn\v k_vknUn 36
hnI-emw-K¿°v b{¥-h¬IrX ap®{I hml-\-Øn\v k_vknUn (A-t]£m t^mdw) 39
hnI-emw-K-cmb tem´dn GP‚p-am¿°p≈ [\-k-lmbw 36
hnI-emw-K-cmb tem´dn GP‚p-am¿°p≈ [\-k-lmbw (A-t]£m t^mdw) 40
hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) 41
hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-t]£m t^mdw) 42, 43
hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 1) 44
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) 94, 95
Akw-L-SnX taJ-e-bnse sXmgn-em-fn-Iƒ°v NnIn’m klmbw 96
Akw-L-SnX taJ-e-bnse sXmgn-em-fn-Iƒ°v NnIn’m klmbw (A-t]£m t^mdw) 97, 98
a‰v Hmô-kp-Iƒ aptJ\ e`n-°p∂ [\klmbßƒ
skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿ 99
skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿ (A-t]£m t^mdw) 100, 101, 102,103
cmjv{Snb BtcmKy \n[n (Rashtriya Arogya Nidhi) 104
cmjv{Snb BtcmKy \n[n (Rashtriya Arogya Nidhi) (A-t]£m t^mdw) 105, 106
ImcpWy _\-h-e‚v kvIow 107, 108
ImcpWy _\-h-e‚v kvIow (A-t]£m t^mdw \º¿ 1) 109, 110
ImcpWy _\-h-e‚v kvIow (A-t]£m t^mdw \º¿ 2) 111, 112
ImcpWy _\-h-e‚v kvIow (A-t]£m t^mdw \º¿ 3) 113,114
ImcpWy _\-h-e‚v kvIow (Expenditure Statement) 115
ImcpWy _\-h-e‚v kvIow (Utilization Certificate) 116, 117
{ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ 118
{ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A-t]£m t^mdw) 119, 120, 121
{ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A\p-_‘w 1) 122
{ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (k-Xy-hm-Mvaq-ew) 126˛130
kvt\l km¥z\w ]≤Xn˛ F≥tUm-kƒ^m≥ _m[n-X¿°p≈ ]≤Xn 118
kvt\l km¥z\w ]≤Xn ˛F≥tUm-kƒ^m≥ _m[n-X¿°p≈ ]≤Xn (A-t]£m t^mdw) 131, 132
F≥tUm-kƒ^m≥ _m[n-X-cmb hnZym¿∞n-Iƒ°v hnZym`ymk klmbw 118
F≥tUm-kƒ^m≥ _m[n-X-cmb hnZym¿∞n-Iƒ°v hnZym`ymk klmbw (A-t]£m t^mdw) 133, 134
F≥tUm-kƒ^m≥ _m[n-X¿°p≈ {]Xn-amk s]≥j≥ ]≤Xn 118
Im≥k¿ tcmKn-Iƒ°v s{Sbn≥ bm{Xm I¨k-j≥ 135
Im≥k¿ tcmKn-Iƒv/A‘¿/hn-I-emw-K¿ F∂nh¿°v s{Sbn≥ bm{Xm I¨k-j≥ (k¿ń-^n-°-‰v) 136, 137, 138
ka{K BtcmKy C≥jpd≥kv ]≤Xn (RSBY) & (CHIS) 139
Bw BZvan _nam tbmP\ (AABY) 140
Bw BZvan _nam tbmP\ (AABY) (A-t]£m t^mdw) 141
km¥z\˛{]-hmkn Zpcn-Xm-izmk \n[n 142
km¥z\˛{]-hmkn Zpcn-Xm-izmk \n[n (A-t]£m t^mdw) 143,144
{]-hmkn t£a-]-≤Xn ˛ t\m¿° dq´vkvsNb¿am≥ ^≠n¬ \n∂v klmbw 142
{]-hmkn t£a-]-≤Xn ˛ t\m¿° dq´vkvsNb¿am≥ ^≠n¬ \n∂v klmbw (A-t]£m t^mdw) 145, 146
ImcpWyw ˛{]-hmkn t£a-]-≤Xn 147
ImcpWyw ˛{]-hmkn t£a-]-≤Xn (A-t]£m t^mdw) 148, 149, 150
P\\n kpc£ tbmP\˛ {]kh [\-k-lmbw 147
P\\n inip kpc£m Imcy{Iw (JSSK) 147
Ubm-en-kn-kv tcm-Kn-Iƒ-°p-≈ k-am-izm-k ]≤Xn 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, icWmeb-
Øntem, 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-
08 °-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-k-
Øn¬ 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∂n-
h¿°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)
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¿ń-^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¿-ń-^n°-‰v lm-P-cm-°Ww.
09
10
11
12
13
14
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 Hmô-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≥ 15
(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¿
\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]
16
17
18
19
km[p°fmb hn[hIfpsS s]ä°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]¨-
a°ƒ°pw klmbØn\v A¿lXbp≠v.
lmPcmt°≠ tcJIƒ
`¿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]
20 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√
\Kc{]tKißfn¬ 22375/˛ cq]bpw
lmPcmt°≠ tcJIƒ: (Kk-‰Uv Hmô-k¿ km£y-s∏-Sp-Øn-bXv 2 tIm∏n hoXw)
{]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]ä-°-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]Ïp-ń-bpsS P\-\-Xn-bXn :
7. hnhmlw Xo¿®-s∏-Sp-Øn-bn-´p≈ 21
{]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]Ïp-ń-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-c-

am-W∂v km£y-s∏-SpØn sIm≈p-∂p.
22 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
23
24
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-√.
25
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¿ń^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-¬])
1.
sSet^m¨ \º¿ : Telephone Number :

2. hn`mKw ]pcpj≥/kv{Xo
hb v Znhkw amkw h¿-jw
26 3. hb pw P\\oØobXnbpw
At]£Is\ {]Xn\n[m\w sNøpItbm H∏w

hcnItbm sNøp∂ amXm]nXm°ƒ/c£I¿Ømhv
4. As√-¶n-¬ ASpØ _‘phns‚ t]cpw
ta¬hnemkhpw
Aÿn ImgvN tIƒhn am\knI _p≤n
kw_ °p-d-hv °pdhv/ tcm-Kw amµyw
5. sshIeyØns‚ kz`m-hw ‘amb kwkmc
_p≤n tijn°p
ap´p-Iƒ d-hv
6. sshIeyw Xmev°menItam/ÿnctam Xm¬°menIw / ÿn-cw
7. sshIeyw P≥a\mbpfftXm/B¿÷nXtam P∑\mbpffXv B¿-PnXw
a‰p hnhcßƒ ({]tXyIn®v tcJs∏SpØm≥
8. Ds≠-¶n¬ am{Xw)
(AhnhmlnX¿/hnhmlnX¿/hnhml_‘w
9. sshhmlnI \ne th¿s]SpØnbh¿/hn[h)
hy‡nsb Xncn®dnbp∂Xn\pff ASbmfßƒ 1.

10. (2 FÆw) 2.
F) Ce£≥ sFU‚ vn‰n Im¿Uv \º¿ F)............................................................................
11
_n) tdj≥Im¿Uv \-º¿ _n)...........................................................................
F _n 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 C-√
17. Fwtπmbvsa‚ v cPnkvt{Sj≥ \-º¿

18. kvs]-jy¬ Fwtπmbvsa‚ v cPnkvt{Sj≥ \-º¿
19. F) Xm¶ƒ°v apºv sa-Un°¬ k¿ń^n°‰v D≠v / C√
e`n®n-´pt≠m?
_n) Ds≠-¶n¬ F{X iXam\w sshIeyamWv 40 \p Xmsg
tcJs∏SpØnbn´p≈Xv?
40 \p ap-I-fn¬
20. At]£m Xob-Xn
27
21. At]£Is‚ H∏v
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¿ńknt∏j≥) BIvSv 1995 s‚
sk£≥ 59 {]Imcw sX‰mb hnhcßƒ \¬In k¿ń^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¿ń-^n-°‰v lmP-cm-°-Ww)
28
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]ń-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]Ïp-ń-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¬ : 29
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 saUn-°¬
t_m¿Uns‚tbm/kvs]jy-enÃv tUmIvS-dp-sStbm) k¿ń-^n-°‰v lmP-cm-°-Ww.
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¿ń- ^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\p-
h-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 Hmô-k¿°v At]£ ka¿∏n-°Ww
31
_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

32 (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 Hmô-kv.
(Un.-‰n.H / F.-‰n.-H. Hmô-kv) :
8 hm¿jnI hcp-am\w :
kXy-{]-kvXm-h\ 33
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
Rm≥ a\- n-em-°p-∂p.
ÿew H∏v
XnbXn : t]cv
Hmôkv 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 Hmô-kv.
(Un.-‰n.H / F.-‰n.-H. Hmô-kv) :
8 hm¿jnI hcp-am\w :
kXy-{]-kvXm-h\
Fs‚ hm¿jnI hcp-am\w...................................................................................................................................................
34 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)
Hmôkv 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
35
photograph Designation of Doctor
Affix Office Seal on the Photograph 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¿ń-^n-jy¬ enw_vkv,- ap-®{I hml-\-ßƒ,- ho¬ sNb-dp-Iƒ,- Im-en-t∏-gvkv,- {I-®-kv,- {i-h-W-k-lm-bn-
Iƒ, -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 A\p-h-Zn-°p∂ k_vknUn
20000/˛ cq] hsc tem¨ XpI-bpsS 50% (]c-am-h[n 5000)
36 20000/˛ \p apI-fn¬ 50000/˛ hsc tem¨ XpI-bpsS 30%
50000/˛ \p apI-fn¬ 100000/˛hsc tem¨ XpI-bpsS 25%(Ip-d-™Xv 15000/˛)
100000/˛ \p apI-fn¬ 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∏-ń-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¿∏-td-
j≥ 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¿∏-td-
j≥ am\-PnwKv Ub-d-IvS¿°v ka¿∏n-°-Ww.
tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥
slUv Hmôkv
Pph-ss\¬ tlmw tImw]u-≠v, ]qP-∏p-c, Xncp-h-\-¥-]pcw ˛12, t^m¨ : 0471 - 2347768
doPn-b-W¬ Hmôkv C≥^¿ta-j≥ Hmôkv

tImÃv Km¿Un\v FXn¿hiw Nt°m-c-Øp-Ip-fw, luknwKv t_m¿Uv
_n¬UnwKv
t^m¿´v sIm®n, sIm®n ˛ 682 001 tImgn-t°mSv ˛ 673 004
t^m¨ : 0484 - 2116880 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 kv{Xo / ]pcp-j≥

]q¿Æ-hn-em-khpw {]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-ń-√m-sb∂pw F\n°v e`n-°p∂ D]-I-cWw kz¥w Bh-iy-Øn\v
37
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¿ń-^n-°‰v

{io / {ioaXn ............................................................................................................................. ]cn-tim-[\ \S-Øn-b-
Xn¬ 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¿ńss^ sNøp-∂p.
ÿew ..........................................................XobXn......................................... H∏pw t]cpw .................................................
HutZym-KnI ]Zhn
................................................ \º¿ tdj≥Im¿Uv / hcp-am\k¿ń-^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¿ńss^ 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 : Information Office :

tImÌv KmÀUn\v FXnÀhiw Nt¡m c ¯p Ip fw, luknwKv t_mÀUv _nÂUnwKv
t^mÀ«v sIm¨n, sIm¨n þ 682 001 tImgn t¡mSv þ 673 004
t^m¬ : 0484 2116880 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. hb v, P\-\-Xo-bXn
3. hnZym-`ymk tbmKyX
4. sshI-ey-Øns‚ kz`mhw Ortho / Blind / Deaf
5. Ct∏mƒ G¿s∏-ń-cn-°p-∂
sXmgn-ens‚ hni-Z-hn-hcw
6. sXc-s™-Sp-°-s∏´ sXmgn¬
38 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-am-
sW∂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-W-
I-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-ôkv : ‰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 þ
2. kv{Xo / ]pcp j³ þ
3. ]qÀ® taÂhn emkw þ
]n³ tImUv
]mkv-t]m¿-´v
t^m¬ \¼À/samss_Â \¼À þ ssk-kv
_Ô s¸« ]©m b¯v/ap³kn t^mt´m
¸m enän/ tImÀ¸ td j³ þ
4. P\\Xob Xn, hbÊv þ
5. hnZym `ymk tbmKyX þ
6. hmÀjnI hcp am\w þ
7. i) sshI ey ¯nsâ kz`mhw þ
ii)F{X iX am\w þ
8. (F) hml\w \nÀ½n¨
I¼ \n bpsS t]cv þ
(_n) hml \ ¯nsâ t]cv þ
(kn) \nÀ½n¨ hÀjw þ
(Un) cPn ÌÀ \¼À þ 39
(C) hml\w hm§nb XobXn þ
(F ^v) hml \ ¯nsâ hne þ
9. hml\w hm§n b Xnsâ Dt±iyw þ
10. ap³]v Cu ]²Xn {]Imcw
k_v knUn hm§n bn «pt m 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 Hmôkv, ‰n,-kn.17/230 (1) ]qP-∏p-c
Xncp-h-\-¥-]pcw ˛12
tem´dn k_vkn-Un-°p≈ At]-£m-t^mdw
1. At]-£-Is‚ t]cv :
2. kv{Xo / ]pcp-j≥ :
3. ]q¿Æ- ta¬ hn-em-kw :
]n≥tImUv :
t^m¨ \º¿ / samss_¬ \º¿ :
4. P\\Xob-Xn, hb v :
5. (a) sshI-ey-Øns‚ kz`mhw :
(b) iX-am\w :
6. CXn\p ap≥]v Cu ]≤Xn {]Imcw

klmbw e`n-®n-´p-t≠m, Ds≠-¶n¬
GXp h¿jw :
7. hm¿jnI hcp-am\w :
40 8. tem´dn GP≥kn-bpsS \º¿ :
9. hnZym-`ymk tbmKyX :
{]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. 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
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-k-
cn®v _‘-s∏´ taJ-e-bnse hnZKv≤ tUmIvS¿ \¬Ip∂ k¿ń-^n-°‰v Cu At]-£-tbm-sSm∏w D≈ amXr-
I-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. 41
k¿°m¿ ÿm]-\-ß-fntem, k¿°m¿ AwKo-IrX ÿm]-\-ß-fntem ]Tn-°p∂ hnI-emwK hnZym-¿∞n-
Iƒ°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-k-
cn®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. ]q¿Æ-amb t]cv :
2. sshI-ey-Øns‚ kz`mhw : A‘¿/_[n-c¿ / Aÿn-kw-_-‘-amb
sshI-ey-ap-≈-h¿
3. ]Tn-°p∂ ¢mkv :
4. 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 :
42 (_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, : e`n-°p∂p / e`n-°p-∂n√
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 : D≠v / C√
]nXm-hns‚ /c£m-I¿Øm-hns‚ H∏v /hn-c-e-S-bmfw 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]ń-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-ń-√.
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 : ]nXm-hns‚ /c£m-I¿Øm-hns‚ H∏v

XobXn :
`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¬ : D≠v / C√

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‚ :
kz`m-hhpw e`n-°p∂ XpIbpw
(Un) At]-£bv°v \mSm¿ s]Ïp-ń-I-fp-sStbm : 43
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 : D≠v / C√
\ntbm-Kn-®n-´pt≠m ? Ds≠-¶n¬ A\p-_‘w
A©n¬ sImSp-Øn-´p≈ ^mdw ]qcn-∏n-°pI
5. ASp-Øp≈ tÃ‰v _m¶ns‚ imJ :
{]kvXm-h\
1. 1˛mw `mK-Øn¬ \¬In-bn-´p≈ hkvXp-X-Iƒ icn-bm-sW∂pw ;
2. At]-£-I≥ Cu hnZym-e-b-Ønse hnZym¿∞n-bm-sW∂pw ;
3. 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
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¬....................................................................................hn-
t√-Pn¬ .................................................................................................................................................................-F∂ hoń¬
{io /{ioaXn........................................................................................................................................................F∂ BfpsS
aI≥ / aIƒ ..............................................................................F∂ Ipń°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 : hnt√Pv Hmô-k-dpsS t]cpw H∏pw

XobXn : hnt√-Pns‚ t]cv
(Hm ôkv ap{Z)

A\p-_‘w˛2
A‘¿°p≈ saUn-°¬ k¿ń-^n-°‰v
(c-Pn-Ã¿ sNbvXn-´p≈ Hcp \b-\-tcmK hnZ-KvZ\pam{Xw \¬Im-hp-∂-XmWv Cu k¿ń-^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-∂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 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)
45
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) t\{X-tcmK hnZ-KvZs‚ Isøm∏v

ÿm\-t∏cv :
tbmKyX :
ÿew : ta¬hn-emkw :
XobXn :
(Hmôkv ap{Z)
A\p-_‘w˛3
_[n-c¿°p≈ saUn-°¬ k¿ń-^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

46 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-W-

tijn {]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¬ \jvS-
s∏-´m¬ Ah-injvS {ih-W-tijn {]mh¿Ø-I-
a-√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 : Hmôkv ap{Z
A\p-_‘w˛4
Aÿn-kw-_-‘-amb AwK-ssh-I-ey-ap≈ At]-£-Isc kw_-‘n®
saUn-°¬ k¿ń-^n-°‰v
(c-Pn-kvt{SUv Hm¿tØm ]oUnIv hnZ-Kv≤≥ am{Xw \¬tI≠ k¿ń-^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.At]-£-Is‚ t]cv :
2.]nXm-hns‚ t]cv :
3.BtWm / s]tÆm :
4.]nXm-hns‚ t]cv :
5.GI-tZi hbkv :
6.(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 AwK-
ssh-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
:
:
47
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 :
Hm¿tØm-∏o-UnIv hnZ-KvZ-[s‚ ssIsbm∏v
ÿm-\-t∏cv :
At]-£-Is‚ ssIsbm∏v tbmKyX :
ta¬hn-emkw :
ÿew :
XnbXn : Hmôkv ap{Z
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-k-
tbm-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)
48
`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]£ 49
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) ]ń-I-PmXn / ]ń-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 :
50 (_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-°p-

I-bm-sW-¶n¬ AXns‚ Ime-b-f-hn¬ Syqj≥ ôkv Cfhv Hgn®v GsX-¶nepw Xe-Øn-ep≈ {]Xn-^-e-
tam, 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-\p-

k-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 : hnZym¿∞nbv°v {]mb-]q¿Øn-bm-bn-ń-s√-¶n¬

XobXn : 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\[\-k-
lmbw \¬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-am-
sW-∂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¿∏-td-
j≥, ]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®

52 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-bm-
WnXv.
8 hb- n¬ Xmsg-bp≈ 60% ¬ A[nIw sshI-ey-ap≈ Ipń-Iƒ°mWv klm-b-Øn\v A¿l-X. c-£m-
I¿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\hnI-
emwK 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-iy-
Ønt\m At]-£-bpsS ASn-ÿm-\-Øn¬ XpI aS°n \¬Ip-∂p.
Pph-ss\¬ tlmw tIm-ºu-≠v, ]qP-∏p-c, Xncp-h-\-¥-]p-cw˛12
t^m¨ 0471 2347768
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 Hmôkv ta[mhn :
6 Hmôkv hnemkw :
7 sh≈w, Id‚ v F∂nh A\p-h-Z-\o-b-amtWm: 53
8 sh≈w, Id‚ v F∂nhbpsS _n√v
AS-bv°p-hm≥ Xøm-dmtWm :
H∏v
t]cv
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
54
amcI tcmK-ßƒ°v ASn-a-s∏´pw A]-I-S-ß-fn¬ s]´pw Zo¿L-Im-e-
ambn 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.
\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]n-
SpØw F∂nh aqew kmº-ØnI _p≤n-ap-´p-Iƒ A\p-`-hn-t°≠n hcnI XpS-ßnb AXym-lnX kµ¿`-ß-
fn¬ 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 55
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.
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∂ ]ńIPmXn°m¿°v,
]ńIhnIk\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¿ń^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¿ń^n°¡v lmPcmt°≠XmWv) :
56 9. NnIn’n°p∂ tUmIvSdpsS t]cv :
kXy{]kvXmh\
apIfn¬ {]kvXmhn®n´p≈ hnhcßƒ Fs≥d Adnhnepw. hnizmkØnepw s]ńStØmfw
kXyamsW∂v Rm≥ CXn\m¬ {]Xn⁄ sNbvXpsIm≈p∂p.
At]£Is≥d H∏v:
ÿew:
XobXn :
]ń-I-Pm-Xn hnI-k-\ h-Ip∏v
]n-t∂m-° ]ń-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¿-ń-^n°-‰v
(lm-P-cm-°n-bn-´p-t≠m? B-b-Xv {]-Im-cw Nn-In-’ F-{X cq-]-bm-Wv?: 57
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
]-ń-I-Pm-Xn hIk-\ Hm-ô-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
58 Undergoing/recommended :
7. Remarks :
Signature and name of the Issuing authority
Name and address of the hospital
Date:
(seal)
]ń-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 ]-ń-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¿-ń-^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 59
(`¿-Øm-hn-s‚bpw / `m-cy-bp-sSbpw k¿-ń-^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-ô-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¿-ń-^n-°‰v (K-k‰Uv Hm-ôk¿ /
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:
]-ń-I-Pm-Xn hnIk-\ Hm-ô-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∏-ń-cn-°p-∂-Xm-bn Rm≥ km-£y-s∏-Sp-Øp∂p.
60
]-ń-I-Pm-Xn hnIk-\ Hm-ô-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, Hmń-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-N-
cWw \¬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
62 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-óhv 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¿ :
t]mÃv Hmôkv :
Pn√ :
kv{Xotbm ]pcpjt\m :
_n) ]cnNcn°s∏Sp∂ BfpsS 63
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 :AsX/A√.
AhiX (tUmIvSdpsS k¿ń^n°‰v lmPcm°Ww)
5. At]£I≥ ÿnchcpam\apff BfmtWm?
BsW¶n¬ {]Xnamkhcpam\w :
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 : At]£Is‚ t]cpw H∏pw

Xob-Xn :
(Hmôkv 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 \S-
Øp-Ibpw sNbvXn-´p-≠v. Snbmƒ Bizm-k-In-cWw ]≤Xn am\-Z-WvU-ßƒ A\p-k-cn®v B\p-Iq-ey-
Øn\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 Hmô-k-dpsS A`n-{]mbw
64 ÿew : Hmô-kv ap{Z H∏v :

XnbXn : t]cv :
.........................................................sF.-kn.-Un.-F-kv.- s{]mPIvSv
.........................................................Pn√
Hmôkv t^m¨ \w]¿....................................................................
kmaqly kpc-£m-an-j≥ FIvkn-Iyq-ńhv Ub-d-IvS-dpsS Xocp-am\w

{io./{ioa-Xn/Ipamcn.....................................................................................................F∂bmƒ°v........................
..................................................................(.............................................................................cq]) am{Xw {]Xn-amk [\-k-
lmbw A\p-h-Zn-®n-cn-°p-∂p.
cPn.-\º¿ :
XnbXn :
H∏v
FIvkn-Iyq-ńhv 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 65
caregiver due to ..........................................................................................................................
Identification marks of the applicant
1.
2.
Name of the Doctor ...................................................................................
Registration No.
Name of the Hsopital
Signature and Seal To,

EXECUTIVE DIRECTOR
KERALA SOCIAL SECURITY MISSION
POOJAPPURA
THIRUVANANTHAPURAM
Thump impression of the patient

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∂ ]≤-Xn-
bm-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-∏p-
Iƒ 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-h-
Zn-°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-d-
IvS¿°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-ń-Iƒ-°v
hn-Zym-`ym-k [-\-k-lm-bØn-\p-≈ A-t]-£.
1. A-t]-£-bp-sS t]-cv, A-{U- v,
]n≥-tIm-Uv, t^m¨ \w.
2. hn-Zym-`ym-k [-\-k-lm-bw e-`n-t°-≠ Ip-ń-bp-sS t]-
cv, P-\-\-Xoø-Xn
3. ]Tn-°p-∂ ¢m v, kv-°qƒ
4. 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
5. ap≥-h¿-jw hn-Zym-`ym-k [-\-k-lm-bw e-`n-®n-´p-
t≠m? "D-≠v' F-¶n¬ hn-i-Z-hnhcw
6. A-t]£-I-bp-sS-sXm-gn¬, h-cp-am-\w
7. A-t]-£-I _n.]n.F¬.hn-`m-K-Øn¬-s∏-´-bmfm-
tWm? (_n.]n.F¬. k¿-ń-^n°-‰v lm-P-cm-°Ww)
8. 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¿, km-
aqln-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
67
hn-Zym-`ym-k ÿm]\ ta-e-[n-Im-cn-bp-sS ip-]m¿-i

...................................................................F-∂ Ip-ń 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-ô-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∏-ń-cn-°p-∂-Xn-\m¬ ta¬
A-t]-£ ip-]m¿-i sN-bv-Xv sIm-≈p∂p.
(Hm-ô-kv ko¬) in-ip-hnI-k-\ ]≤Xn Hm-ô-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¿ń-^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¿ń-^n-°‰v :
7 ]p\¿hn-hm-lw, cPn-kvt{S-j≥ \w, XobXn :
(hnhml k¿ń-^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∂
68 Ipń-I-fpsS hniZ hnhcw :
11 `¿Øm-hns\ B{i-bn®v Ign-bp∂
Ipń-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
...........................................................................................................................................................................................................
...........................................................................................................................................................................................................
...........................................................................................................................................................................................................
(Hmôkv 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-ń-I-fp-sS F-Æw
7. Ip-ń-I-fp-sS t]-cv
1.
2. 69
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-Ω-
X-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-ô-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-ô-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-ó-hv U-b-d-Œ¿, tI-c-f km-aqly kpc-£m anj-\v
\¬-Ip∂p.
Xo-ø-Xn: Hm-ô-kv ap-{Z Pn√m km-aq-lyt£-a

Hm-ô-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.
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 Hmô-
ktdm, ]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 71
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
1 (A) `¿Øm-hns‚
(B) `mcy-bpsS
hnhm-l-Øn\p ap≥]p≈]q¿Æ-amb hnemkw
2 (A) `¿Øm-hns‚
(B) `mcy-bpsS
PmXn
(A) `¿Øm-hns‚
3
(B) `mcy-bpsS
hnhm-l-Øn\p ap≥]p≈ sXmgnepw {]Xn-amk

72 hcp-am-\hpw
4 (A) `¿Øm-hns‚
(B) `mcy-bpsS
At]-£n-°p∂ ka-b-Øp≈ sXmgnepw

{]Xn-amk hcp-am-\hpw
5 (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
6 F∂v Ds≠¶n¬ cPn-Ã¿ \º¿,
Xob-Xn, cPn-Ã¿ sNbvX
Hmô-kns‚ t]cv
(C) hnhmlw \SØn F∂p sXfn-bn-°p-∂-
Xn\v Fs¥-¶nepw sXfn-hp-Iƒ lmP-
cm°p∂p F¶n¬ lmP-cm-°p∂ {]am-
W-ß-fpsS hnhcßƒ
hnhm-l-Øn\p tijw ZºXnIƒ
Ft∏m-sg-¶nepw th¿s]´v Xma-kn-®n-´pt≠-m
7 (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

8 F¥v Bhiy-Øn-\p-th≠-n D]-tbm-Kn°mw
an{i hnhmlw \S-Øn-bXp ImcWw

9 Fs¥-¶nepw {]bm-k-ßtfm IjvS-X-Itfm
A\p-`-hn-°p-s∂-¶n¬ AXns‚ ]q¿Æ hnhcw
73
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 Hmô-k-dpsS k¿ń-^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 Hmô-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¬,-i-
kv{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 ]≤Xn-
bpsS 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
74 1 doPn-b-W¬ Im≥k¿ sk‚¿, Xncp-h-\-¥-]p-cw.
2 Fkv.-F.‰n tlmkv]n-‰¬, Xncp-h-\-¥-]p-cw.
3 Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xncp-h-\-¥-]p-cw.
4 Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tIm´bw
5 Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Be-∏pg
6 Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xr»q¿
7 Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, tImgn-t°mSv
8 C≥Ãn-‰yq´v Hm^v sat‰-W¬ B‚ v ssN¬Uv sl¬Øv, tIm´bw
9 C≥Ãn-‰yq´v Hm^v sat‰-W¬ B‚ v ssN¬Uv sl¬Øv, tImgn-t°mSv
10 sNÃv tlmkv]n-‰¬,- Xr-»q¿
11 tIm˛-Hm-∏-td-‰nhv saUn-°¬ tImtf-Pv,- sIm®n
12 A°m-Uan Hm^v saUn-°¬ kb≥kv tlmkv]n-‰¬,- ]-cn-bmcw
13 ae-_m¿ Im≥k¿ sk‚¿ Xe-t»-cn, I-Æq¿
14 {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.
5 Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xr»q¿ 75
7 P\-d¬ tlmkv]n-‰¬,-F-d-Wm-Ipfw
8 ]cn-bmcw tIm˛Hm∏-td-‰ohv saUn-°¬ tImtfPv
9 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.
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.
76 Xt±i kzbw `cW ÿm]-\-Ønse A≤y-£≥/saº¿/Fw.]n/Fw.-F¬.F F∂n-h-cn¬ Bcp-sS-

sb-¶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 :
77
(_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-ń-Iƒ-°v ssN¬-Uv
sh¬-s^-b¿ I-Ωn-‰n sN-b¿-am-s‚ k¿-ń^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
\w 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¿-ń-^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 :
78 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-b-
s√∂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-ń 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≥/Sn-
bmƒ 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-¿-ń-^n°-‰v Xt±-i kz-bw `-c-W ÿm-]\ß-fn-se ta-b¿/sN-b¿-am≥/{]-knU‚ v/Iu¨-kn-

e¿/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-ń-Iƒ-°v am-{Xw)
..................................................Ip-ń-bp-sS am-Xmhv / ]n-Xm-hv a-c-W-s∏-ń-´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 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-
bw.................................................Ip-ń-°v A-\p-h-Zn-°-W-sa∂pw ip-]m¿-i sN-bv-Xp sIm-≈p∂p. Ip-ń A-\m-
Ym-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:
80 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-ó-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∂n-
h-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\p-
h-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 kml-
Ncyw ]cn-K-Wn®v Hcn-°¬ [\klmbw e`n®v c≠v h¿j-Øn\v tijw ho≠pw At]-£n-°m-hp-∂-Xm-
Wv. _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-sS-
tbm, k¿°m¿ AwKo-I-cn® ]ń-I-bn-ep≈ tUmIvS-dpsStbm k¿ń-^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 81
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-W-
ßƒ,1000/˛
\n›nX t^md-Øn¬ Bh-iy-amb tcJ-Iƒ klnXw hnt√Pv Hmô-k-dpsS dnt∏m¿t´msS
Xlkn¬Zm¿°v At]£ \¬IWw
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 :
82 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-[n-
bn¬ \n∂pw Rm≥ CXn\v apºv klm-b-[-\-sam∂pw ssI]-‰n-bn-ń-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:
XnbXn:
hnt√Pv Hm^n-k¿
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∏-ń-´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 Hmô-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-b-
Øntem {]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∏-Sp-
tØ-≠-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 {]th-
in-®n-ń-√m-Ø-h-cp-amb \n¿[-\-cmb F√m IpjvT tcmKn-Iƒ°pw Cu ]≤Xn A\p-k-cn-®p≈ kmº-
84
ØnI klm-b-Øn\v At]£ ka¿∏n-°m-hp-∂-Xm-Wv. hm¿jnI hcp-am\w 2400 cq]. 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.
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-∂p-
ap≈ 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-∂p-
ap≈ 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≈ kmº-

ØnI 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-ey-
Øn\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 hb v :
3 A—s‚/ AΩ-bpsS/`¿Øm-hns‚ t]cv :
4 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 :
5 Xma-kn-°p∂ ÿehpw F{X Ime-ambn
AhnsS Xma-kn-°p∂p F∂pw :
6 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 shń-°-f-bp-I) : Im≥k¿/£bw/IpjvTw
7 {]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). 85
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-b-
Øntem 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: At]-£-Is‚ H∏v/hnceS-bmfw

XobXn:
8 At\z-j-W-dn-t∏m¿´v
9 Xlko¬Zm-cpsS DØ-chv hnt√Pv Hm^n-k¿

Xl-kn¬Zm¿
saUn ¡Â Bô 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 nÂ B hnhcw hni Z ambn Fgp Xp I.
Øew tUmIvS dpsS t]cpw H¸pw

XobXn HutZym KnI taÂhn em kw
(Hm ôkv ap{Z)

86
{][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¿ń-^n-°‰v

(Xmeq°v Hm^nkn¬ \n∂v˛12000/˛ cp]-bn¬ Xmsg)
Hcp ]mkvt]m¿´v sskkv t^mt´m, saUn-°¬ k¿ń-^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\hcp-

87
am\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-am-
bn-cn-°-Ww. IpSpw_ hm¿jnI hcp-am\w 11000 cq]-bn¬ IqSm≥ ]mSn-√.
Ah-Im-in-I-fpsS ]ń-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 DtZym-

K-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/Husband”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:
88 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

89
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∏-ń-cp∂p? :
6 ac-W-s∏´ Bƒ IpSpw-_-Ønse {][m\

90
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≥ ]ń-I-PmXn/ ]ń-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]ń-S-tØmfw kXy-

am-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.................................................................................................................................
92 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¿ń-^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_¿ Hmô-k¿°v ka¿∏n-°-Ww.
_lp-am-\-s∏´...................................Pn√m te_¿ Hmô-k¿ apºmsI.........................................Pn√bn¬

..................................ho-ń¬..........................................{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-Xm-
akw t\cn-´Xv am∏m-°-W-sa∂v At]-£n-°p-∂p.
F∂v
At]-£-Is‚ H∏v 93
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 ]d-
bp∂ coXn-bn-ep≈ am∏-t]£ FgpXn AXXv Pn√m te_¿ Hmô-k¿°v ka¿∏n-°-Ww.
_lp-am-\-s∏´...................................Pn√m te_¿ Hmô-k¿ apºmsI.........................................Pn√bn¬

..................................ho-ń¬..........................................{io/{ioa-Xn..................................................................................
t_m[n-∏n-°p∂ At]-£.
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-\-°m-
c≥ 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. At]-£-Is‚ t]cv :
2. ]pcp-j≥ /kv{Xo
3. hb pw P\-\-Xn-ø-Xn-bpw :
4. ta¬hn-emkw :
1) ÿnc ta¬hn-emkw :
2) Ct∏m-gsØ ta¬hn-emkw :
5. sXmgn-em-fn-bp-am-bp≈ _‘w :
6. hnhm-ln-X-\mtWm A√tbm F∂v :
7. kmº-ØnI klm-b-Øn\v A¿l-X-bpt≠m :
8. sXmgn-em-fn-bpsS t]cv :
9. hnhm-ln-X-\mtWm A√tbm ? :
10. A]-I-S-k-a-bsØ hb v
11. sXmgn-em-fn-bpsS A—s‚/c£n-Xm-hns‚ t]cv :
12. 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: H∏v /hnc-e-S-bmfw

XoøXn: 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
95
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¿ń-^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
96
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¬

97
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¿ń-^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- ‰ n-
bn¬/tIm¿∏-td-j-\n¬ ........................................................................................................................... hoń¬ Xma-kn-
°p∂...................................................................................... F-∂-bmƒ Akw-L-SnX taJ-e-bn¬ s]´ sXmgn-
emfnbmsW-∂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-\m-
Wv. Snbmƒ°v..................................................h¿jsØ NnIn’sb¶nepw Bhiyam-sW∂pw Sn.-bmsf
98 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-ń√ F∂pw km£y-s∏-Sp-Øp-∂p.
ÿew tUmIvS-dpsS H∏pw t]cpw

XobXn HutZym-KnI ta¬hn-em-kw
(Hm-ôkv 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-h-

bv°¬ ikv{X-{In-b, Ubm-en-kn-kv) Aÿnkw_-‘-amb ikv{X-{In-b-Iƒ(1 -Syq-a¿ dnU-£\pw t{]mk-
knwKpw, 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-h-
bv°¬ 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∏-Sp-
Øn-bn-´p-≈-Xv. NnIn-’n-°p∂ tUmIvS-dpsS km£y-]-{Xw, hnt√Pv Hmô-kn¬ \n∂pw D≈ hcp-
am\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√p-
Iƒ 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,
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 99

1 doPn-b-W¬ Im≥k¿ sk‚¿, Xncp-h-\-¥-]p-cw.
2 {ioNn-Ønc Xncp-\mƒ C≥Ãn-‰yq´v Hm^v saUn-°¬ kb≥kv B‚ v sSIvt\m-f-Pn,-Xn-cp-h-\-¥-]p-cw.
6 Kh¨sa‚ v saUn-°¬ tImtfPv tlmkv]n-‰¬, Xr»q¿
8 kl-Icw lrZ-bme saUn-°¬ tImtfPv t]mkv]n-‰¬ ]cn-bmcw,I-Æq¿.
9 C≥Ãn-‰yq´v Hm^v sat‰-W¬ B‚ v ssN¬Uv sl¬Øv tImgn-t°mSv
10 tIm˛-Hm-∏-td-‰nhv saUn-°¬ tImtf-Pv,-sIm®n
11 ae-_m¿ Im≥k¿ sk‚¿ Xe-t»-cn,-I-Æq¿
12 {io Ahn´w Xncp-\mƒ Bip-]-{Xn, Xncp-h-\-¥-]p-cw.
13 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
1 At]-£-Is‚ t]cv :
2 tcmKn-bpsS t]cv :
3 tcmKn-bpsS hb v :
4 kv{Xotbm , ]pcp-jt\m :
5 At]-£-I-\p-am-bp≈ _‘w :
6 At]-£-Is‚ ta¬hn-emkw :
7 tcmKn-bpsS ta¬hn-emkw :
100
8 tcmKn-bpsS IpSpw_ hm¿jnI hcp-am\w :
9 tcmK-Øns‚ t]cv :
10 NnIn’ \S-Øp∂ tUmIvS-dpsS t]cpw
HutZym-KnI ta¬hn-em-khpw :
11 NnIn’ \S-Øp∂ Bip-]-{Xn-bpsS :

ta¬hn-em-kw
12 klmbw Bh-iy-s∏-Sp-∂Xv GXv :

NnIn’/Hm∏-td-j\p th≠n
13 NnIn’/Hm∏-td-j≥ \S-Øm≥ :
Dt±-in-°p∂ XobXn
14 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):
15 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-≈-Xm-

sW∂v CXn-\m¬ t_mZv[ys∏-Sp-Øp-∂p.
At]-£-Is‚ H∏v/hnc-e-S-bmfw tcmKn-bpsS H∏v/hnc-e-S-bmfw

(t]cp kln-Xw) (t]cp kln-Xw
ÿew
XnbXn
NnIn-’n-°p∂ tUmIvS-dpsS km£y-]{Xw
{io/{ioaXn....................................................................................................................................................................................
...........................................Xob-Xn- ap-X¬....................................................................................................-B-ip-]{Xnbn¬ 101
.....................................................................................................................................................................................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-ôkv ko¬)
hnt√Pv Hmô-k-dpsS km£y-]-{Xw (A-\p-_‘w 2)
\w-]¿ hnt√Pv Hmô-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 {]Im-
c-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-∂-
h¿.........................-Dw tPmen C√m-Ø-h¿.........................Dw BWv.
en bp Å h
hntZi tPm
Iqen the
hcp am\w
aän\§Ä
BZmb amÀK §Ä
s]³j³
s]³j³
`qan bnÂ
IpSpw _
I¨ hSw
\n¶pÅ
BZmbw
BsI
H gnsI
i¼fw
hmSI
cpsS
102 1 2 3 4 5 6 7 8 9
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)
H¸v
Hmôkv koÂ 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-‰n-
bn¬/tIm¿∏-td-j-\n¬ ...........................................................................................................................hoń¬ 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...............................................................
Hmôkv D]-tbm-K-Øn\v
.................................................................................................................................................................................F-∂-bmƒ°v
...........................................................................................................Nn-In-’-bv°m-bn..............................................................
................................................................................................................-B-ip-]-{Xn-bn-te-°v
103
..........................................XpI A\p-h-Zn-°m-hp-∂-Xm-Wv.
saº¿ sk{I-´dn
NnIn’m klmbw A\p-h-Zn®p/A\p-h-Zn-®n√
sNb¿am≥
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-I-
sf√mw Cw•o-jn-em-bn-cn-°-Ww.
1 Kh¨sa‚ v Bip-]-{Xn-bnse NnIn-’bv°p am{Xta klmbw e`n-°p-I-bp-≈q.
2 tI{µ ˛ kwÿm\Poh-\-°m¿°pw s]mXp-ta-Jem ÿm]-\-ß-fn¬ tPmen sNøp-∂-h¿°pw
klmbw e`n-°p-I-bn-√.
3 _n.]n.F¬ IpSpw-_-Øn¬s∏-´-h¿°p-am-{Xta klmbw e`n-°p-I-bp-≈q.
4 \S-Øn-°-gn-™p≈ NnIn-’-bpsS ]Ww e`n-°p-∂-Xn-\p≈ At]£ ]cn-K-Wn-°p-I-bn-√.
104 5 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 ]≤-Xn-
bn¬ klmbw e`n-°p-I-bn-√.
6 NnIn’m klm-b-Øn\v ]cn-[n-bn-√.
APPLICATION FORM FOR RASHTRIYA AROGYA NIDHI-(RAN)
1 Name of Patient(in blok letters) :

2 Age :
3 (A) Permanent Address :
(B)Address for Correspondance :
4 Father's/ husband's Name :
5 Whether the applicanton the person on
whom He/She depends is an
Employee of Central/State Government :
6 Name of the applicant if the
patient does not make the application :
7 Applicant's relationship to the Patient :
8 Disease from which suffering :
9 Name of Hospital where the treatment is
being received :
10 Income of the Patient/Parent(monthly) duly
certified by the Block/Mandal Development Officer 105
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
1 Patient's Name & Hospital Registration :

Number
2 List of Report of Important :
Investigation Done
3 Diagnosis( A Short Note on the Present
Clinical Condition May Be Given) :
4 Is the Patient Is Hospitalised? If So,the

Name of the Hospital :
5 the Amount of Money Recommended :
6 Item-wise Break-up of Expenditure of the Amount Recommended At Column-5
106 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´-ß-
fn¬ 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 Akp-
J-ßƒ°pw H‰-X-hW kam-izmk NnIn’m [\-k-lm-b-Øn\v t^mdw \º¿ 3 epw At]£ Xøm-
dm°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-]-{Xn-
bntem, 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
107
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.
[\-k-lmbw e`n-°p∂ {][m\Bip-]-{Xn-Iƒ
1 kwÿm-\sØ F√m k¿°m¿ Bip-]-{Xn-Iƒ
2 {io NnØnc Xncp-\mƒ C≥Ãn-‰yq´v Hm^v saUn-°¬ kb≥kv B‚ v sSIvt\m-f-Pn.
3 doPn-b-W¬ Im≥k¿ sk‚¿, Xncp-h-\-¥-]pcw
4 ae-_m¿ Im≥k¿ sk‚¿,
5 ]cn-bmcw tIm˛-Hm-∏-td-‰ohv saUn-°¬ tImtfPv
6 Fd-Wm-Ipfw kl-I-cW saUn-°¬ tImtfPv
7 Inwkv ˛ Bip-]-{Xn, Xncp-h-\-¥-]pcw
8 saUn-{So\Bip-]-{Xn, ]´w, Xncp-h-\-¥-]pcw
9 {iotKm-Ipew saUn-°¬ tImtf-Pv, Xncp-h-\-¥-]pcw
10 Imc-t°mWw kn.-F- v.sF saUn-°¬ tImtf-Pv.
11 F v.-bp.Sn saUn-°¬ tImtf-Pv, h´-∏md , Xncp-h-\-¥-]pcw
12 ]flm-hXn lm¿´v ût≠-j≥, sIm√w
13 {Smh≥Iq¿ saUn-°¬ tImtf-Pv, sIm√w
14 apØq‰v tlmkv]n-‰¬, tImg-t©cn
15 am¿ {KntKm-dn-bkv satΩm-dn-b¬ apØq‰v saUn-°¬ sk‚¿, ]Ø-\w-Xn´
16 sk‚ v {KntKm-dn-bkv Im¿Untbm hmkvIp-em¿ sk‚¿, ]cp-ae
17 tPmk^v I≠-Øn¬ satΩm-dn-b¬ Im≥k¿ sk‚¿, tN¿Øe
108 18 sNØn-∏pg sk‚ v tXmakv tlmkv]n-‰¬, tIm´bw
19 Imcn-Ømkv Bip-]-{Xn, tIm´bw
20 tlmfn ^manen tlmkv]n-‰¬, sXmSp-]pg
21 Nmgn-°mSv Bip-]-{Xn, sXmSp-]pg
22 saUn-°¬ {SÃv tlmkv]n-‰¬ Fd-Wm-Ipfw
23 enkn tlmkv]n-‰¬, Fd-Wm-Ipfw
24 sk‚ v sPbnwkv tlmkv]n-‰¬, Nme-°pSn
25 Aae Im≥k¿ sk‚¿, Xr»q¿
26 h≈p-h-\mSv Bip-]-{Xn.-H-‰-∏mew
27 e£van tlmkv]n-‰¬, ]me-°mSv
28 aZ¿ Im¿Uv tlmkv]n-‰¬, aÆm¿ImSv
29 A¬jn^ Bip-]-{Xn, s]cn-¥¬aÆ
30 A¬amkv tlmkv]n-‰¬, tIm´-°¬
31 Fw.-C.-F v saUn-°¬ tImtf-Pv, ae-∏pdw
32 ae-_m¿ C≥Ãn-‰yq´v Hm^v saUn-°¬ kb≥kv, tImgn-t°mSv
33 t__n satΩm-dn-b¬ tlmkv]n-‰¬, tImgn-t°mSv
34 ]ohokv tlmkv]n-‰¬, tImgn-t°mSv
35 sI.-kn.-Fw.-Sn.-sa-Un-°¬ tImtf-Pv, ap°w
36 kl-I-cW Bip-]-{Xn, Xe-»-cn.
t^mdw˛1 At]£Is‚
t^mt´m
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 Pn√ t^m¨ \w.
4. hb v 5. sXmgn¬ 6.hm¿jnI IpSpw_hcp-am\w
7. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv
8. tdj≥ Im¿Uv \º¿ APL/BPL 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 a‰p kvIoapIƒ BsI
21. ImcpWy ^-≠nte°v At]£n°p∂ XpI

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®nńs√∂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-®-S-
bv°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-am-
sW∂pw t_m[n-∏n-®p-sIm-≈p-∂p.
ÿew : At]-£-Is‚ H∏v/hnceSbmfw

XobXn : t]cv
-.............................................................................................................................................................................................................................
At]£ ssI∏-‰nb XobXn : tU‰ F≥{Sn hcp-Ønb XobXn :
tU‰m F≥{Sn \SØnbt∏mƒ e`n® sF.Un.\º¿:

110
Pn√mXe IΩn-‰nbv°v ka¿∏n® XobXn :
Pn√m `mKy-°pdn Hmô-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..............................................)
b ........................................ 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).
c. Xmsg-]-d-bp∂ Imc-W-ß-fm¬ At]£ \nc-kn-°p-∂p.
1)
2)
ÿew Pn√m If-IvS¿ (I-Ωn‰n sNb¿am≥)

XobXn
t^mdw˛2 At]£Is‚
t^mt´m
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 Pn√ t^m¨ \w.
4. hb v 5. sXmgn¬ 6. hm¿jnI IpSpw_ hcp-am\w

7. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv
8. tdj≥ Im¿Uv \º¿ 9. APL/BPL 10. B[m¿\º¿
11. RSBY/ CHIS+ Xncn-®-dn-b¬ \º¿ 111

12. tcmKnA√ At]£n°p∂sX¶n¬ ˛
At]£Is‚ t]cv tcmKnbpambp≈ _‘w
13. tcmKhnhcw
14. NnIn’ \S-Øp∂- Bip-]-{Xn-bpsS

t]cv, ta¬hn-emkw
15. NnIn-’-bpsS Ime-ssZ¿Lyw 16. Bip-]-{Xn-bn¬ {]th-in-∏nt®m?

17. {]th-in-∏ns®¶n¬ XobXn 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

3. tcmKnbpw IpSpw_mKßfpw Dƒs∏sSbp≈ t^mt´m
4. a‰v tcJIƒ (hy‡am°pI)
...........................................................................................................................................................................................................
kXy-{]-kvXm-h\

XobXn : t]cv
-.............................................................................................................................................................................................................................
112
Pn√mXe IΩn-‰nbv°v ka¿∏n® XobXn :
Pn√m `mKy-°pdn Hmô-k¿

..............................................................................................................................................................................................................................
Pn√mXe IΩn-‰n-bpsS Xocp-am\w
a. At]£ A\p-h-Zn-°m-hp-∂-XmWv.
b. ....................................... 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).
c. Xmsg-]-d-bp∂ Imc-W-ß-fm¬ At]£ \nc-kn-°p-∂p.
1)
2)
ÿew Pn√m If-IvS¿ (I-Ωn‰n sNb¿am≥)

XobXn
^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 : 2. ]pcp-j≥/ kv{Xo :
3. ta¬hn-emkw :
t]mÃv Bô v : ]n≥tImUv :

Pn√ : t^m¨ \w. :
4. hb v : 5. tPmen : 6. hm¿jnI IpSpw_ hcp-am\w. cq.
7. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv :
8. tdj≥ Im¿Uv \º¿ : 9. APL/BPL :

1
113
0. tcmKn A√ At]-£n-°p-∂-sX-¶n¬ -
At]-£-Is‚ t]cv : tcmKnbpam-bp≈ _‘w :
11. tcmKhnhcßƒ :
12. NnIn’m hnh-c-ßƒ ˛ Bip-]-{Xn-bpsS t]cv :

ta¬hn-emkw :
13. sF. ]n. \w : XobXn :
14. NnIn-’n® tUmIvSdpsS t]cv :
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\

XobXn : t]cv
-.............................................................................................................................................................................................................................
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:
11. Approximate expenditure for – 115
a. Investigations Rs. b. Drugs Rs.
c. Surgery Rs. d. Chemotherapy Rs.
e. Radiotherapy Rs. f. Hospital stay Rs.
g. Supportive careRs. h. Other items 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 Signature
Name & Designation Name & Designation
of the Consulting Doctor Head of the Hospital/Authorized signatory
Date \ (Office seal)

Details of Hospital’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:-
a. Investigations: Rs.
b. Drugs Rs.
c. Surgery Rs.
116 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 Signature
Name of the Consulting Doctor Name & Designation
Place: Head of the Hospital/Authorised person

Date: (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¬
117
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 shń-°-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.
{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-°¬ tcJ-
Iƒ 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-ly-
t£a hIp∏v hgn \S-∏n-em-°p∂ ]≤-Xn-bmWv kvt\l km¥z-\w.
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-_-ß-
fnse 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 Ie-
IvS¿ 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
{I-a-\-º¿ : (C.F≥.‰n.k¿-P≥
A-‰-kv-‰v sN-bv-XXv)
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¨-Ipń /s]¨-Ip-ń 119
4. tcm-Kn-bp-sS c-£-I¿-Øm-hn-s‚ hn-h-c-ßƒ

t]-cv :
ho´p-t]-cv :
hm¿-Uv :
]-©m-bØv /ap-\n-kn-∏m-en-‰n :
tIm¿-∏-td-j≥ :
Xm-eq-°v :
Pn√ :
]n≥-tIm-Uv :
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 h-b v hn-Zym sXm-gn¬ {]Xn G-sX-¶n-epw a-‰v {]-Xy-In®v

\º¿ `ym-k am-k im-co-cn-I D-≈ hn-h-cßƒ
tbm-KyX h-cp-am-\w ssh-I-eyw F-s¥¶nepw
_m-[n-®n-´p Ds≠-¶n¬
t≠m (D-≠v/ F-gpXpI
C√)
1. tcm-Kn-bp-sS A-—≥
2. tcm-Kn-bp-sS AΩ
3. tcm-Kn-bp-sS k-tlm-Zc≥ 1
4. tcm-Kn-bp-sS k-tlm-Z-c≥ 2
5. tcm-Kn-bp-sS k-tlm-Z-cn 1
120
6. tcm-Kn-bp-sS k-tlm-Z-cn 2
7. a-‰v Ip-Spw-_mw-K-ßƒ
(B-sc-∂v hy-‡-am-°p-I)
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 : (1)...................................................................
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. (2)..................................................................
(B-ip-]-{Xn-bp-sS t]-cv ap≥-K-W-\m-{I-a-Øn¬
F-gp-Xp-I) (3)
14.k¿-P-dn°p- tijw Hm-Un‰-dn sh¿-_¬ sXm-dm-∏n : (1)....................................................................

Xp-S¿-∂p \-S-Øp-∂-Xn-\v sX-sc-s™-Sp-°m≥
D-t±-in-°p-∂-Xv. : (2)..................................................................
(B-ip-]-{Xn-bp-sS t]-cv ap≥-K-W-\m-{I-a-Øn¬
F-gp-Xp-I) : (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¿-ń-^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 hn-t√-Pv ap-{Z hn-t√Pv Hm-ô-k-dpsS/

X-l-ko¬-Zm-cp-sS t]cpw H∏pw
122
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 / Analog / Digital Duration of Use
Behind the Ear
1.
2.
3.
4.
2. Recommendation byAudiologist and Speech-Language Pathologist (SLP)

123
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: (Office Seal) Name and Signature of theAudiologist

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

(put ( ) if
present
1. History of Meningitis
2. Any congenital anomaly
3. Jaundice requiring exchange transfusion
4. Vision Problems
5. Mental sub normality
2. Recommendation by ENT Surgeon

124
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: (Office Seal) Name of the ENT Surgeon:

Place: 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 Status Date of Evaluation

(Yes /No)
1. BERA/Audiogram
2. ASSR
3. OAE
4. Tympanogram
5. Aided thresholds(BOA / Audiogram) with
Rt..................................................aid 125
Lt..................................................aid
6. Speech-Language test
7. HRCT of the temporal bones
8. MRI of head and inner ear
9. Audiological test report
Seal and Signature of Audiologist Seal and Signature

and Speech Language Pathologist 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∂
IpńbpsS A—≥/ c£I¿Ømhv {io. ................................................................................ AΩ/ c£I¿Ømhv
{ioaXn.............................................................................................................................................................................................
ta¬hnemkw................................................................................................................................................................................
...........................................................................................................................................................................................................
tN¿∂v tIcf tkmjy¬ skIyqcn‰n anj≥ FIvknIyqóhv UbdIvS¿ apºmsI ka¿∏n°p∂
kXyhmßvaqew.
l Fs‚*/RßfpsS* Ipńbv°v tIƒhn°pdhps≠∂pw tIm¢nbm¿ Cwπmt‚j≥ ]≤Xn

aptJ\Ipńbv°v tIƒhn i‡nbpw XZzmc kwkmctijnbpw Xncn®v In´m≥ km[yX
Ds≠∂pw Rm≥ * / Rßƒ * a\ nem°nbn´p≠v.
l 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, IpńbpsS
126 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.
l tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn°v apºv \St°≠ {]o Iu¨kenwKv Rßƒ°v d^¿
sNbvX tUmIvS¿ \Inbn´p≠v.
l lnbdnwKv FbvUv h®v XpS¿®bmbn 3 amksa¶nepw kv]o®v sXdm∏n \Inb Ip™pßsf-
bmWv tIm¢nbm¿ Cwπmt‚j≥ k¿Pdnbv°v hnt[b\mt°≠Xv F∂v a\knem°nbn´p≠v.
Fs‚*/RßfpsS* Ipńsb AØcw NnIn¬kbv ° v hnt[b\m°nbn´p≠v F∂v
km£ys∏SpØp∂p.
l tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØnbXpsIm≠p am{Xw kwkmctijn Xncn®p-
Inńs√∂pw k¿Pdn°ptijw kwkmctijn In´m≥ NpcpßnbXv c≠v h¿j°m-
etØs°¶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.
l 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.
l 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.
l 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‚
Ipńbv°v GXv Cwπm‚mWv sXcs™Sp°p∂Xv F∂v Xocpam\nt°≠ NpaXe tIcf
kmaqly kpc£m anj\mWv.
l 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.
l 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.
l 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¬°p-
Ibp≈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.
l kv]o®v t{]mkkdn\v 4 h¿jhpw Cwπm‚n\v 10 h¿jhpamWv hmd≠nbpffXv F∂v 127
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.
l {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.
l 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.
l 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
XcwKw ]≤XnbpsS GIoIrX kzm`mhØn\pw, hnPbØn\pw CXv AXymhiyamWv F∂v
a\ nem°nbn´p≠v.
l 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.
l k¿°m¿/k¿°mtcXc ]≤XnIƒ hgntbm, C≥jzd≥kv ]≤XnIƒ hgntbm tIm¢nbm¿
Cwπmt‚j≥ k¿Pdnbv°mbn bmsXmcm\pIqeyhpw \mfnXphsc ssI∏‰nbnń√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.
l 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¬
128 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∏ń´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‚ IpńbpsS 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‚ ]nXmhv / amXmhv
{io./{ioaXn ....................................... acWs∏ń´ps≠∂pw ]nXmhmb/amXmhmb
Rm≥..............................................................am{Xta Pohn®ncn∏pffpsh∂pw IpńbpsS ]q¿Æamb
DØchmZnXzw F\n°msW∂pw Ipńbv°v tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØp∂Xn\v
F\n°v ]q¿Æ kΩXamsW∂pw CXn\m¬ km£ys∏SpØp∂p. 129
*..............................................................................................F∂ Rm\pw Fs‚ `mcy/`¿Ømhv
................................................. ambn \nba]cambn hnhml_‘w th¿s]SpØnbn´ps≠∂pw
................................................F∂ IpńbpsS \nba]camb NpaXe amXmhmb/]nXmhmb
F\nbv°msW∂v km£ys∏SpØp∂p........................................ F∂ IpńbpsS amXmhpw ]nXmhpw
Pohn®ncn∏ns√∂pw IpńbpsS c£I¿Ømhv ........................................(_‘w) Bb
........................................... (t]cv ) BsW∂pw IpńbpsS ]q¿Æamb DØchmZnXzw
F\n°msW∂pw Ipńbv°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.
*IpńbpsS A—s‚ t]cpw, ta¬hnemkhpw, H∏pw
*IpńbpsS AΩbpsS t]cpw, ta¬hnemkhpw, H∏pw

* IpńbpsS 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 Hmôkv :
]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 131
(Un) Xm¬°menIw
5. hnIemwKXzØns‚ iXam\w :
6. ]q¿Æambpw InS∏nemtWm : AsX/A√
7. ssZ\wZn\Imcyßƒ sNøp∂Xn\v
as‰mcmfpsS klmbw BhiyamtWm : AsX/A√
8. Blmcw Ign°p∂Xn\v as‰mcmfpsS
klmbw BhiyamtWm : AsX/A√
9. FWo‰ncn°m≥ as‰mcmfpsS
klmbw BhiyamtWm : AsX/A√
10. saUn°¬ t_m¿Uns‚ Unk_nen‰n : D≠v/C√
k¿ń^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¿ń^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 Hmôkv :
]n≥tImUv :
sSet^m¨ \w. (hoSv/samss_¬)
As√¶n¬ _‘s∏tS≠ \º¿ :
3. tcmKnbpambpff _‘w :
F≥tUmkƒ^m≥ _m[nXbmb Bfns‚ H∏v/hnceSbmfw
]cntim[\\SØnb AwK≥hmSn h¿°dqsS H∏v:

AwK≥hmSn h¿°dqsS t]cv:
XobXn:
132
(Hmôkv 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
(Hmôkv ap{Z)
inip hnIk\]≤Xn HmôkdpsS 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:
(Hmôkv 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) :
7. hn-Zym¿∞n / Ip-Spw-_mw-K-ß-fn¬ B-sc-¶n-epw

133
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-£y-
s∏-Sp-Øn sIm-≈p∂p.
H∏v :
t]-cv :
(B-ô-kv D-]-tbm-K-Øn-\v am-{Xw)

k-Xy-{]-ÿmh\
At]£bn¬ ]dbp∂ {]Imcw Ipamcn / amÃ¿ .......................................................................................................

...........................................................................................................................................................................................................
............................................................................ F∂ Ipń 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 : H∏v :
XobXn : Hmôkv ap{Z: t]cv :
kvIqfns‚ t]cv :
.......................... Pn√ :
Hmôkv t^m¨ \º¿ :
kmaqly kpc£m anj≥ FIvknIyqóhv UbdIvSdpsS Xocpam\w

..............................................................................................................................................s‚/sS At]£bptSbpw a‰v
k¿ń^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 :
FIvknIyqóhv 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¿ń-^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¿Un-
tbm-f-Pn, Hmt¶m-f-Pn, s\t{^mfPn tcmKn-Iƒ°v A[nI NnIn’mklmbw e`n-°pw. 139
]≤Xnbn¬ Dƒs∏´ AkpJßƒ
1. Bip]{Xnbnse InSØn NnIn’°mWv B\pIqeyw
2. NpcpßnbXv 24 aWn°q¿ F¶nepw InSØn NnIn’ Bhiyamb AkpJambncn°Ww
3. H.]n NnIn’°v B\pIqeyw e`n°p∂X√.
4. ]≤Xnbn¬ tNcptºmƒ \nehnep≈ AkpJßƒ°pw B\pIqeyw e`n°p∂XmWv.
5. ]≤Xnbn¬ tNcp∂Xn\v {]mb]cn[n C√.
6. 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
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-I-
fn¬ ]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
{]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-hp-
Iƒ°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-K-
Wn-°p-∂-Xm-Wv. At]-£-I≥ At]-£n-°p∂ ka-bØpw B\p-Iqeyw ssI∏-‰p∂ ka-bØpw hntZ-
iØv 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
142 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
A-t]-£Is‚ /
km¥z-\ [-\-klm-b ]-≤-Xn A-t]-£-I-bp-sS
]m- v t]m¿-´v
A-t]-£m- t^mdw ssk-kv t^mt´m
1 {]-hm-kn-bp-sS t]-cv
(]mkv-t]m¿-´v {]-Im-cw
Po-hn-®n-cn-∏n-s√-¶n¬ "Late' F-s∂-gpXpI)
2 ta¬-hn-em-kw
(]n≥-tIm-Uv k-lnXw)
3 sSen-t^m¨ \-º¿
4 P-\-\-Xo-øXn, hb- v
5 \m-ń¬ tPm-en sN-øp-∂pt≠m?

D-s≠-¶n¬ hn-i-Z-hn-hcw.
6 hn-tZi-Øv tPm-en sNbv-X cm-Py-ßƒ Im-e-bf-hv

ap-X¬˛hsc
143
7 ]mkv-t]m¿-´v \-º¿˛Xoø-Xn
8 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
9 hn-tZi-Øv \n∂pw A-h-km-\-am-bn tI-c-f

-Øn¬ h-∂ Xnø-Xn
10 {]-hm-kn a-c-W-s∏-s´-¶n¬ a-c-W-s∏-´

Xoø-Xn
11 A-t]-£I-s‚ Ip-Spw-_ hn-h-cßƒ :
12 Ip-Spw-_ hm¿jn-I h-cp-am-\w

(hn-t√-Pv B-ô-k-dpsS k¿-ń-^n°-‰v
\-ºcpw Xo-ø-Xnbpw)
13 t\man-\n-bmWv At]£ ka¿∏n-°p-∂-sX-
¶n¬ t]cv, {]hm-kn-bp-am-bp≈ _‘w
14 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 Bh-iy-amb hni-Zmw-i-ßƒ

XpI
1 NnIn-’m-k-lmbw
2 acWm\¥c klmbw
3 hnhml [\klmbw
4 ho¬ sNb¿, {I®kv F∂nhbv°v.
kXy{]ÿmh\)
ta¬∏d™ hkvXpXIƒ ]q¿Whpw kXyk‘hpamsW∂pw CXn\p ap≥]v km¥z\ ]≤-Xn-bn≥ Iogn¬ Hcp
[\ klm-bhpw e`n-®n-ń-s√∂pw Cu At]-£-bpsS ta¬ t\m¿°-˛-dq´vkv FSp-°p∂ F√m Xocpam\ßfpw
144
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 Hmtcm tIm∏nbpw \S- ] - S n- { I- a - ß ƒ Ffp- ∏ - a m- ° p- ∂ - X n\v

lmPcmt°-XmWv.
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
A-t]-£Is‚ /
t\m¿°˛dq´vkv sNb¿-am≥ ^≠v-v A-t]-£-I-bp-sS
[\-k-lm-bØn\p-ff At]£ ]m- vt]m¿-´v
ssk-kv t^mt´m
1. {]hmknbpsS t]cv
(]mkvt]m¿ńteXpt]mse)
2. ta¬hnemkw
(]n≥tImUv klnXw)
3. sSent^m¨ \º¿
4. P\\ØobXn, hb-kv
5. \mń¬ tPmen sNøp∂pt≠-m?

Ds≠-¶n¬ hniZhnhcw
hntZiØv tPmensNbvX cmPyßƒ Imebfhv

apX¬ ˛ h-sc
6 145
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 BôkdpsS
k¿ń^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 hniZmwißƒ

XpI
1 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®nńs√∂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-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√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 147
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 Ipń-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 {]k-
h-Øn-\m-bmepw kntk-dn-b≥ Bbmepw XnI®pw kuP-\y-amb NnIn-’-bmWv Cu ]≤Xn {]Imcw K¿`n-
Wn-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.
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-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-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√p-
Iƒ, 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 :
2. ta¬hnemkw :
ho´vt]cv
ho´v \º¿
hm¿Uv \º¿
t]mÃv Hmôkv (\n¿_‘w) :
Pn√, ]n≥ \º¿ :
3. t^m¨ \º¿, : em‚ v t^m¨/samss_¬ :
4. At]£Is‚ hb pw, P\\XobXnbpw :
5. kv{Xotbm/]pcpjt\m :
6. tcmKn _n.]n.F¬ IpSpw_mwKamtWm :
(Xt±i kzbw`cW ÿm]\Øn¬ \n∂pff
152 _n.]n.F¬ km£y]{Xw/Kk‰Uv Bôk¿
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 :
(kn) {_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 BôkdpsS 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 :
Bôkv ap{Z
................................................ sF.kn.Un.Fkv. t{]mPIvSv

............................................................................................... Pn√
Bôkv t^m¨ \º¿ .........................................................
ÿew :
XobXn :
153
tIcf kmaqly kpc£m anj≥ FIvknIyqóhv UbdIvSdpsS Xocpam\w
{io/ {ioaXn/ Ipamcn ......................................................................... F∂bmƒ°v ........................................

(................................................................................................. cq]) am{Xw ..............amkw apX¬ {]Xnamk
[\klmbw A\phZn®ncn°p∂p.
cPnÃ¿ \º¿ :
XobXn : FIvknIyqóhv 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.
6. At]£bn¬ Bhiyamb apgph≥ hniZmwißfpw tN¿Øv iniphnIk\ ]≤Xn Bôk¿°v

ka¿∏n°Ww.
154
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≈ F√m IØnS]mSpIfnepw cPnÃ¿ \º¿ \n¿_‘ambpw

tN¿t°≠XmWv.
10. B[m¿ Im¿Uv e`n®h¿ BbXns‚ t^mt´mÃm‰v AS°w sNøWw.
hnemkw :
FIvknIyqóhv UbdIvS¿,
tIcf kmaqly kpc£m anj≥,
c-≠mw\ne, htbmP\]I¬ ]cn]me\tI{µw,
]qP∏pc, Xncph\¥]pcw ˛ 695012
Acknowledgment Form
Ãmºv
cPnÃ¿ \w.
(At]£I≥ Hń-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¬ Cu
Bôkpambn _‘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
FIvknIyqóhv 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 : Signature :
Date : Name:
Reg. No:
Seal. Name of Hospital & Designatio:.
156 BZy At]£I¿°v tijw Hmtcm Bdv amkØnepw ]qcn∏n®v \¬tI≠-Xv
Register
No.
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 : Signature :
Date : Name:
Designation:
Reg. No:
Seal. Name of Hospital :

Kerala Government - Distress Relief and Assistance To The Poor - Vazhivilakku Uploaded by T James Joseph, Adhikarathil, Kumaranalloor, Kottayam (Deputy Collector Alappuzha)

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Kerala Government - Distress Relief and Assistance To The Poor - Vazhivilakku Uploaded by T James Joseph, Adhikarathil, Kumaranalloor, Kottayam (Deputy Collector Alappuzha)

Uploaded by

Copyright:

Available Formats

Vazhvilakkay

Printed & Published by

Pariraksha Palliative Care Team,

Layout & Cover :

hnhn[ Xcw tcmK-ßƒ _m[n®pw sshIeyw kw`-hn®pw Zo¿L-Imew hne-

50 hb v Ign™ AhnhmlnXƒ°p≈ s]≥j≥

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

3. `¿Øm-hns‚ acWw kw`-hn® Xnb-Xn, ÿew.:

5. At]-£-I-bpsS k¥m-\-ß-fpsS hnh-c-ßƒ

6. hnhmlw sNbvXv Ab-°m≥ Dt±-in-°p∂

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

12. hnhmlw \S-Øm≥ \n›-bn-®n-´p≈

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

1. At]-£-I-bpsS t]cpw ta¬hn-em-khpw :

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-c-

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

5 cq]-bpsS tIm¿´v ^o Ãmºv ]Xn® At]£tbm-sSm∏w Ce-£≥ Xncn-®-dn-b¬ Im¿Uv, tdj≥

At]£ ka¿∏n®v \n›nX Ime-b-f-hn-\p-≈n¬ saUn-°¬ t_m¿Uv At]-£-Is\]cn-tim-[-\bv°v

Zmcn{Zy tcJbv°v Xmsg-bp≈ hnI-emw-K-cmb s]¨Ip-´n-bpsS

sSet^m¨ \º¿ : Telephone Number :

At]£Is\ {]Xn\n[m\w sNøpItbm H∏w

hy‡nsb Xncn®dnbp∂Xn\pff ASbmfßƒ 1.

13. hnZym`ymk tbmKyX

15. tdj≥Im¿Uv {]Imcapff amkhcpam-\w

16. Fwtπmbvsa‚ v FIvktN-©n¬ t]cv cPnkv‰¿

17. Fwtπmbvsa‚ v cPnkvt{Sj≥ \-º¿

XobXn..................................... At]£Is‚ H∏v/c£I¿Ømhns‚ H-∏v

2. Ct∏mƒ Xma-kn-°p∂ ]©m-b-Øns‚ t]cv :

4. At]-£-Is‚ t]cpw Ct∏m-gsØ :

5. ]nXm-hns‚/ c£m-I¿Øm-hns‚ t]cpw :

8. [\-k-lm-b-ambn Bh-iy-s∏-Sp∂ XpI :

10. Zpcn-Xm-izm-k\n[nbn¬ \n∂pw :

11. at‰-sX-¶nepw [\-k-lmbw e`n-°p-∂pt≠m?:

apI-f-en¬ ]d-™n-cn-°p∂ hkvXp-X-I-sf√mw Fs‚ Adn-hnepw hnizm-k-Ønepw

At]-£-Is‚ H∏v/ hnc-e-S-bmfw

3. At]-£-I-bpsS hb- v, P\-\-Xn-øXn

8. hnhmlw \S-Øm≥ \n›-bn-®n-´p≈

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

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‚

50% sshIeyw D≠m-bn-cn-°Ww (sX-fn-bn-°p-∂-Xn\v saUn-°¬ t_m¿Uns‚ km£y-s∏-Sp-Ønbk¿´n-

3 Age & Date of birth of applicant :

4 Signature of the applicant :

(Space for Photograph)

5 Percentage of disability and details

6 Name and Address of Medical Officer :

7 Signature of the Medical Officer with Date :

1 At]-£-Is‚ ]q¿Æ-amb t]cv :

Hm^okv D]-tbm-K-Øn\p am{Xw

1 At]-£-Is‚ ]q¿Æ-amb t]cv

ÿew : At]-£-Is‚ t]cv, H∏v

Hm^okv D]-tbm-K-Øn\p am{Xw

Certified that I have examined Sri/Smt/Kum.............................................................................

photograph Designation of Doctor

Affix Office Seal on the Photograph Countersigned by……………...……….

doPn-b-W¬ Hm^okv C≥^¿ta-j≥ Hm^okv

hnI-emw-K¿°v Bh-iy-amb klmb D]-I-c-W-ßƒ°p≈ At]-£m-t^mdw

1. At]-£-Is‚ t]cpw kv{Xo / ]pcp-j≥

Fs‚ hm¿jnI hcp-am\w ............................................. cq]-bm-sW∂pw Ign™ aq∂p h¿j-Øn-\p-≈n¬

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