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Arogyakeralam Palliative Care Project 2013 (Pariraksha) Malappuram

Pariraksha Palliative Care Team,

Vazhvilakkay

Malappuram District

Layout & Cover :Shaji Paloly

Printed at :RHBC IMHANS, Calicut

E-mail: imhansclt@gmail.com

BapJw

hnhn[ Xcw tcmK-߃ _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°≠nhcp∂ 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-߃ e`n-°p-∂-Xn\v At]-£m-t^mdw FhnsS\n∂v e`n°pw, FhnsS-bmWv At]£ \¬tI-≠-Xv, At]-£-tbm-sSm∏wFs¥√mw tcJ-I-fmWv lmP-cm-t°-≠-Xv, klm-b-Øp-Ibmbn FX cp]e`n-°pw, CXn-\mbn GXv Hm^o-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 CsXmcpkmaq-lnI A\o-Xn-bmbn A\p-`-h-∏-Sp-∂p.

CØcw ]iv\-߃°v Ign-bp-∂X ]cn-lmcw D≠m-°Ww F∂ BK-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-߃ tiJ-cn®v Hcp ]pkvXI cq]-Øn¬ Xøm-dm-°n-bn-cn-°p-I-bm-Wv. hnhn[ klm-b-߃ kw_-‘n® eLp-hmb hnh-cWw, At]-£m-t^m-d-ß-fpsS amXr-I-Iƒ, saUn-°¬ k¿´n-^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-ambnamdn-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-ap´n \n¬°p∂ Iptd-t∏¿s°-¶nepw Bizm-k-Øn\v hgn-sbm-cp-°m≥ Cu ia-߃ sIm≠v IgnbpwF∂ ]Xo-£-tbm-sS...

¬

]cn-c-£ ]m-en-tb-‰o-hv sI-b¿ Sowa-e-∏p-dw Pn√

kvt\-l-]q¿∆w,

Xt±i ÿm]-\-߃ hgn e`y-am-Ip∂ klm-b-߃

kwÿm\hnI-emwK tIm¿∏-td-j≥ hgn e`y-am-Ip∂ klm-b-߃

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]¨a°ƒ°p≈ hnhml [\klmbw 20

km[p°fmb hn[hIfpsS s]¨a°ƒ°p≈ hnhml [\klmbw (A-t]£m t^mdw) 21

Ahn-hm-ln-X-cmb 50 hb- n\v apI-fn-ep≈ kvXoIƒ°v s]≥j≥ 20

Ahn-hm-ln-X-cmb 50 hb- n\v apI-fn-ep≈ kvXoIƒ°v s]≥j≥ (A-t]£m t^mdw) 23, 24

hnI-emwK¿°v saUn-°¬ k¿´n-^n-°-‰pw Xncn-®dnb¬ Im¿Upw 25

hnI-emwK¿°v saUn-°¬ k¿´n-^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

ZmcnZy tcJbv°v Xmsg-bp≈ hnI-emw-K- s]¨Ip-´n-bpsS hnhm-l-Øn\v [\-k-lmbw 25

ZmcnZytcJbv°v Xmsg-bp≈ hnI-emw-K-s]¨Ip-´n-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¬ bmXm ]mkv 31

hnI-emw-K¿°v _kp-I-fn¬ bmXm ]mkv 31

_p≤n-am-µy-ap-≈-h¿°v _kp-I-fn¬ bmXm]mkv 31

hnI-emw-K¿,- A-‘¿,- _-[n-c¿ F∂n-h¿°v kzIm-cy-_-kp-I-fn¬ bmXm-]mkv (A-t]£m t^mdw) 32

hnI-emw-K¿°v _kp-I-fn¬ bmXm ]mkv (A-t]£m t^mdw) 33

_p≤n-am-µy-ap-≈-h¿°v _kp-I-fn¬ bmXm]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-`-߃°v [-\-k-lmbw (_m¶v tem¨-˛-k-_vkn-Un) 36

hnI-emw-K¿ \S-Øp∂ sXmgn¬ kwcw-`-߃°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 (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 2) 45

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 3) 46

, 22

KSRTC

KSRTC

KSRTC

KSRTC

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 4) 47

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (1 apX¬ 8 hsc ¢mkp-I-fn¬) (A-\p_‘w 5) 48

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (9˛mw ¢mknepw apI-fnepw) 41

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v (9˛mw ¢mknepw apI-fnepw) (A-t]£m t^mdw) 49, 50, 51

imco-cn-I,- am-\-knI sshI-eyw t\cn-Sp-∂h¿°v Nmb Im∏n sh‚nwKv sajn≥ 52

imco-cn-I,- am-\-knI sshI-eyw t\cn-Sp-∂h¿°v Nmb Im∏n sh‚nwKv sajn≥ (A-t]£m t^mdw) 53, 54

amcI tcmK-߃°v ASn-a-s∏´ ]´n-I-PmXn/]´n-I-h¿§°m¿°v [\-k-lmbw 55

amcI tcmK-߃°v ASn-a-s∏´ ]´n-I-PmXn/]´n-I-h¿§°m¿°v [\-k-lmbw (A-t]£m t^mdw) 56

]nt∂m° ]´nI kap-Zmb a¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂pw [\-k-lmbw 55

]nt∂m°]´nI kap-Zmb a¥n-bpsS Zpcn-Xm-izmk \n[n [\-k-lmbw (A-t]£m t^mdw) 57, 58

anihnhmlnX¿°v ]´n-I-PmXn/ ]´n-I-h¿K hnI-k\hIp-∏n¬ \n∂pw [\-k-lmbw 55

anihnhmlnX¿°v ]´n-I-PmXn/ ]´n-I-h¿K hnI-k\hIp-∏n¬ \n∂pw k-lmbw(A-t]£m t^mdw) 59, 60, 61

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 Ip´n-Iƒ°v hnZym-`ymk [\-k-lmbw 66

h\n-X-Iƒ Krl-\m-Y-cmb IpSpw-_-ß-fnse Ip´n-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

anihnhmlnX¿°v kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbw 71

anihnhmlnX¿°v kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbw (A-t]£m t^mdw) 72, 73

Xmtemew ˛ Ip´n-Iƒ°p≈ Nn-In’m ]≤Xn 74

Im≥k¿ kpc£ ˛ Ip´n-Iƒ°p≈ Nn-In’m ]≤Xn 75

kvvt\l]q¿∆w ˛Ip´n-Iƒ°p≈ hnZym-`ymk ]≤Xn 76

kvvt\l]q¿∆w ˛Ip´n-Iƒ°p≈ hnZym-`ymk ]≤Xn 77, 78, 79, 80

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

tIcf acw-I-b‰ sXmgn-emfn t£a-]-≤Xn ]Imcw [\-k-lm-bw 93

Kpcp-X-c-amb AwK-ssh-Ieyw _m[n® Ip´n-Iƒ°p≈ \nt£] ]≤Xn 52

, 91, 92

]´n-I-PmXn hnI-k\hIp∏v hgn e`y-am-Ip∂ klm-b-߃

kmaq-ly-t£a hIp∏v/kmaqly kpc-£m-an-j≥ hgn-bp≈ klmbw

hnt√Pv/dh\yq hIp∏v hgn-bp≈ [\klmbw

te_¿ Hm^okv aptJ\e`n-°p∂ [\klmbw

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

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

cmjvSnb BtcmKy \n[n ( ) 104

cmjvSnb BtcmKy \n[n ( ) (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 ( ) 115

ImcpWy _\-h-e‚v kvIow ( ) 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≥ (A\p-_‘w 2) 123

ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A\p-_‘w 3) 124

ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥ (A\p-_‘w 4) 125

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 sSbn≥ bmXm I¨k-j≥ 135

Im≥k¿ tcmKn-Iƒv/A‘¿/hn-I-emw-K¿ F∂nh¿°v sSbn≥ bmXm I¨k-j≥ (k¿´n-^n-°-‰v) 136, 137, 138

kaK BtcmKy C≥jpd≥kv ]≤Xn ( ) & ( ) 139

Bw BZvan _nam tbmP\ ( ) 140

Bw BZvan _nam tbmP\ ( ) (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 ImcyIw ( ) 147

Ubm-en-kn-kv tcm-Kn-Iƒ-°p-≈ k-am-izm-k ]≤Xn 152,153, 154,

a‰v Hm^o-kp-Iƒ aptJ\ e`n-°p∂ [\klmb߃

Rashtriya Arogya Nidhi

Rashtriya Arogya Nidhi

Expenditure Statement

Utilization Certificate

RSBY CHIS

AABY

AABY

JSSK

CµncmKm‘n tZiob hm¿≤IyIme s]≥j≥

hnIemwKs]≥j≥

A¿lX

lmPcmt°≠ tcJIƒ

At]£ ka¿∏n-t°-≠Xv :

A¿lX

lmPcmt°≠ tcJIƒ (2 tIm∏n hoXw)

At]£ ka¿∏n-t°-≠Xv :

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-kwC√.

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√.

\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¿´n^n°‰v

2. kvIqƒ k¿´n^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---

Xt±i kzbw`cW ÿm]\Ønse skI´dn°v

s]≥j≥ XpI ]Xnamkw 550/˛ cq]

s]≥jW¿ acn®pt]mIp∂ tIkpIfn¬ IpSn»nIbp≈ s]≥j≥XpI BinX¿°v e`n°pw

80 hb- n-\p-ta¬ ]mbap-≈-h-¿°v ]Xn-amkw 1100/-˛ cq] hsc s]≥j≥ e`n°pw. Cu B\p-Iqeyw e`n-°-W-sa-¶n¬ saUn-°¬ t_m¿Uns‚ k¿´n-^n-°‰v/ 80 hb v sXfn-bn-°p-∂-tcJ Hcp tIm∏nhoXhpw 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-^o-kn¬ \n∂pw sse-^v k¿-´n-^n°-‰v hm-ßn ]-©m-b-Øn¬ lm-P-cm-°Ww.

(hnIemwK¿, AwKsshIeyw kw`hn®h¿, am\knI imcocnI sh√phnfnIƒ t\cnSp∂h¿ F∂n-h¿°p≈ s]≥j≥ ]≤Xn)

imcocnIambn AhiX t\cnSp∂h¿, aqIt\m, _[nct\m, A‘t\m, Aÿnkw_‘ambnhnIeXbp≈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.

\n›nX amXrIbnep≈ At]£ 2 ]I¿∏v

AwKsshIeyw sXfnbn°p∂ tcJbpsS km£ys∏SpØnb ]I¿∏v

Xnc®dnb¬ Im¿Uns‚ icn∏I¿∏v

At]£I≥ Dƒs∏Sp∂ tdj≥Im¿Uns‚ km£ys∏SpØnb ]I¿∏v

hcp-am\k¿´n-^n-°‰v

Xt±i kzbw`cW ÿm]\Ønse skI´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 BinX¿°v e`n°pw

F√m h¿-jhpw sse-^v k¿-´n-^n°-‰v lm-P-cm-°Ww.

08

09

10

11

12

13

14

I¿jI sXmgnemfn s]≥j≥

hn[hms]≥j≥

A¿lX

lmPcmt°≠ tcJIƒ

A¿lX

lmPcmt°≠ tcJIƒ

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

(Kk-‰Uv Hm^o-k¿ km£y-s∏-Sp-Øn-bXv 2 tIm∏n hoXw)

\n›nX amXrIbnep≈ At]£

hb v sXfnbn°p∂ tcJ

`qkzØns‚ hnhc߃

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‚ skI´dn°v ka¿∏n°Ww

s]≥j≥ XpI : ]Xnamkw 500/˛ cq]

(hn[-h-Iƒ, hnhm-l-tam-Nn-X¿ F∂n-h¿°v Xt±i ÿm]-\-߃ aptJ\ A\p-h-Zn-°p∂ s]≥j≥.)

`¿Ømhv acn® tijw ]p\¿hnhmlw sNbvXn´n√mØ kvXo

`¿Ømhn\m¬ Dt]£n°s∏´ kvXo

7 h¿jambn `¿Ømhns\Ipdn®v bmsXmcp hnhchpw C√mØh¿

IpSpw_ hm¿jnI hcpam\w Kma]tZißfn¬ ]camh[n 20000/˛ cq]bpw

\Kc]t ißfn¬ 22375/˛ cq]bpw

]mb ]cn[n C√.

(Kk-‰Uv Hm^o-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 tamNn \mWv F∂v sXfnbn°p∂ tcJ ( hnt√Pv Hm^okn¬ \n∂pw)

`¿Ømhv acn®XmsW¶n¬ acW k¿´n^n°‰ns‚ ]I¿∏v

At]£ ka¿∏n-t°-≠Xv: Xt±i kzbw`cW ÿm]\Ønse skI´dn°v

s]≥j≥ : ]Xnamkw 700/˛ cq]

Z

X

15

16

17

18

19

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

50 hb v Ign™ AhnhmlnXƒ°p≈ s]≥j≥

A¿lX

lmPcmt°≠ tcJIƒ

klmb XpI : 3At]£ ka¿∏n-t°-≠Xv:

A¿lX

lmPcmt°≠ tcJIƒ:

s]≥j≥ :At]£ ka¿∏n-t°-≠Xv:

IpSpw_ hm¿jnI hcpam\w 20000/˛ cq]bn¬ IhnbcpXvs]¨Ip´n°v \¬Ip∂ BsI kºØv (kz¿Æw Dƒs∏sS) 6000/˛ cq]bn¬ IhnbcpXvBZy hnhmlw Bbncn°Ww, 18 hb v ]q¿Ønbmbncn°WwtIcfØn¬ 3 h¿jsa¶nepw ÿncXmakw D≠mbncn°Wwhnhml XoøXn° Hcpamkw apºv At]£ Xt±i ÿm]\Øn¬ \¬IWw. X°Xmb ImcWwsIm≠v At]£ \¬Im≥ IgnbmsX h∂m¬ am∏v At]£ klnXw 3 amkw hsc At]£\¬Imw.aq∂v amkImetam, AXne[nItam Imeambn hnhml tamNnXcmbn Ignbp∂ kvXoIfpsS s]¨-a°ƒ°pw klmbØn\v A¿lXbp≠v.

\n›nX amXrIbnep≈ At]£ 2 ]I¿∏v`¿Ømhns‚ acW k¿´n^n°‰vhnhmlnXbmIp∂ s]¨Ip´nbpsS P\\k¿´n^n°‰vAt]£Ibpw ]tcX\mb `¿ØmhpamWv s]¨Ip´nbpsS amXm]nXm°ƒ F∂v sXfnbn-°p∂tcJ.hnhmlw \n›bn®Xp kw_‘n® tcJhcpam\w sXfnbn°p∂ tcJAt]£Ibpw s]¨Ip´nbpw Dƒs∏Sp∂ tdj≥ Im¿Uns‚ km£ys∏SpØnb ]I¿∏vAt]£IbpsSbpw s]¨Ip´nbpsSbpw Xncn®dnb¬ Im¿Uns‚ icn]I¿∏vIpSpw_ hnlnXamtbm, amXm]nXm°fpsStbm, CjvSZm\amtbm, s]¨Ip´nbsS t]cnep≈Xv(hkvXp, B`cWw, ]Ww apXembh) 6000/˛ cq]bn¬ IhnbmØ XpIbmWv F∂ km£y]Xw.

0,000/˛ cq]Xt±i kzbw`cW ÿm]\Ønse skI´dn°v

50 hb v XnI™ AhnhmlnXcmb kvXoIƒkz¥ambn hcpam\w D≠mIm≥ ]mSn√IpSpw_ hm¿jnI hcpam\w Kma]tZißfn¬ ]camh[n 20000/˛ cq]bpw\Kc]tKißfn¬ 22375/˛ cq]bpw

(Kk-‰Uv Hm^o-k¿ km£y-s∏-Sp-Øn-bXv 2 tIm∏n hoXw)\n›nX amXrIbnep≈ At]£ 2 ]I¿∏v]mbw sXfnbn°p∂ Xmsg]dbp∂ tcJ (GsX¶nepw H∂v)1. P\\k¿´n^n°‰v (icn]I¿∏v)2. kvIqƒ k¿´n^n°‰v3. ]mkvt]m¿´v4. Akn. k¿P\n¬ IpdbmØ dm¶nep≈ tUmIvSdpsS km£y]Xw5 hnhmlnXb√ F∂v sXfnbn°p∂ km£y]Xw (hnt√Pn¬ \n∂v)6 tdj≥ Im¿Uns‚ km£ys∏SpØnb ]I¿∏v7. Xncn®dnb¬ Im¿Uns‚ icn∏I¿∏v8. At]-£m-t^m-d-Øn¬ ]m-kvt]m¿´v sskkv t^mt´m ]Xn-bv°Wwhnhm-ln-X-b√ F∂p≈ kXy-hm-Mvaqew hnt√Pv Hm^o-k-dn¬ \n∂pw Hmtcmh¿jhpXt±-i `cW skI-´-dn°v \¬IWw

a‰v GsX¶nepw s]≥j≥ hmßp∂h¿°v A¿lXbn√.]Xnamkw 700/˛ cq]

Xt±i kzbw`cW ÿm]\Ønse skI´dn°v

v

w

20

km[p-°-fmb hn[-h-I-fpsS s]¨a-°-fpsS hnhm-l-Øn\v[\-k-lm-b-Øn\v D≈ At]£

1. At]-£-I-bpsS t]cpw ta¬hn-em-khpw :

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

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

4. ac-W-Im-cWw :

5. At]-£-I-bpsS k¥m-\-ß-fpsS hnh-c-߃(t]-cv, P\-\- Xn-b-Xn) :s]¨Ip-´n-Iƒ FX? :

B¨Ip-´n-Iƒ FX :

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

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

8. ]Xn-ipX hcs‚ sXmgn¬ :

9. At]-£-I-bpsS ]Xn-amk hcp-am\w :

10. Bh-iy-s∏-Sp∂ klm-b-[\w :

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

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

At]-£-IbpsS H∏v

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

21

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-sSbpwssIh-i-ap≈ `qan-bpsS hnh-c-߃(-k¿t∆ :\º¿, hnkvXo¿Æw apX-em-b-h)

5. At]-£-I-bp-sSbpw IpSpw-_mw-K-ß-fp-sSbpwhm¿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.

skI-´dnKma-]-©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

22

23

24

hnI-emwK¿°v saUn-°¬ k¿´n-^n-°-‰n-\pw Xncn-®dnb¬

Im¿Un-\pap≈ At]£

hnIemwK Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ [\-k-lmbw

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

hnhm-l-Øn\v [\-k-lmbw

hnIemwK-cmb BfpIƒ°v k¿´n-^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-hmktIµw aptJ-\bpw At]£ ka¿∏n-°-Ww.

5 cq]-bpsS tIm¿´v ^o 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°vhnt[-b-am°n sshIeyw kw_-‘n-®p≈ k¿´n-^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‰nanjs‚ t\Xr-Xz-Øn¬ Iymºv \SØn sshIeyw kw_-‘n® k¿´n-^n-°-‰p-Ifpw Xncn-®-dn-b¬Im¿Up-Ifpw hnX-cWw sNøp-∂p. 40% ¬ A[nIw sshIeyw D≈-h¿°v k¿´n-^n-°-‰n\p ]pdtaXncn-®-dn-b¬ Im¿Upw \¬Ip-∂p. sNdnb sshI-ey-߃°v Imem-h[n \nP-s∏-Sp-Øn-bp≈ k¿´n-^n°‰pIfpw \¬Ip-∂p-≠v.

Zmcn-Zy-tc-Jbv°v Xmsg-bp≈ hnI-emw-K¿

NnIn-’-bv°p≈ [\-lmb- XpI \nP-∏-Sp-Øn-bn-´n-√.

\n¿±njvS At]t£m t^mdw ]qcn-∏n-®Xv c≠v tIm∏n.

saUn-°¬ t_m¿Uns‚ k¿´n-^n-°‰ns‚ A‰-ÃUv tIm∏n.

NnIn-’n-°p∂ Kh tUmIvS-dn¬ \n∂p≈ saUn-°¬ k¿´n-^n-°-‰v,

tdj≥ Im¿Uns‚ km£ys∏SpØnb ]I¿∏v

Xncn®dnb¬ Im¿Uns‚ icn∏I¿∏v

hcp-am\ k¿´n-^n-°‰v

Pn√m -tkm-jy¬ sh¬s^b¿ Hm^o-k¿°v At]£ ka¿∏n-°-Ww.

Zmcn-Zy -tc-J°v Xmsg-bp-≈-h¿°v BWv Cu ]m≤Xn ]Imcw [\-k-lm-b-Øn\v A¿l-X-bp-≈-Xv.

\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¿´n-^n-°-‰v˛ At]-£-I-t‚Xv(22000/˛cp-]-bn¬ Xmsg)

hnhmlw Ign-®-b-°m≥ Dt±y-in-°p∂ s]¨Ip-´n-bpsS P\\XnbXn sXfn-bn-°p∂Xn\m-h-iy-ambk¿´n-^n-°-‰ns‚ km£y-s∏-Sp-Ønb ]I¿∏v.

hnhm-l-£-W-]Xw

]Xn-ipXhcs‚ kXy-hmMvaqew ˛ At]£ Pn√m tkmjy¬ sh¬s^-b¿ Hm^o-k¿°v ka¿∏n-°-Ww. B\p-Iqeyw ssI∏-‰p∂ ka-bØv hnhml k¿´n-^n-°‰v lmP-cm-°Ww

]c-am-h[n klmbw 10,000/

A¿lXbp-≈-h¿

lmPcmt°≠ tcJIƒ

A¿lXbp-≈-h¿

lmP-cm-t°≠ tcJ-Iƒ:

25

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

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

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

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

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

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

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

hm¿Uns‚t]cv...........................................................................

hm¿Uv \º¿..............................................................................

26

hnIemwK k¿´n^n°‰n\pw Xncn®-dnb¬ Im¿Un\pap≈ At]£

t^mdw 1

t]cpw ta¬hnemkhpw (aebmfØn¬)

sSet^m¨ \º¿ :

hn`mKw

hb pw P\\oØobXnbpw

sshIeyØns‚ kz`m-hw

sshIeyw Xmev°menItam/ÿnctam

sshIeyw P≥a\mbpfftXm/B¿÷nXtam

a‰p hnhc߃ (]tXyIn®v tcJs∏SpØm≥Ds≠-¶n¬ amXw)

sshhmlnI \ne

hy‡nsb Xncn®dnbp∂Xn\pff ASbmf߃(2 FÆw)

1.2.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11

F) Ce£≥ sFU‚ vn‰n Im¿Uv \º¿

_n) tdj≥Im¿Uv \-º¿

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

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

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

Xm¬°menIw / ÿn-cw

P∑\mbpffXv B¿-PnXw

Aÿnkw_‘amb_p≤nap´p-Iƒ

ImgvN°p-d-hv

tIƒhn°pdhv/kwkmctijn°pd-hv

am\knItcm-Kw

_p≤namµyw

At]£Is\ ]Xn\n[m\w sNøpItbm H∏whcnItbm sNøp∂ amXm]nXm°ƒ/c£I¿ØmhvAs√-¶n-¬ ASpØ _‘phns‚ t]cpwta¬hnemkhpw

]pcpj≥/kvXo

hb v Znhkw amkw h¿-jw

t]cpw ta¬hnemkhpw (Cw-•o-jn-¬])

(As per Sub Rule (2) of Rule 5 of the Persons with Disabilities (Equal Opportunities, Protection of Rightsand Full Participation) Kerala Rules, 2000)

Telephone Number :

kXy]kvXmh\

Rm≥...........................................................................................................................................................................................................................................................................................................................................................................................(t]cpw AUkpw) ap-I-fn¬ ]kvXmhn®n´p-≈ F√m Imcyßfpw Fs‚ Adnhnepw DØa

hnizmkØnepw kXyamsW∂v CXn-\m¬ km£ys∏SpØp-∂p. t]¿k¨kv hnØv Untk_nen‰nkv

(Cu-Iz¬, Hm∏¿®yqWn‰okv, s]m´£≥ Hm^v ssd‰vkv B‚ v ^pƒ ]m¿´nknt∏j≥) BIvSv 1995 s‚

sk£≥ 59 ]Imcw sX‰mb hnhc߃ \¬In k¿´n^n°‰v Icÿam°p∂Xv Ip‰IcamsW∂v

F\n°v Adnhp≈XmIp∂p.

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

27

ªUv Kq∏v

hnZym`ymk tbmKyX

sXm-gn¬

tdj≥Im¿Uv ]Imcapff amkhcpam-\w

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

Fwtπmbvsa‚ v cPnkvtSj≥ \-º¿

kvs]-jy¬ Fwtπmbvsa‚ v cPnkvtSj≥ \-º¿

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

D≠v / C√

_n) Ds≠-¶n¬ FX iXam\w sshIeyamWvtcJs∏SpØnbn´p≈Xv?

40 \p Xmsg

40 \p ap-I-fn¬

At]£m Xob-Xn

At]£Is‚ H∏v

D≠v C-√

F _n F._n H

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

+-

˛

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¿Uvk¿´n-^n-°‰v lmP-cm-°-Ww)

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

8. [\-k-lm-b-ambn Bh-iy-s∏-Sp∂ XpI :

9. ASn-b-¥-c-[-\-k-lm-b-Øns‚ Bh-iy-IX :

10. Zpcn-Xm-izm-k\n[nbn¬ \n∂pw :[\-k-lmbw CXn\p apºv e`n-®n-´pt≠m?

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

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

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

kXy-]-kvXm-h\

28

A\p-_‘w H∂v

1. At]-£-I-bpsS t]cpw ta¬hn-em-khpw(t^m¨ 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-øXnsXmgn¬, ]Xn-io¿j-h-cp-am\w :

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

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

6. ]Xn-ip-X-h-cs‚ sXmgn¬ :

7. Bh-iy-s∏-Sp∂ klm-b-[\w :

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

At]-£-I-bpsS H∏v

c£m-I¿Øm-hns‚ H∏vÿew:XnøXn:

Zmcn-Zy-tc-J°v Xmsg-bp≈ hnI-emw-K-cmb s]¨Ip-´n-I-fpsShnhm-l-Øn\v [\-k-lm-b-Øn-\p≈ At]£

\º¿

29

]Xn-ipX hcs‚ kXy-hm-Mvaqew

.................................................................................................-Pn-√-bn¬........................................................................................

Xmeq-°n¬.....................................................................................-hn-t√-Pn¬............................................................................

.............................................................................................................................................................................................-ho-´n¬

.....................................................................................................................................................................aI-\mb Rm≥ Cu

At]-£-bn¬ ]d-™n-cn-°p∂..............................................................................................................................................

F∂ s]¨Ip-´n-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:

ÿew:

XoøXn:

30

hnI-emw-K¿, A-‘¿,- _-[n-c¿ F∂n-h¿°vkzImcy _kp-I-fn¬ bmXm ]mkv

hnI-emw-K¿°v _kp-I-fn¬ bmXm ]mkv

_p≤n-am-µy-ap-≈-h¿°v _kp-I-fn¬ bmXm]mkv

hnI-emw-K¿°v kzImcy _kp-I-fn¬ bmXm ]mkv A\p-h-Zn-°p-∂-Xn\v Pn√m tdmUv Sm≥kvt]m¿´vHm^o-k¿°v \n¿±njvS -t^mdØnep≈ At]£ ka¿∏n-°Ww.

A-t]-£bn¬ t^mt´m ]Xn®v Kk-‰Uv Hm^o-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¿´n-^n-°‰v lmP-cm-°-Ww.

hn-I-emw-K¿°v 50% imco-cnI sshIeyw D≠m-bn-cn-°Ww (sX-fn-bn-°p-∂-Xn\v saUn-°¬ t_m¿Uns‚k¿´n- ^n-°‰v lmP-cm-°-Ww.

kn‰n,- Hm¿Un-\-dn,- ^mÃv ]mk-©¿ F∂o _kp-I-fn¬ kwÿm-\Øn\-IØp amXta kuP\yw A\p-h-Zn-°p-I-bp-≈q.-

\n-e-hnep≈ bmXm-\n-c-°ns‚ 70% kuP\yw A\p-h-Zn-°p-∂-Xm-Wv.-

A-t]-£-Is‚ hm¿jnI hcp-am\w 15000/˛I-hn-bm≥ ]mSn-√.

Pn√m Sm≥kvt]m¿´v Hm^o-k¿°v At]£ ka¿∏n-°Ww

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

k¿°m¿ Bip-]-Xn-bnse sskIymSn/\yqtdm Pn F∂o FsX-¶nepw hn`m-K-ßfnse Akn.- k¿Ps‚dm¶n¬ Ipd-bmØ tUmIvS-dpsS k¿´n-^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 amXtakuP\yw A\p-h-Zn-°p-I-bp-≈q.

\n-e-hnep≈ bmXm-\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 Hm^o-k¿°v At]£ \¬IWw

KSRTC

KSRTC

f

31

APPENDIX -I

Application for issue Identity Card to

Physically Handicapped/Blind/Deaf in Private Buses

1 Name of Applicant :

2 Address :

3 Age & Date of birth of applicant :

4 Signature of the applicant :

(Space for Photograph)

5 Percentage of disability and details

(to be certified by the Medical Officer

Not below the rank of an Assistant

Surgan in the Orthopediac, Eye or ENT

Branch of a recognized Hospital) :

6 Name and Address of Medical Officer :

7 Signature of the Medical Officer with Date :

Sd/

Superintendent

32

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,- kvXotbm :

4 ]q¿Æ-amb hnemkw :

5 sXmgn¬ :

6 DtZym-K-ap-≈-h-cm-sW-¶n¬ Ah-cpsS

HutZym-KnI ta¬hn-emkw :

7 At]-£-Is‚ Xmak ÿe-Øn-\-SpØp≈

sI.-F-kv.-B¿.-Sn.kn Hm^o-kv.

(Un.-‰n.H / F.-‰n.-H. Hm^o-kv) :

8 hm¿jnI hcp-am\w :

Fs‚ hm¿jnI hcp-am\w..................................................................................................................................... cq]

BIp-∂p.- (A-°-Ønepw A£-c-Ønepw Fgp-XpI) ta¬ kqNn-∏n® hnh-c-߃ kXy-am-sW∂v ]kvXm-

hn-®p-sIm-≈p-∂p.Sn hnh-c-߃ 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]c

Hm^okv D]-tbm-K-Øn\p amXw

kXy-]-kvXm-h\

v

33

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,- kvXotbm :

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-cpsSHutZym-KnI ta¬hn-emkw :

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

8 hm¿jnI hcp-am\w :

Fs‚ hm¿jnI hcp-am\wcq] BIp-∂p.- (A-°-Ønepw A£-c-Ønepw Fgp-XpI) ta¬ kqNn-∏n® hnh-c-߃ kXy-am-sW∂v]kvXm-hn-®p-sIm-≈p-∂p.Sn hnh-c-߃ sX‰m-sW∂v t_m≤y-s∏-Sp∂ ]£w At]£ \nc-kn-°m\pwA\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-ImcwDs≠∂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- s‚ t]cv

(]q¿Æ-amb hnemkw)

Hm^okv D]-tbm-K-Øn\p amXw

kXy-]-kvXm-h\

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

n

34

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

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

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

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

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

Designation of Doctor

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

Superindentend of the Institute

Name of Hospital……………………..

Date…………

Place………..

photograph

35

hnI-emw-K¿°v klmb D]-I-cWw

hnI-emw-K¿ \S-Øp∂ sXmgn¬ kwcw-`-߃° v[-\-k-lmbw

hnI-emw-K¿°v b¥-h¬IrX ap®I hml-\-Øn\v k_vknUn

(Free Distribution of aids and appliances)kwÿm\hnI-emwK tIm¿∏- d-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-߃kwÿm\ 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-߃ \¬Ip-∂-Xv.

B¿´n-^n-jy¬ enw_vkv,- ap-®I hml-\-߃,- 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-߃ 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-Øntemtªm°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-cm-bn-´p≈ Bfp-I-fn¬ \n∂pw kzbw sXmgn¬ kwcw-`-߃ Bcw-`n-°p-∂-Xn\v Hmtcmh¿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.

20000/˛ cq] hsc tem¨ XpI-bpsS 50% (]c-am-h[n 5000)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.

imcocn-I-ambn sh√p-hn-fn-Iƒ t\cn-Sp-∂,- kzbw sXmgn¬ kwcw-`-ß-fn¬ G¿s∏-´n-cn-°p∂ bphm-°ƒ°vb¥-h¬IrX ap®-I-hm-l-\-߃ hmßp-∂-Xn\v kwÿm\hnI-emwK tIm¿∏-d-j≥ 10000/˛ cq] hsck_vknUn \¬Ip-∂p.-

\n¿±njvS ^md-Øn¬, \n¿t±-in-®n-cn-°p∂ tcJ-I klnXw At]£ kwÿm\ hnI-emwK tIm¿∏- d-j≥ am\-PnwKv Ub-d-IvS¿°v ka¿∏n-°-Ww.

t

ƒ t

hnI-emw-K-cmb tem´dn GP‚p-am¿°p-th≠n tIcf kwÿm\hnI-emwK tIm¿∏-d-j≥, tI-cfkwÿm\ 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¿°vtem´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.

(_m¶v tem¨-˛-k-_vkn-Un)

A\p-h-Zn-°p∂ tem¨ XpI A\p-h-Zn-°p∂ k_vknUn

hnI-emw-K-cmb tem´dn GP‚p-am¿°p≈ [\-k-lmbw

36

tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥slUv Hm^okv

Pph-ss\¬ tlmw tImw]u-≠v, ]qP-∏p-c, Xncp-h-\-¥-]pcw ˛12, t^m¨ : 0471 - 2347768

doPn-b-W¬ Hm^okv C≥^¿ta-j≥ Hm^okvtImÃv Km¿Un\v FXn¿hiw Nt°m-c-Øp-Ip-fw, luknwKv t_m¿Uv_n¬UnwKvt^m¿´v sIm®n, sIm®n ˛ 682 001 tImgn-t°mSv ˛ 673 004t^m¨ : 0484 - 2116880 t^m¨ : 0495 - 2765669

Pn√ ......................................................._vtfm°v ..................................................-]-©m-bØv.............................................

1. At]-£-Is‚ t]cpw]q¿Æ-hn-em-khpw

2. Bh-iy-s∏-Sp∂ D]-I-cWw :

3. ap≥]v D]-I-c-W-߃e`n-® p-s≠-¶n¬ hniZ hnhcw :

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

ÿew .......................................................XobXn ........................................At]-£-Is‚ H∏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\pklm-b-Øn-\mbn ............................................................ D]-I-cWw AXym-h-iy-am-sW∂v CXn-\m¬k¿´nss^ sNøp-∂p.

ÿew ..........................................................XobXn......................................... H∏pw t]cpw .................................................

HutZym-KnI ]Zhn

................................................ \º¿ tdj≥Im¿Uv / hcp-am\k¿´n-^n-°‰v A\p-k-cn®v At]£Is‚hm¿jnI IpSpw-_-h-cp-am\w ......................................... cq]-bm-sW∂p km£y-s∏-SpØn sIm≈p-∂p.

k¿´nss^ sNøp∂ DtZym-K-ÿs‚ H∏pw koepw

D]-I-cWw ssI∏-‰n-bn-cn-°p∂p XobXn ..............................

hnI-emw-K¿°v Bh-iy-amb klmb D]-I-c-W-߃°p≈ At]-£m-t^mdw

hnZKvZ tUmIvS-dpsS k¿´n-^n-°‰v

kvXo / ]pcp-j≥]mbw

n-´

37

THE KERALA STATE HANDICAPPED PERSON’S WELFARE

CORPORATION LIMITEDHead 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 _nÂUnwKvt^mÀ«v sIm¨n, sIm¨n þ 682 001 tImgn t¡mSv þ 673 004t^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

5. Ct∏mƒ G¿s∏-´n-cn-°p-∂

sXmgn-ens‚ hni-Z-hn-hcw

6. sXc-s™-Sp-°-s∏´ sXmgn¬

7. ap≥]-cn-Nbw XpS-ßm≥ Dt±-in-°p∂

sXmgn-en¬ ap≥]-cn-Nbw

8. sXmgn¬ XpS-ßp-∂-Xn\p kz¥-ambn

ÿetam, sI´n-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?

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:

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¿´n-^n-°-‰ns‚ tIm∏n

2. tdj≥ Im¿Uns‚ 1, 2 t]Pns‚ tIm∏n

3. tem´dn FP≥kn k¿´n-^n-°-‰ns‚ tIm∏n

4. c≠v ]mkvt]m¿´v sskkv t^mt´m

Ortho / Blind / Deaf

]Xn⁄

At]-£-Is‚ H∏pw t]cpw

38

tIcf kwÿm\hnIm-ew-K-t£a tIm¿∏-td-j≥slUm-^okv : ‰n.-kn.17/230 (1), ]qP-∏p-c, Xncp-h-\-¥-]pcw -12

t^m¨ \º¿ : 0471 ˛2347768

hnI-emw-K¿°v kv°q´-dn¬ A[nI ho¬ ^n‰v sNbvX-Xn\v, k_vkn-Un-°p≈

At]-£m-^mdw1. At] £ Isâ t]cv þ

2. kvXo / ]pcp j³ þ

3. ]qÀ® taÂhn emkw þ

]n³ tImUv

t^m¬ \¼À/samss_ \¼À þ

_Ô s¸« ]©m b¯v/ap³kn

¸m enän/ tImÀ¸ td j³ þ

4. P\\Xob Xn, hbÊv þ

5. hnZym `ymk tbmKyX þ

6. hmÀjnI hcp am\w þ

7. sshI ey ¯nsâ kz`mhw þ

FX 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

(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_ knUn hm§n bn «pt m þ

ta ]kvXm hn ¨n «pÅ FÃm Imcy §fpw Fsâ D¯a hnizm k ¯nepw Adn hnepw icnbpw

kXy hp am sW¶pw CXn \m 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. ssUhnwKv ssek³knsâ tIm¸n

3. hcp am kÀ«n ^n ¡ änsâ tIm¸n (hmÀjnI hcp am\w 60,000/þ cq] bn Xmsg)

4. hnI emw KXzw sXfn bn ¡p¶ kÀ«n ^n ¡ änsâ tIm¸n

5. tdj³ ImÀUnsâ 1,2 t]Pnsâ tIm¸n

6. sskU o LSn ¸n¨ hml \ ¯n \¼À ImWp ¶ hn [ ¯n Ccp s¶ Sp¯ t^mt«m þ2

amt\ PnwKv Ub d IvSÀ

i)

ii)

v

\

vh

]Xn⁄

]mkv-t]m¿-´vssk-kvt^mt´m

39

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

Xncp-h-\-¥-]pcw ˛12

At]-£-Is‚ t]cv :

2. kvXo / ]pcp-j≥ :

3. ]q¿Æ- ta¬ hn-em-kw :

]n≥tImUv :

t^m¨ \º¿ / samss_¬ \º¿ :

4. P\\Xob-Xn, hb v :

5. ( ) sshI-ey-Øns‚ kz`mhw :

( ) 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 :

8. tem´dn GP≥kn-bpsS \º¿ :

9. hnZym-`ymk tbmKyX :

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¿´n-^n-°-‰ns‚ tIm∏n

2. tdj≥ Im¿Uns‚ 1, 2 t]Pns‚ tIm∏n

3. tem´dn FP≥kn k¿´n-^n-°-‰ns‚ tIm∏n

4. c≠v ]mkvt]m¿´v sskkv t^mt´m

tem´dn k_vkn-Un-°p≈ At]-£m-t^mdw

1.

a

b

Managing Director

]Xn⁄

40

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°mWvkvtImf¿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 CukvtImf¿jn∏n\v A¿l-X- n-√. Pn√m hnZym-`ymk Hm^o-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¿´n-^n-°-‰v, hnt√Pv Hm^o-kn¬ \n∂p≈ hcp-am\k¿´n-^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¿´n-^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 Hm^o-k¿°vka¿∏n-t°-≠-Xm-Wv.

b

9˛mw ¢mknepw AXn\p apI-fnepw ]Tn-°p∂ hnI-emw-K-cmb hnZym-¿∞n-Iƒ°v kvtImf¿jn∏v \¬Ip-∂-Xn-\p-th≠n kmaq-ly-t£-a-h-Ip∏v aptJ\ \S-∏n-em-°p∂ ]≤-Xn-bm-Wn-Xv.

k¿°m¿ ÿm]-\-ß-fntem, k¿°m¿ AwKo-IrX ÿm]-\-ß-fntem ]Tn-°p∂ hnI-emwK hnZym-¿∞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-¿∞nIƒkvtImf¿jn∏n\v At]-£n-t°-≠-Xn-√.

ap≥ hm¿jnI ]co-£-bn¬ 40% F¶nepw am¿°v Ic-ÿ-am-°n-bn-´n-√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¿´n-^n-°-‰v, hnt√Pv Hm^o-kn¬ \n∂p≈ hcp-am\k¿´n-^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¿´n-^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-´n-bm¬ amXta tImgvkns‚ XpS¿∂p≈ h¿j-ß-fn¬ kvtImf¿jn∏v ]pXp°nA\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-\Iwkwÿm\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.

hnI-emwK hnZym¿∞n-Iƒ°p≈ kvtImf¿jn∏v(9˛mw ¢mknepw AXn\p apI-fnepw)

41

42

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

(2) ]Xn-amkw e`n-°p∂ XpI :

Ipdn∏v : (1) ]qcn-∏n® At]-£-Iƒ AXmXv Pn√m kmaq-ly-t£a B^o-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-߃ sh´n-°-f-tb-≠-Xm-Wv.

(6) Pn√m hnZym-`ymk Hm^o-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 :

(_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]¨Ip-´n-Iƒ, \mSm¿ s]¨

Ip´n-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

9. dh\yq Un∏m¿´vsa‚n¬ \n∂pw

hnI-emwK s]≥j≥ In´p-∂pt≠m

]nXm-hns‚ /c£m-I¿Øm-hns‚ H∏v /hn-c-e-S-bmfw hnZym¿∞n-bpsS H∏v /hnc-e-S-bmfw

1. apI-fn¬ ]kvXm-hn-®n-´p≈ hkvXp-X-Iƒ Fs‚ Adn-hnepw hnizm-k-Ønepw s]´n-S-tØmfw kXy-am-W v .kvtImf¿jn∏v A\p-h-Zn-°p-∂Xv kw_-‘n-®v bmsXmcp hkvXp-X-Ifpw ad-®p-sh-®n-´n-√.

2. kvtImf¿jn∏v e`n-°p∂ Ime-L-´-Øn¬ a‰v [\-k-lm-b-ß-sfm∂pw Fs‚ aI≥ / aIƒ kzoI-cn-°p-∂ -X-s√∂pw ]kvXm-hn-®p-sIm-≈p-∂p.

ÿew : ]nXm-hns‚ /c£m-I¿Øm-hns‚ H∏v

XobXn :

: D≠v / C√

]kvXmh\

43

`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¿∂ :

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≥ ]´n-I-PmXn /]´n-I-h¿§

Øn¬s∏´ BfmtWm ? :

(_n) AsX-sb-¶n¬ ]´n-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]¨Ip-´n-I-fp-sStbm :

ap…ow s]¨Ip-´n-I-fp-sStbm [\-k-lmbw

Ds≠-¶n¬ e n-°p∂ XpI

4. A‘¿°p amXw :

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≈ tÉv _m¶ns‚ imJ :

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 apZ

XobXn

]kvXm-h\

44

A\p-_‘w 1˛

hcp-am\k¿´n-^n-°‰v

(hn-t√Pv Hm^o-k¿ \¬tI-≠-Xv)

(B-h-iy-an-√mØ `mKw sh´n-°-f-bp-I)

.............................................................................Xmeq-°n¬....................................................................................hn-

t√-Pn¬ .................................................................................................................................................................-F∂ ho´n¬

io /ioaXn........................................................................................................................................................F∂ BfpsS

aI≥ / aIƒ ..............................................................................F∂ Ip´n°v hnI-emwK hnZym¿∞n-Iƒ°p≈

kvtImf¿jn-∏n\v At]-£n-t°≠ Bhiym¿∞w.........................................................mw XnbXn ka¿∏n®

At]-£-bn¬ Fs‚ At\z-j-W-Øn¬ Snbms‚ hm¿jnI IpSpw_ hcp-am\w............................................cq]

(...........................................................................................................................................................) BsW∂v R≥

km£y-s∏-Sp-Øp-∂p.

IqSmsX Sn Ip´n°v dh\yq hIp-∏n¬ \n∂pw s]≥j≥ e`n-°p-∂p≠v / e`n-°p-∂n√ F∂pw Sn

Ip´n ]´n-I-PmXn / ]´n-I-h¿§-Øn¬s∏´ Bƒ BsW∂pw / As√∂pw CXn-\m¬ km£y-s∏-Sp-Øp-∂p.

ÿew : hnt√Pv Hm^o-k-dpsS t]cpw H∏pw

XobXn : hnt√-Pns‚ t]cv

(Hm ^okv apZ)

45

A\p-_‘w 2

(Hm^okv apZ)

˛

A‘¿°p≈ saUn-°¬ k¿´n-^n-°‰v

(c-Pn-ÿ sNbvXn-´p≈ Hcp \b-\-tcmK hnZ-KvZ\pamXw \¬Im-hp-∂-XmWv Cu k¿´n-^n-°‰v)

tUm..........................................................................-c-Pnÿ \º¿ ...................................................................-

Bb Rm≥ 200.........................................................................................mw Znhkw Xmsg hnh-c-߃ 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-߃ :

6. ImgvN Ah-ti-jn-®n-´p-s≠-¶n¬ : heXp IÆv / CSXp IÆv

AXns‚ tXmXv

7. A‘-X-bpsS Bcw w (A-‘X P∑\m :

D≈-XmtWm ]n∂oSv _m[n-®-XmtWm F∂v

]d-bp-I, ]n¬°meØp-≠m-b-Xm-sW-¶n¬

AXv _m[n® hb pw AXns‚ Imc-Whpw

kqNn-∏n-°mw)

8. A‘-X-bpsS \n¿∆-N-\w, kvtImf¿jn-∏v :

Bh-iy-߃°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 UnKn 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 :

46

A\p-_‘w˛3

(C.-F≥.-Sn. hnZ-KvZ-\p-amXw \¬Im-hp-∂-Xv)

tUm................................................................................................... cPn-ÿ \º¿ ....................................... Bb Rm≥ 200................................mw Znh-k-amb C∂v Xmsg hnh-c-߃ tN¿Øn-´p≈ At]-£-Is\]cn-tim-[n-®n-´p-s≠∂pwAbmƒ 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-߃ :

6. ih-W-tijn Ah-ti-jn-®n-´p-s≠-¶n¬

AXns‚ tXmXpw B tXmXv IW-°m-°m≥

kzoI-cn® ASn-ÿm-\hpw

(1) heXp sNhn

(2) CSXp sNhn

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

_[n-c-cpsS \n¿∆-N\w :

km[m-c-W-amb Pohn-Xm-h-iy-߃°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∂oBhr-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 : Hm^okv apZ

_[n-c¿°p≈ saUn-°¬ k¿´n-^n-°‰v

47

A\p-_‘w˛4

tUm................................................................................................... cPn-ÿ \º¿ ....................................... Bb Rm≥ 200................................mw Znh-k-amb C∂v Xmsg hnh-c-߃ tN¿Øn-´p≈ At]-£-Is\]cn-tim-[n-®n-´p-s≠∂pwAbmƒ 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∂ ]´n-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, IyUm-πo-UvPn-b, th≠-hn[w Iq´n-t®-cmØ 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-´n-\p-ap-I-fn¬, tXmfn¬, ap≥h-iw, Hcp-hiw,Ccp-hiw :

(_ ) Ah-i-X-bpsS hym]vXn :ico-c-im-kvX-sØbpw ]h¿Ø-\-sØbpwtcmKn-tbbpw ]cn-tim-[-I-s\bpw tIµ-am°nsIm≠p≈ hnen-cp-Ø-ens\ASn-ÿm-\-am°niXmw-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∂ ]´n-I-bn¬ ]k-‡-am-bXvAS-bm-f-s∏-Sp-ØpI) :˛Iymen-∏n-b¿, I®v Im¬ap-´n\v apI-fn¬ Im¬ap-´n-\p-Xm-sg, IrXn-amwKw (t]m-kvsX-Un-kv) hSn, tXmƒ,tXmfn-\p-Xmsg slan-s]¬sh-IvtSman, tXmƒ _‘-hn-t—Zw

(Un) \S-∂n-´p-≈tXm \n¿≤n-jvStam Bb ikvX-Inb :(C) Ah-i-X-bp-sS GsX-¶nepw D]-I-cWw

D]-tbm-Kn-°p-∂pt≠m7 sshI-ey-Øns‚ kz`m-h-sØ-tbm, hym]vXntbtbm

kw_-‘n®v k¿P≥ Fs¥¶nepw Np≠n-°m-Wn-°m≥BK-ln-°p-∂p-s≠-¶n¬ A°mcyw hy‡-am-°p∂ a‰phnh-c-߃ :

Hm¿tØm-∏o-UnIv hnZ-KvZ-[s‚ ssIsbm∏vÿm-\-t∏cv :

At]-£-Is‚ ssIsbm∏v tbmKyX :ta¬hn-emkw :

ÿew :XnbXn : Hm^okv apZ

Aÿn-kw-_-‘-amb AwK-ssh-I-ey-ap≈ At]-£-Isc kw_-‘n®saUn-°¬ k¿´n-^n-°‰v

(c-Pn-kvtSUv Hm¿tØm ]oUnIv hnZ-Kv≤≥ amXw \¬tI≠ k¿´n-^n-°-‰v)kvtImf¿jn-∏m-h-iy-Øn\v Aÿn-kw-_-‘-amb AwK-ssh-I-ey-Øns‚ \n¿h-N\w Aÿn-Iƒ, amwk-t]-in-Iƒ, k‘nIƒ

F∂nhbpsS km[m-cWKXn-bn-ep≈ ]h¿Ø-\-Øn-\p-X-S- -ambn Xoc-Ø-°-hÆw ico-cn-I-amb sshI-eytam sshIy-Xtam D≈Bfp-I-fmWv Aÿn kw_-‘-ambn AwK-ssh-I-ey-ap-≈-h¿

n

48

A\p-_‘w ˛5

(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 :

(apZ)

dotUgvkv Ae-h≥kv A\p-h-Zn-°p-∂-Xn-\p≈ ^mdw

49

`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

]pXp-Xmbn kvtImf¿jn∏v A\p-h-Zn-°m-\p≈ At]£

Ipdn∏v :

1. ]q¿Æ-ambn ]qcn-∏n® At]£ ¢mkv Bcw-`n® XobXn apX¬ c≠p-am-k-Øn-\Iw kwÿm\ kma q -

ly-t£a hIp∏v Ub-d-IvS-td-‰v, hnImkv `h≥, Xncp-h-\-¥-]pcw ˛33 F∂ hnem-k-Øn¬ FØn - 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-߃ AS-ßn-btXm Bb At]-£-

Ifpw XZv£Ww \nc-kn-t°-≠-Xm-Wv.

4. ]k-‡-a-√mØ `mK-߬ sh´n-°-f-bp-I.

5. ap≥ hm¿jo-I-∏-co-£-bn¬ 40% F¶nepw am¿°v Ic-ÿ-am-°n-bn-´n-√mØ Ip´n-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∂ Ip´n-Iƒ At]-£n-t°-≠Xn√.

8. ]pXnb tImgvkp-I-fn¬ ]T\w \S-Øp-∂-hcpw \n¿±n-jvT-amb tImgvkp-I-fnse ]T-\-Øn\p apS°w

hcp-Øn-bn-´p-≈-hcpw kvtImf¿jn∏v ho≠pw A\p-h-Zn-°p-∂-Xn\v ]pXp-Xmbn At]-£n-t°-≠ XmWv.

9. ¢mkv Bcw-`n® XobXn apX¬ Hcp-am-k-Øn-\Iw kvtImf¿jn∏v ]pXp-°p-∂-Xn-\p≈ At]£

ÿm]-\-Ø-e-h-\n¬ \n∂p ]qcn-∏n®p In´n-bm¬ amXta tImgvkns‚ XpS¿∂p≈ h¿j-ß-fn¬

kvtImf¿jn∏v ]pXp°n A\p-h-Zn-°p-I-bp-≈q.

`mKw ˛ 1

(A-t]-£-I≥ ]qcn-∏n-t°-≠-Xv)

1. \n߃ ]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 kvXotbm :

5. (F) \n߃ Hcp C¥y≥ ]uc-\mtWm :

(_n) ]´n-I-PmXn / ]´n-I-h¿K-Øn¬

s]´-bmƒ BtWm :

6. P\\ØobXn (In.hn) :

7. ]nXm-hns‚ /c£m-I¿Øm-hns‚ ]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 Hm^o-k-dpsS

k¿´n-^n-°‰v tN¿°p-I) :

9. \n߃ hcp-am\w kºm-Zn-°p-∂pt≠m :D≠v / C√

F∂p hy‡-am-°pI

Ds≠-¶n¬ ,

(1) hcp-am\am¿Kw

(2) amk-h-cp-am\XpI

10. (F) Ct∏mƒ ]Tn-°p∂ tImgvkn¬ ]th-i-

\-Øn-\p≈ tbmKy-Xm-]-co-£-bpsS t]cv

(_n) Pbn® tbmKy-Xm-]-co-£-bn¬

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 \n߃°v : D≠v / C√

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. tIµ /kwÿm\k¿°m¿ AwKo-I-cn-®n-´p-≈Xpw:

]mb-]q¿Øn-bmb A‘/_[n-c¿°p-≈-Xp-amb

GsX-¶nepw ]cn-io-e\tIµ-Øn¬ \n∂v \n߃

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≥ BK-ln-°p-∂-Xv.

(2) tImgvkv Bcw-`n® XobXn :

t]cpw

:

Ic-ÿ-am-°nb

:

In´n-bn-´pt≠m

50

(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 ˛

\n߃ 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≥ ^okv 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 tIµ-Øn¬ \n∂v Rm≥ kzoI-cn-°p-∂-X-s√∂pw

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 In´n-bXv B tIµ-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 In´n-bm¬ AXns‚

Ime-b-f-hn-\p-≈n¬ ^okn-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-´n-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-´n-s√-¶n¬

XobXn : c£m-I¿Øm-hns‚ tasem∏v

51

imco-cn-I,-am-\-knI sshI-eyw t\cn-Sp-∂h¿°vNmb Im∏n sh‚nwKv sajn≥

Kpcp-X-c-amb AwK-ssh-Ieyw _m[n®Ip´n-Iƒ°p≈ \nt£] ]≤Xn

imco-cnI am\-knI sshIeyw t\cn-Sp∂ ]mh-s∏´ IpSpw-_-ß-fnse hnI-emw-K¿°v D]-Po-h-\-Øn-\mbnNmb, 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-IƒlmP-cm-°Ww

40 iX-am-\tam AXn¬ IpSp-Xtem sshIeyw sXfn-bn-°p∂ saUn-°¬ t_m¿Uv \¬Inbk¿´n-^n-°-‰ns‚ Kk-‰Uv Hm^o-k¿ km£y-s∏-Sp-Ønb ]I¿∏v,

hnIemwK Xncn-®-dn-b¬ Im¿Uv, tdj≥ Im¿Uv, hcp-am\ k¿´n-^n-°‰v F∂n-h-bpsS A‰-ÃUvtIm∏n,

D]-I-cWw hbv°m≥ Dt±-in-°p∂ Hm^o-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]-£-IƒF∂ hnem-k-Øn¬ Ab-bv°-Ww.

F´p hb- n¬ Xmsg-bp≈ Kpcp-X-c-amb Aw-K-ssh-Ieyw kw`-hn® Ip´n-Iƒ°v kmº-Ø Ikpc£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≈ Ip´n-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.

B¨Ip-´n-I-fpsS t]cn¬ 15000/˛cq-]-bpw,-s]¨Ip-´n-I-fpsS t]cn¬ 20000/˛ cq]bpw kwÿm\hnI-emwK tIm¿∏-d-j≥ \nt£-]n-°p-∂p.

Ip´n°v 18 hb v Ign-bp-tºmƒ kzbw sXmgn¬ kwcw-`-߃ XpS-ßp-∂-Xn-t\m,- hn-hml Bh-iy-Ønt\m At]-£-bpsS ASn-ÿm-\-Øn¬ XpI aS°n \¬Ip-∂p.

lmP-cm-t°≠ tcJ-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

n-

52

1 KpW-t`m-‡m-hns‚ t]cv :

ho´p t]cv :

t]mÃv : hgn

Pn√ : t^m¨ \w]¿

2 A—s‚/AΩ-bpsS/c£n-Xm-hns‚ t]cv :

3 hb-kv, P\\XobXn :

4 sh‚nwKv sajo≥ ÿm]n-°m≥

Dt±-in-°p∂ ÿew :

5 Hm^okv ta[mhn :

6 Hm^okv hnemkw :

7 sh≈w, Id‚ v F∂nh A\p-h-Z-\o-b-amtWm:

8 sh≈w, Id‚ v F∂nhbpsS _n√v

AS-bv°p-hm≥ Xøm-dmtWm :

H∏v

t]cv

1. 40 iX-am-\tam AXn¬ IpSp-Xtem sshIeyw sXfn-bn-°p∂ saUn-°¬ t_m¿Uv \¬Inb k¿´n-^n-°-‰ns‚ Kk-‰Uv Hm^o-k¿ km£y-s∏-Sp-Ønb ]I¿∏v, hnIemwK Xncn-®-dn-b¬ Im¿Uv,tdj≥ Im¿Uv, hcp-am\k¿´n-^n-°‰v F∂n-h-bpsS A‰-ÃUv tIm∏n,

2. D]-I-cWw hbv°m≥ Dt±-in-°p∂ Hm^o-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-IpSnImWn-°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.

lmP-cm-t°≠ tcJ-Iƒ

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

tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥Pph-ss\¬ tlmw tIm-ºu-≠v, ]qP-∏p-c, Xncp-h-\-¥-]p-cw˛12

t^m¨ 0471 2347768tIcf kwÿm\hnI-emwK t£a tIm¿∏-td-j≥

CuÃv ^n¬ tdmUv, Nt°m-cØvIpfw, tImgn-t°m-Sv.-t^m¨ 0495 2765669

imco-cn-I,-am-\-knI sshI-eyw t\cn-Sp-∂h¿°v Nmb Im∏nsh‚nwKv sajn≥ A\p-h-Zn°p-∂Xn-\p≈ At]-£m-t^mdw

53

54

amcI tcmK-߃°v ASn-a-s∏´pw A]-I-S-ß-fn¬ s]´pw Zo¿L-Im-e-ambn NnIn-’-bn¬ Ign-bp∂ ]´n-I-PmXn/]´n-I-h¿§hn`m-K-Ønse ]mh-s∏´ Bfp-Iƒ°v [\-k-lmbw

]nt∂m° ]´nI 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

anihnhmlw aqew t¢i-߃ A\p-`-hn-°p-∂-h¿°v ]´n-I-PmXn/]´n-I-h¿K hnI-k\hIp-∏n¬ \n∂pw [\-k-lmbw

amc-I-tcm-K-߃°v ASn-a-s∏-´-hcpw A]-I-S-Øn¬ s]´v Zo¿L-Imeambn NnIn-’-bn¬ Ign-bp∂ ]´nIPmXn/]´n-I-h¿K-hn`m-K-Ønse ]mhs∏´ Bfp-Iƒ°p≈ [\-klm-bw.

\n¿±njvS At]-£m-t^mdw ]qcn-∏n-®Xv

PmXn-k¿´n-^n-°‰v (Xm-eq°v Hm^o-kn¬ \n∂v)

NnIn-’n-°p∂ Bip-]-Xn-bn¬ \n∂p≈ saUn-°¬k¿´n-^n-°‰v Pn√m/tªm°v ]´n-I-PmXn ]´n-I-h¿KhnI-k\Hm^o-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 ]´n-I-PmXn/ ]´n-I-h¿K hnI-k\Hm^o-kdpw AXn\p apI-fn-ep≈XpI kwÿm\]´n-I-PmXn/ ]´n-I-h¿K hnI-k\Hm^o-kdpw BWv A\p-h-Zn-°p-∂-Xv.

]nt∂m° hn`m-K-°m-cpsS BI-kvan-I-amb Bh-iy-߃°v ]cn-lm-cw ImWp-∂-Xn-\mbn ]nt∂m° ]´nIkap-Zmb a¥n-bpsS HutZym-KnI \ma- [-b-Øn¬ Hcp Zpcn-Xm-izmk \n[n cq]o-I-cn-®n-´p-≠v.

25000/˛cp-]-bn¬ Xmsg hm¿jnI hcp-am-\-ap≈ ]´nI PmXn IpSpw-_-ß-fnse hcp-am-\-Zm-b-I¿ tcmKwaqew ac-W-s∏-Sp-I, IpSpw-_mw-K-߃°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 ]´n-I-PmXn hnI-k\Ub-d-IvS-dpw, 25000/˛ cq] hsc-bp≈ [\-k-lmbw hIp∏vskI-´-dnbpw A\p-h-Zn-°p-∂-Xm-Wv.

PmXn, hcp-am-\w, NnIn-’n-°p∂ tUmIvS-dpsS k¿´n-^n-°-‰v, F∂nh klnXw \n›nX t^md-Øn¬At]£ Pn√m ]´nI PmXn hnI-k\Hm^o-k¿t°m, _‘-s∏´ tªm°v/ap≥kn-∏m-en‰n/tIm¿∏-td-j≥]´n-PmXn hnI-k\Hm^ok¿t°m, t\cn´v ]nt∂m° ]´nI kap-Zmb a¥nbvt°m ka¿∏n-°m-hp-∂-Xm-Wv.

ani 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-l ambn \¬Ip∂ ]≤-Xn.

]´n-I-PmXn/]´n-I-h¿K-Øn¬ Dƒs∏-´-h-cp-ambn hnhmlw \S-°p-Ibpw Hcp h¿j-Im-e-sa-¶nepw H∂n®vXma-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 Hm^o-k¿ \¬Inb km£y-]-Xw.

PmXn sXfn-bn-°p∂ km£y ]Xw (Xmeq°v Hm^o-kn¬ \n∂v)

hcp-am\k¿´n-^n-°‰v (hn-t√Pv Hm^o-kn¬ \n∂v) 40000/˛ cq]bv°p Xmsg

hnhml cPn-kvtS-j≥ k¿´n-^n-°-‰v. ZºXn-IfpsS hb-kv, Xncn-®dn-b¬ tcJ

F∂nh klnXw ]´n-I-PmXn/]´n-I-h¿K- hnI-k\Hm^o-k¿°v At]£ ka¿∏n-°-Ww.

hnhmlw Ign™v Hcp h¿j-Øn\p tijw ap∂v h¿j-Øn-\Iw At]-£n-°-Ww.

lmP-cm-t°≠ tcJ-Iƒ

lmP-cm-t°≠ tcJ-Iƒ

t

mb

At]-£-I≥/At]-£I ]´n-I-PmXn / ]´n-I-h¿§-Øn¬ s]´-bm-fm-bn-cn-°Ww

[\-klmbw 50000/˛cq]

55

Xocmhym[naqew bmX\A\p`hn°p∂ ]´nIPmXn°m¿°v,]´nIhnIk\hIp∏n¬ \n∂pw kmºØnI klmbw

A\phZn°p∂Xn\p≈ At]-£m-t^mdw

1. At]£Is≥d t]cpw ]q¿Æamb

ta¬hnemkw :

2. At]£Is≥d P\\ØobXnbpw hbkpw :

3. PmXn

:

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]XnbpsSkz`mhw (]thi\sØ∏¡n hy‡am°p∂k¿´n^n°¡v lmPcmt°≠XmWv) :

9. NnIn’n°p∂ tUmIvSdpsS t]cv :

apIfn¬ ]kvXmhn®n´p≈ hnhc߃ Fs≥d Adnhnepw. hnizmkØnepw s]´nStØmfwkXyamsW∂v Rm≥ CXn\m¬ ]Xn⁄ sNbvXpsIm≈p∂p.

At]£Is≥d H∏v:

ÿew:

XobXn :

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

kXy]kvXmh\

56

]´n-I-Pm-Xn hnI-k-\ h-Ip∏v

]n-t∂m-° ]´n-I k-ap-Zm-bt£-a h-Ip-∏v a-¥n-bpsS Hu-tZym-Kn-I-\m-a-t[-b-Øn¬ cq-]o-I-cn-®n-´p-≈ Zp-cn-Xm-izm-k \n[n-bn¬-\n∂pw D-≈ [-\-k-lm-b-Øn-\p-≈ A-t]-£

k-Xy-]-kv-Xmh-\

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¿-´n-^n-°-‰v lm-P-cm-°-Ww):

4. Ip-Spw-_-hm¿jn-I h-cp-am-\w(hn-t√Pv Hm-^o-k-dn¬ \n-∂p-≈

(h-cpam-\ k¿-´n-^n°-‰v lm-P-cm-°-Ww) :

5. A-t]-£-sX-gn¬ :

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

7. F-∂p-ap-X¬ Nn-In-’-bn-emWv? C-\n F-X-Im-ew Nn-In’ th-≠n-hcpw?:

8. Nn-In-’-bv-°v \m-fn-Xph-sc F-X cq-] sN-e-hmbn?

C-\nbpw F-X cq-]- ap-S-t°-≠n-hcpw? :

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

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

(lm-P-cm-°n-bn-´p-t≠m? B-b-Xv ]-Im-cw Nn-In-’ F-X cq-]-bm-Wv?:

11. Nn-In-’ B-h-iy-am-bn h-∂Xv A-t]-£n-°p-∂ hy-‡n-bv-°v

A-s√-¶n¬ B¿°p-th-≠n-bm-Wv A-t]-£n-°p-∂Xv? B hy-‡n-bp-am-bp-≈ _-‘w:

12. C-tX B-h-iy-Øn-\v ap-ºv G-sX-¶nepw h-Ip-∏n¬ \n∂pw [-\-k-lm-bw e-`n-®n-´pt≠m:

13. F-¶n¬ G-Xv h-Ip-∏n¬ \n-∂v F-X cq-]?

ap-I-fn¬ ]-d-™n-cn-°p-∂ Im-cy-߃ k-Xy-am-sW-∂v Rm≥ C-Xn-\m¬ km-£y-s∏-Sp-Øp-∂p

ÿ-ew: A-t]-£I-s‚ H∏v:

XoøXn: t]-cv

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

(tªm°v / ap-\n-kn-∏m-en-‰n / tIm-¿-∏-tdj≥)

57

MEDICAL CERTIFICATE FOR AVAILING FINANCIAL ASSISTANCEFOR 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 treatmentUndergoing/recommended :

7. Remarks :

Signature and name of the Issuing authority

Name and address of the hospital

Date:

(seal)

58

59

A-\p-_-‘w˛19

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

(F) A-t]-£-I¿ \n-e-hn¬ Xm-a-kn-°p∂

ta¬-hn-em-kw tc-J-s∏-Sp-tØ-≠-Xm-Wv :

(_n)

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

(F) :

(_n) :

3. Pm-Xn(k¿-´n-^n°-‰v k-lnXw)

(F) `¿-Øm-hv :

(_n) `m-cy :

4. A-t]-£ k-a¿-∏n-°p-tºmg-sØ sXm-gnepw am-k-h-cp-am-\hpw

(`¿-Øm-hn-s‚bpw / `m-cy-bp-sSbpw k¿-´n-^n°-‰v k-ln-Xw):

5. hn-hm-l-Øn-s‚ hn-i-Z-hn-h-c-߃

(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-tS-j≥

\-ºcpw Xo-ø-Xnbpw c-Pn-kv-Sm¿ Hm-^o-kn-s‚ t]cpw

(hnhm-l D-S-º-Sn-bp-sS

A ¬ lm-P-cm-°n-bn-´pt≠m?F-¶n¬ hn-h-cw) :

6. hn-hm-l-Øn\p-ti-jw Z-º-Xn-Iƒ G-sX-¶nepw Im-e-b-f-hn¬

th¿-]n-cn-™vvv Xm-a-kn-®n-´pt≠m ? D-s≠-¶n¬

(F) th-¿-]n-cn-™vvv Xm-a-kn-® Im-e-b-f-hv :

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

7. Z-º-XnIƒ H-cp-h¿-j-Øn¬ A-[n-I-ambn H-cp-an-®v

Xm-a-kn-°p-∂p F-∂ k¿- n-^n-°‰v (K-k‰Uv Hm-^ok¿ /

Fw.]n/ Fw.F¬.F. F-∂n-h-cn¬ \n-∂pw) :

]´n-I-Pm-Xn hnI-k-\ h-Ip-∏v

an-i-hn-hm-lw aq-ew Iv-tf-i-߃ A-\p-`-hn-°p-∂-h¿-°v ]-´n-I-Pm-Xn hnI-k-\ h-Ip-∏n¬-\n∂pw [-\-k-lm-bw A-\p-h-Zn-°p-∂-Xn-\p-≈ A-t]£

´

60

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-߃ ap-I-fn¬ ,tN¿-Ø F√m-hn-h-c-ßfpw

k-Xyhpw i-cn-bp-am-sW-∂v C-Xn-\m¬ R-߃ ]-Xn-⁄ sN-øp∂p.

ÿew: `¿-Øm-hns‚ H∏v:

Xo-ø-Xn: `m-cy-bpsS H∏ v:

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

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

]-´n-I-Pm-Xn hnIk-\ Hm-^o-k¿

tªm°v / ap-\n-kn-∏m-en‰n /tIm¿-∏-td-j≥

Ip-dn-∏v: Pm-Xn sX-fn-bn-°p-∂ k¿-´n-^n°-‰v X-l-ko¬-Zmcpw h-cp-am-\w sX-fn-bn-°p-∂ k¿-´n-^n°‰v

hn-t√-Pm-^o-kdpw \-ev-In-bn-cn-°-Ww. ]-´n-I-Pm-Xn hnIk-\ Hm-^o-k¿-°m-Wv A-t]-£ k-a¿-∏n-t°≠Xv

CERTIFICATE

Certified that Sri..........................................................................................................................

And Smt

Place: Name:

Date: Designation:

(Gazetted Officer)

(seal)

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

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

........................................................................................................................(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.

61

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\vZmcnZy tcJbv°p Xmsg-bp≈ tcmKn-bpsS _‘p-hnt\m IpSpw-_mw-K-߃t°m [\-k-lmbw \¬Ip∂]≤-Xn.

-tcm-Kn°pw ]cn-N-cWw \¬Ip-∂-bmƒ°pw \nXy-hr-Øn°p a‰v hgn-bn-s√-¶n¬ amXta Cu ]≤-Xn-bpsSB\p-Iqeyw e`n-°p-I-bp-≈q.

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-߃ \n¿h-ln-°p-∂-Xn\v as‰m-cm-fpsS klmbw IqSntb Xocq F∂ Ah-ÿ-bnep≈InS-∏n-em-b-h¿, am\-knI tcmKn-Iƒ, Hm´n-kw, skdn-_¬ ]ƒkn, sa‚¬ dn´m¿tU-j≥, Im≥k¿,]£m-Lm-Xw, XpS-ßnb tcmKn-Isf ]cn-N-cn-°p∂h¿.

]cn-N-cWw \¬Ip∂-bmƒ k¿°m¿ klm-b-ßtfm s]≥j-\p-Itfm ssI∏-‰p-∂-bmƒ BI-cp-Xv. ]cn-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¬ tPmensNbp-∂-h¿°pw tlmw \gvkp-am¿°pw klmbw e`n-°p-∂-X-√.

\n¿±njvS t^md-Øn-ep≈ At]£

tcmKn-bpsS tdj≥ Im¿Uns‚ ]I¿∏v km£y-s∏-Sp-ØnbXv

tcmKn-bp-sS-bpw, ]cn-N-cn-°p-∂-bm-fp-sSbpw Xncn-®-dn-b¬ Im¿Uns‚ km£y-s∏-Sp-Ønb ]I¿∏v

tcmKn-bpsS t^mt´m 1 tIm∏n km£y-s∏-Sp-ØnbXv

tcmKn-bpsS hcp-am\k¿´n-^n-°-‰v (Kma-ß-fn¬20000/˛cp-]-bn¬ Xmsg, \K-c-]-tZ-i-ßfn¬ 22375/˛ \pXmsg)/ _n.-]n.-F¬ k¿´n-^n-°‰v

Hmtcm h¿jhpw G]n¬ 30 \Iw ]cn-N-cWw \¬Ip-∂-bm-fp-sS-bpw,- ]-cn-N-cn-°-s∏-Sp-∂-bm-fp-sSbpwsse^v k¿´n-^n-°‰v sF.-kn.-Un.-F-kv.-kq-]-ssh-k¿ km£y-s∏-SpØn kn.-Un.-]n.H aptJ\kmaqlykpc-£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-ج D≠m-bn-cn-°Ww

]Xn-am-kw 525/˛ cq-] [-\-kml-bw e-`n-°p∂p.

FIvkn-°yq-´ohv Ub-d-IvS¿,-

tI-cf kmaqly kpc-£m-an-j≥,-

km-aq-ly-t£a C≥Ãn-‰yq-j≥ tImwπ-Ivkv,-

]q-P-∏p-c, Xncp-h-\-¥-]pcw ˛ 12

A¿l-X-bp-≈-h¿

ka-¿∏n-t°≠ tcJ-Iƒ

At]-£-Iƒ ka¿∏n-t°≠ hnemkw

62

63

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 Hm^okv :

Pn√ :

At]£Is‚ P\\XobXnbpw hb pw :

kvXotbm ]pcpjt\m :

2. (F) ]cnNcn°s∏Sp∂ BfpsS t]cpw

ta¬hnemkhpw :

ho´pt]cv :

ho´p \º¿, hm¿Uv \º¿ :

]©mbØv/ap\nkn∏men‰n/tIm¿∏tdj≥ :

t]mÃv Hm^okv :

Pn√ :

kvXotbm ]pcpjt\m :

_n) ]cnNcn°s∏Sp∂ BfpsS

P\\XobXnbpw hb pw :

kn) At]£I\pambpff _‘w :

3. ]cnNcn°s∏Sp∂ Bƒ Bib/_n.]n.F¬

IpSpw_Øn¬s]´ Bƒ BtWm/Bizmk

IncWw ]≤Xnb\pkcn®pff hcpam\]cn[nbv°

IØpffIpSpw_mwKtamtWm ? (BsW¶n¬

Bhiyamb k¿´n^n°‰v lmPcm°Ww)

4. ]cnNcn°s∏Sp∂ Bƒ am\Zfi ]Imcapff

AhiXbpff BfmtWm? BsW¶n¬ F¥mWv :AsX/A√.

AhiX (tUmIvSdpsS k¿´n^n°‰v lmPcm°Ww)

5. At]£I≥ ÿnchcpam\apff BfmtWm?

BsW¶n¬ ]Xnamkhcpam\w :

At]£bn¬ ]dbp∂ ]Imcw ]cnNcWw Bhiyapff io . / ioaXn/Ipamc n.........................................................................................................................................................................F∂bmƒ Fs‚

]cnNcWØnemsW∂pw Snbmƒ am\knI/imcocnI sh√phnfn aqew AhiXbpffbmfmsW∂pwAt]£bn¬ ]dbp∂ hnhc߃ ]q¿Æambpw icnbmsW∂pw ]kvXmh\sNbvXpsImffp∂p.

ÿew : At]£Is‚ t]cpw H∏pw

Xob-Xn :

kXy]kvXmh\

(Hm^okv D]-tbm-K-Øn\v amXw)

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

inip hnI-k\]≤Xn Hm^o-k-dpsS A`n-]mbw

kmaqly kpc-£m-an-j≥ FIvkn-Iyq-´nhv Ub-d-IvS-dpsS Xocp-am\w

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-߃ 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

Pn√

Hm^okv t^m¨ \w]¿

io./ioa-Xn/Ipamcn.....................................................................................................F∂bmƒ°v........................

..................................................................( cq]) amXw ]Xn-amk [\-k-lmbw A\p-h-Zn-®n-cn-°p-∂p.

cPn.-\º¿ :

XnbXn :

ÿew : Hm^o-kv apZ H∏v :

XnbXn : t]cv :

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

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

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

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

H∏v

FIvkn-Iyq-´nhv Ub-d-IvS-¿

64

65

ASWASAKIRANAM SCHEME

CERTIFICATE FOR BED RIDDEN PATIENTS

Place :Date :

This is to certify that I have examined Shri /Smt /Kumari/ Master....................................................................................................................................................

.........................................(Name and address of the applicant) aged .................... years on

(............................. Date). He /She is having ........................... % (......................................)

(Percentage in words) of Permanent / Temporary disability and is bed ridden / needs a full time

caregiver due to ..........................................................................................................................

Identification marks of the applicant

1.

2.

Name of the Doctor ...................................................................................

Registration No.

Name of the Hsopital

Signature and Seal To,EXECUTIVE DIRECTORKERALA SOCIAL SECURITY MISSIONPOOJAPPURATHIRUVANANTHAPURAM

Thump impression of the patient

PHOTOof bedridden

patientattested

by Doctor

h\n-X-Iƒ Krl-\m-Y-cmb IpSpw-_-ß-fnse Ip´n-Iƒ°vhnZym-`ymk [\-k-lmbw

hn[hm ]p\¿hn-hml [\-k-lmbw˛"aw-Key'

kvt\l kv]¿iw ]≤Xn

ZmcnZy tcJbv°v Xmsg-bp≈ h\n-X-Iƒ Krl-\m-Y-cmb IpSpw-_-ß-fnse Ip´n-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 ZmcnZy tcJbv°v XmsgbmsW∂pw sXfn-bn-°p∂ tcJ lmP-cm-°-Ww. (-hn-t√Pv Hm^o-kv, ]©m-bØv Hm^o-kn-¬ \n∂pw)

Hcp IpSpw-_-Øn¬ \n∂pw ]c-am-h[n c≠v Ip´n-Iƒ°v [\-k-lmbw A\p-h-Zn-bv°pw.

kwÿm\tIµ k¿°m-cn¬ \n∂pw Hcp hn[-Øn-ep≈ kvtImf¿jn∏pw e`n-°p-∂n√ F∂ km£y-]XwhnZym-`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¬ Ip´n-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 Ip´nbv°v ]Xn-amkw 250/˛ cq]m ]Imcw 10 amk-tØ°v2500/˛ cq]bpw UnKn Xew apX¬ ]Tn-°p∂ Ip´n-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.

ZmcnZy tcJbv°v apI-fn-ep≈ hn`m-K-Øn¬ (F.-]n.-F¬) _m[n-X¿,- km-aq-ln-I-ambn hnth-N\wA\p-`-hn-°p-∂-h¿, bp≤-Øn¬ acn® Phms‚ hn[-h-Iƒ XpS-ßnb IpSpw-_-ß-fnse Ip´n-Iƒ F∂n-hsc]cn-K-Wn-°p-∂-Xm-Wv. (-C-Xn-\p≈ tcJ-Iƒ lmP-cm-°-Ww)

hn[-h-I-fpsS ]p\¿hn-hm-lsØ t]m’m-ln-∏n-°p-∂-Xn-\mbn tIcf tkmjy¬ sh¬^-b¿ Un∏m¿´p-sa‚ vhgn \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°pwhn[-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-ÿ Hm^o-kn¬ \n∂p≈ tcJ lmP-cm-°-Ww.

sF.-kn.-Un.-Fkv Hm^okv 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¿´n-^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¿´n-^n-°‰v

6 ]p\¿hn-hml k¿´n-^n-°‰v

\nb-am-\p-kr-X-amb hnhml _‘-Øn¬ IqSn-b-√msX Ahn-hm-lnX Ah-ÿ-bn¬ AΩ-bm-b-h¿°vBtcmKy ]cn-c-£, sXmgn¬, inip-kw-c-£Ww F∂n-hbv°v klmbw \¬Ip-∂-Xn\p th≠n tIcfkmaply 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¿isNbvXv Pn√m kmap-ly-t£a Hm^o-k¿°v \¬Ip-∂p.

Pn√m kmap-ly-t£a Hm^o-k¿ ip]m¿i sNbvXv tImcf kmaqly kpc-£m-an-j≥ FIvkn-Iyq-´ohv Ub-d-IvS¿°v Ab-bv°p-∂p.-A-hnsS \n∂v [\-k-lmbw A\p-h-Zn-°p-∂p.

HIV/AIDS

66

67ÿew :

Xnø-Xn : A-t]-£-I-bp-sS t]cv, H-∏v

...................................................................F-∂ Ip-´n Cu hn-Zym-`ym-k- ÿm-]-\-Øn¬............................................]-Tn-°p-I-bm-sW∂pw Sn-bm\v tIµ/ 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

ta¬ kq-Nn-∏n-® A-t]£-I H-cp h\n-X Kr-l-\m-Y-bm-sW∂pw Ip-Spw-_-Øn¬ P-hm-s‚ hn[-h /S_m-[nX¿/ hn-thN-\w A-\p-`-hn-°p-∂h¿ / B-sW∂pw t_m-[y-s∏-´n-cn-°p-∂-Xn-\m¬ ta¬

A-t]-£ ip-]m¿-i sN-bv-Xv sIm-≈p∂p.

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

ko¬

hn-Zym-`ym-k ÿm]\ ta-e-[n-Im-cn-bp-sS ip-]m¿-i

in-ip hnI-k-\ ]≤Xn Hm-^o-k-dp-sS ip-]m¿i

BPL /APL/HIV /AID

NB BPL APL:A-t]-£-I Kr-l-\m-Y-bm-sW∂pw- Ip-Spw-_-Øn¬-s∏-´ B-fm-sW∂pw 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

h\n-X-Iƒ Kr-l-\m-Y-cm-bp-≈ Ip-Spw-_-ß-fn-se Ip-´n-Iƒ-°vhn-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-´n-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¿-´n-^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¬? _m-[nX¿, km-aqln-I hn-thN-\w A-\p-`-hn-°p-∂h¿,

bp-≤-Øn¬ a-cn-® P-hm-s‚ hn-[-h-Iƒ

HIV/AIDS

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

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

2 At]-£-I-bpsS P\-\-Xo-bXn :

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

4 ac-W-a-S-™-bm-fpsS hn[-h-bmWv At]-£IF∂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 tImSXnDØ-c-hns‚ ]I¿∏v

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

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

8 At]-£-I-bpsS sXmgn¬, hcp-am\w

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

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

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

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

13 [\-k-lmbw At]-£n-°p-∂Xv F¥vBh-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

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(Hm^okv ko¬) Un.Un.-]n.-H.-bpsS H∏v

ko¬

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68

A-t]£m- t^m-dw ku-P-\y-amWv

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

1. A-t]-£-I-bp-sS t]-cv :

2. hb- v / P-\-\-Xo-ø-Xn :

3. ]q¿-Æamb ta¬-hn-em-kw :

(]n≥-tIm-Uv k-lnXw)

4. A-t]-£-I-bp-sS hn-t√-Pv :

A-t]-£-I-bp-sS Xm-eq-°v :

A-t]-£-I-bp-sS ]-©m-b-Øv :

5. A-t]-£-I-bp-sS Pm-Xn :

6. Ip-´n-I-fp-sS F-Æw

7. Ip-´n-I-fp-sS t]-cv

1.

2.

3.

4.

5.

6.

8. \n-b-am-\p-kr-Xam-b hn-hm-l-_-‘-Øn¬

Iq-sS-b√m-sX A-Ω-bm-bXmtWm? :

9. C-t∏mƒ hn-hm-ln-Xbm-tWm? :

10. sXm-gn¬ :

11. hm¿jn-I h-cp-am-\w :

12. kz-¥-am-bn `q-anbpw hoSpw Dt≠m? :

13. a-t‰-sX-¶nepw s]≥-j≥ e-`n-°p-∂p-t≠m?:

14. D-s≠-¶n¬ G-sX-∂v hy-‡-am-°pI :-

kv-t\-l-kv-]¿-iw ]≤-Xn

69

70

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

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 :

A-t]-£bpw A-\p_-‘-tc-J-Ifpw ]cn-tim-[n-®p.io-a-Xn....................................................................................s‚

A-t]-£ [-\-k-lm-b-Øn-\m-bn ip-]m¿-i sN-øp∂p.

Xo-ø-Xn: Hm-^o-kv apZ sF.kn.Un.F-kv.kq∏¿-ssh-k-dp-sS

t]cp. H∏pw

kn.Un.]n.H bp-sS t]cpw H∏pw

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

Xo-ø-Xn: Hm-^o-kv ap-Z Pn√m km-aq-lyt£-a

Hm-^o-k-dp-sS t]cpw H∏pw

kXy-]-ÿmh-\

]-cn-tim-[-\ dn-t∏m¿-´v

sF.kn.Un.F-kv.kq∏¿-ssh-k-dp-sS & kn.Un.]n.H bp-sS ip-]m¿i

Pn√m km-aq-lyt£-a Hm-^o-k-dp-sS dn-t∏m¿-´v

71

anihnhmlw aqew t¢i-߃ A\p-`-hn-°p-∂-h¿°v

kmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbw

ani 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 Hm^o-kn¬ \n∂v)

2 hcp-am\k¿´n-^n-°‰v (hn-t√Pv Hm^o-kn¬ \n∂v)

3 anihnhmlw 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¿´n-^n-°-‰v.

( )k_v cPn-kvSm¿, ( ) ]©m-bØv ]kn-U‚ v, ( )- K-h¨sa‚ v AwKo-I-cn® an hnhml

kwL-S-\, ( ) -Hcp t£X-Ønse amt\-P¿ As√-¶n¬ ioIm-cy-°m¿, ( ) Ic-tbmKw skI-´-

dn, ( ) imJm-tbmKw skI-´-dn, ( ) ]≈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 Hm^o-

ktdm, ]m¿e-sa‚ v saº-tdm, ePn-t…-‰ohv Akwªn saºtdm \¬In-b-Xp-amb k¿´n-^n-°‰v

5 ZºXn-IfpsS hb-kv, Xncn-®dn-b¬ tcJ

F∂nh klnXw Pn√m kmaq-ly-t£a Hm^o-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]

lmP-cm-t°≠ tcJ-Iƒ

A B CD E

F SNDP G

i

anihnhmlw aqew t¢i-߃ A\p-`-hn-°p-∂-h¿°vkmaq-ly-t£a hIp-∏n¬ \n∂pw [\-k-lmbØn-\p≈ At]£

t]cpw ]q¿Æ-amb hnem-khpw

`¿Øm-hns‚

`mcy-bpsS

hnhm-l-Øn\p ap≥]p≈]q¿Æ-amb hnemkw

`¿Øm-hns‚

`mcy-bpsS

PmXn`¿Øm-hns‚

`mcy-bpsS

hnhm-l-Øn\p ap≥]p≈ sXmgnepw ]Xn-amkhcp-am-\hpw

`¿Øm-hns‚

`mcy-bpsS

At]-£n-°p∂ ka-b-Øp≈ sXmgnepw]Xn-amk hcp-am-\hpw

`¿Øm-hns‚

`mcy-bpsS

hnhmlw kw_-‘n-®p≈ hnh-c-߃

hnhmlw \S-°p-tºmƒ ]mbw1 `¿Øm-hns‚2 `mcy-bpsS

hnhmlw cPn-ÿ sNbvXn-´pt≠mF∂v Ds≠¶n¬ cPn-ÿ \º¿,Xob-Xn, cPn-ÿ sNbvXHm^o-kns‚ t]cv

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 hnhc߃

(A)

(B)

(A)

(B)

(A)

(B)

(A)

(B)

(A)

(B)

(A)

(B)

(C)

1

2

3

4

5

6

72

73

hnhm-l-Øn\p tijw ZºXnIƒFt∏m-sg-¶nepw th¿s]´v Xma-kn-®n-´pt -m

Ds-≠-¶n¬ FX \mƒth¿s]´v Xmakn®p

th¿s]´v Xma-kn-°m-\p≈Imc-W-߃

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

ani hnhmlw \S-Øn-bXp ImcWwFs¥-¶nepw ]bm-k-ßtfm IjvS-X-ItfmA\p-`-hn-°p-s∂-¶n¬ AXns‚ ]q¿Æ hnhcw

≠

(A)

(B)

7

8

9

apI-fn¬ sImSp-Øn-´p≈ hnh-c-߃ kXy-am-sW∂pw icn-bm-sW∂pw R߃..............................................

......................................................................................................CXn-\m¬ hn\-b-]p-c- cw Dd-∏p-sN-øp-∂p.

`¿Øm-hns‚ H∏v

`mcy-bpsS H∏v

ÿew

XobXn

Fs‚ At\z-j-W-Øn¬ apI-fn¬ sImSp-Øn-´p≈ F√m hnh-c-ßfpw kXy-am-sW∂pw Zº-Xn-Iƒanihnhmlw \nanØw _p≤n-ap´v A\p-`-hn-°p-I-bm-sW∂pw Rm≥ km£y-s∏-Sp-Øp-∂p.

Pn√m kmaq-ly-t£a Hm^o-k-¿

Pn√m kmaq-ly-t£a Hm^o-k-dpsS k¿´n-^n-°‰v

Xmtemew˛Ip´n-Iƒ°p≈ Nn-In’m ]≤Xn

amc-I-am-b Akp-J-߃ aqew ZpcnXw A\p-`-hn-°p∂ 18˛h-b- n¬ Xmsg-bp≈ Ip´n-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≈ Ip´n-I-fn¬ ]pXn-b-Xmbn Is≠-Øp∂ amc-I-tcm-K-߬°v NnIn’m klmbw\¬Ip-∂-XmWv Cu ]≤-Xn. hr° tcmK-߃,- lr-Zb tcmK-߃,Aÿn kw_-‘-amb tcmK-߬,-i-kvX-Inb Bh-iy-amb \mUo-tcm-K-߃,- Zo¿L-Ime NnIn’ Bh-iy-ambn hcp∂ lotam-^o-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° Ip´n°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¿jwhsc In’ 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∏-´n-´p≈ a‰vBip-]-Xn-Iƒ F∂n-hn-S-ß-fnse P\-d¬ hm¿Up-Ifn¬ NnIn-’bn-en-cn-°p-∂-h¿°p amXta ]≤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-lmbe`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-´nhv IΩ-‰n-bpsS Xocp-am-\-Øns‚ ASn-ÿm-\-Ønepw Bbn-cn-°pw.

Cu ]≤Xn ]Imcw NnIn’ e`n-°p∂ Bip-]-Xn-Iƒ

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

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

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

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

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

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

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

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

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

sNÃv tlmkv]n-‰¬,- Xr-»q¿

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

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

ae-_m¿ Im≥k¿ sk‚¿ Xe-t»-cn, I-Æq¿

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

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

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Im≥k¿ kpc£˛ Ip´n-Iƒ°p≈ NnIn’m ]≤Xn

18˛h-b-kn\p Xmsg-bp≈ Im≥k¿ _m[n-X-cmb Ip´n-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-ÿ sNbp-∂-Xv. NnIn’m sNehv Xmßm-\m-hmØ ]mh-∏´IpSpw-_-ß-fnes# Ip´n-Iƒ°v th≠n-bp-≈-XmWv Cu ]≤-Xn.

NnIn-’-bn-en-cnt° Ip´n°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¿jwhsc nIn’ 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-lmbe`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-´nhv IΩ-‰n-bpsS Xocp-am-\-Øns‚ ASn-ÿm-\-Ønepw Bbn-cn-°pw.

Cu ]≤Xn ]Imcw NnIn’ e`n-°p∂ Bip-]-Xn-Iƒ

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

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

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

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

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

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

P\-d¬ tlmkv]n-‰¬,-F-d-Wm-Ipfw

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

ae-_m¿ Im≥k¿ sk‚¿ Xe-t»-cn,-I-Æq¿

Hmt¶m-f-Pn, tdUn-tbm-sX-dm∏n ta[mhn tcmKnsb ]≤-Xn-bn¬ cPn-ÿ sNbp-∂-Xn-\mbnip]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.

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"kvvt\l]q¿∆w'˛Ip´n-Iƒ°p≈ hnZym-`ymk ]≤Xn

A—\-Ω-am¿ acn® Ip´n-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 Ip´nsb 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≈ Ip´n-Iƒ°v klmbw e`n-°p-∂-Xn\v ssN¬Uv sh¬s^-b¿ IΩ‰n

sNb¿ams‚ k¿´n-^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

Ip´n-Iƒ°v 750/˛ cq] hoX-hpw, 5 apX¬ 8 hsc-bp≈ Ip´n-Iƒ°v 500/˛ cp] hoXhpw 1 apX¬ 4 hsc

¢mknse Ip´n-Iƒ°v kml-N-cy-߃ IW-°n-se-SpØv 500/˛ cq] hsc \¬Ipw.

lmP-cm-t°≠ tcJ-Iƒ

amXmhv/]nXm-hns‚ acW k¿´n-^n-°-‰v,-

kvIqƒ ta[m-hn-bn¬ \n∂p≈ k¿´n-^n-°-‰v, Ip-´n-bpsS P\\k¿´n-^n-°‰v.

Xt±i ÿm]-\-Øn¬ \n∂p≈ _n.-]n.-F¬ k¿´n-^n-°‰v/hnt√Pv Hm^o-kn¬ \n∂p≈ hcp-am\

k¿´n^n-°-‰v.

Xt±i kzbw `cW ÿm]-\-Ønse A≤y-£≥/saº¿/Fw.]n/Fw.-F¬.F F∂n-h-cn¬ Bcp-sS-

sb-¶nepw k¿´n-^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-߃, Ip´n-bp-sS B-[m¿- Im¿Uv.

]qcn-∏n® At]-£-Ifpw _‘-s∏´ tcJ-Ifpw tIcf kmaqly kpc£m anj≥ FIvkn-°yq-´ohv

Ub-d-IvS¿°v ka¿∏n-°-Ww.

77

\º¿

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

ho-´v \-º¿,hm¿-Uv-\-º¿ :

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

Pn√ :

P-\-\-Xo-ø-Xnbpw h-b- pw :

B¨ / s]¨ :

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

3. t^m-¨-\-º¿ :

4. hn-Zym¿-∞n-bp-am-bp-≈ _-‘w :

5. (F) ]Tn-°p-∂ kv-Iq-fn-s‚ t]-cv :

(_n)kv-Iq-fn-s‚ kz-`m-hw :

(K-h/F-bvU-Uv / A¨-F-bv-UUv)

6. ]Tn-°p-∂ ¢m- v :

(5 h-b- n-\p Xm-sg-bp-≈ Ip-´n-Iƒ-°v ssN¬-Uv

sh¬-s^-b¿ I-Ωn-‰n sN-b¿-am-s‚ k¿-´n^n°-‰v

lm-P-cm-t°-≠-XmWv)

7. Ip-Spw-_-Øn-s‚ hm¿jn-I h-cp-am-\w(_n.]n.F¬

Ip-Spw-_mw-K-am-sW-¶n¬ X-t±-i-kz-bw`-cW

ÿm-]-\-Øn¬ \n-∂p-≈ km-£y-]-Xhpw hn-t√-Pv

B-^o-k-dn¬ \n-∂p-≈ h-cp-am-\- k¿-´n-^n-°‰pw

lm-P-cm-t°-≠-Xm-Wv)

:

8. Ip-´n-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)

tI-c-f km-aq-ly kpc-£m an-j≥

kv-t\-l-]q¿-∆w ]≤-Xn

78

a-c-W-s∏-´-h-cp-sS(A-—≥/A-Ω)a-c-W-k¿-´n-^n°-‰v

lm-P-cm°p-I

*(A-—-\pw-A-Ωbpw a-cn-®-h¿-°v am-Xw)

10.c-£-I¿-Øm-hv km-ºØn-I ]-cm-[o-\-X : D≠-v /C√

A-\p-`-hn-°p-∂p-t m?(C-Xv kw-_-‘n-®v

hy-‡-am-b ip-]m¿-i _-‘-s∏-´-h-cn¬

\n∂pw hm-tß-≠-XmWv)

11. (F).hn-Zym¿-∞n-bp-sSbpw c-£-I¿-Øm-hn-s‚bpw :

t]-cn¬ tZ-i-km¬Ir-X _m-¶n¬ B-cw-`n-®n-´p≈

tk-hnw-Kv-kv _m-¶v A-°u≠-v \-º¿

(tPm-bn‚ vv 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

.........................................................F-∂ Ip-´n ]q-¿-Æ-ambpw F-s‚ kw-c-£-W-bn-em-sW∂pw Ip-´n C-t∏mƒ

...............................¢m- n¬ ]Tn-°p-I-bm-sW-∂pw ta¬ ]-ÿm-hn-® hn-h-c-߃ k-Xy-am-sW∂pw C-Xn-\m¬

km-£y-s∏-Sp-Øn-s°m-≈p∂p. Ip-´n A-\m-Ym-e-b-Øn-se-tbm a-‰v ÿm-]-\Øntetbm A-t¥-hm-kn-b-

s√∂pw F-s‚ ho´n¬ \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)

≠

k-Xy ]-kv-Xm-h\

9. Ip-Spw-_mw-Kß-sf kw-_-‘n-® hn-h-c-߃ :

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-߃

79

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-kkv-tIm-f¿-jnt∏m / a-‰v k¿-°m¿ B-\p-Iq-ey-ßtfm e-`n-°p-∂n-s√∂pw kv-t\-l-]q¿-∆w ]≤-Xn ]-Im-c-ap-≈ B-\p-Iq-ey-Øn-\v Sn-bm≥/Sn-bmƒ A¿-l-bm-sW∂pw Ip-´n A-\m-Ym-e-bØntem a-‰v ÿm-]-\Øntetbm A-t¥-hm-kn-b-s√∂pw km-£y-s∏-Sp-Øp∂p.

H∏v:

t]cv:

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

ÿ-ew: kv-Iqƒ-ap-Z kv-Iq-fn-s‚ t]-cv

Xoø-Xn

(P-\-]-Xn-\n-[n-Iƒ \¬-tI-≠Xv)

.................................................................................Ip-´n-bp-sS am-Xm-hv / ]n-Xm-hv a-c-W-s∏-´n-´p-s≠∂pw Sn-bm≥/Sn-bmƒ C-t∏mƒ ............................................................................... kw-c-£-W-bn-em-sW∂pw Sn-bm-s‚/Sn-bm-fp-sShn-Zym-`ym-k sN-e-hp-Iƒ h-ln-®p-h-cp -∂ am-Xmhm-b / ]n-Xmhm-b c-£-I¿-Ømhm-b..................................................................................... \v km-º-Øn-I-ambn ]-cm-[o-\-X A-\p-`-hn-°p-∂p-sh∂pwkv-t\-l-]q¿-∆w ]-≤-Xn-]-Im-c-ap-≈ [-\-k-lm-b-Øn-\v A¿-l-\m-sW∂pw Ip-´n A-\mYm-e-b-Ønsetbma-‰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:

( k-¿-´n-^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

NB:-

80

km-£y-]Xw

A-t]-£-bn≥-ta-ep-≈ Xo-cp-am-\w

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

..................................................Ip-´n-bp-sS am-Xmhv / ]n-Xm-hv a-c-W-s∏-´n-´p-s≠∂pw Sn-bm≥/Sn-bmƒ C-t∏mƒ

........................................................kw-c-£-W-bn-em-sW-∂pw Sn-bm-s\ h-f¿-Øn hn-Zym-`ym-kw sN-øp-∂-Xn\p

am-Xmhm-b/]n-Xm-hm-b..............................................................................................................................\v 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-´n-°v A-\p-h-Zn-°-W-sa∂pw ip-]m¿-i sN-bv-Xp sIm-≈p∂p. Ip-´n 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:

ÿew:

Xo-øXn:

............................................................................s‚ A-t]-£bpw A-\p-_-‘ tc-J-Ifpw ]cn-tim-[n®-Xn¬

................................................................\v......................................................cq-]-bp-sS ]-Xnam-k [-\-k-lm-b-Øn\v

A¿-l-X-bp-≈-Xm-bn Im-Wp-∂p. ]-kvXp-X Xp-I A-\p-h-Zn-bv°p∂p.

F-Iv-kn-Iyq-´o-hv U-b-d-Œ¿

tI-c-f km-aq-ly kp-c-£m- anj≥

81

apJy-a-¥n-bpsS Zpcn-Xm-izmk \n[n

]IrXn Zpc-¥-ß-fn¬ s]´-h¿°p≈ [\-k-lmbw

Zmcn-Zy-tc-J°v Xmsg-bp≈ P\-߃°p-≠m-hp∂ amc-I-amb tcmK-߃°v NnIn¬km klmbw\¬IpI . A]-I-S-a-c-W-߃°v Cc-bm-Ip-∂-hcpsS Bin-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-°pIF∂n-ß-s\-bp≈ Bh-iy-߃°mWv apJy a¥n-bpsS Zpcn-Xm-izmk \n[n cq]o-I-cn-®n-´p-≈-Xv. 1000cq] 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¿´n-^n-°‰v kln-Xhpw A]-I-S-a-cWw kw_-‘n® [\-k-lm-b-Øn\mbn]kvXpX At]-£-tbm-sSm∏w acW k¿´n-^n-°‰v F^v sF B¿ ,t]m-Ãp-tam¿´w k¿´n-^n-°‰v F∂n-h-bpsS ]I¿∏v kln-Xhpw hnt√P^okv /Xmeq-°m^okv /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-^o-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 amXsa 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-߃ XpS-ßnb amcI tcmK-߃°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.

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® ]´n-I-bn-ep≈ tUmIvS-dpsStbm k¿´n-^n-°‰v lmP-cm-°Ww

klm-b-߃

Ime-h¿j-s°-SpXn aqew acWw kw`-hn-®m¬ Bin-X¿°v 100000/˛ [\-k-lmbw

Kpcp-X-c-amb ]cn°v ]‰n ssIIm-ep-Itfm, ItÆm \jvS-s∏-´m¬ 40% apX¬ 75% hsc sshIeyw kw`-hn-®m¬ 35000/˛ cp] [\-k-lmbw

75% \p apI-fn¬ sshIeyw kw`-hn-®m¬˛ 50000/˛ cp] [\-k-lmbw

]cn-°p-]‰n Hcm-gvN-bn¬ IpSp-X¬ Bip-]-Xn-bn¬ InS-∂m¬-, 7500/˛

]cn-°p-]‰n Hcm-gvN-bn¬ Ipdhv Bip-]-Xn-bn¬ InS-∂m¬-, 2500/˛

sh≈-s∏m-°-Øn¬ hoSv \jvS-am-Ip∂ Hmtcm IpSpw-_-Øn\pw hkvXw, 1000/˛ IpSmsX ho´p-]-I-c-W-߃,1000/˛

\n›nX t^md-Øn¬ Bh-iy-amb tcJ-Iƒ klnXw hnt√Pv Hm^o-k-dpsS dnt∏m¿t´msSXlkn¬Zm¿°v At]£ \¬IWw

82

apJy-a-¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂pw

[\-k-lm-b-Øn-\p≈

At]£m-t^mdw

km£y-]Xw

1. At]-£-Is‚ t]cpw hnem-khpw :

(hn-t√-Pv, Xmeq-°v, Pn√ kln-Xw)

2. AXym-lnXw/ Akp-J-Øn-\n-c-bmb

hy‡nbpw At]-£Ipw XΩn-ep≈ _‘w :

3. AXym-lnXw/ AkpJw kw`-hn-®-bmƒ

]mb-]q¿Øn-bmb Btfm A√tbm :

4. At]-£-Is‚ hb pw sXmgnepw :

5. AXym-ln-X-Øns‚/ Akp-J-Øns‚

kz`mhw (B-h-iy-amb tcJ-I-fpsS

]I¿∏v D≈-S°w sNbvXn-cn-°p-∂p) :

6. IpSpw-_-hm¿jnI hcp-am\w :

7. CXn\v apºv GsX-¶nepw \jvS-]-cn-lmcw/

kmº-ØnI klmbw e`n-®n-´pt≠m? :

Ds≠-¶n¬ hni-Z-hn-hcw

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-´n-s√∂v km£y-s∏-Sp-Øp-∂p.

At]-£-Is‚ t]cpw H∏pw

ÿew:

XnøXn:

\º¿: hnt√Pv:XnbXn:

hnt√Pv Hm^n-k¿

hnt√Pv Hm^n-k-dpsS At\z-jW dnt∏m¿´v

83

Xl-kn¬Zm-dpsS ip]m¿i

Pn√m-I-fIvS-dpsS ip]m¿i

apJy-a-¥n-bpsS DØ-chv

\º¿: hnt√Pv :XnbXn :

\º¿:

\º¿:

Pn√m If-IvtS‰v

XobXn

Pn√m If-IvS¿

Bh-iy-s∏-´n-´p≈ XpI Pn√m If-IvS-dpsS A[n-Imc ]cn-[n-°p-≈n-em-sW-¶n¬ DNn-X-amb \S-]Sn

kzoI-cn-®-tijw ,I-f-IvS¿am¿ hnhcw k¿°m-dns\ And-bn-t°-≠-Xm-Wv.

hnt√Pv :XnbXn :

hnt√Pv Hm^o-k¿

AK-Xn-Iƒ°p≈ kmº-ØnI klmbww

IpjvT tcmKn-Iƒ°p≈ [\-k-lmbw

Im≥k¿ tcmKn-Iƒ°p≈ [\-k-lmbw

£b-tcm-Kn-Iƒ°p≈ [\-k-lmbkmº-Øn-I-ambn ]nt∂m°w \n¬°p∂ £b-tcm-Kn-Iƒ°p≈ kmº-ØnI klmb ]≤-Xn.

-A-t]£ ka¿∏n-°p∂ Xob-Xn°v tIc-f-Øn¬ Hcp h¿j-Øn¬ IqSp-X¬ ÿnc Xmakw D≈-hcpwF∂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-´n-√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-Â v k¿P≥ ]Z-hn-bn¬ Xmsg A√mØ Hcp saUn-°¬ Hm^o-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 Hm^okv / hnt√Pv Hm^okv (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.

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-´n-√m-Ø-h-cp-amb \n¿[-\-cmb F√m IpjvT 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]£ ka¿∏n-

t°-≠Xv Xmep°v Hm^okv / hnt√Pv Hm^okv .(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¿´n-^n-°-‰v, Akn-Â 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¿´n-^n-°-‰v.

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-´n-√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¿´n-^n-°-‰v, Akn-Â 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¿´n-^n-°-‰v. At]£ ka¿∏n-t°-≠Xv Xmep°v Hm^okv / hnt√Pv Hm^okv (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 "

(t^mdw\º¿ 1)D]-tbm-Kn-°-Ww. hnt√Pv Hm^o-k-dpsS dnt∏m¿´v,

AXmXv ]n.-F-®v.kn bnse saUn-°¬ Hm^o-k-dn¬ \n∂p≈ saUn-°¬ k¿´n-^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¿´n-^n-°‰v ]pXp°n \¬tI-≠-Xm-Wv. At]-£-bpsS aq∂v sk‰v ka¿∏n-°-Ww

[\klm-b-Øn\v A¿l-X-bp-≈-h¿:

AK-Xn-Iƒ°p≈ kmº-

ØnI klmb At]£mt^mdw'

800/-cq-] ]-Xnam-k [-\-k-lmbw.

84

85

t^mdw \º¿ 1

]Xn⁄

AK-Xn-Iƒ°p≈ kmº-ØnI klmb At]£m t^mdw

1

2

3

4

5

6

7

8

At]£Is‚ t]cpw ]p¿Æ-amb hnem-khpw :

hb v :

A—s‚/ AΩ-bpsS/`¿Øm-hns‚ t]cv :

At]-£-I≥ ]mb-]q¿Øn BIm-Ø-bmtfm

_p≤n°v ÿncX C√m-Ø-bmtfm BsW-¶n¬

c£m-I¿Øm-hns‚ t]cpw]p¿Æ-ambhnem-khpw :

Xma-kn-°p∂ ÿehpw FX Ime-ambn

AhnsS Xma-kn-°p∂p F∂pw :

GXv hn`m-K-Øn¬s∏´ klm-b-Øn\v

th≠n-bmWv At]-£n-°p-∂Xv F∂v

(B-h-iy-an-√mØ `mKw sh´n-°-f-bp-I) : Im≥k¿/£bw/IpjvTw

1 Rm≥ CXn\v ap≥]v kmº-ØnI klm-b-Øn\v th≠n At]-£n-®n-´n√.

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 sh´n-°-f-bp-I).

2. Fs‚ Ime-bm-]-\-Øn\v bmsXmcp am¿K-hp-an√

3. Xmsg hnh-cn-°p∂ _‘p-°ƒ F\nbv°p≠v.-

A-—≥/AΩ/`¿Ømhv/`mcy/aI≥/aIs‚ aI≥(B-h-iy-an-√mØ `mKw sh´n-°-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:

At\z-j-W-dn-t∏m¿´v

Xl-kn¬Zm¿

9 Xlko¬Zm-cpsS DØ-chv hnt√Pv Hm^n-k¿

saUn ¡Â B^o k dpsS kÀ«n ^n ¡äv

io/ioaXn....................................................................................................................................................................................

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

(Hm ^okv apZ)

..............................................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 «nà F¶pw km£y s¸ Sp ¯p ¶p.

A¯cw GsX nepw Øm] \ ¯n ]th in ¡ s¸ «n «p s n B hnhcw hni Z ambn Fgp Xp I.

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

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

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

86

87

][m\a¥n-bpsS Zpcn-Xm-izmk \n[n-bn¬ \n∂p≈ klm-bw.

tZiob IpSpw_ t£a ]≤Xn

Im≥k¿, hr°-tcm-K-߃, lrZb tcmK-߃ XpS-ßnb amdmtcmK-߃ 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-√ tIµ-˛-kw-ÿm\Poh-\-°m¿°pwAh-cpsS Bin-X¿°pw Cu [\-k-lm-b-Øn\v A¿l-X-bn-√.

NnIn’°v sNe-hn\v B\p-]m-Xn-I-ambn klmbw e`n-°pw. hnt√Pv Hm^n-kv, Xmeq°v Hm^n-kv,

Pn√m Ie-IvS¿, Fw. ]n F∂n-h¿ apJm-¥ncw At]£ ka¿∏n-°m-hp-∂-XmWv.

]qcn-∏n® \n¿±njvS At]-£-tbmsSm∏w hcp-am\k¿´n-^n-°‰v

(Xmeq°v Hm^nkn¬ \n∂v˛12000/˛ cp]-bn¬ Xmsg)

Hcp ]mkvt]m¿´v sskkv t^mt´m, saUn-°¬ k¿´n-^n-°‰v, acp-∂ns‚ No´v, _n√v F∂nh \¬I-Ww.

1.11.1995 ¬ \ne-hn¬ h∂ ]≤-Xn-bmW#nXv . Cu ]≤Xn ]Imcw ZmcnZy 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-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 ]´n-I-bn¬ `mcy ,`¿Ømhv ]mb-]q¿Øn-bm-ImØ a°ƒ,-hn-hm-ln-X-cm-ImØ s]¨a°ƒ Bi-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 onwhome He/She depends is an employeeof the Central/State Government :

7 Occupation and monthly income of theapplicant and his family,with full addressof the employee( a certificate fromBDO/Thahasildar or other functionariesof district or his/her level :income must be attached in original

8 Source of livelihood if information in col.6 is nil:

9 Quantum of Financial Assistance required:

10 Wheather financial assistance(i)has been received from or(ii)denied by the Ministry of Health & Family :Welfare in the past.If so give full details

11 Item wise boke up expenditure for whichfinancial assistance has been applied foralong 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 somedepartment/agency, authority, other than the:Ministry of Health &F&W If so give full details

13 Any other information :

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

Date:

Place:

DECLARATION

Signature of the

Parent/Patient/Husband

88

89

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

1 Ashort note on the present Clinical :

codition of the Patient including

2 List of reports of the important investigations done:

3 DIAGNOSIS

(i) Basic illness

(ii)Complications :

(iii)Associated illness:

4 Is the Patient hospitalised? If so where?:

5 Name of the consultant /Drs who treated the patient:

1

2

3

6 Amount of money recommended and reasons other of

Date: Signature of the Medical Officer in charge of theCase/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 ]≤XnIpSpw_ klm-b-Øn-\p≈ At]£mt^mdw

(A-t]-£-I≥ ]qcn-∏n-t°-≠-Xv)

1 :

2

3 :

4 :

5

:

6:

7

:

8 :

:

:

9 :

10

:

11

At]-£-Is‚/ At]-£-I-bpsS t]cv

]q¿Æ-amb X]m¬ ta¬hn-emkw :

ac-W-s∏´ Bfns‚ t]cv

ac-W-s∏´ Bfns‚ ]mbw

ac-W-s∏´ Bƒ F¥v sXmgn-en-¬

G¿s∏-´n-cp∂p?

ac-W-s∏´ Bƒ IpSpw-_-Ønse ][m\hcp-am-\-°m-c-\m-bn-cp-∂pthm?

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

acW ImcWw

F) kzm`m-hnIw

_n) A]-I-Sw

IpSpw_ hm¿jnI hcp-am\w

At]-£-I≥ ]´n-I-PmXn/ ]´n-I-h¿§w/ :hnI-emw-K≥ F∂n-h-bm-sW-¶n¬tcJ-s∏-Sp-ØWw

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):

90

91

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-߃ Fs‚ Adn-hnepw hnizm-k-Ønepw s]´n-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

At\z-jW dnt∏m¿´v:

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

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

INCOME CERTIFICATE

Enquiry shows that the total annual family income of Sri./Smt............................................................

House

post office district of Kerala State is

Rupees (in words

from all source.

This certificate is issued at the request of Sri./Smt

applying for the financial assistance from the Prime Minister's Distress Relief Fund for his/her

treatment of his/her

Name of Taluk Office

Date: Tahasildar

...............................................................................................................................................residing at

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

......................................................village,...................................Thaluk................................................

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

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

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

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

...........................................................................................................................................................for

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

92

93

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-lmbwA\p-h-Zn-°p-∂Xv. ]cp°v ]‰n-b-h¿°v 25000 cq] H‰ XhW klmbw.

Bh-iy-amb tcJ-Iƒ ˛\n¿±njvS At]£ t^mdØn¬ (2 tIm∏n) At]£, A-t]-£-Is‚]mkvt]m¿´v sskkv t^mt´m˛1, \n¿±njvS amXr-I-bn-ep≈ saUn-°¬ k¿´n-^n-°‰v. A]-I-Sw \S∂vc≠v amk-Øn-\Iw _‘-s∏´ A[n-Im-cn-Iƒ°v At]£ ka¿∏n-°-Ww. Ime-Xm-akw h∂m¬ Xmsg]d-bp∂ coXn-bn-ep≈ am∏-t]£ FgpXn AXXv Pn√m te_¿ Hm^o-k¿°v ka¿∏n-°-Ww.

_lp-am-\-s∏´...................................Pn√m te_¿ Hm^o-k¿ apºmsI.........................................Pn√bn¬

..................................ho-´n¬..........................................io/ioa-Xn..................................................................................

t_m[n-∏n-°p∂ At]-£.

k¿,

..............................Xnb-Xn-bn¬ tPmen-°n-S-bn¬ ac-Øn¬ \n∂pw hoWv ]cp°v ]‰n NnIn-’-bn-emWv Rm≥.tPmen-°n-S-bn¬ ac-Øn¬ \n∂pw hoWv ]cp°v ]‰p-∂-h¿°v k¿°m-dn¬ [\-k-lmbw e`n-°p-∂-Xmbn Ad- bp-∂p.- B-bXv F\n°pw A\p-h-Zn-°-W-sa∂v At]-£n-°p-∂p.-\n¿±njvS t^md-ØnseAt]-£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

sXmgn¬hIp-∏n¬ \n∂pw [\-k-lmbw A\p-h-Zn-°p-∂Xv 50000/˛ cq] H‰ XhW klmbw.

˛\n¿±njvS At]£ t^mdØn¬ (2 tIm∏n)At]£ ,A-t]-£-Is‚]mkvt]m¿´v sskkv t^mt´m˛1, acW k¿´n-^n-°‰ns‚ icn-]-I¿∏v,- t]mÃv tam¿´w dnt∏m¿´ns‚ icn-]-I¿∏v,- kw-`-hp-ambn _‘-s∏´v cPn-ÿ sNbvX tIkns‚ F^v.-sF.-B¿ ]I¿∏v. A]-I-Sw \S∂v c≠vamk-Øn-\Iw _‘-s∏´ A[n-Im-cn-Iƒ°v At]£ ka¿∏n-°-Ww.Ime-Xm-akw h∂m¬ Xmsg ]d-bp∂ coXn-bn-ep≈ am∏-t]£ FgpXn AXXv Pn√m te_¿ Hm^o-k¿°v ka¿∏n-°-Ww.

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-∂-XmbnAnd-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-akwt\cn-´Xv am∏m-°-W-sa∂v At]-£n-°p-∂p.

\n∂pwn

_lp-am-\-s∏´...................................Pn√m te_¿ Hm^o-k¿ apºmsI.........................................Pn√bn¬

..................................ho-´n¬..........................................io/ioa-Xn..................................................................................

t_m[n-∏n-°p∂ At]-£.

k¿,

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

F∂v

At]-£-Is‚ H∏v

tPmen-°n-S-bn¬ ac-Øn¬ \n∂pw hoWv ]cn°v ]‰n acn® sXmgn-em-fn-bpsS Bin-X¿°v

Bh-iy-amb tcJ-Iƒ

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

1. At]-£-Is‚ t]cv :

2. ]pcp-j≥ /kvXo

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 :

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¿´n-^n-°‰v lmP-cm-°n-bn-´pt≠m :

18. ]©m-b-Øns‚ t]cv :

19. ]´nI PmXn/]´nI h¿§Øn¬ s]Sp∂ BfmtWm :

..................................................................................................(t]cv tN¿°p-I) F∂ Rm≥ apI-fn¬ ]kvXm-hn®

Imcy-߃ 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

]kvXm-h\

94

95

CERTIFICATE

This is to certify that I have examine Shri/Smt...................................................

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

................................................................................S/o...........................................................................

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

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

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

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.

˛\n¿±njvS At]£ t^mdØn¬ (2 tIm∏n) At]£, A-t]-£-Is‚]mkvt]m¿´v sskkv t^mt´m˛1, saUn-°¬ k¿´n-^n-°‰v (k¿°m¿ Bip-]-Xn-bnse Akn- vk¿P≥, kzImcy Bip-]Xn kq]-≠v, sXmgn-ep-S-a, Xt±-i-kz-bw-`-cW ÿm]\saº¿/ ]kn-U‚ vF∂n-h-cpsS km£y-]Xw

Bh-iy-amb tcJ-Iƒ

96

97

t^mdw ˛1

1. At]-£-Is‚ t]cv :

2. kvXotbm, ]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≈ GXsXmgn¬ hn`m-K-Øn-¬ Dƒs∏-Sp-∂p-sh∂v

6. At]-£-Is‚ A—s‚/ c£m-I¿Øm-hns‚ t]cv:

7. ]≤Xn-Iƒ hyhÿ sNbvXn-´p≈ Ah-i-X-bn¬GXn-\mWv At]-£n-°p-∂Xv F∂v :

8. sXmgn-em-fn-I-fpsS Ah-iX kw_-‘n®\evInb sXfn-hp-Iƒ :

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

...................................................................................F∂ Rm≥ Akw-L-SnX taJ-e-bn¬s]´

At]-£-Is‚ / At]-£-I-bpsS H∏vhnc-e-S-bmfw

ÿew:

XnøXn:

Akw-L-SnX taJ-e-bn¬ ]h¿Øn-°p∂ sXmgn-em-fn-Iƒ°v NnIn’mklmbw e`n-°p-∂-Xn-\p≈ At]£

kXy-]-kvXm-h\

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

.......................................................................................................sXm-gn¬ hn`m-K-Ønse sXmgn-em-fn-bm-Wv. apI-fn¬

]kvXm-hn-®n-´p≈ hnh-c-߃ Fs‚ Adn-hnepw DØ-a-hn-izm-k-Ønepw kXyhpw hmkvX-h-hp-am-sW∂v

t_m[n-∏n®p sIm≈p-∂p.

Xt±i kzbw-`-cW A[n-Im-cn-bpsS ip]m¿i

NnIn-’n-°p∂ tUmIvS-dpsS km£y-]Xw

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

................................................... .................................................. -en-‰n-

bn¬/tIm¿∏-td-j-\n¬ ........................................................................................................................... ho´n¬ Xma-kn-

°p∂...................................................................................... F-∂-bmƒ Akw-L-

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

Ct∏mƒ kwÿm-\sØ GsX-¶nepw IpjvT-tcm-Km-ip-]-Xn-bn-tem,-km-\n-t‰m-dn-b-Øn-tem,-Im≥k¿

hm¿Untem ]th-in-∏n-®n-´n√ F∂pw km£y-s∏-Sp-Øp-∂p.

Pn√bn¬ Xmeq°n¬

-hn-t√-Pn¬ ]©m-b-Øn¬/ap\n-kn-∏m

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

ÿew tUmIvS-dpsS H∏pw t]cpw

XobXn HutZym-KnI ta¬hn-em-kw

(Hm-^okv apZ)

98

99

skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿(Society for Medical Assistance to the Poor)

Im≥k¿tcmK NnIn-’ (ikvX-In-b,- Io-tam-sXm-dm-∏n,- td-Un-tb-j≥) InUv\ntcmK-߃ (-hr-°-am-‰n-h-bv°¬ ikvX-In-b, Ubm-en-kn-kv) Aÿnkw_-‘-amb ikvX-In-b-Iƒ(1 -Syq-a¿ dnU-£\pw t]mk-knwKpw, 2 ew_m¿, sXmdm-kn-Iv, sh¿´n-_¬ t_mUn-I-fn¬ Syqa¿) lrZbw Xpd-∂p≈ ikvX-Inb,t]kvta-°¿ ÿm]n-°¬, B≥Pn-tbm-πm-Ãn, akvXnjvI kw_-‘-amb ikvX-In-b-Iƒ, Icƒ am‰n-h-bv°¬ ikvX-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 amXta CuNnIn’m klmb ]≤-Xn-bn-te°v At]-£n-°p-hm≥ ]mSp-≈q.

F√m tIµ-˛-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 Hm^o-kn¬ \n∂pw D≈ hcp-am\k¿´n-^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-\mbnsh≈-t]-∏-dn¬ A]m£ ka¿∏n-°-Ww.

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.

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 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

saº¿ skI-´dn,skmssk‰n t^m¿ saUn-°¬ Akn-Ã≥kv Sp Zn ]ph¿Un.- F-®v.- F v Hm^o-kv (-P-\-d¬ Bip-]-Xn°v kao]w)

klmbw \¬Ip-∂-Xn-\mbn AwKo-I-cn-®n-´p≈ ÿm]-\-߃

tIcf k¿°m¿

BtcmKy IpSpw-_-£a hIp∏v

(Socity for Medical Assistance to the Poor)

1 At]-£-Is‚ t]cv :

2 tcmKn-bpsS t]cv :

3 tcmKn-bpsS hb v :

4 kvXotbm , ]pcp-jt\m :

5 At]-£-I-\p-am-bp≈ _‘w :

6 At]-£-Is‚ ta¬hn-emkw :

7 tcmKn-bpsS ta¬hn-emkw :

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):

]mh-∏-´-h¿°v NnIn’m [\-k-lmb skmssk-‰n-bn¬ \n∂pw

NnIn’m [\-k-lmbw e`n-°p-∂-Xn-\p≈ At]-£m-^mdw

100

101

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-߃ 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

io/ioaXn....................................................................................................................................................................................

...........................................Xob-Xn- ap-X¬....................................................................................................-B-ip-]Xnbn¬

.....................................................................................................................................................................................tcm-K-Øn\v

Rm\mWv NnIn’ \SØp-∂-sX-∂pw, Cu tcmK-Øn-\v NnIn-’-bv°m-bn...........................................................

.............................................................................................................................................................XpI th≠n-h-cp-sa∂pw

CXn-\m¬ km£y-s∏-Sp-Øp-∂p.

(Hm-^okv ko¬)

NnIn-’n-°p∂ tUmIvS-dpsS km£y-]Xw

tasem∏v tUmIvS-dpsS H∏pw t]cpw

Bip-]Xn kq]≠v/Ub-d-IvS¿ HutZym-KnI ta¬hn-em-kw

102

hnt√Pv Hm^o-k-dpsS km£y-]-Xw (A-\p-_‘w 2)

\w-]¿ hnt√Pv Hm^o-kv...........................................................

Xob-Xn

IpSpw-_-Ønse AwK-kw-Jy -B-Wv.-A-Xn¬ tPmen-bp-≈-h¿ Dw ]Tn-°p-∂-

h¿ -Dw tPmen C√m-Ø-h¿ Dw BWv.

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

...................................................Pn√bn¬...................................................Xmeq°n¬.............................................................

...............................................hn-t√-Pn¬...................................................ho-´n¬......................................................

io/ioa-Xn.................................................................................................................................................................k-a¿∏n®

At]-£bn¬...............................................................................................................................................................................

B-hiyØn-\p-th≠n Hcp hcp-am\k¿´n-^n-°‰v Bh-iy-s∏-´n-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.

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

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

BZmb amÀK §Ä

AwK §Ä

sam¯ ¯n enÅXpI (A ¡ ¯nÂ)

aq¶v Ip«n I fn IqSp X DÅ h cpsS Imcy ¯nÂIqSp X Ip« IÄ¡v Ipdhv sNt¿ Xvn

(A ¡ ¯nÂ)

(A £ c ¯nÂ)_m¡n

Hm^okv koÂ

H¸vt]cpw DtZym K t¸cpw

(A £ c ¯nÂ)

`qa

nb

nÂ\

n¶pÅ

BZmb

w

i¼

fw

s]

³j

³I

pSpw

_s]

³j

³H

gns

I

I¨

hSw

Iqe

nth

e

hntZi

tPm

enb

pÅ

hcps

Sh

cpam\

w

hmS

I

aän\

§Ä

BsI

1 2 3 4 5 6 7 8 9

103

Xt±i kzbw-`-cW A[n-Im-cn-bpsS ip]m¿i

...................................................... Pn√bn¬ Xmeq°n¬

-en-‰n-

bn¬/tIm¿∏-td-j-\n¬ ho´n¬ Xma-kn-

°p∂ \v

NnIn’m[\klmbskmss‰bn¬ \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¿

-B-ip-]-Xn-bn-te-°v

XpI A\p-h-Zn-°m-hp-∂-Xm-Wv.

saº¿ skI-´dn

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

NnIn’m klmbw A\p-h-Zn®p/A\p-h-Zn-®n√

sNb¿am≥

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

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

.........................................hn-t√-Pn¬..................................................................................]©m-b-Øn¬/ap\n-kn-∏m

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

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

Xt±i ÿm]-\-Øns‚ t]cv...............................................................

.................................................................................................................................................................................F-∂-bmƒ°v

...........................................................................................................Nn-In-’-bv°m-bn..............................................................

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

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

(Socity for Medical Assistance to the Poor)

Hm^okv D]-tbm-K-Øn\v

104

cmjvSnb BtcmKy \n[n (Rashtriya Arogya Nidhi)

]mh-s∏´ IpSpw_ßfn¬s∏´ AwK-߃°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-߃°v kmº-ØnI

klmbw \¬Ip-∂-Xn-\mbn tIµ-K-h¨sa‚ns‚ BtcmKy IpSpw-_-£-a-h-Ip∏v Bhn-jvI-cn®n´p≈

]≤-Xn-bmWv cmjvSob BtcmKy \n[n

\n›nX amXr-I-bn-ep≈ At]-£-tbm-sSm∏w AXns‚ c≠m-asØ t]Pnse saUn-°¬ k¿´n-^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∏-´n-´ps≠∂p≈ _n.-Un.H bpsS k¿´n-^n-°-‰v

(3) tdj≥ Im¿Un¬ Dƒs∏-´n-´p≈ F√m AwK-ß-fp-sSbpw IpSn-bp≈ ]Xn-amk hcp-am\w ImWn-

°p∂ Xl-ko¬Zm-dpsS k¿´n-^n-°‰v F∂n-h-IqSn CtXmSsSm∏w ka¿∏n-°-Ww.- k¿´n-^n-°-‰p-I-

sf√mw Cw•o-jn-em-bn-cn-°-Ww.

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

2 tIµ ˛ 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-√.

5 km[mcW-bm-bp≈ Akp-J-߃°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-߃°pw Cu ]≤-Xn-

bn¬ klmbw e`n-°p-I-bn-√.

6 NnIn’m klm-b-Øn\v ]cn-[n-bn-√.

(RAN).

105

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

by the Block/Mandal Development Officer

boards and district officer certifying :

belong to the family living

of their jurisdiction,

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 :

I declare that the information given above is correct and complete in all respects and I am in noposition at all to arrange for /provide funds for purpose stated above. I also declare that neither I nor myparent is an employee of the Central or State Government or a Local Body

Date: Signature of the Applicant/Patient

certified

of Municipal

that the beneficiary

below poverty line in the area

in original

DECLARATION

106

TO BE FILLED BY THE MEDICAL OFFICER IN CHARGE OF THECASE/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 PresentClinical Condition May Be Given) :

4 Is the Patient Is Hospitalised? If So,theName of the Hospital :

5 the Amount of Money Recommended :

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

Name of the Consumables/medicines:

A.

B.

C.

D.

Signature of the Medical officer In ChargeBelow the Level of Consultant/asst.proffessor

Counter Signature of the head of theDepartment With office Seal

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

Required For the Operation/treatment Cost In Rupees

107

ImcpWy _\-h-e‚ v kvIow

Im≥k¿,- lotam-^o-en-b, hr°tcmK-߃, lrZbtcm-K-߬, Icƒtcm-K-߃, XpS-ßn-bh aqewZpcnXw A\p-`-hn-°p∂ tcmKn-I-fpsS NnIn-’bv°v kmº-ØnI klmbw \¬Ip-∂-Xn\v tIcf tem´dnhIp-∏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-߬°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, AI-Un-‰Uv Bip-]-Xn-I-fn-temNnIn’ tXSn-bn-´p-≈-h¿ t^mdw \º¿ 2 epw,In-SØn NnIn-’bv°p hnt[-b-am-Ip-∂-h¿°v F√m Akp-J-߃°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 Hm^o-k¿°v ka¿∏n-°-Ww. At]-£-Iƒ Pn√m tem´dn Hm^o-kn¬ \n∂vt\cnt´m, tem´cn GP‚p-am¿ hgn-tbm, tIcf tem´-dn-bpsS sh_v ssk‰n¬ \n∂v Uu¨temUvsNbvtXm 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√-bnseIf-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¿´n-^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-≈tXmBbn-cn-°-Ww.

Ubm-en-knkv sNøp∂ tcmKn-Iƒ k¿°m¿ Bip]-Xn-I-fn¬ Ubm-en-kn-kn\v hnt[-b-am-bm¬ amXtaCu ]≤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\vA¿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 FSpØt^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-߃°pw \¬Ip∂ H‰-Ø-hWkam-izmk NnIn’m [\-k-lm-b-Øn\v At]-£n-°p-tºmƒ KpW-t`m-‡m-hns‚ _m¶v A°u≠vhnhcw tcJ-s∏-Sp-Ø-Ww. aWn-Hm¿U¿ Bbpw XpI A\p-h-Zn-°m-dp-≠v.

108

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 ^ut≠-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

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.

[\-k-lmbw e`n-°p∂ ][m\Bip-]-Xn-Iƒ

109

At]£Is‚t^mt´m

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¿ 9. B[m¿ \º¿APL/BPL

10. + Xncn-®-dn-b¬ \º¿RSBY/ CHIS

11. tcmKn A√ At]£n°p∂sX¶n¬ ˛

At]£Is‚ t]cv tcmKnbpambp≈ _‘w

12. tcmKhnhcw

13. NnIn’ \S-Øp∂- Bip-]-Xn-bpsSt]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 +, apJy-a-¥n-/][m\a¥nbpsSZpcn-Xm-izm-k-\n[n XpSßnbhbn¬ \n∂v kmº-ØnI klmbw e`n-®n-´pt-m ? D-v/C√

/RSBY, CHIS

20. NnIn’ [\-k-lm-bw e`n®n-´ps≠-¶n¬ e`n-® XpIbpsS hnhc߃:

RSBY CHIS plus a‰p kvIoapIƒ BsI

21. ImcpWy ^-≠nte°v At]£n°p∂ XpI

ImcpWy s_\-h-e‚ v ^-≠vap≥Iq¿ NnIn’ A\paXn°pw [\-k-lm-b-Øn-\pw th≠-nbp≈ At]£

t^mdw˛1

1. KpW-t`m-‡m-hns‚ t]cv 2. ]pcp-j≥/ kvXo

110

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°mFs‚ IpSpw_Ønse a‰wK߃t°m NnIn’m [\klmbw e`n®n´ns√∂pw tImfw 6˛¬ ]kvXmhn®n-´p≈hm¿jnI IpSpw-_-h-cp-am\w Fs¥-¶nepw Imc-W-h-im¬ sX‰msW∂v t_m[y-s∏-´m¬ Cu ]≤Xn-]-ImcwssI∏-‰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 :

-

At]£ ssI∏-‰nb XobXn : tU‰ F≥Sn hcp-Ønb XobXn :

tU‰m F≥Sn \SØnbt∏mƒ e`n® sF.Un.\º¿:

Pn√mXe IΩn-‰nbv°v ka¿∏n® XobXn :

.

ap≥Iq¿ A\p-hmZw \evIp∂p / ap≥Iq¿ A\p-hmZw \nckn°p∂p.

(DØchv \w. XobXn )

cq] NnIn’m [\-k-lm-b-ambn Xmsg ]dbp∂ NnIn’m ]mt°Pn¬ Dƒs∏SpØn

A\p-h-Zn-°p-hm≥ ip]m¿i sNøp-∂p.

1).

2).

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

1)

2)

ÿew Pn√m If-IvS¿ (I-Ωn‰n sNb¿am≥)

XobXn

t]cv

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

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

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

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

Hm^okv D]-tbm-K-Øn\v

Pn√m `mKy-°pdn Hm^o-k¿

Pn√mXe IΩn-‰n-bpsS Xocp-am\w

a.

b .

c.

111

At]£Is‚t^mt´mImcpWy s_\-h-e‚ v ^≠v

NnIn’ [\-k-lm-b-Øn-\p≈ At]£

(\nehn¬ k¿°m¿/AsIUn‰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)

t^mdw˛2

1. KpW-t`m-‡m-hns‚ t]cv 2. ]pcp-j≥/ kvXo

3. ta¬hn-emkw: ho´v t]cv hm¿Upw/ho´v \ºcpw

4 5. hb v . sXmgn¬ 6. hm¿jnI IpSpw_ hcp-am\w

7. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv

8. tdj≥ Im¿Uv \º¿ 9. 10. B[m¿\º¿APL/BPL

11. + Xncn-®-dn-b¬ \º¿RSBY/ CHIS

12. tcmKnA√ At]£n°p∂sX¶n¬ ˛

At]£Is‚ t]cv tcmKnbpambp≈ _‘w

13. tcmKhnhcw

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. _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 , apJy-a-¥n-/][m\a¥nbpsSNnIn’mk-lmb\n[n XpSßnbhbn¬ \n∂v kmº-ØnIklmbw e`n-®n-´pt≠-m ? D≠-v/C√

/RSBY, CHIS+

22. NnIn’m[\-k-lm-bw e`n®n´ps-¶n¬ e`n-® XpIbpsS hnhc߃:

RSBY CHIS plus BsIa‰p kvIoapIƒ

19. F. Ds-≠¶n¬ hni-Z-hn-hcw

14. NnIn’ \S-Øp∂- Bip-]-Xn-bpsSt]cv, ta¬hn-emkw

]tZiw/hnt√Pv Kma-]-©m-bØv/\K-c-k`

t]mÃv ]n≥tImUv

Xmeq-°v Pn√ t^m¨ \w.

112

23. ImcpWy ^-nte°v At]£n°p∂ XpI cq.

At]£ A\p-h-Zn-°m-hp-∂-XmWv.

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°mFs‚ IpSpw_Ønse a‰wK߃t°m NnIn’m [\klmbw e`n®n´ns√∂pw tImfw 6˛¬ ]kvXmhn®n-´p≈hm¿jnI IpSpw-_-h-cp-am\w Fs¥-¶nepw Imc-W-h-im¬ sX‰msW∂v t_m[y-s∏-´m¬ Cu ]≤Xn-]-ImcwssI∏-‰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 :

-

At]£ ssI∏-‰nb XobXn : tU‰ F≥Sn hcp-Ønb XobXn :

tU‰m F≥Sn \SØnbt∏mƒ e`n® sF.Un.\º¿:

Pn√mXe IΩn-‰nbv°v ka¿∏n® XobXn :

.

...... cq] NnIn’m [\-k-lm-b-ambn Xmsg ]dbp∂ NnIn’m ]mt°Pn¬ Dƒs∏SpØn

A\p-h-Zn-°p-hm≥ ip]m¿i sNøp-∂p.

1).

2).

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

1)

2)

ÿew Pn√m If-IvS¿ (I-Ωn‰n sNb¿am≥)

XobXn

t]cv

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

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

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

Hm^okv D]-tbm-K-Øn\v

Pn√m `mKy-°pdn Hm^o-k¿

Pn√mXe IΩn-‰n-bpsS Xocp-am\w

a.

b.

c.

113

ImcpWy s_\-h-e‚ v ^≠v-v

kamizmk NnIn’ [\-k-lm-b-Øn-\p≈ At]£

(3000 cq] hsc H‰ØhW [\klmbw)

3

1. tcmKn-bpsS t]cv : 2 ]pcp-j≥/ kvXo :

ta¬hn-emkw :

t]mÃv B^o v : ]n≥tImUv :

Pn√ : t^m¨ \w. :

. hb v : . tPmen : 6. hm¿jnI IpSpw_ hcp-am\w. cq.

. A—s‚/AΩ-bpsS/`¿Øm-hns‚ t]cv :

8. tdj≥ Im¿Uv \º¿ : 9.

1

0. tcmKn A√ At]-£n-°p-∂-sX-¶n¬ -

At]-£-Is‚ t]cv : tcmKnbpam-bp≈ _‘w :

11. tcmKhnhc߃ :

12. NnIn’m hnh-c-߃ Bip-]-Xn-bpsS t]cv :

ta¬hn-emkw :

13. sF. ]n. \w : XobXn :

]I¿∏v :

.

.

4 5

7

APL/BPL :

˛

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 2 sF. ]n. Sn°‰v :

^mdw ˛ 3

114

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°mFs‚ IpSpw_Ønse a‰wK߃t°m NnIn’m [\klmbw e`n®n´ns√∂pw tImfw 6˛¬ ]kvXmhn®n-´p≈hm¿jnI IpSpw-_-h-cp-am\w Fs¥-¶nepw Imc-W-h-im¬ sX‰msW∂v t_m[y-s∏-´m¬ Cu ]≤Xn-]-ImcwssI∏-‰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 :

-

At]£ ssI∏-‰nb XobXn : tU‰ F≥Sn hcp-Ønb XobXn :

tU‰m F≥Sn \SØnbt∏mƒ e`n® sF.Un.\º¿:

IΩn-‰nbv°v ka¿∏n® XobXn :

.

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

t]cv

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

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

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

XobXn

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

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

XobXn

Hm^okv D]-tbm-K-Øn\v

IΩn-‰n- sNb¿-ams‚ Xocp-am\wkwÿm\Xe

sNb¿am≥

sNb¿am≥

kwÿm\Xe

AUvan\nkvtS‰¿

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

115

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 –

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

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)

116

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.

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 personDate: (Office Seal)

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

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

117

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 amXw)

Fs‚ / **Snbms‚ NnIn-’-bv°mbn ]q¿Æambpw ]kvXpX Bip-]-Xn-bn¬

\n∂pw sNe-h-gn-®n-´ps≠-∂v Rm≥ km£y-s∏-Sp-Øp-∂p.

* A\p-h-Zn-®n-cp∂ NnIn’m [\-k-lmbamb cq ......................................................................./-˛

(................................................................................................................................................................. cq]m) bn¬

Fs‚ / **Snbms‚ NnIn-’-bv°mbn `mKnI-ambn .............................................................................. cq]

amXw ]kvXpX Bip-]-Xn-bn¬ \n∂pw sNe-h-gn-®n-´p≠-v F∂v Rm≥ km£y-s∏-Sp-Øp-∂p.

H∏v/hnc-e-S-bmfw

ÿew t]cv

XobXn ]q¿Æ-amb ta¬hn-emkw

*

**

_m[-I-a-√m-ØXv sh´n-°-f-bp-I.

NnIn’°nsS tcmKn acn®p t]mIpItbm tcmKn°v AkpJwaqew kzt_m[tØmSpIqSn km£y]Xw

H∏nSphm≥ km[n°msX hcpItbm sNbvXm¬ tcmKnbpsS ]nXmhv / amXmhv /`mcy / `¿Ømhv /a°ƒ /ktlmZc߃ F∂nhcn¬ B¿s°¶nepw km£y]Xw H∏n´p\evImw. km£y]XwH∏n´p\evIp∂bmfpw cmKnbpambp≈ _‘w hy‡am°nbncn°Ww.

118

ipXn XcwKw ]≤Xn ˛ tImIvfn-bm¿ Cwπm-t‚-j≥

kvt\l km¥z\w ]≤Xn

F≥tUm-kƒ^m≥ _m[n-X-cmb hnZym¿∞n-Iƒ°vhnZym`ymk klmbw

F≥tUm-kƒ^m≥ _m[n-X-cmbh¿°p≈ s]≥j≥ ]≤Xn

aq∂v hb- n\p Xmsg ]mb-ap≈ tIƒhn-i-‡n-bn-√mØ Ip´n-Iƒ°v tImIvfn-bm¿ Cwπm-t‚-j≥ sNøp-∂-Xn\vklmbw \¬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 Ip´n-Iƒ

2 Ip´nbv°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 Ip´n-bpsS c£m-I¿Ømhv 100/˛ap-Z-]-X-Øn¬ Hcp FKn-sa‚ v A\p-_‘w 1 ]Imcw H∏n´v \¬I-Ww.

ikvXInb-bpsS hnP-b-km-[yX ]cn-K-Wn®v 5 hb v hsc ]mb-ap≈ Ip´n-I-sfbpw ]cn-K-Wn-°p-∂-Xn\vkvIo\nwKv IΩ-‰n°v A[n-Imcw D≠m-bn-cn°pw

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 klmbwIqSmsX 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.

lmP-cm-t°≠ tcJ-Iƒ

sshIeyw sXfn-bn-°p∂ k¿´n-^n-°-‰ns‚ tIm∏n, F≥tUm-kƒ^m≥ Zpcn-X-_m-[n-X-cmsW∂v sXfn-bn-°p∂tUmIvS-dpsS k¿´n-^n-°‰v

At]-£-Iƒ AwK≥hmSn h¿°¿ aptJ\At\z-jWw \S-Øn sF.-kn.-Un.-F-kv.-kq-]-ssh-k¿ ip]m¿i sNbvXvPn√m inip hnI-k\ Hm^o-k¿°v \¬Ip-∂p.

F≥tUm-kƒ^m≥ _m[n-X-cmb IpSpw-_-ß-fnse Ip´n-Iƒ°v hnZym-`ym-k-Øn\v [\-k-lmbw \¬Ip-∂-Xn\pth≠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∏-´n-´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¬ +2hsc ¢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 Ip´n-Iƒ°v 1000/˛ ]Im-c-hpw, 8 apX¬ 10 hsc ¢m nse Ip´n-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.

kwÿm-\Øv Imk¿tImUv Pn√-bn¬ F≥tUm-kƒ^m≥ _m[n-X-cmbn sXmgn-se-Sp-°m-\m-hmsX ho´n¬ 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 ho´n¬ 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°nXpI 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¿°vs]≥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¿´n-^n-°‰v /sse^v k¿´n-^n-°‰v]Xp°n \¬tI-≠-Xm-Wv.

119

I-a-\-º¿ :

1. k¿P-dn B-h-iy-ap≈ tcm-Kn-bp-sS t]cv :

2. h-b pw P-\-\-Øo-ø-Xn-bpw :

3. enw-Kw : B¨-Ip´n /s]¨-Ip-´n

4. tcm-Kn-bp-sS c-£-I¿-Øm-hn-s‚ hn-h-c-߃

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 :

tIc-f km-aq-ly kpc-£m an-j≥

A-t]-£m-t^m-dw

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 ]≤-Xntcm-Kn-bp-sS]mkvt]m¿-´v

h-en∏-Ønep-≈t^mt´m

(C.F≥.‰n.k¿-P≥A-‰-kv-‰v sN-bv-XXv)

120

I-a- Ip-Sw-_mw-K-߃ 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-c߃

tbm-KyX h-cp-am-\w ssh-I-eyw F-s¥¶nepwD

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

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

7. a-‰v Ip-Spw-_mw-K-߃(B-sc-∂v hy-‡-am-°p-I)

_m-[n-®n-´p s≠-¶n¬t≠m (D-≠v/ F-gpXpIC√)

5. sS-e-t^m¨ \-º-cpIƒ

7. Ip-Spw-_mw-Kß-sf kw-_-‘n-°p-∂ hn-h-c߃:

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)

8. tcm-Kn-°v i-hW ssh-Ieyw D-≈-Xm-bn

I-≠p-]n-Sn®-Xv G-Xv ]m-b-Øn-em-Wvv : .......................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. ( )

121

(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)...................................................................

Rm≥.......................................................(t]cv) ta¬ ]-kvXm-hn-®n-´p-≈ Im-cy-߃ 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..........................................................

]-ÿm-h\

122

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-lm -bw e-`y -am -°p -∂-Xn -\p th -≠n A-t]-£ k-a¿ -∏n -®n -´p -≈ io/io -a -Xn

.......................................................................................................................................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-^o-k-dpsS/

X-l-ko¬-Zm-cp-sS t]cpw H∏pw

A-\p-_-‘w˛1

(Appendix-1)

h-cp-am-\ -k¿-´n-^n-°-‰v

123

A-\p-_-‘w˛2

(Appendix-2)

Sl.No. Name of the Hearing Aid Body level / Analog / Digital Duration of Use

Behind the Ear

1.

2.

3.

4.

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

2. Recommendation byAudiologist and Speech-Language Pathologist (SLP)

I hereby recommended that the patient.............................................................................................S/o

.............................................................................................................................has been diagnosed as

...........................................................................................................................................ans has

limited benefit from suitable hearing aids. He has been advised to undergo Cochlear Implantation and

therapy as early as possible. The necessary documents have been provided as mentioned at the end of

this application.

Date: (Office Seal) Name and Signature of theAudiologist

Place: and Speech-Language Pathologist:

RCI Reg.No.

Name of the hospital / centre:

1. Helth issues of the Patient.

Sl. No. IssuesStatus(put ( )present

1. History of Meningitis

2. Any congenital anomaly

3. Jaundice requiring exchange transfusion

4. Vision Problems

5. Mental sub normality

if

124

A-\p-_-‘w˛3

(Appendix-3)

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

2. Recommendation by ENT Surgeon

I hereby certify that I have personally examined the patient......................................................

S/o.........................................................................................OPNo...........................................

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:

125

A-\p-_-‘w˛4

(F√m-‰n-s‚bpw Htcm tIm-∏n ho-Xw h-bv-t°≠Xvv)

(Appendix-4 )

C.F≥.‰n k¿-P\pw B-Un-bm-f-Pn-kv‰vv 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

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

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 Signatureand Speech Language Pathologist of ENT surgeon

126

kXyhmßvaqew

tIcfm Kh¨sa‚ns‚ kuP\y tIm¢nbm¿ Cwπmt‚j≥ ]≤Xnbmb ipXnXcwKw ]≤XnbneqsS

kuP\y tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn°v Xncs™Sp°s∏´ ........................................................ F∂

Ip´nbpsS A—≥/ c£I¿Ømhv io. ................................................................................ AΩ/ c£I¿Ømhv

ioaXn.............................................................................................................................................................................................

ta¬hnemkw................................................................................................................................................................................

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

tN¿∂v tIcf tkmjy¬ skIyqcn‰n anj≥ FIvknIyq´ohv UbdIvS¿ apºmsI ka¿∏n°p∂

kXyhmßvaqew.

Fs‚*/RßfpsS* Ip´nbv°v tIƒhn°pdhps≠∂pw tIm¢nbm¿ Cwπmt‚j≥ ]≤Xn

aptJ\Ip´nbv°v tIƒhn i‡nbpw XZzmc kwkmctijnbpw Xncn®v In´m≥ km[yX

Ds ∂pw Rm≥ * / R߃ * a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπmt‚js‚ hnPbkm[yX ]e LSIßsfbpw Bibn®mWv

\nesIm≈p∂Xv F∂v F\nbv°v*/R߃°v* t_m≤yap≠v. tIƒhnIpdhns‚ ImcWw,

Imebfhv, tIƒhnIpdhns‚ tXmXv, Cwπm‚ v sNøp∂ ]mbw, B¥cnI LSI߃ CXphsc

\Inbn´p≈ NnIn’bpsS KpWta∑, kwkmc t]cIßsf Xncn®dnbm\p≈ Ignhv, Ip´nbpsS

s]mXphmb BtcmKytijn, IpSpw_Øns‚ A¿∏Wt_m[w, Cwπm‚ v Soans‚ D]tZi

\n¿t±i߃ 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\LSI߃ BsW∂v a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn°v apºv \St°≠ ]o Iu¨kenwKv R߃°v d^¿

sNbvX tUmIvS¿ \Inbn´p≠v.

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* Ip´nsb AØcw NnIn¬kbv°v hnt[b\m°nbn´p≠v F∂v

km£ys∏SpØp∂p.

BUn‰dn sh¿_¬ lm_nent‰j\v hnt[bambns√¶n¬ tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn

sIm≠v ]tbmP\ans√∂pw Aßs\ kw`hn®m¬ D]IcWØns‚ hne ]eni klnXw

CuSm°m≥ k¿°mcn\v ]q¿Æ A[nImcap≠mbncn°p∂XmsW∂v a\ nem°nbn´p≠v.

Kh¨sa‚ v \n¿t±in°p∂ AwKoIrX sk‚dpIfn¬ BUn‰dn sh¿_¬ lm_nent‰j\v

apSßmsX sIm≠p htc≠ _m[yX c£nXm°ƒ°msW∂v a\ nem°nbp≠v.

≠

tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØnbXpsIm≠p amXw kwkmctijn Xncn®p-

In´ns√∂pw k¿Pdn°ptijw kwkmctijn In´m≥ NpcpßnbXv c≠v h¿j°m-

etØs°¶nepw BUn‰dn sh¿_¬ lm_nent‰j\v Ip´nsb hnt[bamt°≠Xp≠v F∂pw

R߃ a\ nem°nbn´p≠v. Aßs\ sNbvXns√¶n¬ RßfpsS Ip´nsb A\mhiyambn

Hcp taP¿ k¿Pdn°v hnt[b\m°pIbmsW∂pw k¿PdnsIm≠v amXw kwkmctijn Xncn®v

In´ns√∂pw NnIn’nbv°p∂ tUmIvS¿ Rßsf t_m≤ys∏SpØn-bn´p≠v.

127

tIm¢nbm¿ Unsshkv Iº\nbpsS

s‚

F∂o tIm¢nbm¿

Cwπm‚pIfmWv ipXnXcwKw ]≤Xnbn¬ D]tbmKn°p∂Xv F∂v a\knem°nbn´p≠v. Fs‚

Ip´nbv°v GXv Cwπm‚mWv sXcs™Sp°p∂Xv F∂v Xocpam\nt°≠ NpaXe tIcf

kmaqly kpc£m anj\mWv.

kv]o®v t]mkk¿ AXXv Iº\nIfpsS am¿K\n¿t±ißf\pkcn®v i≤m]q¿∆w ssIImcyw

sNøWsa∂pw Ai≤ sImt≠m, hogvN, A]IS߃ apXemb BLmX߃ sImt≠m

D≠mIp∂ tISp]mSpIƒ hmd≠nbn¬ Dƒs∏SmØXn\m¬ AXv dn∏b¿ sNtø≠Xpw

BhiyamsW¶n¬ am‰n hbv°m\pap≈ NpaXe c£nXm°ƒ°v BsW∂pw

a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπm‚ns‚bpw/kv]o®v t]mkkdns‚bpw hmd≠nbn¬ Dƒs∏SmØ kvs]b¿

]m¿´pIfpsS hnebpw, I¨kyqa_nƒ sF‰wkns‚ hnebpw, hmd≠n I≠oj\n¬

Dƒs∏SmØ Imcy߃ aqeap≠mIp∂ \mi\jvSßfpsS hnebpw, dn∏b¿ Nm¿÷pIfpw

Bhiyambn hcptºmƒ c£nXm°ƒ hlnt°≠XmsW∂pw a\ nem°nbn´p≠v.

tIm¢nbm¿ Cwπm‚ns‚ _m‰dn do Nm¿÷_nƒ _m‰dnbmsW∂pw Iº\nIfpsS am¿K\n¿t±-

ißf\pkcn®v do Nm¿÷v sNbvXm¬ amXsa _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.

kv]o®v t]mkkdn\v 4 h¿jhpw Cwπm‚n\v 10 h¿jhpamWv hmd≠nbpffXv F∂v

a\ nem°nbn´p≠v. hmd≠n ]ocoUn\p tijw Ahbv°p kw`hn°mhp∂ tISp]mSpIƒ

dn∏b¿ sNtø≠Xpw kvs]b¿ ]m¿´pIfpsS Imemh[n Ignbptºmƒ Ah amt‰≠Xpw

A]q¿∆ambn ]q¿Æambpw ]h¿Ø\clnXamIpIbpamsW¶n¬ ]q¿Æambpw

am‰nhbvt°≠Xpw c£nXm°fpsS NpaXebmsW∂v a\ nem°nbn´p≠v. ]Øp h¿j

hmd≠n°ptijw, hfsc A]q¿∆ambn kw`hn°mhp∂ Cwπm‚ vam‰n hbv°¬, Bhiyambn

hcp∂ ]£w c£nXm°ƒ Xs∂ kz¥w sNehn¬ sNtø≠XmsW∂pw a\knem°nbn´p≠v.

ipXnXcwKw ]≤Xn hgn 4,56,521/˛ cq] hnebp≈ tIm¢nbm¿ Cwπm‚n\pff XpI

Iº\nIƒ°pw, am∏nwKn\pw BUn‰dn sh¿_¬ lm_nent‰j\papff 50,000/˛ cq] Fw]m\

sNøs∏´ AXXv Bip]XnIƒ / sk‚dpIƒ°pw tIcf kmaqly kpc£m anj≥ t\cn´v

\IpIbmWv sNøpI F∂pw a nem°nbn´p≠v. Cu ]≤Xn hgn tcmK \n¿ÆbØn\pw

NnIn’Iƒ°pw tcmKnbv°v/ c£nXm°ƒ°v sNehmb bmsXmcp XpIbpw doCwt]gvkvsa‚ v

Bbn e`n°pIbn√msb∂v a\ nem°nbn´p≠v.

kzImcy Bip]XnIfn¬ k¿Pdn \n¿hln°pIs∏SpIbmsW¶n¬ AXXv

Bip]XnIfpambn tIcf kmaqly kpc£m anj≥ D≠m°nb [mcWm]Xw ]Imcap≈

XpI c£nXm°ƒ hlnt°≠XmsW∂pw a\ nem°nbn´p≠v. [mcWm]Xw A\pkcn®p≈

XpIb√msX as‰mcp XpIbpw Bip]XnIƒ°v k¿Pdnt°m, am∏nwKnt\m, BUn‰dn

sh¿_¬ lm_nent‰jt\m \¬tI≠Xns√∂pw a\ nem°nbn´p≠v.

kv]o®v t]mkk¿ A]vtKUv 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]vtKUv sNøpIbn√msb∂v Dd∏p \Ip∂p. ipXn

C124RE Cochlear Implant with Straight electrode,

Freedom Sound Processor (BTE Controller), Advanced Bionics Auria HiResolution

Bionic Ear Cochlear Implant system with Auria Speech Processor

128

XcwKw ]≤XnbpsS GIoIrX kzm`mhØn\pw, hnPbØn\pw CXv AXymhiyamWv F∂v

a\ nem°nbn´p≠v.

Hm∏tdj≥ kw_‘amtbm, NnIn’ kw_‘amtbm D≠mIp∂ ]m¿iz^eßsf∏‰n

tUmIvS¿am¿ R߃°v ]d™v a\ nem°n X∂n´p≠v. A]q¿∆ambn kw`hn°mhp∂

AØcw ]m¿iz^e߃°v Ip´nsb NnIn’n°p∂ tUmIvStdm, Bip]Xntbm, AhnSsØ

Poh\mtcm, tIcf kmaqly kpc£m anjt\m DØchmZnb√ F∂v t_m[ys∏´n´p≠v.

A]Xo£nXamb Fs¥¶nepw ImcWhim¬ Hcp ]p\¿ k¿Pdnbv°v Ip´nsb

hnt[bamt°≠n h∂m¬ AXn\v R߃ XømdmIpsa∂v kΩXn°p∂p.

k¿°m¿/k¿°mtcXc ]≤XnIƒ hgntbm, C≥jzd≥kv ]≤XnIƒ hgntbm tIm¢nbm¿

Cwπmt‚j≥ k¿Pdnbv°mbn bmsXmcm\pIqeyhpw \mfnXphsc ssI∏‰nbn´n√msb∂pw

C°mcyØn¬ Kh¨sa‚ns‚ am¿§\n¿t±i߃ A\pkcn®p amXta ]h¿Øn°pIbpffq

sh∂pw km£ys∏SpØp∂p.

Cu kXyhmßvaqew ka¿∏n°p∂XvsIm≠v amXw Fs‚ Ip´n 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¬ amXta Cu ]≤XnbpsS

kuP\y B\pIqeyw R߃°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 Ip´nbpsS c£nXm°ƒ F∂nhcpsS Iq´mb ]h¿Ø\ØneqsS amXta

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 amXamWv. ta¬

Iq´mbvabn¬ c£nXm°ƒ F∂ \nebn¬ RßfpsS ]¶v bYmhn[n \n¿hlns®¶n¬ amXsa

RßfpsS Ip´nbv°v tIgvhni‡ntbmsSm∏w kwkmctijnbpw Xncn®v In´pIbp≈q F∂v

DØaambn t_m≤ys∏´n´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 sshZyimkvX]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∏´n´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® Imcy߃

]men°mØXp sIm≠v k¿°mcn\p≠mIp∂ \jvSw *Rm≥/R߃ hlnt°≠XmsW∂v

a\knem°nbn´ps≠∂v km£ys∏SpØp∂p.

Fs‚ Ip´nbv°v Ct∂ XobXnhsc tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØnbn´ns√∂pw ta¬

]kvXmhn® hyhÿIƒ°v hnt[bambn Fs‚*/ RßfpsS* aI≥/aIƒ

.......................................... F∂ Ip´nsb 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 Ip´nbpsS P\\XoøXn..................................BWv F∂v km£ys∏SpØp∂p.

* Fs‚/RßfpsS Ip´nsb ............................................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/R߃°v t_m≤yap≠v.

129

* RßfpsS Xm¬]cy]Imcw kzImcy Bip]Xnbn¬ sXcs™Sp°s∏SpIbmsW¶n¬

kzmImcy Bip]XnIfn¬ \n¿Æbn°s∏´n´p≈ k¿Pdn Nm¿Pmb 60,000/˛ cq] ASbv°m≥

Rm≥ * /R߃ * 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∏߃°v Rm≥/R߃

DØchmZnIfmbn-cn°psa∂v t_m≤yap≠v.

`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 R߃°ncph¿°pw ]q¿ÆkΩXamsW∂pw CXn\m¬

km£ys∏SpØp∂p.

* s‚ ]nXmhv/amXmhv

io./ioaXn acWs∏´n´ps≠∂pw ]nXmhmb/amXmhmb

Rm≥..............................................................amXta Pohn®ncn∏pffpsh∂pw Ip´nbpsS ]q¿Æamb

DØchmZnXzw F\n°msW∂pw Ip´nbv°v tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØp∂Xn\v

F\n°v ]q¿Æ kΩXamsW∂pw CXn\m¬ km£ys∏SpØp∂p.

*..............................................................................................F∂ Rm\pw Fs‚ `mcy/`¿Ømhv

................................................. ambn \nba]cambn hnhml_‘w th¿s]SpØnbn´ps≠∂pw

................................................F∂ Ip´nbpsS \nba]camb NpaXe amXmhmb/]nXmhmb

F\nbv°msW∂v km£ys∏SpØp∂p........................................ F∂ Ip´nbpsS amXmhpw ]nXmhpw

Pohn®ncn∏ns√∂pw Ip´nbpsS c£I¿Ømhv ........................................(_‘w) Bb

........................................... (t]cv) BsW∂pw Ip´nbpsS ]q¿Æamb DØchmZnXzw

F\n°msW∂pw Ip´nbv°v tIm¢nbm¿ Cwπmt‚j≥ k¿Pdn \SØp∂Xn\v F\n°v ]q¿Æ

kΩXamsW∂pw CXn\m¬ km£ys∏SpØp∂p.

201.......................amkw ........................................ XobXn Xmsg ]dbp∂ km£nIfpsS

apºmsI DØat_m≤ytØmSpIqSn Cu kXyhmßvaqeØn¬ kzta[bm H∏psh°p∂p.

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

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

Fs‚ Ip´nbpsS NnIn’m kw_‘amb hnhcßsf√mw ]T\߃°pw KthjW߃°pw

D]tbmKs∏SpØp∂Xn\v F\nbv°v kΩXamWv.

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

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

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

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

130

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

km£nIƒ :

1.

2.

Cu `mKw Ãmºv t]∏dn¬ tN¿t°≠Xn√.

* (Bhiyan√mØXv sh´nIfbpI)

*(100 /˛ cq] apZ]XØnemWv kXyhmßvaqew \tI≠Xv. A√msXbp≈h

kzoImcya√. Ip´nbpsS A—\pw AΩbpw kXyhmßvaqeØn¬ H∏n´ncn°Ww. c≠nsemcmƒ

amXsa 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.)

NB :

131

kvt\lkm¥z\w ]≤XnAt]£m ^mdw

1.

2.

3.

4.

5.

6.

7.

8.

9.

11.

F≥tUmkƒ^m≥ _m[nXbmb

Bfns‚ t]cv :

]q¿Æamb ta¬hnemkw :

ho´pt]cv :

tdmUv/sebn≥ :

ÿew :

hnt√Pv :

Pn√ :

t]mÃv Hm^okv :

]n≥tImUv :

sSet^m¨ \w. (hoSv/samss_¬)

As√¶n¬ _‘s∏tS≠ \º¿ :

tcmKnbpsS hb v :

sshIeyØns‚ kz`mhw/tcmKw :

(F) P∑\mbpffXv

(_n) B¿PnXambXv

(kn) ÿncw

(Un) Xm¬°menIw

hnIemwKXzØns‚ iXam\w :

]q¿Æambpw InS∏nemtWm : AsX/A√

ssZ\wZn\Imcy߃ sNøp∂Xn\vas‰mcmfpsS klmbw BhiyamtWm : AsX/A√

Blmcw Ign°p∂Xn\v as‰mcmfpsSklmbw BhiyamtWm : AsX/A√

FWo‰ncn°m≥ as‰mcmfpsSklmbw BhiyamtWm : AsX/A√

k¿´n^n°‰pt m?

(Ds ¶n¬ ]I¿∏v DffS°w sNøpI)

F≥tUmkƒ^m≥ ZpcnX _m[nXcmsW∂vsXfnbn°p∂Xn\mbn tUmIvSdns‚ ]°¬\n∂pff saUn°¬ k¿´n^n°t‰m_tbm : D v/C√(Ds ¶n¬ ]I¿∏v DffS°w sNøpI)

10.

12.

saUn°¬ t_m¿Uns‚ Unk_nen‰n : D≠v/C√

≠

≠

saSnIv Im¿tUm Dt≠m ≠≠

hnIemwK s]≥j≥ e`n°p∂pt≠m? : D≠v/C√

132

(Hm^okv D]tbmKØn\v amXw)

sF.kn.Un.Fkv. kq∏¿sshkdpsS ip]m¿i

inip hnIk\]≤Xn Hm^okdpsS km£y ]Xw

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

XobXn : sF.kn.Un.Fkv. kq∏¿sshkdpsS H∏v

(Hm^okv apZ)

ta¬ hnhc߃ ]kvXpX AwK≥hmSn h¿°¿am¿ aptJ\ t\cn´v ]cntim[n°pIbpw At\zjWw\SØpIbpw sNbvXn´p≠v F∂v km£ys∏SpØnsImffp∂p.

XobXn : kn.Un.]n.H bpsS t]cv :H∏v:

(Hm^okv apZ)

]cnNcn°p∂ Bfns‚ hnhc߃

1. ]cnNcn°p∂ Bfns‚ t]cv :

2. ]q¿Æamb ta¬hnemkw :

ho´pt]cv :

tdmUv/sebn≥ :

ÿew :

hnt√Pv :

Pn√ :

t]mÃv Hm^okv :

]n≥tImUv :

sSet^m¨ \w. (hoSv/samss_¬)

3. tcmKnbpambpff _‘w :

As√¶n¬ _‘s∏tS≠ \º¿ :

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

]cntim[\\SØnb AwK≥hmSn h¿°dqsS H∏v:

AwK≥hmSn h¿°dqsS t]cv:

XobXn:

133

\º¿

1. hn-Zym¿-∞n-bp-sS t]-cv :ho´v-t]-cv :ho-´v \-º¿,hm¿-Uv- \-º¿ :]-©m-b-Ø/ 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. ( ) hn-Zym¿-∞n ]Tn-°p-∂ kv-Iq-fns‚ t]-cv :

( ) 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-epwB-tcm-Ky h-Ip-∏v \-SØn-b k¿-t∆-bpsSA-Sn-ÿm-\-Øn¬ Pn√m I-e-Œ¿ Aw-Ko-I-cn-®en-kv-‰n¬ (F≥-tU-kƒ-^m≥ _m-[n-X-cp-sSIq-´-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]cpwhn-Zym¿-∞n-bp-am-bp-≈ _-‘hpw: A-—≥ / A-Ω / k-tlm-Z-c≥

k-tlmZ-cn

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-߃ k-Xy-am-sW∂v C-Xn\m¬ km-£y-s∏-Sp-Øn sIm-≈p∂p.

H∏v :

t]-cv :

(B-^o-kv D-]-tbm-K-Øn-\v am-Xw)

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]-£

v

a

b

k-Xy-]-kv-Xm-h\

k-Xy-]-ÿmh\

At]£bn¬ ]dbp∂ ]Imcw Ipamcn / amÿ .......................................................................................................

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

............................................................................ F∂ Ip´n F≥tUmkƒ^m≥ ZpcnX _m[nX IpSpw_Ønse

AwKamsW∂pw / F≥tUmkƒ^m≥ hnj_m[nX\msW∂pw F≥tUmkƒ^m≥ ZpcnX

_m[nXcpsS enÃn¬ Dƒs∏´n´ps@∂pw Bhiyamb At\zjWw \SØn t_m[ys∏´n´p≈XmsW∂v

km£ys∏SpØn sIm≈p∂p. Sn hnZym¿∞n ]≤Xn am\Zfi߃°\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

Ipamcn/amÿ..............................................................................................................................................................................

............................................................................................................................................................................................. 2011˛12

A≤yb\h¿jØn¬ Cu kvIqfnse ..................................... ¢m n¬ ]Tn°p∂ hnZym¿∞nbmsW∂v

km£ys∏SpØn sIm≈p∂p.

ÿew : H∏v :

XobXn : Hm^okv apZ: t]cv :

kvIqfns‚ t]cv :

.......................... Pn√ :

Hm^okv t^m¨ \º¿ :

..............................................................................................................................................s‚/sS At]£bptSbpw a‰v

k¿´n^n°‰pIfpsSbpw ASnÿm\Øn¬ .....................................................................................................................

...................s‚/sS hnZym`ymkØn\v..................... /˛ cq] (............................................................... cq] amXw)

2011˛12 A≤yb\h¿jtØbv°p≈ hnZym`ymk [\klmbw A\phZn®ncn°p∂p.

XobXn : H∏v :

FIvknIyq´ohv UbdIvS¿

kvIqƒ A[nIrXcpsS km£y]Xw

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

134

135

Im≥k¿ tcmKn-Iƒ°v sSbn≥ bmXm I¨k-j≥

Im≥k¿ tcmKn-Iƒ°v sSbn≥ bmXmIq-en°v 100% hpw IqsS bmX sNøp∂ Hcmƒ°v 50% hpw Cfhv\¬Ip-∂-Xn\v bmXm-]mkv A\p-h-Zn-°p-∂p.

bmXm-]mkv e`n-°p-∂-Xn\v \n›nX amXrIbnep≈ At]£ ]qcn-∏n®v sdbn¬th tÃj≥ amÿ°vka¿∏n-°-Ww.

At]£tbm-sSm∏w Ce-£≥ Xncn-®-dn-b¬ Im¿Uv, tdj≥ Im¿Uv F∂n-h-bpsS ]I¿∏v, ]mkvt]m¿´vsskkv t^mt´m, Im≥k¿ tcmKn-Iƒ NnIn’ tXSp∂ Bip-]-Xn-bn¬ \n∂p≈ saUn-°¬ k¿´n-^n-°‰v F∂nh ka¿∏n-°-Ww. hcp-am\]cn-[n-bn-√. NnIn’ B¿.-kn.kn bn¬ \n∂m-sW-¶n¬ tlmkv]n-‰-en-te°v At]£ Ab-°p∂ apd°v sdbn¬th-]mkv e`y-am-°p-∂-Xm-Wv.

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 travelfrom………………………............................…Station to ………………….................………….. Station withone attendant.

For periodical check-up after re-examination at…………………………………………..

(a) Age…………….years (b) Sex………………………..

(c ) Personal identification Marks:

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.

136

137

138

139

cmjvSob kzmÿy _oa tbmP\kaK BtcmKy C≥jpd≥kv ]≤Xn

]≤XnbpsS B\pIqey߃

]≤Xnbn¬ Dƒs∏´ AkpJ߃

]≤Xn ]Imcw B\pIqeyw e`n°mØ AkpJ߃

(RSBY)

(CHIS)

_n.]n.F¬ IpSpw_߃°v ]tXy-In®v AkwLSnX taJebnse sXmgnemfnIfpsS IpSpw-_-ß-fnsetcmK-_m-[n-X¿°v k¿°m¿ taJ-e-bn-epw, kzImcytaJ-e-I-fnepw KpW-\n-e-hm-c-ap≈ NnIn’e£yam°nbp≈ tIµk¿°m¿ ]≤XnbmWv

kwÿm\k¿°mdns‚ enÃnep≈ ZcnZcmb IpSpw_ßtfbpw, F.]n.F¬ IpSpw_ßtfbpwtN¿Øp sIm≠v kwÿm\k¿°m¿ BhnjvIcn® C≥jpd≥kv ]≤XnbmWv

Cu c≠v ]≤Xn fnepw tNcp∂ IpSpw_߃°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

BWv

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\pIqeywIpSpw_Øn\v samØØnep≈XmWv.

IpSpw_\mYt\m, \mYbvt°m A]ISap≠mbm¬ C≥jpd≥kv Iº\n 50000/˛ cq] acWm\¥cklmbambn AhIminIƒ°v \¬Ip∂XmWv. 60% IqSpX¬ Xos]m≈¬ G‰m¬ NnIn’°mbn50000/˛ cq] e`n°pw.

Bip]Xnbn¬ InSØn NnIn’ Bcw`n°p∂Xn\v Hcp Znhkw apºp≈Xpw, NnIn’ Ign™vUnkvNm¿Pv BbXn\v tijw 5 ZnhktØ°p≈ acp∂pIƒ Dƒs∏sSbp≈ XpS¿ NnIn’msNehpIfpw Bip]Xn hln°p∂XmWv.

Hmtcm ]mhiyhpw Bip]Xn NnIn’ Ign™pt]mIptºmƒ bmXmsNehmbn 100/˛ F∂ tXmXn¬Bip]Xnbn¬ \n∂pw \¬Ip∂XmWv. Cu XpI Hcp h¿jw ]camh[n 1000/˛ cq]bmbncn°pw. Im¿ n-tbm-f-Pn, Hmt¶m-f-Pn, s\t^mfPn tcmKn-Iƒ°v A[nI NnIn’mklmbw e`n-°pw.

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≈ AkpJ߃°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≥ XnancikvXInb F∂nh°v NnIn’m B\pIqeyw e`n°p∂XmWv.

P≥a\m D≈ AkpJ߃

aZyw, ab°pacp∂v aqeap≈ AkpJ߃

ssewKnI tcmK߃

h‘yXm NnIn’, ]Xntcm[ IpØnsh∏v, BfllXymiaw.

IpSpw_ßfpsS t^mt´m FSpØp Ignbptºmƒ e`n°p∂ kvam¿´v Im¿Uv \n¿_‘ambpwNnIn’°pt]mIptºmƒ sIm≠p t]mtI≠XmWv.

Bip]XnIfn¬ Cu tkh\w e`yamIp∂Xn\v ]XyIw sl¬]v sUkvIv

RSBY

CHIS.

(CHIAK)

I

U

140

Bw BZvan _nam tbmP\ ( )AABY

A©v sk‚n¬ Xmsg amXw `qan-bp≈ ]mh-s∏´ KmaoW IpSpw-_-ß-fpsS kmaqly kpc£ Dd-∏m-°p-∂-Xn\p th≠n tIµ-˛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 Ip´n-Iƒ°v ]Xn-amkw 100/˛ cq] ]Imcw hnZym-`ymk kvtImf¿jn∏v B\p-Iqeywe`n-°p-∂p.

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 Ip´n-Iƒ°v ]Xn-amkw 100/˛ cq]

1. \n¿±njvS t^md-Øn¬ A]£, 2. tdj≥ Im¿Uns‚ tIm∏n, 3. t]mfnkn k¿´n-^n-°‰v, 4. acWk¿´n-^n-°‰v

]≤-Xn-bpsS ]tbm-P-\-߃

Bh-iy-amb tcJ-Iƒ

141

142

km¥z\˛]-hmkn Zpcn-Xm-izmk \n[n

]-hmkn t£a-]-≤Xn ˛ t\m¿°˛dq´vkvsNb¿am≥ ^≠n¬ \n∂v klmbw

]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-߃t°m Kpcp-Xc tcmK-߃°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-߃°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¿´n-^n-jy¬ enw_v F∂nh hmßp-∂-Xn\v 1000/˛ cp] [\-k-lm-bw.

hntZ-iØv tPmen Ign™v \m´n-se-Øn-bm¬,-hn-tZ-iØv tPmen sNbvX Ime-b-f-hn\v B\p-]m-Xn-I-ambIme-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.

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¿´n-^n-°‰v Hdn-Pn-\¬(25000/˛ cp]-bn¬ Xmsg)

4 saUn-°¬ k¿´n^n°‰v/ saUn-°¬ _n¬

5 hnhml [\-klmbØn\v( hnhml k¿´n-^n-°-‰v/_‘w sXfn-bn-°p∂ tcJ, hnhml £W-°Øv

6 acW k¿´n-^n-°‰v (a-c-Wm-\-¥c klm-b-Øn-\m-bn)

7 ho¬ sNb¿/I®kv/B¿´n-^n-jy¬ enw_v F∂nh hmßp-∂-Xn\v, Cu D]-I-c-W-߃ tcmKn°vBh-iy-ap≠v F∂p≈ tUmIvS-dpsS k¿´n-^n-°-‰v, kma-Kn-Iƒ hmßnb _n√v

]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-Iqey߃ e`n°p∂X√. H∂n¬ IqSpX¬ XhW Cu ]≤Xnhgn klmbwe`n°p∂X√.

t\m¿°˛dq´vkns‚ Xncph\¥]pcw, tImgnt°mSv, FdWmIpfw Hm^okpIfn¬ At]£\¬Imhp∂XmWv. At]£bn≥ta¬ At\zjWØn\v t\m¿°˛-dq´vkns‚ Hm^okn¬ \n∂vAdnbn°p∂ Znhkw t\cn´v lmPcmtI≠XmW.v

lmPcmIptºmƒ At]£I≥tdj≥ Im¿Uv, hcpam\k¿´n^n°‰v, ]mkvt]m¿´v (hntZiØv t]mbh¿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¿´n^n°‰v, NnIn’mtcJIƒ, saUn°¬ _n√pIƒ F∂nhbpw

acWm\¥c klmbØn\mbn acWk¿´n^n°‰v, At]£Is‚/bpsS Xncn®dnb¬ Im¿Uv F∂nhlmPcm°Ww.

ka¿∏n-t°≠ tcJ-Iƒ

Norka Roots, Norka Centre, Near Govt. Guest House, Thycaud

Thiruvananthapuram 695 014, Tele No: 2332416, 2332452

km¥z-\ [-\-klm-b ]-≤-XnA-t]-£m- t^mdw

A-t]-£Is‚ /A-t]-£-I-bp-sS]m- v t]m¿-´v

ssk-kv t^mt´m

143

1 ]-hm-kn-bp-sS t]-cv(]mkv-t]m¿-´v ]-Im-cw

Po-hn-®n-cn-∏n-s√-¶n¬ 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-´n¬ tPm-en sN-øp-∂pt≠m?D-s≠-¶n¬ hn-i-Z-hn-hcw.

6 hn-tZi-Øv tPm-en sNbv-X cm-Py-߃ Im-e-bf-hvap-X¬˛hsc

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-߃

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-c߃ :

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

"Late'

144

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

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-߃

A\p-tbm-Py-am-b-Xn\p t\sc sNøpI Bh-iy-amb

1 NnIn-’m-k-lmbw

2 acWm\¥c klmbw

3 hnhml [\klmbw

4 ho¬ sNb¿, I®kv F∂nhbv°v.

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

XobXn :ÿew :

(At]£Is‚ H∏v)

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 dq´ns‚ Xncph\¥]pcw, tImgnt°mSv,FdWmIpfw Hm^okpIfn¬ At]£ \¬Imhp∂XmWv. At]£bn≥ta¬ At\zjWØn\v t\m¿°dq´vkns‚ Hm^okn¬ \n∂v Adnbn°p∂ Znhkw t\cn´v lmPcmtI-≠XmWv. t\cn´p≈ At\zjWØn\vlmPcmIptºmƒ At]£I≥ s]mXphmbn tdj≥ Im¿Uv, hcpam\ k¿´n^n°‰v, ]m vt]m¿´v (hntZiØvt]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¿´n^n°‰v, NnIn’m tcJIƒ, saUn-°¬ _n√p-Iƒ F∂n-hbpw acWm¥c klmbØn\mbnacWk¿´n^n°‰v, At]£Is‚/bpsS Xncn®dnb¬ Im¿Uv, hnhml [\klmbØn\mbn hnhml]XnI,_‘w sXfnbn°p∂ k¿´n^n°‰v, ho¬ sNb¿ I®kv F∂nh hmßp∂Xn\v tUmIvSdpsS \n¿t±iwImWn°p∂ k¿´n^n°‰v, hmßnb _n√ns‚ tIm∏n F∂nh lmPcm°Ww.

hni-Zmw-i-߃XpI

kXy]ÿmh\)

At]-£n-t°- hn[w

ka¿∏n°p∂ F√mtcJIfpsSbpw Hmtcm tIm∏nbpw \S-]-Sn-I-a-߃ Ffp-∏-am-°p-∂-Xn\vlmPcmt°-XmWv.

A-t]-£Is‚ /A-t]-£-I-bp-sS

]m- vt]m¿-´vssk-kv t^mt´m

145

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

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

2. ta¬hnemkw(]n≥tImUv klnXw)

3. sSent^m¨ \º¿

4. P\\ØobXn, hb-kv

5. \m´n¬ tPmen sNøp∂pt≠-m?Ds≠-¶n¬ hniZhnhcw

hntZiØv tPmensNbvX cmPy߃ ImebfhvapX¬ ˛ h-sc

6

7. ]mkvt]m¿´v \º¿ ˛ XobXn

hntZiØv sNbvXncp∂ sXmgn¬

Iº\nbpsS t]-cv

8. kvt]m¨kdpsS t]cv

a‰p hniZmwi߃

9. hntZiØp\n∂pw Ahkm\ambntIcfØn¬ h∂ XobXn

10. ]hmkn acWs∏s´¶n¬acWaS™ XobXn

11. At]£Is‚ IpSpw_hnh-c߃:

146

12. IpSpw_ hm¿jnI hcpam\w(hnt√Pv B^okdpsSk¿´n^n°‰v \ºcpw XobXnbpw)

13. t\man\nbmWv At]£ka¿∏n°p∂sX¶n¬t]cv, ]hmknbpambp≈ _‘w

14. t\man\nbpsS hnemkw(]n≥tImUv klnXw)

sSent^m¨ \º¿

sNb¿am≥ ^≠-v A\phZn°p∂ klmbw kw_‘n® hnhc߃

A\ptbmPyambXn\p t\sc sNøpI BhiyambXpI

1 NnIn’mklmbw

2 acWm\¥c klm-bw

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

XobXn:ÿew:

( At]£Is‚ H∏v)

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-Iqey߃ 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 Hm^okpIfn¬

At]£ \¬Imhp∂XmWv. At]£bn≥ta¬ At\zjWØn\v t\m¿°˛-dq´vkns‚ Hm^okn¬

\n∂v Adnbn°p∂ Znhkw t\cn´v lmPcmtI-XmWv lmPcmIptºmƒ At]£I≥ tdj≥ Im¿Uv,

hcpam\ k¿´n^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¿´n^n°‰v, NnIn’mtcJIƒ, saUn°¬ _n√pIƒ F∂nhbpw acWm\¥cklmbØn\mbn

acWk¿´n^n°‰v, At]£Is‚/bpsS Xncn®dnb¬ Im¿Uv F∂nh lmPcm°Ww.

hniZmwi߃

kXy]kvXmh\

At]£nt°≠ hn[w

Norka Roots, Norka Centre, Near Govt. Guest House, ThycaudThiruvananthapuram – 695014

Tele No: 2332416, 2332452Fax: 91 471 2326263, e mail: mail@norkaroots.net URL: www.norkaroots.net

147

ImcpWyw ˛]-hmkn t£a-]-≤Xn

P\\n kpc£ tbmP\ ˛ ]kh [\-k-lmbw

P\\n inip kpc£m ImcyIw ( )

hntZ-iØv Bbn-cnt° ac-W-s∏-´-bm-fpsS arX-tZlw \m´n-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¿´ns‚ hnk

]Xn® t]Pp-I-fpsS Kk-‰Uv Hm-^o-k¿ km£y-s∏-Sp-Ønb ]I¿∏v,

acW k¿´n-^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-´n√ F∂v AXXv Fw_ n/ tIm¨kte‰vkm£y-s∏-Sp-Ønb tcJ,

tPmen sNbvXn-cp∂ ÿm]-\-Øn¬\n∂p≈ k¿´n-^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-^o-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¿´n-^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¿´n-^n-°-‰ns‚A ¬

* ka¿∏n°p∂ F√m tcJIfpsSbpw Hmtcm tIm∏nbpw \S]SnIa߃ Ffp∏am°p∂Xn\vlmPcmt°-XmWv.

ZmcnZy tcJbv°p Xmsg-bp≈ kvXoIƒ°v BZysØ c≠v ]k-h-߃°v [\-k-lmbw \¬Ip∂k¿°m¿ ]≤-Xn.

KmaoW taJ-e-bn-ep≈ kvXoIƒ°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≈ kvXoIƒ°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.

]´n-I-PmXn /]´nI h¿§ kvXoIƒ°v hcp-am\]cn[n t\m°msX 700/˛ cp] ]Imcw A\p-h-Zn-°p-∂p.

ho´n¬ h®p \S-°p∂ ]k-h-Øn\v 500/˛cp] ]Imcw A\p-h-Zn-°p-∂p.

]k-h-tØm-S-\p-_-‘n-®p≈ bmXm-sN-e-hn\v 300/˛cp] ]Imcw \¬Ip-∂p.

At]-£-Iƒ Bim ]h¿Ø-I¿ hgn ka¿∏n-°m-hp-∂-Xm-Wv.

kvXoI-fp-sSbpw Ip´n-I-fp-sSbpw Btcm-Kyhpw kpc-£bpw Dd∏m-°p-∂-Xn\p th≠n tIµ BtcmKyIpSpw-_-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-߃°pwCu ]≤Xn ]Imcw kuP\y NnIn’ e`n-°p-∂p.

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-߃°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.

Norka Roots, Norka Centre, Thycaud, Near Govt. Guest House, Thiruvananthapuram 695014

JSSK

]tXy-I-X-Iƒ

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¿´ns‚ hnk ]Xn® t]Pp-I-

fpsS Kk-‰Uv Hm-^o-k¿ km£y-s∏-Sp-Ønb ]I¿∏v, acW k¿´n-^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-´n√ F∂v AXXv Fw_ n/tIm¨kte‰v km£y-s∏-Sp-Ønb tcJ, tPmen sNbvXn-cp∂ ÿm]-

\-Øn¬\n∂p≈ k¿´n-^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-^o-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¿´n-^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¿´n-^n-°-‰ns‚ A ¬.

* ka¿∏n°p∂ F√m tcJIfpsSbpw Hmtcm tIm∏nbpw \S]SnIa߃ Ffp∏am°p∂Xn\v

lmPcmt°-XmWv.

Norka Roots, Norka Centre, Thycaud, Near Govt. Guest House, Thiruvananthapuram – 695014Tele No: 0471-2332416, 2332452

Fax: 91 471 2326263, e mail: mail@norkaroots.net URL: www.norkaroots.net

151

1. At]£Is‚ t]cv :

2. ta¬hnemkw :

ho´vt]cv

ho´v \º¿

hm¿Uv \º¿

]©mbØv/ap\nkn∏men‰n/tIm¿∏tdj≥ :

t]mÃv Hm^okv (\n¿_‘w) :

Pn√, ]n≥ \º¿ :

3. t^m¨ \º¿, : em‚ v t^m¨/samss_¬ :

4. At]£Is‚ hb pw, P\\XobXnbpw :

5. kvXotbm/]pcpjt\m :

6. tcmKn _n.]n.F¬ IpSpw_mwKamtWm :(Xt±i kzbw`cW ÿm]\Øn¬ \n∂pff_n.]n.F¬ km£y]Xw/Kk‰Uv B^ok¿A‰Ãv sNbvX _n.]n.F¬ tdj≥Im¿UvF∂nh lmPcm°pI)

7. Ct∏mƒ Ubmenknkv sNøp∂ tIµw :

(F). NnIn¬kn°p∂ tUmIvS¿ :

8. Ubmenknkv Bcw`n® XobXn :(F). amkØn¬ FX XhW UbmenknkvsNtø≠-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¿ cPnkvtSj≥ \º¿ :

ta¬]d™ Imcy߃ Fs‚ Adnhnepw t_m[ØnepwkXyamsW∂pw Rm≥ Ubmenknkn\vhnt[bambn Ignbp∂ tcmKnbmsW∂pw CXn\m¬ t_m[ys∏SpØns°mffp∂p.

ÿew :

XobXn: At]£Is‚ t]cpw H∏pw.

kXy]kvXmh\

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¿ amXw At]£n°pI)

cPnÿ \w.

152

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

io/ ioaXn/ Ipamcn ........................................................................................ ka¿∏n® At]£bpw A\p_‘

tcJIfpw ]cntim[n°pIbpw At]£bnt∑¬ Bhiyamb At\zjWw \SØpIbpw D-≠mbn.

Snbm≥/ Snbmƒ amkØn¬ ........... XhW Ubmenknkn\v hnt[bambn hcp∂Xmbn At\zjWØn¬

a\ nem°nbn´p≠-v. _n.]n.F¬ IpSpw_mwKamb Snbm\v/ Snbmƒ°v \nehnse ]≤Xn am\Zfi

]Imcw [\klmbØn\v A¿lXbpffXn\m¬ ]kvXpX [\klmbØn\v ip]m¿i sNbvXp

sImffp∂p.

H∏v :

t]cv :

B^okv apZ

................................................ sF.kn.Un.Fkv. t]mPIvSv

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

B^okv t^m¨ \º¿ .........................................................

ÿew :

XobXn :

io/ ioaXn/ Ipamcn ......................................................................... F∂bmƒ°v ........................................

(................................................................................................. cq]) amXw ..............amkw apX¬ ]Xnamk

[\klmbw A\phZn®ncn°p∂p.

cPnÿ \º¿ :

XobXn : FIvknIyq´ohv UbdIvS¿

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

153

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

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¿´n^n°‰ns‚ \n›nX t^mdØn¬ k¿°m¿/kzImcy Bip]Xnbnse hr°tcmK hnZKv[\n¬ \n∂pw k¿´n^n°‰v hmßn At]£tbmsSm∏wtN¿t°-≠XmWv.

3. At]£Is‚ sse^v k¿´n^n°‰pw XpS¿NnIn’m k¿´n^n°‰pw k¿°m¿/ kzImcyBip]Xnbnse hr°tcmK hnZKv≤\n¬ \n∂pw tiJcn®v 6 amkØnsemcn°¬ CuImcymebØn¬ 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, 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°¬ B^ok¿ km£ys∏SpØn ka¿∏nt°-≠XmWv.

6. At]£bn¬ Bhiyamb apgph≥ hniZmwißfpw tN¿Øv iniphnIk\ ]≤Xn B^ok¿°vka¿∏n°Ww.

7. amkØn¬ Hcp ]mhiysa¶nepw Ubmenknkn\v hnt[bcmIp∂h¿°v amXta [\klmbØn\vA¿lXbp-mbncn°pIbpffq.

8. sse^v k¿´n^n°‰pw XpS¿ NnIn’m k¿´n^n°‰pw anjs‚ Xncph\¥]pcw Bÿm\B^oknte°v t\cn´v Ab®p Xtc≠-XmWv. hnemkw NphsS tN¿°p∂p.

9. At]£Iƒ kw_‘n®p≈ F√m IØnS]mSpIfnepw cPnÿ \º¿ \n¿_‘ambpwtN¿t°≠XmWv.

10. B[m¿ Im¿Uv e`n®h¿ BbXns‚ t^mt´mÃm‰v AS°w sNøWw.

FIvknIyq´ohv UbdIvS¿,

tIcf kmaqly kpc£m anj≥,

c-≠mw\ne, htbmP\]I¬ ]cn]me\tIµw,

]qP∏pc, Xncph\¥]pcw ˛ 695012

am¿§\n¿t±i߃

IFS

hnemkw :

154

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

B^okpambn _‘s∏Sptºmƒ apIfn¬ tcJs∏SpØnbncn°p∂ cPnÿ \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.

FIvknIyq´ohv UbdIvS¿,

sI.Fkv.Fkv.Fw

At]£Is‚ t]cpw ]q¿Æamb ta¬ hnemkhpw

(At]£I≥ tcJs∏SptØ≠-Xv)

Acknowledgment Form

Ãmºv

(At]£I≥ H´n-t°-≠Xv)

cPnÿ \w.

155

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:.

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

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

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

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

BZy At]£I¿°v tijw Hmtcm Bdv amkØnepw ]qcn∏n®v \¬tI≠-Xv

RegisterNo.

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

photograph

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 :

156