HSBC gpupkpau;;

tpz;zg;gj;jpd; tif

tTr;rh; FwpaPL: _____________________________________

cq;fs; tpz;zg;gj;ijj; jhkkpd;wpr; nraw;gLj;j vkf;F cjTk; tifapy; ,e;j

tpz;zg;gj;ij (njspthd vOj;Jf;fspy;) g+uzkhf epug;gTk;.

*vd;W Fwpg;gplg;gl;l ,lq;fs; fl;lhakhf epug;gg;gl Ntz;Lk;.

jdpg;gl;l tpguq;fs;

cq;fs; HSBC gpupkpau; fzf;F ,y.:

Muk;gpf;fg;gl;l jpfjp : jpjp/khkh/tttt

ePq;fs; jw;NghJ gpupkpah; fhl; itj;jpUf;Fk; xUtnudpd;> gpd;tUk; tpguq;fisj;

njhptpf;fTk;.

gpupkpau; fzf;F ,y

fld; msT :

ckJ me;j];J * : jpU. jpUkjp nry;tp lhf;lu;

NtW> Fwpj;Jiuf;fTk;: ______________________________________________________

ckJ KOg; ngau ;: _________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(ckJ jfg;gdpd; ngaUf;Ff;fPo; NfhbLf)

ckJ Kd;ida ngau;*:______________________________________________________

(Kd;du; nfhz;bUe;j rl;lg; ngau;. ckJ tq;fpj;njhopy; njhlu;GKiwapy; ckJ

Kd;ida ngau; gad;gLj;jg;glNtz;bapUg;gpd; gj;jpupif mwptpj;jypd;/jpUkzr;

rhd;wpjopd; gpujpfis ,izf;fTk;)

2

ckJ kw;iwa ngau;*:______________________________________________________

(jw;NghJ nfhz;bUf;Fk; NtNwNjDk; rl;lg;ngau;)

gpwe;j jpfjp * :

gpwe;j ,lk;:

Njrpa ,dk;:

gy;Njrpa chpik: Mk; □ ,y;iy □ Mnkdpd;>

ehl;Lupik 01 ………………………….

ehl;Lupik 02 ………………………….

ehl;Lupik 03 ………………………….

ghy; □ Mz; □ ngz;

fy;tp kl;lk;*: Muk;g ,uz;lhk;epiy %d;whk;epiy

gl;ljhup gl;lg;gpd; gbg;G

jpUkz me;j];J*: jpUkzkhfhjtu ; jpUkzQ;nra;jtu ; jhukpoe;jtu;

kzePf;fQ; nra;jtu;

jq;fpthOeu;fspd; vz;zpf;if*: _____________________________________________

jpUkzj;Jf;F Kd;du; jhapd; ngau;*: ________________________________________

(ePu; vk;ikj; njhiyNgrp%yk; miof;Fk;NghJ ck;ik milahsq; fhz;gjid

cjTtjw;F vkf;F ,J Njit)

tPl;Lr; nrhj;jhz;ik*: thlif jdpg;gl;l epyf;fpohu;

KOikahfr; nrhj;jhz;ik itj;jpUj;jy;

thlifg; nghJkid

<Litf;fg;gl;l Mjdk;

ngw;Nwhu; thoplj;jpy; tho;jy;

mYtyf tjptplk;

HSBC apy; ckJ fpl;ba FLk;gTWg;gpdu; gzpg;ghsu; my;yJ Copau; xUtuhf

cs;shuh?* Mk; ,y;iy

gjtpepiyg; ngau;*:__________________________________________________________

3

toq;fg;gl;l ,iaghd ngl;bfisf; FwpaplTk; (xd;Wf;F Nkw;gl;ltw;iw ePu;

Fwpaplyhk;)

nry;tk; kw;Wk;

tUkhdj;jpd;

Muk;g kw;Wk;

njhlh;r;rpahd

%yq;fs;

njhopy; %y rk;ghj;jpak;

nrhj;njhd;wpd; (cjh: fhh;) tpw;gid

tpahghu %y rk;ghj;jpak;

thhpR chpik

nyhj;jh; ntw;wp/ghpRg; gzk;

jdpg;gl;l Nrkpg;Gf;fs;

KjyPl;L tUkhdk;/KjyPl;bd; Kjph;r;rp

fiyg; nghUs; tpw;gid

NtW (vJntdf; Fwpg;gplTk;)

tq;fpAldhd cwtpw;Fg;

gad;gLj;jg;gl ,Uf;Fk;

gzj;jpd; %yq;fs;

gz itg;G

fhNrhiy itg;G

Vida fzf;FfspypUe;J gz khw;wk;

Vida tq;fpfspypUe;J je;jpg; gzkhw;wk;

NtW (vJntdf; Fwpg;gplTk;)

gad;gLj;jg;gl ,Uf;Fk;

Nritfspd; tif

(mjhtJ> eltbf;ifapd;

jd;ik)

nghJthd tq;fpr; Nritfs; (cjh: gzk;> fhNrhiy>

jdpg;gl;l ,izaj;js tq;fpr; Nrit)

KjyPL

fld; Nritfs; (cjh: fld;fs;> fpnwbl; fhh;l;fs;)

mDg;gPl;Lr; Nritfs; (je;jpg; gzkhw;wk;> Nfhuy; tiuT)

NtW (vJntdf; Fwpg;gplTk;)

%yq;fis jpUg;gpf;

nfhLj;jy;

(tpz;zg;gjhupfspd; fld;

kw;Wk; fpNwbl; fhu;l;

trjpfs;)

njhopy; %y rk;ghj;jpak;

nrhj;njhd;wpd; (cjh: fhh;) tpw;gid

tpahghu %y rk;ghj;jpak;

thhpR chpik

nyhj;jh; ntw;wp/ghpRg; gzk;

jdpg;gl;l Nrkpg;Gf;fs;

KjyPl;L tUkhdk;/KjyPl;bd; Kjph;r;rp

NtW (vJntdf; Fwpg;gplTk;)

4

,dq;fhzy; tpguq;fs ;

,dq;fhzy; tif*: Njmm flTr;rPl;L

,dq;fhzy; Mtzg;gLj;Jif ,yf;fk ;*

(,yq;if ehl;ltu;fSf;Fj; Njmml;ilapd; gpujp fl;lhakhdJ)

flTr;rPl;nldpd;> fhyhtjpj; jpfjpiaf; Fwpg;gplTk;. jpjp$khkh$tttt

Njrpa gpui[ my;yhjtu;fSf;F:

tPrh ,yf;fk;:

tPrh tif:

fhyhtjpahFk; jpfjp: jpjp$khkh$tttt

trpg;gpl Kfthp : ___________________________________________________________

jw;Nghja Kfthpapy; 3 tUlq;fSf;Ff Fiwntdps Kd;ida Kfthp

___________________________________________________________________________

epue;ju Kftup (trpg;gplj;jpypUe;J Ntnwdpd;)

___________________________________________________________________________

gl;bdk ;/efuk;*: ______________________________________________________________

epue;ju KftupapypUe;J tpj;jpahrg;gbd; tjptpl Kftupia toq;fTk ;

Kftup/njUg; ngau;*:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Kftup tpguq;fs; (epue;ju Kftup)

tjptpl Kftup

5

gl;bdk;/efuk;*:

___________________________________________________________________________

___________________________________________________________________________

tjptplj;jpy; khjq;fSk; Mz;LfSk ;*: __________ Mz;Lfs; _____________khjq;fs;

(tjptpl Kftupapy; jq;fpapUf;Fk; Mz;Lfs; 3 Mz;LfSf;Ff; FiwthftpUg;gpd;

Kd;ida Kftup tpguq;fs; epug;gg;gLjy; NjitahfTs;sJ)

Kftup/njUg; ngau ;*:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

gl;bdk ;/efuk;*: ______________________________________________________________

□ ,yj;jpudpay; tpguf;$w;WfSf;fhd vd;idg; gjpT nra;tjd; %yk;

fljhrpaw;w #oiy Nehf;fpa Kaw;rpf;Fg; gq;fspg;Gr; nra;a ehd;

tpUk;GfpNwd;. vdJ fpnwbl; fhh;l; ,yj;jpudpay; tpguf;$w;Wfisg; gpd;tUk;

kpd;dQ;ry; Kfthpf;F mDg;gTk;.

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

□ ehd; fhfpj tpguf;$w;Wfisg; ngw tpUk;GfpNwd;. vdJ fpnwbl; fhh;l;

tpguf;$w;Wfis vdJ fbjj; njhlh;G Kfthpf;F mDg;gTk;.

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

Kd;ida Kftup tpguq;fs; (tjptpl Kftup)

6

tPl;Lj; njhiyNgrp ,yf;fk;*:_________________________________________________

mYtyfj; njhiyNgrp ,yf;fk;*:___________________________ePbg;G: ____________

ifalf;fj; njhiyNgrp ,yf;fk;*: ____________________________________________

jdpg;gl;l kpd;dQ;ry; Kftup*: ________________________________________________

vy;yhf; fbjj;njhlu;GfisAk; gpd;tUtdtw;Wf;F mDg;gTk;*:

vdJ tjptpl Kftup vdJ mYtyf Kftup

(HSBC Ald; Ngzg;gl;l vy;yhf; jdpgl;l fld; ml;ilfSf;fhfTk; NkNyAs;s

Kftup fbjj;njhlu;G Kftupahfg; gad;gLj;jg;gLk;)

njhopy; epiy: □ KO Neuk; □ gFjp Neuk;

□ jFjpfhz; epiy □ Ranjhopy; Kaw;rp □ Ntiyaw;wth;

□ Xa;T ngw;wth; □ ,y;yj;jurp □ khztu;

njhopy; :

epWtdj;jpd; ngau; :

ifj;njhopy; tif/njhopypd; jd;ik*:

MAje;jhq;fpa

Nritfs;

gazk; tpkhdr; Nrit

tq;fpj;njhopy;/epjp tpahghuQ; nra;jy; cau;njhopw;rhu; Nrit

njhlu;G tpguq;fs;

fbjj;njhlu;G Kftup

njhopy; tpguq;fs;

7

ijj;j Milfs; jfty;

njhopDl;gtpay;

$l;Lr;Nru;f;if

murhq;fk; nuypnfhk; ngUe;Njhl;lq;fs;

N`hl;ly; kUj;Jtk; fg;gw;Nfs;T mDg;Gjy;/

flw;nwhopy;

fhg;GWjp epu;khzk; NGO/NPO/jUkk;

,wf;Fkjp/Vw;Wkjp nghJg;gad;ghL cw;gj;jp nra;jy;

tpsk;gug;gLj;Jjy; Vidait

Vidait> Fwpj;Jiuf;fTk ;: _________________________________________________

fk;ngdpg; ngau;*: ___________________________________________________________

Nritf; fhyk;*: __________________ Mz;Lfs ; ________________________ khjq;fs;

gjtp/Ntiyj; jiyg;G*: _____________________________________________________

tUlhe;j tUkhdk ;*: ________________________________________________________

(mbg;gilr; rk;gsKk; epu;zapf;fg;gl;l gbfSk;)

NtWglj;jf;f gbfs ; (tUlhe;jk;):_____________________________________________

(Cf;Ftpg;GfSk; tpw;gidj; juFfSk;)

Vida tUkhdk ;: __________________________________________________________

(ckJ rk;gsk; jtpu;e;j NtNwNjDk; tUkhdk;) NtW tUkhd %yk;:

njhopypypUe;jhd <l;Liffs; njhopy; mf;fiwfspypUe;jhd

<l;Liffs;

KjyPl;L tUkhdk; itg;G tl;b tUkhdk;

Vidait ($wTk;): ________________________________________________________

Kd;ida njhopy;jUeupd; ngau;*: _____________________________________________

8

(VyNtAs;s njhopy;jUeUld; jq;fpapUf;Fk; fhyk; 2 Mz;LfSf;Ff;

FiwthftpUg;gpd; Kd;ida njhopy;jUeupd; ngau; epug;gg;gLjy; NjitahfTs;sJ)

Nritf;fhyk; (Kd;ida njhopy;jUeu;)*: _______________________________________

(VyNtAs;s njhopy;jUeUld; jq;fpapUf;Fk; fhyk; 2 Mz;LfSf;Ff;

FiwthftpUg;gpd; Kd;ida njhopy;jUeUldhd Nritf;fhyk; epug;gg;gLjy;

NjitahfTs;sJ)

Kftup/njUg; ngau;*: ________________________________________________________

___________________________________________________________________________

gl;bdk ;/efuk;*: _____________________________________________________________

ePu; my;yJ ckJ fpl;ba FLk;gTWg;gpdu; rpNul;l gfpuq;fg; gjtp tfpf;fpd;wPuh

(murhq;fk;> ePjpj;Jiw> nghypR my;yJ ,uhZtk;)?* Mk; ,y;iy

Mk; vdpy;> cwTKiwapd; jd;ikia tpgupf;fTk ;*

___________________________________________________________________________

tpz;zg;gjhuUld; trpf;fhj xU cwtpdh;/ez;gh;

ck;Kld; tjpahj cwtpdu;

Fwpg;gPLnra;ag;gl;ltupd ; ngau ;*:_______________________________________________

Fwpg;gPLnra;ag;gl;ltUldhd cwTKiw*:______________________________________

Fwpg;gPLnra;ag;gl;ltupd ; njhlu;gpyf;fk;*:_______________________________________

Fwpg;gPLnra;ag;gl;ltupd; Kftup*:_____________________________________________

mYtyf Kftup

tFg;ghf;fk;

Fwpg;gPLnra;ag;gl;Nlhu ;

9

ckf;F NtW tq;fpf;fzf;Ffs ;/fld; trjpfs ;/fld; ml;il cz;lh?* Mk;

,y;iy

epjpf; Fwpg;gPL – elg;G/Nrkpg;G/epiyahd itg;Gf;fs ;

tq;fpg; ngau; fzf;fpy. fzf;F

tif

fzf;F

vg;NghjpUe;J

epjpf; Fwpg;gPL – fld; trjpfs;

epjp epWtdk; epjp trjpapd; tif khjhe;j kPs;nfhLg;gdT

epjpf; Fwpg;gPL – itj;jpUf;fg;gl;l Vida fld;/gw;W ml;ilfs;

toq;Feupd; ngau; ml;il ,yf;fk; fld; vy;iy vg;NghjpUe;J

cWg;gpdu;

xU Nkyjpf ml;ilf;fhd tpz;zg;gfhuu;fs;> gpujhd ml;ilitj;jpUg;gtupd; fpl;ba

FLk;g cWg;gpduhftpUj;jYk; Mff;Fiwe;jJ 18 tajpduhftpUj;jYk; Ntz;Lk;.

ckf;F Fiwepug;Gf; fld; ml;il Njitah? * Mk; ,y;iy

epjpf; Fwpg;gPL

Fiwepug;G ml;ilf;fhd Ntz;LNfhs;

10

Fiwepug;G ml;il – jdpg;gl;l tpguq;fs;

ePu; Vw;fdNt HSBC thbf;ifahsuh? Mk; ,y;iy

Mk; vdpy;>

thbf;ifahsu; ,yf;fk ;: _____________________________________________________

jiyg;G * : jpU. jpUkjp nry;tp lhf;lu;

Vidait: _________________________________________________________________

ckJ KOg; ngau ;*: ________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(ckJ jfg;gdpd; ngaUf;Ff;fPo; NfhbLf)

ckJ Kd;ida ngau ;*:______________________________________________________

(Kd;du; nfhz;bUe;j rl;lg;ngau;. ckJ tq;fpj;njhopy; njhlu;GKiwapy; ckJ

Kd;ida ngau; gad;gLj;jg;glNtz;bapUg;gpd; gj;jpupif mwptpj;jypd;/jpUkzr;

rhd;wpjopd; gpujpfis ,izf;fTk ;)

__________________________________________________________________

(jw;NghJ nfhz;bUf;Fk; NtNwNjDk; rl;lg;ngau ;)

Fiwepug;G ml;ilapy; Njhd;wNtz;ba ngau;*:

,ilntspfs; cl;gl Mff;$baJ 19

gpujhd tpz;zg;gfhuUldhd cwTKiw*:_____________________________________

gpwe;j Njjp*:

gpwe;j ,lk;:

Njrpa ,dk;:

gy;Njrpa chpik: Mk; □ ,y;iy □ Mnkdpd;>

ehl;Lupik 01 ………………………….

ehl;Lupik 02 ………………………….

ehl;Lupik 03 ………………………….

11

jpUkzj;Jf;F Kd;du; jhapd ; ngau ;*:_________________________________________

(ePu; vk;ikj; njhiyNgrp%yk; miof;Fk;NghJ ck;ik ,dq;fhz;gjid cjTtjw;F

,J vkf;Fj; Njit)

HSBC apy; ckJ fpl;ba FLk;gTWg;gpdnuhUtu; gzpg;ghsuhf my;yJ Copauhf

cs;shuh?*

Mk; ,y;iy

gjtpepiyg; ngau;:__________________________________________________________

ePq;fs;; my;yJ cq;fs; FLk;g mq;fj;jtu; xUtu; my;yJ tpahghuj; njhlu;ghsp /

tpahghuj; gq;fhsp xUtu; (murhq;f> ePjp gupghyd> nghyp]; my;yJ gilj;Jiwapy;)

rpNu\;l nghJepiyg; gjtpia tfpf;fpwPh;fsh? (tfpf;fpwhuh?) *

Mk; ,y;iy

Mk; vdpy;> cwTKiwapd; jd;ikia tpgupf;fTk ;*:

___________________________________________________________________________

,dq;fhzy; tif*: Njmm flTr;rPl;L

,dq;fhzy; Mtzg;gLj;Jif ,yf;fk ;*

(,yq;if ehl;ltu;fSf;Fj; Njmml;ilapd; gpujp fl;lhakhdJ)

flTr;rPl;nldpd;> fhyhtjpj; jpfjpiaf; Fwpg;gplTk;. jpjp$khkh$tttt

Njrpa gpui[ my;yhjtu;fSf;F:

tPrh ,yf;fk;:

tPrh tif:

fhyhtjpahFk; jpfjp: jpjp$khkh$tttt

Fiwepug;G ,dq;fhzy; tpguq;fs ;

12

Fiwepug;G ml;il epue;ju Kftup> gpujhd tpz;zg;gfhuupd; epue;ju Kftupia xj;jJ*:

Mk; ,y;iy

,y;iynadpd ;:

Kftup/njUg;ngau ;*: _________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

gl;bdk ;/efuk;*: ______________________________________________________________

Fiwepug;G ml;il tjptpl Kftup> gpujhd ml;il tjptpl Kftupia xj;jJ*:

Mk; ,y;iy

Fiwepug;G ml;il tjptpl Kftup> Fiwepug;G ml;il epue;ju Kftupia xj;jJ*:

Mk; ,y;iy

,y;iynadpd ;:

gl;bdk;/efuk;: _______________________________________________________________

Kftup: ____________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

tPl;Lj; njhiyNgrp ,yf;fk;*: ________________________________________________

mYtyfj; njhiyNgrp ,yf;fk ;*: _______________________ ePbg;G: ______________

ifalf;fj; njhiyNgrp ,yf;fk ;*: ___________________________________________

Kftup tpguq;fs; (epue;ju Kftup)

Fiwepug;G ml;il itj;jpUg;gtu; tjptpl Kftup tpguq;fs ;

Fiwepug;G ml;il itj;jpUg;gtu; njhlu;G tpguq;fs;

13

njhopy; me;j];J*: KONeuk; gFjpNeuk;

jFjpfhz; epiy Ranjhopy; njhopyw;wtu;

,isg;ghwpatu; tPl;Lg;gzp khztu;

jhd;Gupnjhopy ;*: __________________________________________________________

fk;ngdpg; ngau ;*: __________________________________________________________

khjhe;jf; nfhLf;fy;thq;fy;fspd; mz;zsthd ngWkjp*: _______________________

gpujhd ml;ilapy; Njhd;wNtz;ba ngau ;*:

,ilntspfSl;gl Mff;$baJ 19

vdJ gpd;tUk; fzf;Ffspd;kPJ ATM mZFiff;fhf vdJ ml;iliag;

gad;gLj;jTk; tpUk;Gfpd;Nwd;* (Mff;$baJ 2 fzf;Ffs;)

fzf;F tif gpujhd

elg;Gf;fzf;fpy:

Nrkpg;Gf; fzf;fpy:

Fiwepug;G ml;il itj;jpUg;gtu; njhopy; tpguq;fs ;

gpujhd tpz;zg;gfhuupd; Vida njhlu;Ggl;l jfty;

HSBC Ald; ckJ fzf;FfSf;fhd ATM mZFif

14

vdJ ml;ilf; fzf;iff; nfhLj;Jj;jPu;g;gjpy; vdJ HSBC fzf;Ff;F khjhe;jk;

gpd;tUkhW gw;Witf;fTk; Mk; ,y;iy

HSBC fzf;fpy:

nfhLj;Jj;jPu;j;jy; xU khjj;Jf;F _________________ rjtPjk ; (5% -100%)

njhiyNgrp tq;fpr; Nritiar; nraw;gLj;j tpUk;GfpwPh;fsh?

ckJ kw;iwa tq;fpf; fld; ml;il kPjpfis (OBC) ckJ HSBC fld ;

ml;ilf;Ff; ifkhw;w tpUk;Gfpd;wPuh? Mk; ,y;iy

fzf;fpd; ngau;: _____________________________________________________

(fld; ml;ilapYs;s ngau;)

ifkhw;wNtz;ba njhif: _____________________________________________

kw;iwa tq;fpg; ngau ;: ________________________________________________

kw;iwa tq;fpf; fld; ml;il ,yf;fk;: _________________________________

tpUg;gj;njupT 1: 3 khjq;fSf;F 0%

tpUg;gj;njupT 2: 6 khjq;fSf;F 1%

Fwpg;G: filrpf; fld; ml;ilf; $w;wpd; gpujp toq;fg;gLjy; Ntz;Lk;. tq;fp

trjpf;fhd tpjpfs; kw;Wk; epge;jidfisg; ghh;f;fTk;.

fld; ml;il nfhLj;Jj;jPu;j;jy; tpUg;gj;njupTfs;

fld; ml;il kPjpf; ifkhw;Wif

njhiyNgrp tq;fpr; Nrit

15

cs;ehl;bYk; cynfq;FKs;s kpy;ypad; fzf;fhd tzpf epiyaq;fspYk; ePq;fs;

cq;fsJ HSBC fld; ml;iliag; gad;gLj;Jk; xt;nthU jlitAk; hpNthl;];

Gs;spfisr; rk;ghjpf;f KbAk;. 2500 Gs;spfisr; Nrfhpj;j gpd;> mtw;iw kPl;fj;

njhlq;Fq;fs;!

ikNy[; hpNthl;]{f;fhfg; gjpT nra;J ,ytr gazr;rPl;Lfs;> juKah;r;rpfs;> cld;

gazpf;fhd gazr;rPl;Lfs; kw;Wk; tho;f;if trjpr; rYiffisg; ngWq;fs;.

(gq;fhsp tpkhd epWtdq;fspd; tpjpfs; kw;Wk; epge;jidfs; gpuNahfpf;fg;gLk;)

ikNy[; hpNthl;]{f;fhf vd;idg; gjpT nra;aTk;.

mbf;fb gazpg;gth;fs; ,yf;fk;

-V\pah iky;];: …………………. -rYiff; fofk;: ……………………

-fphp];/gpisah;: …………………. -/gpis];iky;];: ……………………

ckJ tUkhdj;ijAk; nfhLg;gdT Mw;wiyAk; kPsha;tjw;Fk; mjd; gpd;du;

tq;fpapd; jdpj;jw;Wzpgpy; nghUj;jkhdnthU fld; ml;ilia ckf;F toq;Ftjw;

vy;yh cupikfisAk; tq;fp nfhz;Ls;sJ.

,t; tpz;zg;gj;ij KOikahf epug;gTk;. Nghjpa jftyfs; toq;fg;glhtpl;lhy;>;

ckJ tpz;zg;gj;ijr; nraw;gLj;Jtjpy;; jhkjk; Vw;glf;$Lk;. nraw;gLj;jiyj;;

Jupjg;gLj;Jtjw;Fg; gpd;tUk; Mtzr; rhd;Wfis ,izf;fTk;.

rk;gsk; ngWgtuhapd ;:

Nj.m. ml;ilapd; my;yJ flTr;rPl;bd; my;yJ rhujp mDkjpg;gj;jpuj;jpd;; gpujp

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16

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17

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18

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19

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20

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21

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_____________________________ (gpujhd fhh;l; itj;jpUg;gth; / Nkyjpf fhh;l;

itj;jpUg;gth;) _____________________________ (gpujhd fhh;l; itj;jpUg;gth; /

Nkyjpf fhh;l; itj;jpUg;gth;;) Mfpa ehd;/ehk; fPNo vd;dhy;/vk;khy;

22

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GENPP24 JANUARY 2017

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