,uh[ghisak; tl;lk;> NkY}h;Jiur;rhkpGuk; fpuhk eph;thf mYtyh;> ,uh[ghisak; tl;lhl;rpah; mth;fSf;F gzpe;J mDg;GtJ.

NkY}h;Jiur;rhkpGuk; fpuhkk;> _____________________________ njU fjT vz;: __________ y; cs;s ______________________________ kfd; / kidtp _______________________________ vd;gthpd; je;ij / jhahh; / fztd; / kidtp ________________________________ vd;gth; _________________ md;W Nkw;fz;l Kfthpapy; itj;J ,we;jjij gjpT nra;a Ntz;b kDr; nra;Js;shh;.

kDjhuh; Nkw;gb Kfthpapy; trpj;J tUfpd;whh;. ,tuJ FLk;g ml;il vz;: _________________________ Mjhh; ml;il vz;: ____________________________ ,tuJ je;ij / jhahh; / fztd; / kidtp –d; ngah; ___________________ MFk;. ,tu; fle;j ___________ md;W Nkw;gb Kfthpapy; itj;J ,we;J tpl;ljhf kDjhuh; thf;F%yk; kw;Wk; rhl;rpfshd NkY}h;Jiur;rhkpGuk; fpuhkj;ijr; Nrh;e;j ___________________ kfd; / kidtp _____________________ kw;Wk; _______________________ kfd; / kidtp _________________________ vd;gth;fs; thf;F%yj;jpYk; njhpa tUfpwJ. Nkw;gb eghpd; ,wg;G ___________ tUlj;jpy; gjpT nra;atpy;iy vd ______________________ rhh;gjpthsh; / tl;lhl;rpah; mYtyfj;jpy; ________________ md;W toq;fg;gl;l rhd;wpjo; %yk; njhpa tUfpwJ. vdNt kDjhuh; mspj;Js;s thf;F%yk;> Mtzk; kw;Wk; rhl;rpfs; mspj;Js;s thf;F%yj;jpd; mbg;gilapy; ____________________________ vd;gthpd; je;ij / jhahh; / fztd; / kidtp _______________________ vd;gth; _______________ md;W Nkw;fz;l Kfthpapy; itj;J ,we;jjhf gjpT nra;ayhk; vd gzpTld; ghpe;Jiu nra;ag;gLfpwJ.