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(꯱) ꯏꯟꯗꯤꯌꯟꯑꯦꯚꯤꯗꯦꯟꯁꯑꯦꯛꯠ, ꯱꯸꯷꯲ꯑꯁꯤꯃꯁꯤꯅꯂꯧꯊꯣꯛꯏ꯫ (꯲) ꯑꯁꯤꯒꯨꯝꯕꯂꯧꯊꯣꯛꯈ꯭ꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕ, ꯑꯙꯤꯅꯤꯌꯥꯝꯑꯁꯤꯆꯠꯅꯔꯛꯄꯇꯥꯡꯑꯗꯨꯒꯤꯃꯃꯥꯡꯗ, ꯑꯦꯄ ꯭ ꯂꯤꯀꯦꯁꯟ, ꯇ꯭ꯔꯥꯏꯌꯦꯜ, ꯏꯟꯀ ꯭ ꯋꯤꯔꯤ, ꯏꯟꯚꯦꯁ ꯭ ꯇꯤꯚꯦꯁꯟ, ꯄ ꯭ ꯔꯣꯁꯤꯗꯤꯡꯅꯠꯇ꯭ꯔꯒꯑꯦꯄ ꯭ ꯂꯤꯀꯦꯁꯟꯑꯃꯍꯦꯛꯇꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤꯃꯇꯨꯡꯗ, ꯑꯁꯤꯒꯨꯝꯕ ꯑꯦꯄ ꯭ ꯂꯤꯀꯦꯁꯟ, ꯇ꯭ꯔꯥꯏꯌꯦꯜ, ꯏꯟꯀ ꯭ ꯋꯤꯔꯤ, ꯏꯟꯚꯦꯁ ꯭ ꯇꯤꯚꯦꯁꯟ, ꯄ ꯭ ꯔꯣꯁꯤꯗꯤꯡꯅꯠꯇ꯭ꯔꯒꯑꯥꯄꯤꯜꯑꯁꯤꯏꯟꯗꯤꯌꯟꯑꯦꯚꯤꯗꯦꯟ꯭ꯁ ꯑꯦꯛꯠ, 1872ꯒꯤꯀꯥꯡꯂꯣꯟꯁꯤꯡꯒꯤꯃꯈꯥꯗ, ꯑꯁꯤꯒꯨꯝꯕꯍꯧꯗ꯭ꯔꯤꯉꯩꯃꯃꯥꯡꯗꯆꯠꯅꯔꯝꯕ, ꯃꯁꯤꯒꯤꯑꯙꯤꯅꯤꯌꯥꯝꯑꯁꯤꯆꯠꯅꯗ꯭ꯔꯤꯕꯒꯨꯝ ꯇꯧꯒꯅꯤ꯫ ꯃꯇꯤꯛꯆꯥꯗꯕꯃꯑꯣꯡꯗ ꯂꯧꯁꯤꯟꯕꯅꯠꯇ꯭ꯔꯒ ꯄ ꯭ ꯔꯃꯥꯟꯌꯥꯗꯕꯒꯤ ꯑꯅꯧꯕꯋꯥꯌꯦꯜꯑꯃꯠꯇ ꯂꯩꯇꯦ꯫ ꯔꯤꯄꯤꯜꯑꯃꯁꯨꯡ ꯁꯦꯕꯤꯡꯁ꯫ THESCHEDULE [See section 63(4)(c)] CERTIFICATE PART A (To be filled by the Party) I, _____________________ (Name), Son/daughter/spouse of ___________________ residing/employed at __________________________ do hereby solemnly affirm and sincerely state and submit as follows:— I have produced electronic record/output of the digital record taken from the following device/digital record source (tick mark):— Computer / Storage Media DVR Mobile Flash Drive CD/DVD Server Cloud Other Other: ________________________________________ Make & Model: _______________ Color: _______________ Serial Number: _______________ IMEI/UIN/UID/MAC/Cloud ID_____________________ (as applicable) and any other relevant information, if any, about the device/digital record____(specify). The digital device or the digital record source was under the lawful control for regularly creating, storing or processing information for the purposes of carrying out regular activities and during this period, the computer or the communication device was working properly and the relevant information was regularly fed into the computer during the ordinary course of business. If the computer/digital device at any point of time was not working properly or out of operation, then it has not affected the electronic/digital record or its accuracy. The digital device or the source of the digital record is:— Owned Maintained Managed Operated by me (select as applicable). I state that the HASH value/s of the electronic/digital record/s is _________________, obtained through the following algorithm:— SHA1: SHA256: MD5: Other__________________ (Legally acceptable standard) (Hash report to be enclosed with the certificate) (Name and signature) Date (DD/MM/YYYY): _____ Time (IST): ________hours (In 24 hours format) Place: ____________ 46 THE GAZETTE OF INDIA EXTRAORDINARY [Part II— _________________________________________________________ _________________________________________________________ _________________________________________________________ _______________________________________________________________ ___________________________________________________________ __________________________________________________________ 46 ꯗꯒꯦꯖꯦꯠꯑꯣꯐꯏꯟꯗꯤꯌꯥꯑꯦꯛꯁꯇ꯭ꯔꯥꯑꯣꯔꯗꯤꯅꯔꯤ [Part II- ꯁꯦꯗꯨꯜ [ꯁꯦꯛꯁꯟ꯶꯳(꯴) (c) ꯌꯦꯡꯕꯤꯌꯨ] ꯁꯔꯇꯤꯐꯤꯀꯦꯠ ꯁꯔꯨꯛA (ꯄꯥꯔꯇꯤꯅꯃꯄꯨꯡꯐꯥꯍꯟꯒꯗꯧꯕ) ꯑꯩ, _____________________________(ꯃꯃꯤꯡ), ꯃꯆꯥꯅꯨꯄꯥ/ꯃꯆꯥꯅꯨꯄꯤ/ꯃꯄꯨꯔꯣꯏꯕ/ꯂꯣꯏꯅꯕꯤ____________________________ꯂꯩꯐꯝ/ꯊꯕꯛꯇꯧꯔꯤꯕ___________________________ꯅ ꯍꯛꯊꯦꯡꯅꯅꯑꯌꯥꯕꯄꯤꯔꯤꯑꯃꯁꯨꯡꯍꯛꯊꯦꯡꯅꯅꯍꯥꯏꯔꯤꯑꯃꯁꯨꯡꯃꯈꯥꯗꯄꯤꯔꯤꯕꯃꯇꯨꯡꯏꯟꯅꯄꯤꯔꯤ: - ꯃꯈꯥꯗꯄꯤꯔꯤꯕꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯁꯣꯔ ꯭ ꯁ(ꯇꯤꯛꯃꯥꯔꯛ) ꯗꯒꯤꯂꯧꯈꯤꯕꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯑꯗꯨꯒꯤ ꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛꯔꯦꯀꯣꯔ ꯭ ꯗ/ꯑꯥꯎꯠꯄꯨꯠꯑꯗꯨꯑꯩꯅꯄꯨꯊꯣꯛꯂꯤ: - ꯀꯝꯄ ꯭ ꯌꯨꯇꯔ/ꯁ ꯭ ꯇꯣꯔꯦꯖꯃꯤꯗꯤꯌꯥ☐ꯗꯤꯚꯤꯑꯥꯔ☐ ꯃꯣꯕꯥꯏꯜ☐ ꯐ꯭ꯂꯥꯁꯗ꯭ꯔꯥꯏꯕ☐ ꯁꯤꯗꯤ/ꯗꯤꯚꯤꯗꯤ☐ ꯁꯔꯚꯔ☐ ꯀ ꯭ ꯂꯥꯎꯗ☐ ꯑꯇꯣꯞꯄ☐ ꯑꯇꯣꯞꯄ:__________________________________________________________________________________________ ꯃꯦꯛꯑꯦꯟ꯭ꯗꯃꯣꯗꯦꯜ:_________________________ ꯀꯂꯔ: _________________________ ꯁꯤꯔꯤꯌꯦꯜꯅꯝꯕꯔ: _________________________ ꯑꯥꯏ. ꯑꯦꯝ. ꯏ. ꯑꯥꯏ./ꯌꯨ. ꯑꯥꯏ. ꯑꯦꯟ./ꯌꯨ. ꯑꯥꯏ. ꯗꯤ./ꯑꯦꯝ. ꯑꯦ. ꯁꯤ./ꯀ ꯭ ꯂꯥꯎꯗꯑꯥꯏ. ꯗꯤ. _________________________(ꯃꯊꯧꯇꯥꯕꯑꯣꯏꯅ) ꯑꯃꯁꯨꯡꯑꯇꯣꯞꯄꯃꯔꯤꯂꯩꯅꯕꯏ-ꯄꯥꯎꯑꯃꯍꯦꯛꯇ, ꯀꯔꯤꯒꯨꯝꯕꯂꯩꯔꯕꯗꯤ, ꯈꯨꯠꯂꯥꯏ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗ_________________________ (ꯃꯌꯦꯛꯁꯦꯡꯅ) ꯫ ꯗꯤꯖꯤꯇꯦꯜꯗꯦꯕꯥꯏꯁꯅꯠꯇ꯭ꯔꯒꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯁꯣꯔ ꯭ ꯁꯑꯁꯤꯆꯥꯡꯅꯥꯏꯅꯊꯕꯛꯊꯧꯔꯝꯁꯤꯡꯄꯥꯡꯊꯣꯛꯄꯒꯤꯄꯥꯟꯗꯝꯒꯤꯗꯃꯛ ꯏ-ꯄꯥꯎꯆꯥꯡꯅꯥꯏꯅꯁꯦꯝꯕ, ꯂꯤꯗꯨꯅꯊꯝꯕꯅꯠꯇ꯭ꯔꯒꯄ ꯭ ꯔꯣꯁꯦꯁꯇꯧꯅꯕꯒꯤꯗꯃꯛꯑꯥꯏꯟꯒꯤꯑꯣꯏꯕꯂꯥꯛꯁꯤꯟꯃꯈꯥꯗꯂꯩꯔꯝꯃꯤꯑꯃꯁꯨꯡ ꯃꯇꯝꯑꯁꯤꯒꯤꯃꯅꯨꯡꯗꯀꯝꯄ ꯭ ꯌꯨꯇꯔꯅꯠꯇ꯭ꯔꯒꯏ-ꯄꯥꯎꯐꯥꯎꯅꯕꯒꯤꯗꯦꯕꯥꯏꯁꯑꯗꯨꯐꯖꯅꯊꯕꯛꯇꯧꯔꯝꯃꯤꯑꯃꯁꯨꯡꯃꯔꯤꯂꯩꯅꯕ ꯏ-ꯄꯥꯎꯑꯗꯨꯀꯝꯄ ꯭ ꯌꯨꯇꯔꯗꯆꯥꯡꯅꯥꯏꯅꯄꯤꯔꯝꯃꯤ꯫ꯀꯔꯤꯒꯨꯝꯕꯀꯝꯄ ꯭ ꯌꯨꯇꯔ/ꯗꯤꯖꯤꯇꯦꯜꯗꯤꯕꯥꯏꯁꯑꯗꯨꯅꯃꯇꯝꯑꯃꯍꯦꯛꯇꯗꯐꯖꯅ ꯊꯕꯛꯇꯧꯗ꯭ꯔꯕꯗꯤꯅꯠꯇ꯭ꯔꯒꯊꯕꯛꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯅꯠꯇ꯭ꯔꯒꯃꯁꯤꯒꯤꯑꯆꯨꯝꯕꯃꯑꯣꯡ ꯑꯗꯨꯗꯑꯀꯥꯏꯕꯄꯤꯔꯝꯗꯦ꯫ꯗꯤꯖꯤꯇꯦꯜꯗꯤꯕꯥꯏꯁꯅꯠꯇ꯭ꯔꯒꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯀꯤꯁꯣꯔ ꯭ ꯁꯑꯁꯤꯅꯤ: - ꯑꯣꯅ☐ ꯃꯦꯟꯇꯦꯟ☐ ꯃꯦꯅꯦꯖꯗ☐ ꯑꯣꯄꯔꯦꯇꯦꯗ☐ ꯑꯩꯍꯥꯛꯅ(ꯃꯊꯧꯇꯥꯕꯑꯣꯏꯅꯈꯟꯕꯤꯌꯨ) ꯫ ꯑꯩꯍꯥꯛꯅꯍꯥꯏꯔꯤꯃꯗꯨꯗꯤꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗ(ꯁꯤꯡ)ꯒꯤꯍꯥꯁꯚꯦꯜꯌꯨ/ꯁꯑꯁꯤꯃꯈꯥꯗꯄꯤꯔꯤꯕꯑꯦꯂꯣꯒꯔꯤꯊꯝꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯐꯪꯂꯤꯕꯑꯁꯤꯅꯤ: - ☐ꯑꯦꯁꯑꯩꯆꯑꯦ1: ☐ꯑꯦꯁꯑꯩꯆꯑꯦ256: ☐ꯑꯦꯝꯗꯤ5: ☐ꯑꯇꯣꯞꯄ: _________________________ (ꯑꯥꯏꯟꯒꯤꯃꯇꯨꯡꯏꯟꯅꯌꯥꯔꯕꯁ ꯭ ꯇꯦꯟꯗꯔ ꯭ ꯗ) (ꯁꯔꯇꯤꯐꯤꯀꯦꯠꯑꯗꯨꯒꯂꯣꯏꯅꯅꯍꯥꯁꯔꯤꯄꯣꯔ ꯭ ꯠꯍꯥꯞꯀꯗꯕꯅꯤ) (ꯃꯃꯤꯡꯑꯃꯁꯨꯡꯈꯨꯠꯌꯦꯛ) ꯇꯥꯔꯤꯛ(ꯗꯤꯗꯤ/ꯑꯦꯝꯑꯦꯝ/ꯋꯥꯏꯋꯥꯏꯋꯥꯏꯋꯥꯏ): _________________________ ꯃꯇꯝ(IST): _________________________ ꯄꯨꯡ(ꯄꯨꯡ24ꯒꯤꯃꯑꯣꯡꯗ) ꯃꯐꯝ: : _________________________ SEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 47 PART B (To be filled bythe Expert) I, ____________________ (Name), Son/daughter/spouse of _____________________ residing/employed at _________________________ do hereby solemnly affirm and sincerely state and submit as follows:— The produced electronic record/output of the digital record are obtained from the following device/digital record source (tick mark):— Computer / Storage Media DVR Mobile Flash Drive CD/DVD Server Cloud Other Other: ________________________________________ Make & Model: _______________ Color: _______________ Serial Number: _______________ IMEI/UIN/UID/MAC/Cloud ID_____________________ (as applicable) and any other relevant information, if any, about the device/digital record_______(specify). I state that the HASH value/s of the electronic/digital record/s is _____________________, obtained through the following algorithm:— SHA1: SHA256: MD5: Other__________________ (Legally acceptable standard) (Hash report to be enclosed with the certificate) (Name, designation and signature) Date(DD/MM/YYYY): _____ Time (IST): ________hours (In 24 hours format) Place: ____________ ————— DIWAKAR SINGH, Joint Secretary & Legislative Counsel to the Govt. of India. MGIPMRND—533GI(S3)—25-12-2023. UPLOADED BY THE MANAGER, GOVERNMENT OF INDIA PRESS, MINTO ROAD, NEW DELHI–110002 AND PUBLISHED BY THE CONTROLLER OF PUBLICATIONS, DELHI–110054. Kshitiz Mohan Digitally signed by Kshitiz Mohan DN: c=IN, st=Delhi, 2.5.4.20=e8b886a9336825f4d863142c634f2f25e2e76d2f0b5f069af 1775fa98f7ccdab, postalCode=110002, street=Minto Road New Delhi, pseudonym=5c90ab0ba7a48905de2428b65504151c, serialNumber=0a5dc5b84f902a7bf2d6ed41c0c26429a0d4d5848d d23eb18886abaeea31b247, ou=Deputy Manager, o=Government of India Press, cn=Kshitiz Mohan Date: 2023.12.25 21:14:13 +05'30' Sec. 1] ꯗꯒꯦꯖꯦꯠꯑꯣꯐꯏꯟꯗꯤꯌꯥꯑꯦꯛꯁꯇ꯭ꯔꯥꯑꯣꯔꯗꯤꯅꯔꯤ 47 ꯁꯦꯗꯨꯜ [ꯁꯦꯛꯁꯟ꯶꯳(꯴) (c) ꯌꯦꯡꯕꯤꯌꯨ] ꯁꯔꯇꯤꯐꯤꯀꯦꯠ ꯁꯔꯨꯛA (ꯄꯥꯔꯇꯤꯅꯃꯄꯨꯡꯐꯥꯍꯟꯒꯗꯧꯕ) ꯑꯩ, _____________________________(ꯃꯃꯤꯡ), ꯃꯆꯥꯅꯨꯄꯥ/ꯃꯆꯥꯅꯨꯄꯤ/ꯃꯄꯨꯔꯣꯏꯕ/ꯂꯣꯏꯅꯕꯤ____________________________ꯂꯩꯐꯝ/ꯊꯕꯛꯇꯧꯔꯤꯕ___________________________ꯅ ꯍꯛꯊꯦꯡꯅꯅꯑꯌꯥꯕꯄꯤꯔꯤꯑꯃꯁꯨꯡꯍꯛꯊꯦꯡꯅꯅꯍꯥꯏꯔꯤꯑꯃꯁꯨꯡꯃꯈꯥꯗꯄꯤꯔꯤꯕꯃꯇꯨꯡꯏꯟꯅꯄꯤꯔꯤ: - ꯃꯈꯥꯗꯄꯤꯔꯤꯕꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯁꯣꯔ ꯭ ꯁ(ꯇꯤꯛꯃꯥꯔꯛ) ꯗꯒꯤꯂꯧꯈꯤꯕꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯑꯗꯨꯒꯤ ꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛꯔꯦꯀꯣꯔ ꯭ ꯗ/ꯑꯥꯎꯠꯄꯨꯠꯑꯗꯨꯑꯩꯅꯄꯨꯊꯣꯛꯂꯤ: - ꯀꯝꯄ ꯭ ꯌꯨꯇꯔ/ꯁ ꯭ ꯇꯣꯔꯦꯖꯃꯤꯗꯤꯌꯥ☐ꯗꯤꯚꯤꯑꯥꯔ☐ ꯃꯣꯕꯥꯏꯜ☐ ꯐ꯭ꯂꯥꯁꯗ꯭ꯔꯥꯏꯕ☐ ꯁꯤꯗꯤ/ꯗꯤꯚꯤꯗꯤ☐ ꯁꯔꯚꯔ☐ ꯀ ꯭ ꯂꯥꯎꯗ☐ ꯑꯇꯣꯞꯄ☐ ꯑꯇꯣꯞꯄ:__________________________________________________________________________________________ ꯃꯦꯛꯑꯦꯟ꯭ꯗꯃꯣꯗꯦꯜ:_________________________ ꯀꯂꯔ: _________________________ ꯁꯤꯔꯤꯌꯦꯜꯅꯝꯕꯔ: _________________________ ꯑꯥꯏ. ꯑꯦꯝ. ꯏ. ꯑꯥꯏ./ꯌꯨ. ꯑꯥꯏ. ꯑꯦꯟ./ꯌꯨ. ꯑꯥꯏ. ꯗꯤ./ꯑꯦꯝ. ꯑꯦ. ꯁꯤ./ꯀ ꯭ ꯂꯥꯎꯗꯑꯥꯏ. ꯗꯤ. _________________________(ꯃꯊꯧꯇꯥꯕꯑꯣꯏꯅ) ꯑꯃꯁꯨꯡꯑꯇꯣꯞꯄꯃꯔꯤꯂꯩꯅꯕꯏ-ꯄꯥꯎꯑꯃꯍꯦꯛꯇ, ꯀꯔꯤꯒꯨꯝꯕꯂꯩꯔꯕꯗꯤ, ꯈꯨꯠꯂꯥꯏ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗ_________________________ (ꯃꯌꯦꯛꯁꯦꯡꯅ) ꯫ ꯗꯤꯖꯤꯇꯦꯜꯗꯦꯕꯥꯏꯁꯅꯠꯇ꯭ꯔꯒꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯁꯣꯔ ꯭ ꯁꯑꯁꯤꯆꯥꯡꯅꯥꯏꯅꯊꯕꯛꯊꯧꯔꯝꯁꯤꯡꯄꯥꯡꯊꯣꯛꯄꯒꯤꯄꯥꯟꯗꯝꯒꯤꯗꯃꯛ ꯏ-ꯄꯥꯎꯆꯥꯡꯅꯥꯏꯅꯁꯦꯝꯕ, ꯂꯤꯗꯨꯅꯊꯝꯕꯅꯠꯇ꯭ꯔꯒꯄ ꯭ ꯔꯣꯁꯦꯁꯇꯧꯅꯕꯒꯤꯗꯃꯛꯑꯥꯏꯟꯒꯤꯑꯣꯏꯕꯂꯥꯛꯁꯤꯟꯃꯈꯥꯗꯂꯩꯔꯝꯃꯤꯑꯃꯁꯨꯡ ꯃꯇꯝꯑꯁꯤꯒꯤꯃꯅꯨꯡꯗꯀꯝꯄ ꯭ ꯌꯨꯇꯔꯅꯠꯇ꯭ꯔꯒꯏ-ꯄꯥꯎꯐꯥꯎꯅꯕꯒꯤꯗꯦꯕꯥꯏꯁꯑꯗꯨꯐꯖꯅꯊꯕꯛꯇꯧꯔꯝꯃꯤꯑꯃꯁꯨꯡꯃꯔꯤꯂꯩꯅꯕ ꯏ-ꯄꯥꯎꯑꯗꯨꯀꯝꯄ ꯭ ꯌꯨꯇꯔꯗꯆꯥꯡꯅꯥꯏꯅꯄꯤꯔꯝꯃꯤ꯫ꯀꯔꯤꯒꯨꯝꯕꯀꯝꯄ ꯭ ꯌꯨꯇꯔ/ꯗꯤꯖꯤꯇꯦꯜꯗꯤꯕꯥꯏꯁꯑꯗꯨꯅꯃꯇꯝꯑꯃꯍꯦꯛꯇꯗꯐꯖꯅ ꯊꯕꯛꯇꯧꯗ꯭ꯔꯕꯗꯤꯅꯠꯇ꯭ꯔꯒꯊꯕꯛꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯅꯠꯇ꯭ꯔꯒꯃꯁꯤꯒꯤꯑꯆꯨꯝꯕꯃꯑꯣꯡ ꯑꯗꯨꯗꯑꯀꯥꯏꯕꯄꯤꯔꯝꯗꯦ꯫ꯗꯤꯖꯤꯇꯦꯜꯗꯤꯕꯥꯏꯁꯅꯠꯇ꯭ꯔꯒꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗꯀꯤꯁꯣꯔ ꯭ ꯁꯑꯁꯤꯅꯤ: - ꯑꯣꯅ☐ ꯃꯦꯟꯇꯦꯟ☐ ꯃꯦꯅꯦꯖꯗ☐ ꯑꯣꯄꯔꯦꯇꯦꯗ☐ ꯑꯩꯍꯥꯛꯅ(ꯃꯊꯧꯇꯥꯕꯑꯣꯏꯅꯈꯟꯕꯤꯌꯨ) ꯫ ꯑꯩꯍꯥꯛꯅꯍꯥꯏꯔꯤꯃꯗꯨꯗꯤꯏꯂꯦꯛꯇ꯭ꯔꯣꯅꯤꯛ/ꯗꯤꯖꯤꯇꯦꯜꯔꯦꯀꯣꯔ ꯭ ꯗ(ꯁꯤꯡ)ꯒꯤꯍꯥꯁꯚꯦꯜꯌꯨ/ꯁꯑꯁꯤꯃꯈꯥꯗꯄꯤꯔꯤꯕꯑꯦꯂꯣꯒꯔꯤꯊꯝꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯐꯪꯂꯤꯕꯑꯁꯤꯅꯤ: - ☐ꯑꯦꯁꯑꯩꯆꯑꯦ1: ☐ꯑꯦꯁꯑꯩꯆꯑꯦ256: ☐ꯑꯦꯝꯗꯤ5: ☐ꯑꯇꯣꯞꯄ: _________________________ (ꯑꯥꯏꯟꯒꯤꯃꯇꯨꯡꯏꯟꯅꯌꯥꯔꯕꯁ ꯭ ꯇꯦꯟꯗꯔ ꯭ ꯗ) (ꯁꯔꯇꯤꯐꯤꯀꯦꯠꯑꯗꯨꯒꯂꯣꯏꯅꯅꯍꯥꯁꯔꯤꯄꯣꯔ ꯭ ꯠꯍꯥꯞꯀꯗꯕꯅꯤ) (ꯃꯃꯤꯡ, ꯐꯝ, ꯑꯃꯁꯨꯡꯈꯨꯠꯌꯦꯛ) ꯇꯥꯔꯤꯛ(ꯗꯤꯗꯤ/ꯑꯦꯝꯑꯦꯝ/ꯋꯥꯏꯋꯥꯏꯋꯥꯏꯋꯥꯏ): _________________________ ꯃꯇꯝ(IST): _________________________ ꯄꯨꯡ(ꯄꯨꯡ24ꯒꯤꯃꯑꯣꯡꯗ) ꯃꯐꯝ: : _________________________ ________________ ꯗꯤꯋꯥꯀꯔꯁꯤꯡꯍ, ꯚꯥꯔꯠꯁꯔꯀꯥꯔꯒꯤꯖꯣꯏꯟꯠꯁꯦꯀ ꯭ ꯔꯦꯇꯔꯤꯑꯃꯁꯨꯡꯂꯦꯖꯤꯁꯂꯦꯇꯤꯕꯀꯥꯎꯟꯁꯤꯜ ꯑꯞꯂꯣꯗꯇꯧꯔꯛꯄ: ꯃꯦꯅꯦꯖꯔ, ꯒꯕꯔꯟꯃꯦꯟ꯭ꯇꯑꯣꯐꯏꯟꯗꯤꯌꯥꯄ ꯭ ꯔꯦꯁ, ꯃꯤꯟꯇꯣꯔꯣꯗ, ꯅ꯭ꯌꯨꯗꯤꯜꯂꯤ-꯱꯱꯰꯰꯰꯲ ꯑꯃꯁꯨꯡꯐꯣꯡꯂꯛꯄ: ꯀꯟꯇ꯭ꯔꯣꯜꯔꯑꯣꯐꯄꯕ꯭ꯂꯤꯀꯦꯁꯟꯁꯅ, ꯗꯤꯜꯂꯤ-꯱꯱꯰꯰꯵꯴ MGIPMRND—533GI(S3)—25-12-2023 ꯁꯤꯇꯤꯖꯃꯣꯍꯟ © 2024: The translation work of this law from original English work to Manipuri is done through Machine Translation at Department of Computer Sc. & Engineering, IIIT Manipur under Dr Kishorjit Nongmeikapam assisted by Mr M Gourashyam Singh and Dr K Pritam Singh with the initiative of Mrs Nungshitombi Athokpam Commissioner (Law), Govt. of Manipur.