Reg. No.

Date:

M A L A N K A R A ORTHODOX SYRIAN CHURCH

(hnhml klmb ]≤-Xn)
klm-b-Øn-\p≈ At]-£m-t^mdw
(Cu t^md-Øns‚ t^mt´m tIm∏nbpw D]-tbm-Kn-°m-hp-∂-Xm-Wv.)

1. At]-£-Is‚ t]cv

]q¿Æ-amb ta¬hn-emkw

hb v

sXmgn¬

Ip-Spw-_-Ønse samØw {]Xn-am-k-h-cp-am-\w

2. At]-£-Is‚ k`

sa{Xm-k\w

CS-h-I-∏≈n

hnIm-cn-bpsS t]cpw, ]q¿Æ-amb hnem-khpw

t^m¨ \ºdpw (Hm¿Ø-tUmIvkv k`mw-K-a-s√-¶n¬
G‰hpw ASp-Øp≈ Hm¿Ø-tUmIvkv CS-hI
hnIm-cn-bpsS t]cpw, hnem-k-hpw)

3. h[p-hp-am-bp≈ _‘w

4. h[q-h-c-∑m-cpsS hnh-c-߃ h[p: hc≥:

(a) t]cv

(b) hb v

(c) ta¬hn-emkw

(d) sXmgn¬

(e) ]nXm-hns‚ t]cv

(f) sXmgn¬

5. hnhml XobXn
6. hnhmlw \S-°p∂ ]≈n / ÿew

7. h[p-hn\v ]nXr-kz-Ømbn sImSp-°p∂ XpI

8. hnhm-l-Øn-\p≈ a‰p sNe-hns‚ XpI

9. FhnsS \ns∂-¶nepw klmbw e`n-°p-∂p-s≠-¶n¬

hni-Z-hn-hcw

10. Cu ]≤-Xn-bn¬ \n∂v At]-£-Is‚ IpSpw-_-Øn¬

B¿s°-¶nepw klmbw e`n-®n-´pt≠m?

11. At]-£-I≥ Adn-bn-°m≥ B{K-ln-°p∂ a‰p

_‘-s∏´ hnh-c-߃ (B-h-iy-sa-¶n¬ {]tXyIw
IS-em-knepw Fgp-Xmw.)

ta¬]-d-™n-cn-°p∂ hnh-c-߃ kXy-am-sW∂v t_m[n-∏n-®p-sIm-≈p-∂p. hnhml k¿´n-^n-°-‰ns‚ kzbw km£y-s∏-Sp-

Ønb tIm∏n CtXm-sSm-∂n®v Ab-bv°p-∂p. At]-£-bn¬ kXy-hn-cp-≤-ambn Fs¥-¶nepw Ds≠∂v ]n∂oSv t_m≤y-s∏-
´m¬ klmbw Xcp∂ XpI apgp-h≥ Xncn®v AS®v sIm≈p-∂-Xm-Wv.

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

XobXn:.................................... At]-£-Is‚ t]cv:...............................................................................

k¿´n-^n-°‰v
XobXn:...................................
Cu At]-£-I≥ klmbw A¿ln-°p-∂p. ta¬]-d™ kwK-Xn-Iƒ F√mw icnbpw kXy-hp-am-Wv. k`-bpsS hnhml
klmb ]≤-Xn-bn¬ \n∂v ]c-am-h[n ]c-am-h[n klmbw \¬I-W-sa∂v ip]m¿i sNøp-∂p.

ko¬

ÿew:....................................... CS-h-I-hn-Im-cn-bpsS t]cv.................................................................................

XobXn:..................................... H∏v.................................................................................
hnem-kw................................................................................
.................................................................................
.................................................................................
tI{µ-Xo-cp-am\w
1. Reg. No. & Year :

2. A\p-h-Zn® XpI :
3. a‰p hnh-c-߃ :

XobXn:...................................... sk{I-´dn I¨ho-\¿

Space for special note if any:

At]£ Ab-t°≠ hnemkw: I¨ho-\¿, hnhml klm-b-]-≤-Xn, ImtXm-en-t°‰v Hm^o-kv,

tZh-tem-Iw, tIm´bw 686 038. t^m¨: 0481 2578499, 2578500