Pravasi Kshemanidhi Form

Cu t^mdw kuP\yamWv

1F 2009 se {]hmkn tIc-fo-b-cpsS t£a-]-²Xn

Hcp IfÀ t^mt«m ]Xn-¡pI

t^mdw \¼À 1 F (JÞnI 26 (1) ImWp-I)

AwK-Xz-¯n-\pÅ At]£

(3.5cm x3.5 cm)

[{]hmkn tIc-fo-b³ (hntZ-iw)]

1.

At]-£-Isâ /At]-£-I-bpsS t]cv

:

2.

AÑsâ / `À¯m-hnsâ t]cv

:

3.

P\-\-Xo-b-Xn-bpw, ]qÀ¯n-bmb hbÊpw

: XobXn

4.

5.

tIc-f-¯nse Ønc taÂhn-emkw ho«p t]cv (X]m-em-^o-kv, hntÃ-Pv, Xmeq-¡v, PnÃ, ]n³tIm-Uv Ch DÄs¸-sS)

hntÃPv

Xmeq¡v

PnÃ

]n³tImUv

hbÊv

I¯n-S-]mSv \S-¯p-¶-Xn-\pÅ ]qÀ® taÂhn-emkw (sSen-t^m¬ \¼À, Cþ-sa-bn DÄs¸-sS)

Cþ-sa-bnÂ

7.

hÀjw

:

sSent^m¬ \¼À : 6.

amkw

tIcf kÀ¡mÀ kwcw-`-amb t\mÀ¡ - dq«vkn \n¶pw sFUânän ImÀUv e`n-¨n-«pt−m F¦n sF.Un. \¼À ]mkvt]mÀ«v \¼À, Imem-h[n Ah-km-\n-¡p¶ XobXn, \ÂInb ]mkvt]mÀ«v Hm^okv (]IÀ¸v AS¡w sNbvXn-cn-¡-Ww)

: :

8.

hntZ-i¯v \ne-hn-epÅ sXmgn þ tPmen/kzbw sXmgn / kz´-ambn _nkn-\Êv/ D]Poh-\mÀ°w Xma-kn-¡pI Ch-bn GsX¶v hyà-am-¡pI

:

9.

tPmen¡v t]mIp¶ /tPmen sNbvXp-h-cp¶/ Xma-kn¨ph-cp¶ cmPyw

:

10. apt¼ Xma-kn-¨p-h-cp¶/tPmen sNbvXp-h-cp¶ BÄ BsW-¦n ; tPmen/ Xmakw Bcw-`n¨ XobXn

:

11

hntZ-i¯v tPmen¡v / Xma-k-¯n\v t]mIp¶ hyànbm-sW-¦nÂ, t]mIm³ Xocp-am-\n¨ XobXn

:

12.

{]m_-ey-¯n-epÅ hnk \¼dpw Xob-Xnbpw, \ÂInb cmPyhpw (]IÀ¸v AS¡w sNbvXn-cn-¡-Ww)

:

13.

hntZ-i-cm-Py-s¯ hnemkw

:

hkXn

samss_Â

14. At]-£-Isâ / At]-£-I-bpsS hnZym-`ymk tbmKyX aXw sshhm-lnI ]Zhn

:

15

\ne-hn GsX-¦nepw t£a-\n-[n-bn AwK-amtWm? BsW-¦n t£a-\n-[n-bpsS t]cpw AwKXz \¼cpw, PnÃbpw

:

16.

C´y-bn GsX-¦nepw kÀ¡mÀ/AÀ²-kÀ¡mÀ/ Xt±-i-kz-bw-`-cW Øm]-\-¯n Ønc XkvXn-I-bn-encns¡ eohntem sU]yq-t«-j-\ntem hntZ-i¯v tPmen sNbvXp-h-cp-¶-XmtWm? (BsW-¦n hni-Zmw-i-§Ä tcJ-s¸-Sp-¯p-I)

:

17.

tIc-f-¯n At]-£-Is\ kw_-Ôn¨ tcJ-Itfm hnh-c-§-tfm, t£a-\n[n Hm^o-kn \ÂIp-¶-Xn\v A[n-Im-c-s¸-Sp-¯nb BfpsS t]cpw hnem-khpw At]-£-I-\p-am-bpÅ _Ôhpw

:

18

AwKXz ^okv AS-¨Xv kw_-Ôn¨ hnh-c-§Ä

: Un.Un. \¼À _m¦nsâ t]cv {_m©v

19

asä-s´-¦nepw hnh-c-§Ä Ds−-¦n BbXv

Xob-Xn

km£y-]{Xw ta¸-dª hnh-c-§Ä apgp-h³ kXyhpw Fsâ D¯-a-hn-izm-k-t¯m-Sp-Iq-Sn-bp-Å-Xm-sW¶pw, hnk d±mbn \m«n Xncn-¨p-h-cp¶ ]£-hpw, AwK-Xz-¯n\v At]£ kaÀ¸n¨v hntZ-i¯v t]mIp-hm³ Ign-bm¯ ]£hpw, hntZ-i-hmkw Ah-km-\n-¸n-¡p¶ ]£hpw hnhcw bYmk-abw t£a-\n[n Hm^o-kn Adn-bn-¡p-¶-Xm-sW¶pw km£y-s¸-Sp-¯n-s¡m-Åp-¶p. Øew :

At]-£-Isâ t]cpw H¸pw At]-£-Isâ t\man-t\-j³

Fsâ ac-W-tijw t£a-\n-[n-bn \n¶pw Fsâ t]cn AÀl-X-s¸« FÃm B\p-Iq-ey-§fpw ssI¸-äp-¶-Xn\v Rm³ Xmsg]d-bp¶-hsc \ma-\nÀt±iw sN¿p-¶p. {Ia \¼À

t\man-\n-bpsS/t\man-\n-I-fpsS t]cpw hnem-khpw

hbÊv

At]-£-I-\pam-bpÅ _Ôw

\ÂtI− XpIbpsS A\p-]m-X¯nsâ hnlnXw

ssa\À BsW-¦n c£n-Xmhnsâ t]cpw _Ôhpw

Ipdn¸v :þ (1) hnhm-ln-X-cmb At]-£-I-cm-sW-¦n `mcy/`À¯m-hns\/a¡sf t\man-t\-j-\n DÄs¸-Sp-t¯-−-Xm-Wv. (2) Ahn-hm-ln-X-\m-sW-¦n AhÀ hnhm-ln-X-cm-Ip¶ apdbv¡v Cu t\man-t\-j³ d±m-bn-t¸m-b-Xmbn IW-¡m-¡p-¶-Xm-Wv. Øew : XobXn :

t]cv At]-£-Isâ H¸v

Hm^okv D]-tbm-K-¯n\v tcJ-IÄ ]cn-tim-[n-¨-Xnepw At\z-j-W-¯nepw At]-£-I³ Hcp {]hmkn tIc-fo-b³ (hntZiw) BsW¶v t_m²y-s¸-«n-cn-¡p-¶p. At]£ kzoI-cn-¨p. 1. AS¨ cPn-kvt{S-j³ ^okv 2. ^okv AS-¨-Xnsâ hni-Zmw-i-§Ä 3. AwKXzw {]m_-ey-¯n h¶ XobXn 4. AwKXz \¼À Xmsg ]d-bp¶ Imc-W-§-fm AwK-Xz-¯n-\pÅ At]£ \nc-kn¨p Øew : XobXn :

No^v/taJe/PnÃm FIvkn. Hm^o-kÀ

tIcf {]hmkn tIcfob t£a\n[n t_mÀUv {]hmkn tIcfob t£a\n[n þ AwKXz¯n\pÅ At]£ kaÀ¸nt¡­ hn[w hntZi¯v tPmen sN¿p¶hÀ¡pw, hntZi¯v c­v hÀjsa¦nepw tPmen sNbvX tijw Xncn¨p h¶v tIcf¯n ØncXmakam¡nbhÀ¡pw, tIcf¯n\v ]pd¯v C´ybnse atäsX¦nepw kwØm\¯v tPmen kw_Ôambn IpdªXv Bdpamkambn Xmakn¨p hcp¶hÀ¡pw, AwKXz¯n\v At]£n¡mhp¶XmWv. At]£IcpsS {]mbw 18 \pw 55 \pw at[ybmbncn¡Ww. At]£ kaÀ¸n¡m³ D]tbmKnt¡­ t^mdw, At]£--bpsS IqsS kaÀ¸nt¡­ tcJIÄ, cPnkvt{Sj³ ^okv F¶nh kw_Ôn¨ hniZmwi§Ä NphsS tNÀ¡p¶p. {Ia \w. 1

At]£IÀ hntZi¯v tPmen sN¿p-¶-hÀ [{]hmkn tIcfob³ (hntZiw)]

D]tbmKnt¡­ t^mdw t^mdw \¼À 1A

At]£bpsS IqsS kaÀ¸nt¡­ tcJIÄ 1) P\\XobXn sXfnbn¡p¶ tcJbpsS km£ys¸Sp¯nb ]IÀ¸v* 2) t\mÀ¡m dq«vkn \n¶pw sFUânän ImÀUv e`n¨n«ps­¦n AXnsâ km£ys¸Sp¯nb ]IÀ¸v. {]kvXpX sFUânän ImÀUv CÃm-¯-]£w Xmsg ]dbp¶ tcJ-IÄ kaÀ¸n-t¡-­-Xm-Wv. i) ]mkvt]mÀ«nsâ km£ys¸Sp¯nb ]IÀ¸v * ii) {]m_ey¯nepÅ hnkbpsS km£y-s¸-Sp-¯n-b ]IÀ¸v * *

2

hntZi¯v \n¶v Xncn¨p h¶hÀ [ap³ {]hmkn tIcfo-b³ (hntZiw)]

t^mdw \¼À 1B

3

C´ybnse atäsX¦nepw kwØm\§fn Xmakn¡p¶hÀ [{]hmkn tIcfob³ (`mcXw)]

t^mdw \¼À 2A

At]£IÀ hntZi¯p\n¶v At]£n¡pIbmsW¦n ]mkvt]mÀ«nsâbpw hnkbpsSbpw ]IÀ¸pIÄ kzbw km£ys¸Sp¯n kaÀ¸n¨m aXn. ]n¶oSv aq¶p-hÀj-¯n-\-Itam AsÃ-¦n t£a-]-²Xn B\p-Iq-ey-§Ä ssI¸-äp-¶-Xn-\p-apt¼m GXmtWm BZyw F¶ \ne-bn tcJ-I-fpsS Hdn-Pn-\ _Ô-s¸« {]hmkn t£a\n[n A[n-Im-cn-I-fpsS ap¶n lmP-cm¡n km£ys¸-Sp¯pItbm Asæn KkäUv Hm^okÀ km£ys¸Sp¯nb tcJIfpsS ]IÀ¸v lmPcm¡pItbm sN¿Ww

1) *P\\XobXn sXfnbn¡p¶ tcJbpsS km£ys¸Sp¯nb ]IÀ¸v 2) ]mkvt]mÀ«nsâ km£ys¸Sp¯nb ]IÀ¸v 3) hntZi¯v Xmakn¨Xv sXfnbn¡p¶-Xn-\pÅ tcJIfpsS km£ys¸Sp-¯n-b ]IÀ¸v - m-bn4) c­v hÀj-¯n Ipd-bm¯ Ime-b-f-hn {]hmkn tIc-fo-b\ cp-¶p-sh¶pw Xncn-¨p-h¶v Ct¸mÄ tIc-f-¯n Ønc-Xm-a-k-am-¡nb-Xm-sW¶pw sXfn-bn-¡p¶ _Ô-s¸« hntÃPv Hm^o-kÀ/Xt±-i-kzbw-`cW Øm]-\-¯nsâ {]kn-Uâv/sk{I-«dn/Hcp Kk-äUv Hm^okÀ/\nb-a-k-`mwKw/]mÀe-saâv AwKw Ch-cn BcnÂ\n-s¶-¦n-epapÅ km£y-]{Xw. 1) 2)

3)

*P\\XobXn sXfnbn¡p¶ tcJbpsS km£ys¸Sp¯nb ]IÀ¸v At]-£-I³ tIc-f-¯n\v ]pd¯v C´y-bn Bdp-am-k-¯n-e-[n-Iambn Xma-kn-¡p¶ {]hmkn tIc-fo-b-\m-sW¶v sXfn-bn-¡p¶ _Ô-s¸« hntÃPv Hm^o-kÀ/Xt±-i-kz-bw-`cW Øm]-\-¯nsâ {]kn-Uâv/sk{I-«dn/Hcp Kk-äUv Hm^o-kÀ/\nb-a-k`mwKw/]mÀesaâv AwKw Ch-cn BcnÂ\n-s¶-¦n-ep-apÅ km£y-]{Xtam tdj³ ImÀtUm t_mÀUv \nÝ-bn-¡p¶ hn[apÅ tcJtbm lmPcm-¡W - w. tIc-f-¯n\v ]pd¯v C´y-bn Fhn-sS-sb-¦nepw sXmgn sN¿p-Ibm-sW-¦n AXv kw_-Ôn¨pw GsX-¦nepw hyh-kmbw/_nkn\Êv/Øm]\w \S-¯p-I-bm-sW-¦n AXv kw_-Ôn¨pw kzbw sXmgn sN¿p-I-bm-sW-¦n AXv kw_-Ôn¨pw AsÃ-¦n F´n\v th­n-bmWv Xma-kn-¡p-¶Xv F¶Xv kw_-Ôn¨pw _Ôs¸«v kwØ-m-\s¯ sXmgn-ep-S-abn \nt¶m, Øm]\ A[n-Im-cnbnÂ\nt¶m hntÃPv B^o-kd- n \nt¶m X¯p-ey-]-Z-hn-bn Ipdbm¯ atä-sX-¦nepw A[n-Im-cn-bn \nt¶m DÅ km£y-]{Xtam t_mÀUv \nÝ-bn-¡p¶ tcJ-Itfm lmP-cm-¡Ww.

* P\\ XobXn/hbkv sXfn-bn-¡p-hm³ P\-\-þ-a-cW cPn-kv{Sm-dpsS km£y-]{Xw kvIqÄ kÀ«n-^n-¡-äv, ]mkvt]mÀ«v, ss{UhnwKv ssek³kv F¶n-h-bn GsX-¦nepw H¶nsâ km£y-s¸-Sp-¯nb ]IÀ¸v lmP-cm-¡-Ww. 200 cq]bmWv cPnkvt{Sj³ ^okv. Non Resident Kerlaite Welfare Fund F¶ t]cn Xncph\´]pc¯v amdmhp¶ 200 cq]bpsS Unamâv {Um^vtäm GsX¦nepw SBT imJbn 200 cq] AS¨ SBT- {]hmkn t£a\n[n sNÃm³ ckotXm Bbn cPnkvt{Sj³ ^okv ASbv¡mw. cPnkvt{Sj³ ^okv AS¨ sNÃm³-/ DD bpw ta kqNn¸n¨ tcJIfpw At]£tbmsSm¸w kaÀ¸nt¡-­-XmWv. At]£ kaÀ¸nt¡­ taÂhnemkw : The Chief Executive Officer, Kerala Non Residential Keralite Welfare Fund Board, Manikanda Towers, Near Tennis Club, Jawahar Nagar, Kowdiar P.O, Thiruvananthapuram-695003. Phone - +91 471 3013401, 3013402. www.pravasiwelfarefund.org \nÝnXtbmKyXIfnÃm¯Xpw A]qÀ®ambXpamb At]£IÄ At]£IfpsS cPnkvt{Sj³ ^okv XncnsI \ÂIp¶XÃ.

\nckn¡s¸Sp¶XmWv.

\nckn¡s¸Sp¶