tr! etr - ridweb.rid.go.th/ome/fag/babfrom/file0352-1.pdf · rrasruurju dr ',..1 clnf alire...

19
5300 uruloiudlm{e rhnrir rhurq fiurq$rnu rirnriirdr:rin uio tiunaunuirntnrrimfqDonflrnllrn1 dr ufudrultnrr r{ril,r rfnui s{.rnln u.l ?ufl ................ rffnrilru.nw{.rra{o ffftfn rloo m'lfid.rcrur3u... rluu l]raf,rr:rurfsfiu Elr unfi E rirnrrh E rJrurrg [J rirurqf,rsu E rJru{rrirr,lir D r0lm*ruirruor:lmrlq1lrturl fl hrtnt .., E r'.r'u noquuh'rlt*hurq#rrrrnl t 253!'. , dftfiruirrdt un:rolu:odrioxedrl 1 drt''n4luurud#gnil*,d.i;;; " '' E n.:.1. fiunliu"rurrh:nnlr .(. 24g4 uc:iufihrilrlr roriufinlrrrrdouuiorhdr nlolrhU& ! eilnrgfuJ::fiua;!ond1't:1r .............................. orfu lriruudr (1) lvr: .... drniu{to rro{uriuilr:mn El fl rduu{o @l tr rirrnfir @l A rhurrg \ /') i.' l @l D rirurqf,rnufia:rdtf,fu. |Fl D r3urnunufntllnrffilrTru E] n rir*ritqomin nu!. E n rirursslrin nu!. t!-U U rir*r{hdr:.rflr El n uir*rfirn'r:.rf,uf,x1in nur. @ n ulrurryirnanlinllLf,o{ |?l n rirrrrrir{rrun1ln1ldol iudouilrfiq (e) .......... J ............... J .... v - rl ri v * lUr0rouull rlNuuruu r?f, 111!n11 ........... / ............... J .................. {urdauilfisonflni1!m: I I ruqdoon A n nloon tr il lfioon E n ilnnaon rirdrrre'.rLLoi lrfi.rlt ldrnlu r{T nirdn *rriryin fl ron:o n) cnrunrw{lo EN gtr gtr rdur,rla futir v n':u,,R !fl nilrnlrJ:cCr nrr fuilqrptinr irrrrnrrnnrlnlnnriou (3) tru trD gn r.irurqf,rnu ir:'unr: nnt nO\ttJ::C,'1nff o1f,'lftliRr of,. af,.ril. rrq rtri.:rir ruiirrirur q rirrnflwlofiurrg E] D ilA$vru EI n uililnnln [T] n qrorqlrnf,uruorr1 |]t] t] furrrnrruru E n mrl1 tz ulo rr'ln?l 18 E tr il.l.u. no{Iuu1nt1 4z fil n il.r.u. nDitrlurllm'l 4g nrrfuafurdun{a (4) A [] lowo p] n lilfa.rza wnr:ilmn m] n duq tru trn gD Eu fnuru:nraJlffioru ftrrg dr:rrnrrrnriou loanriou 28n.u. 39) irrrrnrrnnr?ou xll1i rri'rr?l drltnrrnr:rfioo rhurqf,rq tr tl , urxilr'rfi tr tl rJfrrifiltn'rldu.rrYu E t] r.J4^rjhnrlirfonrcn:ronorlnl tr! ET ET Etr trD ou r.e.ilfi r cu :.n,ilfi e eu'r.q.0d g dult eulniulqnrilnu'r/rJrr. cu ilnn.q.rlrJrn. dulJ {udun r ri uuYr41 l/iu fi '1,t ............. "/ .......... . . . . .J. .. ..... ... dru: rtnrrd ft ifn air qarl'r u n:il-.,, l{s [TT--F-] nl:?l1'hr o{$16| rr{n l-I-l-T-[-lJ vrou ...... ra{uriurrt fl drunnrufin:r (6) :rTw l-l-f-T--[ [-_1 ri ru4fi nrprfi {.ruioi :rds [il]-T]-l 'nrhunu{uir't ..... ........ ... f[J (r), l2). (3) (4), (ti), (6) qlriroturuurir a

Upload: buicong

Post on 12-May-2019

212 views

Category:

Documents


0 download

TRANSCRIPT

5300

uruloiudlm{e rhnrir rhurq fiurq$rnu rirnriirdr:rin uio tiunaunuirntnrrimfqDonflrnllrn1

dr ufu drultnrr r{r il,r rfnui s{.rnln

u . l?ufl................

rffnrilru.nw{.rra{o ffftfn

rloo m'lfid.rcrur3u...

rluu

l]raf,rr:rurfsfiu Elr unfi E rirnrrh E rJrurrg [J rirurqf,rsu E rJru{rrirr,lir D r0lm*ruirruor:lmrlq1lrturl fl hrtnt

.., E r'.r'u noquuh'rlt*hurq#rrrrnl t 253!'. , dftfiruirrdt un:rolu:odrioxedrl 1 drt''n4luurud#gnil*,d.i;;;" '' E n.:.1. fiunliu"rurrh:nnlr .(. 24g4 uc:iufihrilrlrroriufinlrrrrdouuiorhdr nlolrhU& ! eilnrgfuJ::fiua;!ond1't:1r..............................orfu lriruudr

(1)

lvr:....

drniu{to

rro{uriuilr:mnEl fl rduu{o@l tr rirrnfir@l A rhurrg

\ /') i.' l

@l D rirurqf,rnufia:rdtf,fu.|Fl D r3urnunufntllnrffilrTruE] n rir*ritqomin nu!.E n rirursslrin nu!.t!-U U rir*r{hdr:.rflrEl n uir*rfirn'r:.rf,uf,x1in nur.@ n ulrurryirnanlinllLf,o{|?l n rirrrrrir{rrun1ln1ldol

iudouilrfiq (e)

. . . . . . . . . . J.. . . . . . . . . . . . . .J.. . .

v - r l r i v *

lUr0rouull rlNuuruu r?f, 111!n11

.........../...............J..................

{urdauilfisonflni1!m:I I

ruqdoon

A n nloon

tr il lfioonE n ilnnaon

r i r d r r r e ' . r L L o i l r f i . r l t

ldrnlu r{T nirdn *rriryin fl ron:o n)

cnrunrw{lo

ENgtrgtr

rdur,rla

futir v n':u,,R !fl nilrnlrJ:cCr nrrfuilqrptinr

irrrrnrrnnrlnlnnriou (3)

trut rDgn

r.irurqf,rnuir:'unr:nnt nO\ttJ::C,'1nff

o1f,'lftliRr of,. af,.ril.

rrq rtri.:rir ruiirrirur q

rirrnflwlofiurrgE] D ilA$vruEI n uililnnln[T] n qrorqlrnf,uruorr1|]t] t] furrrnrruruE n mrl1 tz ulo rr'ln?l 18E tr il.l.u. no{Iuu1nt1 4zfil n il.r.u. nDitrlurllm'l 4g

nrrfuafurdun{a (4)

A [] lowop] n lilfa.rza

wnr:ilmnm] n duq

trutrngDEu

fnuru:nraJlffioru

ftrrgdr:rrnrrrnriou loanriou 28 n.u. 39)irrrrnrrnnr?ouxll1i rri'rr?l

drltnrrnr:rfioorhurqf,rq

tr tl , urxilr'rfitr tl rJfrrifiltn'rldu.rrYuE t] r.J4^rjhnrlirfonrcn:ronorlnl

t r !ETETEtrtrD

ou r.e. ilfi rcu :.n, ilfi eeu'r.q.0d g dulteulniulqnrilnu'r/rJrr.

cu ilnn. q.rlrJrn. dulJ{udun r ri uuYr41 l/iu fi '1,t

. . . . . . . . . . . . . " / . . . . . . . . . . . . .

. .J . . . . . . . .

. . .

dru: rtnrrd ft ifn air qarl'r un: i l - . , ,

l{s [TT--F-]

nl:?l1'hr

o{$16|

rr{n l-I-l-T-[-lJ

vrou . . . . . .

ra{uriurrt fl drunnrufin:r(6) :rTw l-l-f-T--[

[-_1 ri ru4fi nrprfi {.ruioi:rds [il]-T]-l

'nrhunu{uir't ..... ........ ...

f[J

(r), l2). (3) (4), (ti), (6) qlriroturuurir a

2

rrTr l?81t1!n1tg .trlUt

-oil

01

1 4

1 5

1 6

1 7

1 8

22

29

24

25

26

38

41

42

;;52

53

54

61

.rnrr lni 1

,e

4

leeryltlaor r hlnlttlnolfirrle fiil

r lflrh:rnn'r:firr

r lfirfirrqnr:dsn:trl r.Slqurrt

r lirtlnnnlrf,rtr

r lfi rliirrqrtrrmuurrurlR.r/Yur |::rnc

rrerr:r'lrJhldan{o iiu t'lu a

rdoudtnl::mn

Cat n B'l tr n'hrrrnr: D 'lilasnmnrsnrrllriou

t] uiirlm,arunr: loulrjldfuriurfiou .....fro n m tr rihnrnrr n lfioonlrn:rrnr:llrisulould{uriur6oul/2ils n n1 D r{nrunr: tr blosnrrnruntrl'lrisu lauldlur3urfiDu 1/gftr n m f] r{nrrnrr t]

'hfsonnn:rrnrrllriou tnuldfur3urdou v+

ta rhu n1 rfl rrrn ilnurda ::n'Jr.nJr;nrnn4dunr:lln ................................5u

tila danriuriowfernirrnq ultl

71

79

80

81

82

83

84

85

86

87

88

89

75

r3u rf, su rfl ougnrlru rf, ou n; t drr'rfufi lrjsrTn: rdr rf, unrr0 n nur.)r0nnar3urfil il.t.l.f,.

n.9.1.

lr.u.u.il.n.1.

r.il.r-

t|t.n.t

n.il.0.

il.e.u.

fi rJfi uTor u'lu f lourj'r-uur: u r nr s

rSur6ourodsiln6lu16ouqraffru ldrnlultrrrirdn:uirpinnrrnron)rirurru rfi sun J,...........,......

lrmulxrl nrrrt oludrurrgfi rRuun :rilril drr,:fi rulildoon: on r? nr rl!ntl

r3u rdau rodsiln eu 6ouEnfr u

rsudaur0urfinnn unsriudilsir r tfirfi)

J

n\tUn .a

nf:rrrrflunnr

(riiau)

riu rfi ourd auqnrir0.................

,a

i ' l::l:'-""'l

I

-.:................ " ......1I

IfDl 60

a

iltnu$lQ n:giifldorcfufn:rriurdau'lfin:uun6lur6oulfi lfirtfrrihnru h4n:vvr:r oriud g g.6. 2s40)- t

o a n n1 il R?r u'lunr s:rniq qT n ao4urir rurierirurrgdrrlsnr il. n. 2sg9

(iluil dro. l)

iwr6oufil dudrrrsnrf.........;......

fi o qi drn fu d.ru ri.r d o fu : or nr:rinn rfi nr ii riroj

truundrnunr:aanrlaunriiRuldrirnYu{iuriiunior drnrfiorirurqrln6i

{Yurfi unin d rrnfiorirutu; lu

mtrJryrirdrilrclrlu

t d

tlt RttaniluounlH

l. gluyr)lrdrfrd I lan [l ur?ru n ndr iltonto:grl'inflntfi

I {arra thifiriulduio:rrdrursrnrfi) [ {er:afirtuld luunr{rurunr6)

z. ,iruruqn: I r;n:hildoqjlu:vrinnr:f,nur orqhirfiu 20iJ nuns 15,000 urn uio 7,s00 il'rvl

,fruru....... .....nu (n:6nunrirurarntfi'l#rinauns 7,500 ulvt)rC

u Unrogru:su'i1{nrrflnur orq'hirfiu zsfl nuni l7,000rl1vr uis 8,500 urvt

,fruru....... .....nu (n:fiuunriru'lornrfihf,tinnuns 8,500 ulvt)

:rrtnnvtiouqn:........ ....nu druruRu.......... ..................u110J , - < o i , c d r a o3. rfrurj:sriuiinfriirgnruluilnrfi druru....... ................urY1

(biri'n n nr dou'kfn u dru ru fi ri ru oi ursi'ld rfi u I 00,000 ulvr)a u t t u I u - - J - l - . - u - . 4 - l 4

(rnnrvd'rutorffiriulddiam;rorinnnrdounrildrilt,os.rusi'lilrfiu 100,000 ulvr)

s. du r. .

toiurordrrruo trd,t ro.rnltrilun ruo?lqnil:;nr:

/j r /

4tno..........

(

......... {Yuriiumin ri rrnriorirutry

ta{tto... i lglu

( )

aa{rto . . . . . . . . . . i lur i l

),(

v o d o d A

1' 0 tuulntilnn lt{t5?t fl t8l

t] orgrirndr os flu?r;rsi roiuriu

drurunrrfryrihirfiu 200,000 u'rvr uia

n orq

Inursh?Iouriurirnrfoir:.rfnrdrritgfRuirnrurnrr...... .........cnn1i u a s a i

//

, A , J t t q o(aquo)..r.. .4:1JU1u1qe t J {

.- i l . f , . . . . . . . . . . . . . . .

c

l_J ,$ruru ilm (....... ..) nlilrn'u 200,000 ulyl

dlusi es fluiXrai toiuriu

n ,iruaunrrfivri hirfiu 400,000 uryr rnfo

drnrdrldnmrcoudrl,ounsronar:firfiurr?orudr loiurordt

I r c l j . r I d , , I c a a . / A . a 1 d s h , a iturtJuunnniluflrontto no{?t1?'tfltsmln?tlJfln?uuuroo1q]R01l0oR0lRr1ufl1:trnsRtgtilt0nnu{ tufi{vlEn

d r ' , . . 1 a l i r e c d o arrasruurJU clnf rn:uu'trlf u0n lt qtil

4 G l ' , e d i a I e < adq t o ril n r u u oJ.rn o 1 { r o u r{ u rx ru ty rn u nh R r u r n'r r n r u fi : vr1 1 {dr.r dua J - - d . 9 q y s a

Rtgln """'(l) otttnRttlf l lylto{t ti lnsuutuUnnltt

(dr rinuirr rt n rr iil -ri run'u n rn ig) vr: ru fr'u fi

l v g r l rn{uo .... 1f?l{u1fl?ut'lsR1t{r,o

I y j n t -l{5o4Yr tnruuoul,lulu

ilrrlorl.rel : (l) f;oftroiuriuufirir:sf;n tfriurirurryl(2) f;orurnr: f;orftyfi unsrnufiriqf;riurhflrulnlrtorf,iurirulq rnxrsilrgmnootyr iuilns,etuvriutil

rdoFunnr;ua:ruiu nlolrrurrlrrurriolir'l'udrnturar:dr{i:rrirurEldiu:olrftrurlndolndr }Jnlorduurrlrddro

uuurirroiufiuri"nf Dt{lRrruns0uuoul?i#nriurirurio

I

a a

11,u1{yl

IT " A

?1{71

finrdr

da{ rard -- ,, u{d ntofl | 6ioa

druo / ur?{r drmo / run

rfnhfrudd Ivr:f,nri

I o u liu ri rtu fi t t o r dr n r dr rdr riq f, n' u rl r n rJ r s rR yr 0 0 rr yr in d r n r fi

tlt1R1t n111

drrrrdr8uooul#n:ilra:J:silru nfo{fir,rririidruriurilufirrsr{rnrdrrinrturirrrfirtrnrftgf,riunlrnta.,rdrnrdr rdo,ir:grndii,flurirl#rirurfisrfiuaiadnrrnrurail:svrru nfofrrrndnlrurlrfinrnur

niorirrt.rarn

) J- * - - i - - - - . t - r - I a t q ' l t d q . l a d g J a e ) l o t - . , I r .

ll{u ?llRiln1ttflJrilur}f rofil ttt'lrJol{ Ifl?ttulfl]:rrufllnu rlytliluuuou ll{1{Rt{rltR{Ral?i'tRt{u. i h / c rnls lnru0'lnil"l{I'ttnlt

tardol 9 s o d

H:UU1r?,lU0

rfludrrunrr / qnfrnrJ:rir

nilil

Q , E '

t{?f ?R

fi n zrurJr s c r ri'l#n :rr rnil: gil ru

(nrdol ?1U'IlJ

)

?1U'lU

)

(nrdo)

nq.64

{Jt ?lfluyl

Ie r {?u7t__.

rfiusr:rdnr: (uarlau uur: ra.r)

nSllt,

u G t a {t ft51l t {u I nau

...u17r tattdnr r qnulistloi'rFt r iugrsfr r dulnsmr'rf uqr'uf,.",'tun:d

Tlfl1U

Tlg'lu

j u l t l

{ { . 6

[ .l 11ru1il?l8 LUflUlJS 3 191

Io

9r'ltl?ru{I

r.r {?uvl

l l d

dulflcll:vrrl-*.- -.-..niunt.r

o a t

a{?l?fl

l r , I I t r t | | v{ . 1ytl'lTt t 61 1n{llnn?1iln1fl'lu:gur 1{:"u:'ld n15 uasil1{ti 1il nlie sna{Q rfl r iudrgfi t f|u'tu n1ilTt5s 51il

| _ . ) t U tU C f r l

{ , . { t { o d o a { ' o . , d o

nqulnlnlialstiutdau tiuil ui rntq uiurq rtas riudu'lua-nurus rdsrn-u u1Tt.eril:gd{nluers| | | nu . | . { e o

r tu j

Q-.tur-n :il'alrt:dti

uoil', / nttelnl t qnu'l""' iJ

)

a.rta

I

arf o

a.rta

#ln'ernal/ d'rrin

ni svlS ?.1

{I nAUAU

1 oir-ufi nl r"1 u a4 crl,,riu,t r r r?,,u t

2 -

ulfinnT : rrjdflurrJarl r t a t l t l u t u f

?J'lTr r a 1?J asn r inrnt".rf, artdnl I qnul:sr1n''lXfu r iutrf,fi r rrufiJ'uil Tnfll Rudnl r qnurtntG ' { . , i

nllrmr.icl a[fln{ [ enul a{?uyl i.r'[uu t l r r r t l l

l tJu$lt dytfi :u t {uil ? gTt t flu t il afl 'til [ q 1 n{ ttnn2 1iln 1fl t u1{? r l :u : rd n r :

ja {ga

(

1 i,'ufinl iuaqerl urt"lrt: r rh,,J,

4udnl r qnul

)I

u . {?ull

n.rt o. u 9 l

{ d , r At q 1ru1ilYls IUflUU: E ?n

( \\,

t"""""""""" '

og|1rrru{

l t ls tm

r. hiaurru'.rf,arrtn{rqrrrr.lr'ln'rfr'ul.r'ujrof,,rut'r" o iru:rinrrdnudrrin ,f,'ur,i,I t r l / ' a a . ,'trlud4ml:ur? uiaur{ilil:srh rilainr:louarsf,lrdlrru'ldon"uamnrrlilnrs uac'luitnr:utiln ,.

i,

nr:udnr r qmrl fl ud4n/ u{lrl:vr?nrar r a r r t t t r r

a.'lr,t:vr;iog:'uriutrsirrhrunrf,ol:rsr;lsr nlnrcrJdsutliln.rn"rgr"tr.r'utroiriu'lu

nrarm-.r 1fiirm'.rf,audn.lrrnur:ur,;n-lg':1r.r'ujrof,rmnfi:frnlunroiu,fin n'rrurrudn:rurr{nrrfln'.ro a r

n1l R t]As l rruijiIll,I Rll I ?R?tlt , r ' a a l

. { $ . a . { 6 u {3. n1:!nmi nn tgDt t anlttlfll! rlnsulr nrt 0fl1{autumt{d0$alRt I cnultc{n? til

l r ,. . . { { . . r r

t {u!?tmtfH tuB.lalf,ra[an1mJ I?

nr . f i J .u . r99 05 t t . l , ooo .

(uuu t )

uri.rfl a m n{ Lq n ur m1 ffr {?uritufi q n n ilo n

frrur{r ...............(z)rflu[ ]{trrnt[ J{iurirurrg[ ] vrurrno.:uquilrdeu{n *, t ,n I ,xtu.., . rilrurj.rdlfi'rrnor / drfnrru nril ....., ...... n?sylto.l ,,{ru{n .........,.1f,fu [ ] riurfiau fiaun; ........(3) urvr

t I rirurrururi'u r.n.u. doun;.,.. .(3) uTvr t I rilflu{nmlrYu x.n.u. rdaunv..... ......(3) urvrJ , . J ^ | v v . lf ioqjf i f indoldrnrf i . . , . . . , . , . . . . . , . . . . . . . . . . . . . . . .Ruu.., . . . . . . .drun/un?{.. . . . .drina/rrm {ru{n..... rr[ntr]nrrfif..... ...lvrr.lunrrfifrnu{'rfi.:urinr1iln1Er urndrnr{rtrlfivrrsrvr{f,dvrinslfifurirrufiqnnuaer (qrrr nrfiuion?s1 unvfinutnrdmufi"rflnguil1s) n1!$1nn 49 'rrrrudo $nvil1n?1 +9 miurvrurlrgr!firirruriqrhurrg{rnlntil,fi. z4g4 unvduti'ltrfiurfil rnvillnn sa.rnudl ms:J'lnr1 oo urfunrsrrt:irgcufinollufT rufinrirurryfrrmtnrt u.fl. 2s39 frrur{rrrormfi{rqnu1fi:{dl'r{fixnuufiqnnvroarlnfluf.rdaariud.ir dryrr{thswdlfriruriurirruriqnnvranuriqnnn ??il ..(4) nu dlfir'ruCadotrld

1' "" "' (5) daqdanriotfiroad"'

{ . . ru {n . . . . . ' . . . . . . . . . . . , . . . .? r in t rJ ru r i f . . . ' . ' . . . . , . . . .1v r r .2. .... ... (s) doqdao'olo1drntd..

fu fo r . ' . . . . . . . : . ' . . . . . . , . . . . , ' . . ' . . . . . . . . . , . ' rh1 rJ rd f . . . . . ' ' . . . . . . . . t v r r ,1# | f i : J . . . . ( )d lu3. .... ... (s) do4danoioldrn:rd...

{ru{n...... rri'ntrjrurirf....... .......tvrr. t#1fifr.... (O) r{ru4. .... ,.. (s) da4dAnrialdrn#,..

{ru{or...... ,...............rri'atrjrurfiri...... .........1vrr lftdiu.... (o) shu5' "" """' (5) doqdnnriolfirn:rd"

{.ru{o,..,.. nl'rttrjrrfcf...... .........tvre lflff.... (6) dru6' "" """ (5) doqidantiolfirnrd"' ;""""""""'

{ru{n...... ....,...........rd'nhjn*rfrf. .......tvrr. b]ftff.... (6) dru7. ..., .. ts) daqjdfinqio1drntd............

{.rufrr...... ni'ntrjrurid,,... .......lvrt. hitfn.,:.8' "" "'(5) doqdnneiolfirnrrd"

{ . ru { r r . . . . . ' . . . . . ' . ' . . . . . . . . ' r i , n t i ru r f6 , . , . , . . , ' , . . . . l v r r ' t f f i , J . . . . (6 ) r {u

/9. . . .

urildaunoro,oru.dt d$nduz o:iu fi{onruqnfialnnffu rfir1{d{u(n{fqnu1 t qfu dnorluudrr r { l s q v J u r 6 q v e e 3 v o s U v ) , t t r v l r a Jr{rtilrfiulifin4olrifiurJav{fi drufu{ruruaurnururryrfiul{frdruntnT n{rd.rrTor{iinrfiau{rrrirurrg

nodo /.............. ..,. {nna.:nnur( . . . . . , . . . . . . . . . . . . . . . . . )

uoCr .....,. ila.ru( . . . . . . , . . . . . . . , , . . . . . . . . . . . . . )

uod. . . . . . . . i lu1u

( . . . . . . . . . . . . . . . . . . . . . . . )

ofun.r{ufilfirir urirf, o rn n{ rq fl ur rfi ut{rfl uu dng'ru ud"r

/ux]sru4...

e. ..,.... ...;...... tsl doqdandolfrrnrd

10' ""' ""' (5) daqdeaoffifirnrd

12' " .'..(5) doqdna*olf,rntd.

13' " "' (5) do4danaatdirmd'

15' """ '..... (5) daqdannoUrmd.

{.ru{n...... .........,,.,.,.n[h1nnfri.. .......1vrr. 1f1ff.... (6) r{qu

ufitaunnornru.dlfirir{u z qfu fi{onmlqnilo.rnnfiu rfiu1{d{unr{uqnu1 t rrlu dnoluudrdrtrJrfiutdnqalufflrJr{fi drufu{firrdau{arirurrgrfiut{dr{aunrntr{T {.rr{a{rilnrduu{rrrirurrg

drufil{rurhdr*rrtu

uri.rdouna{rqnu1?rqfie{furirrufirnnnaorrluflf,durdodud dou .. r{.rr. ............,.t I tril ....... (z) {tnn,rr{furdsu{nfrusgt I tns

trlun.r{udlf,rhuft ifio rn n{ trnutfi ul{rfl uudngruuf;c

d'uulh

,!X3I$U4...

3

umsrilrl1. n1?ntnrr iarh u?antu/ftrrrJdsuuilnmdr.rduluurl.rilounnuqnutalf.r{hr:irruf,rnnv}ot

bln.rnrsf,adorhfi'ul{2. tfit{rniatuyra/ludor t ldlt

dTGur fl ntn ?on ur,nJuf.rf n mn.! rq nm fi{ff'l {furi,lrrfiqnnilap( 1 ) tlrq{u rtau fl d un noronr..nralil.l {firrir rufiq n nilon(2\ tfrrvq drrirur,h Co mru,lilfi qn m.r{unr{ yt nu1(3) tlmlriurfiau:iruT rgnr/fu r.n.il. u?arduulnmufu i.R.u. dtmnqnrurduna.lqnu'l(4) 1frr:14rucu{fiivr3fi.nirrufirnnyroa(5) hkrl itirurlr Co mrurrrf rln m.r{dq nral f'rhhf, u{fu rir ruflr nnran(6) nrrf,rvqfii{furlturiqnnyraal{r.nnn.Jrud.rau hlriruufir(?udqsf,in?tfifuhl{arquficg

tdu urs n. lfrtf,fir t dqu uNslc r, 1#tfifu t dru unvrfinuflr a. lftfifir e r{cu rfluf,u(T') lfrrqi, riT urir do unarlrfiQn mlfrunn{tqnul u?o{fi.ruauduns(8) rhurlrd'lurunrn#ar{rurflrdd.:rf,u{rnrnrrluftrfadrfrurlrdnunrnl?il0uuu1g

)o(Vnoo4urirriirrhurrydrsruns

l[|| |lr] illllll ilil|illlr ]luuu nus. :{ 008/t/25.55

uu u n o iu riu o 1 n n a,rrlu (n :fi a u r ? n l$u {t a iu ri u) (iTunri,)

r . lr!grjl|

r e 9 { .dllffiu9ttfuilta

iruirnrdl Ours Ou'n Ourlarr Qatuauprhrir ...........- Calaqa

nrrl:s,i'ri?rJrrt1il fl f[II trI[ft] f,I f. l , J - . t ti latttnttaLt ----------

ft firqefiT ariauae nrmfl rn,rrc

In:f,nr{

duqeaur?nn1urlo{na{4u fiui trt fuC nfl riau It] il n.r.IIIIrurfl a n:oiiuCtrir:.rfiun'r *.raan - - -- -- - -

rdonrn (z) Orniloor Oaroen Obiesn Orjaraan Okiaon Oaenirrduufi Odrnhsunrfirrdunirrf,uiuriru,rrgOlsudrulilrnirumutoripituldd:cnudr:1tn1:r1u rr.:.u. naqutiT ruiiorirursgirr?rn1:

O du1

druruq (l) Oneuuu Qrpnranrtr O6rarq OriTrriininn.Uru!1r:1 tl8 Orirrriienlulr1nr1 cz Oooniurdstriro du.l

#ndi."d. tql OltifiarBiniTrriieiinnq Omiurhrriie OmiuriruTq Otaiuri,ureyluadr{daud2uilrririsuacfimln :cardfioniiiiuriu ftd trdanrfit,{ r da)

* O r. miurtuihnftiruzu (5) Or{i O nnnh Olouriniqiriuc, ntadrnr{rdilflI141:

riuslrnrhcnil Oaauninti Qn:rru:raiu ndriqt

O z ralauriu#rinnuhJdrnarqudT:ariarirrnfiana.rrluiiuCfiinqrl:sard#onraonelnmuniionrrtrlnrl

Iralfdrdr* O g. roCT nlfinaonruSrmia tirutrriu{ui"dtg mn. ubmia erf,e{ri*rndr 35,000 rm tiod t*'u{rueurtrCroinnrdru)

O r.r uiu, :i#r,iruru

Ot.zmruaaiurtudfiartfur0umrl ftd tirueuriufuirfunr:iurrarm f,erbiirndrmrac a,000 urn)

O:'ruriau O:ru g riau Q:ra o fiou O:rdil{zrar urn riufuriurmu:nriou[l il il.n.If]f]I

O e.s tafirriuCffindtf,iuu,rdru ....-... -............rr1u leadrudnrf,abi nur. uhm:ia

O g.c tairriuCffindlf,iuurrdzu ........ -.............u1n hud"#ur6a taiurfluwr ftd

O:rsfiau O:rs I riau O:ra o fiou O:rui

{rias uTn r*riuriumru:nrf,au[l il il.l.It]If]

n:driania 3.2 - 3.4h1:r:qiaprirgifouT aT :

riudlnd:snn O aalnind Q n::u:ruiu 6#riqf

6.

rt auh n'r ruft aztnJ:c6{dlfi nalrluu:hmrder3atnraaafu tiut. nrnirnr{rn:sn:ranctSaauwu{larlnhsardbinaquuixrrioniotonsouiuriuLirug:ofi nut. lri{rrfludsvitiiunr:nrud;riowosd'rnr{rz. irnrir0uuoilfr nur. rinnrf or #iru riro:rttrfi*oulnlt naomudro:rrrialdur mlduftlurj:cnu rrntiuCsdrnr{rli:"ur{r,iru:uuisluudac$nz. irnrir0uuoilfr nur. rinnrf or #iru riro:rttrfi*oulnlt naomudro:rrrialdur mldu{{urJ:cnri

m.n. Inunail:cltJlniCwliiu aru:oeTuurj:hj3. nor4ueuu?nr:rlutor{uft a'rrrrJ:carfrrundnrnrurfuaci6rnr{rinngCdearn'rlfr arj:ct idarelllrirtrCa, rur'rrunanr:rirriiulruiruhr:a.ql uacanfl sutrr!fi rtonJ:7rnt

a. rdoirnrirriloiir trnrir8uudilri mn. drr5. u: : n 1 n flilrrr u ua'nrnoni rioult :srfi uuua;darft a'ui t 1

,irfudup#q1,ffiud31 uac!flunrrleir4nil:rnr: irnrdrlftiruuasri'flerioultnnrnruri$nBa{a1 u!010 12tuuuan[1unouulilu'tu

(frunft)

rnnrlrrnglunrrnrdrdrinr{rirdhrtJtrrdr6ir3 f,n*fr3ulaniil{dluilffiirJ raamurirdc*rarh{1 COr*nf.*rurt nurrnalu 30 is riruriftC mn. rftllhir{ :rr, *i +nr+rUararolaCeltriurhiryionhra-ruuir

,/mCo{irafrniu r du&irurJrrilt (6) .y-.-............................................

( ..........-.................................... )

arCanaT u (7) alCang'lu( .....

druiudruflrnr:

i .............. ...........r nnrlnfttaoandru:1rn1r

riar toiurtmlnnafllurilrriieiiru, eg{rrmrr

tisu mtlinlraounrrunrrna{qurirrriiorinrT qi, :T tnr:

rr.:.u. naqurjrrrfi nirurqirrlrnlr r'.e. 2s3g {,rduuf,r miuroldr$ n io{ulnrj:1na ilrdru:ltnrresuftbi nu!. nrluluriuf, unsil1n rrur. ir?rdouiludldo{a

aarmadaumnanutf,ueh rirbiinr:rirsriufirnarr nrrdrurrtnronhnrinnruliuifubloudlCqr. a a A 'o{t:uult1tila

. l t v . t v v .a{?o61mirfri[inrir (e). , 1 r .fiog6?ur1tn1f ........

a a

n1tlxu{

niahfuaii ....................InrrTrri

froBrnarnrnrenurnr rnrt x W!1t2555

rrusq r. srrfi€l*fSr r oih blduio*nnhlanrnrtnf*rm riiotnr?nrJrarnrnnnfn ufi{r*fnirlf nu- *rdrurrlfdarrrrnrdonhoqnrz lildrelorrons / lt tuo O ir6on

trl ra1 ir I rlar r i iiftran*nrrn ;nrft&rar6*r&bnr nCihlnntlrrlhr**nrn qonirlnn4amnruntftirunr*t$fnnusftdlftriluritorurfrrf zl *rFuqnrfrrrn*rd*nr tdtr tiafrLr(3) r4$l|tfidftrafitnrnr. lxir rrl un0i'rMh r,rliooofiernfltnurrlrnt1{mi6rntoqufitr$rh tdtoii'*iriaonhalrilrndr nlonnr:*oonnnoaupr orfi. uttnnernr rorumrh aninCoomrnntnmrrrrrhaiurpnramr *urrdCnwrrirro{frrrr&sur$rrdnrhlrirnr. rr6orq nurorrrrh anrinCreonlnrrtmrdeiorqanrmftdrih;ollir nlatrmndedorqrntftaudGpiiuih. rhrrfn]rrqrrrnnrn ra rarrgmruir oninCsinanrrtnrr*Udeurf$ulrt*rtrnmna;*ruhnqt ih $d! (ti".l Ru!riruirs6onfirhufrtrrtu

. rhnrillrurqrur,rrr rz unannl'ir antoidrmrtitnr,fulh!fufuli slLt&ifurfnrnrpi tfierfi;*drir' #1rontrrlrir nrritCorinlridnirurqhur4nidrdu {.u'rlfilriiiin'riru'nrirrinrrqtal ra1fu#Ulu nrdbrnvrnnrnndxnUryt !!nfv(Lr{r lal&atrtn}rrGtr.rtiLn*harrhnnrmr r.r.!, rnn. lftrqirlrElniinhrridrurq(5) q7firfrrfuffitfir.d{hifu rnfhaff,tunu0slatau*tdd tt{htAtuhcfrr0tfan&rr*ftlt {$dfifltqf*E(6) llnt$ririh|.ortrltzl rranlnnrllnrufr z mrtsl fiurhd2utlsrn ffimlrarrl i*fllfirrrrllndfuh.trlt tqarfrrfifi{nnlfunrurr;nhrinfnrqt)ot rafitrp r+nrfifl{iUarnrrnnrrrrfufg m|r. dd{urrrirdr

urutrnln1r !ffi lrrh:rarrr tnrr. fi oo6n/zt|s5nrduinhrrir rt!filinlrrinlnnq

t. rhruririroon / rlrtorrur€rnt riorirni#fu re*rruqniarz. drrurarpdqir&/rn niiuuiffir:odrnnnnior tmol6ondlouluritlryi)

'|dlliriru|qt / ttidltnqtlrtr{rnrrlntlrtt. inlrdr*rooo / d:mrnnluru niolrftnirdir:a*ro4niorz. Crlrr4arlqliulrn niouaninil:o*hurgnler (nnitlarfi leuri!.i"ru-q0r. rlnlrluuwnft lo&iradrrqlanin mn. rioufi nririino*urgnfat

tn:dufrru'rrq1 mrr. rt6o'irrnnrr*fin1n4niouarfrru6io6oUftlnnmrnor{o{rdrdurftulotllrth!ftLa$io{mnnrlrlqlarrllir)

nr{rdrenrrninpr,rarrreirllurmnr'qu daxrunntdmfldhnrihlurn 6lll. t2 tlor.*rtr q.rttr 1064l

xulunfl : ri aTn:orirdrdaXanr:iuriu nur. eiluxrncuuituiiodrurrg (e.Pension) tornrurirgilna'udrraiu{ilavriiurdauinrhrurildilTuldr r Jg r . l r . l - < L q gd .!untuTrufuivr lour{uu'lu'lqtaufuttuu!a!alJ1!n{uun1?amil

' l

, 3: a{rirrw{rnrud!

trn rfiaesr-n rh r

1il.l

U .

T

n

trtr

CI

U

. . . . u ]1 l

h r a

IUU

trD

Ta+"

t-r h r.rI I I U U

GII I t lt t dl-J

\ r A

ke U tfif1

o l

n'ttr?f lJd

I

. l

. :.lunvt6EJeinl:t{ludil'.}fina?"flF'n..trdTsmmrirl 1uoln:utarJ:cytru

!'ru / u'r{ / u1na1? ...... dr:rtnr:J o

latfrei'luu {....... . . d1 ......,. t1,.tyl ftrio ..................

mud'rnr:ltuaur0nil:vmilsirr 1 d'.rd

1. aurt nno{qu rhirafinrhurrg{r:rrn1: (nuu.)0 , .

Q rfluarnin i

C't

4 , q . 4 -(J rutuufltnrn

Q trirfluaur?n

Q trirfluaur?n

dutor gu 1R'l:01 nr :ar n : rs fi

Otti'il

f\

z.du

(nil! 1)

urittfl s ud n{t rq n u1 fi u fi'r d?uritufi q nn ilo nt . u

d JmEuvl

- ) . aiufr . . . . . . . . . . . . . rRou ?I.R. . . . . . . , . , . , . . . . . (1)

fi 'rur{T ,(2)rf lu[ ]frTntnt[ J{ir.niruTrg

[ ] vrumnowqufirdgu{n iu t un t xfru... . qirruils

d.rriornol / drfn'rru .. n?il ... nttyl?t.l ,,...

{ru{n .........,.1f,fu t I Ru6au daunv ........(3) urvr

t I riruT rUrud'u x.n,u. 6aunt.... .(3) urvr t I rdsudnmurTu x.n.u. rdauov,..., ......(3) urvrJ , J ^ | I v . lf ioqjf if inrioldrn:rfr....;.....,.... .,Ruu.. ......dr1n/ux0.l.

drmairrn {.ru{n..... ,. rrfrrl:Jrudti. ......lvrr,

lunrrfif, nr{rfi.rnrin?1iln1s urnfrnr{TtrJfivrraTvr{fifrvr6nstfiiuilrrufiqnnuaor (qnr nrfiulan?sl rnva . J vilnuttnrfrsoudrsnguillrl) n1ilrt1n?1 48 .lmnud{ $nvilln?1 +9 mitrrvnnrirgrffiri'rrufiqrhffiruli1t'rxn1rv{.fi. 2494 uovdufr't:rrfilrfiu $n;il'lnr.l s8 lr?nud{ rnyil'tnr.l o0 urivrrsyrtrirgq]tsnalrludT rufinriru'rry{rntnrt il.pl. 2s39 frrnr{rmrmmrqnulrqd'r{fuitufiqnnuorrlnflufidoariud.ir frrnr{tlr;rwdlfrirfltiuilTruiqnnvronuriqnnn mil ..(4) nu d'.rfinedooiotild

1. .... ... (s) daqidar'rioldrnrd...

{.ruin...... ................?rintrjrurflrl.,.,. ....,....1vrr. l#ldfr..., (o) r{qu2' "" "' (5) doqdao'rloldrnrd"'

{ l u {o r . . . . ' . . . . : ' . ' . , . . ' . . . . . , , . . , . . ' . . ' ' . . . . ' r I c {hJ f9dd . . . . . . . . . ' . . . . . t v r r .1# t f f J . . . , (o ) r {u3' "" "' (5) doqdno'rialdrn:rd"'

{su{or...... .......,.,.....,?rlntrjrutild..,.. .........1ur. 1#1fit.... (6) r{ru4. .... ,,.(s) dapdanriatfirn#,.

{ru{or...... ,...........,..,?riahhurf,d...... .........1vrr. l#tdiu.... (o) r{nu5' "" " (5) doqdnnoolfimtd"

{ru{o,..... rri'ntrjrurf,d...,. .....,...tvre. hfldfu.... (o) dru- - - . 1 , J - | u t ' J

6. . . . . . . . . . . (5) fo t jyrnnt i

{ru{n...... ...........,....rrinhjn*rfrd..... .,.......1vrr. hflffu.... (o)d'ru

7. ,.,. ....,. (b) do4dAo'Cotdfrntd..

{qufn...... ................rrIn1r1rurf,ri.,.,.. ....,....tvrr. tflf if.... (o) dluI .... . (s) do4dAnoialfirn#...

{ l u in r . ' . . . . . . . . , ' , . ' . . ' ' ' . . ' f g { t i f ' f t i . . . . . . , , , . . . . . . l u r1# td fJ . . ' . (6 ) lu

t9. . . .

urildounn.t,oru.dtdrirdu z o:iu fi{onltrqnfia.rnxfiu ifir1{d{ur{n{rqnu1 r qriu dnqfuudld.rhJrfiuldn4oluflurJrv{h drufu{iurdau{nilrurryrfiul{dr{rurrtntr{rdrfi?r{innrduu{rrrl'rurrg

drufur{rurirdrtrriu

uri.:f,ormrr{rqnu1rur.lfrc{furi'rruflqflnilanoriudt#urdo{ud rdou. ,il,rr.t I toe ....... (7) dtuntlffurduu{or:irurrgt I lns ......,. (7) {fuuaurr'uvw nruuf.:dauauduvrv

e v 4

?uun{?ull

ldrir uri.rdo rn n { rq fl utfi ut{rfl uu dntrT u ud"r

/uillrfiug...

3

ulr1stil?

1. nltlno! da*ir uilon'rrufftauJdsunJnmrJr.rdulrnrrl.rilaunnlrqnurrqdfc{iurlru,nlnnnrantrlnrnredadorirrTutf

2. lfildniatumo/ludo.r t ld1{

d T oGu T q n rrn ron ur ril uf.rilo nn nI rq nu1 rs:i fi'e {fiJ:j,l rilt:q n nilp rl( 1 ) thnl{u riou f, d uR

"or.nurra1il.r {fi.nirrufiqn nuan(2') hlrrq drrirurl,r Cs mrmilfi rln ao.r{ula{ rq nu1(3) hlrqriurfiou rlrurrgnu/fu tr.R.rr. u?arduulamurTrr r.n.u. illn rqnru"dunouenu'l(4) hirvq{rucu{fi ivrifuilrruf,rnnyroa(s) 1fr:::1 irrirurlr do m:ru1rfi qn m {dq nrnl f.rhirfl u{filrir ruriq nnran(6) nrnirvrlfrr{furiturhnnvroal{r.nnn.jrud.rau hlriruunr{rudqgf,ilil?lfifuhldnrquf;cs

tduurs n.1filf,fu I gllur1{s1c r, t#lfifu t d.lu unrrfinurlr n. tftdfu e c{cu rflufru(7) hlruqirriT urir Co un:ru1ilrlQn lal{unn{nnul riloffuuauduw(8) rl"lurlrd'lurun'rru?or{rurirdd.:rf,ufrrntnrr1ufr.rffndrf'rurJrd'ruflrn1?ilouuil'ur