œ‘œ •‘ ••“ œ— ›Ÿ

œ›‘•“

’‘' “•” ”œ•™, žž' 'š

ž“ ”—™•š ”‘• •”•˜

‘™™Ÿ œ‘-

—' “‘•” ”‘™” 2

™•œ™ 91911

ž•™ ž•‘™œ™ ž—–• '” '•

1. ˜™ ™™™:

 ( ˜™ + ž—”) ________________________________________

›•‘ ˜™: _______________________________________________

˜œ•Ÿ: ___________ - ___ ™™“__________________: : _____________

2. ˜™ ‘™”':

 ‘™”' _____________________________________________

›•‘ ‘™”' _____________________________________________

˜œ•Ÿ ‘‘™”' _______________ - __ :____________________ - ___

3. • ‘”•” ( ‘™, ž ): ______________________________________

4. • “ž™: _____________________

 ”ž•“ ”“ž™ ‘• œž“: __________________________________

5. ž• ”•” • œ'š: _______________________________________

6. ™ žœž“/ : . —˜'‘ ‘. —˜'

7. ™“™ žœ™ ‘‘™”'( —™•š, ™›•– ž•, ™›•– ›‘”, ™”•œ, ”“›”) ˜/™

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8. ”œž•™•:

. ”œž•™• ‘'š ‘”Ÿ œ—™ —œ ‘‘ ”™ ”—••.  œ™™Ÿ 

 ””œž• : _________________________________________________

””: ___________________________

 ž›– ””œž• ____________________________

ž• ””œž• ________________________________

‘. ”œž•™• ‘—•ž™ —™: (  œ™™Ÿ  ” ž• •ž›– ””œž• ).

______________________________________________________________________________________________________________________________

™š:______________________ —™ž”:_______________________________