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SERVER5\973FDE\973FDE(2)A 131<br />
131<br />
ANNEXURE 'B'<br />
INDIRA GANDHI OFFICIAL LANGUAGE AWARD SCHEME FOR THE YEAR 2004-05<br />
FOR WRITING ORIGINAL BOOKS IN HINDI<br />
(i) Name of the Author ...................................................<br />
(ii) Designation/Former Designation.....................................................<br />
(iii) Name of Office/Former Office & Address.............................................<br />
(iv) Name of Concerned Ministry/Department..............................................................<br />
(v) Full Mailing Address of the Author (Including Pin Code):.....................................<br />
(vi) Phone No. with STD Code/Fax: ....................................................<br />
2. TITLE OF THE BOOK............................................................<br />
3. SUBJECT MATTER OF THE BOOK...........................................................<br />
4. NAME & ADDRESS OF THE PUBLISHER..............................................................<br />
5. YEAR OF PUBLICATION...............................................................................<br />
6. DATE ON WHICH THE WRITING WORK WAS CONCLUDED (MONTH-YEAR)..............................<br />
7. I _____________________ Son/Daughter of Sh. _____________________ have been working as<br />
(designation) in the Office of _____________________ during 01 April, 2004 to 31 March, 2005 *OR have retired<br />
as_____________________(designation) on _____________________ (date of retirement) from the Office of<br />
_____________________ hereby certify that,—<br />
(1) The book is my original work and does not violate the copyrights of any other author under the copywrite<br />
act as amended, 1997.<br />
(2) The said book has been written or published during ............................. (month & year) to ............... (month &<br />
year)<br />
(3) The subject of my said book is connected with my official work done/being done by me.<br />
Dated: Signature of The Author................................<br />
(*Strike out, which is not applicable)
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