'ffiq +€ + w+fa sm gm*

ilrq glrfli(fr{r sr*Qme)+ isur

fu qm. *ci6$.z-zz-fu

rrva / sr ft. Q. frdri, frcis

30-05-2001."

{*+<r,ci6

fu

1lsillEt

(wqrsrnur)

urk*,n t rrorRril

a;qifi rso l

wgt, frr*n, frqim :r BFt€ 2020 -

l{t-(tt-( e, q1q 1942

{TII{TET YqIRr.I f{t{FT

rtil'frq, {drff qEFt, qtfltrqgt !tr{drrTt

wa rin, frcis 3 I srr€t 2o2o

xuiqqq rz-slzors/qm-r:. -u*erEtro+dlrrr&qerfuc,

2611 lsqi{z:wlzorr)fiunr sfisq-qnr (r)

anrr<anffi+ffiriaraEq, rrqvr*n,1tr{enr, ufu *s+{rnt* ten*<t, erfi-daErqffFrqw granl ftrre, zot t

i Frqftfua {silsq6{d €, eufq: -

{sfrE{

srFrqcltnqd+,-

yq* r * ern qr, ffifua vfutqtfua ftqI Hrn, slqfq: -

779

780

B*qrc{qq{, frai6 3t srrkl2o2o

'yq* 3

(fuqrz?M)

rr{ftBa srftrort + q,rqkq i {qlftd ff qli srd q* EI vq:I

qslftEaerfu6rt*Elqfaqq,Iqlc

cr€.......................... s{

uderd * rrqqrd t <m t aw wtwgun,

6ffima f{€, qfu{.

wa+T t, frqi6 31 sptkl 2o2o

xui5 q6 fi - s I zorc lw- 1 3.- r{Kd * {frqn + srg& rlt * que (3) + ergwul i ge frqFI ff srfoqfir

xciscs rz-s/zorsArd-rr,fr<io 3t-8-2020inrdMwgsrE{qqrd *slfuq,Reqd{dnrr*rRnfrqqmt.

u*w * rrwqa * are Q aur ontwgun,

q.f,f,frd fti€, {tP{c.

I Nagar, the 3 I st August 2020

NOTIFICANON

No. F 17-5120lgll-13.- In exercise of powers conferred by sub-section (l) of Section 9 ofthe Chhattisgarh

Lok Sewa GuaranteeAct, 20ll (No. 23 of 2011),the State Government, hereby, makes the following amendment in the

Chhattisgarh Lok Sewa Guarantee (Avedan, Appeal tatha Parivyaya ka Bhugtan) Niyam, 20 I I , namely :-

AMENDMENT

In Form ofthe said rules,-

For Form 3, the following shall be substituted, namely :-

{I. if,.

(1)

,rr+{6

ifliTTIT

wqat

12)

eEr,ffi

ffie{r+ff

furwrt

(3)

q&i

dfd/

ffi{a

(4)

srrt€

urfu

ffarfr€

(s)

frfra

ff.ri

qm{ftcr

ffsiftrc

iTrtq

(6)

Q-erraq

ffivr+

ffdrt€

l7)

qfrc

srftr*.r$

eRrqrftd

sflasrff

drfusi

fu+tgl

(E)"

u*g{E ttqrd, frHi{ 3l sFrR 2o2o

7Eo (r)

.TORM3

(Seerule l7)

Form of register to be maintained in the office of desigrated Officer

Name ofthe office ofthe desigratedOfficer.......

Month ...................... Yem...

S.No.

Name and

address of

applicant

Services for

which the

application

is given

Application

allowed/

dis-allowed

Date of

receip of

application

Last date

of the

stipulated

timelimit

Date of

providing

service

Date and

details of

the order

passed

by the

Competent

Officer

(l)

Q)

(3)

(4)

(s)

(o

a

(8)'

By order dnd in the name of the Govemor of Chhattisgarh,

KAMALPREET SINGH, SecretarY.

{zrr*,groraurtgcEr{fi,s*s{qamvrvffugrorm,TEIlIqgt€retrTrRigpnaenr*rka- zozo.