TE %o <o Udo-33004/99

96 · GI/2018

11 · fdTTT848 tIQH3TR Ferojt 3TTITT T fecat 12. Aaga , 3l} Tr G Ara #IZr@ Wi f4t 3346 jaf

13 · Far1a V vT5y TNRTd fddant FETNV T7faeNTTT, Rrderal 14_ Adra Tev T F ~fhyt 4 FTrharu & f&V virTry OTF, afaTg 15. Aaga V 3112f4fea&1 fddsa 4 f&Q v1y 4iYI, dyaTaIT 16. Aaga V A1Ta #UIcre Tiv fduaall 3&47, 8rRTYT 17. Aara Tev RTYTy TTaTv wfrTU 31v 313UT7 PeTV, dw 18. Aaga5 VR4 & #TU1a 8YTHNY #Zcre Wv fibfoldat 8da1, T8f fraaflt 19. VI4a, V HRr fafar 313H17 4ya 20. 7ym Tfaq VTa faaTF vfardoru fd1T, tufavu H4F, vluflamt daqv, 7f fcaft 21. Aaga vqit; fraT Vrfddoru faTIT, Tufaru HT4, vloflam wIq, Tf feaalt Fffat f4d1ef f44 AFafrmt & _ fqr4s1 Tffat 4f (i) fAfN fraif 4 4oyid-1 3k THTIF 4 f&iQ fderAm fari-fdgif WHtatt (ii) fRajNfFF 3fedR fdeya, 2014 4 gerefya #1 T 7 fraiai # Haian # faig fi-fqvt 41 Afraat #rT 3 THTITF & wf9ut (iii) vezi & 784 raf&l YHTUF 4 FatH 4rfaryi &r7T | VAfa f&v 314 We4 &1 Fe4foTat 7r papdfl & | MfAfa &1 dadh 3878 &1 gfdu 313R f&veil 4 31rifoTd 4 siff | &v / & vafea Wa- ZTT 87 f44t UTTT | WfAfa 34 Rrylz 6 T1 & #f WmT drifl /

8120 · 8cd 41 &4 Tr 90 wfaria & 1 8121 * d1uicFq TT8TT 9437 wiajef &fA, #dTMT 8FA 31 Tu &F 4 19 # @7t 9 v1 & | 1.3.2 4437 vaef} Ha17 4 RTT 4637 31 & Fr 30 YAgatT & | 34 %ifa & wfre 4fargTat

3 · &di} 51a &aft

44 · ToTqrt 20% (ii) fya dat 10% 87121 4 "frh &1 Wetut 82 ~THA #zr T A4fa ffe (1as Tafa) ERT fa4 GTT af80 | 3fe4f8a galf (T / 7il 3aifa) & #U WJU 34/ vAT (OU1TTR 7d 34/ D1v) 4 #rfln drat @ii &1 10% 31feHTITT Mr} & | 848 vflT &1 &4 &v7 & f&TV, 3fafr 31fe1a fTIJTR & Td 1"_ 71 3faf7h 344NIT T

1 · 3.5.

2 · 1.3.

4 · vfazfael dFur

3 · 4

2 · 1.4_

2 · 2

2 · 3_

7 · vr (VT4f & FreT 714 37 7 8784) (d1 & FTgt 8ey) 8c71 (41 4 7et %8T FT 8ray)

3 · 1. #G 4 83 4 7it 4 faga & #RU 84 dralt vert %Td 3fA, qy # Taa Wadft &, J3 4 33 w vau # MN f& T WHT W3 &1 f~aT MHTUFF & fr TTT4 f~rf dvit & 313R RH &1 TH 7av |

3 · 2 J 4 83 & vau # verrh %NRd =fA & Tr 4 fuf4 f141 TNT wi0 |

7464 · &ar

7 · & 8 3 vag 4 @qnvt 4 4fTr?TTT 8F 4 & 3TT7 didr31 4 25% 4 31f4m vtl-- 4 ~T2T 20% 4 Tai 4 &1 xrflan 7, ~FrT Ts 4 Hrflan, FEqF T7 t8]d &_TTR HTG Ta7 & HiT vfea FMF f4T4 / vav & R3uralfolda1 FTqat FTgT MIfzr 4d 3eM VTTT & FT2T 4T, &18verrdl Fizr 4 vaa 4ad- T 109 ~ferlalfolaal feaiaraat 3feTT 4 HT2T TTR * 1 25% vR f4reTt- frAT f~x} 3afe1E Tir 4 #ad} #flami w VT4V & TT?TTT 10% VTTF & fTT 4f34 v 3T8 77 VTT- & 712- 344frt &f 3r TTTR 3r1 <8 15%

41 · dahaa 7Y1T W4qr

1 · # 5

6 · w 9

10 · w 19

20 · 29

30 · # 39

40 · H 60

126 · fmft q 31f9w

4 · 4.

4 · 84freTa & m <alfeTuTT q1 fa1feTIRT a1at @ffb 31 dfeuNfz #lrr3T & fag Tayia7t f4 GTT aie0 vaifeat &r & Ta farfAztgm # vafelat wirat 4 ~af Taii7 # 3TJHR #f4feim vRaT & 313R 3ffam Hcrd ForT 41 wataat & fut UTTT 8 1

4 · 5.

10 · 15 20

40 · H 31fe3 31 W 40 21 W 30 11 W # 20 5 # 10 5 T 37

5 · 10 15 20 25

1 · 5 #.#. d6

1 · 6

3 · 0 #.A

3 · 1

5 · 0 #.A

5 · 1 Q &4

150 · F 31f935

4 · 8_

4 · 9_

5 · 1_

5 · 2-

34 · 3T grrger =

34 · 31 qZrV #T F

1 · 2. 3_ 4. 5_ 6_ 7. 8 10. 11. 12. 13

5 · 3_

1 · . 2. 3_ 4 5. 6. 7. 8_ 9 10. 11. 12. 13_ 14.

8 · ddrar 184 TEvfeTTTRN V8 & &4 1/3 <4 <T WART (837 & B4_ u9 & #4 1/3 & B4 ZTT WFRT 3 9 Q ~T fefarat 3 74 354 1/3 9r d3 <mT Refayat 4 +4 44 1/3 W d 27 4F Arut F84 Tm (Z_HcTzHa ulst & F w Frn 44T+T) 31T & 7w (HeTa GTT 3 ~ Tm 3e) 4 Ftf 3eTyj uaaft &aft t1 JWwN TT 3att t1 Joyn dfh &aft 41 JovN

16 ·

17 ·

6 · 1. a1iarm 154 Q TTI 3134ret 311 #frui f&1 TT vrarr v grlly & 3 $vt UTTTT Qer7 & 554 F 7FTT GT TTa 8 | aralifd, *8 HTal # Vrer d1 PT?T87 8o F4 3T f+r &v7 & f& 314343 & |

6 · 2 sfalg fibal 38414 4 fv - 'vryfey 4 Hrall 4 ddladf 4 Toyi- 4 flg ~FI frfdvi 4 31TER 31342T 3T 4 #h &1 Hauidv f941 MIT 7ifar |

85 · %

75 · %

65 · %

60 · %

55 · %

0 · 5

1 · 5 2 2.5 3 3.5

4 · 5 5 5.5 6

2 · 3

10 · - 39%

40 · - 50%

18 · THE GAZETTE OF INDIA EXTRAORDINARY [PART II-SEC. 3(ii)] 3Ta5 3FRTTT 4 TffaruT quTatlt TRastz 12 fddT & Tadt g T8Ta rq F2TTT 3 T1u fazoa7 3 uITTH 31 # ~rfat & | rlT 3 qiffaorur Wr 3111at TRabIz 31124ft2f} # &f 4 wfargt AT 9aR &

10 · 2 4 Trfagfd RTET *4a &-iy 3 3dlcr Fly dfr1dT &a & f& & rr f0 "T Fba & |

10 · 3. AF Aicv MTy dlf141, HIeT fddR (2T 317 TTfarya 4feifaryi & Aufu & fC 8Yrlaat qg1T Tauidn Tefa &1 Wri f4r1 TTTQTTT |

10 · 4. VTAPT: MATUTT & xrll7 & fa fdvl YTT 31 Tny Agfu, R & YRAT 817 & &: TN & TgaM 941 MTTT 48, 7efy 84y*at TT4 3Taf8 31 ffgau TTHa 31 Tayian &17 d1a fafio E1T f441 uTQTT (T21T MATO_W3 4 TNG 14f817 4 fav T 33R WHTU_43 & gafdaila- & fIRrt #rvT |

10 · 5. Tevl # PrYaA 4Refa 4 ?INRa 44 41 da WarTT 100 wfara v 3fed 7 8 |

10 · 6. fAfstat TITT # 31fe<F 3141 T faar f44 TIQTTT | Ryqmt Tial TTETTT Q ~T9 3id1 &1 vilyt UTTT m + W (90_w) / 90 10.7 . YF 30/ 3Tu1T &1 %IfT &+ & f& 379 10 Yf?I 4 &1ffdmT d stuff # vrt u1Q |

10 · 8.10 4fargat do 31 31fafa Ta FRd 3TTT 4 Vd~FTdTTT 41 a4 & fa 9TT T4q GT FFaT 8, 13 FFM ?INRa Z 100 "fa?a # 3fe4 T &1 |

4T · quTd} feaiaT

11 · MHTATT 11.1 vi4fafafa rfat 313J41Y (w3Rwv) TTTTYT: AARrTtT 312T4T FTHTa faaaIT 3 3174 TRui # tfa @fruf 4 #f raifafeyj 4 37145 ffralt 32a1 fraat 4 f&i & TTYA &1 HIHZ& & |

40 · 4farrTat

40 · 4fa?a

50 · ufa?Tat

51 · WTarTat R 60 4farerat

61 · 4fargat

80 · qfagTa

80 · 4fa?a

317 · Frg fraat 12.1. vdd &q & Hn

12 · 2. ~df $ TRT &l wfecaT feaiaT al ufedl "ITRa *4} HEH (r24 / fbaar) 25 faT?Ta HTETRuT (3aT4a147) 50 wfaT?Ta T87 (31TH 4 TaT_&at Wy TIf 75 Magat 31f TR7 (Ia / TIR 9rIgT 100 Yfaeat 12.3. gafdvur (id4i} 3121a1 TTRTd) T2fq4T + TEaT 7e11sf %NI& #fat &1 % 7ExF (uia W 31f511aT) 40 wag1at 37

60 · YFaT?TaT

60 · wfaTgTat

20 · THE GAZETTE OF INDIA EXTRAORDINARY [PART II-SEC. 3(ii)] 13.2 Tr3TI d1a @7t # Mar8 31 89y4aT 31 3TqM1UT , ~ifaTda1 d1Rfba31 314 ~Ts-Tal&13 $4 (erfgHTH TH311;) viftry 4 fai& 3aRfely HIapt ERT yrifaba HIaapa ~mfeiaa viq ETT f4q GT PTT 8 | FRNa && #faryf d1al @fa vrr (3TAfo7t F1Ga 51 (iQrm) &a 4A14 4 31FR sxufilaea f&8 81 gxarfg &fat 4un4: 9' {H4-{v5 && # &15 HIv 312141 va& &T4 Vfett T wr T 8 | 31qf 74& f~9 PTJT7 Tr H 44 &15 Fizv)&T4 yfaat Ta PrT THT Tg T4-(F5 squf1 SA gifat 8 1 (3v4-{s q 8071 Qf 312T4T HTTal 31 312T4T T87 T4T vdav) = 31quf Hicr &T4 Fly 77 F # 44 4 311faT & 7211 FTy 77 F # #4 1* H74RT4T 4 3re w4 31fe1d5 HiYfri stuff< 3 (ejuff} 0-2)at / 31quf Alar #1 Praa FR v 34 4 31Rfat & 721 FI 7 F W #4 3y Hi4rTYT 4 44 # 44 31} (3TTHT 3eT41 3fed5) # HFdf?1Gi sf > 3 & / TTTTQ q VdaFTaTTIt 3t2T4T Fzr T1 31 31157KTI3TTS V Teu 313R pF sxfuTy # VTHT & 72T vfl # Tad v <8 &H &, d T3TTK sj*fl < 3 | Trl3tnf d fdT &1f afm varsv stuf} 91* T dvat

13 · 3. mrtaivf afdn frat 4ouid- #k rrjoffaorot TY & f&Q QR Fq AcTTd s1fur # # va # diffaza s1 |

75 · "Taga <3 40 4TT-Ta

60 · TFagTa d6

14 · 1. 4fhTHT '31FGI 311957uT @feT" QT3TF1 341 &v & VHM &f 317 #a1 Taref 1a+ & dg YER 3 TRu fafya &14 dTaT @fdt 3fdat & | 14.2. 3TFGT 31T357UT 4 &Tu RNTYAa 154 v Ta UTTT & YIaT & 314817 W 3TF1 7wr7 YTTTT &ratt & 3a TRU 31of-V %NIRa fdgfat &1 Wadi} & | 3TFI 31qU & fafybvly q1 5T4: a1a &la & | 3FI 3119741 # wylt f4q THT 3TFCT , vffed 3TFCT , dTYf-1&5 3TT, 7blf435 3TFAT , TRfAa 3TT , 7awya 3TFCT , 311d-ieia5 3TFT , WNlfed 31a1 31f8 &1 Wad & 3N 4 TNT, 31F & rfHsu 7tt Wr # Hfa_Hifat 3FT &1 7T5 377 31T4T A1p4 & & VTHf} # frfaa & 4 f1y T VF4 W fTv &rdfl & | 3TFT ~41 &, Ta1 & #4 & Tt T2 95 TTalt 4 d1 41 89 &1 ddat 1 T &v &1 & |

317 · (a14 <uf)

4a · TadT

9a · 3TT4uT fadR

4 · T87 FT7 31T4T 4etT 8TRWT 32T4T Yf &1 fpf

15 ·

40 · "fargat W &4 31av 312T4T a8r Aa YN 9 pTF2f T21T FETHTT 3 faT vilfeq d MNT |

40 · 4 50 WfagTat Rfait 31 VETYTT F vlfeq 7 WN # rref F

79 · "fag1at

30 · 4fT?TaT

40 · 4fagat

55 · 4fTT?Tat

70 · 4fT?at

16 · 3. 82 &a t & vaq via & f&8, Ta 47 & 7 w 8675 Fgf (aT &1 31143rd7 313HR Fvf #w) fg 4 ur} & 1 16.4 TTua vdam 4 &4 4 viq & f& 71V 158f & 3ts 31 f&71 Tr 8 35 vgf fT? 4 G1 & 1 % % 7 f441 u1C f4 3 &T %yd7T VTHR & 312T4T Te | 16.5. HNYfrT4 gfdd 4 uid dlfdall Afeda1 fd 4fTa, &7 Fobal & 31MHR tvral Td Vd @fet ET VTHTd: vid 4 Tl wuTral} ETT 4 uT sgwg (&d, 811, tv) #< wa TN & T4 & 1 UoqTR Fblv, 3f84 f~aTT 3e474 stvavt Flv 12 wiifa & | savg FR 0-1 814 Yr fraat 20 "ar 7 s7QG vaR 2-3 814 Wv fraiTT 20 40 "aga (Tq sfwgr vr 4-5 84 Tr feait 41 # 60 wfagat sragg Fl 6-7 614 T fraat 61 70 TFa?T (Tq spa5 vr 8-9 87 Tv fait 71 # 80 Wfarit 6 sragg Fl 10-11 &4 Tv fraiat 81 1 90 w?I 6 svrvs 4aTr 12 ? 31f84 817 T friT 91 F 100 "fag1at T | 16.6. B4 4HTATTT (3fudrR ~T4T E121) dra 84a1fRa @fadt &1 10 "fAgiat 3ffrazt Taca f&rt TNTTT a rerd} %NIRw &4 fraTT 4 wfargaIT 100 Mta # 3f0d 7 81 | %* 8qaia a # <5 wT # q?iTa af7 4 31143471 3241 3ru1 87 W, %5 & & faR # & 4d &1r Ha & % RTazailt & / &< <:

4 · Wz 10 sa

4 · @2 9 34

4 · W2 8 3q

4 · 5 7 sq 4 5 6 sq

4 · Wz 5 sq

4 · $ 4 3a

4 · Wz 3 sa

4 · 5 2 sq

4 · $ 1 34

4 · W2

3 · wz 11 34

3 · wz 10 34

3 · Wz 9 sq

3 · Wz 8 34

3 · w 7 sq 3 51 6 34

3 · Wz 5 ;

3 · v 4 37 3 51 3 34

3 · Wz 2 sq

3 · w 1 sq

3 · Wz

2 · $z 11 34

2 · wz 10 34

2 · Wz 9 sq

19 · 1. YHNAT: jfr Tg

19 · 3

3 · / 60 34 YaT?T_ai8 T81 6 / 60 W 34 3 / 60 dF

6 · / 60 T #4 v 3 / 60 70% 312T4T frerT 3 47 31F_TP 10 fmf d6 20 W d4 j4 &7 3 / 60 Q 34 Q T1 80% YaT?T_ai8 T81 6 / 60 Q 34 W 1 / 60 6 / 60 Q 34 w &1v 9ab1gT 90% 312T9T ai8 Ta ferT 73 47 3 31F_TP 10 femf F T7 92 43 w4a VHTY taa t4a VaQTHT 8T waa 100% 9dTgTaT8, d1sf YdTgTaie 9T?T 718, 415f 9TT?T 718

1 · 6/6 to %o 10 % 10 % 10 % 20 % 30 % 30 % 30 % 0 6/18 6/24 10 % 40 % 40 % 40 % 50 % 60 % 60 % 60 % 4 T 6/36 10 % 40 40 % 40 % 50 % 60 60 60 E 6/60 10 % 40 % 40 40 % 50 % 60 60 60 { 3/60 20 % 50 % 50 % 50 % 70 % 80 % 80 % 80 % 4 2/60 30 % 60 60 60 % 80 90 % 90 % 90 % 2 1/60 30 % 60 %| 60 80 % 90 % 90 % 90 % gaqmlgr 30 % 60 60 % 80 % 90 90 % 100 % dva- da}_ :} &i a8 3r & I _ d4l a& T 3& & | f fraiat <1l7l aiq} & far tfr fag"aT & 31z1Y aq & @Rr fafad # W 8 /

40 · %

50 · %

60 · %

2 · <20" to 2 10S <10S

50 · %

70 · %

80 · %

80 · %

100 · %

19 · 4. faf&HT giferaorut ff471 %ifedr"r # @ ` wI f9g4s1 %fat 8TT 3 fraiat MATOTTA fafaaT 3ff8a 4T 3ag fafabt 31fea1 41 ffaa Tf- 4 rGy pTT gTT wiferga f&vl FTTgar wifedT ERT wfeRTRa 8T |

20 · 1. 4HT4T

20 · 2.1. Q #J47 gar #1 4HTTF (gflal)

3 · # 5 q & 31y Tf & Tzdi # wla T1 4H14T &f87 & Faa & Qt HTHali 4, @rr7 wRel7 3lifavj2h / fyaa Rr-yp]HHlz 3if8riq} (darv) viv @r4T MTT afv frr 31k ga Toai 4 qrila & 31HI 4 frQ qd3R 4T 3f3r141 aI& Fez fyN (QT3TR) va 31 TF?f fu GTT 8 1

20 · 2.2 squT feaiaT + 4fa?aT + TITTT

500 · €u, 1000 &u, 2000 &&ul, 4000 €&u & f& & TT7 3k d1 TT 4 3hTGT 4 3T7TTT TOTT dr (uTd #f fabfl 39f 41 &ffH # &13 wfalfaba 78 & 8 m, 374 95 &d HTAT "TTaT 8 1

8 · 9 10 11 12 13 1s 16 17 18 19 20 21 22 23 24 25 26 27 40

20 · 2.3. squ fraTTaT 4 gfarTat sTquT feaiaT * 4fTr?Tat

20 · 3.1. 4HrYT :"31fa14 Va 4T4T faiaT"' # dd va Pryfad trujt 31fd1d &d H19T & Qd 41 Qd + 3f8d Tzdbl &1 qifaat &r+ draft alfrilaeli 4T TTRT4T oh} 4feTy & TpT 8TYT 8+ dat pert fraiTaT 31f4dat & |

20 · 3.2. HTY" *2al 41 ynifad &v ard} 4fierfrryi frNTT5)f&C HIUT feaaT 4HTUT 47 GN fut MT Vaat & |

20 · 3.3

3 · 4

5 · 6 7

20 · 4.1. HI} 8zal #1 gifdd &+ drcf}fexfrrui, @NHa})fr HTHT feaaT YHNUT_W3 "r f341 GT VTat & paly

20 · 4.2 HTQT Tfeutr

98 · 9

97 · 8

96 · 8

95 · 7

94 · 6

93 · 6

92 · 5

91 · 4

90 · 4

89 · 3

88 · 2

87 · 2

86 · 1

85 · 0

84 · 0

82 · 9

81 · 8

80 · 8

79 · 7

78 · 6

77 · 6

76 · 5

75 · 4

74 · 4

73 · 3

72 · 2

71 · 2

70 · 1

69 · 0

68 · 0

66 · 9

65 · 8

64 · 8

63 · 7

62 · 6

61 · 6

60 · 5

59 · 4

58 · 4

57 · 3

56 · 2

55 · 2

54 · 1

53 · 0

52 · 0

50 · 9

49 · 8

48 · 8

47 · 7

46 · 6

45 · 6

44 · 5

43 · 4

42 · 4

41 · 3

40 · 0

39 · 2

38 · 1

37 · 1

36 · 0

34 · 9

33 · 9

32 · 8

31 · 7

30 · 7

29 · 6

28 · 5

27 ·

26 · 4

25 · 3

24 · 3

23 · 2

22 · 1

21 · 1

18 · 9

17 · 9

16 · 8

15 · 7

14 · 7

13 · 6

12 · 5

11 · 5

10 · 4

09 · 3

8 · 3

07 · 2

06 · 1

05 · 1

4 · 0

2 · 9

1 · 9

0 · 8

00 · 0

00 · 0

00 · 0

00 · 0

00 · 0

00 · 0

20 · 4.4. fafaTt uiferarot sTquT fraTal, 3fa1d5 31k 4T14T fraa YAoflavot qyT 3 f&v fafaaht 31efl81w5 312TaT T ffdN 31fed1 312141 ffact Ful- 32Ta1 vTur PTr ETT 31fe14a 31 &15f vFa8 wifeldR fafaNT wifetabrur "HflapruT &T 31848 8TTTT fafaTHT wfeaorut 9HTflazrur # gIfTT Rv:

21 · df3r fra-at 21.1. 4RHTYT dlfed fail, dlfey T1u (df , sITT, TTT AdRu) 3 33arily ~TER fonTH wfafav & HTHoTT 3 T4FAD sf 4 dva %fa &, <n & 4 vefd 4F 4 feat &T 9faa & | 21.2 vid: ; # &ga # Toat &1 fddT fdaIR # 84 4 TRU, 4 #f TTRT fafdrTa 4 vid Tr 8 | 3;, 37 w 4 FRT , VT 5TTaIT 32fat sTqu / afee / Tafaqrg ETT /fRm 31 3113T 31 wiq T1av fafaavdbt ERT #rdT UT Vadl} & | 7efy 4 daq favqa AAufvu & flQ vafila f5 Uld 8 | (&1afa_1 419) 1 21.3. vi ffy: via fv T 37 Toat &1 1Tw5 313aaly T1 31134Y Wlaju & f&iv dral / Tarfd Trdsfrat t1 vafifa f94 TIQTT | 3d5 fa 8vf} Yaroj # $78 gTifaT 1441 GT paat & (i) 3zeally #1: dQFQT (ii) 311844 Tau: _ dad} / <Bfr1sfri 84 3Ydruli & 3118TR Q a vi f yfafaa f441 UTTTTT 3zally #T fufvu 31TER q palt 4 dqa 311 afdrTa fraiTaT 41 uHfTdd 41 vff | 21.4. faaiaT TUTAI: dQQHQ 3ia1 & 3TETR Q franiTT &1 TTT 4 vf} fraT TUNT & fa FF &T 94TT f44 GNTT=

21 · 5. yrpf)arr 3 far 3ry: qqfldvu 4 fr TTM 3113 Vd (01) d Yv vavff | 4f2aa fadTW fdTF Gl&& & TRU 1 4d # 3fed 3 5 4d 4 31y 7 4 Tzai 4T vi Fufy 14541 %1TT | 21.6. fafaH yiferdr: fafabv 3ef8d 32T41 3y fafd 3fed1 3121a41 Rifdat FT- 312a1 rG& PTr ETT afeaa 317 4 4Tga4 rifear fafi &3 &1 3874 s11 37 yrfeazru 4 fFfafga %fat v8v:_ (&) fafdbT 31eflea 31241 3q fafibHT 3fe4T 3121a1 Rfda Fof- 3241 vTu4 TTr ETT 3fedd 3R 415 vFgar uifelaRI | aTa () fafabna 312Ta1 aTal fafaH ~lalfon (oTai UYalar) / TkT fafdnHo 312T9T fyfoferu (ufe 311y 18 q 4 31f4 8) 1 () faaf oat 312T41 9Tar TTsIAa (&) TFRTT f4f37135 21.7 . YHT_W3 * fafeTraT: (i) 5 dy F &4 31y @ dodif & f&y 31eTrl WHT_5A: MrjU_53 31fead4 3 d4 / 5 dy 41 3r9 7w (74 7 # %aa 81) / (ii) 5 d v BW & 3y $ dodi & f&Q: WATU W7 # 31y & Tdldru @1 &oaT 8TTT | YAT_W3 31 5 7, 10 q 3k 18 qf 4 31y W Tdaru TraTTT TTT 18 qof 4 319 W UR f&r T4T YHT_43 oild-44m fafetr 8T |

22 · 2.

5 · j v 44 3119 T % ddi & 31eT YHTU_W3

5 · &4, 10 9 311 18 - & 31y W 97: WHoflaru

31344 · 85 # 44 & & Tga 4 flg fafrTe Tlaut

3M · fraiara vfea, 4 & Wf

14 · dr 31 18 d4 &1 3ry W T7: WHpflau

23 · 1. 4RHTHT: 'TNRG TorTaT" # drYd & F-3, T7av Av 8jdaru 3241 Pa t1 Qyfut *4 # fATRT 84, " f4 ff244, @dER, anafaaa & Wam 4 8FTT 312T41 fildV & PTER" A & Yaf 4 4TaT VTTTQ 4 &fa &, WJ S4 FNV tadt %ifAG Tf & u f4 wfmt & 3T4h8 312Td1 38T? FATTT & faa1 fefa & 3 fdg9T4T JTa & TIAC # &4 614 4 ETT Tffaea 31 T & 23.2. 421T 374f8TTT, Wetu wfabq & gzat 4 %1fia & 3efar AaTfAd fAefru, 31 dsvor 4ATT 31 / 312Ta1 311f44 fAetfvut 23.3_ TNNTT F # f&i #Raly f~aiT 1oio7 3 Hay fufvu 4ATT (3esrw) 9TTF (34n* 4) wut f441 TTT & 23.4. 38 Tnalt 4, Tei geT ~l # Wrde & 312T41 f~v1 #RU 3faRfaa JfeTaT Horid- 34f8a & d8i TNaza 3144 Tleu TraT4T GT Vaat & 311a4 4 TUTT 4 slfirui 37 9er 8: (i) Hc TNNG feaNt: 50 4Y 69 71$ 41 HAT (Naa 311rf 4 Trletu) #& TNTa faat 7d & 1 (ii) FE4H TNRY frat: 3114Y 35 # 49 & v & 1 (iii) dila TN fraiat: 31T444 20 W 34 & MA 9 81 (iv) TAR TNG faiTT: % sf # 3FTY 20 F 44 817 & 3JTN 8 |

23 · 5. 14

23 · 6. HTFaI , TTsi TTTd ~dER fgifa # dd1 311544 41 31rdvrdat &, 4i ReaT 4 TFT TAIfUTaT 3v7 3 TaQ TNaha2M 311aY 4rlau 4 xr f441 viQIT

23 · 7 Arralt #, d4& { Wleut F 81w 759 F fai &T 3114417 T f441 GT Vasat & QwT af7t faaT TTTT & (w Yrlaur Q TT V v Rrat 312T41 VTHT TONT & Fr T 8 Vat & SF YaR 4 ATAalt 4 &7 & 31 4 3 311FesqKF 31 9qTT Taqt UTTTTT 31 3fed5 dlq ifd TffrayiT 31 TOTTT 3 313R 3 @faa &T1 feaat 4 TTMT 8- a80

24 · fafat gifefarot: f4famT 3efl8a5 , 312Ta1 H fafd 3fed1 312T41 ifdqt vof- 312T4T FTq PTT ETT 31feN4d 317 &15f FFgar wifeaT, fF & T7 Va 4f8a THruflaorur wfefabrut &T 3188 8TTTT: = A&1fAa AuRut & fr Tfafabava , 3115&4 Wajur d @are # fQ wifra Taidsf d

25 · 1

25 · 2. TvaalITH, 9fa7 vTT okft frvalfelo alrqT <r3m & dRu 817 drat TAgTN 3ferfyuN quralt PsFuT 3r T_FTHToTd @aeT 31 4 gifa Tra g8 T31ryrh RTT f~aqia 3 tR & 1 37 Rrerfary 8 faralaq TFAaT ~riRTf 4 T1UT g Tafatya fraiT @1 vafat fnraait 3 MRT (3Tjdu I[ & tv 10-10.8) & 3JR 1io7 f44 VTYTTT 3 33a8 IV & 31JHR 311J-vvr 31 Yui &rd g8

40 · THE GAZETTE OF INDIA EXTRAORDINARY ~VMHIfTd5 fraiat (HNfTd 75vuTaT) 31 Taquid7 f441 GTTRT | aq 37 F2ayf TUI; V V+d (90_v) /90 &T Tri &ra g8 4 uff /

25 · 3. dfT ~g1r 4fadH-ly & 3k <8u & 3113 4 MffUTaT # 49 T & ad FeTr dFdT #r1i YHIOTTT 3v+ 4m & 34faaH4 / YA: Y7: 3I &a+ daFmFaI 4 ve1l feaiat MAT_W7 TR f&u1 GT PToat & faflfar TTTai 4 qf& UNova 8 m, Vd dy & dTa faaT &1 TTaia- draTHT GT Vaat &

25 · 4.

25 · 5. fafa qiferdrut: f4f&TT 3efud 312Ta1 3y fafa 31fea1, ffdq Tol- 312Ta1 FGx FRTT ETT 3fea 3n &1vf vgar uifeaR, #4 f44 T4&T 31 Wau vfad Trruflavu uifefdrot T1 3t8q8 ETTT _

31144 · Tlau 4 T4eT & f&g wgrfea TFdSIIfAG (afd 312141 TTaT)

25 · 6.

25 · 7 . 34

25 · 8. HIaTI # uT, frafaa5 TFAT5T e1131f # #da1 31-4Y 4 3114g43dT 8, dai fraa& FR &1 MAIm &rA & frY HIaa2a 31f4Y Tlau 41 xyiit #r wif8v |

25 · 9. 38 ATTalt # &4 1a Tlaut 44 81d 159 4 frail &T 3113(T7 T f441 GT Vaat & QwT afat f4faa faaia TUNAT 4 Qd Wetut T TT 7 ?A Rrt 4 TONT & T T 3 Vaat & 0w ATaTT # 311a 3 311sf8svQrT ~7&T 94TT f441 TNTTT 31f84 dq fraiT da} TTOTNT 3v @fdt 4 fraiaT 71 TTAT 81m

26 · 1. WHTAT: varT fdaT 31 37NY Trg 8 _

26 · 3 fafa wiferdsrur paa faaT 3 TpT g+ fraia 3 TAjofazru 3v Haia- # fry fafabrt wrfetarur # fF %IfAa vay:_

8 · f9g1451 27_ ATdda dlfrTdT vit

27 · 1. 8AIf7 fdgalqu & fR 4 WUTTh4 4 - AwfAd5 <ui &1 8*allfa-4fert HuTT TTT & | 4 T7 3 s1fry & FFE # &

27 · 2

27 · 3TTHFdTT # 44 @fz f4g4 # & 4 3fe3 31 WFASUT &r1 UT Vabat &

28 · 1. M4: 8Afav & FTAT 4 Teala mifaat va 4T 98 HTall # & 312Ta1 Tallm sja % vfH7 311/ % frQ dlfet & Tga # 31Ri tr f9g 4ada E1T f441 UTTT & S 9cr 31 qdlgv # f 4ad- &1 W1u da17 4 Tad # TalefAd 3a1 & farg B vaifa- 'ReaT 4 6 frerfat &

28 · 2 8f7 fTT &1 Tf Te~q 31T4T arafrrg T8cq (3aTevurpef grdgr, vil, & tulna, $ 31k & 31a) 4 | sadql-fed 3k 754clurfiba Tah-d ETT Rrulat # MT TTTTTHT GT Vaat 8 |

29 · 1 flaal #lfrTa,T1 &TN (leh) & 3ifat 3oTT 31 4f1w 3<1f8TT frefa 4 <7 &1 <rdn Akaf}l Rabal dfr1aT <al @lfe1a1 dAR & ~u &1 Rjasat & |

29 · 2 8Au F Fat 312141 ATaal #feTaT 3TfA4T & TTU ~ih 3Hallfi4 + Trdu & 34TF fAsur & 37 f441 & RTaa #lfe1a51 3T-ffUr fady +4 # 37 < # 4R4T TTT & m Raat tlfe1d5T dHR (grdQ) 3 3TuT S14ofFTRTT 414 8vifoTTH (gadu / 80) ehifA4t # IT & 1

29 · 3 AafAd fraal dRIdaa 8c713if 3iiit 31 faburflat 7 RETT, #r, sTquT 4 &fat, 35-flfH4T, 831 PTT, T5581 vaef wfeviiti, cqa M DTa Te TIT; Ter 3lv T7dsifq FRR 41 TrIIT # 89T7 81 8 /

29 · 4 TTTT (414: dHR va7) , Rs4f41 @1 VchHuT v TEGT & MN wt} 3rdl 4 fao4at F 3q FART t4 8m & 3 $a &TU 31Rd & ArToat %14 T fu1 T4T 8 |

29 · 6 alallfeja 3TIIHRTRTT W faa t1fetaT du (B tnicrfy v <), 3wrfor Refa Q Vda T & | S PTF # M4: #R vad &T TTU & Ta 3fed 8d14 3k 314luTF &T 37 aa1a S1TT | 30_ Aiaaat WlrTTT drr & T 3q (3) Arahal dfrra1 / {adh &4: 9r4: HrTalt 154 4 #raoal dlfrraT aFN W Veda | Rlddba1 B gTrahfu1: Mr: #HR ved vaefl fd*TR # Hral Tla | () grdila tul1 312a1 vad3 31a 32T41 grdlaiga3Q wla 4 HreT TT RrTdoha1 Tlfr1a51 #4r qad &1 4nufa f9u1 | 31 f4aTIa friallfa- | 31. 8ralfa-ltfer 31 Tat TIIT 3t vT FTT: 8urg 5 &4 1 Raa saZ1AoIfTT ETT vafila TyTITIT 32a1 foTaIT fafabvTa4 # vrdt 314T17T 4 TR, VIRe4n Acnalnz fTN 312Ta1 7 fTN # T1r 4efly ~a f4534 Wu 4 FHRO w4 3NT w 3qaTat & 32.1. tafd rrdaru v& 4 fraiat 4 3f835 VF4 T6 Taa-sTT vedt & 3h sfa < VR 76 S TTHT GTRTT | 46 8T frrT vi & w, MRAT frerfat & V2T_vT2T, 34 Viac; BTdll # dlq tlgT & <4U, Falfd vaRrTF @TT, 311v MRdT d 19 & &NU dfl_7f 7 3IT g8 <& 4 vcTI, faai &1 #R" TTril & 1 32.2. JR Tla Tadit & f&l Tlaloa €4T 3 4FRf1F M+1afT # 3f1 Tryj + Tav 4 m4 &1 44 T4q1 8 WJ 1T #if Tod f#NTT gR (38.5 #m 312T41 101 [15 1 3f8d) & 32a1 / 1kv fFH rias4u & TR a8TUT (3ug TTT; Vr, frefyeI-, 3fmt tqu 4 &4, 8e8) &, 8T4T g fuhvu f44 TNTT aifav | 32.3. 7 48 {rIa I vf viftrrf # 311 &, v Jacrsfaifevt (8121_tv &u) & 14 # 9oz & vabdtt & dRoa-Rq < & 3t1f, 42, 31ia, Wferyt, 2rH, trdldsf3if8 4 4 *1 GT Vaat & | 4 T2Tof21 w Ydbru fdualy 4, #f vla- 3 f3bu1_da9 3TR PTTt FRTT 41 4nTITaT T wferae TTTTT 81 ffF 3e4 + 2d 31h fau1aa114 4 vA & #4 da # TraHal 817 4 yfe 4 & | RTaal ttfrraT 3@f4t TNT TR_TR (Wfaat d7 4 31f93 T 31 Mabrur) <~-1d5 HTTalt wfea Rdal d1f81aT 3@fA4T TTT rifu &1 vqv TR AF *4 T4 8 TR-TR 8& 72c+, YIRTYGR 7oIfT 31k dea1a dAm 1 883 $ T # <4 MA, fraT tla <4 4T tRu T & 3 ufd `u 4 &4 # (la & .8w ufcTa & v T--f+w &1 mda &v Vad & 1 Fa & # <& fdRu f44 TTTT * 3 31 T7QQ3T dr vfea 9N} # 3fm TTT & %fa &rT & 3 4e0 7q f 4 Gr Ted & d 317 ~a131f 4 fAsTT &1 # Yyi # TT & | 32.4 s1d} &1 dla Aisin (gfrgw) 48 JR 3 %aRT_YganT rqefl <ut ET f@frm T TATl dA1 8 m Br & YaFR? Ty3t # 17 %dgt traf & 1 fiv 4, Trk 914: W:vlfat &, M gaM_wgan 4 WUmF 3N4312T41 7 377 T #f A 8 Tadil & 1 MHRU Rdr RaR (312Ta1 @f_7 Fq7t #aR &1 fafAH4) RrTaal TTal @lfr1ar31 4 31341 &1 74 Trait & | 32.5 3TA1a 3k &f8Td 3afd 31TdTuT (earrfggrt) T& T @fa f444 4 Frdl &fa 3k fraiat &T 9jq rTTT 5IM viajef} & 3h 341GT 9 f& Tlasizr #fa 7 & | fafv1r VsITTFAG ~Tat #7 YA7o ai 31 TRU &, S T fdgi9 154 # MM &7 & 3 7yat vlf81d GYafay & falQ dRaR d51 T8qquf 81 Mdg # 3TTRE TrRt T Twdt 9, 419T 4 44, 91sf tf & 1 45 fdealy 31l dTera W VFYU 9 VFR4T 31 *1u 77 Pbat & | YAaH1a (vl} 3181G 4 dRur sat 8, MER 311 TT arferyi Twdj 4 -afarya #fa &1 #Ru & Wadt & | 4 8F TATr Rofa & 37 3 Y & rify @T Toyid7 3r 3df1 Tt 417 47 $ fair 8qR 47 &1 vafifat 3TT afev | tw v}, M 31T9Td, d31nQQ 311f& Q da 8, 83Ria gat SIYTR, (clah), TrzrTT vftTYa 2141415 , VAURUTTf 312T9T vfoT414T5 wfed TH3TR3TIs4 3114uaat :ft fady +54 7 $7 vfeaTdT3 v JFN d1at 3a1 Tzd & [IE & &1yd Wau- # Tac PYfTTaTd 84 34fa &

317 · uedarg

40 · %

37 · 4. gcflfrr < Aofy 3k TaN

3 · 3%

46 · THE GAZETTE OF INDIA EXTRAORDINARY aa afeR #T Houia7

0h · f4 FR 6 # <rfy1 T4T &, rabqu 3k 3fd cujf wfea #anelt} 2a 9jG | 0HT f& 8 & FR 7 # 3fe3 3 ~uji 4ed 8NT< IT 31R vfR TRfZ7 F 1000 {7vll / vhQa # 3fyd 31k salafey, vagwdl &lk vfled &RT fufa Tg 3jvt 4 fa46a |

38 · 1

40 · %

50 · %

60 · %

65 · %

70 · %

75 · %

79 · %

85 · %

38 · 2. vaq # _ T 7a ~4fAd via 3 PYTT?ITAIT Wlaur ERT ?TTahlfA4T Ty & v fufy 4 yfr &1 ur 8 oT f3 34d7t Ffraat f441 TYT & 311 vadl & TTTTTIR T4 &4 aefat 7 wfF % # &4 wfea 4a+ d1aTT Wapt T3t & 72T Tm # fta1 & 3k foNV vrd} & 10 # 8r T7N RrA & f& fft 154 # d8 3 uRhra redit 8 . 4 F Rraal WIT &1 Yagt f3 HT JTQTT 3k F4 d+ & PT2_v12T, Vht 31k %q df} fraat &} T1 drall W vfeaaa +1 grjauia f44 GTT oh f& &qv afufa f8541 T4T & 721T 8ZdTR 33 f84 TN ai80

39 · 1

87414T · TT_vafeat 8s UTTT ra faaT 2 oif3 #ljalz Wa2v VIII (Qe4VIII) (874fT4 & # ) 3211 IX (<1311gaRA) (@riferur & # ) & <4 & #RU # sat & | vaferm TJN TT 4 %Td1 & Ta # 4UTTHT5Y 44 &d "1 8 | 374f~4 +l_dla W 8 T1a Td 10000 ~i # 4 V # &r1 TIT 8 | 3aa4vQa @ difyd5 dfrad5 Fdetu Tr 311fRa 31a31 *8 <gifat & f4 fdr4 # 8445f141TT afr 4 3TJAG rio 400000 & 1

39 · 2 rarIT 3fafaryi

75 · vifry 4 %? va- 4 ra 78 817 8 |

37 · 8Aftf1T 4at Tiutt # U&T4 var T & Woat Gq 7w 37 W 31T9TT MT Foft

39 · 3. YHTOF 4 f& TTaTT

39 · 4. TRRTT 41H 9UFT?TTTTT

39 · 5. fraia w& fFITHR sf:_

0 · 01-0.053184

04 · dR &ila & (1a TR /T8-)

40 · T_fraiTat 40.1. 4RnT4T T-fa # 714 Afacc & 4 31f04 fraiTaram @ vyimt 3f49a & 1. 3F8TTT

3 · 3g rT;faat &faat

6 · aTTITT

7 · dlfaq feai

11 · dgswqu 12.fran1fa5 <fAa1 ~vn 13.fff86 f441 faat 14.8g-vopakIRT 15.3f1414 Vai H19T faaat 16.2~1fHT

17 · 8Aff4T

18 · Raaa t1fetaT RTT

19 · 3F 3a4u @fa

20 · 4ifavT "iT

40 · 2_

40 · 2.1. Trd Vahat faaT & f&Q UYuT f UN da fg1-fdgit &1 Wail TR # dsf frai d1a @7 4 Mryd fraTT & 314T7 & f&K 3YYTI f4541 UTQTTT |

40 · 2.2. TTYr71a &x faai 4 ga wfria Wr TAA 4 f&ig, G+9 (90_w) # #yoT F w1 844TT 1a4 UTT 90 "'&' 3wq WaT 8TTT 311 "r' T4 FoR 8T TTalifop, 31A4 fraiTTT 31 3fua74 %4 wfaria 100 WfargTat 4 3f83 T TT ai88 | 3eTER & f&, 4 stqu fa *T "aga 30 "aga & 3ik zfee fraat 20 wfaga &, a &4 fa8 TC FYF FF & TTI 4rd , T faia # %al WfavT 4 TuN AF YTR # & urft: _

30 · + 20(90 30) 90

40 · 2.3. &1 #9 3fed fraiaT &1 WATfOTaT &vA & f&C, Wcyd fraitaT 31 Taia7 f4u1 TIQIIT 31k fat & fil &3 & 3feNTd fdgirsif ETT 4 uf} Yd faTT 4 f& 9TUT 314 & 3TT8TR q, 378 VTNH 44 wfr W stoflaz f441 UQVTT | FF

78 · (v) & UIQIT (&5) feaia 9 TT & 8824 4 f&g 3 vi # & 1 x + =9O-XL =y 90 (faTT &1 Pabl 1, 2 3 3 = y)

31 · 4.3

90 · WfagTat

2 · 9 WfeTat 7 4 fww & qf &TT

3 · 9 WfeTat HRdly %f} 31 YuT7

4 · 9 wfaeat t8 & T2TT

5 · 9 4fTT-TTT RTZ / %af STTTTT

6 · 9 4fZeat 9N F ATT AITTRT

7 · 9 4fZeat 71 9r fTNT

8 · 9 TFaT?TT TzfA

9 · 9 Ygat <s, TRT, &t

8 · 31 (&a Tar 90 wfara)

30 · 4fgTat Tau 1 . 8TT3TT 3. f&q8 (8 wfargat) 7q. 4af 32q1 (5 wga) T dTT H8 4, TaTTTT PFM 3. g*9 2. 30 9faT?ia 37TT 30 4faga %fadt

311 · 4.3_

46 · 47 4 MAT (rfzq) 3 T & vAr (fzsw) ZW7 31 4 & T7 4 PAT (rfzq) d88 &1 FiYfI4 gfa 9-7 41 Tn4TRT gfazt TW- 31 t 3 #iATY g1TTa

40 · 70 %

20 · WT faat

1 · T 4.

3 · 4 5.

317 · dlt & QeT vd1 &+A & f&Q dla TTQ vagf & 712_vT2 fafa 311 T_Afd5 vag & VHFTAT 3r 7ia T &1 &TTT |

41 · & T W T1 & W TTt & T <t T 317 & m d @T drat 8? T1 &r dif} #f 3174 <li w fNA TTT # T d6 aml 1 &+, TN vr- 3 4HTT &r+ # v84 &? T & %Rl & #T9T 311 #TT 41 HId71TT &1 FTFHTTIT & th TgTE<, IAT, #I-T 31f | d & 1+ 3k f~A 4 f44t &? TT 3114 3H 3k 3f8d MMIfoId &1+ 4 f&g %ifea &va & ?

62 · THE GAZETTE OF INDIA EXTRAORDINARY [PART II-SEC. 3(ii)] V4; &, va fITT Tal< 9 <T pz 4eily ?7h VT (HH) va TTTT4 77h 043 YaTT TraT 81 3@q {54 nfr TTf4 3 FEx5 WfA4 & ATHaT 31 Tauia7 %r- & frQ 314244 gtlf4T # oidltl wjd 3lk riv &311vf 41 faf?Tc 3h AAcT & 31fed VETyd & | ifedaNTVC #To€ IedgaiIe4 (4Y Rfeq) y :Rdk & fiFi 7 Afif17 * oxft grdy 31fTUTTT dra s8 YE7NT JI 8 | 314 TR Tr 3RVHH 4 FIAFY FT 4 fdn1<T 817 4r 8ff24 (rf4T # g& &1 Fad 8 D m} 6 t3 & 4h # 4 yr 3rd.m 4 v 6 48 vu1H &T T TTTT7T: 4 MIATZ 154 # MIAN 4 8zq FT & G 6 d& TuTTH # WTTT f441 GT Vaat & 3TT ATIfAq c8uf & dT Wletur f&41 TT 8 | Hiayafeid via ~ij &al UY7 &r g8 3rq edra WinS< Twr 9a # 22lse (1 $ fza) Tn 58 Raal #lat dlaif- ((rdl) & f&g vad & 3gaTlata # JY # 3TT8R q 8F PT 34 TITTT aat} YZ;f v4 & 1q 4 8Y4l f4q1 UTTT & 4 87lfoT3TF 4T 8nof3n fefary & d4 3R T &xdl 8 1 qrdl3 3k qrdloft TTT TarflaT feqrat 8 q& 5a1ar1RT q qrdlw gaTtlat 8 1 YaWRTfA4T 31R 377 31HTFTQ aAalfan 31R 3rq vadlgr 3 d1U ga PTTTC; TTTT 8 S 8T 'y TTRTCFF T&TU' 3 WUTFT+Y THAAT Z & 7R T STATa f441 GTT a8r [ 8zq vadvs & TTT Ttetu 6 T 4 84 76 31fax-ily & a $v T Tdula Frr 4 far 3FAATaT T f341 GT Faat & Aasfait Zr T8 QrdT & 33R TTTT TaeTTTT ~rm arat 317 faaR # dQaQ fevaieri_QrdqvQv; vad / $ vadlga / Bo viR, qadgr B + gTa; Qadg [vadla; &1 % &1 & faQ Qd5 FRa dTfcHd Weu € / % Yfetut 77 3auTrur # 31dhf} 4 'Rafeit' Tr 3H1a & | qado & 3TTTTTT 85 W 377 scft FRTru & & # Rrasfeit 84T7 Tra & | veTHT ETT 4lA WRz7 A Hllaiat & f&x FR T, ArT T TgT7 4 fa 31T4T 4 Ferfat Auffrat @rTT Tardguf 81 PTdT 81 3rTT 4 di 31 tahilfuT 4 drdl 3 fJT 8AaIfAif & fTTIFTT q V_pe4l 3W 4 &4 &1 7efyat 37TT 3114943 8 VaaT & G &lalfa Hierrt &1 Tat PTat 81 e1ft # VTTT4 q 1 g8 3T4rTT 49T Ur & 3TYRT 4 #4 veifta &1+ & f& vR Wfz7 & TITHG Tr 1d TTT YHrd TridT & Rad Rayilgan vy fT &afat 3j91f 31 3TCTTT 37+ 3 far aafav 4 ~afeta 3rq Aur7 Tat 95142T4TH & 311HR T etaf4T 3 HIHT &AalfaryefH W1 Tl TN 4 f& Wul 4 G1 & 1

10 ·

15 ·

19 ·

20 ·

13 · 2_ 3_ 4_ 5_

90 · where a = higher value and b = lower value 13.1. HAND COMPONENT: a) Total value of hand component is 90% The functional impairment of hand is expressed as loss of prehension, loss of sensation and loss of strength: 1.3.2. Principles of evaluation of prehension: Total value of prehension is 309 It includes:

2 · 1.1. MOBILITY COMPONENT Total value of mobility component is 90% which includes range of movement (ROM) and muscle strength: 2.1.2. Principles of Evaluation of Range of Movement: a) The value of maximum range of movement in mobility component is 90% (b) Each of three joints i.e. hip, knee and foot-ankle component was earlier weighed equally 309, but functional evaluation in clinical practice indicates greater limitations imposed if major proximal or middle joints are involved and, therefore, the appropriate weightage is given to involvement of proximal and middle joints, as follows:

2 · 3

259 · O more compression of one or two adjacent vertebral bodies with 20% No involvement of posterior elements, No nerve root involvement; moderate Neck rigidity and persistent Soreness_ Posterior element damage with radiological evidence of moderate dislocation/subluxation including whiplash injury A) With fusion healed, No permanent motor Or sensory changes 10% B) Persistent pain with radiologically demonstrable instability. 25%

4 · Non Traumatic Lesions:

40 · to 60

3 · cm_ to 4 cm_

2 · cm_ to less than 3 cm

31 · to 40

21 · to 30

11 · to 20

5 · to 10

3 · 1-5.0 cm

5 · 1 and above

4 · 8. Torso Imbalance Plumb line dropped from external ear normally falls at ankle level:. The deviation from normal should be measured from ankle anterior joint line to the plumb line. Less than 5 cm in front of ankle 49

5 · to 10 cm in front of ankle

10 · t0 15 cm in front of ankle

80 · 75 70 65 60 55

10 ·

5 · 3

2 · 1

5 · 2 1

5 · 3. Lower Limb Amputations: No. Level of Lower Limb Amputation

12 · 13 14_

15 · 16. 17_

6 · Guidelines for Evaluation of Permanent Physical Impairment of Congenital deficiencies of the extremities Congenital limb deficiency simply means the partial or total absence of limb at birth These may be sporadic or syndromic. variety of limb classification systems have been used over the years. The current and accepted form of classification that has been adopted internationally since 1998 is the ISPO (International Society for Prosthetics and Orthotics) classification system_ Common examples of congenital limb deficiencies include congenital femoral deficiency, proximal focal femoral deficiency and congenital tibial deficiency in lower limb and congenital radial longitudinal deficiency (radial club hand) and congenital ulnar longitudinal deficiency in upper limb. TRANSVERSE DEFICIENCIES 6.1. Functionally congenital transverse limb deficiencies are comparable to acquired amputations and can be called synonymously as congenital amputation. However, in some cases revision of amputation is required to fit in a prosthesis. 6.2. The transverse limb deficiencies therefore should be assessed on basis of the guidelines applicable to the evaluation of PPI in cases of amputees as given in the preceding chapter: For example: PPI Transverse deficiency Rt: Arm complete (shoulder disarticulation) 90% Transverse deficiency at thigh complete (hip disarticulation) 909 Transverse deficiency Proximal Upper arm (Above elbow) 85% Transverse deficiency at lower thigh (Above knee, Lower 1/3) 80% Transverse deficiency forearm complete (elbow disarticulation) 759 Transverse deficiency lower forearm (Below Elbow) 659 Transverse deficiency carpal complete wrist disarticulation) 609 Transverse deficiency Metacarpal complete (Disarticulation through carpal bones) 55%

0 · 5

1 · 5

2 · 5

20 · 24 27

3 · 5

4 · 5

5 · 5

10 · 399

40 · 509

10 · 4. Normally any neurological assessment for the purpose of certification has to be done six months after the onset of disease; however; exact time period is to be decided by the Medical Doctor who is evaluating the case and has to recommend the review of certificate as given in the standard format of certificate. 10.5. Total percentage of physical impairment in any neurological condition shall not exceed 1009. 10.6. In mixed cases the highest score will be taken into consideration. The lower score will be added to it by the help of combining formula: a + b (90-a) _ 90 10.7. Additional rating of 10% will be given for involvement of dominant upper extremity. 10.8. Additional weightage up to 10% can be given for loss of sensation in each extremity but the total physical impairment should not exceed 100%. Motor System Disability 11. Stroke IL.1. The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered stroke or other causes of neurological disability. The scale runs from 0-6, running from perfect health without symptoms to death: 0 No symptoms_ 1 No significant disability. Able to carry out all usual activities, despite some symptoms_ 2 Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities_

3 · Moderate disability. Requires some help, but able to walk unassisted:

4 · Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted.

5 · - Severe disability. Requires constant nursing care and attention, bedridden, incontinent

6 · Dead.

12 · Other Neurological Disability 12.1. Extent of Sensory Deficit Anaesthesia

40 · to 60%

13 · Spinal Cord Injuries 13.1. The resulting impairment and disability after Spinal Cord Injury (SCI) is typically significant and devastating: The determination of impairment and disability after SCI is usually straightforward and may be accomplished by general categorization of an individual's neurologic and functional level. Although secondary medical difficulties, such as pressure ulcers, spasticity, deep venous thrombosis, heterotopic ossification myopathic pain syndromes, restrictive pulmonary compromise etc_ which may impact both impairment and disability, can arise at any time after SCI, neurologic and functional abilities are typically stabilized by twelve months_ 13.2. Documenting impairments in person with an SCI is best determined by performing standardized neurological examination as endorsed by the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) Patients_ Persons with Spinal Cord Injury are graded on the ASIA (American Spinal Injury Association) Impairment Scale_

14 · 5. Given below are the frequently noted physical consequences of acid attacks: Skull: May be partly destroyed or deformed. Hair is often lost Forehead: Skin may shrink, as though stretched tightly, and be scarred. Ears: Shriveled up and deformed. Deafness may occur immediately or later: Cartilage in the ear is usually partly or totally destroyed, exposing the victim to future infection and hearing loss. Eyes: Direct acid contact or acid vapors can damage eyes, causing blindness Even if the eyes survive the acid attack, they remain vulnerable t0 other threats which can cause blindness during the victim'$ recovery. Eyelids may have been burned off, O may be deformed by scarring, leaving the eyes to dry up and go blind This is very difficult to prevent Nose: Shrunken and deformed. Nostrils may close completely because the cartilage is destroyed. Cheeks: Scarred and deformed: Mouth: Shrunken and narrowed, and may lose its shape. Lips may be partly or totally destroyed. Lips may be permanently flared, exposing the teeth: Movement of the lips, mouth and face may be impaired. Eating can be difficult Chin: Scarred and deformed The scars may run downward, welding the chin to the neck O chest Neck: Often badly damaged: It may have thick cord of scarred flesh running down from the chin to the upper chest; O wide heavily-scarred area on one side of the neck Victim may be unable to extend the neck; or the head may constantly lean to one side.

14 · 9. The total % of permanent impairment/disability will not exceed 100%.

16 · Leprosy Cured Persons with disabilities 16.1. Definition - leprosy cured person means person who has been cured of leprosy but is suffering from- loss of sensation in hands or feet as well as loss of sensation and paresis in the eye and eye-lid but with no manifest deformity; 11) manifest deformity and paresis but having sufficient mobility in their hands and feet to enable them to engage in normal economic activity; iii) extreme physical deformity as well as advanced age which prevents him/her from undertaking any gainful occupation, and the expression 'leprosy cured' shall construed accordingly: 16.2. WHO grading of disability in Leprosy: Highest grade for each eye or hand or foot = 2. Maximum EHF sum score = 12. (E= Eyes, H= Hands, F= Feet) Grade Eyes Hands Feet No eye problem due to leprosy; No anaesthesia; no visible No anaesthesia, no visible no evidence of visual loss deformity Or damage deformity Or damage Eye problem due to leprosy Anaesthesia present, but no Anaesthesia present; but no present; but vision not severely visible deformity O damage visible deformity Or damage affected as result of these (vision: 6/60 or better; can count fingers at 6 metres) Severe visual impairment (vision Visible deformity or damage Visible deformity Or damage worse than 6/60, inability to count present (such as present (such as fingers at 6 metres). Also includes cracks/wounds, claw fingers, cracks/wounds, claw toes, lagophthalmos, iridocyclitis and wrist drop; contractures, foot drop, contractures, corneal opacities amputation etc.) amputation etc.)

16 · 3. For sensory testing of hands and feet, light touch (just enough to indent the skin very slightly) of the tip of ball point pen is recommended_ 16.4. For testing loss of corneal sensation, light touch of the clean cotton wisp from the lateral side is recommended. It is also to be noted whether blinking of the eyes is normal 0 not_ 16.5. Muscle power is tested clinically by Voluntary Muscle testing of commonly examined peripheral nerves and graded as per the Medical Research Council, London Scale. EHF (Eyes; Hands, Feet) Grade Score is calculated. Higher the Score, greater the Disability. Maximum EHF Score possible is 12. EHF Score is 0-1, then % of Disability is up to 209. EHF Score is 2-3, then % of Disability is 209 to 409. EHF Score is 4-5 then % of Disability is 419 to 609. EHF Score is 6-7 then % of Disability is 61% to 709. EHF Score is 8-9 then % of Disability is 719 to 80%. EHF Score is 10-11 then % of Disability is 819 to 90%. EHF Score is 12 then % of Disability is 91 to 100%. 16.6. In leprosy cured person with involvement of dominant upper extremity (mostly right hand), additional 10% weightage is to be given Total permanent physical impairmentldisability % will not exceed 100%. In leprosy cured

17 · Guidelines for Evaluation of PPI in cases of Short Stature/Dwarfism: 17.1. Definition - Dwarfism means medical 0r genetic condition resulting in an adult height of 4 feet 10 inches (147 centimeters) or less

17 · 2. The evaluation of a short statured person shall be considered irrespective of whether it is of proportionate variety O disproportionate variety and is accompanied by an underlying pathological conditions, Every 17 vertical height reduction shall be valued as 4% permanent physical Impairment in relation to whole body. Associated skeletal deformities such as contractures O deformities shall be evaluated, separately and total percentage of both shall be added by combining formula.

3 · feet 11 inches

3 · feet 10 inches

3 · feet 9 inches

3 · feet 8 inches

3 · feet inches

3 · feet 6 inches

3 · feet 5 inches

3 · feet 4 inches

3 · feet 3 inches

3 · feet 2 inches

3 · feet 1 inch

3 · feet

2 · feet 11 inches

2 · feet 10 inches

2 · feet 9 inches

18 · Muscular Dystrophy 18.1. Definition - 'muscular dystrophy' means a group of hereditary genetic muscle disease that weakens the muscles that move the human body and persons with multiple dystrophy have incorrect and missing information in their genes, which prevents them from making the proteins they need for healthy muscles_ It is characterised by progressive skeletal muscle weakness, defects in muscle proteins, and the death of muscle cells and tissue_ 18.2. After detailed clinical examination, each of the features namely, weakness, contractures, scoliosis, cardiac or pulmonary involvement are evaluated and disability is computed based on the criteria for each of these and added to the locomotor disability component; using the combining formula: + b (90-a) 90 (a higher value, b = lower value) Disability is to be expressed in relation to the whole body. Total % of disability will not exceed 100% . Due to progressive nature of this disease, review may be necessary after period, such as 2 years O as desired by the patient Or as decided by the disability board. 18.3 Medical Authority and instruments required for certification of locomotor disability 18.3.1 The Medical Superintendent or Chief Medical Officer Or Civil Surgeon O any other equivalent authority as notified by the State Government shall be the head of the certification board for the purpose of certification of locomotor disability including cerebral palsy, leprosy cured, dwarfism; acid attack victims and muscular dystrophy: The Board shall comprise of: Medical Superintendent o Chief Medical Officer or Civil Surgeon (ii) Specialist in Physical Medicine and Rehabilitation or Specialist in Orthopedics (iii) One specialist as nominated by Chief Medical Officer as per the condition of the person with disability: 18.3. 2. The most important resource is the knowledge and skill of the Members/Experts involved in the process. However; a few items listed below may also be required: measuring tape for measuring vertical height of the person, degree of chest expansion, shortening of an extremity, O difference in girth of a limb etc- b Goniometers small, medium and large, for measuring range of motion at different joints, Hand-held dynamometer; d_ Clean cotton piece for testing corneal sensation, A ball point pen for testing sensory deficit eg-, in leprosy-cured person; f X-ray films, e.g-, in cases with spinal deformity, amputation, arthritis, club foot, congenital limb deficiency, fractures etc _

19 · 1. Definition.- Visual impairment

19 · 3. Visual Impairment Certification Criteria and Gradation Vision assessment should be done after best possible correction (medical, surgical or usuallconventional spectacles). The Ophthalmologist shall circle the vision Status and the Percentage Impairment and mark the Disability category accordingly as under: -

1 · 6/6 to 6/18 % 0 6/24 10 % 1 6/36 10 % J 6/60 10 % 1 3/60 20 % 1 2/60 30 % 4 1/60 30 % 1 HMCF to PL- 30 %

10 · %

10 · %

10 · %

20 · %

30 · %

30 · %

30 · %

40 · %

40 · %

40 · %

50 · %

60 · %

60 · %

60 · %

40 · %

40 · %

40 · %

50 · %

60 · %

60 · %

60 · %

40 · %

40 · %

40 · %

50 · %

60 · %

60 · %

60 · %

50 · %

50 · %

50 · %

70 · %

80 · %

80 · %

80 · %

60 · %

60 · %

60 · %

80 · %

90 · %

90 · %

90 · %

60 · %

60 · %

60 · %

80 · %

90 · %

90 · %

90 · %

60 · %

60 · %

60 · %

80 · %

90 · %

90 · %

100 · %

40 · %

50 · %

60 · %

7 · <105

50 · %

70 · %

80 · %

60 · %

80 · %

100 · %

20 · 1. Definition: a) "Deaf" means persons having 70 DB hearing loss in speech frequencies in both ears; "Hard of hearing" means person having 60 DB to 70 DB hearing loss in speech frequencies in both ears; 20.2. Guidelines for Assessment: 20.2.1. Measurement Air Conduction Thresholds (ACT): a) ACT is to be measured using standard Pure Tone Audiometry by an Audiologist for Right Ear and Left Ear separately. b) In case of non-reliable ACT, additional tests are recommended such as Immittance, and Speech audiometry o Auditory Brainstem Response (ABR) Testing: Measuring ACT may be difficult in children aged 3-5 years. In such cases, Conditioned Pure Tone audiometry/Visual Reinforcement Audiometry (VRA) shall be conducted. ABR or Auditory Steady State Response (ASSR testing can be advised for the estimation of ACT in infant and young children_ 20.2.2 Computation of Percentage of Hearing Disability: (a) Monaural Percentage of Hearing Disability (i) Calculate Pure tone average of ACT for 500 Hz, 1000 Hz, 2000 Hz, 4000 Hz for Right Ear and Left ear separately (whenever there is no response at any frequency ACT is to be considered as 95dB) (ii) Monaural percentage of hearing disability is to be calculated as per the ready reckoner given below separately for Right Ear and Left Ear

61 · 62 G G 1 79 80 81 82 83 84 85 86 87 88 89 90 92 93 94 95

41 · 71 43.42 45.13 46.84 48.55 50.26 51.97 53.68 55.39 57.1 58.81 603} 63.,55 67.36 69.07 70.78 72.49 74.2 75.91 77.62 79.33 81.04 82.75 84.46 86.17 87.88 89.59 91.3 93.01 94.72 96.43 98.14 100

20 · 2.3. Percentage of Hearing Disability Percentage of Hearing Disability Better_ ear %_of_hearing disability X 5) + (Poorer ear %_of hearing disability)

20 · 3.1. Definition: Speech and language disability' means a permanent disability arising out of conditions such as laryngectomy O aphasia affecting one O more components of speech and language due to organic O neurological causes 20.3.2. Conditions affecting Speech Components for which Speech Disability certificate can be issued Laryngectomy Glossectomy

20 · 3.3. Computation of Percentage Speech Disability (a) Speech Intelligibility Test The verbal output of person should be evaluated using either Perceptual Speech intelligibility rating scale (AYJNISHD, 2003) or Perceptual Rating Scale (SRMC, Chennai) and percentage of Speech Intelligibility Affected (SIA) to be measured based on score as given below: Score Percentage of Speech Intelligibility Affected (SIA) 0-15 2 16-30 3 31-39 40-55 5 56-75 6 76-89 90- 100 (b) Voice Test Consensus Auditory Perceptual Evaluation of Voice (CAPE-V) orDysphonia Severity Index (DSI) can be used for measuring percentage of Overall Voice Clarity Affected (OVCA) which includes roughness, breathiness, strain, pitch and loudness. Average score to be given weighted for the percentage of overall voice clarity affected Score Percentage of overall voice clarity affected (OVCA) 0-15 2 16-30 3 31-39 40-55 5 56-75 6 76-89 7 90-100

20 · 4.1. Conditions affecting Language Components for which Language Disability certificate can be issued Aphasia 20.4.2. Language Test Western Aphasia Battery (WAB in Indian languages is to be administered post Six month of the onset of the stroke and Aphasia Quotient (AQ) is to be calculated as per standard procedure by an Speech language pathologist. 20.4.3. Percentage of Language Disability Percentage of Language Disability can be computed directly from the ready reckoner given below by intersection of value for Number in Tens place in WAB score and Number in Unit place in WAB score. For example, if the AQ is 56, intersection of 5 (in column) and 6 (in row) is 40_ The Percentage of Language Disability is 40%.

98 · 9

97 · 8

96 · 8

95 · 7

94 · 6

93 · 6

92 · 5

91 · 4

90 · 4

89 · 3

88 · 2

87 · 2

86 ·

85 · 0

84 · 0

82 · 9

81 · 8

80 · 8

79 · 7

78 · 6

77 · 6

76 · 5

75 · 4

74 · 4

73 · 3

72 · 2

71 · 2

70 · 1

69 · 0

68 · 0

66 · 9

65 · 8

64 · 8

63 · 7

62 · 6

61 · 6

60 · 5

59 · 4

58 · 4

4 · 5 6 7

57 · 3

56 · 2

55 · 2

54 · 1

53 · 0

52 · 0

50 · 9

49 · 8

48 · 8

47 · 7

46 · 6

45 · 6

44 · 5

43 · 4

42 · 4

41 · 3

40 · 0

39 · 2

38 · 1

37 · 1

36 · 0

34 · 9

33 · 9

32 · 8

31 · 7

30 · 7

29 · 6

28 · 5

27 · 5

26 · 4

25 · 3

24 · 3

23 · 2

22 · 1

21 · 1

18 · 9

17 · 9

16 · 8

15 · 7

14 · 7

13 · 6

12 · 5

11 ·

10 · 4

09 · 3

8 · 3

07 · 2

06 · 1

05 · 1

4 · 0

2 · 9

1 · 9

0 · 8

00 · 0

00 · 0

00 · 0

00 · 0

00 · 0

00 · 0

20 · 4.4. Medical Authority. The Medical Superintendent or Chief Medical Officer Or Civil Surgeon or any other equivalent authority as notified by the State Government shall be the head of the certification medical authority for the purpose of certification of hearing disability, and speech and language disability. The certification medical authority shall comprise of: Medical Superintendent or Chief Medical Officer or Civil Surgeon Or any other equiv valent authority ENT Specialist iii) One specialist (audiologist/speech language pathologist) as nominated by the Medical Superintendent or Chief Medical Officer O Civil Surgeon or any other equivalent authority as notified by the State Government_

21 · Intellectual Disability 2L.1. Definition Intellectual disability, condition characterised by significant limitation both in intellectual functioning (rasoning, learning problem solving) and in adaptive behaviour which covers range of every day, social and practical skills.

94 · THE GAZETTE OF INDIA EXTRAORDINARY [PART II-SEC. 3(ii)] 21.2. Screening: Many of these children are on follow-up with pediatricians as developmental delay. Hence, they can be assessed by pediatricians and screened for associated cO-morbidities, viz. hearing/ vision/ locomotor impairmentsl epilepsy. Then these children are referred for detailed assessment: (See Figure 1) 21.3. Diagnosis: The screened children will be referred to Child/ clinical psychologists for Adaptive functioning and IQ testing: The tools that can be used for the same include: Adaptive functioning: VSMS IQ testing: BKT/ MISIC Based 0n the above the diagnosis of ID will be confirmed. Based on adaptive functioning assessment; severity scoring will be done and disability for ID charted. 21.4. Disability calculation: The disability calculation will be done based 0n VSMS score. The following will be used for disability calculation: VSMS score 0-20: Profound Disability-100% VSMS score 21-35: Severe Disability-90% iii) VSMS score 36-54: Moderate Disability-75% VSMS score 55-69: Mild Disability-5O% VSMS score 70-84: Borderline Disability-25% 21.5. Age for certification: The minimum age for certification will be one (01) completed year. Children above one year and up to the age of 5 years shall be given a diagnosis as Global Developmental Delay (GDD) Children above the age of 5 years shall be given a diagnosis and certificate as Intellectual Disability. 21.6. Medical Authority: The Medical Superintendent o Chief Medical Officer or Civil Surgeon or any other equivalent authority as notified by the State Government shall be the head of the Medical Board. The Authority shall comprise of: The Medical Superintendent or Chief Medical Officer or Civil Surgeon o any other equivalent authority as notified by the State Government Pediatrician or Pediatric Neurologist where availabley Psychiatrist or Physician (if age >18years _ Clinical or Rehabilitation Psychologist Psychiatrist

21 · 7 . Validity of Certificate: Temporary certificate for children less than 5 years: The certificate will be valid for maximum 3 years/ 5 years age whichever is earlier)_ (i1) For children more than 5 years: The certificate will mention a renewal age. The certificate will have to be renewed at age of 5 years, 10 years and 18 years. The certificate issued at 18 years age will be valid lifelong:

22 · Specific Learning Disability (SLD): 22.1. Definition._ 'specific learning disabilities' means heterogeneous group of conditions wherein there is a deficit in processing language, spoken O written, that may manifest itself as difficulty to comprehend, speak, read, write, spell, or to do mathematical calculations and includes such conditions as perceptual disabilities, dyslexia, dysgraphia, dyscalculia, dyspraxia and developmental aphasia; 22.2. Screening - The teachers of the public and private school shall carry out the screening in Class III O at eight years of age, whichever is earlier_ The screening test is given in Figure 2. If in the screening shows test three or more answers are in ~frequently" column, then the child should be referred for further assessment ii) Every school (public and private) shall have screening committee headed by the principal of the school_ After applying the screening test, if an anomaly is detected then; the teacher should bring it to the notice of principal and screening committee of the school The teachers shall interview the parents to assess their involvement and motivation regarding their child' s education_ If the parents are motivated and screening questionnaire suggests SLD, then child should be referred for further assessment: iii) The child shall be referred to pediatrician for SLD assessment by the principal of the school with the recommendations of the screening committee endorsed. 22.3. Diagnosis: The diagnosis will require a team approach involving pediatrician and clinical or rehabilitation psychologist This would involve three steps:

22 · 4. Diagnostic Tool National Institute for Mental Health and Neurosciences (NIMHANS) battery shall be applied for diagnostic test for SLD.

22 · 5. Medical Authority: The Medical Superintendent o Chief Medical Officer or Civil Surgeon or any other equivalent authority as notified by the State Government shall be head the certification authority. The medical authority will comprise of: The Medical Superintendent or Chief Medical Officer or Civil Surgeon O any other equivalent authority as notified by the State Government Pediatrician o Pediatric Neurologist where available) Clinical or Rehabilitation Psychologist Occupational therapist or Special Educator or Teacher trained for assessment of SLD: 22.6. Validity of Certificate: The certification will be done for children aged eight years and above only. The child will have to undergo repeat certification at the age of 14 years and at the age of 18 years. The certificate issued at 18 years will be valid life-long:

23 · 1. Definition: mental illness means a substantial disorder of thinking, mood, perception, orientation Or memory that grossly impairs judgment, behaviour, capacity to recognise reality o ability to meet the ordinary demands of life, but does not include retardation which is condition of arrested or incomplete development of mind of a person, specially characterised by subnormality of intelligence. 23.2. The examination process will consist of components as required namely, clinical assessment, IDEAS scale andlor IQ assessment_ 23.3. Indian Disability Evaluation and Assessment Scale (IDEAS) administration (see Appendix IV) is to be used for mental illness_ 23.4. In some cases where there is suspicion of intellectual deficits or additional intellectual evaluation is required for any reason, Standardised IQ test may be carried out. Categories on IQ score will be: Mild Mental Disabilities: The range of 50 to 69 (standardised IQ test) is indicative of mild disability. H) Moderate Mental Disability: The IQ is in the range of 35 to 49 (iii) Severe Mental Disability: The IQ is in the range of 20 to 34. (iv) Profound Mental Disability: The IQ in this category estimated to be under 20.

24 · Medical Authority: The Medical Superintendent or Chief Medical Officer or Civil Surgeon o any other equivalent authority as notified by the State Government shall be head of the certification authority with the following two other members- a) Psychiatrist for clinical assessment; (b) Trained psychologist to administer IQ tests_

25 · 1. Definition:

25 · 3. Neurological conditions which are reversible and without sequel are not certifiable. Only neurological conditions which are permanent are certifiable_ Permanent disability certificate can be issued in irreversible/progressive cases If needed in specific cases, a re-evaluation of disability can be done after period of one year: 25.4_ The disability certificate shall mention Chronic Neurological Conditions (name of disease) 25.5. Medical Authority: The Medical Superintendent or Chief Medical Officer or Civil Surgeon or any other equivalent authority as notified by the State Government shall be the head of the certification authority with the following two other members:

25 · 6.

25 · 7. In cases where the chronic neurological condition requires only IDEAS, then only IDEAS can be administered and degree of disability certified. 25.8. In cases where the chronic neurological condition requires only IQ, then standardized IQ test should be used to certify degree of disability. 25.9. In some cases, only one test may not estimate disability comprehensively. Such a person may have borderline score on one test with marked disability score on the other. In such cases both IQ and IDEAS shall be used. The score indicating more severe disability shall be the degree of disability for that person

26 · 1. Definition: - Blood disorder in relation to sickle cell disease" means hemolytic disorder characterised by chronic anemia, painful events, and various complications due to associated tissue and organ damage; hemolytic' refers to the destruction of the cell membrane of red blood cells resulting in the release of hemoglobin: (ii) "thalassemia means group of inherited disorders characterised by reduced or absent amounts of haemoglobin. (iii) "haemophilia means an inheritable disease, usually affecting only male but transmitted by women to their male children, characterised by loss O impairment of the normal clotting ability of blood so that a minor wound may result in fatal bleeding; 26.2. Type of disability certificate The process of evaluation shall be dynamic and to be reviewed periodically at least one year interval, as these diseases are progressive in nature. However; in patients with severe disability with score above 80%, permanent certificate shall be issued subject to proof of survival: 26.3. Medical Authority Medical Authority for certification and evaluation of disability due to blood disorder shall comprise of the following: a) Chief District Medical Officer or the Chief Medical Officer of the hospital Chairperson General physician Or paediatrician as the case may be Orthopaedic surgeon or PMR expert In case specialities sequel relating to visual abnormality, hearing problem, cerebral dysfunction, respective specialist: 27 . Sickle Cell Disease 27.1. The clinical syndromes resulting from disorders of hemoglobin synthesis are referred to as hemoglobinopathies They are grouped in three main categories: Those owing to structural variants of hemoglobin, such as Sickle cell disease (HbS) Those owing to the failure to synthesize one Or more of the globin chains of hemoglobin at normal rate, as in the Thalassemias _ Those owing to the failure to complete the normal neonatal switch from fetal hemoglobin (Hb F) to adult hemoglobin Hb A) The third category comprises a group of disorders referred to as hereditary presence of fetal hemoglobin (HPFH)_ 27.2. Individual can have a combination of two or more of these abnormalities_

28 · STRUCTURE VARIANTS: 28.1. Alteration in the structure of hemoglobin are usually brought about by point mutations affecting one O in some cases two or more bases coding for amino acids of the globin chains. In HbS such point mutation is caused by the substitution of valine for glutamic acid in position 6 of 8 globin chain: 28.2. Hemoglobin variants of clinical significance or genetic significance (e.g Hbs S, C, Dpunjab E and O arab: are readily detectable by electrophoretic and chromatographic techniques.

29 · 1. The term *sickle cell disease" (SCD) encompasses both homozygous and the compound heterozygous states that lead to the symptomatic disease as a result of formation of sickle cell red cell, due to presence of Hb S_ 29.2. The homozygous state or sickle cell anemia cause both haemolysis and also reduced oxygen affinity of HbS. Sickle cell anemias refers to specifically to those Individuals having homozygous for the sickle cell disease (HbSS), compound heterozygous (HbS/B") thalassaemia. 29.3. The main clinical disability arises from repeated episodes of vaso- occlusive events (called painful crisis), organ dysfunction, impairment of vision, hearing, anemia, bone disease, pulmonary complications, skin ulcerations, gall bladder stones and psychological problems_ 29.4. Main problem occurs because of easy deformability of RBC under stress sickling), hypoxia Or infection, and RBC becomes SICKLE SHAPE hence this name_ 29.5. The clinical severity of sickle cell anemia is extremely variable It is partly due to the modifying factors such as interaction with Thalassemia or synthesis of HbF and partly to socioeconomic conditions and other factors that influence general health: 29.6. Sickle cell trait (B genotype AS), heterozygous state, is not associated with hematological abnormalities In this group sickling occurs at very high altitude and low oxygen pressure 30. Other forms of sickle cell disease

32 · 5. Strokes and transient ischemic attacks (TIAs) The biggest risk of permanent impairment and disability for individuals with SCD is cognitive and psychomotor impairment secondary to a stroke. Silent cerebral infarcts can cause specific cognitive deficits, notably in attention and executive function which are critical for successful academic performance. Language deficits, unrelated to CVA, have been reported among children with SCD: This could lead to the communication problems in school and the workplace. Mobility impairment can occur among children as result of cerebral palsy which can result from stroke), stroke, and other aetiologies This is serious condition and such patients should be referred to higher center to receive evaluation and required management: Patients who have suffered strokes_ TIAs etc_ will need transcranial Doppler (TCD), computerized axial tomography, MRI, or MRI with angiography: Comprehensive management of SCD requires multi-specialty team_ especially for young children with these complications 33. Other complications: Rare complications include leg ulcers, pulmonary hypertension, avascular necrosis head of femur, psychosocial issues etc. At least an annual review by a hematologist will be necessary for these children; they will need t0 transit t0 adult care for further management as they grow older. Some patients may benefit from allogeneic hematopoietic stem cell transplant. Sickle cell disease transplant indications are very selective, due to the risks of morbidity associated with the transplant procedure_ 34.1. Indications for allogeneic Hematopoietic stem cell transplant (HSCT) for sickle cell disease: a) Stroke or central nervous system event lasting longer than 24 hours, acute chest syndrome with recurrent hospitalizations Or previous exchange transfusions_ Recurrent vaso-occlusive pain (more than 2 episodes per year over several years_ or recurrent priapism. Impaired neuropsychological function with abnormal cerebral MRI scan Stage I or II sickle lung disease Sickle nephropathy (moderate Or severe proteinuria O glomerular filtration rate 30 to S0% of the predicted normal value) Bilateral proliferative retinopathy with major visual impairment in at least one eye Osteonecrosis of multiple joint (h) Red-cell allo-immunization during long-term transfusion therapy 34.2. Transfusions are needed in only special indications. If transfusions needed, then pre transfusion extended red cell typing is required [Rh Sub group (Cc, Ee), Kell, Kidd, Sls] as these patients frequently develop delayed Hemolytic Transfusion Reaction (309 cases) and allo- immunization Children receiving regular transfusions will need to have serum ferritin monitoring and chelation therapy: 34.3. The aim of transfusions t0 reduce Hb S levels to below 30 % prevent strokes in children with high central nervous system blood flow [evidence from the Stroke Prevention Trial in Sickle Cell Anemia (STOP I)]: 34.4. Prevention of complications can be achieved by prescribing Hydroxyurea and judicious use of blood transfusions_ Hydroxyurea decreases crises in patients with severe sickle cell disease 34.5. Whereas those with sickle cell trait (HbAS), HbS/Bt or HbSC typically have mild to moderate symptoms. 35. The international classification of functions disability and health (ICF), distinguishes functional and structural impairments from limitations in personal activities and restriction on social participation. The disability changes over time hence it should be measured longitudinally. 36. Severity Score 0- homozygous sickle cell disease but asymptomatic-but has got mild pallor HCT 30) and splenohepatomegaly and diagnosis confirmed by Hb electrophoresis 13 Sickle cell anemia such as (HbSS), compound heterozygous (HbS/B") thalassaemia HbSD, and HbO arab anaemia that is severe and chronic, with persistent haemocrit of 269 O less, and symptomatic, requiring blood transfusions to maintain the HbS level < 309 and TRANSFUSION DEPENDANT and symptomatic aS per New York Heart Association (NYHA more than class 2 2 Above plus Painful crisis due to blood clots in blood vessels at least three times in the past five months vaso- occlusive crisis or thrombotic crisis).

3 · Above plus Hospitalization beyond that of emergency care at least three times in the past 12 months (could be due to aplastic episodes, haemolytic crisis, strokes, heart problems, kidney failure OT pneumonia)

3 · , 6 7

37 · Thalassemia 37.1. Thalassaemia refers to group of blood diseases characterized by decreased or absent synthesis of globin chains. Most thalassaemia are inherited as recessive traits_ From clinical point of view most relevant types are and B thalassaemias . Currently based on their clinical severity and transfusion requirement; these thalassaemia syndromes can be classified phenotypically into two main groups; transfusion dependent thalassaemias (TDTs) and Non-transfusion dependent thalassaemias (NTDTs). 37.2. Screening is based 0n estimation of Hemoglobin Hb) by digital Hemoglobinometer and NESTROFT (Naked eye single tube osmatic fragility test) as the primary screening test, followed by Complete Blood Counts (CBC) and HPLC test; for the screen positive cases. Serum Ferritin is done in required cases to confirm concomitant iron deficiency anemia in suspected thalassemia carriers. 37.3. The guiding elements of National Health Mission (NHM) Guidelines on Hemoglobinopathies are- Haemoglobinopathies are genetic disorders with an autosomal recessive inheritance implying that a) They are equally prevalent in males and females (b Have a `carrier and disease state

38 · 2. In nutshell- when diagnosis of Thalassemia major confirmed by appropriate clinical examination and laboratory tests as specified above and has progressive pallor with Hb persistently low ie <7gm% and have failure to thrive and require regular BT to maintain Hb above 10 shall be entry point for disability eligibility and with passage of time, as and when new complications develops disability shall be reassessed as mentioned above and higher score should be awarded_

39 · 2. Bleeding manifestations The characteristic phenotype in hemophilia is the bleeding tendency: Some patients may not bleed throughout life. Patients with mild hemophilia may not bleed excessively until they experience trauma O surgery: The severity of bleeding in hemophilia is generally correlated with the clotting factor level Most bleeding occurs internally into the joints O muscles Some bleeds can be life-threatening and require immediate treatment 39.3. Eligibility for certification a) History (including family history) especially males being affected and females are spared Review of previous medical records Physical examination Baseline coagulation profile (prothrombin time, partial thromboplastin time and thrombin time) Factor assay (if available) 39.4. Confirmation of diagnosis individual factor assay from recognized laboratory shall be made available (Appendix VII) 39.5. Disability grading shall be as follows:

0 · 01-0.05/U

10 · L 20%

40 · %-50%

40 · Multiple Disabilities 40.1. Definition: Multiple Disabilities means a combination of two 0r more disabilities mentioned below:- 1_ Blindness 2_ Low-vision 3 Leprosy cured persons 4_ Hearing impairment (deaf and hard of hearing) 5_ Locomotor disability 6_ Dwarfism 7. Intellectual disability 8 Mental illness 9 Autism spectrum disorder 10. Cerebral palsy 11. Muscular dystrophy 12_ Chronic neurological conditions 13_ Specific learning disabilities 14. Multiple sclerosis 15. Speech and language disability 16. Thalassemia 17. Haemophilia 18. Sickle cell disease 19. Acid Attack victims 20. Parkinson's disease

40 · 2. Guidelines for Assessment: 40.2.1. The guidelines used for every single disability shall be used for assessment of each disability of person having multiple disability in the first instance. 40.2.2. Subsequently, in order to arrive at the total percentage of multiple disabilities, the combining formula a + b(90 a), shall be used where 90 "a will be the higher score and '" will be the lower score. However, the maximum total percentage of multiple disabilities shall not exceed 100%_

30 · + 20090-302 90

40 · 2.3 For certifying more than two disabilities, each disability will be evaluated and the degree of disability will be calculated by the notified Specialists in the area. Based on the score received for each disability, they will be graded from the most severe to the least severe The formula:

4 · Rotation

5 · Abduction

6 · Adduction

1 · Flexion

3 · . Radial

4 · Ulnardeviatior

3 · Eating Indian Style 9% 4 Combing and Plaiting 9% 5. Putting on shirt/kurta 99

6 · Ablution glass of water 9%

7 · Drinking Glass of water 9%

8 · Buttoning 99 9 Tie Nara Dhoti 9%

2 · = Moderate: Lack of concern for self-care should be clearly established such as mild deterioration of physical health; obesity, tooth decay body odours. 3 = Severe: Decline in self-care should be marked in all areas Patient wearing torn clothes would only wash if made to and would only care if told. Evidence of serious hazards to physical health. (Malnutrition, infection, patient unacceptable in public) 4 = Profound: Total O near total lack of self-care (Example: risk to physical survival, needs feeding, washing; putting O clothes etc- constant supervision necessary) II: Inter Personal Activities Includes patient's response to questions, requests and demands of others, activities Or regulating emotions, activities of initiating, maintaining and terminating interactions and activities of engaging in physical intimacy. Guiding Questions What is her/his behaviour with others? b_ Is s/he polite? Does s/he respond to questions! d. Is s/he able to regulate verbal and physical aggression? e. Is s/he able to act independently in social interactions? f. How does s/he behave with strangers? g Is s/he able to maintain friendship? h Does sl/he show physical expression of affection and desire? Scoring 0= No Patient gets along reasonably well with people, personal relationships. No friction in inter-personal relationships.

1 · Questions Does slhe avoid talking to people? b_ When people come home what does s/he do? Does slhe ever visit others? d. Is s/he able to start, maintain and end conversation? Does s/he understand body language and emotions of others such as smiling, crying, screaming, etc- f. Does slhe indulge in reading and writing? g_ Do you encourage her/him to be more sociable? Scoring: 0 No disability: Patient mixes, talks and generally interacts with people as much as can be expected in herlhis socio-cultural context. No evidence of avoiding people. 1= Mild: Patient described as uncommunicative O solitary in social situations. Signs of social anxiety might be reported.