勞動發事字第 11105023011號
修正「雇主聘僱外國人許可及管理辦法」相關申請書表，並自中華民國一百十一年四月三 十日生效。
附修正「雇主聘僱外國人許可及管理辦法」相關申請書表
部 長 許銘春
DAF-019 1110430 䇰
!Ь!ޔ!ௗ!င!Ⴟ!Ѧ!୯!Γ!ҙ!ፎ!ਜ!
πբᜪձǺ ɍ:1 ᐒᄬ࣮ៈ!
ɍᎦៈᐒᄬȜɍԾฅΓ!!ɍݤΓȝ!
ɍៈϐৎ)֖ᙴଣߕϐᄌ܄ੰ*ȜɍԾฅΓ!!ɍݤΓȝ!
ɍߏයྣ୍៝ܺᐒᄬȜ٩ߏයྣ୍៝ܺݤҥϐᐒᄬՐஎԄ୍ܺᜪȝ!
!
ҙፎҞǺ!
32/ɍငႿё!
ɍයᅈុင!
ġ
ЬӜᆀ
ĩᐒᄬӄሒĪġ ġ ᔼ ճ ٣
ጓ ဦ!ġ ġ ġ ġ ġ ġ ġ ġ ቩԏᏵ)խߕǴ༤
߄ᇥܴݙཀ٣Β*ġ
ᛦВය! ԃ!!!!!Д!!!!В!ແֽֽဦ)7 ዸ*! ġ ġ ġ ġ ġ ġ ჄኘԏᏵဦዸ)9 ዸ*܈Ҭׇܰဦ): ዸ*! ġ ġ ġ ġ ġ ġ ġ ġ ġ ɍ߃ԛܕ༅ёڄಃ! ! ! ! ! ! ! ! ! ! ဦ܈ɍሀံܕ༅ёڄಃ! ! ! ! ! ! ! ! ! ! ဦ)༤߄ᇥܴݙཀ٣Ο*! ɍख़ཥܕ༅ёڄಃ! ! ! ! ! ! ! ! ! ! ! ဦϷΕ୯Їёڄಃ! ! ! ! ! ! ! ! ! ! ! ဦ)༤߄ᇥܴݙཀ٣Ο*! ɍচင Ⴟ܈ௗ ុင Ⴟ ёڄ ಃ ! ! ! ! ! ! ! ! ! ! ! ! ဦ) ය ᅈ ុ င ሡ ༤ ቪ Ǵ ༤ ߄ ᇥ ܴ ݙ ཀ ٣ Ο *! ɍڙہૼᔼᆅϐਏයǺԾ!!!!ԃ!!!!Д!!!!ВԿ!!!!ԃ!!!!Д!!!!ВЗ!ȐፎᔠߕࠨऊቹҁǴ
༤߄ᇥܴݙཀ٣ϖȑ!
Ѧ୯ΓΕ୯೯ൔܴਜׇဦ)༤߄ᇥܴݙཀ٣Ϥ*! !
ငႿѦ୯ΓӜнӅ!!!Γǹҁ߄ӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕǶ)ऩЬុငচѦ୯Γޣ ሡ༤ቪࡕߕമᚈБςӝཀයᅈុငܴ*!
ཥҺ! ҺȐ༤߄ᇥܴݙཀ٣Ζȑ!
୯ᝤ!ៈྣဦዸ
Ȑ༤߄ᇥܴݙ ཀ٣Ύȑ!
Ѧ୯ΓۉӜ!
Չႝ၉!
)୯ϣငႿѸ༤Ǵ༤ ߄ᇥܴݙཀ٣ΐ*!
ႝηແҹ!
)༤߄ᇥܴݙཀ٣ΐ*! ୯ᝤ! ៈྣဦዸ! Ѧ୯ΓۉӜ!
! ! ! ! ɍԖ;!!!!!
ɍค! ! ! !
ᖂܴਜǺҁҙፎਢҗЬҁΓԾՉගрҙፎǴ٠คہҺدҥ൩୍ܺᐒᄬᒤǴᖂܴҁҙፎਢ܌
༤ቪၗϷᔠߕЎҹ֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ!
ЬۉӜǺ! ! ! ! ! ! ! ! !!ȐൂՏკȑॄೢΓǺ! ! ! ! ! ! ! ! ! ! )ᛝക*!!
ѱϣႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Չႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
ႝηແҹǺɍԖ; ɍค!
Ɂа 4 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ
܈ёᖄᛠԿЬϐᒃ϶ႝ၉Ǵӵ҂ዴჴ༤ቪЬᖄ๎ႝ၉ǴஒόϒਡวёǶќᖄ๎ၗૻஒբࣁ ҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩϷࡕុငႿᆅݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔Ǵ ᆶߥምЬငႿѦ୯ΓϐǼ!
)аΠጕጄൎࣁᐒᜢԏЎҔ*!
ԏЎകǺ! !ԏЎဦǺ!
!
!
!
!
!
!
! ፎ ၁
᎙ ङ य़ ༤ ߄ ᇥ
DAF-019 1110430 䇰 Ϫ่٣Ǻ!
മᚈБςӝཀයᅈុငܴǺ!
চЬҙፎុငሡ༤ቪ)ӕཀਜӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕ*!)ύम*!
Employer and employee’s mutual agreement certificate for continuous hiring: to be filled up by the Employer (If Letter of Consent is not enough, please follow the specific form to add foreign worker’s detail)
ҁᐒᄬᆶѦ୯Γ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!)ៈྣဦዸǺ!!!!!!!!!!!!!!!!!!!!!!!!*!!
Employer and foreign worker!!!!!!!!!!!!!!!!!passport number:ġ ! ڐԾচငႿයज़ۛᅈϐಜВଆҗҁᐒᄬុငǶ!
agree for continuous hiring by the employer, effective on the next day after the expiration of the original employment contract.!
Ьᛝക;!!!!!!!!!!!!!!!!!!!!!!!!Ѧ୯Γᛝക;!
Employer’s Signature:ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ Foreign Worker’s Signature:
മᚈБςӝཀයᅈុငܴǺ!
চЬҙፎុငሡ༤ቪ)ӕཀਜӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕ*!)ύӑ*!
penjelasan persetujuan kedua pihak antara majikan dan tenaga kerja melanjutkan perpanjangan kontrak kerja : Majikan semula harus mengisi formulir melanjutkan kontrak kerja ( bila tidak cukup mengisi surat persetujuan, maka dapat melampirkan lagi sendiri )
ҁᐒᄬᆶѦ୯Γ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!)ៈྣဦዸǺ!!!!!!!!!!!!!!!!!!!!!!!!*!!!!!!!!
!Panti jompo dan tenaga kerja!!!!!!!!!!!!!!!!!!!!!Op!QbtqpsǺ!
ڐԾচငႿයज़ۛᅈϐಜВଆҗҁᐒᄬុငǶ!
kesepakatan melanjutkan kontrak kerja dimulai dari hari berikutnya setelah masa habis kontrak kerja yang lama , Dan pihak panti jompo yang mengurus
Ьᛝക;!!!!!!!!!!!!!!!!!!!!!!!!Ѧ୯Γᛝക;!
Nbkjlbo!Uboeb!ubohbo0tufnqfm;!!!!uboeb!ubohbo!ebo!dbq!kfnqpm!ufobhb!lfskb;
മᚈБςӝཀයᅈុငܴǺ!
চЬҙፎុငሡ༤ቪ)ӕཀਜӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕ*!)ύຫ*!
Giấy chứng nhận Chủ thuê và Lao động đã đồng ý mãn hạn tiếp tục tuyển dụng :
Chủ thuê hiện đang sử dụng lao động nếu tiếp tục tuyển dụng cần phải điền (Nếu không điền vào đơn đồng ýǴđề nghị có giấy tờ tự viết kèm theo )!
ҁᐒᄬᆶѦ୯Γ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!)ៈྣဦዸǺ!!!!!!!!!!!!!!!!!!!!!!!!*!!!!!!!!
Chủ thuê cùng Lao động nước ngoài!!!!Số hộ chiếuǺ!
ڐԾচငႿයज़ۛᅈϐಜВଆҗҁᐒᄬុငǶ!
Tự nguyện thỏa thuận đồng ý khi hợp đồng mãn hạn bắt đầu từ ngày hôm sau sẽ do Chủ thuê tiếp tục tuyển dụng .
Ьᛝക;!!!!!!!!!!!!!!!!!!!!!!!!Ѧ୯Γᛝക;!
Chủ thuê Ký tên , đóng dấu:!!!!!!!Lao động nước ngoài Ký tên, lăn dấu tay:
മᚈБςӝཀයᅈុငܴǺ!
চЬҙፎុငሡ༤ቪ)ӕཀਜӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕ*!)ύੀ*!
ทังสองฝ่ายตกลงต่อสัญญาจ้างไว้เพือเป็นหลักฐานǺ
กรณีนายจ้างคนเดิมต่อสัญญาต้องกรอกข้อมูล(หากหนังสือยินยอมไม่พอกรอก กรุณาแนบเป็นเอกสาร)
ҁᐒᄬᆶѦ୯Γ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!)ៈྣဦዸǺ!!!!!!!!!!!!!!!!!!!!!!!!*!!!!!!!!
!นายจ้างและลูกจ้าง!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!หมายเลขหนังสือเดินทาง!
ڐԾচငႿයज़ۛᅈϐಜВଆҗҁᐒᄬុငǶ!
ตกลงต่อสัญญาจ้างหลังจากวันทีครบกําหนด โดยมีสถาบันเป็นผู้ต่อสัญญา
Ьᛝക;!!!!!!!!!!!!!!!!!!!!!!!Ѧ୯Γᛝക;!
นายจ้างลงชือ:!!!!!!!!!!!!!!!!!!!!!!ลูกจ้างลงชือ:
DAF-019 1110430 䇰 ༤߄ᇥܴݙཀ٣Ǻ!
ǵ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ!
ΒǵቩĩIJıı ϡĪԏᏵǺϩࣁႝတԏᏵĩқՅĪϷᖏᘕᛦීԏᏵĩᆘՅĪij ᅿǴ༤ቪӵΠǺġ ĩIJĪ ႝတԏᏵĩӚແֽ໒ڀϐқՅԏᏵĪǺġ
ጄٯġ ııııijķķıġ ġ ġ IJIJıİıķİIJIJġ ġ IJķĻĵķĻĴĴġ ġ ġ ġ ġ ġ ġ ġ ııııijķķıġ ġ ġ IJIJıİıķİIJIJġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ııĴIJIJıġ ġ IJłķġ ġ ijĺĸIJĸĵġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ
ġ
ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ııĴIJIJıġ ġ ġ
ġ ġ ġ ༤ቪġ ġ ᛦВයǺIJIJı ԃ ķ Д IJIJ ВǴແֽֽဦǺııĴIJIJıǴჄኘԏᏵဦዸĩĹ ዸĪǺııııijķķıġ ĩijĪ ᖏᘕᛦීԏᏵĩແֽࢴҁᐒᜢᎫᗺ໒ڀϐᆘՅԏᏵĪǺġ
ጄٯġ ġ ѓفġ ŃĮĶIJıĴıĺĸǴᒤֽകᘈġ ġ ġ ġ ġ ġ ġ ġ ġ ġ
ġ ġ ༤ቪġ ġ Ҭׇܰဦĩĺ ዸĪǺŃĮĶIJıĴıĺĸǴᛦВයǺIJIJı ԃ ķ Д IJIJ ВǴແֽֽဦǺıııIJııġ ɁຏǺቩແࡹჄኘၗૻǶЊӜǺമമΚวငႿёԏЊǴჄኘဦǺ2:169959Ƕġ
ΟǵёڄЎဦǺጄٯ! മɄɄɄӷಃ 2211752744 ဦǴ༤ቪࣁ! ಃ 2211752744 ဦǶ!
Ѥǵόӕܕ༅ёڄЇϐѦ୯ΓǴፎϩਢҙፎ)ۯ*ငႿёǶ!
ϖǵɍፎ٩ჴሞݩϭᒧǴӵᔠߕЎҹǴ୍ѸᔠߕǶ!
ϤǵѦ୯ΓΕ୯೯ൔܴਜׇဦ)ҙፎ୯ѦЇѦ୯Γ༤ቪ*Ǻጄٯ! ! ѓف! 1111123456789:!
༤ቪ 1111123456789:!
ΎǵཥҺѦ୯Γፎ༤ៈྣဦዸǴঃߚ२ԛٰᆵڙငЪԖៈྣဦዸ౦ϐ٣Ǵᔈҥջӛϣࡹ౽
҇ᒤۚ੮ၗ౦٣ەǶ!
ΖǵගҙፎΕ୯ЇϷሀံޣሡ༤ቪҺѦ୯ΓၗǴ߄ӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕǶ!
ΐǵཥҺѦ୯ΓՉႝ၉Ѹ༤ǴЪόளᆶЬႝ၉࣬ӕǴ҂༤ቪޣǴஒଏፎံ҅ዴᇡǹႝηແҹ
ϭᒧȨԖȩ܈ȨคȩǴ҂ϭᒧޣǴஒଏፎံ҅ዴᇡǴऩϭᒧȨԖȩǴፎዴჴ༤ቪЪόளᆶ
Ьႝηແҹ࣬ӕǶ!
ΜǵҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂϦљϷ
ॄೢΓӑകǶ!
!
ແֽֽဦ
ჄኘԏᏵဦዸĩĹ ዸĪ ᛦВය
ֽဦ! 000100-6
110.06.11
8083 1110430 䇰
ྈ!ᛦ!൩!!Ӽ!ۓ!!ਡ!ଏ!ҙ!ፎ!ਜ !
ҁҙፎਢɍԖ܈ɍคہҺدҥ൩୍ܺᐒᄬᒤǹɍҁҙፎਢᇂҔϐკǵӑߞዴࣁЬ٬
Ҕ܈жڅǹЎҹӣൺБԄǺɍᒃڗ܈ɍແȐɍدҥ൩୍ܺᐒᄬӦ֟ɍѦ୯ΓπբӦ֟!
ɍځдӦ֟Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! ! ! ! ! ! ! ! ! ! !!!!!!!!!ȑǴ!
)аፎϭᒧ*Ǵ٠ᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ֡ឦჴǴӵԖଵǴᜫॄݤࡓϐ
ϪೢҺǶ!
ЬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑ!!!!!!!ॄೢΓǺ! ! !!!!!!!!!!!)ᛝക*!
ѱϣႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!!!
Չႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!!!
ႝηແҹǺɍԖ; ɍค!
Ɂа 4 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ܈
ёᖄᛠԿЬϐᒃ϶ႝ၉Ƕќᖄ๎ၗૻஒբࣁҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩϷࡕុငႿᆅ
ݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔ǴᆶߥምЬငႿѦ୯ΓϐǼ!
ڙہҺدҥ൩୍ܺᐒᄬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑ!
ёӷဦǺ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ॄೢΓǺ!!!!!!!!!!!!!!!!!Ȑᛝകȑ!
ΓǺ! ! ! !!!!!! ! ȐᛝӜȑ! !ဦǺ!!!!!!!!!!ᖄ๎ႝ၉Ǻ!
ȐаΠጕጄൎࣁᐒᜢԏЎҔȑ!
ԏЎകǺ! ԏЎဦǺ!
πբᜪձǺ 91!൩Ӽۓ!
ҙፎҞǺ
94!ਡଏྈᛦ൩Ӽۓ!
ЬӜᆀ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ጓဦ0يϩ
ӷဦ0ៈྣဦዸ!
! ! ! ! ! ! ! ! ! !
ᖄ๎Γ! ! ᖄ๎ႝ၉! ! Ћᐒ! ! ! ! ! ! ! ! ! ! !
ଏීЊ
ၗ!
ߎᑼᐒᄬ Ӝᆀ!
!!!!!!!!!!!!!ሌՉ!!!!!!!!!!!!!!!!ϩՉ!
!!!!!!!!!!!!)ແֽ*!
ှීՉ!
жဦ! ! ! ! ! ! ! !
ဦ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ԏ!
Ᏽ!
Ɉӛമҙፎଏᗋྈᛦ൩Ӽۓཥᆵჾ!!!!!!!!!!!!!!ϡ!
!!ύ҇୯!!!!!!!!!!ԃ!!!!!!!!!!Д!!!!!!!!!!В!)ଏߎᚐаਡۓଏᗋߎᚐࣁྗ*!
ᜪձ! ᔈᔠߕЎҹ!
ɍ Ծ ฅ Γ
Ь!
ɍ2/يϩ҅ϸय़ቹҁ)ፎԾՉᗹຠ*ǵӸᄙ࠾य़ቹҁ)х֖ဦϷЊӜ*!! ȐɁ߄ߚѸाЎҹǴፎ٩ჴሞݩуߕȑ!
Ɂɍ3/ЊӜऩᆶЬӜᆀόӕሡᔠߕЊᝤᖵҁቹҁ)Ь׳ׯۉӜޣ*!
Ɂɍ4/ЊӜऩᆶЬӜᆀόӕሡᔠߕԝΫܴਜ܈ନЊᖵҁቹҁ)ЬԝΫޣ*!
!!!!!!ຏ;ᝩ܍ޣќᔠߕᝩ܍س߄Ϸڀᝩ܍ၗޣᆶচЬϐᒃឦᜢܴ߯Ўҹቹҁ!!
୯҇يϩ!
҅य़ቹҁ
)ᗹຠೀ*!
୯҇يϩ!
ϸय़ቹҁ
)ᗹຠೀ*!
ɍ ݤ Γ
Ь!
!!!ɍ2/Ϧљฦ܈ฦܴЎҹቹҁǵӸᄙ࠾य़ቹҁ)х֖ဦϷЊӜ*!
!
!!!!!!!)ੇࢩᅕንЬǺፎᔠߕᅕྣǴ܈ጃᆛᎦᅕჄᅕྣ܈ጃᆛᎦΕᅕ!
!!!!!!!ܴቹҁǹᐒᄬ࣮ៈЬǺፎᔠߕҥਢਜ܈໒ྣቹҁ*!
ȐɁ߄ߚѸाЎҹǴፎ٩ჴሞݩуߕȑ!
Ɂɍ3/ЊӜऩᆶЬӜᆀόӕሡᔠߕ୯ิֽ܈ݤଣϐమᆉܴЎҹቹҁȐЬᜢቷྂޣ!
ᔠߕǴќమᆉΓᔠߕيϩ҅ϸय़ቹҁȑ!
8085 1110430 䇰
Ѧ୯Γߥߎ)ਜ*0ྈᛦቩ!ਡ!ଏ!ҙ!ፎ!ਜ!
πբᜪձǺ!
91!൩Ӽۓ!
ҙፎҞǺ!
ɍ96!ਡଏߥߎ)ਜ*!!ɍ96!ߥߎ)ਜ*మн!ɍ96 ྈᛦቩ!
ЬӜᆀ! ! ጓဦ0يϩ
ӷဦ0ៈྣဦ! ! ! ! ! ! ! ! ! ! !
ᖄ๎Γ! ! ᖄ๎ႝ၉! !!!!!!!! Ћ
ᐒ! ! ! ! ! ! ! ! ! ! ! ߥ!
!
ߎ!
ʏ!
ቩ!
!
!
2/ ߥߎʏቩ༊ීሌՉȐແֽȑӜᆀϷဦǺ!
3/ ߥߎʏቩ༊ීВයǺ! ! ԃ! ! Д! ! В!
4/ ߥߎʏቩ༊ීߎᚐǺཥᆵჾ! ! ! ! ! ! ϡ!
ଏී
Њ
ၗ!
ߎᑼᐒᄬ!!
!!Ӝᆀ!
!!!!!!ሌՉ! ! ! ! ! ! ! ϩՉ!
! !!!)ແֽ*!
ှීՉ!
жဦ!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!!ဦ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ԏ!
Ᏽ!
ӛമҙፎଏᗋߥߎ0ቩཥᆵჾ``````````````````````````````ϡ!
ύ҇୯!!!!!!!!!!!!!ԃ!!!!!!!!!Д!!!!!!!!!В)ଏߎᚐаਡۓଏᗋߎᚐࣁྗ*!
ߥ
ਜ!
2/!ሌՉӜᆀǺ!
3/!໒ҥВයǺ! ! ! ԃ! ! ! Д! ! ! В!
4/!ߥߎᚐǺཥᆵჾ! ! ! ! ! ! ! ϡ!
! !!!!!!!!ᔈᔠߕЎҹȐɁ߄ߚѸाЎҹǴፎ٩ჴሞݩуߕȑǺ! ɍ!
Ծ!
ฅ!
Γ!
!
Ь!
!!ɍ2/ႝ༊ߥߎԏᏵ҅ҁȐႝ༊ൂ҅ҁᒪѨޣǴᔈᔠߕᒪѨϪ่ਜȑ0ቩሡᔠߕԏᏵ҅ҁ܈ BUN ᛦᙯԋфܴϷଏᇥܴਜ)ᔈх֖ଏচӢǴуᇂЬӑകǴӵଏීЊӜᆶҙፎΓόठ ޣǴᔈᇥܴচӢ٠Ϫ่ӕཀଏී༊Ε၀Њ*Ƕ!
!!ɍ3/يϩ܈ۚ੮҅ϸय़ቹҁǵӸᄙ࠾य़ቹҁ)х֖ဦϷЊӜ*Ƕ!
Ɂɍ4/ЊӜऩᆶЬӜᆀόӕሡᔠߕЊᝤᖵҁቹҁ)Ь׳ׯۉӜޣ*!
Ɂɍ5/ЊӜऩᆶЬӜᆀόӕሡᔠߕԝΫܴਜ܈ЊᝤᖵҁቹҁǶȐЬԝΫޣȑ!
!!ຏǺᝩ܍ޣќᔠߕᝩ܍س߄Ϸڀᝩ܍ၗޣᆶЬϐᒃឦᜢܴ߯ЎҹቹҁǶ!
! ɍ!
ݤ!
Γ!
!
Ь!
ɍ2/ႝ༊ߥߎԏᏵ҅ҁȐႝ༊ൂ҅ҁᒪѨޣǴᔈᔠߕᒪѨϪ่ਜȑ0!ቩሡᔠߕԏᏵ҅ҁ܈
BUN ᛦᙯԋфܴϷଏᇥܴਜȐᔈх֖ଏচӢǴуᇂЬӜᆀϷॄೢΓӑകǴӵଏීЊ ӜᆶЬӜᆀόठޣǴᔈᇥܴচӢ٠Ϫ่ӕཀଏී༊Ε၀ЊȑǶ!
ɍ3/Ϧљฦ܈ฦܴЎҹቹҁǵӸᄙ࠾य़ቹҁ)х֖ဦϷЊӜ*Ƕ!
!!!!!!)ੇࢩᅕንЬ;ፎᔠߕᅕྣ<ᐒᄬ࣮ៈЬ;ፎᔠߕҥਢਜ܈໒ྣቹҁ*!
Ɂɍ4/ЊӜऩᆶЬӜᆀόӕሡᔠߕ୯ิֽ܈ݤଣϐమᆉܴЎҹቹҁ!
! ! ! ! )ЬᜢቷྂޣᔠߕǴќమᆉΓᔠߕيϩ҅ϸय़ቹҁ*!
ҁҙፎਢɍԖ܈ɍคہҺدҥ൩୍ܺᐒᄬᒤǹɍҁҙፎਢᇂҔϐკǵӑߞዴࣁЬ٬Ҕ
܈жڅǹЎҹӣൺБԄǺɍᒃڗ܈ɍແȐɍدҥ൩୍ܺᐒᄬӦ֟ɍѦ୯ΓπբӦ֟ɍ! ! ځдӦ֟ǺɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕɕȑǴ)аፎ
ϭᒧ*Ǵ٠ᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ!
ЬӜᆀǺ!!!!!!! ! ! !!!!!!!!!! ȐൂՏკȑ!!!!!!!!!!!ॄೢΓǺ! ! ! ! !!!!Ȑᛝകȑ!
ѱϣႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!!!
Չႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!!!
ႝηແҹǺɍԖ; ɍค!
Ɂа 4 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ܈
ёᖄᛠԿЬϐᒃ϶ႝ၉Ƕќᖄ๎ၗૻஒբࣁҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩϷࡕុငႿᆅ
ݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔ǴᆶߥምЬငႿѦ୯ΓϐǼ!
ڙہҺدҥ൩୍ܺᐒᄬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑ!
ёӷဦǺ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ॄೢΓǺ!!!!!!!!!!!!!!!!!Ȑᛝകȑ!
ΓǺ! ! ! !!!!!! ! ȐᛝӜȑ! !ဦǺ!!!!!!!!!!ᖄ๎ႝ၉Ǻ!
!
)аΠጕጄൎࣁᐒᜢԏЎҔ*ġ!
ԏЎകǺ! ԏЎဦǺ!
AF-018! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! 1110430 ހ
Ь င Ⴟ Ѧ ୯ Γ ҙ ፎ ਜġ
πբᜪձǺġ
ķIJįᚈᇟᙌπբǵታৣϷځ࣬ᜢπբġ
ҙፎҞǺġ ɍijIJįငႿёġ ɍijijįۯငႿёġ
ġ
Ь Ӝ ᆀġ ġ ᔼ ճ ٣ ጓ ဦġ ġ ġ ġ ġ ġ ġ ġ ġ
Ь Ӧ ֟ġ ɍɍɍ!!!!!!!!!ᑜ!!!!!ໂᙼ!!!!!!ၡ!!!ࢤ!!!!ࡅ!!!!!!!!ဦ!!!!ኴ!
)ແሀဦ*!!!!!ѱ!!!!!ѱ!!!!!!ຉ!
Ѧ୯Γπբ܌Ӝᆀġ ġ ġ
Ѧ ୯ Γ π բ Ӧ ֟ ɍɍɍ!!!!!!!!!ᑜ!!!!!ໂᙼ!!!!!!ၡ!!!ࢤ!!!!ࡅ!!!!!!!!ဦ!!!!ኴ!
)ແሀဦ*!!!!!ѱ!!!!!ѱ!!!!!!ຉ ቩԏᏵ)խ
ߕǴ༤߄ᇥܴݙཀ ٣Β*!
ᛦВය! ԃ!!!Д!!!В! ແֽֽဦ)7 ዸ*!! ! ! ! ! ! ჄኘԏᏵဦዸ)9 ዸ*܈Ҭׇܰဦ): ዸ*! ! ! ! ! ! ! ! ! !
வ٣πբ!
ɍᚈᇟπբ!
ɍታৣπբ!
ɍታৣ࣬ᜢπբġ ġ
ωܴਜጓဦ!
)༤߄ᇥܴݙཀ٣Ο*!
ငႿᒤݤܴਜׇဦ!
Ȑ༤߄ᇥܴݙཀ٣Ѥ*!
! !
Ѧ ୯ Γġ
ۉ Ӝġ
म Ўġ ġ
ύ Ўġ ġ
୯ ᝤġ ġ ៈ ྣ ဦ ዸġ ġ
܄ ձġ ɍتȐŎȑɍζȐŇȑɍځдġ ĩŐĪġ р ғ В යġ ! ! ! ġ ԃ! ! ! ġ Д! ! ! ġ Вġ
Չ ႝ ၉ġ
ȐۯငႿѸ༤Ǵ༤߄ ᇥ ܴ ݙ ཀ ٣ Ζ ȑġ
ġ
ႝ η ແ ҹġ Ȑ༤߄ᇥܴݙཀ ٣ Ζ ȑġ
ɍԖǺġ ɍคġ ႣۓငႿଆۈВ )ۯင
Ⴟёਢխ༤Ǵ༤߄ᇥܴ
ݙ ཀ ٣ ΐ *ġ ! ! ԃ! ! Д! ! Вġ ۯငႿය໔ġ Ծ! ! ! ԃ! ! Д! ! Вġ Կ! ! ! ԃ! ! Д! ! ВЗġ ȐۯငႿය໔നߏόளຬၸ Ĵ ԃȑġ ߃ ԛ ܕ ༅ ё ڄ Ў ဦ!
) ༤ ߄ ᇥ ܴ ݙ ཀ ٣ Μ *!ಃ ! ! ! ! ! ! ! ဦ!
ငႿё܈ௗុငႿёڄЎဦ!
)ۯငႿё༤ቪǴ༤߄ᇥܴݙ
ཀ ٣ Μ *!
ಃ ! ! ! ! ! ! ! ! ဦ!
аΠЎҹፎ٩ჴሞݩϭᒧᔠߕǺġ ɍॄೢΓ୯҇يϩቹҁǶġ ɍڙငႿѦ୯ΓៈྣቹҁǶġ
ɍڙငႿѦ୯Γ୯ϣѦଯભύᏢаᏢਠਜቹҁǶġ
ɍታৣϷځ࣬ᜢπբϐᐕܴЎҹቹҁǶȐҙፎѦᝤᚈᇟޣխߕȑġ ɍدҥ൩୍ܺᐒᄬவΓӜн҅ҁǶȐҙፎѦᝤታৣޣխߕȑġ
ɍڙہૼᆅѦ୯ΓϐہૼਜቹҁȐᔈຏܴہૼᆅΓኧϷ୯ᝤǴаدҥ൩୍ܺᐒᄬவΓΓኧҙፎޣխߕȑǶġ ҁҙፎਢġ ˎคġ ܈ġ ˎԖہҺدҥ൩୍ܺᐒᄬᒤǹɍҁҙፎਢᇂҔϐკǵӑߞዴࣁЬ٬Ҕ܈
жڅǹЎҹӣൺБԄǺɍᒃԾڗҹġ ܈ġ ġ ɍແĩɍЬӦ֟ġ ɍدҥ൩୍ܺᐒᄬӦ֟ĪǴȐаፎ
ϭᒧȑǴ٠ᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶġ
ЬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑॄೢΓǺ! ! ! ! ! ! ! Ȑᛝകȑġ ᖄ๎ႝ၉Ǻĩ! ! Īġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ Չႝ၉Ǻġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ႝηແҹǺġ
ڙہҺدҥ൩୍ܺᐒᄬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑġ
ёӷဦǺġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ॄೢΓǺġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ ġ Ȑᛝകȑġ
ΓǺ! ! ! ! ! ! ! ! ȐᛝӜȑ! ဦǺ! ! ! ! ! ! ᖄ๎ႝ၉Ǻĩ! ! ĪĮġ ȐаΠጕጄൎࣁᐒᜢԏЎҔȑġ
AF-018! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! 1110430 ހ
ԏЎകǺġ ġԏЎဦǺġ
!
༤߄ᇥܴݙཀ٣Ǻ!
ǵġ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ!
Βǵġቩ)411 ϡ*ԏᏵǺϩࣁႝတԏᏵ)қՅ*ϷᖏᘕᛦීԏᏵ)Յ*3 ᅿǴ༤ቪӵΠǺ!
)2* ႝတԏᏵ)Ӛແֽ໒ڀϐқՅԏᏵ*Ǻ!
ጄٯ!11113771!!!211017022!!27;57;44!!!!!!!!11113771!!!211017022!!
!!!!!!!!114221!!2B7!!3:8285!!!!!!!!!!!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!114221!!!
!!!༤ቪ!!ᛦВයǺ211 ԃ 7 Д 22 ВǴແֽֽဦǺ114221ǴჄኘԏᏵဦዸ)9 ዸ*Ǻ11113771!
)3* ᖏᘕᛦීԏᏵ)ແֽࢴҁᐒᜢᎫᗺ໒ڀϐՅԏᏵ*Ǻ!
ጄٯ!!ѓفɄ.62141:8Ǵᒤֽകᘈ!!
!!!!!
!!༤ቪ!!Ҭׇܰဦ): ዸ*ǺɄ.62141:8ǴᛦВයǺ211 ԃ 7 Д 22 ВǴແֽֽဦǺ111211!
ΟǵġωܴਜጓဦǺጄٯ! ጓဦǺB431813121231154!!༤ቪࣁ! B431813121231154!
ѤǵġѦ୯ΓπբӦޔᗄѱǵᑜ)ѱ*ࡹ۬໒ڀϐЬငႿѦ୯ΓёϷᆅᒤݤಃ 55 చಃ 2 ಃ 6 ීܴ
ਜ)ᙁᆀငႿᒤݤܴਜ*ׇဦǺጄٯ!!ѓف!23456789:!༤ቪ 23456789:!
ϖǵġፎ٩ჴሞݩϭᒧɍǴӵᔠߕЎҹǴ୍ѸᔠߕǶ!
ϤǵġᔠߕϐᏢᐕЎҹ߯୯ѦբԋޣǴᔈךᎫѦᓔೀᡍǴځᏢȐȑᐕܴЎҹϐЎӷߚύЎޣǴᔈ ᔠߕύЎҁǶ!
ΎǵġҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂϦљϷॄೢΓ ӑകǶ!
ΖǵġѦ୯ΓՉႝ၉Ѹ༤ǴЪόளᆶЬ܈دҥ൩୍ܺᐒᄬႝ၉࣬ӕǴ҂༤ቪޣǴஒଏፎံ҅ዴᇡǹ
ႝηແҹϭᒧȨԖȩ܈ȨคȩǴ҂ϭᒧޣǴஒଏፎံ҅ዴᇡǴऩϭᒧȨԖȩǴፎዴჴ༤ቪЪόளᆶ
Ь܈دҥ൩୍ܺᐒᄬႝηແҹ࣬ӕǶ!
ΐǵġငႿёය໔ԾวЎВ܈วЎВࡕϐႣۓငႿଆۈВଆᆉਡว 4 ԃငႿёǶ!
ΜǵġёڄЎဦǺጄٯ! മɄɄɄӷಃ 2111752744 ဦǴ༤ቪࣁ! ಃ 2111752744 ဦ!
ແֽֽဦ!
ჄኘԏᏵဦዸ)9 ዸ*! ᛦВය!
ֽဦ! 000100-6 100.06.11
AF-041 1110430 ހ
Ь င Ⴟ Ѧ ୯ Γ ҙ ፎ ਜ
APPLICATION FORM FOR EMPLOYMENT OF FOREIGNERS
ਢҹᜪձǺType of Application
62.٩൩୍ܺݤಃ 51 చငႿѦ୯Γ In accordance with Article 51 of the Employment Service Act
ҙፎҞǺ Applying Item
ɍ21.ငႿё Employment Permit
ЬӜᆀ Name of Employer
ᔼճ٣ጓဦȐيϩӷဦȑ
Corporate Uniform No.(I.D No.)
ЬϦљӦ֟
Address of Employer
ɍɍɍȐແሀဦȑ ᑜ ໂᙼ ၡ ࢤ ࡅ ဦ
ɍɍȐᑜѱձжዸȑ ѱ ѱ ຉ
Ѧ୯ΓۉӜ Foreigner Name
मЎ English
ύЎ Chinese ୯! ᝤ! Nationality ៈྣဦዸPassport Number
܄! ձ! Sex рғВයDate of Birth ! ! ԃ Y ! ! Д M! ! В D Չ ႝ ၉
mobile phone number (Ѹ༤Ǵ༤߄ᇥܴݙཀ٣ϖ) (required, see notice 5)
ႝ η ແ ҹ
E - m a i l (༤߄ᇥܴݙཀ٣ϖ) ( s e e n o t i c e 5 )
ɍԖǺ ɍค ቩԏᏵ(խߕǴ༤߄
ᇥܴݙཀ٣Β) Receipt for application fee (needn’t submit; reference on the back as for how to fill in the form)
ᛦВය Payment date
ԃ Д В y/ m/ /d
ແֽֽဦ(6 ዸ) Branch code ჄኘԏᏵဦዸ(8 ዸ)܈Ҭׇܰဦ(9 ዸ) Receipt No.(8 digits) or transaction No.(9 digits)
Ѧ୯Γي ϩձ Foreigner status
ɍᕇۚ੮ϐᜤ҇Ƕ
A refugee permitted to stay in the Republic of China.
ɍᕇӧύ҇୯ნϣೱុڙငႿவ٣πբǴೱុۚ੮ᅈϖԃǴࠔՉᆄ҅ǴЪԖՐ܌ޣǶ One who has been continuously employed, with permission of the relevant competent authority(ies), to engage in work in the Republic of China, has maintained a settled practice of good-mannered behavior, and has kept a residence in the said territory for at least five consecutive years
ɍᕇᆶځӧύ҇୯ნϣԖЊᝤϐޔسՈᒃӅӕғࢲޣǶ
One permitted to live with his/her lineal relative who has a registered domestic residence in the Republic of China.
ɍڗள҉Φۚ੮ޣǶ
One permitted to stay permanently in the territory of the Republic of China.
ന߈Ε୯Вය
Most Recent Entry Date ! ! ! ! ! ! ԃY! ! ! ! ! ! Д M! ! ! ! ! В D
ۚ੮Ԗਏයज़
Expiration Date of Resident Visa
! ! ! ! ԃ! ! ! ! ! Д! ! ! ! ! ! ВЗ
Y M D
ڙငႿය໔ Period of Employment
Ծ! ! ! ԃ! ! Д! ! ! ВԿ! ! ! ԃ! ! Д! ! ! ВЗ From Y M D to Y M D ڙႿᏼҺϐπբϣ
Nature of Work
аΠЎҹፎ٩ჴሞݩϭᒧᔠߕǺ ɍॄೢΓيϩቹҁ1 ҽ
One copy of the Responsible Person's Identification Card.
ɍѦႾۚ੮Ȑ܈҉Φۚ੮ȑ҅ϸय़ቹҁӚ1 ҽǶ
One copy of both sides of Alien Resident Visa (or Permanent Resident Visa).
AF-041 1110430 ހ ɍៈྣቹҁ1 ҽǶ
One copy of Passport.
ɍငႿӝऊਜቹҁ1 ҽǶ
One photocopy of Employment Contract.
ɍᜤ҇ቹҁǶ(ᕇۚ੮ϐᜤ҇ሡᔠߕ)
Photocopy of Refugee Certificate.(Applicable of refugees permitted to reside.)
ɍӦϣࡹΕр୯Ϸ౽҇Ȑ୍ܺઠȑ໒ҥϐѦႾۚ੮ᅈ5 ԃΕрნܴቹҁǶȠᕇӧύ҇୯ნϣ ೱុڙငႿவ٣πբǴۚ੮ᅈϖԃǴࠔՉᆄ҅ǴЪԖՐ܌ޣሡᔠߕȡ
Photocopy of Certificate for foreigner's residence up to 5 years (certificate of entry and exit), issued by local National Immigration Agency. ȠApplicable to persons of exemplary behavior who have been continuously employed, and resided in the Republic of China for up to five years.ȡ
ɍЬ໒ҥϐೱុ5 ԃޑငႿܴϷࡹ۬Ьᆅᐒᜢਡวೱុᅈ 5 ԃޑငႿёЎҹܴቹҁǶȠᕇӧύ
҇୯ნϣೱុڙငႿவ٣πբǴۚ੮ᅈ5 ԃǴࠔՉᆄ҅ǴЪԖՐ܌ޣሡᔠߕȡ
Continous 5-year employment certificate issued by employer and continuous full 5-year employment permit Certification issued by the competent authority. ȠPersons of exemplary behavior who have been continuously employed, and resided in the Republic of China for up to five years.ȡ
ɍڙငႿѦ୯Γଛଽന߈3 ঁДϣϐЊᝤᖵҁ҅ҁǶȠᆶӧύ҇୯ნϣԖЊᝤϐ୯่҇ஆǴЪᕇۚ
੮ޣሡᔠߕȡ܈ޔسՈᒃӅӕғࢲޣ3 ঁДϣϐЊᝤᖵҁ҅ҁǶ
One original most recent 3-month household registration transcript for the employed foreigner's spouse.
ȠApplicable to who marries a national of the Republic of China with domestic residence and a permit to reside.ȡor one original most recent 3-month household registration transcript of lineal relatives living with the Employed.
ҁҙፎਢ ɍค ܈ ɍԖہҺدҥ൩୍ܺᐒᄬᒤǹɍҁҙፎਢᇂҔϐკǵӑߞዴࣁЬ٬Ҕ
܈жڅǹЎҹӣൺБԄǺɍᒃڗ܈ɍແȐɍدҥ൩୍ܺᐒᄬӦ֟ɍѦ୯ΓۚՐӦ֟ɍځдӦ
֟Ǻ ȑǴ (аፎϭ ᒧ)٠ᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ This application has been entrusted to a private employment services agency to apply.ɍ no ɍ yes ɍThe making and using of the stamp, seal in this application has been authorized by the employer.
I would like ɍ to pick up the official document; ɍ to have the official document deliver to (ɍ address of the private employment services agencyǹɍforeigner’s resident address; ɍother
address:__________________________________________________________. Please select from one of the above). Applicant shall assume legal responsibly for providing information and documents proven false through investigation.
ЬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑ Name of Employer Chop
ॄೢΓǺ! ! ! ! ! ! ! ! ! Ȑᛝകȑ܄ձǺ рғԃДВǺ يϩӷဦዸǺ Responsible Person Signature and personal seal
ᖄ๎ΓǺ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ᖄ๎ႝ၉Ǻ(! ! )- Liaison Tel:
ѱϣႝ၉Ǻ ȐόளᆶہҺϐدҥ൩୍ܺᐒᄬᖄ๎ႝ၉࣬ӕȑ Tel
Չႝ၉Ǻ ȐόளᆶہҺϐدҥ൩୍ܺᐒᄬᖄ๎ႝ၉࣬ӕȑ Mobile phone number
ႝηແҹǺɍԖ: ɍค E-mail
Ɂа3 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ܈ёᖄᛠԿЬ ϐᒃ϶ႝ၉Ǵӵ҂ዴჴ༤ቪЬᖄ๎ႝ၉ǴஒόϒਡวёǶᖄ๎ၗૻஒբࣁҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩ
ϷࡕុငႿᆅݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔ǴᆶߥምЬငႿѦ୯ΓϐǼ
Please enter the three contact methods above. The employer shall, according to the regulations, provide either a mobile or landline phone number at which the employer (or a contact person) can be reached. If the contact information of the employer is not provided, the Ministry of Labor will not issue the permit. The contact information will be used for the authority when needed (to inform the status of the application or matters needing attention). To shorten the processing time and for the right and benefit of hiring foreigners, please fill out the form properly.
ڙہૼدҥ൩୍ܺᐒᄬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑ Name of the Manpower Agent Entrusted Chop
ёဦǺ
ΓǺ! ! ! ! ! ! ! ! ! ! ȐᛝӜȑ! ! ဦǺ ᖄ๎ႝ၉Ǻ(! ! )- Specialist Signature License No. Tel:
AF-041 1110430 ހ ȐаΠೀጕጄൎࣁڙᐒᜢԏЎҔȑ
ԏЎകǺ ԏЎဦǺ
༤߄ᇥܴݙཀ٣Ǻ Notice:
ǵġ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ
Relevant regulations and application procedures, please follow the latest regulations on the website of workforce development agency.
ΒǵġᛦҬቩϐແࡹჄኘൂԏᏵ҅ҁ܈ёԿҁᐒᜢ(10042 ᆵчѱύ҅ύၡࢤ 39 ဦ 10 ኴ)ԏᘕ ѠᛦҬǶȠΓཥᆵჾ 100 ϡȡЊӜǺമമΚวငႿёԏЊǶჄኘဦǺ 19058848
Please submit the original of the receipt for Postal Giro or personally get to the counter of the Workforce Development Agency to made the payment. (NT$100 per person.)
Account Name: മമΚวငႿёԏЊǶ Post Account No.:19058848 ቩ(100 ϡ)ԏᏵǺϩࣁႝတԏᏵ(қՅ)ϷᖏᘕᛦීԏᏵ(ᆘՅ)2 ᅿǴ༤ቪӵΠǺ (1)ႝတԏᏵ(Ӛແֽ໒ڀϐқՅԏᏵ)Ǻ
ጄٯ 00002660 100/06/11 16:46:33 00002660 100/06/11 003110 1A6 297174
003110
༤ቪ ᛦВයǺ100 ԃ 6 Д 11 ВǴແֽֽဦǺ003110ǴჄኘԏᏵဦዸ(8 ዸ)Ǻ00002660 (2)ᖏᘕᛦීԏᏵ(ແֽࢴҁᐒᜢᎫᗺ໒ڀϐᆘՅԏᏵ)Ǻ
ጄٯ ѓف B-5103097Ǵᒤֽകᘈ
༤ቪ Ҭׇܰဦ(9 ዸ)ǺB-5103097ǴᛦВයǺ100 ԃ 6 Д 11 ВǴແֽֽဦǺ000100 There are two kinds receipt of the application fee (100 NTD each case)
(1)If the applicant pay the fee at the post office before submitting the application (a WHITE slip) example
00002660 100/06/11 16:46:33 00002660 100/06/11 003110 1A6 297174
003110 fill in the form as follow
payment date: 100 y 06 m 11 d ; branch code: 030110 ; receipt No.(8 digits): 00002660
(2)If the applicant pay the fee at the counter while submitting the application in person (a GREEN slip)
example upper right corner B-5103097;
with the stamp of the post office
fill in the form as follow
transaction No.(9 digits): B-5103097 ; payment date: 100 y 06 m 11 d ;branch code: 000100 Οǵġፎ٩ჴሞݩϭᒧɍǴӵᔠߕЎҹǴ୍ѸᔠߕǶ
Please tick the boxes (ɍ) accordingly, and do submit the required documents.
ѤǵġҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂϦљϷॄೢΓ ӑകǶ Documents should include the stamp the entity and of the owner by which the document was issued. Documents issued by the government, school, health facility and airline are exempt.
ϖǵġѦ୯ΓՉႝ၉Ѹ༤ǴЪόளᆶЬ܈دҥ൩୍ܺᐒᄬႝ၉࣬ӕǴ҂༤ቪޣǴஒଏፎံ҅ዴᇡǹ
ႝηແҹϭᒧȨԖȩ܈ȨคȩǴ҂ϭᒧޣǴஒଏፎံ҅ዴᇡǴऩϭᒧȨԖȩǴፎዴჴ༤ቪЪόளᆶ
Ь܈دҥ൩୍ܺᐒᄬႝηແҹ࣬ӕǶ
The foreigner’s mobile number is required and cannot be the same as the phone number of the employer or the private employment services institution. If the phone number is not provided, the application will be returned for revision; the email section must be checked “Yes” or “No”, or else the application will be returned for revision. If you tick "Yes", please enter the email address and it must not be the same as the email of the employer or the private employment services institution.
branch
code 000100-6 100.06.11 ແֽֽဦ!
ჄኘԏᏵဦዸ)9 ዸ*! ᛦВය!
ֽဦ! 000100-6 100.06.11
receipt No.(8 digits)
branch code
payment date
AF-042! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! 1110430 ހ
Ѧ ୯ Γ π բ ё ҙ ፎ ਜ Ȑ ঁ Γ ȑ
APPLICATION FORM FOR HIRING FOREIGNERS (PERSONAL)
ਢҹᜪձǺType of Application
62.٩൩୍ܺݤಃ 51 చಃ 1 ಃ 1ǵ3ǵ4 ීҙፎޣ In accordance with Article 51, Section 1, Clause 1,3,4 of the Employment Service Act
ҙፎҞǺ Applying Item
ɍ4I.πբё Work Permit
Ѧ ୯ Γ ۉ Ӝ
Foreigner Name म Ў
English ύЎ
Chinese
ۚ ੮ ဦ Resident Visa Number ୯! ᝤ
Nationality ៈ ྣ ဦ ዸ
P a s s p o r t N u m b e r ܄! ձ!
Sex рғВය
Date of Birth ԃY! ! Д M! ! В D ቩԏᏵ(խߕǴ༤߄ᇥ
ܴݙཀ٣Β) Receipt for application fee (needn’t submit; reference on the back as for how to fill in the form)
ᛦВය
Payment date ԃ Д В
y/ m/ /d ແֽֽဦ(6 ዸ) Branch code ჄኘԏᏵဦዸ(8 ዸ)܈Ҭׇܰဦ(9 ዸ) Receipt No.(8 digits) or transaction No.(9 digits)
يϩձ Foreigner status
ɍᕇۚ੮ϐᜤ҇Ƕ
A refugee permitted to stay in the Republic of China.
ɍᕇᆶځӧύ҇୯ნϣԖЊᝤϐޔسՈᒃӅӕғࢲޣǶ
One permitted to live with his/her lineal relative who has a registered domestic residence in the Republic of China.
ɍڗள҉Φۚ੮ޣǶ
One permitted to stay permanently in the territory of the Republic of China.
٩ᒃჹຝۉӜ(٩ᒃۚ੮ޣѸ༤)
The Name of the relative (in Taiwan) You Depend on ! ! ! ! ! ᒃឦᜢ߯ R e l a t i o n s h i p
ۚ ੮ Ԗ ਏ ය ज़
Expiration Date of Resident Visa ! ! ! ! ! ԃ ! ! ! ! ! Д ! ! ! ! ! ! В З
Y M D
ӧ Ѡ ۚ Ր Ӧ ֟
Address of Resident in Taiwan аΠЎҹፎ٩ჴሞݩϭᒧᔠߕǺ
ɍѦႾۚ੮Ȑ܈҉Φۚ੮ȑ҅ϸय़ቹҁӚ1 ҽǶ
One copy of both sides of Alien Resident Visa (or Permanent Resident Visa).
ɍៈྣቹҁ1 ҽǶ One copy of Passport.
ɍᜤ҇ቹҁǶ(ᕇۚ੮ϐᜤ҇ሡᔠߕ)
Photocopy of Refugee Certificate.(Applicable of refugees permitted to reside.) ɍ٩ᒃჹຝϐيϩܴЎҹቹҁǶ(٩ᒃۚ੮ޣሡᔠߕ)
The ID certificate photocopy of the relative (in Taiwan) you depend on.
ҁҙፎਢ ɍค ܈ ɍԖہҺدҥ൩୍ܺᐒᄬᒤǹɍҁҙፎਢᇂҔϐკǵӑߞዴࣁЬ٬Ҕ܈
жڅǹЎҹӣൺБԄǺɍᒃڗ܈ɍແȐɍدҥ൩୍ܺᐒᄬӦ֟ɍѦ୯Γ ۚՐӦ֟ɍځдӦ
֟Ǻ ȑǴ (аፎϭᒧ) ٠ᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ
This application has been entrusted to a private employment services agency to apply. ɍ no ɍ yes ɍThe making and using of the stamp, seal in this application has been authorized by the employer.
I would like ɍ to pick up the official document; ɍ to have the official document deliver to (ɍ address of the private employment services agencyǹɍforeigner’s resident address; ɍother
address:__________________________________________________________. Please select from one of the above). Applicant shall assume legal responsibly for providing information and documents proven false through investigation.
ҙፎΓǺ ! ! ! ᛝക
Name of Foreigner: Signature & Personal Seal ѱϣႝ၉Ǻ ȐόளᆶہҺϐدҥ൩୍ܺᐒᄬᖄ๎ႝ၉࣬ӕȑ Tel Չႝ၉Ǻ ȐόளᆶہҺϐدҥ൩୍ܺᐒᄬᖄ๎ႝ၉࣬ӕȑ Mobile Phone Number
ႝηແҹǺɍԖ: ɍค Email
ᖄ๎ΓǺ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ᖄ๎ႝ၉Ǻ(! ! )- Liaison Tel:
Ɂᖄ๎ၗૻஒբࣁҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩϷࡕុငႿᆅݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔Ǵᆶ ߥምҙፎΓϐǼ
The contact information will be used for the authority when needed (to inform the status of the application or matters needing attention). To shorten the processing time and for the right and benefit of applicants, please fill out the form properly.
AF-042! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! 1110430 ހ ڙہૼدҥ൩୍ܺᐒᄬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑ
Name of the Manpower Agent Entrusted Chop
ёဦǺ
ΓǺ! ! ! ! ! ! ! ! ȐᛝӜȑ! ! ဦǺ ᖄ๎ႝ၉Ǻ(! ! )- Specialist Signature License No. Tel:
ȐаΠೀጕጄൎࣁڙᐒᜢԏЎҔȑ
ԏЎകǺ ԏЎဦǺ
༤߄ᇥܴݙཀ٣Ǻ Notice:
ǵġ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ
Relevant regulations and application procedures, please follow the latest regulations on the website of workforce development agency.
ΒǵġᛦҬቩϐແࡹჄኘൂԏᏵ҅ҁ܈ёԿҁᐒᜢ(10042 ᆵчѱύ҅ύၡࢤ 39 ဦ 10 ኴ)ԏᘕ ѠᛦҬǶȠΓཥᆵჾ 100 ϡȡЊӜǺമമΚวငႿёԏЊǶჄኘဦǺ 19058848
Please submit the original of the receipt for Postal Giro or personally get to the counter of the Workforce Development Agency to made the payment. (NT$100 per person.)
Account Name: മമΚวငႿёԏЊǶ Post Account No.:19058848 ቩ(100 ϡ)ԏᏵǺϩࣁႝတԏᏵ(қՅ)ϷᖏᘕᛦීԏᏵ(ᆘՅ)2 ᅿǴ༤ቪӵΠǺ (1)ႝတԏᏵ(Ӛແֽ໒ڀϐқՅԏᏵ)Ǻ
ጄٯ 00002660 100/06/11 16:46:33 00002660 100/06/11 003110 1A6 297174
003110
༤ቪ ᛦВයǺ100 ԃ 6 Д 11 ВǴແֽֽဦǺ003110ǴჄኘԏᏵဦዸ(8 ዸ)Ǻ00002660 (2)ᖏᘕᛦීԏᏵ(ແֽࢴҁᐒᜢᎫᗺ໒ڀϐᆘՅԏᏵ)Ǻ
ጄٯ ѓف B-5103097Ǵᒤֽകᘈ
༤ቪ Ҭׇܰဦ(9 ዸ)ǺB-5103097ǴᛦВයǺ100 ԃ 6 Д 11 ВǴແֽֽဦǺ000100 There are two kinds receipt of the application fee (100 NTD each case)
(1)If the applicant pay the fee at the post office before submitting the application (a WHITE slip) example
00002660 100/06/11 16:46:33 00002660 100/06/11 003110 1A6 297174
003110 fill in the form as follow
payment date: 100 y 06 m 11 d ; branch code: 030110 ; receipt No.(8 digits): 00002660
(2)If the applicant pay the fee at the counter while submitting the application in person (a GREEN slip)
example upper right corner B-5103097;
with the stamp of the post office
fill in the form as follow
transaction No.(9 digits): B-5103097 ; payment date: 100 y 06 m 11 d ;branch code: 000100 Οǵġፎ٩ჴሞݩϭᒧɍǴӵᔠߕЎҹǴ୍ѸᔠߕǶ
Please tick the boxes (ɍ) accordingly, and do submit the required documents.
ѤǵġҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂϦљϷॄೢΓ ӑകǶ
Documents should include the stamp the entity and of the owner by which the document was issued.
Documents issued by the government, school, health facility and airline are exempt.
branch
code 000100-6 100.06.11 ແֽֽဦ!
ჄኘԏᏵဦዸ)9 ዸ*! ᛦВය!
ֽဦ! 000100-6 100.06.11
receipt No.(8 digits)
branch code
payment date
Ѧ
Ѧᝤৎ࣮ៈπϐπբය໔ಕीԿ
14 ԃϐຑᗺҙፎਜҙፎπբᜪձ!
ৎ࣮ៈ!
ҙፎҞȐൂᒧȑ!
ɍ!!߃ԛܕ༅!!!!!!!!ɍ!!ख़ཥܕ༅!!!!!!!!!!ɍ!!ሀံܕ༅!
ɍ!!ငႿё!!!!!!!!ɍ!!ௗុငႿё!!!!!!ɍ!!ၗ౦!
Ь! ڙຑᗺѦ୯Γၗ!
ۉ!!Ӝ! ! ୯ᝤ! ៈྣဦዸ! ۉӜ!
يϩӷဦ! ! ! ! !
ԛ! ຑᗺҞ! ၗచҹ! ሡᔠߕ࣬ᜢᔈഢЎҹ! ڙൂ
Տᔠਡ!
2! ૽ግ!
ڗளך୯ྣ୍៝ܺמೌγǶ! ɍྣ୍៝ܺמೌγྣቹҁ! ɍ26!
ך୯࣬ᜢ૽ግൂՏǵϦڐ૽ግǴ಄ӝྣ୍៝ܺ
૽ግਔኧǶ!
ɍך୯࣬ᜢ૽ግൂՏ܈Ϧڐ໒ҥϐྣ୍่៝ܺ
ਜ܈૽ግӝܴǴЪ૽ግਔኧၲ:1λਔаǶ! ɍ21!
ୖуך୯࣬ᜢ૽ግൂՏǵϦڐᒤϐྣ୍៝ܺ૽
ግǶ!
ɍך୯࣬ᜢ૽ግൂՏ܈Ϧڐ໒ҥϐྣ୍៝ܺ
૽ግܴǶ! ɍ6!!
3! ԾΚ Ꮲಞ!
ᇟ ق
ૈ Κ!
಄ӝΠӈၗϐǺ!
2/୯ᇟෳᡍΕߐભǵመࠄᇟᇡ୷ᘵભǵ࠼ᇟᇡ
߃ભ܈চՐ҇ᇟᇡ߃ભӝǶ!
3/୯ᇟǵመࠄᇟǵ࠼ᇟǵځдᅇᇟ܈চՐ҇ᇟᏢ ಞၲ 231 λਔаǶ!
ᔈഢаΠЎҹϐǺ!
ɍ2 ୯ৎᇟෳᡍπբہ໒ڀϐ୯ᇟЎ
ૈΚෳᡍԋᕮΕߐભӝܴǵ௲ػ໒ ڀϐ୯ᇟЎૈΚෳᡍΕߐભӝਜǵ௲ ػ໒ڀϐመࠄᇟᇟقૈΚᇡԵ၂୷ᘵ ભӝਜǵ࠼ৎہ໒ڀϐ࠼ᇟૈΚ ᇡԵ၂߃ભӝਜ܈চՐ҇ہ
໒ڀϐচՐ҇ᇟقૈΚᇡෳᡍ߃ભӝ
ਜቹҁǶ!
ɍ3/Ꮲಞᇟقၲೕۓਔኧаܴ!
ɍ4/Ѧ୯Γڀഢɍ୯ᇟɍመࠄᇟ!ɍ࠼ᇟɍځд ᅇᇟ܈ɍচՐ҇ᇟ)аᔈϭᒧ*୷ ҁ᠋ᇥૈΚܴ܈Ϫ่!
)2*ɍ࣬ᜢܴ!
)3*ɍϪ่ǺҁਢѦ୯Γڀഢ໒ϭᒧᇟ Ўϐ᠋ᇥૈΚǴԜϪ่Ƕ!
ɍ46!
ڀഢ୯ᇟǵመࠄᇟǵ࠼ᇟǵځдᅇᇟ܈চՐ҇ᇟ
୷ҁ᠋ᇥૈΚǴёՉғࢲϷπբྎ೯Ƕ!
ɍ41!
π բ
ૈ Κ!
ࣁҙፎϐЬவ٣ৎ࣮ៈπբǴ: ԃаǴᆒዕ ځ࣮ៈޣྣ៝πբǶ!
ɍҗമਡѦᝤৎ࣮ៈࣁҙፎϐЬܺ
୍ය໔Ƕ!
ɍҙፎϐЬрڀπբૈΚ!
)2*ɍ࣬ᜢܴ!
)3*ɍϪ่ǺҁਢҙፎѦ୯ΓǴҺځ࣮ៈ
ޣ୷ҁྣ៝πբǴԜϪ่Ƕ!
ɍ36!
ࣁҙፎϐЬவ٣ৎ࣮ៈπբǴ7 ԃаǵ҂ᅈ
: ԃǴዕግځ࣮ៈޣྣ៝πբǶ! ɍ31!
ࣁҙፎϐЬவ٣ৎ࣮ៈπբǴ4 ԃаǵ҂ᅈ
7 ԃǴയҺځ࣮ៈޣ୷ᘵྣ៝πբǶ! ɍ26!
ࣁҙፎϐЬவ٣ৎ࣮ៈπբǴ2 ԃаǴ܈҂
ᅈ 2 ԃҙፎϐЬрڀૈΚܴ܈Ϫ่ǴҺځ
࣮ៈޣ୷ҁྣ៝πբǶ!
ɍ21!
ܺ
୍ ߄
!
πբڀԖਸ߄ǴӦБࡹ۬рڀܴǶ! ɍӦБࡹ۬рڀਸ߄ܴǶ! ɍ36!
πբڀԖਸ߄ǴڗளܴǶ! ɍҙፎϐЬрڀਸ߄!
)2*ɍ࣬ᜢܴ!
)3*ɍϪ่ǺҁਢҙፎѦ୯ΓǴܭငႿᏼҺৎ
࣮ៈπය໔߄ᓬؼǴԜϪ่Ƕ!
ɍමငႿϐЬрڀਸ߄!
)2*ɍ࣬ᜢܴ!
)3*ɍϪ่ǺҁਢҙፎѦ୯ΓǴܭငႿᏼ Һৎ࣮ៈπය໔߄ᓬؼǴԜ Ϫ่Ƕ!
!! ᛝӜǺ!
ȐමငႿϐЬᛝӜȑ! !
ɍ31!
ഢຏǺᇟقૈΚǵπբૈΚϷ୍ܺ߄ࣁόӕຑᗺҞǶӕຑᗺ
Ҟڀഢ 3 аၗచҹਔǴၨଯᗺኧޣीᗺǶ! ӝᗺኧǺ71 ᗺ!
ᕴी!
!!!!!
ᗺ!
Ь ᛝ Ӝ Ǻ! ! ! ! ! ! ! ! !
2221541 ހ!
BG.156!
ߕ
ߕ߄ϖǺѦᝤৎ࣮ៈπϐπբය໔ಕीԿΜѤԃϐຑᗺ߄!
ԛ!
ຑᗺҞ!
ၗచҹ! ᗺኧ! ᔈഢЎҹϷᇥܴ!
2! ૽ግ! ڗளך୯ྣ୍៝ܺמೌγ! 26! ྣ୍៝ܺמೌγྣቹҁ
ך ୯ ࣬ ᜢ ૽ ግ ൂ Տ ǵ Ϧ ڐ ૽ ግǴ಄ӝྣ୍៝ܺ૽ግਔኧǶ! 21!
ך୯࣬ᜢ૽ግൂՏ܈Ϧڐ໒ҥϐྣ៝
୍่ܺਜ܈૽ግӝܴǴЪ૽
ግਔኧၲ :1 λਔаǶ!
ୖуך୯࣬ᜢ૽ግൂՏǵϦڐᒤ
ϐྣ୍៝ܺ૽ግ! 6! ך୯࣬ᜢ૽ግൂՏ܈Ϧڐ໒ҥϐྣ៝
୍ܺ૽ግܴǶ!
3! ԾΚ Ꮲಞ!
ᇟق
ૈΚ!
಄ӝΠӈၗϐǺ!
2/୯ᇟෳᡍΕߐભǵመࠄᇟᇡ୷ ᘵભǵ࠼ᇟᇡ߃ભ܈চՐ҇
ᇟᇡ߃ભӝǶ!
3/୯ᇟǵመࠄᇟǵ࠼ᇟǵځдᅇᇟ
܈চՐ҇ᇟᏢಞၲ 231 λਔа
Ƕ!
46!
ᔈഢаΠЎҹϐǺ!
ǵ୯ৎᇟෳᡍπբہ໒ڀ ϐ୯ᇟЎૈΚෳᡍԋᕮΕߐભӝ
ܴǵ௲ػ໒ڀϐ୯ᇟЎૈΚෳ
ᡍΕߐભӝਜǵ௲ػ໒ڀϐ መࠄᇟᇟقૈΚᇡԵ၂୷ᘵભӝ
ਜǵ࠼ৎہ໒ڀϐ࠼ᇟૈ
ΚᇡԵ၂߃ભӝਜ܈চՐ҇
ہ໒ڀϐচՐ҇ᇟقૈΚ ᇡෳᡍ߃ભӝਜቹҁǶ!
ΒǵᏢಞᇟقၲೕۓਔኧаܴǶ!
ΟǵЬрڀѦ୯Γڀഢ ୯ᇟǵመࠄ ᇟǵ࠼ᇟǵځдᅇᇟ܈চՐ҇ᇟ
୷ҁ᠋ᇥૈΚܴ܈Ϫ่Ƕ ڀഢ୯ᇟǵመࠄᇟǵ࠼ᇟǵځдᅇ
ᇟ܈চՐ҇ᇟ୷ҁ᠋ᇥૈΚǴё
ՉғࢲϷπբྎ೯!
41!
πբ
ૈΚ!
ࣁҙፎϐЬவ٣ৎ࣮ៈπբ : ԃ а Ǵ ᆒ ዕ ځ ࣮ ៈ ޣ ྣ ៝ π
բǶ! 36!
խߕǴҗമਡѦᝤৎ࣮ៈࣁҙ ፎϐЬ୍ܺය໔ǹՠࣁҙፎϐЬܺ
୍ය໔҂ᅈ 2 ԃޣǴЬрڀૈΚܴ
܈Ϫ่Ƕ ࣁҙፎϐЬவ٣ৎ࣮ៈπբ 7
ԃаǵ҂ᅈ : ԃǴዕግځ࣮ៈ
ޣྣ៝πբǶ!
31!
ࣁҙፎϐЬவ٣ৎ࣮ៈπբ 4 ԃаǵ҂ᅈ 7 ԃǴയҺځ࣮ៈ
ޣ୷ᘵྣ៝πբǶ!
26!
ࣁҙፎϐЬவ٣ৎ࣮ៈπբ 2 ԃаǴ܈҂ᅈ 2 ԃҙፎϐЬ рڀૈΚܴ܈Ϫ่ǴҺځ࣮
ៈޣ୷ҁྣ៝πբǶ!
21!
୍ܺ
߄!
πբڀԖਸ߄ǴӦБࡹ۬р
ڀܴ! 36! ӦБࡹ۬рڀਸ߄ܴǶ!
πբڀԖਸ߄Ǵڗளܴ!
31! ҙፎϐЬ܈මငႿϐЬрڀਸ߄
ܴ܈Ϫ่Ƕ!
ഢຏǺǵᇟقૈΚǵπբૈΚϷ୍ܺ߄ࣁόӕຑᗺҞǶӕຑᗺҞڀഢ 3 аၗచҹޣǴၨଯ ᗺኧޣीᗺǶ!
ΒǵуᕴӚҞளϩ 71 ᗺаӝǶ
DAF-001-a 1110430䇰
Ь ޔ ௗ င Ⴟ Ѧ ୯ Γ ҙ ፎ ਜ!
πբᜪձǺ!!2/ɍஓৌπբ!!!!!!
! ҙፎҞǺ!ɍ22 ߃ԛܕ༅!!
ɍ23 ख़ཥܕ༅!!
!
ЬӜᆀ)ӄሒȑ! ! ᔼճ٣ጓဦ! ! ! ! ! ! ! ! ! !
Ϧ љ ॄ ೢ Γ!!!!!!!!!!!!!!!!! !يϩӷဦ! !!!!!!!!!!!!!!!!
Ϧ љ!
Ӧ ֟!
ɍɍɍ!!!!!!!!!ᑜ! ໂᙼ! !ၡ! ࢤ! ࡅ! !!! !!!ဦ! !!!ኴ!
)ແሀဦ*!!!!!!!!ѱ!! ѱ! !ຉ! !
ஓৌӜᆀ! ! മ ߥ ဦ!!
ஓৌӦ֟! !
ஓ ৌ ฦ ጓ ဦ!!
ஓ ৌ ܴ Ў ဦ!
)ҙፎख़ཥܕ༅խ༤*!! ቩԏᏵ)խ
ߕǴ༤߄ᇥܴݙཀ ٣Β*!
ᛦВය! ԃ!!!Д!!!В! ແֽֽဦ)7 ዸ*! ! ! ! ! ! ! ჄኘԏᏵဦዸ)9 ዸ*܈Ҭׇܰဦ): ዸ*! ! ! ! ! ! ! ! ! !
ωܴਜጓဦ!
)༤߄ᇥܴݙཀ٣Ο*!
ငႿᒤݤܴਜׇဦ!
)༤߄ᇥܴݙཀ٣Ѥ*!
6 ભ ڋ ܕ ༅ ё ڄ Ў ဦ ) ҙ ፎ Ѧ у ਢ ޣ ༤ *
! ! !
ҙፎፎӃ၂ᆉࢂցԖёҙፎΓኧǶ)༤߄ᇥܴݙཀ٣ΐ*!
চਡଛК
! ी!!!!!Γ!Ѧу 4111
ϡ! ी! ! Γ! Ѧу 6111
ϡ! ी! ! Γ! Ѧу 8111
ϡ! ी! ! Γ!
ӆගଯК
)֡ᚐѦᛦ Ҭ 8111 ϡ*!
ी! ! Γ!
ҙ ፎ ୯ ձ ᆶ Γ ኧ!
ੀ୯)141*! ࡓ ᇯ )135*! ӑѭ)11:*! ຫ!ࠄ)144*! ځд୯! ӝ! ! ी!
! ! ! ! ! Γ!
ܕ༅ёڄ܈ௗុငႿਡഢڄЎဦ)༤߄ᇥܴݙཀ٣Ϥ*! ಃ ဦ
ᖂܴਜǺҁҙፎਢҗЬҁΓԾՉගрҙፎǴ٠คہҺدҥ൩୍ܺᐒᄬᒤǴᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ
֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ!
ЬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑॄೢΓǺ!!!!!! ! ! ! !!Ȑᛝകȑ!
ѱϣႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
Չႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
ႝηແҹǺɍԖ;!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ɍค!
Ɂа 4 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ܈ёᖄᛠԿЬϐᒃ϶
ႝ၉Ǵӵ҂ዴჴ༤ቪЬᖄ๎ႝ၉ǴஒόϒਡวёǶќᖄ๎ၗૻஒբࣁҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩϷࡕុ
ငႿᆅݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔ǴᆶߥምЬငႿѦ୯ΓϐǼ!
ȐаΠጕጄൎࣁڙᐒᜢԏЎҔȑ!
ԏЎകǺ! !ԏЎဦǺ!
! ༤߄ᇥܴݙཀ٣Ǻ!
ǵ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ!
Βǵቩ)311 ϡ*ԏᏵǺϩࣁႝတԏᏵ)қՅ*ϷᖏᘕᛦීԏᏵ)ᙔՅ*3 ᅿǴ༤ቪӵΠǺ!
)2*ႝတԏᏵ)Ӛແֽ໒ڀϐқՅԏᏵ*Ǻ!
ጄٯ!11113771!!!221017022!!27;57;44!!!!!!!11113771!!!221017022!!
!!!!!!!!114221!!2B7!!3:8285!!!!!!!!!!!
!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!114221!!!
! ແֽֽဦ!
ჄኘԏᏵဦዸ)9 ዸ*! ᛦВය!
DAF-001-a 1110430䇰 ༤ቪ!!ᛦВයǺ221 ԃ 7 Д 22 ВǴແֽֽဦǺ114221ǴჄኘԏᏵဦዸ)9 ዸ*Ǻ11113771!
)3* ᖏᘕᛦීԏᏵ)ແֽࢴҁᐒᜢᎫᗺ໒ڀϐᙔՅԏᏵ*Ǻ!
ጄٯ!!ѓف!C.62141:8Ǵᒤֽകᘈ!!
!!!!!
!!༤ቪ!!Ҭׇܰဦ): ዸ*ǺC.62141:8ǴᛦВයǺ221 ԃ 7 Д 22 ВǴແֽֽဦǺ111211!
ɁຏǺቩແࡹჄኘၗૻǶЊӜǺമമΚวငႿёԏЊǴჄኘဦǺ2:169959Ƕ!
ΟǵωܴਜጓဦǺጄٯ! ጓဦǺB431813121231154!!༤ቪࣁ! B431813121231154!
ѤǵѦ୯ΓπբӦޔᗄѱǵᑜ)ѱ*ࡹ۬໒ڀϐЬငႿѦ୯ΓёϷᆅᒤݤಃ 33 చಃ 2 ಃ 6
ීܴਜ)ᙁᆀငႿᒤݤܴਜ*ׇဦǺጄٯ!!ѓف!23456789:!༤ቪ 23456789:!
ϖǵஓৌπբܴЎҹǺ༤ቪύѧҞޑ٣ЬᆅᐒᜢᇡۓܴЎҹϐЎဦǴጄٯ! ɄɄɄӷಃ
2211752744 ဦǴ༤ቪࣁ! ಃ 2211752744 ဦ!
)ҙፎख़ཥܕ༅խᔠߕύѧҞޑ٣ЬᆅᐒᜢᇡۓܴЎҹ*!
ϤǵёڄЎဦǺጄٯ! മɄɄɄӷಃ 2211752744 ဦǴ༤ቪࣁ! ಃ 2211752744 ဦ!
Ύǵɍፎ٩ჴሞݩϭᒧǴӵᔠߕЎҹǴ୍ѸᔠߕǶ!
ΖǵҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂϦљϷॄ
ೢΓӑകǶ!
ΐǵёҙፎΓኧ၂ᆉ߄Ǻ!
Μǵҁឯ܌༤Ȩѳ֡ΓኧȩǵȨ҂ख़ܕԖਏΓኧȩǴࡪѦ୯Γவ٣൩୍ܺݤಃ 57 చಃ 2 ಃ 9 ීԿ
ಃ 22 ීπբၗϷቩྗ)ᙁᆀቩྗ*ಃ 5: చᆶಃ 5: చߕ߄ 21 ೕۓǴ֡όх֖ߕуਢ ϐѦ୯ΓΓኧǶќȨቲЗܕ༅ϷငႿёΓኧǵᙯрΓኧȩ߯ࡰҙፎВ 3 ԃϣǴӕമߥဦǴ ӢёᘜೢЬϐচӢǴቲЗё܈ᙯඤЬϐѦ୯ΓΓኧǶ!
Μǵġ ҙፎ 6 ભڋѦ୯ΓޣǴҁឯค༤ቪǶҁឯ܌༤Ȩѳ֡ΓኧȩǵȨ҂ख़ܕԖਏΓኧȩǴࡪቩ
ྗಃ 61 చᆶಃ 5: చߕ߄ 21 ೕۓǴ֡х֖ߕуਢϐѦ୯ΓΓኧǶќȨቲЗܕ༅ϷငႿёΓ ኧǵᙯрΓኧȩӕݙཀ٣ΜǶ!
ΜΒǵҁឯ܌༤Ȩज़Γኧȩ߯ಃΟᜪѦ୯ΓԖਏငႿΓኧϷಃΒᜪѦ୯ΓϐԖਏܕ༅ϷငႿΓኧ ᆶவ٣ߐ܄܈מೌ܄πբѦ୯ΓϐԖਏငႿΓኧǴЪӝीόளຬၸᕴπ 61ʘǴᔈ಄ӝӚձ ҙፎӜᚐज़ೕۓǶќȨቲЗܕ༅ϷငႿёΓኧȩ߯ࡰҙፎВ 3 ԃϣǴӢёᘜೢЬϐচӢǴ
ቲЗё܈ᙯඤЬϐѦ୯ΓΓኧǶ!
ΜΟǵܫకӜᚐϪ่ਜ!
Ьܫకܭٛࣝය໔่״ࡕ 4 ঁДϣǴளӆӛҁҙፎۯߏЇਏයϐӜᚐ!
Ўဦ)߃ԛܕ༅ёǵΕ୯Їёǵሀံё*! Ϫ่ܫకΓኧ!
! !
)Ўဦӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕ*Ƕ!
ൂՏკǺ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ॄೢΓǺ! ! ! ! !!Ȑᛝകȑ!
ѳ֡Γኧ̮36&ɡ)!҂ख़ܕϐԖਏΓኧɠ!ቲЗܕ༅ϷငႿёΓኧɠ!ᙯрΓኧȑ)6 ભڋѦ୯Γ၂ᆉǴ༤߄ᇥ
ܴݙཀ٣Μ*!
̮)!36&!*ɡ)!!!!!!!!!!!!ɠ!!!!!!!!!!!ɠ!!!!!!ȑ>!
চਡଛК! ी!!!!!!!!!!!!!Γ!
ѳ֡Γኧ̮)36&ɠѦуਢКɠӆගଯК*ɡ)!҂ख़ܕϐԖਏΓኧɠቲЗܕ༅ϷငႿёΓኧɠ!ᙯ рΓኧ*!)ߕуਢѦ୯Γ၂ᆉǴ༤߄ᇥܴݙཀ٣Μ*!
!!!!!̮)!36&!!!!!ɠ!!!!!!!!ɠ!!!!!!!*ɡ)!!!!!!!!!!!ɠ!!!!!!!!!!ɠ!!!!!ȑ>!
Ѧу 4111
ϡ! ी! ! Γ! Ѧу 6111
ϡ! ी! ! Γ! Ѧу 8111
ϡ! ी! ! Γ!
ӆගଯК
)֡ᚐ ѦᛦҬ 8111 ϡ*!
ी! ! Γ!
ѳ֡Γኧ̮)61&*ɡ\ಃΟᜪѦ୯ΓԖਏငႿΓኧɠಃΒᜪѦ୯ΓԖਏܕ༅ϷငႿΓኧɠߐ
܄܈מೌ܄πբѦ୯ΓԖਏငႿΓኧɠቲЗܕ༅ϷငႿёΓኧ^)༤߄ᇥܴݙཀ٣ΜΒ*!
!̮)!61&!*ɡ)!!!!!!!!!!ɠ!!!!!!!!!ɠ!!!!!!!!!!!!!!!!*>!
ֽဦ! 000100-6 110.06.11
DAF-001-c 1110430 䇰
Ь ޔ ௗ င Ⴟ Ѧ ୯ Γ ҙ ፎ ਜ!
πբᜪձǺ!!B2/ɍѦၭ୍πբ
! ҙፎҞǺ!ɍ22 ߃ԛܕ༅!!
ɍ23 ख़ཥܕ༅!!
!
Ь Ӝ ᆀ!
) ӄ ሒ ȑ! ! ᔼճ٣ጓဦ! ! ! ! ! ! ! ! ! !
ॄ ೢ Γ!!!!!!!!!!!!!!!!! يϩӷဦ!!!!!!!!!!!!!!!!! മߥဦ!! ! ! ! ! ! ! !
ҥ ё!
Ӧ ֟!! Ѧ ၭ ୍ ी ฝ!
ਡ ۓ ڄ ဦ!! ቩԏᏵ
)խߕǴ༤߄ᇥ
ܴݙཀ٣
Β*!
ᛦВය! ԃ!!!Д!!!В! ແֽֽဦ)7 ዸ*!! ! ! ! ! ! ჄኘԏᏵဦዸ)9 ዸ*܈Ҭׇܰဦ): ዸ*! ! ! ! ! ! ! ! ! !
ωܴਜጓဦ!
)༤߄ᇥܴݙཀ٣Ο*!
ငႿᒤݤܴਜׇဦ!
Ȑ༤߄ᇥܴݙཀ٣Ѥ*!
ҙፎख़ཥܕ༅!
ܕ༅ёڄ܈ௗុငႿёڄЎဦ!
)༤߄ᇥܴݙཀ٣ϖ*!
! ! !
ၭہၗᇡۓڄਡۓΓኧ
! !!!!!!!!!!!!!!!!!!!!!!!!!!!Γ!ҙፎፎӃ၂ᆉࢂցԖёҙፎΓኧǶ)༤߄ᇥܴݙཀ٣Ζ*!
ҙ ፎ ୯ ձ ᆶ Γ ኧ!
ੀ୯)141*! ࡓᇯ)135*! ӑѭ)11:*! ຫ!ࠄ)144*! ځд୯! ӝ! ! ी!
! ! ! ! ! Γ
ፎ٩ჴሞރݩϭᒧϷᔠߕЎҹ;!)༤߄ᇥܴݙཀ٣Ϥ*! ɍॄೢΓيϩቹҁ!
ɍҥёฦቹҁ!
ɍύѧҞޑ٣ЬᆅᐒᜢਡۓӕཀѦၭ୍୍ܺीฝᆶၗϐܴЎҹቹҁ!
ɍځдݤೕᔈഢЎҹ!
ᖂܴਜǺҁҙፎਢҗЬҁΓԾՉගрҙፎǴ٠คہҺدҥ൩୍ܺᐒᄬᒤǴᖂܴҁҙፎਢ܌༤ቪ
ၗϷᔠߕЎҹ֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ!
ЬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑॄೢΓǺ!!!!!! ! ! ! !!Ȑᛝകȑ!
ѱϣႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
Չႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
ႝηແҹǺɍԖ;!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ɍค!
Ɂа 4 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ܈ё ᖄᛠԿЬϐᒃ϶ႝ၉Ǵӵ҂ዴჴ༤ቪЬᖄ๎ႝ၉ǴஒόϒਡวёǶќᖄ๎ၗૻஒբࣁҁᐒᜢջ ਔᖄᛠᇥܴҙፎਢҹቩϷࡕុငႿᆅݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔ǴᆶߥምЬင ႿѦ୯ΓϐǼ!
ȐаΠጕጄൎࣁڙᐒᜢԏЎҔȑ!
ԏЎകǺ! !ԏЎဦǺ!
!
!
ፎ ၁
᎙ ङ य़ ༤ ߄ ᇥ
ܴ
DAF-001-c 1110430 䇰 ༤߄ᇥܴݙཀ٣Ǻ!
ǵ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ!
Βǵቩ)311 ϡ*ԏᏵǺϩࣁႝတԏᏵ)қՅ*ϷᖏᘕᛦීԏᏵ)ᙔՅ*3 ᅿǴ༤ቪӵΠǺ!
)2*ႝတԏᏵ)Ӛແֽ໒ڀϐқՅԏᏵ*Ǻ!
ጄٯ!11113771!!!221017022!!27;57;44!!!!!11113771!!!221017022!!
!!!!!!!!114221!!2B7!!3:8285!!!!!!!!!!!
!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!114221!!!
!!!༤ቪ!!ᛦВයǺ221 ԃ 7 Д 22 ВǴແֽֽဦǺ114221ǴჄኘԏᏵဦዸ)9 ዸ*Ǻ11113771!
)3* ᖏᘕᛦීԏᏵ)ແֽࢴҁᐒᜢᎫᗺ໒ڀϐᙔՅԏᏵ*Ǻ!
ጄٯ!!ѓف!C.62141:8Ǵᒤֽകᘈ!!
!!!!!
!!༤ቪ!!Ҭׇܰဦ): ዸ*ǺC.62141:8ǴᛦВයǺ221 ԃ 7 Д 22 ВǴແֽֽဦǺ111211!
ΟǵωܴਜጓဦǺጄٯ! ጓဦǺB431813121231154!!༤ቪࣁ! B431813121231154!
ѤǵѦ୯ΓπբӦޔᗄѱǵᑜ)ѱ*ࡹ۬໒ڀϐЬငႿѦ୯ΓёϷᆅᒤݤಃ 33 చಃ 2 ಃ 6
ීܴਜ)ᙁᆀငႿᒤݤܴਜ*ׇဦǺጄٯ!!ѓف!23456789:!༤ቪ 23456789:!
ϖǵёڄЎဦǺጄٯ! മɄɄɄӷಃ 2211752744 ဦǴ༤ቪࣁ! ಃ 2211752744 ဦ!
Ϥǵɍፎ٩ჴሞݩϭᒧǴӵᔠߕЎҹǴ୍ѸᔠߕǶ!
ΎǵҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂЬϷ
ॄೢΓӑകǶ!
Ζǵ!
ၭہၗᇡۓڄਡۓΓኧ! !!!!!!!!!!!!!!!!!!!!!!!!!Γ!
ѳ֡Γኧ̮)61&*ɡ\ಃΟᜪѦ୯ΓԖਏငႿΓኧɠಃΒᜪѦ୯ΓԖਏܕ༅ϷငႿΓኧɠ
ߐ܄܈מೌ܄πբѦ୯ΓԖਏငႿΓኧɠቲЗܕ༅ϷငႿёΓኧ^)༤߄ᇥܴݙཀ٣ΐ*!
!̮)!61&!!*ɡ)!!!!!!!!!!ɠ!!!!!!!!!ɠ!!!!!!!!,!!!!!!!!*>!
!!!!
ΐǵҁឯ܌༤Ȩज़Γኧȩ߯ಃΟᜪѦ୯ΓԖਏငႿΓኧϷಃΒᜪѦ୯ΓϐԖਏܕ༅ϷငႿΓኧᆶ வ٣ߐ܄܈מೌ܄πբѦ୯ΓϐԖਏငႿΓኧǴЪӝीόளຬၸᕴπ 61ʘǴᔈ಄ӝӚ
ձҙፎӜᚐज़ೕۓǶќȨቲЗܕ༅ϷငႿёΓኧȩ߯ࡰҙፎВ 3 ԃϣǴӢёᘜೢ
ЬϐচӢǴቲЗё܈ᙯඤЬϐѦ୯ΓΓኧǶ!
ແֽֽဦ!
ჄኘԏᏵဦዸ)9 ዸ*! ᛦВය!
ֽဦ! 000100-6 110.06.11
DAF-001-d 1110430 䇰
Ь ޔ ௗ င Ⴟ Ѧ ୯ Γ ҙ ፎ ਜ!
πբᜪձǺC1 ၭǵ݅ǵށǵ܈Ꭶᅕπբ!
ɍC2 ੬ށπբ)ԾฅΓ*!ɍC3 ၭᙂπբ)ԾฅΓ*!ɍC4 Ꭶᅕπբ)ԾฅΓ*!ɍ!C5 ځдၭǵ݅ౢπբ )ԾฅΓ*!
ɍC2 ੬ށπբ)ݤΓ*!ɍC3 ၭᙂπբ)ݤΓ*!ɍC4 Ꭶᅕπբ)ݤΓ*!ɍ!C5 ځдၭǵ݅ౢπբ)ݤΓ*!
ҙፎҞǺ!
ɍ22 ߃ԛܕ༅!
ɍ23 ख़ཥܕ༅!!!
!
੬ށǵᎦᅕǵၭᙂ
ЬӜᆀ)༤߄ᇥܴݙཀ ٣*!
!
੬ށπբဦ)੬ށ
ဦࡕ 6 ዸ܈੬
ႩᎦဦࡕ 9 ዸ*!
! ! ! ! ! ! ! ! Ꭶᅕǵၭᙂฦ
ဦ)༤߄ᇥܴݙཀ٣Ο*!
วᑜ
ѱ! ! ฦဦ! !
୷ ҁ
ၗ
!
Ծ ฅ Γ!
ۉӜ! ! يϩӷဦ! !
ЊᝤӦ֟! ! ݤ
Γ!
ϦљӜᆀ! ! ᔼճ٣ጓဦ! !
ϦљॄೢΓ! ! يϩӷဦ! !
֟0ᔼӦ֟)٩ၭہၗ
ᇡۓڄ֟0ᔼӦ֟༤ቪ*! !
ၭہၗᇡۓڄЎဦ! ! മߥဦ! ! ! ! ! ! ! ! !
ၭہၗᇡۓڄ܌ၩ୯ϣമπΓኧ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Γ!
ቩԏᏵ)խߕǴ༤߄ ᇥܴݙཀ٣Β*!
ᛦВ
ය! ԃ!!!!Д!!!В! ແֽֽဦ)7 ዸ*! ! ! ! ! ! ! ჄኘԏᏵဦዸ)9 ዸ*܈Ҭׇܰဦ): ዸ*! ! ! ! ! ! ! ! ! !
ωܴਜጓဦ!
)༤߄ᇥܴݙཀ٣Ѥ*!
ငႿᒤݤܴਜׇဦ!
)҂ငႿҁ୯മπխ༤*!
Ȑ༤߄ᇥܴݙཀ٣ϖǵΜ*!
ҙፎख़ཥܕ༅!
ܕ༅ёڄ܈ௗុငႿёڄЎဦ!
)༤߄ᇥܴݙཀ٣Ϥ*!
! ! !
ҙፎፎӃ၂ᆉࢂցԖёҙፎΓኧǶ)༤߄ᇥܴݙཀ٣ΜΒ*!
চਡଛК! ी!!!!!!!!!!!!Γ! Ѧу 4111 ϡ! ी! !!!!!!!! Γ!
ҙ! ! ! ! ! ! ! ! ፎ! ! ! ! ! ! ! ! ! ୯! ! ! ! ! ! ! ! ! ձ! ! ! ! ! ! ! ! ! ! ᆶ! ! ! ! ! ! ! ! ! Γ! ! ! ! ! ! ! ! ! ! ኧ!
ੀ୯)141*! ࡓᇯ)135*! ӑѭ)11:*! ຫ!ࠄ)144*! ځд୯! ӝ! ! ी!!!!!
! ! ! ! ! !!!!!!!!!!Γ!
ፎ٩ჴሞރݩϭᒧϷᔠߕ)༤߄ᇥܴݙཀ٣Ύ*!
ɍύѧҞޑ٣ЬᆅᐒᜢᇡۓၗᇡۓЎҹቹҁɍ੬ށ)*ฦቹҁ!!ɍᎦฦቹҁ!!ɍᅿभฦቹ ҁ!!ɍၭฦቹҁɍॄೢΓ୯҇يϩቹҁɍځдݤೕᔈഢЎҹ!
ᖂܴਜǺҁҙፎਢҗЬҁΓԾՉගрҙፎǴ٠คہҺدҥ൩୍ܺᐒᄬᒤǴᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ
֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ!
ЬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑॄೢΓǺ!!!!!! ! ! ! !!Ȑᛝകȑ!
ѱϣႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
Չႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
ႝηແҹǺɍԖ; ɍค!
Ɂа 4 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ܈ёᖄᛠԿЬϐ ᒃ϶ႝ၉Ǵӵ҂ዴჴ༤ቪЬᖄ๎ႝ၉ǴஒόϒਡวёǶќᖄ๎ၗૻஒբࣁҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩ
ϷࡕុငႿᆅݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔ǴᆶߥምЬငႿѦ୯ΓϐǼ!!!!!!!!!!!!!!!!!!!!!!!
ɍၭǵ݅ǵށǵ܈ᎦᅕπբԾฅΓޣЊᝤӦ֟܈ݤΓޣฦӦ֟Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Ƕ )аΠጕጄൎࣁڙᐒᜢԏЎҔȑ!
ԏЎകǺ! !ԏЎဦǺ!
༤߄ᇥܴݙཀ٣Ǻ!
ǵġ ፎ٩ՉࡹଣၭہਡวၗᇡۓڄϐڙЎޣӜᆀ༤ቪǶ!
Βǵġ ቩ)311 ϡ*ԏᏵǺϩࣁႝတԏᏵ)қՅ*ϷᖏᘕᛦීԏᏵ)ᙔՅ*3 ᅿǴ༤ቪӵΠǺ!
)2* ႝတԏᏵ)Ӛແֽ໒ڀϐқՅԏᏵ*Ǻ!
ጄٯ!11113771!!!221017022!!27;57;44!!!!!!!!!!!!!11113771!!!!!!!!!221017022!!
!!!!!!!!114221!!2B7!!3:8285!!!!!!!!!!!
ፎ ၁
᎙ ङ य़ ༤ ߄ ᇥ
ܴ
ჄኘԏᏵဦዸ)9 ዸ*! ᛦВය!
DAF-001-d 1110430 䇰
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!114221!!!
!!!༤ ቪ ! ! ᛦ В ය Ǻ 2 2 1 ԃ 7 Д 2 2 В Ǵ ແ ֽ ֽ ဦ Ǻ 1 1 4 2 2 1 Ǵ Ⴤ ኘ ԏ Ᏽ ဦ ዸ ) 9 ዸ * Ǻ 1 1 1 1 3 7 7 1!
)3* ᖏᘕᛦීԏᏵ)ແֽࢴҁᐒᜢᎫᗺ໒ڀϐᙔՅԏᏵ*Ǻ!
ጄٯ!!ѓف!C.62141:8Ǵᒤֽകᘈ!!
!!!!!
!!༤ቪ!!Ҭׇܰဦ): ዸ*ǺC.62141:8ǴᛦВයǺ221 ԃ 7 Д 22 ВǴ!!!!!ແֽֽဦǺ111211!
Οǵġ ᎦᅕǵၭᙂฦဦǴ༤ቪӵΠ!
༤ቪᑜѱѠчǵฦဦ B2345!
Ѥǵġ ωܴਜጓဦǺጄٯ! ጓဦǺB431813121231154!!༤ቪࣁ! B431813121231154!
ϖǵġ Ѧ୯ΓπբӦޔᗄѱǵᑜ)ѱ*ࡹ۬໒ڀϐЬငႿѦ୯ΓёϷᆅᒤݤಃ 33 చಃ 2 ಃ 6 ීܴਜ)ᙁᆀ ငႿᒤݤܴਜ*ׇဦǺጄٯ!!ѓف!23456789:!༤ቪ 23456789:!
Ϥǵġ ёڄЎဦǺጄٯ! മɄɄɄӷಃ 2211752744 ဦǴ༤ቪࣁ! ಃ 2211752744 ဦ!
Ύǵġ ɍፎ٩ჴሞݩϭᒧǴӵᔠߕЎҹǴ୍ѸᔠߕǶ!
Ζǵġ ҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂϦљϷॄೢΓӑകǶ!
ΐǵġ ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ!
Μǵġ Ϫ่٣Ǻ)ԾฅΓЬ҂ငႿҁ୯മπǴ٩ЬငႿѦ୯ΓёϷᆅᒤݤಃ 33 చխߕӦБࡹ۬໒ҥܴ
ਜޣҔ*!
!
!
!
!
!
ΜǵܫకӜᚐϪ่ਜ!
Ьܫకܭٛࣝය໔่״ࡕ 4 ঁДϣǴளӆӛҁҙፎۯߏЇਏයϐӜᚐ!
Ўဦ)߃ԛܕ༅ёǵΕ୯Їёǵሀံё*! Ϫ่ܫకΓኧ!
! !
!)Ўဦӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕ*ǶൂՏკǺ!!!!!!!!!!!!!!!!!!!!!!!!!ॄೢΓǺ! ! ! ! !!Ȑᛝകȑ!
ΜΒǵёҙፎΓኧ၂ᆉ߄Ǻ!
ѳ֡Γኧ)ၭߥ,മߥΓኧ*̮)46&*ɡ)ڗளܕ༅ёΓኧϷςငႿѦ୯ΓΓኧ,ᔈቲЗܕ༅ϷငႿёΓኧȑ!
̮)46&*ɡ)!!!!!!!!,!!!!!!!!!!ȑ!>! ी!!!!!!!!!!!!!!!!!!!!Γ!
ѳ֡Γኧ)ၭߥ,മߥΓኧ*̮)46&ɠ6&*ɡ)ڗளܕ༅ёΓኧϷςငႿѦ୯ΓΓኧ,ᔈቲЗܕ༅ϷငႿёΓኧ*!
̮)46&ɠ6&*ɡ)!!!!!!,!!!!!!!*!! ДᚐѦᛦય൩Ӽۓཥᆵჾ 4111 ϡ! ी!!!!!!!!!!Γ!
ѳ֡Γኧ̮)61&*ɡ\ಃΟᜪѦ୯ΓԖਏငႿΓኧɠಃΒᜪѦ୯ΓԖਏܕ༅ϷငႿΓኧɠߐ܄܈מೌ܄πբѦ୯Γ ԖਏငႿΓኧɠᔈቲЗܕ༅ϷငႿёΓኧ^)!)༤߄ᇥܴݙཀ٣ΜΟ*!
!!!!!!!!!!!!̮)61&*ɡ)!!!!ɠ!!!!!!ɠ!!!!!!!!,!!!!!!!!*>!
ΜΟǵҁឯ܌༤Ȩज़Γኧȩ߯ಃΟᜪѦ୯ΓԖਏငႿΓኧϷಃΒᜪѦ୯ΓϐԖਏܕ༅ϷငႿΓኧᆶவ٣ߐ܄܈מ
ೌ܄πբѦ୯ΓϐԖਏငႿΓኧǴЪӝीόளຬၸᕴπ 61ʘǴᔈ಄ӝӚձҙፎӜᚐज़ೕۓǶќȨቲЗ ܕ༅ϷငႿёΓኧȩ߯ࡰҙፎВ 3 ԃϣǴӢёᘜೢЬϐচӢǴቲЗё܈ᙯඤЬϐѦ୯ΓΓኧǶ!
ҁΓ҂ငႿҁ୯മπǴࡺխᔠߕπբӦޔᗄѱǵᑜȐѱȑࡹ۬Ǵ٩ЬငႿѦ୯ΓёϷᆅݤಃ 33 చಃ 2 ಃ
6 ී໒ڀϐܴਜǶԜϪ่܌༤ቪၗឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ!
ҥϪ่ਜΓ)ջॄೢΓ*Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Ȑᛝകȑ!!!!!!!!!!!!
ύ҇୯!!!!!!!ԃ!!!!!Д!!!!!!В!
ແֽֽဦ!
ֽဦ! 000100-6 110.06.11
DAF-001 1110430 䇰
Ь ޔ ௗ င Ⴟ Ѧ ୯ Γ ҙ ፎ ਜ!
πբᜪձǺ!!2/ᇙπբ!
ɍQ ڀԖۓᇙำϐՉਢ!ɍS ୯ϣཥቚၗਢɍT!212 ԃ 21 Д 37 ВՉࡹଣਡۓуமᆵӣᆵၗБਢ!
ɍ2 ᇙਢȐज़ҙፎख़ཥܕ༅ȑɍR Ѧу൩Ӽۓߕуኧᚐᐒڋ!
ɍU!218 ԃ 23 Д 8 ВՉࡹଣਡۓ߆ᆵӣᆵၗՉБਢɍU ᚆ۞॥ႝΓΚံкՉБਢɍB3 Ѧᇙπբ!
ҙፎҞǺ!
ɍ22 ߃ԛܕ༅!!
ɍ23 ख़ཥܕ༅!!
!
ЬӜᆀ!)ӄሒȑ! ! ᔼճ٣ጓဦ! ! ! ! ! ! ! ! ! !
Ϧ љ ॄ ೢ Γ!!!!!!!!!!!!!!!!! !يϩӷဦ! !!!!!!!!!!!!!!!!
Ϧ љ!
Ӧ ֟!
ɍɍɍ!!!!!!!!!ᑜ! ໂᙼ! !ၡ! ࢤ! ࡅ! !!! !!!ဦ! !!!ኴ!
)ແሀဦ*!!!!!!!!ѱ!! ѱ! !ຉ! !
πቷӦ֟!
)༤߄ᇥܴݙཀ٣
ΜΒ*!
!
മ ߥ ဦ!! ! ! ! ! ! ! ! π ቷ ฦ ጓ ဦ!
) ༤ ߄ ᇥ ܴ ݙ ཀ ٣ Μ Β *!!
ۓ ᇙ ำ ܴ Ў ဦ!
) ҙ ፎ ख़ ཥ ܕ ༅ խ ༤ *!
)༤߄ᇥܴݙཀ٣ϖǵΜ*!
! ቩԏᏵ)խ
ߕǴ༤߄ᇥܴݙཀ ٣Β*!
ᛦВය! ԃ!!!Д!!!В! ແֽֽဦ)7 ዸ*! ! ! ! ! ! ! ჄኘԏᏵဦዸ)9 ዸ*܈Ҭׇܰဦ): ዸ*! ! ! ! ! ! ! ! ! !
ωܴਜጓဦ!
)༤߄ᇥܴݙཀ٣Ο*!
ငႿᒤݤܴਜׇဦ!
Ȑ༤߄ᇥܴݙཀ٣Ѥ*!
6 ભڋܕ༅ёڄЎဦ!
)ҙፎѦуਢޣ༤*!
! ! !
ҙፎፎӃ၂ᆉࢂցԖёҙፎΓኧǶ)༤߄ᇥܴݙཀ٣ΜѤ*!
6 ભڋ! ी!!!!!Γ!Ѧу 4111
ϡ! ी! ! Γ! Ѧу 6111
ϡ! ी! ! Γ! Ѧу 8111
ϡ! ी! ! Γ!
ӆගଯК
)֡ᚐѦᛦ Ҭ 8111 ϡ*!
ी! ! Γ!
ҙ ፎ ୯ ձ ᆶ Γ ኧ!
ੀ୯)141*! ࡓ ᇯ )135*! ӑѭ)11:*! ຫ!ࠄ)144*! ځд୯! ӝ! ! ी!
! ! ! ! ! Γ
ܕ༅ёڄ܈ௗុငႿਡഢڄЎဦ)༤߄ᇥܴݙཀ٣Ϥ*! ಃ ဦ
ᖂܴਜǺҁҙፎਢҗЬҁΓԾՉගрҙፎǴ٠คہҺدҥ൩୍ܺᐒᄬᒤǴᖂܴҁҙፎਢ܌༤ቪၗϷᔠߕЎҹ
֡ឦჴǴӵԖଵǴᜫॄݤࡓϐϪೢҺǶ!
ЬӜᆀǺ! ! ! ! ! ! ! ! ! ! ! ! ! ȐൂՏკȑॄೢΓǺ!!!!!! ! ! ! !!Ȑᛝകȑ!
ѱϣႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
Չႝ၉Ǻ!!!!!!!!!!!!!!!!!!!!!!!!!)όள༤ӈدҥ൩୍ܺᐒᄬϐᖄ๎ၗૻ*!
ႝηແҹǺɍԖ; ɍค!
Ɂа 4 ᖄ๎ၗૻǴፎዴჴ༤ቪǴЬᔈ٩ೕۓ൩ѱϣႝ၉܈Չႝ၉༤ቪගٮЬҁΓ܈ёᖄᛠԿЬϐᒃ϶
ႝ၉Ǵӵ҂ዴჴ༤ቪЬᖄ๎ႝ၉ǴஒόϒਡวёǶќᖄ๎ၗૻஒբࣁҁᐒᜢջਔᖄᛠᇥܴҙፎਢҹቩϷࡕុ
ငႿᆅݙཀ٣ϐҔǴаճᕭอਢҹቩਔ໔ǴᆶߥምЬငႿѦ୯ΓϐǼ!
ȐаΠጕጄൎࣁڙᐒᜢԏЎҔȑ!
ԏЎകǺ! !ԏЎဦǺ!
༤߄ᇥܴݙཀ٣Ǻ!
ǵġ࣬ᜢݤೕϷҙፎำׇǴፎ٩ྣҁᐒᜢᆛઠ܌ၩനཥೕۓᒤǶ!
Βǵġቩ)311 ϡ*ԏᏵǺϩࣁႝတԏᏵ)қՅ*ϷᖏᘕᛦීԏᏵ)ᙔՅ*3 ᅿǴ༤ቪӵΠǺ!
)2* ႝတԏᏵ)Ӛແֽ໒ڀϐқՅԏᏵ*Ǻ!
ጄٯ!11113771!!!221017022!!27;57;44!!!!!!!!11113771!!!221017022!!
!!!!!!!!114221!!2B7!!3:8285!!!!!!!!!!!
!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!114221!!!
!!!!
ແֽֽဦ!
ჄኘԏᏵဦዸ)9 ዸ*! ᛦВය!
ፎ ၁
᎙ ङ य़ ༤ ߄ ᇥ
ܴ
DAF-001 1110430 䇰 ༤ቪ!!ᛦВයǺ221 ԃ 7 Д 22 ВǴແֽֽဦǺ114221ǴჄኘԏᏵဦዸ)9 ዸ*Ǻ11113771!
)3* ᖏᘕᛦීԏᏵ)ແֽࢴҁᐒᜢᎫᗺ໒ڀϐᙔՅԏᏵ*Ǻ!
ጄٯ!!ѓف!C.62141:8Ǵᒤֽകᘈ!!
!!!!!
!!༤ቪ!!Ҭׇܰဦ): ዸ*ǺC.62141:8ǴᛦВයǺ221 ԃ 7 Д 22 ВǴ!!!ແֽֽဦǺ111211!
ΟǵġωܴਜጓဦǺጄٯ! ጓဦǺB431813121231154!!༤ቪࣁ! B431813121231154!
ѤǵġѦ୯ΓπբӦޔᗄѱǵᑜ)ѱ*ࡹ۬໒ڀϐЬငႿѦ୯ΓёϷᆅᒤݤಃ 33 చಃ 2 ಃ 6 ීܴ
ਜ)ᙁᆀငႿᒤݤܴਜ*ׇဦǺጄٯ!!ѓف!23456789:!༤ቪ 23456789:!
ϖǵġۓᇙำܴЎဦǺ༤ቪύѧҞޑ٣Ьᆅᐒᜢ܈ԾҗຩܰෝᆅᐒᜢᇡۓܴЎҹϐЎဦǴጄٯ!
ɄɄɄӷಃ 2211752744 ဦǴ༤ቪࣁ! ಃ 2211752744 ဦ!
)ҙፎख़ཥܕ༅խᔠߕύѧҞޑ٣Ьᆅᐒᜢ܈ԾҗຩܰෝᆅᐒᜢᇡۓܴЎҹ*!
ϤǵġёڄЎဦǺጄٯ! മɄɄɄӷಃ 2211752744 ဦǴ༤ቪࣁ! ಃ 2211752744 ဦ!
Ύǵġɍፎ٩ჴሞݩϭᒧǴӵᔠߕЎҹǴ୍ѸᔠߕǶ!
ΖǵġҙፎЎҹନࡹ۬ᐒᜢǵᙴᕍᐒᄬǵᏢਠ܈ૐޜϦљਡว܈໒ڀϐܴЎҹѦǴᔈуᇂϦљϷॄೢΓӑ കǶ!
ΐǵġҁឯ܌༤Ȩѳ֡ΓኧȩǵȨ҂ख़ܕԖਏΓኧȩǴࡪѦ୯Γவ٣൩୍ܺݤಃ 57 చಃ 2 ಃ 9 ීԿಃ 22
ීπբၗϷቩྗ)ᙁᆀቩྗ*ಃ 36 చᆶಃ 36 చߕ߄ 7 ೕۓǴ֡όх֖ߕуਢϐѦ୯ΓΓኧǶ ќȨቲЗܕ༅ϷငႿΓኧǵᙯрΓኧȩ߯ࡰҙፎВ 3 ԃϣǴӢёᘜೢЬϐচӢǴቲЗё܈ᙯ ඤЬϐѦ୯ΓΓኧǶ!
Μǵġҙፎ 6 ભڋѦ୯ΓޣǴҁឯค༤ቪǶҁឯ܌༤Ȩѳ֡ΓኧȩǵȨ҂ख़ܕԖਏΓኧȩǴࡪቩྗಃ 37 చᆶಃ 36 చߕ߄ 7 ೕۓǴ֡х֖ߕуਢϐѦ୯ΓΓኧǶќȨቲЗܕ༅ϷငႿΓኧǵᙯрΓኧȩӕݙཀ ٣ΐǶ!
Μǵឦ 218 ԃ 23 Д 8 ВՉࡹଣਡۓ߆ᆵӣᆵၗՉБਢፎ༤ڀᔮਡวϐၗᇡۓڄЎဦǴҙ ፎѦᇙπբޣፎ༤ڀᔮπֽᗄᆅπᆅᐒᄬہҗᒤѦᇙπբ୍ܺڄЎဦǶ!
ΜΒǵҙፎѦᇙπբޣխ༤Ƕ!
ΜΟǵܫకӜᚐϪ่ਜ!
Ьܫకܭٛࣝය໔่״ࡕ 4 ঁДϣǴளӆӛҁҙፎۯߏЇਏයϐӜᚐ!
Ўဦ)߃ԛܕ༅ёǵΕ୯Їёǵሀံё*! Ϫ่ܫకΓኧ!
! !
!)Ўဦӵόኦ༤ቪǴፎ٩ԄԾՉнᔠߕ*Ƕ!
ൂՏკǺ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ॄೢΓǺ! ! ! ! !!Ȑᛝകȑ!
ΜѤǵёҙፎΓኧ၂ᆉ߄Ǻ!
ѳ֡Γኧ̮)6 ભڋК*ɡ)!҂ख़ܕϐԖਏΓኧɠቲЗܕ༅ϷငႿёΓኧɠ!ᙯрΓኧȑ)6 ભڋѦ୯Γ၂ᆉǴ༤߄ᇥܴݙ ཀ٣ΐǵΜΒ*!
̮)!!!!!!!*ɡ)!!!!!!!!!!!!ɠ!!!!!!!!!!!ɠ!!!!!!ȑ>!
6 ભڋ! ी!!!!!!!!!!!!!Γ!
ѳ֡Γኧ̮)6 ભڋКɠѦуਢКɠӆගଯК!*ɡ)!҂ख़ܕϐԖਏΓኧɠቲЗܕ༅ϷငႿёΓኧɠ!ᙯрΓ ኧ*!)ߕуਢѦ୯Γ၂ᆉǴ༤߄ᇥܴݙཀ٣ΜǵΜΒ*!
̮)!!!!!!!!!!!ɠ!!!!!!!!ɠ!!!!!!!*ɡ)!!!!!!!!!!!ɠ!!!!!!!!!!ɠ!!!!!ȑ>!
Ѧу 4111
ϡ! ी! ! Γ! Ѧу 6111
ϡ! ी! ! Γ! Ѧу 8111
ϡ! ी! ! Γ!
ӆගଯК!
)֡ᚐѦᛦ Ҭ 8111 ϡ*!
ी! ! Γ!
ѳ֡Γኧ̮)61&*ɡ\ಃΟᜪѦ୯ΓԖਏငႿΓኧɠಃΒᜪѦ୯ΓԖਏܕ༅ϷငႿΓኧɠߐ܄܈מೌ܄π բѦ୯ΓԖਏငႿΓኧɠቲЗܕ༅ϷငႿёΓኧ^!)༤߄ᇥܴݙཀ٣Μϖ*!
̮)!61&!!*ɡ)!!!!!!!!!!ɠ!!!!!!!!!ɠ!!!!!!!,!!!!!!!!!*>!
Μϖǵҁឯ܌༤Ȩज़Γኧȩ߯ಃΟᜪѦ୯ΓԖਏငႿΓኧϷಃΒᜪѦ୯ΓϐԖਏܕ༅ϷငႿΓኧᆶவ٣ߐ
܄܈מೌ܄πբѦ୯ΓϐԖਏငႿΓኧǴЪӝीόளຬၸᕴπ 61ʘǴᔈ಄ӝӚձҙፎӜᚐज़
ೕۓǶќȨቲЗܕ༅ϷငႿёΓኧȩ߯ࡰҙፎВ 3 ԃϣǴӢёᘜೢЬϐচӢǴቲЗё܈ᙯ ඤЬϐѦ୯ΓΓኧǶ!
ֽဦ! 111211.7!
!!!!221/17/22!
