813/2014/Examination 17/17 - Nielit

813/2014/Examination

17/17

NATIONAL INSTITUTE OF ELECTRONICS AND INFORMATION TECHNOLOGY [An autonomous Scientific Society under Department of Electronics and Information Technology, Ministry of Communications and Information Technology, Govt. of India] Electronics Niketan, 6 CGO Complex, Lodhi Road New Delhi -110003

Scholarship Application Form (Accredited Institutes must forward the application of the candidate under their Seal and Signature to NIELIT within 45 days of declaration of the result.)

Category: Female, SC, ST, Physically Handicapped (Please strikeout whichever is not applicable) Documents to be attached: Attested copies of a) Registration Proof b) Mark Sheet c) Income Certificate issued by SDM/ Tehsildar d) Physically Handicapped Certificate (for PH candidates only) e) Caste Certificate (for SC/ST Candidates only) must be attached, otherwise the form will be summarily rejected. 1.

Affix Passport size Photograph attested by the Accredited Institute.

Name of the Candidate: (As in the Registration Identity card issued by NIELIT, in Capital Letters: Leave one blank between words)

2. Registration No (NIELIT/ DOEACC):

D

Valid till:

D

M

M

Y

Y

Level:

O/A/B/C

3. Adhaar Card No (Attach copy): 4. Father/ Husband/ Guardian Name (whose Income Certificate is enclosed and the name and relation is also recorded during Registration) 5. Mailing Address:

Pin Code: E-mail ID: Mobile Number:

+ 9 1

6. Gross Annual Income: Amount: Rs.

(of Parents/ Husband during the preceding financial year from all sources)

Financial Year:

2 0 1 Certificate No. ____________________ Dated: ______________

- 2 0 1

(Attach certificate issued by the District Magistrate of the District where you reside.)

7. (a) Accr. No: ACCR-________________ Date of Admission: ______________ (b) Name of the Institute: _____________________________________________ (c) Paper/ Module Cleared: Sl No.

Paper / Module Code

Month & Year of Exam

No. of Attempts

Amount Claimed

(Without the Seal and Authorised Signature of the Accredited Institute, the application will be summarily rejected.)

8. SC/ ST/ OBC/ Physically Handicapped: Certificate No.__________________ Dated: ______________ (Enclose self certified Certificate issued by Competent Authority)

9. Bank details of the Candidate: (The bank account must be in the name of the candidate.) Name of the Bank: ___________________________________________________ Branch Name: ___________________________________________________ Account No.: ___________________________________________________ IFSC Code: ___________________________________________________

I hereby declare that the above information is true and correct to the best of my knowledge. I shall be responsible for any discrepancy found later and NIELIT shall have the right to withdraw the amount of Scholarship at any point of time, besides taking any other action it deems fit. Place: ___________________ Date: ___________________

[Signature of the Candidate]

  ^ĐŚŽůĂƌƐŚŝƉ^ĐŚĞŵĞĨŽƌ^ͬ^dͬWŚLJƐŝĐĂůůLJ,ĂŶĚŝĐĂƉƉĞĚĂŶĚ&ĞŵĂůĞƐƚƵĚĞŶƚƐƉƵƌƐƵŝŶŐE/>/d;&ŽƌŵĞƌůLJ K^ŽĐŝĞƚLJͿKͬͬͬ>ĞǀĞůŽƵƌƐĞƐǁ͘Ğ͘Ĩ:ĂŶƵĂƌLJ͕ϮϬϬϯdžĂŵŝŶĂƚŝŽŶƐ  dŚĞ^ŽĐŝĞƚLJŚĂƐŝŶƚƌŽĚƵĐĞĚĂ^ĐŚŽůĂƌƐŚŝƉ^ĐŚĞŵĞĨŽƌ^ͬ^dͬWŚLJƐŝĐĂůůLJ,ĂŶĚŝĐĂƉƉĞĚĂŶĚ&ĞŵĂůĞ ƐƚƵĚĞŶƚƐƉƵƌƐƵŝŶŐE/>/d;KͿKͬͬͬůĞǀĞůŽƵƌƐĞƐǁ͘Ğ͘Ĩ͘:ĂŶƵĂƌLJ͕ϮϬϬϯdžĂŵŝŶĂƚŝŽŶƐ͘  ůŝŐŝďŝůŝƚLJ ŝͿ dŚĞ^ĐŚĞŵĞǁŝůůďĞĂƉƉůŝĐĂďůĞƚŽ^ĐŚŽůĂƌƐŚŝƉ^ĐŚĞŵĞĨŽƌ^ͬ^dͬWŚLJƐŝĐĂůůLJ,ĂŶĚŝĐĂƉƉĞĚĂŶĚ &ĞŵĂůĞĐĂŶĚŝĚĂƚĞƐĂƌĞƉƵƌƐƵŝŶŐKͬͬͬůĞǀĞůŽƵƌƐĞƐŽĨƚŚĞE/>/d;KͿĂƐĂĨƵůůƚŝŵĞ ĐŽƵƌƐĞƚŚƌŽƵŐŚĂŶŝŶƐƚŝƚƵƚĞĂƵƚŚŽƌŝƐĞĚƚŽĐŽŶĚƵĐƚƚŚĞKĂĐĐƌĞĚŝƚĞĚĐŽƵƌƐĞƐ͘ ŝŝͿ ĂŶĚŝĚĂƚĞƐƐŚĂůůŚĂǀĞƚŽĐůĞĂƌƚŚĞƉĂƉĞƌƐŝŶƚŚĞĨŝƌƐƚĂƚƚĞŵƉƚĂŶĚĐŽŵƉůĞƚĞƚŚĞĐŽƵƌƐĞƐŝŶ ŶƵŵďĞƌŽĨĂƚƚĞŵƉƚƐŐŝǀĞŶŝŶƐƵďƐĞƋƵĞŶƚƉĂƌĂŐƌĂƉŚƐ͘ ŝŝŝͿ /ŶĐŽŵĞŽĨƚŚĞƉĂƌĞŶƚƐŽĨƚŚĞƐƚƵĚĞŶƚĨƌŽŵĂůůƐŽƵƌĐĞƐƐŚĂůůŶŽƚďĞŵŽƌĞƚŚĂŶZƐ͘ϭ>ĂĐƉ͘Ă͘  ^ƵďŵŝƐƐŝŽŶŽĨƉƉůŝĐĂƚŝŽŶƐĨŽƌ^ĐŚŽůĂƌƐŚŝƉ   ĐĂŶĚŝĚĂƚĞŚĂƐƚŽĂƉƉůLJĨŽƌƚŚĞ^ĐŚŽůĂƌƐŚŝƉĂůŽŶŐǁŝƚŚƚŚĞĨŽůůŽǁŝŶŐ͗Ͳ ŝͿ WƌŽŽĨŽĨƌĞŐŝƐƚƌĂƚŝŽŶͬƵƉͲŐƌĂĚĂƚŝŽŶ ŝŝͿ WƌŽŽĨŽĨƉĂƐƐŝŶŐƚŚĞĞdžĂŵŝŶĂƚŝŽŶŽĨƌĞůĞǀĂŶƚůĞǀĞů ŝŝŝͿ WƌŽŽĨŽĨƉƵƌƐƵŝŶŐKͬͬͬůĞǀĞůĂƐĂĨƵůůƚŝŵĞĐŽƵƌƐĞ ŝǀͿ WƌŽŽĨŽĨŝŶĐŽŵĞ  ŵŽƵŶƚŽĨ^ĐŚŽůĂƌƐŚŝƉ   dŚĞĂŵŽƵŶƚŽĨ^ĐŚŽůĂƌƐŚŝƉƐŚĂůůďĞĨŽƵƌƚŝŵĞƐƚŚĞĞdžĂŵŝŶĂƚŝŽŶĨĞĞƉĂŝĚƉĞƌŵŽĚƵůĞƉĂƉĞƌŝ͘Ğ͘ ZƐ͘ϱϬϬͬͲΎΎΎĂƐĂƚƉƌĞƐĞŶƚŽƌŝŶŽƚŚĞƌǁŽƌĚƐZƐ͘ϮϬϬϬͬͲΎΎΎƉĞƌŵŽĚƵůĞ͘ŽƵƌƐĞͲǁŝƐĞĂŵŽƵŶƚŽĨ^ĐŚŽůĂƌƐŚŝƉ ĂŶĚƚŚĞŶƵŵďĞƌŽĨŝŶƐƚĂůŵĞŶƚƐŝƐĂƐƵŶĚĞƌ͗Ͳ  >ĞǀĞů

ƵƌĂƚŝŽŶ

dŽƚĂůĂŵŽƵŶƚ ŽĨ ^ĐŚŽůĂƌƐŚŝƉ; ŝŶZƐͿ

Ɛƚ

ϭ  ŝŶƐƚĂůŵĞ Ŷƚ;ŝŶZƐͿ

ŶĚ

ƌĚ

Ϯ ŝŶƐƚĂůŵĞŶƚ ϯ  ;ŝŶZƐͿ ŝŶƐƚĂůŵĞŶƚ ;ŝŶZƐͿ

ƚŚ

ϰ  ŝŶƐƚĂůŵĞŶƚ ;ŝŶZƐͿ

K ϭLJĞĂƌ ϴϬϬϬͬͲ ϰϬϬϬͬͲ ϰϬϬϬͬͲ   Ɛƚ ͬϭ ƉĂƌƚ ϭLJĞĂƌ ϮϬϬϬϬͬͲ ϲϬϬϬͬͲ ϲϬϬϬͬͲ ϴϬϬϬͬͲ  ŽĨůĞǀĞů  ϮLJĞĂƌƐ;ĂĨƚĞƌĂ ϯϬϬϬϬͬͲ ϲϬϬϬͬͲ ϲϬϬϬͬͲ ϲϬϬϬͬͲ ϭϮϬϬϬͬͲ ůĞǀĞůͬϭƐƚƉĂƌƚ ŽĨůĞǀĞůͿ ΎΎΎ ϭЪLJĞĂƌƐ ϯϲϬϬϬͬͲ ϭϮϬϬϬͬͲ ϭϮϬϬϬͬͲ ϭϮϬϬϬͬͲ         ΎΎΎƚŚĞƌĂƚĞŚĂƐďĞĞŶƌĞǀŝƐĞĚǁ͘Ğ͘Ĩ:ƵůLJ͕ϮϬϬϰĞdžĂŵŝŶĂƚŝŽŶ ΎΎΎdŽƚĂůϭϴƉĂƉĞƌƐǁ͘Ğ͘Ĩ͘dŚŝƌĚƌĞǀŝƐĞĚƐLJůůĂďƵƐŽĨůĞǀĞů:ĂŶƵĂƌLJ͕ϮϬϬϰdžĂŵƐ  ͚K͛>ĞǀĞů   ƚ ͚K͛ >ĞǀĞů͕ Ă ĐĂŶĚŝĚĂƚĞ ƐŚŽƵůĚ ŚĂǀĞ ĐŽŵƉůĞƚĞĚ ƚŚĂƚ ĐŽƵƌƐĞ ǁŝƚŚŝŶ ŶĞdžƚ ƚǁŽ ĐŽŶƐĞĐƵƚŝǀĞ ĞdžĂŵŝŶĂƚŝŽŶƐ ĂĨƚĞƌ ƌĞŐŝƐƚƌĂƚŝŽŶ͘ KŶ ƐƵĐĐĞƐƐĨƵů ĐůĞĂƌĂŶĐĞ ŽĨ ĨŝƌƐƚ ƚǁŽ ƉĂƉĞƌƐ͕ Ă ĐĂŶĚŝĚĂƚĞ ƐŚĂůů ďĞ ƌĞŝŵďƵƌƐĞĚZƐ͘ϰϬϬϬͬͲĂŶĚďĂůĂŶĐĞZƐ͘ϰϬϬϬͬͲƐŚĂůůďĞƉĂŝĚŽŶƐƵĐĐĞƐƐĨƵůĐŽŵƉůĞƚŝŽŶŽĨƚŚĞďĂůĂŶĐĞƉĂƉĞƌƐ ŝŶƚŚĞƐƵďƐĞƋƵĞŶƚĞdžĂŵŝŶĂƚŝŽŶ͘  ͛͞ůĞǀĞůŽƌWĂƌƚ/ŽĨ͚͛>ĞǀĞů   ƚ ͚͛ ůĞǀĞů Žƌ ƉĂƌƚ / ŽĨ ͚͛ ůĞǀĞů͕ Ă ĐĂŶĚŝĚĂƚĞ ƐŚĂůů ŚĂǀĞ ƚŽ ĐŽŵƉůĞƚĞ ƚŚĞ ĞŶƚŝƌĞ ĐŽƵƌƐĞ ŝŶ ƚŚƌĞĞ ĞdžĂŵŝŶĂƚŝŽŶƐ ĐŽŵŵĞŶĐŝŶŐ ĨƌŽŵ ƚŚĞ ĞdžĂŵŝŶĂƚŝŽŶ ƐƚĂƚĞĚ ŝŶ ƚŚĞ ƌĞŐŝƐƚƌĂƚŝŽŶ ĂůůŽƚŵĞŶƚ ůĞƚƚĞƌ͘ ŵŽƵŶƚ ŽĨ ƐĐŚŽůĂƌƐŚŝƉ ƐŚĂůů ďĞ ƉĂŝĚ ŝŶ ƚǁŽ ŝŶƐƚĂůŵĞŶƚƐ ĂƐ ƐƚĂƚĞĚ ĂďŽǀĞ͘ &ŝƌƐƚ ŝŶƐƚĂůŵĞŶƚƐ ŽŶ ĐůĞĂƌŝŶŐ ƚŚƌĞĞ ƉĂƉĞƌƐ͕ ƐĞĐŽŶĚŝŶƐƚĂůŵĞŶƚŽŶĐůĞĂƌŝŶŐŶĞdžƚƚŚƌĞĞƉĂƉĞƌƐĂŶĚďĂůĂŶĐĞŽŶƐƵĐĐĞƐƐĨƵůĐŽŵƉůĞƚŝŽŶŽĨƚŚĞĐŽƵƌƐĞ͘     

  

͚͛>ĞǀĞů   ƚ͚͛ůĞǀĞůĨŽƌƚŚĞƌĞŵĂŝŶŝŶŐƉĂƉĞƌƐ͕ĐĂŶĚŝĚĂƚĞƐƐŚĂůůŚĂǀĞƚŽĐŽŵƉůĞƚĞƚŚĞďĂůĂŶĐĞϭϱƉĂƉĞƌƐĂĨƚĞƌ ĐůĞĂƌŝŶŐ ϭϬ ƉĂƉĞƌƐ ŽĨ ͚͛ ůĞǀĞů ŝŶ ĨŽƵƌ ĐŽŶƐĞĐƵƚŝǀĞ ĂƚƚĞŵƉƚƐ ĂŶĚ ƐŚĂůů ďĞ ƉĂŝĚ ƐĐŚŽůĂƌƐŚŝƉ ŝŶ ĨŽƵƌ ŝŶƐƚĂůŵĞŶƚƐ͘&ŝƌƐƚ͕^ĞĐŽŶĚĂŶĚƚŚŝƌĚŝŶƐƚĂůŵĞŶƚƐŽŶĐůĞĂƌŝŶŐĨŝǀĞƉĂƉĞƌƐŝŶĞĂĐŚĂƚƚĞŵƉƚĂŶĚďĂůĂŶĐĞŝŶƚŚĞ ĨŽƵƌƚŚŝŶƐƚĂůŵĞŶƚŽŶƐƵĐĐĞƐƐĨƵůĐŽŵƉůĞƚŝŽŶŽĨƚŚĞĐŽƵƌƐĞ͘  ͚͛>ĞǀĞů   ƚ͚͛>ĞǀĞů͕ĂĐĂŶĚŝĚĂƚĞŚĂƐƚŽĐŽŵƉůĞƚĞƚŚĞĞŶƚŝƌĞĐŽƵƌƐĞŝŶƚŚƌĞĞĞdžĂŵŝŶĂƚŝŽŶƐĂŶĚƐŚĂůůďĞƉĂŝĚ ƐĐŚŽůĂƌƐŚŝƉŝŶƚŚƌĞĞŝŶƐƚĂůŵĞŶƚƐ͘ĂĐŚŝŶƐƚĂůŵĞŶƚƐŚĂůůďĞƉĂŝĚŽŶĐůĞĂƌŝŶŐƐŝdžƉĂƉĞƌƐĞĂĐŚĂƚƚĞŵƉƚ͘   /ƚŵĂLJďĞŶŽƚĞĚƚŚĂƚŝĨĂƚĂŶLJƉŽŝŶƚŽĨƚŝŵĞ͕ĂŶLJŽĨƚŚĞĂďŽǀĞĐƌŝƚĞƌŝĂŝƐǀŝŽůĂƚĞĚ͕ƚŚĞƐĐŚŽůĂƌƐŚŝƉ ƐŚĂůůďĞƌĞŶĚĞƌĞĚǀŽŝĚĂŶĚĨƵƌƚŚĞƌŝŶƐƚĂůŵĞŶƚƐŽĨƐĐŚŽůĂƌƐŚŝƉƐŚĂůůŶŽƚďĞƉĂŝĚ͘  Yϭ͘tŚŽŝƐĞůŝŐŝďůĞĨŽƌƚŚĞ^ĐŚŽůĂƌƐŚŝƉ  ͘ ŶLJ ^ͬ^dͬWŚLJƐŝĐĂůůLJ ,ĂŶĚŝĐĂƉƉĞĚ Žƌ &ĞŵĂůĞ ĐĂŶĚŝĚĂƚĞƐ ǁŚŽ ĂƌĞ ƉƵƌƐƵŝŶŐ E/>/d ;KͿ KͬͬͬůĞǀĞůĐŽƵƌƐĞƐƚŚƌŽƵŐŚĂŶŝŶƐƚŝƚƵƚĞĂƵƚŚŽƌŝnjĞĚƚŽĐŽŶĚƵĐƚE/>/d;KͿĂĐĐƌĞĚŝƚĞĚĐŽƵƌƐĞĂƌĞ ĞůŝŐŝďůĞĨŽƌE/>/d;KͿƐĐŚŽůĂƌƐŚŝƉ͕^ƵďũĞĐƚƚŽƚŚĞĨŽůůŽǁŝŶŐ͗  ŝͿ /ŶĐŽŵĞ ŽĨ ƚŚĞ ĨĂŵŝůLJ ŽĨ ƚŚĞ ƐƚƵĚĞŶƚ ĨƌŽŵ Ăůů ƐŽƵƌĐĞƐ ƐŚŽƵůĚ ŶŽƚ ďĞ ŵŽƌĞ ƚŚĂŶ ŽŶĞ ůĂŬŚ ƉĞƌ ĂŶŶƵŵ͘ ŝŝͿ ĂŶĚŝĚĂƚĞƐŚĂůůŚĂǀĞƚŽĐůĞĂƌĂůůƚŚĞƉĂƉĞƌƐŽĨŚŝƐͬŚĞƌůĞǀĞůŝŶƚŚĞĨŝƌƐƚĂƚƚĞŵƉƚŝƚƐĞůĨ͘  YͲϮ͘tŚĂƚŝƐƚŚĞĂŵŽƵŶƚŽĨ^ĐŚŽůĂƌƐŚŝƉ  ͘ dŚĞĂŵŽƵŶƚŽĨƐĐŚŽůĂƌƐŚŝƉŝƐZƐ͘ϮϬϬϬͬͲΎΎΎƉĞƌŵŽĚƵůĞ͘ŽƵƌƐĞͲǁŝƐĞĂŵŽƵŶƚŽĚĨƐĐŚŽůĂƌƐŚŝƉĂŶĚ ƚŚĞŶƵŵďĞƌŽĨŝŶƐƚĂůŵĞŶƚƐŝƐĂƐƵŶĚĞƌ͗Ͳ  Ɛƚ

ŶĚ

ƌĚ

ƚŚ

>ĞǀĞů

ƵƌĂƚŝŽŶ

dŽƚĂů ĂŵŽƵŶƚŽĨ ^ĐŚŽůĂƌƐŚŝƉ ;ŝŶZƐͿ

ϭ  ŝŶƐƚĂůŵĞŶƚ ;ŝŶZƐͿ

Ϯ  ŝŶƐƚĂůŵĞŶƚ ;ŝŶZƐͿ

ϯ  ϰ  ŝŶƐƚĂůŵĞŶƚ ŝŶƐƚĂůŵĞŶƚ ;ŝŶZƐͿ ;ŝŶZƐͿ

͚K͛>ĞǀĞů;ϰ ŵŽĚƵůĞƐͿ ͚͛ůĞǀĞů;ϭϬ ŵŽĚƵůĞƐͬƉĂƉĞƌƐͿŽƌ ϭƐƚWĂƌƚŽĨ͚͛ůĞǀĞůͲ ;ƚŚƌŽƵŐŚĚŝƌĞĐƚ ĂĚŵŝƐƐŝŽŶƚŽůĞǀĞůͿ Ɛƚ ͚͛ůĞǀĞůŽƌϭ ƉĂƌƚ ŽĨ͚͛ůĞǀĞůĂĨƚĞƌ͚K͛ ůĞǀĞů >ĞǀĞů

ϭLJĞĂƌ

ϴϬϬϬͬͲ

ϰϬϬϬͬͲ

ϰϬϬϬͬͲ





ϭLJĞĂƌ

ϮϬϬϬϬͬͲ

ϲϬϬϬͬͲ

ϲϬϬϬͬͲ

ϴϬϬϬͬͲ



ϭLJĞĂƌ

ϭϰϬϬϬͬͲ

ϲϬϬϬͬͲ

ϴϬϬϬͬͲ





ϮLJĞĂƌƐ;ĂĨƚĞƌ ϯϬϬϬϬͬͲ ͚͛ůĞǀĞůͬϭƐƚ ƉĂƌƚŽĨ͚͛ ůĞǀĞůͿ ϭЪLJĞĂƌƐ ϯϲϬϬϬͬͲ

ϲϬϬϬͬͲ

ϲϬϬϬͬͲ

ϲϬϬϬͬͲ

ϭϮϬϬϬͬͲ

ϭϮϬϬϬͬͲ

ϭϮϬϬϬͬͲ

ϭϮϬϬϬͬͲ



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ΎΎΎƚŚĞƌĂƚĞŚĂƐďĞĞŶƌĞǀŝƐĞĚǁ͘Ğ͘Ĩ:ƵůLJ͕ϮϬϬϰĞdžĂŵŝŶĂƚŝŽŶ ΎΎΎdŽƚĂůϭϴƉĂƉĞƌƐǁ͘Ğ͘Ĩ͘dŚŝƌĚƌĞǀŝƐĞĚƐLJůůĂďƵƐŽĨůĞǀĞů:ĂŶƵĂƌLJ͕ϮϬϬϰdžĂŵƐ •

dŚŝƐĂŵŽƵŶƚŝƐZƐ͘ϲϬϬϬͬͲůĞƐƐƚŚĂŶƚŚĞĂŵŽƵŶƚŽĨZƐ͘ϮϬϬϬϬͬͲĨŽƌ͚͛ůĞǀĞů͕ĂƐƚŚĞĐĂŶĚŝĚĂƚĞŝŶƚŚŝƐĐĂƐĞŝƐ ĂƐƐƵŵĞĚƚŽŚĂǀĞĂůƌĞĂĚLJĂǀĂŝůĞĚƚŚĞƐĐŚŽůĂƌƐŚŝƉĂƚ͚K͛ůĞǀĞů͘dŚĞĂŵŽƵŶƚŽĨĞĂĐŚŝŶƐƚĂůŵĞŶƚŵĂLJǀĂƌLJ ĚĞƉĞŶĚŝŶŐƵƉŽŶƚŚĞŶŽ͘ŽĨŵŽĚƵůĞƐͬƉĂƉĞƌƐĐůĞĂƌĞĚŝŶĞĂĐŚdžĂŵŝŶĂƚŝŽŶƐ͘



Y͘ϯ͘,ŽǁƐŚĂůůƚŚĞƐĐŚŽůĂƌƐŚŝƉďĞƌĞůĞĂƐĞĚƚŽƚŚĞƐƚƵĚĞŶƚƐ ͘ ͚K͛ůĞǀĞů͗Ͳ     

       ƚ ͚K͛ ůĞǀĞů͕ Ă ĐĂŶĚŝĚĂƚĞ ƐŚŽƵůĚ ŚĂǀĞ ĐŽŵƉůĞƚĞĚ ƚŚĂƚ ĐŽƵƌƐĞ ǁŝƚŚŝŶ ŶĞdžƚ ƚǁŽ ĐŽŶƐĞĐƵƚŝǀĞ ĞdžĂŵŝŶĂƚŝŽŶƐ ĂĨƚĞƌ ƌĞŐŝƐƚƌĂƚŝŽŶ͘ KŶ ƐƵĐĐĞƐƐĨƵů ĐůĞĂƌĂŶĐĞ ŽĨ ĨŝƌƐƚ ƚǁŽ ƉĂƉĞƌƐ͕ Ă ĐĂŶĚŝĚĂƚĞƐ ƐŚĂůů ďĞ ƌĞŝŵďƵƌƐĞĚ ZƐ͘ϰϬϬϬͬͲ ĂŶĚ ďĂůĂŶĐĞ ZƐ͘ϰϬϬϬͬͲ ƐŚĂůů ďĞ ƉĂŝĚ ŽŶ ƐƵĐĐĞƐƐĨƵů ĐŽŵƉůĞƚŝŽŶ ŽĨ ƚŚĞ ďĂůĂŶĐĞ ƉĂƉĞƌƐŝŶƚŚĞƐƵďƐĞƋƵĞŶƚĞdžĂŵŝŶĂƚŝŽŶ͘  ͚͛ůĞǀĞůŽƌ;ƉĂƌƚϭŽĨ͚͛ůĞǀĞůͿ͗  ƚ ͚͛ ůĞǀĞů Žƌ ƉĂƌƚ / ŽĨ ͚͛ ůĞǀĞů͕ Ă ĐĂŶĚŝĚĂƚĞ ƐŚĂůů ŚĂǀĞ ƚŽ ĐŽŵƉůĞƚĞ ƚŚĞ ĞŶƚŝƌĞ ĐŽƵƌƐĞ ŝŶ ƚŚƌĞĞ ĞdžĂŵŝŶĂƚŝŽŶƐĐŽŵŵĞŶĐŝŶŐĨƌŽŵƚŚĞĞdžĂŵŝŶĂƚŝŽŶƐƚĂƚĞĚŝŶƚŚĞƌĞŐŝƐƚƌĂƚŝŽŶĂůůŽƚŵĞŶƚůĞƚƚĞƌ͘ŵŽƵŶƚŽĨ ƐĐŚŽůĂƌƐŚŝƉƐŚĂůůďĞƉĂŝĚŝŶƚǁŽŝŶƐƚĂůŵĞŶƚƐĂƐƐƚĂƚĞĚĂďŽǀĞ͘&ŝƌƐƚŝŶƐƚĂůŵĞŶƚŽŶĐůĞĂƌŝŶŐƚŚƌĞĞƉĂƉĞƌƐ͕ ƐĞĐŽŶĚŝŶƐƚĂůŵĞŶƚŽŶĐůĞĂƌŝŶŐŶĞdžƚƚŚƌĞĞƉĂƉĞƌƐĂŶĚďĂůĂŶĐĞŽŶƐƵĐĐĞƐƐĨƵůĐŽŵƉůĞƚŝŽŶŽĨƚŚĞĐŽƵƌƐĞ͘  ;ŝͿ dŚŝƐĂŵŽƵŶƚŝƐZƐ͘ϲϬϬϬͬͲůĞƐƐƚŚĂŶƚŚĞĂŵŽƵŶƚŽĨZƐ͘ϮϬϬϬϬͬͲĨŽƌ͚͛ůĞǀĞů͕ĂƐƚŚĞĐĂŶĚŝĚĂƚĞŝŶ ƚŚĞĐĂƐĞŝƐĂƐƐƵŵĞĚƚŽŚĂǀĞĂůƌĞĂĚLJĂǀĂŝůĞĚƚŚĞƐĐŚŽůĂƌƐŚŝƉĂƚ͚K͛ůĞǀĞů͘dŚĞĂŵŽƵŶƚ ŽĨĞĂĐŚ ŝŶƐƚĂůŵĞŶƚŵĂLJǀĂƌLJĚĞƉĞŶĚŝŶŐƵƉŽŶƚŚĞŶŽ͘ŽĨŵŽĚƵůĞƐͬƉĂƉĞƌƐĐůĞĂƌĞĚŝŶĞĂĐŚdžĂŵŝŶĂƚŝŽŶ͘  ͚͛>ĞǀĞů͗   ƚ ͚͛ ůĞǀĞů ĨŽƌ ƚŚĞ ƌĞŵĂŝŶŝŶŐ ƉĂƉĞƌƐ͕ Ă ĐĂŶĚŝĚĂƚĞ ƐŚĂůů ŚĂǀĞ ƚŽ ĐŽŵƉůĞƚĞ ƚŚĞ ďĂůĂŶĐĞ ϭϱ ƉĂƉĞƌƐ ĂĨƚĞƌĐůĞĂƌŝŶŐϭϬƉĂƉĞƌƐŽĨ͚͛ůĞǀĞůŝŶĨŽƵƌĐŽŶƐĞĐƵƚŝǀĞĂƚƚĞŵƉƚĂŶĚƐŚĂůůďĞƉĂŝĚƐĐŚŽůĂƌƐŚŝƉŝŶĨŽƵƌ ŝŶƐƚĂůŵĞŶƚƐ͘&ŝƌƐƚ͕^ĞĐŽŶĚĂŶĚƚŚŝƌĚŝŶƐƚĂůŵĞŶƚƐŽŶĐůĞĂƌŝŶŐĨŝǀĞƉĂƉĞƌƐŝŶĞĂĐŚĂƚƚĞŵƉƚĂŶĚďĂůĂŶĐĞŝŶ ƚŚĞĨŽƵƌƚŚŝŶƐƚĂůŵĞŶƚƐŽŶƐƵĐĐĞƐƐĨƵůĐŽŵƉůĞƚŝŽŶŽĨƚŚĞĐŽƵƌƐĞ͘  ͚͛>ĞǀĞů͗Ͳ   ƚ͚Đ͛ůĞǀĞů͕ĂĐĂŶĚŝĚĂƚĞŚĂƐƚŽĐŽŵƉůĞƚĞƚŚĞĞŶƚŝƌĞĐŽƵƌƐĞŝŶƚŚƌĞĞĞdžĂŵŝŶĂƚŝŽŶƐĂŶĚƐŚĂůůďĞƉĂŝĚ ƐĐŚŽůĂƌƐŚŝƉŝŶƚŚƌĞĞŝŶƐƚĂůŵĞŶƚƐ͘ĂĐŚŝŶƐƚĂůŵĞŶƚƐŚĂůůďĞƉĂŝĚŽŶĐůĞĂƌŝŶŐƐŝdžƉĂƉĞƌƐŝŶĞĂĐŚĂƚƚĞŵƉƚ͘  Y͘ϰ͘tŚĂƚŝĨ/ĨĂŝůŝŶĂƉĂƉĞƌŝŶďĞƚǁĞĞŶ͍ ͘ /Ĩ LJŽƵ ĨĂŝů ŝŶ ŽŶĞ ƉĂƉĞƌ ŝŶ ďĞƚǁĞĞŶ͕ ƚŚĞ ƐĐŚŽůĂƌƐŚŝƉ ƐĐŚĞŵĞ ƐŚĂůů ĚŝƐĐŽŶƚŝŶƵĞ ǁŝƚŚ ŝŵŵĞĚŝĂƚĞ ĞĨĨĞĐƚ͘  Y͘ϱ͘tŚŝĐŚĚŽĐƵŵĞŶƚƐĂƌĞƚŽďĞƐƵďŵŝƚƚĞĚǁŚŝůĞĂƉƉůLJŝŶŐĨŽƌƐĐŚŽůĂƌƐŚŝƉ͍ ͘ &ŽůůŽǁŝŶŐĚŽĐƵŵĞŶƚƐĂƌĞƚŽďĞƐƵďŵŝƚƚĞĚǁŚŝůĞĂƉƉůLJŝŶŐĨŽƌƐĐŚŽůĂƌƐŚŝƉ͗Ͳ • ƉƉůŝĐĂƚŝŽŶ ŝŶ ƚŚĞ WƌĞƐĐƌŝďĞĚ WĞƌĨŽƌŵĂ͕ tŚŝĐŚ ĐĂŶ ďĞ ĚŽǁŶͲůŽĂĚĞĚ ĨƌŽŵ ƚŚĞ ǁĞďͲƐŝƚĞ ǁǁǁ͘ŶŝĞůŝƚ͘ŝŶ • WƌŽŽĨŽĨZĞŐŝƐƚƌĂƚŝŽŶͬhƉͲŐƌĂĚĂƚŝŽŶŽĨZĞŐŝƐƚƌĂƚŝŽŶ͕ŝ͘Ğ͕͘ĐŽƉLJŽĨZĞŐŝƐƚƌĂƚŝŽŶĂůůŽĐĂƚŝŽŶůĞƚƚĞƌͬhƉͲ ŐƌĂĚĂƚŝŽŶŽĨůĞǀĞůůĞƚƚĞƌŽƌĐŽƉLJŽĨƚŚĞƐƚƵĚĞŶƚƐŝĚĞŶƚŝƚLJĐĂƌĚŝƐƐƵĞĚďLJƚŚĞ^ŽĐŝĞƚLJ͘ • WƌŽŽĨŽĨĐĂƐƚĞĐĞƌƚŝĨŝĐĂƚĞͬWŚLJƐŝĐĂůůLJŚĂŶĚŝĐĂƉƉĞĚ • WƌŽŽĨŽĨƉƵƌƐƵŝŶŐKͬͬͬůĞǀĞůƚŚƌŽƵŐŚE/>/d;ĨŽƌŵĞƌůLJK^ŽĐŝĞƚLJͿĂƉƉƌŽǀĞĚŝŶƐƚŝƚƵƚĞǁŝƚŚ ĞŶĚŽƌƐĞŵĞŶƚďLJƚŚĞŝŶƐƚŝƚƵƚĞĂŶĂƉƉůŝĐĂƚŝŽŶĨŽƌŵ;ƐĞƌŝĂůEƵŵďĞƌϵ;ĂͿ͕ϵ;ďͿ͕ϵ;ĐͿ͕ϵ;ĚͿ͕Θϵ;ĞͿͿ • WƌŽŽĨŽĨ ƉĂƐƐŝŶŐƚŚĞŵŽĚƵůĞƐŽĨƚŚĞƌĞůĞǀĂŶƚůĞǀĞů͖ ĐŽƉLJ ŽĨ ŵĂƌŬƐ ůŝƐƚŽƌ ƉƌŝŶƚ ŽƵƚ ŽĨƌĞƐƵůƚ ĨƌŽŵ ǁĞďƐŝƚĞ͘ • WƌŽŽĨŽĨŝŶĐŽŵĞŽĨƉĂƌĞŶƚƐͬƐƉŽƵƐĞ  Y͘ϲ͘tŚĞŶĂŶĚŚŽǁƚŽĂƉƉůLJ͍ Ă͘ ĐĂŶĚŝĚĂƚĞƐŚŽƵůĚĂƉƉůLJƚŽĞdžĞĐƵƚŝǀĞŝƌĞĐƚŽƌ͕E/>/d;ĨŽƌŵĞƌůLJK^K/dzͿǁŝƚŚŝŶϰϱĚĂLJƐ ŽĨ ĚĞĐůĂƌĂƚŝŽŶ ŽĨ ƌĞƐƵůƚ ŽĨ ƚŚĞ ƌĞůĞǀĂŶƚ ůĞǀĞů ƚŚƌŽƵŐŚ E/>/d ;ĨŽƌŵĞƌůLJ KͿ ĂƉƉƌŽǀĞĚ ŝŶƐƚŝƚƵƚĞ ǁŚĞƌĞƚŚĞĐĂŶĚŝĚĂƚĞŚĂƐƵŶĚĞƌŐŽŶĞͬŝƐƵŶĚĞƌŐŽŝŶŐƚƌĂŝŶŝŶŐ͘  Y͘ϳ͘ǁŚĞƌĞĚŽƚŚĞLJŚĂǀĞƚŽŐŽĨŽƌŽďƚĂŝŶŝŶŐŝŶĐŽŵĞĐĞƌƚŝĨŝĐĂƚĞ     

    

 ͘ KŶĞŚĂƐƚŽŐŽƚŽƚŚĞŽĨĨŝĐĞŽĨ^ƵďͲĚŝǀŝƐŝŽŶĂůDĂŐŝƐƚƌĂƚĞ;^DͿͬůŽĐŬĞǀĞůŽƉŵĞŶƚŽĨĨŝĐĞƌ;KͿŝŶ ǁŚŽƐĞũƵƌŝƐĚŝĐƚŝŽŶŽŶĞƌĞƐŝĚĞŶĐĞ͘  Y͘ϳ͘ϭ ǁŚĂƚĚŽĐƵŵĞŶƚƐŝƐƐƵďŵŝƚƚĞĚĂƐĂƉƌŽŽĨŽĨŝŶĐŽŵĞŽĨƉĂƌĞŶƚƐͬƐƉŽƵƐĞ  ͘ /ŶĐŽŵĞĐĞƌƚŝĨŝĐĂƚĞŝƐƐƵĞĚďLJƚŚĞ^ƵďͲĚŝǀŝƐŝŽŶĂůŵĂŐŝƐƚƌĂƚĞͬŝƌĐůĞKĨĨŝĐĞƌͬůŽĐŬĞǀĞůŽƉŵĞŶƚŽĨĨŝĐĞƌ ŝŶǁŚŽƐĞũƵƌŝƐĚŝĐƚŝŽŶŽŶĞƌĞƐŝĚĞƐƐŚĂůůďĞĂǀĂůŝĚĚŽĐƵŵĞŶƚĂƐĂƉƌŽŽĨŽĨŝŶĐŽŵĞŽĨƉĂƌĞŶƚƐƚŚƌŽƵŐŚ ĂůůƐŽƵƌĐĞƐ͘  Y͘ϳ͘Ϯ͘ tŚŝĐŚƉĂƉĞƌƐͬĚŽĐƵŵĞŶƚƐͬĨĞĞŽŶĞŚĂƐƚŽĐĂƌƌLJǁŚŝůĞŐŽŝŶŐĨŽƌŽďƚĂŝŶŝŶŐŝŶĐŽŵĞĐĞƌƚŝĨŝĐĂƚĞĨƌŽŵ ^DͬK͘  ͘ &ŽůůŽǁŝŶŐĚŽĐƵŵĞŶƚƐĂƌĞƚŽďĞĐĂƌƌŝĞĚǁŚŝůĞŐŽŝŶŐĨŽƌŽďƚĂŝŶŝŶŐŝŶĐŽŵĞĐĞƌƚŝĨŝĐĂƚĞĨƌŽŵ^DͬK  ŝͿ ƉƉůŝĐĂƚŝŽŶŽŶĂƉůĂŝŶƉĂƉĞƌ ŝŝͿ ŽƉLJŽĨZĂƚŝŽŶĂƌĚ ŝŝŝͿ ĨĨŝĚĂǀŝƚƌĞŐĂƌĚŝŶŐƌĞƐŝĚĞŶĐĞŽĐĐƵƉĂƚŝŽŶ͕ƉƌŽƉĞƌƚLJŽǁŶĞĚĂŶĚŝŶĐŽŵĞ͘  Yϳ͘ϯ tŚĂƚǁŝůůďĞƚŚĞĐƌŝƚĞƌŝĂĨŽƌŝƐƐƵĞŽĨŝŶĐŽŵĞĐĞƌƚŝĨŝĐĂƚĞ͍  ͘ >ŽĐĂůĞŶƋƵŝƌLJŝƐĐŽŶĚƵĐƚĞĚƚŚƌŽƵŐŚƚŚĞƐƚĂĨĨŽĨƚŚĞŽĨĨŝĐĞŽĨ^DͬKƚŽǀĞƌŝĨLJƚŚĞƉĂƌƚŝĐƵůĂƌƐ ŵĞŶƚŝŽŶŝŶƚŚĞĂƉƉůŝĐĂƚŝŽŶĂŶĚĂĨĨŝĚĂǀŝƚ͘dŚĞĐĞƌƚŝĨŝĐĂƚĞŝƐŝƐƐƵĞĚĂĨƚĞƌƚŚĞƌĞĐĞŝƉƚŽĨƚŚĞƌĞƉŽƌƚ͘  Yϳ͘ϰ ,ŽǁŵƵĐŚƚŝŵĞŝƐƚĂŬĞŶďLJƚŚĞĂƵƚŚŽƌŝƚLJƚŽŝƐƐƵĞŝŶĐŽŵĞĐĞƌƚŝĨŝĐĂƚĞ͍  ͘ /ƚƐŚŽƵůĚďĞŝƐƐƵĞĚŶŽƌŵĂůůLJǁŝƚŚŝŶϮϭĚĂLJƐ  Yϴ͘ WŚLJƐŝĐĂůůLJ,ĂŶĚŝĐĂƉƉĞĚĞƌƚŝĨŝĐĂƚĞ͍  Ă͘ WŚLJƐŝĐĂůůLJŚĂŶĚŝĐĂƉƉĞĚŝĚĞŶƚŝƚLJĐĂƌĚŝƐŝƐƐƵĞĚďLJƐƵďͲŝǀŝƐŝŽŶĂůDĂŐŝƐƚƌĂƚĞƚŽŚĂŶĚŝĐĂƉƉĞĚƉĞƌƐŽŶƐ͘ tŚŽĂƌĞŽƌƚŚŽƉĂĞĚŝĐĂůůLJŚĂŶĚŝĐĂƉƉĞĚ͘DĞĚĂůůLJŚĂŶĚŝĐĂƉƉĞĚŽƌĂƌĞďůŝŶĚŽƌĚĞĂĨŽƌĚƵŵď͘  ZĞĐŽƌĚĞĚŵŝŶŝŵƵŵĚŝƐĂďŝůŝƚLJĨŽƌŝƐƐƵĞŽĨĐĞƌƚŝĨŝĐĂƚĞŝƐĂƐĨŽůůŽǁƐ͗Ͳ  WŚLJƐŝĐĂůůLJ;ŽƌƚŚŽƉĞĚŝĐĂůůLJͿ ϰϬй ĞĂĨ ϵϬй Ƶŵď ϭϬϬй ůŝŶĚŶĞƐƐ ϵϬй  Yϴ͘ϭ tŚĞƌĞ ĚŽ / ŚĂǀĞ ƚŽ ŐŽ ĂŶĚ ĚƵƌŝŶŐ ǁŚŝĐŚ ŚŽƵƌƐ ĨŽƌ ŽďƚĂŝŶŝŶŐ ƚŚĞ ƉŚLJƐŝĐĂůůLJ ,ĂŶĚŝĐĂƉƉĞĚ ĞƌƚŝĨŝĐĂƚĞƐ͍  ͘ dŽƚŚĞŽĨĨŝĐĞŽĨ^ƵďͲŝǀŝƐŝŽŶĂůDĂŐŝƐƚƌĂƚĞŝŶǁŚŽƐĞũƵƌŝƐĚŝĐƚŝŽŶLJŽƵƌĞƐŝĚĞĚƵƌŝŶŐǁŽƌŬŝŶŐŚŽƵƌƐŽŶ ĂŶLJǁŽƌŬŝŶŐĚĂLJ͘  Yϴ͘Ϯ tŚŝĐŚƉĂƉĞƌƐͬĚŽĐƵŵĞŶƚƐͬĨĞĞƐ͕ĚŽ/ƚĂŬĞǁŝƚŚŵĞĨŽƌŽďƚĂŝŶŝŶŐWŚLJƐŝĐĂůůLJ,ĂŶĚŝĐĂƉƉĞĚĞƌƚŝĨŝĐĂƚĞ͍  ͘ &ŽůůŽǁŝŶŐ ŝƐ ƚŚĞ ůŝƐƚ ŽĨ ĚŽĐƵŵĞŶƚƐͬƉĂƉĞƌƐ LJŽƵ ƐŚŽƵůĚ ƚĂŬĞ ĂůŽŶŐ ǁŝƚŚ LJŽƵ ƚŽ ŽďƚĂŝŶ WŚLJƐŝĐĂůůLJ ,ĂŶĚŝĐĂƉƉĞĚĞƌƚŝĨŝĐĂƚĞƐ͗   Ύ &ŝůůĞĚŝŶĂƉƉůŝĐĂƚŝŽŶĨŽƌŵ      

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