*ffi€Q€* er<,iaemgm*

rprii wrdn fqtr wo fu+e, ; ;1vur

6(tetr{f,d.j5.fisw.z-zz-ffi

,rie 7 sr iq. t. firdr{. fu'd

30-05-2001."

{*+{q.qi6

"u*q7grf f oof zott-zots'"

ffi

IIE[tlEt

(wflqnur)

urfrrfiRtmn

N--4

xci6 sssl

{rqgl gfi-dn, fuifi r frraqr ^201e -lrrftrE

22, srfi 1941

qqrqa vq qrfruT ft-fl-fl fu+ilrl

qTrdq, qE!-ft ffiFI, ;FII {rqg{ otecl ;Frt

3rcEI ^qrx, ftmio rr fuaq-s zots

'

ufuqa-qI

goqrq/sae/oil< tztt/zo1s/22-1. - Edqrc ii4-{a YIq ffiftqq rsoa (m'. r e1 rss+) ot

rrr{r e5 o1 s-q-qm (1) ^qeqB-d eINI 43 ENI ^{qs$T qlfrilqt} et Td.I t dri ^gq, y--u ^lr{m"R,

E-dEr6 ^riq-{f, ftqf+ ftqq, rggs n ftq66. ^srti rMqc o-{fr t, ffi ^{s-< 3rEfrqq o1 il{r e5 qfi}

sq-sxr (s) d rm oTtkd fttS r$ 3EsR Td t fr norRra ^{fu-qr qr gol} t, ^eerfq,-

TffiE]-{

s5 ftqqi fr'-

r.

ftqq s fr s-q-ftqq ^(a) d vraro, ffifuo ^{qt-.sT qlt, erafq,-}

"(4) ot{ qffi-oirr sTffi qr sEr{o vffi-oqu 3Tffi ^qr ot$ ^qk, d

qf,srdT q* a frffi qhfu or glfteror o-Ei ^qr ssfr fl-q sM ^qr s-s-i !

qrq silqffid @-{i d faq Fl5fi-der urfu-q( fr;qr .rur d}, B-fi ,gB-irt d

sq-dqi d erfi{ sE-gfrE ^.n+iil o) ^q{ o+dT t, d ce ^{qrlr{ut o-rsn'H d}

ffi

erqfu ^{g qrs-t} oq of i-€t E)rft. fu-g Gi z sS rfi ot d ^{sd'fr qt}

gditurffitEtrsdtu-qrqr}n:

qq rrd fu oE rfr qrqraq eq eE {ign T€l d'n, we a-o fu srq

ffi"q e;rfr{ ^qr o.-&f,cq \'s fuf,r M"q sTffi sri ^{sTarqr o-+@r f,elr}

frdr Mq{ oTffi rm urkq( s{ffi, d M ^o.-d-se{ t ^{ftEq a}oft ot}

c d. ^grr frfud ^{q qRsK q} fo-fl ^.rq e] ^'.

r

qrg rrd 3i{ fu frqq e d sI$-{ E s-fiq frffi eTwrq or fuqrqq ^qem

;qlfuf, qfr€e am fu-qr qr}qr gs {6 3t-s-ns oen rnqrq-fr Etrlr ^:

u-tg ua sfti fi fu a-q-t-qf, s-ftofuo c-qlc-{ d frq, s's ^{sBtqr €Fdr,}

rctt (tstt or s. z) oI ^3r-gs{q frrot ^qr}.n t"

2.

ftqq ^g d ^qrqn, ffifu(

clt.sT ^qri, eTQriq,-

"s o. freqr dqql-qft qn-{ qfu-

1 189

I190

, ftqi6 ^{rr furqr zorq}

(o) M"-o. cl-qrqd of ffi. grfraw ^qr gE, 3Terqr;

(s) M"-6 ^qrqrqd at ftrfr ^qEfu t ^{qFqftd qr} ssfr srq-qfrfd frtt ^qri

d r{qeT t. Q-qT oaFI ^qT ts dqqT ftfuo sq fr @tr, d fuq B ^qr fusd

freqr di oT ^qr d s€ sH B ^qr frrfl-s t ^qr ffi ss Eli or s€

fry-qrs c-S B, td ^qk ol or<rqrs t, ffi

ea-qB qfi ^qS a-o fr d

sdrft ^qT gqt+ t ^qI #t d dBf, fuqr ^qrfu I ^q-d 3i-r{+q ^{iIeTI qfl=rfr}

frn r ^gsmT fr-qriq ssq ^{qrfuo qfuree gru} fo-fl ^{qr}'n qE} Eos ^cfu-qr

€trdl, totz ('tstt or r{. z) d ^qrqqrq sQItu{rI 6p1dti t"

ftqq rr t, sq-ftqq (z) d vrurq. ffifuT 3p6;p1fo6 fuqr ^qrd, eufq:-

"(z-q) cffi-o.-rq sTffi, qdEraI {fr qrcq w q-a/sTlqfu srw o-ti d frq

frrfr o-ffi ef erfu-qd otn r ^rre o-{qt nFr ^qa-{a d ^q+ t ^qTB-qer

fuqr ^q-}.r r"

ftqq rs d ^qq-qrf,, ffifu(

fr.sT ^qrt, sIQIfq,-

"18o. q-ql-{a A M-q-{ d e-ffi d ftg q-{ silR o-r GTBr6ur.- (1) ffi-dT ffiE-{

3rffi, ^qR sS sfrs=r.d ^riqrqf, trq erBf+qq. rsss S er$-{ ftqfq-{ d

sq;q t ^qs s-fi-f, d fu frffi ^qcrEFI dq t ^{qr qoiftpT} d ^{qR-€{ qr}

N ^Frqfq-{ d ^riqrd{ d +in

qE-{en E-nt rci d fu gfrs

qa d q-{wi d ckq-f,{ qI tS ffi"-{ d r{aieT fi A;-€t 6-fut d crf,{

d frq ftffi 3Tffi sr srdr ^qfril d cR-q-fi d trd-s{ B-g frffi ^ur<,

,

ur?r-qFr ^qr cg o1 sTrqrffi-f,r t ^qr s{rEeqo-dr ^q-.si a ^qlqqql B, d ^q-o

fufuf, er-eel ^gM. tS ^{qr'q, qErrIFI ql qg} or eIBtrgq o-q sdrn oen

Q-G ^{sff-{ sTr-tsr o-{ sdrr,} d ^s$ t-€ ^3Tfuie"r d ^sq+T t ^{enqq{o ql}

E+*{ ffio dr

(2) tqT 3Tfur6uT, vs ^qk. d fuf,r Mq{ sTffi ^gm sqfr a;t

sffi ^{qqsr .rm} d ^{qI qfu} frrH-d o-d t tS ^qqfu d, ^{zDi q-dBf,}

ftfud erdcr ^grcr fu-qr ^qr}'lr sN Q-sT entcr vs ^qfto w u.l+o fu-qt

qdfl, M

qqtkd fu-qr rqr dr

(s) ^qq 4X ftrS ^qqfr or Bq-ftqq (1) d ortft{ 3TBe-dur fu-qr ^qror

B d t-d ^GrBq-6ur at @rdrsB, sq ordrsE, ffi

frq Bq-frqq ^{(1) if}

sffio rffii t t frffi d ftq tfr Eqfr 3Ttkd t. fr ct T€t

car$ ^qrtft t

strf-6vur:- Es ft{q d ^q-ffii d fuq ^"qrc" d 3lfti-d B ot{ ^qH,

d ^q.e-o cfud-6{ A ^q-*s{ d fuq ^g.qfu fr elrf,r ^{g q1} sqfrrr d drd

iilri A *q B, ^qrB oa ^{qrko' yrk} t sr 3rarar ^qtffio d t

18 s. ^qfrfi-{ or €-Erq.- ^qe ES ftqq 166 d ergww t frrfr ^{qFL arc-qrT} sI

cg s'r 3rfuq-6!T fo-qr ^qrfl t, d s{-d srfr E1 ^qft-fi * .4qTq fu-qr

qfiqr, 1M rm-q &ET Mz-{ sTffi grur ss qq d eilqn w

ftqfRf, at ^qfuft, +flr fu 5w Frei-+t ^{qflffi gRI q-q} flffi-n sqT

d FEtqfi d fu tS ^qH, trErqFT ^qr cg tg ftq-d of ^.r{ d ^,

qq fuf,r ffi"q srffi gxr 3i-srrrfud ftd T$ eft-m{ of soq

t ^qfud 6t{ trd-{q ^{qfu, qh{r} 3i-sqlR-d frtn ^qfi d 3ntcr d ^qrft

frrd ^qri at dr0-s t fi-s fr-{ A $w, iiTrrftq 3r-gffi d goffi"}*"

d frq 3Tl-a-fi oq lndrnt r4qnfl-q sngzm or frfrsqq ntfrq *tnt

18 T. ^qnl, sdqrfr nerl ^qgerf A 3Tfur6ur 6 ^qfiu sfr fl-$-d ^q,t frfr.- ftqq rs

o d Bq-ftqq ⁽¹⁾ A 3Teft-{ 3TBq-6ur d ^gil-AsT of orfta :-

(o) E-d ^q5 efu, Frd t-{T sil-tcT {-dfun t dd ftrH ^qr v-d d. d

fufud cfuur €trdI, rsoa ^(rooo or .{. s) o1 ^qarr st-jqfr A ^3r-tcr

zs d ftqq z ^qr entcl 30 d ftqq a, dfr fr fuTfr d, ^tt sqc ot

Trfi-d d fuq sq-dkn frfr ^q; *i

effiqlrdttqErd, ftqi6 rr ftrilst zorp

11e0 ^(l)

(q) ^{qd q5} otu, ffi t-€T sTieyr r{-dBn d, ot$ ^qfrn d d,-

(96) sr-tcr ^{qn qfuer:} cR-{tr ^qr ftfuem o-rd; ^qt

(El) eeq uffi

T$-( sB( ffi

€rzr EI-v; {l

(fr-{) ^{qR qfrf, qS qrqr qr} sd, d s{reer o1 3rffird ^qft

vsd ggq d frffi ^qtrw sew * ^qrs Elso-{ ^ur tS ^sh

\rs ^qffi{ A, ffi sq-dl sifrq ffqrs o-Ecr ^{qI ol-ttEN}

o-{{r sIQltlT ^3IR-cm{ d fuq ^qfrf,cl, ord o-scr ^gra B, ^fttfr

sd-urflq sFI ^qt frwT ${ of ^qr}rfr t

18 s. 3Tfur6ur.qEfi ftrft 3ntu d ^€ecis-q A ftq ^{yrRf,.- qR ot-{ eqfu, ftqq}

1Bo A a.q-ftqq ⁽¹⁾ d ^qfi{ ftt$ T} fttS ^{3r-AYr oT sc'dqq o-ror B, d}

q5 fftE w, t-S oNIttNI t, 1ffi ersB fi-{ qrs f,o of d sd'fr *

N ^gqfi t, fr ^{d-q d sq$ (o or} d ^{s$'n, qr ff fr, strsd frt.ql}

qrlqt

'q{g q-6 fu frqq re d 3{et{ Eu-sfi-q ftffi sTc{ET or fua-{ur qqm

eTIfudE qffie ErtT fuqr ^qt-}.II gs ^{qd q-ssq} n:n ^qqffi 5)rn ^;

rcg ue 3ti fr fu sqq}ffi s-ftafuo e-d-s{ d frq, sw ^{qfu-qr €Eat,}

tstt (st+ or r{. z) ol ^3ilgs{ur fu-ot ^qrs'n t"

ftqq 316 d enq w, ffifuo ^qfuerIft-d fuqr ^{q[$, ?iQrfq ,-}

u*, ffiffi#iffiH*#'"#ffi*ruT

ftqq az d Bq-fti{q ^(r) d ^{Grefi{, qTqfuftF q-a} d ^{qrQ{ wqa A qE,}

qqqE iizrsa qti n-or ^qqrqd d qew d fuq q-it6 srqeff, M"q

or-ftr grr frE( frd ^.rt s-oc t ^{qo q-qeT q;{} uqo otw, ^fuwt

srqff 61 91qTFr6 ^ea-for, eiG-orzfrfrR-df, ^{eTlqqrkf, ,TI-TA deil E"i ot}

qr B-sd qfr qI qafr qr 3TIErcT A qqMt oen Erfrret d ^qrt t

qri-orfr 3ffif€ dtfr oen {s ilt ^q fi qrilfl-fr sil<ffie dtft fu wr

qE riq-{fl,/ym+tq Tfr ea.rqr agf q-p s{[M

B ^qr c-€f I ^q-q?r

qa, frBo q-g;c fr frrfr qftnf, ffi qr sQrq ffi <t-stffir ^{qr q'qsr}

3Trgffi S sqa vqo fuut ^{qri.n ,}

v-q urn ^qqr+d d ^ris d ^sFqQff d ftrS {IqsI ^q, rqo ^fuut

qHr 3Tt-€{fi' r€t a}.n t

Q) ^{s.q*ftqq (1) d 3rfi-{, qtto sIqQT q, :-}

(o) s-{qq d ^q-qA fr, s-sc 4 Etr-1;

@ ^{u-+u-q qqr+f, ses d q-q-d t, q-Eq 4 T-1-}

(rr) fu-dT ^iiqrqf, sss d ^qlq-A t. lrsttr 4 s-r t Et.tr t

(3) sqqa d ^{qE. q=rrc rismf,} mn fuor ^qaru-f, d ^q-{s d ^fuq,

sr.qffi d $qq ^qa of ^{go- qfr} ffiq sfrfu-w d o-rqfflq d ^qa+

qeET q{ qERfd ot qrtIft. {€-ft1 qFrftfr frtS !fr nmRo gM ^qirr

frrS ^qfi c{ frBo go o-r ^grat-c o-ci ^tR srlcrel o-G ^{qrtft t}

(s-o) 3pq$, ^q-w ffid{ en*q ^gM frFo ^{q-Fq q riar+d gu urfr}

';.d{ e-flurqr", fl-qfu{rTq qa d qrq u-qo,otn I

(a) fuff ff GnqQff ^{gt-{ yt-qaT qa} trqo ^q frit ^qd at fuH E ^3nq"{ff

d ^q-q ft{sm of r4frsr o-cd srq, ^{q6 qrr{i} o.-{i A ^fr'q *{r ^t

qrqff qT ffi6, sq-fi-qq (r) d 3r*{ 3rq

frtS rt ^{ylqq qa} o1 ^qrq-or0 d f{s-€ ^{YIqeT q-I}

qR ot

sr.qeff ErqT wr{-d

trqn o-{nr t, d cs fi Bq-ft{q G) fi frtrd xfuur ^{d etXwn} T^.RL

mqr ^qrtqr r {qq * ^{g gvdBo qri-orfr} d ^{.{eq fr} ffitr ^dfu-s{

am @t{ ffis rS ^{qfuft t"}

lleo ⁽²⁾

,frrim rrfurqtzorq

6.

ftqq sz t, s-q frqq (1) d, so-c (q) gq (s) d rsTFr ^q{, ffifuT cfu€m-a fu-qr ^qd,

slQrfq'-

#JH*.

d rs-erq oT ffi,o, so-s s fi-N d, Bq ffiq eh a frrfi

(s) fu-dT riqmd w{s o-r Mq{, frra d fi-fl d vs ffic d-, d frffi ^qcrcrdl

aRr, ^qkrcro d sq d, a*omR-o ^qrq ft{cm ^{qa qfuEm} frrqr ^qr}.n t"

7.

ftqq ss fr, sq-ftqq (1) t-

(o rqo-s @ t, cr< oer si6 ^"a6 s.qS" d *err-q rN, sr< mn eio ^"so sq$"

sfu{Qrfud fuqr "1rd;

@ ^{wrs (q) it, y[q oaII eio "zoo sq$" d Tsil-{ q{, yr< defi eio "rooo EqS"}

qfuenfuf, fu-qr qr$;

O ^{sts (.T) t, er< oen eim "5ss Eqi" d tenc c{, yt-< mn sio "26ee sqi"}

qfuelrfuf, fu-qr qr$; oef,I

(s) so-s (s) fr. er< oen eio ^"1000 sq$" d enry q{, yt-< oen sio ^"+ooo sqi"

sft-{Qrfuf, fu-q ^qrt t

B ftqq +o -

X,-J:T] *ffiT;T

er.qpn or acg oT qu+

urw g$ d, t-S 3Tlqpff o.r ^qFr oen s-S sndfud lrffo. ^qoq, w gFa-o r€l

fo-qr ^qftrr

(qx) rc ^qRfuTM tt, ^q-R rr€r 3r-qrq?D e) qror e, d Tf,c'{ 5-{ffirf, fu}

qrf,t nprT erq errqfofuii si oriiEd ffiq{ q-fi-f, d of$ qRs-fi{ T€l fu-ql

qrs,n I

(.iiq) ao srrus d ^q-q Bi Ecri d o-rsq roqz d gq cMc ot ^qn-orft f,@rEr

vqw snqfDfqf o.i A ^{qr}rft, qft} 3r*qeff of Acg d q+a, ft+o srq d

wqq ^qrw d-ft t. d Tnq, fr @t$ cMn r€t fu-n rrr}qr aerT ftqlqq

sil-fu o) c$FrcT qE-d fuqr ^qrtrrt"

e.

qtrr 4-tsr-vo'd enq w, ffifuo qRRrEd fu-fl qrt, sefq,-

iffi,1;i#

qH qqr{ro d s{qq 61 ffiq

sllrT9ff ^gm \iltil fu-fl ^q[i srar crqer wr

1qqfr-{an ^{qa d qrpr ReFfu sfrfrtsi of u-Eo fuqr ETi)}

YTTIST ^tl-2[

q ..................... ETc/gg-fi/qS ......................:..............$r{ ...... ffi

............................-.......

qat-{d

fudr ...............d ^qrqs

....... d ^q-E o-r rcvnft qt

z. t scqfrsr fr ffifutr ^qerq 6-{ar {:-

1

\ro. ^rre fu TS Td d sqr SZ=rO t r

d. ^qa fu T$ ffifutr ^qrrd,zqrro) fi sor g$ t ^,

(r) no*q m-qfo ..........gfus ur+ ...................... fudr ...................... ^yrwr .........

O "mn*

of ^erm

61 ^{<ivtutr or ffio}

(+) wrocro zFI ilq. ffi

gxr HErr fr .r$ t

effisrra nqcx, frci6 rr furqt zorq

1190 ⁽³⁾

(s) ^{qtsfuB qfr} cr-qB t,ci 3Trtr6 EU-s 6T fff{q .... . .. ...

(o) effi-srzffi d ^qpqrq or fuu"q

fi-{. ^q6 tu f, 9q66. e-6-ioil ^tt Td ^il nf<7ds5m $il (l

(r) no-w ,ffiiqt .. .......

(2) oTBFqq

of ^qrr

(a) arr+ra+ or ^qrq, ffi

grgr TS frf</Aq5-< fu-qr rrqr B ...............

(+) frf<Zs)sTn *i or frri-o . .....

(s) sTfi-dZgrfreTrr d ^qR'qq o"r fff{q

qT{. rra fu gS enu t o qre gd ffikd

q-o--iuii it 3Tq-{$ {fl-fl rrql en fust qFIIFFI g,m ard

a.nfl ^.rqr B ererEr ^{qri116rq gpr} €fl-{ fuqr ^.;-qI t f ^(gs.t d-{d B-€t ^q-o{ril or ft-q{ur ^frqr

qd. ffi

orqrqFg o1 sqr 2 ^qt 2 t srBf, s{ d A cT so-fr tr) Fsq ^qqo-s t'.D w d d

q-o.-iuil of uP6. I fu-qr ur$ r)

ciq. ^qa fu tt ^q{i o1, ^qfr/qffi sily 3il'fYdi of aa, sr-ad \{qfu osr t-f, ^{qqr cl-RT qti er< ot}

frqrw frqrgqR B :-

(o) aa riqM (rig-dil rnrkf, o1 i{cfu d i{eiET fr, sTq{r GRT ^qE sq d sftdMd il{r

qrtrt gs e,rq sifueerrfut 6r qrq, tsq, artlgrq aen sTfuflrefr or s+d €eq wE t,r t ^qorqr

rnr$ r) eTrlff,i e sTfti-d B, d Wq srq t ^qlqQrfi-df +t snq w eilfl+a t t

H.m

ftfwur

gq

qrd

qFII o-t

qFI

sTTT9TAI o-I ^qFI

1.

Tfi-E

2.

do, €rE ^{Er{ qqo, qf,.3il-Set.,} Etqmql d.

qis gs ffiq qrerc d qqr err-{Ifrl

3.

qfc{ FTq, ql-{ H|-{m-d W 3ilq) qr{{

(o-q-fr, rii€-d {iqrR eT M)

4.

rr6-q (qIf,. qcFT eefl TeI o-t l-tl-qrq q

5.

el-q 3TrfHqi ffi E[d or Te[ ^gs arrq I

(u) ra-a rirrMl or Faq{uF so: G 3r-Erdi d ^qrer rigfi Erfr€ or fe-q{or frqqeTi t:-

q. E'.

fuq{or

gII

qEl,/qcil 4-f

CIq

3Tilqilf o-I ^qFI

1

qNW

(r) ^qrq zn'r ^qFr, s-S furf, t t

(z) go et{F-d (3T-Jqrfr-d)

(a) cdqrc qrclx rrdl

2.

rlr-efq Trq

(r) ^qrq 6r ^{qrq, qd} Rro t t

(z)ge eirw-d (ergqrfrdl

(g) qdqm sTcrn rrer

3. rm (u+stl$o 3ilt 3IrflSfq, Yem-garfi

Ecrtqr ^qd)r

fudr

ilf,$-d

TEIFI ^{?FI iIITT}

q-d frm-d (3r-5qrF-d)

sdqm ^{gTGIr{ rr@r}

4.

SIAI

1190 ⁽⁴⁾

udrTrrqirErrrd, frqio rr funqt zors

g. iD.

ftffiq

qn-s6l-q klqrff / qqr /' tffiq

€qerrcTt oel ^{qqrtrd znt} flq

qs qf,r

3I€lrFI ^{qOfUr qil{I}

6.

(1) il6, fffiIq s*ern} Q;nur

(z) cnsfrtq frqFr/qq-{ra oTrfr o1

corqr ogfr

eL

q-qd)

Tl-"

(1) ^qr( tN O 3lr{m-{ I{.e;I o-I ld-flul,

erfr Asr ^qqq @-r sds fou ^qdr

(z) ^{qrq. q$} d d-"er t-m, qqfu oc

ot fu+qur t

(s) eP16- *'

(+) €qfu oq r

(T) ^q-flq-ir .roqT ^yns+tq .fi ur qa=r q{ 3Tfuf,qur oT fuwur l

(s) Eqr fuqrs ^qRsi t ^q-d-qrtrd cilqrds B ? d/T€l

u'. tfr $rs+tq qd rrrffi{o. frffiq riwrrcrJ ot tTflffi ftqrgqTq t ^.-

qrcr. qq 9)eTFrf, *r{dr firqTSqrg t .-

( oert rdl, osr sdl HEd oTq-fr fuqrf,q epn ffiqrcrq wq of Prflr o-r s-drq, mc t st)

ft-qraq,zfrreTr +-sd ^qs ffiercrq o-r ^qrq, sd fr M ^qtq of Tg I ^q1 otd fu-qr .rqr t t

B-Sd Si or ^q$

qflur qeTsqlB

fuqroqZTgrfuqrf,q

ftrerrrisoZffifiirq

EffiTet{ Yrqpt-o-df

HGITq=T

q ......................... BIrfrrq/3IrflGII//qS

.... ^qe scqrfud o-ror { fu Bqgffi dsqT @t

o-fu-qr ^q-6 t ^qrd t sFfd derT it ^qn-orfr d ergwn stq B dair g-sfr ffikd fed fr eps of Eqrqr

q-€l .rq t r

E*',*

"

10. Tsrr 4-rt--go d enq w, ffifuo ^qfu{aTrfuf, frq qrt, eiufq,-

,H.i;H

rnqqE risl-{a d sew or Mqq

q+qeff gRr frqr qri e[dr Yrqer q;I

(qnfr{yrn ^qa d qrq ffif.f 3trfusr d u-qo fusT qr,$)

YIrTejI ^rrf,

f, .......................................... Ega/Ey*/qffi ..................... ..... .3ng .........ffi

risr-{f,:::...r................... fuf,t..............d q{qq

....... d ^{qE q;t} u-copft qr

z. f, trcqhsr t ^qqFfrfu( oerc o-{dr (:-

s6. {6 tu T+ fd ^tt sor g{ZTS t r

u*srrd ttqqd, frqi* r r ftilqt zo r ^q

rrso ^(s)

qt.

?16 fu TS fiEftfuf, qrq-dZqrrrat d sqr g{ t ,

(r) u-otw ^qtqr6 ... .. .gfue err+

fuf,r ...................... {r-Er ........

(2) sTBFqq

of ^qm

(3) ^qiqtutr or ffio

(a) uroroo o-t ^qFL ffi

Er{t Ecr fr ^.r$ t

1s) ^{dsfttr of slqB qd oilPfo Ers znr fu{iq .....................}

(o) effi-a7ffi d ^qRqrq o.r ftEqur

fi-{. ^qa fu f, ^qqftfoa r6{uil t Td fr nfqor,dqUm Eerr tl

(r) uo-rur F-qfqr ..........

(z) efifuqq

of ^eTM

(s) ^q-q-nq o-t ilq, ffi

Ergr TS fifff/dl5ff fu'qI ^rrqr t ^{...............}

(4) fr{ffi/dqg=n *i or ft-{i-{ ..........

(5) oltrm/g-{frflur A ^qR'unq o-r fu+<Ur

sr{. w fu g* uro t o ^q-6 ad ffifuo e-m{uit ^+t 3rc-{fi ^{q-{rut rrvr} t r Mt ^qFrrEr{r Hrrr ^q-d

drITrII ^rrfi t erQrqr ^qr{nrr{r HNr €arq fuqr.rqr tt Foq d-q-d s€ ^q-6-{"il or fuq{q frqr

qr$. frffi{ Fr{rqrcr of eqr 2 qT z t srBo sS qfr ft w so-fr t r) ({en Eru-s t'fi' gs d d

tr6-{uif o) ^qtrqfud r four ^qi61;

fr-q. ^q6 fu tt E"i ot, ^qfr,zqcft ofi orrfYdl of ^qa, 3r-ad rffi oen t-o ^{qqr qrRr} \rq si-q ET

fr-q-iur ftEflTsTq t'*

(o) ^qo rffi

(ri5ff srtrG a1 iicfu d r{aiET fr, errfl Bwr we uq d sftufuo fcl

iltr$ \'s erq wrfuotnfuf o-r ^qrq, s:q, ^q{s[q aer 3Tfusrei or s-+d r{deT wE uq fr ^qorqr

qr$ l) eTrBrdl t sTfti-d B d g*o sq * $q2roaf of sr-q w sTrf+f, t r

H. F.

ftfwur

qq

qrd/q.{l qr

qFI

sIIIqclI ^{<DI qFI}

1

TO-E

2.

Ero, sltFq{ eTa, \rm.3il-g.I$I., irqFM 6

qis $i ffiq qrtrc fr qqr err-{Rr

3.

qfc{ Frg, qles srgo-a \rs 3ilq) qrf,q

(o-q-fr, di€-d {iflR 6T fuflq)

4.

T{q ^{(qA, qGFI} dsfl lfet ^?FI kf{{ur E l)

5.

el-q 3ilf+erqi N Etd .nr I[dr vs ^qrq I

(s) iil-{m €cmt or fo-+sq- so: si 3rrkii d ^qrer €gfr ETft-f, o.r fu+<q ftETSsri t-

E" F.

ftfdwr

ETI

qld,z,q-ffi or

,TIII

STTISdI s'I ^qFI

1. ENW

(r)qrq o.r ^{qrt, qS} furo B t

(2)g-d dzu=d er-jqTft-d)

(s) q+qrq qtur{ rIc.q

2.

qI-erq ll.q

(r) ^qrq o-r ^qrv, qd Rro t r

(2) q-d ^qtrq-d (or-Jqrfr-d)

(3) qdurt qlc[{ qel

3.

qr[{ (@rt-flr{ro' 3IR 3mlr€Fl qQro-gqo

l1e0 ⁽⁶⁾

E*sIr6 {ur{, frqiar r r fudqr zo r s

EYfqr ^qB) I

fudr

a-f,$-d

TEIFI o-I ^;il-q

gd frw-d (sr-dqrfud)

qiiflq grcrr{ rr@I

4.

3IAI

TI. F.

fff{q

YTNFFIq fi]{Irn/qq /

ffiq s€rrcrt oeTr ^rizrnra

tD.I qFI gS qf,I

3r€kFT ^qorqr vl9t

6.

(1) il+., ltlfil-q ls-wrnT ^q fiur

(z) vtrsfiq f+rr-qZqarqf, sTrR ot

q-orqr cgfr

19.

s-{fr

T.

(r) zr( ^qq A sTl-{fi{ ft*l ot ftfflur,

*QI-ff Agr ^{;rrqq <FI} s-6frs fu* o'd I

(z) srq.sS d aleT t.qq, ^qqfu o-q

til fu+guil

(o) orfufuo or t

(+) r{ufu or r

(T) ^q-4-q-d srerqr €nflotq gfr ut ^{qtFI q{} 3lfufrquT or fu+qqt

(u) cur ft-qrs ^qfusi t ^{q-d-qrtrd yi)-rnd-q} t ? d/T€l

u,. tfr vrrs+tq ^qd srtrqko ffffiq iiRTK}if ot ffid

ftqrEHR t :-

qkr. tfr tleTFrf, frr{f,r fiqrjsR t :-

(oar s-dt, oflr efr Htrd 3Tq-fr fuqrf,q oer M{€riorq rn-s of Prer a;r B-ds, ffi t ot)

f+srdq,/RreTI ^risd $i ffiwo-q ^{zFT ;ilrl, qd} t M srq o1 Tg t ^q1 @H fuq ^trqr B ^I

vf,IuI Erq o-r sq

trqrur ^qrlgqilEl

kreiroq/Tdrrfiqrflq

Rlflrqsf,/ftf{qkfqrcrq

EwTfl{ {qQl-o-df

gizltT{

f, ........................... 3il-qrq,/or-flqr/qcfi

.... ^q-6 sqrft-d o-Ecn i fu sv{-cfl dsqr ^o1

EiBo.r 1'+. * rnro t sFfd f,e{ tt ^q.rfl-fr d ea-gwn s.q t oen ^gs$ rni{fua frrfr S ap;q o} ^uqrqr

c-€l ^.rqrtr

t

Ewlfl{ ^crqero-f,f"

66ftqrr6 rrqq{, ftqis r r fuerqt zo r s

lle0 ⁽⁷⁾

11. ^g-{,rtr 4*s-\rm'd ^{qerrq qs,} ffifua ^yfuenfuo fu-qr ^{qri, qqlo:-}

,#;;T#,

6ot ^q-umo d ses or ffic

3pqeff ^grqr R-fl ^qri srdr Yrqer ^q-r

(wfu{w ^qe d qs fuffrr sfrfu-si ci u-qo fuqr cTrS)

Yt-qq ^q;{

q ."................... Ega/Eg-$/qffi ................ ........... ..3ng ... ..ffi

.... a-{Sd

... fudr

Edu-r-6 ^qrq tiqrqo

............... ^rnqqE

qq:q-f,

fuf,r ................d E-{ris

....... d ^{qE .nr} ueqrvft qt

2. f, ^q1qfrET t ffifua oerc o-{f,r {:_

q6. us fu T$ Td t q-or d,zc-€t t r

d ^qa fu gS ffifuo ^qmdZqmdr t ^qor g$ t ^,

(r) now m-qiqr . ....... gfus er+

fudr ......................... \T-q .....

(z) eTfufu{q

of ^emr

61 ^{dvtutr or ffio}

(+) =qrqrf,q o.r ^qrq, ffi

gm sor fr G r .................

(s) ffitr of or-qB \'s GIrPfqt Eu-s iDT ft-cmur .................

(o) effi-aZffi d ^qRqrq 61 ftqw

d-c. {d tu t ^qqtutu( tro-r'il fi {d fi fr{-nldsTn $n tl

(r) no-sq ^qrqro ... ...

(z) efifi-q-q

of ^erm

(e) vr+rau o"r ^qrt, fusd sm TS f$ff/dqgffi fu-qr rqr B ...............

(4) ftfm/Eiq5ffi di o.r ffi6 ... ..

(s) oTfi-d/T{frflur A ^qRuilq or ft-+qq

q-{.qa fu T$ sTrq Q 6 qr6 Td ffifoa q-fiT"il it src-{r$ E;n-qr rl-rn B r frr.srt qFr?ru gM qld

ErqTqI ^rr-qr t eterqr ^{;srrrTeFr gRr} \4fl-{ fuqr ^.I-qI t t Foq d-q-d ts-€t ^q-fisuil 6-r flo-+sq frqr

qr$, furq ortFrrcr +t lrqr 2 qt 2 e oTkf, sS at fr qr so-fr t D Fsn Eru-s 1'fi gs d d

e-fi-{uit d wp6. c fu-qr Eri t)

cis. ^q-d fu tt sii ot. cfrZq-ffi 3ik sil-Drdi of ^qa. erqa r{qfu oen ff-o ^{qqr qrFr} qrti er< or

ffsiri frET5qR t ^'-

(o) aa riqfud (rigfr Erkf, d riqfu d ffiq t, eTq-fl GET sE sq t s-ftaMo *cr

qtBS gs er;q wrB-eqrfui .nr qFr. sn. q{srq oen sTksrafr or s+S €aiq sE rsc t qf,rql

uri t) urlfoi Q 3Tftfd t d gEeq roq t ^qrqerodf sfi or-q ^qq enfl{-o B r

!5. m.

fd-N'r

gq

qltT/qm o-r qFr

sTIIfd} ^{TDT qITI}

1

q-6-E

2.

q-o, gltatN q=|a, gd.3TI-g.€I., oqR-qt

d ^qis G ffiq

11Tqrl ^q

"1q1

er-flRr

ll90 ⁽⁸⁾

udsrrq {qqd, fttio ^r r fuaqi ^{zo t} s

3.

+e{ (on, *cc ^qrw-a t's ^cn-q)

qrfi (o-qfr, riisd {cqrR or ft-q{q)

4.

.f6=t (il-g, qut=T defl Til @-I IffWUI

tt)

5.

er;q ^gTrfHqi fr$ Eld o'r {s \rs

arq I

(tq) emd rffi

or fe-q{uF so: lti ^GTrErf,\ d ^qrer {ig-fi EIfus ^{o-r fuq{ur frET"5HN t:-}

t[. F.

fd-flur

gq

vFd7q61 -

qFI

3Trt*flt ^{.nI qFI}

1

erq tq

(1) ^qrq oT crq, sd furo B t

(2) g-d etaw-a (or-SqtHn)

O) ^{e-dflq ercil-{} Tfl

2.

nr-efq ^t1ft

(r)qrq o-r ^{qFI, qd} furo B t

(2)q-d ehw-d Fr-Jqrfr-d)

(3) s-dqn ffiil-{ Tfl

3. ^crfi (qs-{TrrE-m. dr{ 3ilsffirq, Yalo-Earo.

qvttqr qrt)r

fuf,r

cafrq ^,

TETFT o-T TITT

ga firEn-d FISqTFO

s-fqTq eron Itfl

4.

3IAI

6 ^{tiamo qem ffiq qft ur qtFr q{ 3rfuo.qq oI fuq{Url}

(u) tror fi-{-s ^{qftsr q} wd-qrtrd ^yil-drdq B ? d/T€f

u:. tft clrs+tq ^'qrffi+o ffiq ri{aff}it ot ffid

FETgqI{ ^g'-

qkr. +fr ffir6 d.q-flr frqEqN t '-

$eir

s-dt, oq{r adf ^qtrd oTq-ft ftErdq <rpn Mc€Trflq ws of ^fusr or ^{B-dq, m-q t ot)}

trqraqzRren trsd ^qd ffiors-q or ^;il-q, sd t M ^{qrw ot} G ^{g q1 oH frrqrrq B t}

g. ,F.

tr+qq

Yn€-SIq klq-rff/Ao/'

ffiq ri{QTrcrI oer ^q4-{f,

@-t ^{qFI gs qdl}

Gr€kFr ^q-orq srlt

q.

(1) ^q-6, Itffiq rtrepg S xu

(2) trm-ds fl*nqZtiartro 3TIR afr

q-orq qtrfr

ET.

s-q!fi

TI

(1) anqqq d 3Trq?rq t{e"l o-r

fff{ur, terrft Aqr ^{qqs <Dr} s-ds

fu-fl ^qr-$

r

(z) ^{qrq. q{} d d-oer t.m. ^qqfu os

tD.t fucNUr t

(a) eftfuo ov I

(+) .{qfu or t

d*€rc ttqqd, frqi{ r: fuawq 261e

r1e0 ^(e)

B-flM E]=I 4-I

ES

rqM ^q{/sqfi€l

kf€r-dq/r6lgqrdq

I$r8Trqsd/lrlsqkfqrflq

E€rreN ^slqexm-dt

gGIiq"T

q ...........................

o.fufl ^gf, t ^qrf, fr

c-€l ^.rqr t r

3rrfrM/srreNrr/q-cfr

q-e qcqrfuo

Effa .rrs +fr ^qn-orfr d ergun wtu $ apn ^gsQ

EFIT8R ^qqeroof"

rrfrg.ltr d ^qr-qqri{ d cH t oen sritflTst{.

ftrf< qrTrt v1cdr. sq-qfuq.

I

AtalNagar,the llth September 2019

NOTIFICATION

No./388 /R.No. 1274 /2019122-ll. -

In exercise of the powers conferred by sub-section ^{(l) of Section}

95 read with Section 43 of the Ctrhattisgarh Panchayat ^{Raj Adhiniyam, 1993 (No.l of 1994), the State}

Government, hereby, makes the following further amendment ^{in the Chhattisgarh Panchayat Nirvachan Niyam,}

1995, the same having been previously published as required by sub-section ⁽³⁾ of ^{Section 95 of the said Act,}

namely:-

AMENDMENT

In the said rules,-

1. In rule 9, after sub-rule (3), the following shall be added, namely,-

*(4) Any Registration Officer or Assistant Registration Officer or any person, who is appointed

and authorized for revision or to add or delete any Entry of Electoral Roll, ^{does violation of}

the duties assigned under the provision of said Act, shall be ^{punishable with simple}

imprisonment which must not be less than 3 month, but up to 2 ^years or ^{fine or with both:}

Provided that no court shall take cognizance unless State Election Commission ^{or the}

Collector and District Election Officer himself or an officer authorized ^{by the Collector and}

District Election Officer, who is not below the rank of Deputy Collector, ^{has given complaint}

in writing:

Provided further that any offence ^punishable under rule 9 shall be ^{tried by Competent}

Judicial Magistrate and shall be non-cognizable andbailable:

Provided further also that, for above mentioned ^purposes, the ^Code of ^Criminal

Procedure, 1973 (No. 2 of 1974) shall be followed."

2.

After rule 9, the following shall be added, namely,-

"9A. False declaration- If any ^{person in connection with-}

(a) preparation, revision or purification ofelectoral roll, or;

O) ^{inclusion or deletion of any entry of electoral roll,}

o-ror ( fu BqE-fi dqqT ot

riqkd fr-fr fi apq o) ^gqrql

lleo ⁽¹⁰⁾

,frqi+ rrfucqr zorp

makes any statement or written declaration which is false or which he/she either knows or

believes to be false or does not believe to be true, such person shall be punishable with

imprisonment for a term, which may extend to one year or fine or with both. It shall be non-

cognizable and bailable, the same will be trial by the Competent Judicial Magistrate and the

provisions of the Code of Criminal Procedure, 1973 (No. 2 of 1974) shall apply as soon as

possible."

3. In rule I l, after sub-rule (2),the following shall be inserted, namely,-

*(2-a)

Registration Officer should authorize an employee to receive claims/objection over

draft electoral roll. This employee shall be authorized in reference to the Gram

Panchayat."

4. After rule 18, the following shall be added, namely,-

"18 A.

Requisition of Vehicles etc. for. Panchayat Election purposes- (1) The District

Election Officer may, if it appears to him in connection with election under the

Chhattisgarh Panchayat Raj Adhiniyam, 1993 (No.l of 1994), that any vehicle,

vessel or animal is needed or is likely to be needed for the purpose of transport of

ballot boxes to or from any polling station or transport of members of the ^police force

for maintaining law and order during the conduct of such election, or transport of

any officer or other person for performance of any duty in connection with such

election, he may by order in writing, require such vehicle, vessel or animal and may

make such further orders as may appear to him to be necessary or expedient ⁱⁿ

connection with the requisition.

(2) Such requisition shall be effected by an order in writing addressed to the person

deemed by the District Election Officer to be the owner or person in ^possession of

the property and such order shall be served on the person to whom it is addressed.

(3) Whenever any property is requisitioned under sub-rule (l) the period of such

requisition shall not be extended beyond the period for which such property is

required for any of the purposes mentioned in sub-rule(l).

Explanation :- For the purposes of this rule "Vehicle" means any vehicle used or capable of being

l8B.

used for the purpose of road transport, whether propelled by mechanical power or

otherwise.

Payment of Compensation - Whenever in pursuance of rule 18-A, any vehicle,

vessel or animal is requisitioned, compensation thereof shall be paid to the owner,

the amount of which shall be determined by the District Election Officer on the

basis of rate fixed by the Chief Electoral Officer for such vehicle, vessel or animal

for State Assembly Elections:

Provided that any person interested, being aggrieved by the amount of

compensation determined by District Election Officer, may apply within thirty days

from the date of issue of the order determining the compensation to the Divisional

Commissioner for a review. The decision of the Divisional Commissioner shall be

f,rnal.

Manner of Execution of order of requisition of vehicles, vessels and animals. - An

order of requisition under sub-rule (l) of rule 18A shall be served:-

(a) Where a person to whom such order is addressed is a Corporation or firm, in

the manner provided for the service of summons in rule 2 of Order XXIX or

rule 3 of Order XXX, as the case may be, of the first Schedule to the Code

ofCivil Procedure, 1908 Q{o. V of 1908); and !

(b) Where the person to whom such order is addressdd is an individual: -

(i)

Personally, by delivering or tendering the order, or

(ii) By registered post with acknowledgment due, or

(iii) Ifthe person cannot be found, by leaving an authentic copy ofthe

order with any adult member of his family, or by affixing such

copy on some conspicuous part of the premises in which he ^is

known to have last resided or carried on business, or ^personally

worked for gain.

l8c.

E*w {qrd, frcifi t r fudqt zor s

ileo ^(r1)

l8D.

Penalty for contravention of any order regarding requisition.- If any ^person

contravenes any order made under sub-rule (l) of rule l8A, he shall, on conviction,

be punished with imprisonment for a term which may extend to three months ^or

with fine which may extend to rupees five hundred or with both:

Provided that any offence ^punishable under rule 18 shall be tried ^by

Competent Judicial Magistrate and shall be non-cognizable and bailable:

Provided further also that, for above mentioned ^purposes, the ^{Code of}

Criminal Procedure, 1973 ^(No. 2 of 1974) shall be followed."

5. For rule 3lA, the following shall be substituted, namely,-

"31A.

Presentation of Affidavit by candidates, information about ^{Criminal records,}

properties, liabilities and educational qualification etc. ofcandidates- ^{(l) Under}

sub-rule (l) of rule 32, along with nomination ^paper, every ^{candidate for the}

post of Sarpanch, member of Janpad Panchayat and Zila Panchayat, shall

present an affrdavit, in the form, as prescribed by Election Commission,

containing candidate's information about educational ^{qualification, any}

pending/decided criminal cases, and information regarding his own or ^his

spousers or dependant's ^properties and liabilities and information ^regarding

whether he is trespasser of panchayat/government land or building or ^not.

Affidavit shall be presented in prescribed form, before any ^{public notary or}

Class-I Magistrate, or an oath Commissioner:

Provided that it shall not be necessary for a candidate ofPanch of

Gram Panchayat to present an affidavit.

,

(2) Under sub-rule (l), every affidavit shall be :-

(a) In case ofSarpanch, in form 4-B-1;

(b) In case of Janpad Panchayat member in form 4-C-l1,

(c) In case of Zila Panchayat member in form 4-D-1.

(3) A copy of affidavit of candidates for the post of Sarpanch, member of

Janpad Panchayat andZilaPanchayat shall be displayed on the ^{notice board of}

the office of the Returning Officer. On demand, a copy of same shall ^{also be}

made available to citizen on payment of prescribed fee.

(3-a) Candidates shall present ^ooNo dues certificate" along with nomination

paper, issued by Panchayat in a form prescribed by State Election Commission.

(4) In case, aff,rdavit is not submitted by any candidate, at the time of scrutiny

of nomination paper of the candidate, he shall be liable for rejection.

If any candidate or elector files an affidavit against information ^{of the}

affidavit, filed by other candidate under sub-rule (l), it should ^{be displayed as}

per procedure prescribed in sub rule (3). No inquiry shall be conducted by

Returning Officer in relation to information provided in the affidavit."

6. In rule 32, in sub-rule (l), for clause (c) and ^(d), the following shall be substituted, namely,-

"(c) election of member of Janpad Panchayat, by any voter of that constituency within ^the

block and;

(d) election of member of Zila Panchayat, by any voter of that constituency, within the

district, signed nomination paper, as a proposer, shall be delivered."

7. In rule 33, in sub-rule (l),-

(a) in clause (a), for the word and figure "Rs. 40", the word and figure "Rs. 50" shall be

substituted;

(b) in clause (b), for the word and figure "Rs. 200", the word and figure "Rs. 1000" shall be

substituted;

, (c) in clause (c), for the word and figure "Rs. 500u, the word and figure "Rs. 2000" shall be

substituted; and

(d) in clause (d), for the word and figure "Rs. 1000", the word and figure 'Rs. 4000' shall ^be

substituted.

l

Ire0 ⁽¹²⁾

, frqis ^{rr fudqr zors}

8. In rule 46, in proviso, after entry (ii), the following shall be added, namely,-

'(iii)

In case, where information of death of candidate is received 72 hours ^prior to ^the

commencement of poll, name and symbol allotted to such candidate, shall ^{not be printed on}

ballot paper.

(iv)

In these conditions, where it is desired, ballot paper shall be reprinted and no changes ^shall

be made to the election symbols allotted to other candidates.

(v)

An immediate intimation is to be ^given to all candidates for changes made in ^{ballot paper}

due to removal of the name of the dead candidate, if information of death ^{of candidate is}

received after stipulated time, no changes shall be made in ballot ^{paper and Election}

Commission is to be informed immediately."

9. For Form 4-B-1, the following shall be substituted, namely:-

"FORM 4-B-l

(See rule 3l-A)

ELECTION OF SARPANCH OF GRAM PANCHAYAT

Affrdavit form to be submitted by the candidate

(To be submitted with nomination form to the Returning officer)

Affidavit form

sor/daughter/wife of

Age.................. resident of ................... Tehsil

District

Chhattisgarh, am

a candidate for the post of Sarpanch of Gram Panchayat....

Janpad Panchayat

. . . . . . . . district . . . . . . . . . . . . . . . . . ...

2.

I solemnly state as under:-

I.

That, I have/have not been convicted previously.

II.

That, I have been convicted in following case/cases :

(1)

Case no.

Police Station

District

State .........

@

Section

ofthe ............. Act.

(3)

Date of conviction........

(4)

Name of the court ........

by whom convicted.

(5)

Details of period of conviction and financial punishment.

(6)

The details of result of Appeal/Surveillance.

m.

That, I have been discharged/acquitted previously in following cases.

(l)

Case no.

(2)

Section... ofthe...........Act.

(3)

Name of the court, by whom I was discharged/ acquitted

(4)

Dates ofdischarge/acquittal .........

(5)

The details of Result of AppeaV Revision.

I

N.

That, I was held as culprit, before 6 months from today, in the following Jases. In which the charges

have been framed by the court or the court has taken cognizance. (In this, details ofonly those cases

. should be given in which imprisonment for 2 year or more can be sentenced) (In this, cases of clause I

and II should not be included).

,frrio rrfurrer zors

1190 ^(r3)

V.

That, the details of moveable, immoveable properties and bank deposits and other belonging to myself,

husband/wife and dependants are as under:-

(A)

Moveable properties (in case of properties of ^joint ownership, your own share should be

clearly mentioned and other title holder's names, age, business and relation to the declarant with them

should be clearly explained.) Dependant means those who are mainly dependent on the income of the

declarant.

S.No.

Particulars

Self

Name of

husband./wife

Name of

Deoendents

I

Cash

2.

Bank, post office savings, LIC, Bonds

of compalies and deposit amount in

financial means.

J.

Motor (car, motor cycle and others)

vehicles (details of company, model

etc.)

4.

Jewellery (mention details of metal,

weieht and value).

5.

Other Assets like the maturity value and

interest.

(B) Details of immovable properties :- Details ofjoint ownership along with the self and dependents

are under :-

(C) Details of encroachment on Panchayat or Government Land or building.

(D) Whether you have flush latrine in residential premises ?

YesA{o.

VI. My dues to Government and public financial institutions are as under:-

S.No.

Particulars

Self

Name of

husband/wife

Name of

Dependents

I

Agricultural Land

(l) Name of the Village where located.

(2) Total area (estimated) ... ......

(3) Present Market Value

2"

Non- agricultural Land

(l) Name of the Village where located.

(2) Total area (estimated) .........

(3) Present Market Value

J.

Building (commercial and residential, be mentioned

separately).

District

Tehsil ...

Name of the place .................

Total area (estimated)

Present Market Value

4.

Others

S.No.

Particulars

Name & address of

Government

deparfrnents/B ank/Financ ial

institutions and Panchayat

Arrear amount up

to dated

A.

(1) Loans from Bank, Financial

Institutions.

(2) Arrear recovery of the Government

deoartment/oanchavat etc.

B.

Recoveries

C.

(l) Details of Income tax return of the

curent year, specified the PAN number.

(2) Details of Wealth tax.

Property tax ofcurrent year.

(3) Commercial tax.

(4) Prooertv tax.

l1e0 ⁽¹⁴⁾

Bffisrrq {rqq{, frqio r r fuaqt zo r ^q

VII. My educational qualification is as under:-

(Mention School and University standard education including class 5th and class 8th, in order) Name

of the schooUeducation Board and University from where the Degree has been received or course has

been done.

Year of

oassins

CertificatelDegree

SchooUCollege

Education

Board/UniversiE

Signature of the Deponent

/ERIFICATION

I ............

Son/daughter/wife of

do hereby verify thatthe facts mentioned

in the clauses I to VII of the above declaration are true according to my knowledge and any facts ^{in connection}

therewith have notbeen concealed.

Signature ofthe Deponent "

10. For Form 4-C-1, the following shall be substituted, namely:-

,

"FORM4-C-I

(See Rule 31-A)

ELECTION OF MEMBEROF JANPAD PANCHAYAT

Affidavit form to be submitted by the candidate

(To be submitted with nomination form to the Returning Officer)

Affidavit form

I ......................son/daughter/wife of.........

..... age

.. Resident of

....... Tehsil

District

Chhattisgarh, am a candidate for the ^post of

member of Constituency no.

of Janpad panchayat

district

2.

I solemnly state as under:-

I.

That, I have/have not been convicted previously.

[.

That, I have been convicted in following case/cases :

(l)

Case no.

... Police Station

District

State .........

@

Section

ofthe............. Act.

(3)

Date of conviction........

(4)

Name of the court ......

by whom convicted.

!

(5)

Details of period of conviction and financial punishment.

1

(6)

The details of Result of AppeaVSurveillance.

m.

That, I have been discharged/acquiued previously in following cases.

(?)

Section... ofthe...........Act.

(3)

Name of the court, by whom I was discharged/acquitted

(4)

Dates ofdischarge/acquittal..............

(5)

The dekils of Result of AppeaV Revision.

B*qr6 {rqftr, Raim r r fuaqr zor s

n90 ^(1s)

IV.

That, I was held as a culprit, before 6 months from today, in the following cases. In which the charges

have been framed by the court or the court has taken cognizance. (In this, details of only those cases

should be given in which imprisonment for 2 year or more can be sentenced) (In this, cases of clause I

and II should not be included).

That, the details of moveable, immoveable properties and bank deposits and other belonging to myself,

husband/wife and dependants are as under:-

(A)

Moveable properties (in case of properties of ^joint ownership, your own share should be

clearly mentioned and other titleholder's names, age, business and relation to the declarant with them

should be clearly explained.) Dependant means those who are mainly dependent on the income of the

declarant.

(B) Details of immovable properties: - Details ofjoint ownership along with the self and dependents are

under:-

(C) Details of encroachment on Panchayat or government Land or building

(D) Whether you have flush latrine in residential premises ? YesA.lo

V.

S.No.

Particulars

Self

Name of

husband/wife

Name of

Dependents

Cash

2.

Bank, post office savings, LIC, Bonds

of companies and deposit amount in

financial means.

J.

Motor (car, motor cycle and others)

vehicles (details of company, model

etc.)

4.

Jewellery (mention details of metal,

weight and value).

5.

Other Assets like the maturity value and

interest.

S.No.

Parliculars

Self

Name of

husband/wife

Name of

deoendents

I

Agricultural Land

(l) Name of the Village where located.

(2) Total area (estimated)

(3) Present Market Value

2.

Non- agricultural Land

(1) Name of the Village where located.

(2) Total area (estimated)

(3) Present Market Value

Building (commercial and residential, be

mentioned separately).

District

Tehsil ........

Name of the place ......... ... .....

Total area (estimated)

Present Market Value

4.

Others

VI. My dues to Government and public financial institutions are as under:-

S.No.

Particulars

Name & address of

Government

departments/Bank/

Financial institutions and

Panchavat

Arrear amount up

to dated

A.

(l) Loans from Bank, Financial

Institutions.

l1e0 ⁽¹⁶⁾

Rffi{rrd {!il:r, frtim t r ftmrqr u ot ^p

(2) Arrear recovery of the Government

deoartment/ Panchavat etc.

B.

Recoveries

C.

(1) Details of Income tax return of the

current year, specified the PAN

number.

(2) Details of Wealth tax.

Property tax ofcurrent year.

(3) Commercial tax.

(4) Prooertv tax.

VII. My educational ^{qualification} is as under:

(Mention school and university standard education including class 5th and class ^{8th, in order) Name of}

the schooVeducation board and university from where ^{the Degree has been received or course has been}

done.

Year of

nassins

Certificate/Degree

School/College

Education

Board/UniversiE

Signature of the Deponent

VERIFICATION

I...................... Son/daughter/wifeof ......

.. doherebyverifrthatthefactsmentioned

in the clauses I to VII of therabove declaration are true ^{according to my knowledge and any facts in connection}

therewith have not been concealed.

Signature of the Deponenf '

I l. For Form 4-D-1, the following shall be substituted, ^namely:-

"FORM4-D-I

(See Rule 31-A)

ELECTION OF MEMBER OF ZILA PANCHAYAT

Affidavit form to be submitted by the candidate

(To be submitted with nomination form to the Returning officer)

Affidavit form

I ......................son/daughter/wife of............

.' age......

Resident of

... Tehsil

District

Chhattisgarh, am a candidate for ^{the post of}

member of Constituency no.

of Zila panchayat

District

2.

I solemnly state as under :-

I.

That, I have/have not been convicted ^previously.

il.

That, I have been convicted in following case/cases ,

,'

(l)

Case no.

Police Station ... .........

District

.......... State

(2)

Section

ofthe.....:....... Act.

(3,)

Date of conviction ...

(4)

Name of the court ......

by whom convicted.

(5)

Details of period of conviction and financial ^punishment.

(6)

The details of Result of AppeaVSurveillance.