(3583)

Haryana Government Gazette

EXTRAORDINARY

Published by Authority

No. 192–2018/Ext.] CHANDIGARH, WEDNESDAY, NOVEMBER 14, 2018 (KARTIKA 23, 1940 SAKA)

gfj;k.kk ljdkj

'kgjh LFkkuh; fudk; foHkkx

vfèklwpuk

fnukad 14 uoEcj] 2018

la[;k 2@10@2018&vkj& II-& gfj;k.kk uxj fuxe vf/kfu;e] 1994 ¼1994 dk 16½ dh /kkjk 32 dh

mi&/kkjk ¼1½ }kjk iznr ’kfDr;ksa dk iz;ksx djr s g,q jkT; fuokZpu vk;ksx ds ijke’kZ ls] gfj;k.kk ds jkT;iky] blds

}kjk] gfj;k.kk uxj fuxe fuokZpu fu;e] 1994 dk s vkxs la’kksf/kr dju s ds fy, fuEufyf[kr fu;e cukrs gSa]

vFkkZr~ %&

;s fu;e gfj;k.kk uxj fuxe fuokZpu ¼la’kks/ku½ fu;e] 2018] dgs tk ldrs gSaA

gfj;k.kk uxj fuxe fuokZpu fu;e] 1994 ¼ftUg]sa blesa] blds ckn] mDr fu;e dgk x;k gS½ esa] izLrkouk e]sa

^^lnL;k*sa * ’kCn ds LFkku ij] ^^egkikSj rFkk lnL;k*sa * ’kCn izfrLFkkfir fd;s tk,axsA

mDr fu;eksa esa] fu;e 2 eas] [k.M ¼t½ e sa ^^ftlds lnL;**”’kCn ds LFkku ij ^^ftldk egkikSj vkSj lnL;** ’kCn

izfrLFkkfir fd;s tk,axsA

mDr fu;eksa esa] fu;e 23 ds LFkku ij] fuEufyf[kr fu;e izfrLFkkfir fd;k tk;sxk] vFkkZr~ % &

^^23- es;j vkSj lnL;k sa dh v;ksX;rk,a -& ¼1½ dksbZ O;fDr fuxe dk egkikSj vkSj lnL; bl izdkj pqus tkus

ds fy, v;ksX; gksxk] ;fn mlea s /kkjk 8 e sa ;Fkk of.kZr v;ksX;rkvk sa esa ls dksbZ ikbZ tkrh gSA

¼2½ dksbZ Hkh O;fDr fuxe ds egkikSj vkSj lnL; ds :i esa pquko ds fy, ik= ugha gksxk tk s vuqlwfpr

tkfr;k]sa fiN+Ms oxksZa vFkok efgykvksa ds fy, vkjf{kr LFkku dh n’kk esa] bues ls fdUgh Hkh ioz xksZa dk lnL; ugha

gSA**”

3584

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

mDr fu;eksa esa] fu;e 24 esas]&

¼i½

mi&fu;e ¼1½ ea]s ^^lnL;rk ds fy;s vik=** ’kCnk sa ds LFkku ij ^^egkikSj ;k lnL;rk ds fy;s vik=** ’kCn

izfrLFkkfir fd;s tk,axs(

¼ii½

mi&fu;e ¼4½ ea]s ^^mlh fuokpZ u {ks= esa pquko ds fy,** ’kCnk sa ds LFkku ij] ^^mlh okMZ ea s egkikSj vkSj

lnL; ds fuokZpu ds fy, pquko** ’kCn izfrLFkkfir fd;s tk,axs( rFkk

¼iii½ mi&fu;e ¼4½ e]sa ijUrqd esa ^^mlh okMZ ds pquko ds fy,** ’kCnk sa ds LFkku ij ^^mlh okMZ ea s egkikSj ;k

lnL; ds pquko d s fy,** ’kCn izfrLFkkfir fd;s tk,axsA

mDr fu;eksa esa] fu;e 25 esas]&

¼i½

mi fu;e ¼1½ ds LFkku ij] fuEufyf[kr mi&fu;e izfrLFkkfir fd;k tk;sxk] vFkkZr~ %&

^^¼1½ fdlh mEehnokj ds ukekadu i= dk s rc rd fof/kor~ fn;k x;k ugha le>k tk;sxk] tc rd

fd fu;e 24 ds v/khu mls nsrs le; mEehnokj }kjk uhps nh xbZ rkfydk esa n’kkZbZ xbZ jkf’k mik;qDr ds

ikl udn tek ugha djok nh tkrh vFkok tek ugha djokrk] vFkok ukekadu i= ds lkFk ;g n’kkZr s gq;s

jlhn layXu ugha djrk gS fd mDr jkf’k [ktkus esa tek djok nh gS ;k ml fnu ds cktkj ewY; ds cjkcj

ljdkjh izuksV layXu ugha djrk %&

lkj.kh

tek dh tkus okyh jkf’k

;fn mEehnokj vuqlwfpr tkfr] fiNM +s oxZ dk

lnL; vFkok efgyk ugha gS

;fn mEehnokj vuqlwfpr tkfr] fiNM +s oxZ dk

lnL; vFkok efgyk gS

e;s j

lnL;

es;j

lnL;

` 10]000-00

` 3]000-00

` 5]000-00

` 1]500-00

ijUrq tgak fdlh mEehnokj }kjk mlh okMZ ea s egkikSj vkSj lnL; ds fy;s fuokZpu ds fy, ,d ls

vf/kd ukekadu i= Hkjs x;s gSa] rks bl mifu;e ds v/khu mlls ,d ls vf/kd ckj jkf’k tek djokus dh

vis{kk ugha dh tk;sxhA**”

¼ii½

^^mi&fu;e ¼4½ esa]s fo|eku ijUrqd ds LFkku ij] fuEufyf[kr ijUrqd izfrLFkkfir fd;k tk;sxk] vFkkZr~ %&

^^ijUrq ;fn fdlh mEehn~okj }kjk ,d ls vf/kd okMksZa ea s egkikSj vFkok lnL; ds pquko ds fy,

ukekadu i= Hkjs x;s gSa] rks mldh vksj ls ;k mlds fufeÙk tek djokbZ xbZ jkf’k;k sa esa ls ,d ls vf/kd

ugha ykSVkb Z tk,xh rFkk ’ks"k jkf’k ljdkj }kjk tCr dj yh tk;sxhA**”

mDr fu;eksa esa] fu;e 32 esa] mi&fu;e ¼1½ ea s ^^;fn fdlh okMZ ea s dsoy ,d mEehnokj gS** ’kCnksa ds LFkku ij

^^;fn okM Z esa egkikSj vFkok lnL; ds fy, dsoy ,d mEehnokj gS** ’kCn izfrLFkkfir fd;s tk,axsA”

mDr fu;eksa esa] fu;e 33 ds LFkku ij] fuEufyf[kr fu;e izfrLFkkfir fd;k tk;sxk] vFkkZr~ %&

^^33- ernku djok;k tkuk] ;fn mEehnokjk sa dh la[;k fjfDr;ksa dh la[;k ls vf/kd gS -& ;fn fdlh okMZ esa

egkikSj vFkok lnL; ds pquko ds fy, mEehnokjk sa dh la[;k ,d ls vf/kd gS] rks ernku djok;k tk;sxkA**”

mDr fu;eksa esa] fu;e 34 esa ^^okMZ ;k okMkas Z dh ftue sa og mEehnokj Fkk] mlesa pquko ds funsZ’k esa lHkh dk;Zokfg;ka

** ’kCnksa rFkk fpg~u ds LFkku ij] ^^okMZ ;k okMksZa esa egkikSj( ;k lnL; ds pquko ds lUnHkZ esa lHkh dk;oZ kfg;ka] ftuesa og

mEehnokj Fkk** 'kCn rFkk fpg~u izfrLFkkfir fd;s tk,axsA

10-

mDr fu;eksa esa] fu;e 63 e]sa ^^;fn ml okMZ esa dkbs Z Hkh ernku djokuk vko’;d u gks** ’kCnk sa ds LFkku ij] ^^;fn

egkikSj( ;k lnL; ds fy, ml okMZ esa dksbZ Hkh ernku djokuk vko’;d u gks** ’kCn izfrLFkkfir fd;s tk,axsA

11-

mDr fu;eksa esa] fu;e 71 ds LFkku ij] fuEufyf[kr fu;e izfrLFkkfir fd;k tk;sxk] vFkkZr~ %&

^^71- egkikSj rFkk lnL;k sa ds in ds fy, jkT;fu"Bk dh ’kiFk vkSj egkikSj] ofj"B mi egkikSj vkSj mi

egkikSj bR;kfn dh inkof/k -& ¼1½ e.Myh; vk;qDr }kjk fuxe ds fuokZfpr egkikSj vkSj lnL;k sa ds ukeksa dh

vf/klwpuk ds rhl fnu dh vof/k ds Hkhrj] fuokZfpr egkikSj vkSj lnL;ks ds lkekU; fuokl LFkku ij vM+rkyhl

?k.Vs dk uksfVl nsr s gq, uoxfBr fuxe dh izFke cSBd cqyk;sxk vkSj v/;{krk djsxk A uksfVl ea s Li"V :i ls

mYys[k fd;k tk;sxk fd mifLFkr egkikSj vkSj lnL;ksa dks jkT;fu"Bk dh ’kiFk fnykbZ tk;sxhA

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3585

¼2½

vk;qDr] fuxe ds fy, fuokZfpr egkikSj rFkk lnL;k sa ds ukeksa dh vf/klwpuk ds lkB fnu dh vof/k

ds Hkhrj] egkikSj vkSj lnL;ksa ds lkekU; fuokl LFkku ij vM+rkyhl ?k.Vs dk uksfVl Hkstdj cSBd cqyk;sxkA

uksfVl esa Li"V :i ls mYys[k fd;k tk;sxk fd ofj"B mi egkikSj vkSj mi egkikSj ds pquko] vk;qDr dh

mifLFkfr esa egkikSj }kjk v/;{krk dh tkus okyh bl cSBd esa vk;ksftr fd, tk,aA

¼3½

e.Myh; vk;qDr /kkjk 33 esa ;Fkk fofgr mifLFkr egkikSj vkSj lnL;ksa dks jktfu"Bk dh ’kiFk

fnyk,xkA

¼4½

mi&fu;e ¼3½ ds v/khu cqykbZ xbZ cSBd e sa egkikSj ;k lnL;] tks mifLFkr ugha gksrk g S vFkok

vkdfLed fjfDr dk s Hkjus ds fy, fuokZfpr vFkok ukekafdr gq;s lnL; dks rRi’pkr~ lR;fu"Bk dh ’kiFk egkikSj

}kjk fnyokbZ tk;sxh vkSj egkikSj ds ekeys e sa 'kiFk lEc) e.Myh; vk;qDr }kjk fnyokbZ tk;sxhA

¼5½

egkikSj ds in dh vof/k ikap o"kZ ;k mldh ’ks"k inkof/k rd ds fy;s gksxhA

¼6½

ofj"B mi egkikSj vkSj mi egkikSj dh inkof/k] ikap o"kZ ds fy;s ;k lnL; ds :i ea s mldh ’ks"k

inkof/k] tks Hkh de gks] rd gksxhA ofj"B mi egkikSj vkSj mi egkikSj fuxe ds fuokZfpr lnL;ksa ea s ls pqus

tk,axsA

¼7½

fuxe ea s egkikSj dk in lkekU; Js.kh] vuqlwfpr tkfr;k]sa fiNM+s oxksZa ls lEcfU/kr O;fDr;ksa rFkk

efgykvk sa esa ls fuokZpdksa }kjk izR;{k pquko }kjk pØkuØq e }kjk Hkjs tk,xsa s tks bl jhfr esa vo/kkfjr dh tk,xh fd

jkT; esa vuqlwfpr tkfr;ksa rFkk fiNM+s oxkas Z ds fy;s vkjf{kr egkikSj ds ink sa dh la[;k] fuxe ds ,sls inksa dh dqy

la[;k ,sl s le:i vuqikr esa gksxh tks jkT; dh dqy tula[;k ea s vuqlwfpr tkfr;k sa vkSj fiNMs+ oxksZa dh tula[;k

dk vuqikr gS %

ijUrq fuxeksa ea s egkikSj ds inksa dh dqy la[;k dk de ls de ,d frgkbZ] vuqlwfpr tkfr vkSj fiNM s+ oxZ

dh efgykvk sa ds fy, vkjf{kr inkas lfgr efgykvk sa ds fy, vkjf{kr gksxhA efgykvksa ds fy, inksa dk vkj{k.k

vyx&vyx fuxeksa esa ckjh&ckjh ls gksxk] tks funs’kd] 'kgjh LFkkuh; fudk; foHkkx] e.Myh; vk;qDr rFkk lEc)

fuxeksa ds vk;qDr ls feydj cuus okyh lfefr }kjk Mªk vkWQ ykWVl }kjk vo/kkfjr fd;k tk;sxk %

ijUrq ;g vkSj fd vuqlwfpr tkfr;k sa vkSj fiNMs+ oxkas Z ds fy;s egkikSj ds ink sa dh la[;k mudh tula[;k ds

vk/kkj ij vo/kkfjr dh tk;sxh vkSj iFz ker% vuqlwfpr tkfr;ksa dh vf/kdre tula[;k okys fofHkUu ’ks"k fuxeksa esa

ckjh&ckjh ls gksxh] f}rh;r% fiNM +s oxksZa dh vf/kdre tula[;k okys 'ks"k fuxeksa ls gksxh rFkk bl rjg mudh

vxyh vf/kdre vkcknh okys fuxe ds ink as dh i’pkr~orh Z vof/k esa ckjh&ckjh ls gksxhA ;fn nks fuxeksa esa

tula[;k dh izfr’krrk fiNM +s oxksZa rFkk vuqlwfpr tkfr;k sa ds lEcU/k esa ,d leku gS] rks vkj{k.k mijksDr ijUrqd

esa fufnZ"V lfefr }kjk Mªk vkWQ ykWVl }kjk vo/kkfjr fd;k tk,xkA

12-

mDr fu;eksa esa] fu;e 72 esa -&

¼i½

fo|eku mikfUrd ’kh"kZ ds LFkku ij] fuEufyf[kr mikfUrd ’kh"kZ izfrLFkkfir fd;k tk,xk] vFkkZr~ % &

^^ofj"B mi egkikSj rFkk mi egkikSj ds pqukoA**( rFkk

¼ii½

mi&fu;e ¼1½ esa] ^^egkikSj]** ’kCn rFkk fpg~u dk yksi dj fn;k tk,xkA

13-

mDr fu;eksa esa] fu;e 73 esa ^^egkikSj]** ’kCn rFkk fpg~u] tgka dgha Hkh vk,a¡] dk yksi dj fn;k tk,xkA

14-

mDr fu;eksa esa] fu;e 75 esa -&

¼i½

mikfUrd ’kh"kZ esa ^^egkikSj]** ’kCn rFkk fpUg dk yksi dj fn;k tk,xk(

¼ii½

mi&fu;e ¼2½ esa ^^egkikSj]** ’kCn rFkk fpg~u dk yksi dj fn;k tk,xk( rFkk

¼ iii½

mi fu;e ¼4½ e]sa ijUrqd es]a ^^egkikSj ;k** 'kCnk sa dk yksi dj fn;k tk,xkA

15-

mDr fu;eksa esa] fu;e 78 esas -&

¼i½

mi&fu;e ¼1½ esa] ^^lnL;** ’kCn ds LFkku ij ^^egkikSj ;k lnL;** ’kCn izfrLFkkfir fd;s tk;xsa s( rFkk

¼ii½

mi&fu;e ¼2½ esa] ^^egkikSj] ;k** ’kCnk sa rFkk fpg~u dk yksi dj fn;k tk,xkA

16-

mDr fu;eksa esa] fo|eku iz:i 1] 1x] 1?k] 2] 2d] 2[k] 3] 4] 5] 6] 7] 8] 9] 10] 11] 13] 14] 15] 16 rFkk 17 ds

LFkku ij] Øe’k% fuEufyf[kr i:z i izfrLFkkfir fd, tk,axs] vFkkZr~ %&

3586

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

iz:i&1

[nsf[k, fu;e 24¼2½]

ukekadu i=

fuxe ds fy, fuokZpu

eSa] mEehnokj dk s uxj fuxe ____________________________ ds egkikSj ds pquko vFkok uxj fuxe

____________________________ dh okMZ la[;k ____________________________ ls lnL; ds pquko ds :i es

uketn djrk gAwa

mEehnokj dk uke ________________________________________________________________ _____

mldk Mkd irk ________________________________________________________________ ______

mijksDr mEehnokj dk uke uxj fuxe ______________________ ds okMZ la[;k ___________________dh

ernkrk lwph esa Øe la[;k ____________________________ ij ntZ gSA

esjk uke ____________________________ uxj fuxe ____________________________ dh okM Z la[;k

dh ernkrk lwph ____________________________ e sa Øe la[;k ____________________________ ij ntZ gSA

frfFk % ___________________

¼izLrkod ds gLrk{kj½

eSa] mij of.kZr mEehnokj] bl ukekadu ls lger gwa rFkk ,rn~ }kjk ?kks"k.kk djrk@djrh

gwa _________________________________

¼d½

fd eauS s ________________________ o"kZ dh vk;q iwjh dj yh gS]

¼[k½

fd eq>s _______________________________ ikVhZ }kjk bl pquko ds fy, [kM+k fd;k x;k gSA

¼x½

fd tks fu’kku eSu s pqu s ga S vf/kekU;rk ds Øe ls bl izdkj ga S %&

(i)

_______________________________

(ii)

_______________________________ rFkk

(iii)

_______________________________

**eSa vkxs ;g ?kks"k.kk djrk g wa fd ea S _______________________________ tkfr@oxZ dk lnL; gwa

tks _______________________________ jkT; ds _______________________________ ¼{ks=½ ls vuqlwfpr

tkfr@fiNM+k oxZ ls lEcfU/kr gS rFkk ftlds fy, LFkku bl izdkj vkjf{kr fd;k x;k gSA

**eSa ;g vkSj ?kks"k.kk djrh gwa fd eSa ,d efgyk mEehnokj gwa ftlds fy, ;g lhV ,sl :Ik esa vkjf{kr dh xbZ

gSA

¼mEehnokj ds gLrk{kj½

_______________________________

¼** tks ;fn ykxw uk gks mls dkV nsa½

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3587

eftLVªVs }kjk lR;kiu

mi;qZDr ?kks"k.kk _______________________________ }kjk lR;fu"Bk ls esj s lkeus dh xbZ gS] mls eSa

O;fDrxr :Ik ls tkurk gw¡ vFkok mldh igpku esjh larqf"V ds vuqlkj dh xbZ gSA

LFkku _______________________________

lR;kiu izkf/kdkjh ds iwjs

frfFk _______________________________

inuke lfgr gLrk{kj

¼fjVjfuZax vf/kdkjh }kjk Hkjk tk,xk½

ukekadu i= dh Øe la[;k _______________________________

;g ukekadu eq>s esj s dk;kZy; ea s _______________________________ ¼frfFk½ dks le; ____________

________________________ ¼cts½ fn;k x;kA

fjVfuZax vf/kdkjh

ukekadu i= Lohdkj dju s ;k vLohdkj djus oky s fjVjfuZax vf/kdkjh dk fofu’p;

eSaus gfj;k.kk uxj fuxe pquko fu;e] 1994 ds fu;e 27 ds vuqlkj bl ukekadu i= dh tkpa dh gS rFkk

fuEukuqlkj fofu’p; fd;k x;k gS %&

______________________________________________________________

frfFk %& ______________________

fjVfuZax vf/kdkjh

mEehnokj dks fn;k x;k fu’kku _______________________________ gSA

frfFk %& _____________________

fjVfuZax vf/kdkjh

ukekadu i= dh jlhn rFkk laoh{kk ds fy, uksfVl

¼ukekadu i= nsus okys O;fDr dks nh tk,½

ukekadu i= dh Øe la[;k _______________________________

uxj fuxe _________________________ ls egkikSj ds pquko vFkok uxj fuxe _____________________

dh okMZ la[;k _____________ ls lnL; ds pquko ds fy; s mEehnokj dk ukekadu i= eq>s ejs s dk;kZy;

esa _______________________________ ¼cts½ _________________ ¼fnukad½ dks mEehnokj@izLrkod }kjk fn;k

x;kA lHkh ukekadu i=ksa dh laoh{kk _________________¼cts½ ___________ ¼fnukad½ __________________ ¼LFkku½

Ikj dh tk;sxhA

frfFk %& ______________________

fjVjfuax vf/kdkjh

3588

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

iz:i & 1x

[nsf[k, fu;e 24d]

uxj fuxe --------------------------------------------------------- ds egkikSj dk pquko vFkok uxj

fuxe ----------------------------------dh okMZ la[;k---------------------------- ls lnL; ds pquko ds fy, fjVfuaxZ vf/kdkjh

ds le{k ukekadu i= lfgr vH;FkhZ }kjk izLrqr fd;k tkus okyk 'kiFki=A

Hkkx & d

eSa ----------------------------**iq=@iq=h@iRuh ------------------------------vk;q-------------o"kZ] tks------------¼iwjk Mkd irk n’kkZ;½sa dk@dh

fuoklh gwa mijksDr fuokZpu ls vH;FkhZ gwa] lR;fu"Bk ls izfrKk djrk g@wa djrh gwa vkSj 'kiFk ij fuEufyf[kr dFku

djrk@djrh gwa%&

¼1½

eSa -------------------------------------------------------(----------------------------¼**jktuSfrd ny dk uke½ }kjk [kM+k fd;k x;k vH;FkhZ@

**,d Lora= vH;FkhZ ds :i esa yM+ jgk gwaA

¼**tks ykxw u gks mls dkV nsa½

¼2½

esjk uke----------------------------¼uxj fuxe dk uke½] esa Hkkx la[;k ---------------ds Øe la[;k ------------------ij ifz o"V gSA

¼3½

esjk lEidZ VsyhQksu la[;k@ la[;k,a ----------------------gS@ga S vkSj esjk bZ&esy vkbZMh ¼;fn dksbZ gks½-----------------------

-------------------------gSA

¼4½

LFkkbZ ys[kk la[;k ¼iSu½ ds C;kSjs vkSj vk;dj fooj.kh nk;j dju s dh fLFkfr %&

Øe la[;k

uke

iSu

foRrh; o"kZ ftlds

fy, vafre vk;dj

fooj.kh nk;j dh

xbZ gSA

vk;dj fooj.kh esa

n’kkbZ Z xbZ dqy

vk; ¼#Ik, esa½

Lo;a

ifr ;k iRuh

vkfJr&1

vkfJr&2

vkfJr&3

¼5½ eSa ,sls fdlh yfEcr ekeys ea s nks o"kZ ;k vf/kd ds dkjkokl esa n.Muh; fdlh vijk/k ¼vijk/kksa½ dk@dk

vfHk;qDr ugha gwa ftlea s l{ke vf/kdkfjrk okys U;k;ky; ¼U;k;ky;ksa½ }kjk vkjksi fojfpr fd;k x;k

gS@fd, x, gSaA ;fn vfHklk{kh ,sl s fdlh vijk/k ¼vijk/kksa½ dk@dk vfHk;qDr g S rks og fuEufyf[kr

tkudkjh izLrqr djsxk@djsxh%&

¼i½

fuEufyf[kr ekeyk ¼ekeys½ ejs s fo:} yafcr gS ftlea s nks o"kZ ;k vf/kd ds dkjkokl ls naMuh;

fdlh vijk/k ds fy, U;k;ky; }kjk vkjksi fojfpr fd;k x;k gS@fd, x, ga S %&

¼d½

lEc) iqfyl Fkkuk@ ftyk@jkT; ds iw.kZ C;kSj s

lfgr ekeyk@izFke lwpuk fjiksVZ la[;k@

la[;k,sa

d`Ik;k viuk

uohure ikliksVZ

vkdkj dk QksVks

;gka fpidk,a

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3589

¼[k½

lacaf/kr vf/kfu;e ¼vf/kfu;eksa½ dh /kkjk ¼/kkjk,a½

vkSj vijk/k¼vijk/kksa½ dk laf{kIr fooj.k ftlds

¼ftuds½ fy, vkjksfir fd;k x;k gSA

¼x½

U;k;ky; dk uke] ekeyk la[;k vkSj laKku ysus

ds vkn’s k dh frfFkA

¼?k½

U;k;ky;¼U;k;ky;ksa½ ftlds ¼ftuds½ }kjk vkjksi

¼vkjksikas½ dh fojpuk dh xbZA

¼M-½

frfFk ¼frfFk;ka½ ftlds vkjksi fojfpr fd, x,

FksA

¼p½

D;k lHkh ;k dksbZ dk;Zokgh ¼dk;Zokfg;ksa½ fdlh

l{ke vf/kdkfjr okys U;k;ky; }kjk jksdh xbZ

gS@gSaA

¼ii½ fuEufyf[kr ekeyk ¼ekeys½ esjs fo:) yfa cr gS@ga S ftuesa U;k;ky; }kjk laKku fy;k x;k gS

[mijksDr en ¼i½ esa of.kZr ekeyksa ls fHkUu]%&

¼d½

U;k;ky; dk uke] ekeyk la[;k vkSj laKku ysus

ds vkn’s k dh frfFk

¼[k½

mu ekeyk sa ds C;kSj s tgka U;k;ky; us laKku

fy;k gS] vf/kfu;e ¼vf/kfu;eksa½ dh /kkjk ¼/kkjk,a½

vkSj vijk/k ¼vijk/kksa½ dk laf{kIr fooj.k ftlds

¼ftuds½ fy, vkjksfir fd;k x;k gSA

¼x½

mijksDr vkn’s k ¼vkns’kksa½ ds fo:) iqujh{k.k ¼;fn

dksbZ gksa½ ds fy, nk;j dh xbZ vihy ¼vihyksa½

/vkosnu ¼vkosnuksa½ ds C;kSjs

¼6½ eq>s yksd izfrfuf/kRo vf/kfu;e] 1951 ¼1951 dk dsUnzh; vf/kfu;e 43½ dh /kkjk 8 dh mi/kkjk ¼1½ ;k

mi/kkjk ¼2½ e sa fufnZ"V ;k mi/kkjk ¼3½ ea s vkus okys fdlh vijk/k ¼vijk/kksa½ ds fy, fl}nks"k Bgjk;k x;k

gS@ugha Bgjk;k x;k gS vkSj ,d o"kZ ;k vf/kd ds fy, dkjkokl dk naMkn’s k fn;k x;k gS@ugha fn;k x;k

gS%

;fn vfHklk{kh mi;ZqDr :i ea s fl)nks"k Bgjk;k x;k gS rks og fuEufyf[kr tkudkjh izLrqr djsxk%

fuEufyf[kr ekeyksa ea s eq>s fl)nks"k Bgjk;k x;k gS vkSj U;k;ky; }kjk dkjkokl dk naMkns’k fn;k

x;k gS%

¼d½

mu ekeyksa ds C;kSjs vf/kfu;e ¼vf/kfu;eksa½ dh

/kkjk ¼/kkjk,a½ vkSj vijk/k ¼vijk/kksa½ dk laf{kIr

fooj.k ftlds ¼ftuds½ fy, fl)nks"k Bgjk;k

x;k gSA

¼[k½

U;k;ky; ¼U;k;ky;ksa½ dk uke] ekeyk la[;k vkSj

vkn’s k ¼vkn’s kksa½ dh frfFk ¼frfFk;ka½

¼[k½

vf/kjksfir naM

¼?k½

D;k fl}nks"k Bgjkus ds vkns’k ds fo:) dksbZ

vihy nk;j dh xbZ Fkh@gSA ;fn gka] rks vihy

ds C;kSjs vkSj orZeku fLFkfrA

3590

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

¼7½ eSa esj]s esj s ifr ;k iRuh vkSj lHkh vkfJrksa dh vkfLr;ksa ¼py rFkk vpy½ vkfn ds C;kSjs uhps nsrk gw¡ %

py vkfLr;ksa ds C;kSjs %

fVIi.k% 1-& la;qDr LokfeRo dh lhek dk s minf’kZr djr s gq, la;qDr uke esa vkfLr;ksa dk Hkh

fooj.k fn;k tkuk gAS

fVIi.k% 2-& tek@fuos’k dh n’kk esa] dze la[;k jde] tek dh frfFk] Ldhe] cSad@laLFkk dk uke

vkSj 'kk[kk lfgr C;kSj s fn, tku s gSaA

fVIi.k% 3-& lwphc} daifu;ksa ds laca/k ea s ca/ki=ksa@’ks;j fMcspjk sa dk ewY; LVkd ,Dlpstk sa esa pkyw

cktkj ewY; ds vuqlkj vkSj xjS lwphc) daifu;k sa dh n’kk ea s ys[kkcfg;k sa ds vuqlkj

fn;k tkuk pkfg,A

fVIi.k% 4-& ;gka vkfJr dk ogh vFkZ gS tks mldk yksd izfrfuf/kRo vf/kfu;e] 1951 dh

/kkjk 75d ds v/khu Li"Vhdj.k ¼v½ ea s gSA

fVIi.k% 5-& jde lfgr C;kSjs izR;sd fuos’k ds laca/k esa izFkdr;k fn, tkus gaAS

Øe

la[;k

fooj.k

Lo;a

ifr

iRuh

vkfJr&1 vkfJr&2 vkfJr&3

(i)

gkFk udnh

(ii)

cSad [kkrksa ea s tek ds C;kSj s

¼fu;r tek] vkof/kd tek vkSj

vU; lHkh idz kj ds tek ftlesa

cpr [kkrs Hkh gaS½ foRrh;

laLFkkvk]sa xSj cSafdax foRrh;

daifu;ksa vkSj lgdkjh

lkslkbZfV;k sa ds ikl tek vkSj

,sls iRz ;sd tek esa jkf’k

(iii)

daifu;k@sa ikjLifjd fuf/k;ksa vkjS

vU; ea s ca/ki=k]sa fMcspjksa@’ks;jksa

rFkk ;wfuVk sa esa fuos’k ds C;kSj s

vkSj jkf’k

(iv)

jk"Vªh; cpr ;kstuk] Mkd cpr

chek ikfyfl;ksa ea s fuos’k ds C;kjS s

vkSj Mkd?kj ;k chek daiuh ea s

fdUgha foRrh; fy[krk sa esa fuos’k

vkSj jkf’k

(v)

fdlh O;fDr ;k gLrh ftlesa

QeZ] dEiuh] U;kl vkfn

lfEefyr gSa] dks fn, x,

oS;fDrd _.k@vfxze vkSj

_f.k;k sa ls vU; izkI; rFkk jkf’k

(vi)

eksVj;ku@ok;q;ku@;kV@iksr

¼eds jftLV~zjhdj.k la[;k vkfn

Ø; djus dk o"kZ vkSj jkf’k½

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3591

(vii)

tsojkr] cqfy;u vkSj ewY;oku

oLrq ¼oLrq,a½ ¼Hkkj vkSj ewY; ds

C;kSjs½

(viii)

dksbZ vU; vkfLr;ka tSls

nkoksa@fgr dk ewY;

(ix)

lexz dqy ewY;

vk-

vpy vkfLr;k sa ds C;kSj s %

fVIi.k% 1-& la;qDr LokfeRo dh lhek dk s minf’kZr djr s gq, la;qDr uke esa vkfLr;ksa dk Hkh

fooj.k fn;k tkuk gAS

fVIi.k% 2-& izR;sd Hkwfe ;k Hkou ;k vikVZeSaV dk bl ikz :i esa i`Fkdr;k o.kZu fd;k tkuk

pkfg,A

Øe

la[;k

fooj.k

Lo;a

ifr ;k

iRuh

vkfJr&1 vkfJr&2 vkfJr&3

(i)

d`f"k Hkwfe dh vofLFkfr

¼vofLFkfr;ka½

los{Z k.k la[;k ¼la[;k,a½

{ks= ¼,dM+ e sa dqy eki½

D;k fojklr esa vkbZ lEifr

gS ¼gka ;k ugha½

LokftZr lEifr dh n’kk esa

Ø; dh frfFk

Ø; ds le; Hkwfe dh

ykxr ¼Ø; dh n’kk esa½

fodkl] lafuekZ.k vkfn ds

ek/;e ls Hkwfe ij dksbZ

fuos’k

vuqekfur pkyw cktkj ewY;

(ii)

xSj d`f"k Hkwfe vofLFkfr

¼vofLFkfr;ka½ los{Z k.k la[;ka

¼la[;k,a½

{ks= ¼oxZ QqV esa dqy eki½

D;k fojklr esa vkbZ laifr

gS ¼gka ;k ugha½

LokftZr laifr dh n’kk esa

Ø; dh frfFk

Ø; ds le; Hkwfe dh ykxr

¼Ø; dh n’kk esa½

fodkl] lfuekZ.k vkfn ds

ek/;e ls Hkwfe ij dksbZ

fuos’k

3592

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

Øe

la[;k

fooj.k

Lo;a

ifr ;k

iRuh

vkfJr&1 vkfJr&2 vkfJr&3

vuqekfur pkyw cktkj ewY;

(iii)

okf.kfT;d Hkou ¼vikVZesaV

lfgr½

&vofLFkfr ¼vofLFkfr;ka½

&loZs{k.k la[;k ¼la[;k,½

{ks= ¼oxZ QqV esa dqy eki½

fufeZr {ks= ¼oxZ QqV esa dqy

eki½

D;k fojklr esa vkbZ laifr

gS ¼gka ;k ugha½

LokftZr laifr dh n’kk e sa

Ø; dh frfFk

Ø; ds le; Hkwfe dh ykxr

¼Ø; dh n’kk esa½

fodkl] lfuekZ.k vkfn ds

ek/;e ls Hkwfe ij dksbZ

fuos’k]

vuqekfur pkyw cktkj ewY;

(iv)

vkoklh; Hkou ¼vikVZesaV

lfgr½%&

vofLFkfr

¼vofLFkfr;ka½&los{Z k.k

la[;kad ¼la[;k,a½ {ks=

fufeZr {ks= ¼oxZ QqV esa dqy

eki½

D;k fojklr esa vkbZ laifr

gS ¼gka ;k ugha½

LokftZr laifr dh n’kk e sa

Ø; dh frfFk

Ø; ds le; lEifRr dh

ykxr ¼Ø; dh n’kk esa½

fodkl] lfuekZ.k vkfn ds

ek/;e ls Hkwfe ij dksbZ

fuos’k

vuqekfur pkyw cktkj ewY;

(v)

vU; ¼tSls laifr esa fgr½

(vi)

iwokZsDr (i) ls (v) dk dqy

pkyw cktkj ewY;

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3593

¼8½

eSa yksd foRrh; laLFkkvk sa vkSj ljdkj ds izfr nkf;Roksa@ns;ksa ds C;ksjs uhps nsrk gw¡ %&

¼fVIi.kh: d`I;k cadS ] laLFkk] fudk;] gLrh ;k O;f"V;k sa ds uke vkSj mues a izR;sd en ds le{k jkf’k

ds C;kSjk sa dk iF` kd fooj.k nsa½

Øe

la[;k

fooj.k

Lo;a

ifr ;k

iRuh

vkfJr&1

vkfJr&2

vkfJr&3

(i)

cSad@foRrh; laLFkk

¼laLFkkvksa½ dks _.k ;k

n;s cSad ;k foRrh;

laLFkk dk uke] cdk;k

jde]

_.k dh izd`fr iwokZsDr

of.kZr uke ¼ukeksa½ ls

fHkUu fdUgha vU;

O;f"V;k@sa gLrh dks

_.k ;k ns;

cdk;k jkf’k] _.k dh

izd`fr dksbZ vU; nkf;Ro

nkf;Roksa dk dqy ;ksx

(ii)

ljdkjh ns;%

ljdkjh vkokl ls

lEcfU/kr foHkkxksa dks

n;s

ty vkiwfrZ ls lEcfU/kr

foHkkxksa dks ns;

fo|qr vkiwfrZ ls

lEcfU/kr foHkkx dks ns;

Vys hQksu@eksckby

vkiwfrZ ls lEcfU/kr

foHkkx dks ns;

ljdkjh ifjogu

¼ok;q;ku vkSj gSyhdkIVj

lfgr½ ls lEcfU/kr

foHkkx dks ns;

vk;&dj ns;

/kudj ns;

lsokdj ns;

uxjikfydk@laifr dj

n;s

foØ;dj n;s

dksbZ vU; ns;

3594

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

Øe

la[;k

fooj.k

Lo;a

ifr ;k

iRuh

vkfJr&1

vkfJr&2

vkfJr&3

(iii)

lHkh ljdkjh ns;ksa dk

dqy ;ksx

(iv)

D;k dksbZ vU; nkf;Ro

fooknk/khu gS] ;fn gka]

rks varofyZr jkf’k vkSj

izkf/kdkjh ftlds le{k

;g yafcr g S dk o.kZu

djsaA

¼9½

o`fr ;k mithfodk ds C;kSjs%

¼d½

Lo;a---------------------------------------

¼[k½

ifr ;k iRuh-------------------------

¼10½ ejs h 'kS{kf.kd vgZrk uhps fn, vuqlkj gS%&

---------------------------------------------------------------------------------------------------

¼izek.ki=@fMIyksek@fMxzh ikB;Øe ds iw.kZ iz:i dk mYys[k djrs gq, mPpre fo|ky;@

fo’ofo|ky; f’k{kk ds C;kSjs nsrs gq, fo|ky;@egkfo|ky;@fo’ofo|ky; dk uke vkSj ml o"kZ

ftlea s ikB;dze iwjk fd;k x;k Fkk] dk C;kSjk nsa½

Hkkx&[k

¼11½ Hkkx&d ds ¼1½ ls ¼10½ rd esa fn, x, C;kSjksa dk mn~/kj.k %

vH;FkhZ dk uke

Jh@Jherh@dq-

Mkd dk iwjk irk

uxj fuxe dk uke

ml jktuSfrd ny dk uke ftlus vH;FkhZ

dks [kM+k fd;k gS ¼vU;Fkk Lora= fy[ksa½

(i) ,sls yafcr ekeyk sa dh dqy la[;k ftuesa

nks o"kZ ;k vf/kd ds dkjkokl ls nMa uh;

vijk/kk sa ds fy, U;k;ky; }kjk vkjksi

fojfpr fd, x, gSaA

(ii) ,sls ekeyksa dh dqy la[;k ftuea s

U;k;ky; ¼U;k;ky;ksa½ us laKku fy;k gS

¼mijksDr en (i) esa mfYyf[kr ekeyk sa ls

fHkUu½

,sls dqy ekeyk sa dh la[;k ftuea s fl)nks"k

Bgjk;k x;k ,d o"kZ ;k mlls vf/kd ds

fy, dkjkokl ls vkSj nafMr fd;k x;k gSA

[yksd izfrfuf/kRo vf/kfu;e] 1951 dh /kkjk

8 dh mi/kkjk ¼1½] ¼2½ ;k ¼3½ esa fufnZ"V

vijk/kk sa ds flok,]

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3595

--------------------dh LFkk;h

ys[kk la[;k

Okg o"kZ ftlds

fy, vafre

vk;dj fooj.kh

nk;j dh xbZ gS

dqy n’kkZbZ xbZ vk;

¼d½ vH;FkhZ

¼[k½ ifr ;k iRuh

¼x½ vkfJr

vkfLr;k sa vkSj nkf;Rok sa ds C;kSj s ¼:i, esa½

fooj.k

Lo;a

ifr ;k

iRuh

vkfJr&1

vkfJr&2

vkfJr&3

d- py lEifr;ka

¼dqy ewY;½

[k-

vpy lEifr

(i)

LokftZr vpy

laifr dh Ø;

dher

(ii)

Ø; ds i’pkr

vpy laifr dh

fodkl@ lafuZek.k

ykxr ¼;fn ykxw

gks½

(iii) vuqekfur orZeku

cktkj ewY;

¼d½ LokftZr

lEifr ¼dqy

ewY;½

¼[k½ fojklrh

lEifr;ka

¼dqy ewY;½

nkf;Ro

(i)

ljdkjh ns;

¼dqy½

(ii)

cSad] foRrh;

laLFkkvk sa vkSj vU;

ls _.k ¼dqy½

,sls nkf;Ro tks fooknk/khu gS

(i)

ljdkjh ns;

(ii)

cSad] foRrh;

laLFkkvk sa vkSj

3596

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

vU; ls _.k

¼dqy½

11- mPpre 'kSf{kd vgZrk&

¼izek.ki=@fMIyksek@fMxzh ikB;dze ds iw.kZ iz:i dk mYy[s k djrs gq, mPpre

fo|ky;@fo’ofo|ky; f’k{kk] fo|ky;@egkfo|ky;@fo’ofo|ky; dk uke vkSj o"kZ

ftlea s ikB;Øe iwjk fd;k x;k Fkk] dk C;kSj s nsaA½

lR;kiu

eSa] mijksDr ukfer vfHklk{kh] blds }kjk] lR;kiu vkSj ?kks"k.kk djrk gwa fd bl 'kiFki= dh

fo"k;&oLrq esjh loksrZ e tkudkjh vkSj fo’okl ds vuqlkj lR; vkSj lgh gS vkSj bldk dksbZ Hkkx

feF;k ugh a gS rFkk blesa ls dkbs Z rkfRod rF; fNik;k ugha x;k gSA eSsa ;g vkSj Hkh ?kks"k.kk djrk gwa

fd%

¼d½ ejs s fo:) mijksDr Hkkx d vkSj [k dh en 5 vkSj 6 esa mYyfs [kr nks"kflf) dk

ekeyk ;k yafcr ekeys l s fHkUu dksbZ nks"kflf) dk ekeyk yafcr ugha gS;

¼[k½ ejs s ifr ;k iRuh ;k ejs s vkfJrksa ds ikl mijksDr Hkkx d dh en 7 vkSj 8 rFkk Hkkx

[k dh en 8] 9 vkSj 10 e sa mYysf[kr lEifr ;k nkf;Ro ls fHkUu dksbZ lEifr ugha gAS

vkt ---------------------- 20------------------ ds-------------------- fnu dks ------------------ ij lR;kfir fd;k x;kA

vfHklk{kh

.........................................................................................................................................................

fVIi.k% 1-& ’kiFki= ukekadu i=ksa dh tkpa dh frfFk okys fnu nl cts ls igys rd nk;j fd;k

tkuk pkfg,A

fVIi.k% 2-& ’kiFki= ij fdlh ’kiFk vk;Dq r ;k izFke Js.kh eftLVªsV ds le{k ;k fdlh uksVjh

ifCyd ds le{k 'kiFk yh tkuh pkfg,A

fVIi.k% 3-& lHkh [kkuk sa dks Hkjk tkuk pkfg, vkSj dksbZ [kkuk [kkyh u NksM+saA ;fn fdlh en ds

laca/k esa nus s ds fy, dksbZ tkudkjh ugha gS] rks ;k rks ^^’kwU;** ;k ^^ykxw ugha gksrk**]

tSlh Hkh fLFkfr gks] mfYyf[kr fd;k tkuk pkfg,A

fVIi.k% 4-& ’kiFki= Vafdr ;k lqikB~;:Ik ls lkQ&lkQ fyf[kr gksuk pkfg,A

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3597

iz:Ik & 1?k

[nfs [k, fu;e 24d]

uxj fuxe------------------------------------------ ds egkikSj dk pquko vFkok uxj fuxe ---------------------------------------dh okMZ

la[;k----------------------------- ls lnL; ds pquko ds fy;s fjVfuZx vf/kdkjh ds le{k ukekadu i= rFkk iz:i 1&x lfgr] vH;kFkhZ

}kjk izLrqr fd;k tkus okyk ’kiFk i=@?kks"k.kkA

eSa----------------------------------------**iq=@iq=h@iRuh------------------------------------------ vk;q---------------------o"kZ ---------------------------------------------------------

------------------------------------------------------------------ ¼iwjk Mkd irk of.kZr djsa½ dk@dh fuoklh gwa] mijksDr fuokZpu ls vH;kFkhZ gwa]

lR;fu"Bk ls izfrKk djrk@djrh g]wa vkSj ’kiFk ij fuEufyf[kr dFku djrk@djrh g%wa &

(1)

eSa--------------------------------¼**jktuSfrd ny dk uke½ }kjk [kM+k fd;k x;k vH;kFkh Z g@wa **,d Lora= vH;kFkhZ

ds :Ik e sa yM+ jgk@jgh gwaA

¼**tks ykxw u gks mls dkV nsa½

(2)

esjk uke-------------------------------¼uxj fuxe dk uke½ es] Hkkx la[;k -------------------------------------esa Øe la[;k--------------------

----------------------ij izfo"V gSA

(3)

esjk@esjs lEidZ VsyhQksu uEcj--------------------------------------gS@ga S vkSj esjk bZ&esy vkbZ Mh ¼;fn dkbs Z gks½-------------

-------------------------------------gSA

(4)

eSus gfj;k.kk uxj fuxe vf/kfu;e] 1994 dh /kkjk 8 ds v/khu nh xbZ fuEu ea s ls dksbZ v;ksX;rk izkIr

ugha dh g%S &

(i)

eSa fdlh ekeys ea s fl)nks"k ugha fd;k x;k gw¡ rFkk fdlh vijkf/kd ekeys] ftlesa nl o"kZ ls

de dk dkjkokl u gks] ls n.Muh; fdlh vijk/k ds fy, U;k;ky; }kjk esjs fo:) vkjksi ugha

yxk;s x;s gSaA

(ii)

eSa fdlh izkFkfed d`f"k lgdkjh lkslkbVh] ftyk dsUnzh; lgdkjh cSad rFkk ftyk ikz Fkfed

lgdkjh d`f"k xzkeh.k fodkl cSad ds ejs h vksj ns; fdlh idz kj ds c+dk;k sa dk Hkqxrku djus esa

vlQy ugha jgk gAwa mDr laLFkk ¼laLFkkvksa½ ls csckdh izek.k&i= ¼izek.k i=ksa½ layXu gS@gaAS

(iii) eSa fctyh fcyksa ds cdk;k dk Hkqxrku dju s esa vlQy ugha jgk gAwa lEcfU/kr fo|qr mi;ksx ls

csckdh izek.k&i= layXu gSA

(iv) eSus fdlh ekU;rkikz Ir laLFkk@cksMZ ls eSfVªd ijh{kk ;k blds led{k ijh{kk ikl dh gSA

eSusa feMy d{kk ikl dh gS ¼fdlh efgyk mEehnokj ;k vuqlwfpr tkfr ls lEcfU/kr mEehnokj

dh n’kk esa½

eSus ikapoh d{kk ikl dh gS ¼vuqlwfpr tkfr ls lEcfU/kr efgyk mEehnokj dh n’kk esa] egkikSj

dk NkMs +dj½

lEcfU/kr laLFkk@cksMZ }kjk tkjh izek.k&i= dh lgh lR;kfir izfr layXu gAS

(v)

ejs s fuokl LFkku ij dk;Z’khy ’kkSpky; gSA

vfHklk{kh

3598

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

lR;kiu

eSa] Åij ukfer vfHklk{kh] blds }kjk] lR;kiu vkSj ?kks"k.kk djrk g@wa djrh gwa fd bl ’kiFk&i= dh

fo"k;&oLr q esjh loksZre tkudkjh vkSj fo’okl ds vuqlkj lR; vkSj lgh gS vkSj bldk dksbZ Hkkx feF;k ugha gS vkSj blesa

ls dksbZ rkfRod rF; fNik;k ugha x;k gSA

vkt -------------------------------------- 20 ------------------------- ds --------------------- fnu dks ------------------------ ij lR;kfir fd;k x;kA

vfHklk{kh

...........................................................................................................................................................................................

fVIi.k% 1-& ’kiFki=@?kks"k.kk] ukekadu i=ksa dh tkap dh frfFk dks 10%00 cts rd nk;j fd;k tkuk pkfg,A

fVIi.k% 2-& ’kiFki= ij fdlh ’kiFk vk;qDr ;k izFke Js.kh eftLVªsV ;k uksVjh ifCyd ds le{k ’kiFk yh tkuh pkfg,A

fVIi.k% 3-& lHkh [kkus Hkjs tkus pkfg,a vkjS dkbs Z [kkuk [kkyh u NksM+saA ;fn fdlh en ds laca/k esa nsus ds fy, dksbZ

tkudkjh izLrqr ugha djuh gS] rks ;k rks ^^’kwU;^^ ;k ^^ykxw ugha gksrk^^] tSlh Hkh fLFkfr gks] of.kZr fd;k tkuk

pkfg,A

fVIi.k% 4-& ’kiFki=@?kks"k.kk ;k rks Vafdr ;k lqikB;:Ik ls lkQ&lkQ fyf[kr gksuk pkfg,A

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3599

iz:i & 2

[nfs [k, fu;e 40¼2½]

Ekrnku vfHkdrkZ dh fu;qfDr

uxj fuxe ---------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ---------------------------------------dh okMZ

la[;k ---------------------- ls lnL; dk pqukoA

eSa ---------------------------------------------------------- mi;qZDr fuokZpu dk mEehnokj ,rn~ }kjk ------------------------------------------------------

iq=@iq=h--------------------------------------------------------- dks ernku dsUnz la[;k-----------------------------------------------------ij@ernku ds fy, fuf’pr

LFkku ------------------------------------------ ij mifLFkr gksus ds fy;s Ekrnku vfHkdrkZ ds :i e sa fu;qDr djrk gwaA

LFkku --------------------------------------------

frfFk ---------------------------------------------

mEehnokj ds gLrk{kj

eSa bl izdkj Ekrnku vfHkdrkZ ds :i ea s dk;Z djus ds fy, lger gwaA

LFkku ---------------------------------------------------

frfFk ---------------------------------------------------

Ekrnku vfHkdrkZ ds gLrk{kj

Ekrnku vfHkdrkZ dh ?kks"k.kk ij ihBklhu vf/kdkjh ds le{k gLrk{kj fd, tk,axsA

eSa ,rn~ }kjk ?kks"k.kk djrk gwa fd e S mi;qZDr pquko esa uxj fuxe fuokZpu fu;e] 1994 }kjk oftZr dkbs Z dk;Z

ugha d:axkA

frfFk ---------------------------------------------------

Ekrnku vfHkdrkZ ds gLrk{kj

ejs s le{k gLrk{kj fd,

frfFk ---------------------------------------------------

ihBklhu vf/kdkjh

3600

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

iz:i & 2d

[nsf[k, fu;e 40d]

fuokZpu vfHkdrkZ dh fu;qfDr

uxj fuxe ------------------------------------------------ ds egkikSj dk pquko vFkok uxj fuxe ------------------------------- dh okMZ la[;k ----

------------------ ls lnL; dk pqukoA

lsok eas

fjVfuZax vf/kdkjh

-----------------------------------------------

eSa------------------------------------------------------------------------------------------------------------------------------- mijksDr fuokZpu esa mEehnokj] blds }kjk

Jh -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ¼uke rFkk irk½ dks mijksDr

fuokZpu e sa vkt ls vius fuokZpu vfHkdrkZ ds :i ea s fu;qDr djrk gwaA

LFkku-----------------------------------------------

frfFk--------------------------------------------

mEEkhnokj ds gLrk{kj

eSa mijksDr fu;qfDr dks Lohdkj djrk gwaA

LFkku -----------------------------------------------

fnukad -----------------------------------------------

fuokZpu vfHkdrkZ ds gLrk{kj

* fuokZpu ds leqfpr C;ksjs ;gka fufnZ"V fd, tk,aA

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3601

iz:i & 2[k

[nsf[k, fu;e 40¼[k½¼2½]

x.kuk vfHkdrkZ dh fu;qfDr

uxj fuxe --------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ----------------------------------dh

okMZ la[;k ---------------------- ls lnL; dk pquko A

lsok eas

fjVfuZax vf/kdkjh@ihBklhu vf/kdkjh]

-----------------------------------------------

eSa --------------------------------------------------------------------------------------------------------------------------------------------------------------------- mEehnokj@**fuokZpu

vfHkdrkZ ---------------------------------------------------------------------------- tk s mijksDr fuokZpu ea s mEehnokj gS] blds }kjk] fuEufyf[kr O;fDr;ka s

dks ----------------------------------------------- esa erx.kuk ij gkftj jgus ds fy, eq>s@mlds **x.kuk vfHkdrkZ ds :i esa fu;qDr djrk

gwaA

x.kuk vfHkdrkZ dk uke

x.kuk vfHkdrkZ dk irk

bR;kfn

LFkku -----------------------------------------

frfFk -----------------------------------------

[email protected] vfHkdrkZ ds gLrk{kj**

ge ,sl s x.ku vfHkdrkZvk sa ds :i esa dk;Z djus ds fy, lger gSaA

bR;kfn

LFkku -----------------------------------------

frfFk ---------------------------------------

x.kuk vfHkdrkZ ds gLrk{kj

3602

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

x.kuk vfHkdrkZvksa dh ?kks"k.kk

¼fjVfuZax vf/kdkjh@ihBklhu vf/kdkjh ds le{k gLrk{kj fd, tk,a½

ge] blds }kjk] ?kks"k.kk djrs gSa fd mijksDr fuokZpu esa] ge gfj;k.kk uxj fuxe vf/kfu;e] 1964 ¼1994 dk 16½

dh /kkjk 23 dh mi/kkjk ¼1½ rFkk ¼2½ ds v/khu fuf"k) dqN Hkh ugha djaxs sA ftls geu s i<+ fy;k gS@ge sa i< + dj lquk fn;k

x;k gSA

bR;kfn

LFkku -----------------------------------------

x.kuk vfHkdrkZ ds gLrk{kj

frfFk ---------------------------------------

esj s lkeus gLrk{kj fd;s x;s

fjVfuZax vf/kdkjh@ihBklhu vf/kdkjh ds gLrk{kj

*fuokZpu ds leqfpr C;ksjs fufnZ"V fd, tk;Asa

**vuqi;qDr fodYi dkV nsaA

/kkjk 23-&¼1½

izR;sd vf/kdkjh vFkok fyfid] vfHkdrk Z vFkok dksbZ vU; O;fDr tks fdlh pquko e sa erks dh fjdkfMZax

vFkok x.kuk djus ds lEcU/k ea s fdlh drZO; dk ikyu djrk gS] ernku dh xksiuh;rk dks cuk,

j[ksxk vkSj cuk, j[kus ea s lgk;rk djsxk vkSj fdlh O;fDr dks ,slh xksiuh;rk dk mYya?ku dju s ds

fy, laxf.kr dkbs Z lwpuk ¼fdlh fof/k }kjk vFkok ds v/khu izkf/kd`r dqN iz;kstuksa ds flok;½ ugha

HkstsxkA

¼2½ dksbZ O;fDr tks bl /kkjk ds micU/kk sa dh mYya?ku esa tku cw>dj dk;Z djrk gS] rks og ;k rks rhu ekl

ls vuf/kd dh vof/k ds fy, dkjkokl vFkok tqekZus ls vFkok nksuksa ls n.Muh; gksxkA **A

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3603

ç:i & 3

[nsf[k, fu;e 47¼2½x]

vk{ksi fd, x, ukeksa dh lwph

uxj fuxe ------------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe -------------------------------------------dh

okMZ la[;k ---------------------- ls lnL; dk pqukoA

ernku dsUnz la[;k ---------------------------------------------------------- gLrk{kj ’khV la[;k -------------------------------------------------------

izfof"V dh

Øe la[;k

ernkrk dk

uke

lwph esa

ernkrk ds

uke dh

Øe la[;k

vkifÙk

fd, x,

O;fDr ds

gLrk{kj

;k vaxwBs

dk fu’kku

vkifÙk

fd, x,

O;fDr dk

irk

igpkudrkZ

;fn dksbZ gks]

dk uke

vkifÙkdrkZ

dk uke

ihBklhu

vf/kdkjh dk

vkn’s k

tek jkf’k

okfil izkIr

djus ij

vkifRrdrkZ ds

gLrk{kj

frfFk %------------------------------------------

ihBklhu vf/kdkjh ds gLrk{kj

3604

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

iz:i & 4

[nsf[k, fu;e 54¼2½]

us=ghu rFkk v’kDr ernkrkvk sa dh lwph

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe -------------------------------------------- dh okMZ

la[;k ---------------------- ls lnL; dk pqukoA

ernku dsUnz dh la[;k@ernku dk LFkku ----------------------------------------------------------

lwph esa ernkrk

dk Øe la[;k

ernkrk dk iwjk uke

lkFkh dk iwjk uke

lkFkh dk irk

lkFkh ds gLrk{kj

frfFk -------------------------------

ihBklhu vf/kdkjh ds gLrk{kj

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3605

iz:i & 5

[nsf[k, fu;e 56¼2½]

fufonr erksa dh lwph

uxj fuxe ------------------------------------------------------ ds egkikSj dk pquko vFkok uxj fuxe -------------------------------------dh

okMZ la[;k ---------------------- ls lnL; dk pqukoA

ernku dsUnz dh la[;k@ernku dk LFkku ----------------------------------------------------------

lwph eas ernkrk dk

Øe la[;k rFkk uke

Ekrnkrk dk irk

fufonr eri= dh

Øe la[;k

ml O;fDr dks tkjh

fd, x, eriphZ dh

Øe la[;k ftlus

igy s ernku dj

j[kk gS

Ekr Mkyus okys

O;fDr ds gLrk{kj ;k

vaxwBs dk fu’kku

frfFk %------------------------

ihBklhu vf/kdkjh ds gLrk{kj

3606

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

ç:i & 6

[nsf[k, fu;e&58]

eri= y[s kk

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe -------------------------------------------- dh okMZ

la[;k ---------------------- ls lnL; dk pqukoA

ernku dsUnz dh la[;k@ernku dk LFkku ----------------------------------------------------------

Øe la[;k

dqy la[;k

¼1½

izkIr gq;s eri=

--------------------------------

-----------------------------

¼2½

viz;qDr eri=--------------------------------

¼d½ ihBklhu vf/kdkjh] ;fn dksbZ

-----------------------------

gks] ds gLrk{kj ls] rFkk

¼[k½ ihBklhu vf/kdkjh gLrk{kj

-----------------------------

ds fcukA

¼3½

ernkrkvk sa dks tkjh fd, x, eri=

-----------------------------

¼4½

jn~n fd, x, eri=-----------------------------

¼d½

ernku izfØ;k ds mYya?ku ds fy,

-----------------------------

¼[k½ fdlh vU; dkj.k ls

-----------------------------

¼5½

fufonr eri=k sa ds :i esa iz;qDr eri=

-----------------------------

¼6½

eri= tks erisVh e sa gksus pkfg,aA

-----------------------------

frfFk----------------------------------

ihBklhu vf/kdkjh ds gLrk{kj

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3607

ç:i & 7

[nfs [k, fu;e 61¼2½ rFkk 62¼4½¼[k½]

¼erk sa dh x.kuk djus ds ckn Hkjk tk,xk½

eri=ksa dh x.kuk dk iz:i

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ---------------------------------- dh okMZ la[;k

------------------ ls lnL; dk pqukoA

ernku dsUnz la[;k--------------------------------------------------------

x.kuk dh frfFk --------------------------------------------------------------

Øe la[;k

mEehnokj dk uke

Mky s x;s oS/k erksa dh la[;k

------------------------------------

-----------------------------------

----------------------------------- vkfn

-----------------------------------

(ii)

jn~n fd, x, eri=-----------------------------------

(iii)

dqy la[;k

(iv)

D;k Åij en la[;k iii ea s n’kkZ, x;s eri=k sa dh la[;k iz:i 6 ea s en la[;k 6 ds lkeus n’kkbZ Z xbZ la[;k ls

feyrh gS ;k bu nksuk sa vkadM+k sa esa dksbZ folaxfr /;ku esa vk xbZ gSA

frfFk-------------------------------------

ihBklhu vf/kdkjh ds gLrk{kj

3608

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

ç:i & 8

[nsf[k, fu;e 63] 70i ¼2½ ¼x½] 70Q ¼1½ rFkk 70¼c½¼2½]

x.kuk fd, x, eri=k sa ds lesdu ys[kk dk i:z i

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ---------------------------- dh

okMZ la[;k ---------------------- ls lnL; dk pqukoA

ernku

dsUnz

la[;k

erisVh

¼isfV;ksa½@

bySDVkWfud

ernku

e’khu

¼e’khuk½sa esa

Ikk;s x;s

dqy er

fufonr

erk sa dh

la[;k

mEehnokj ds oS/k er

dqy

oS/k

vLohd`r

erk sa dh

la[;k

Ekrksa ds

fy,

^^uksVk^^

fodYi

oS/k rFkk

vLohd`fr

dqy er

d [k x ?k M+

p N t

bR;kfn

dqy

LFkku------------------------------------------------

frfFk----------------------------------------------

fjVfuZax vf/kdkjh^^A

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3609

iz:i & 9

[nsf[k, fu;e 51d ¼1½]

fjVfuZax vf/kdkjh dks lwpuk i=

lsok ea s

fjVfuZax vf/kdkjh]

------------------------------------------fuokZpu {ks=] okMZ la[;k------------------

uxj fuxe----------------------------------------------------------------------------------

egksn;]

eSa uxj fuxe ------------------------------------------------------- ds egkikjS dk pquko vFkok uxj

fuxe ---------------------------------------------------------------------------dh okMZ la[;k ------------------------------ ls lnL; ds pquko ds fy;s viuk eri=

Mkd }kjk nsuk pkgrk gAwa

eq>s-----------------------------------------------uxj fuxe eas-------------------------------------------------------fuokZpu {ks= ¼okMZ la[;k½

ds ---------------------------------- ernku dsUnz ¼la[;k rFkk uke½ ij ---------------------------------------- fuokZpu M;wVh ij rSukr fd;k x;k gSA

esjk uke ------------------------------------------ uxj fuxe fuokZpu {ks= ¼okM Z la[;k½ ds fy, Øe la[;k ---------------------------------------- ij izfo"V

gSA

eq>s eri= fuEufyf[kr irs ij Hkstk tk, %&

---------------------------------------------------------------------------

Hkonh;]

LFkku %

frfFk %

¼-------------------------------------½

3610

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

ç:i & 10

[nsf[k, fu;e 70 <+ ¼1½]

fuokZpu M~;wVh izek.k i= ds fy, vkosnu

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ---------------------------- dh okMZ la[;k ----

------------------ ls lnL; dk pqukoA

lsok eas

fjVfuaZax vf/kdkjh]

okMZ la[;k --------------------------------

Jheku th]

eSa mijksDr okMZ ds vkxkeh fuokZpu eas s futh :Ik ea s viuk er Mkyuk pkgrk gwaA esjk uke mijksDr okMZ dh

fuokZpd ukekoyh ds Hkkx la[;k ---------------------------------- e sa dze la[;k------------------------------ij ntZ gSA

eSa okMZ la[;k ---------------------------------ds ernku dsUnz la[;k ---------------------------------------------------------ernku dsUnz dk uke ----------

----------------------- ij fuokZpu M~;wVh ij rSukr fd;k x;k gAwa

eSa vuqjks/k djrk g wa fd eq>s iz:i 12 ea s ernku M~;wVh izek.k i= ernku dsUnz] tgka ij eSa ernku ds fnu

ernku M~;wVh ij jgxwa k] esa ernku gsrq leFkZ cukus ds fy, tkjh fd;k tk;sA ;g eq>s fuEufyf[kr irs ij Hkstk tk;s %&

_______________________________

Hkonh;]

frfFk %-------------------------------------------------

¼vkosnd dk uke½

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3611

iz:i & 11

[nsf[k, fu;e 70N] 70t¼7½] 70M] 70r¼1½¼p½ rFkk 70Hk¼1½¼M+½]

ernkrkvk sa dk jftLVj

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ---------------------------- dh okMZ la[;k ----

------------------ ls lnL; dk pqukoA

ernku dsUnz dh la[;k rFkk uke ------------------------------

ernkrk lwph dh Hkkx la[;k --------------------------------------

Øe la[;k

fuokZpd ukekoyh esa fuokZpd dh

Øe la[;k

fuokZpd ds gLrk{kj@

vaxwBk fu’kku

fVIi.kh

bR;kfn

ihBklhu vf/kdkjh ds gLrk{kj

3612

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

iz:i & 12

[nfs [k, fu;e 70<¼+ 1½¼d½ rFkk 70r¼1½¼M+½]

fuokZpu M~;wVh izek.k i=

izekf.kr fd;k tkrk gS fd Jh@Jherh------------------------------------------------------------------------------------------------------------iq=@iq=h@ iRuh

------------------------------------------------------ *okMZ la[;k------------------------------------------------------------------ e sa fuokZpd gS] mldh fuokZpd ukekoyh

la[;k------------------------------------------------ gS] tkfs d mlds fuokZpu M~;wVh ij gksus ds dkj.k og ernku dsUnz] tgka og er nsu s dk

gdnkj gS] esa er nsus esa vleFkZ gS vkSj blfy, blds }kjk mls fdlh ernku dsUnz ea]s tgka og ernku dh frfFk dks

M;wVh ij gks] er nsus ds fy, izkf/kd`r fd;k tkrk gSA

LFkku

----------------------

fjVfuZax vf/kdkjh ds gLrk{kj

frfFk ----------------------

eksgj

* leqfpr C;ksjs fn;s tk;Asa

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3613

ç:i & 13

[nsf[k, fu;e 70<¼4½¼d½ rFkk ¼6½ ¼[k½ rFkk ¼x½]

Mkd eri= ds iz;ksx ds fy;s fuokZpd }kjk ?kks"k.kk

¼bl rjQ dk iz;ksx dsoy rc fd;k tkuk gS tc fuokZpd Lo;a ?kks"k.kk ij gLrk{kj djrk gS½

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ----------------------------dh okMZ la[;k ------

---------------- ls lnL; dk pqukoA

eSa blds }kjk ?kks"k.kk djrk gwa fd eS og fuokZpd g wa ftls----------------------------------------------------------------------- Øe la[;k okyk

Mkd eri= mijksDr fuokZpu esa tkjh fd;k x;k gSA

frfFk ...............................................

fuokZpd ds gLrk{kj

irk .......................................

..............................................

gLrk{kj dk lR;kiu

mijksDr ---------------------------------------------------------------------¼fuokZpd½ }kjk ejs h mifLFkfr ea s gLrk{kj fd, x, gSa tks eq>s

O;fDrxr :i esa tkurk gS@ftls ---------------------------------------------------------------------- ¼igpkudrkZ½ }kjk esjh lUrqf"V ds fy, igpkuk gS

tks O;fDrxr :i ea s eq>s tkurk gAS

igpkudrkZ ds gLrk{kj

rlnhd vf/kdkjh ds gLrk{kj

;fn dksbZ gks ...................................

inuke ..................................

irk ..................................................

Ikrk .......................................

........................................................

..............................................

frfFk .....................................

¼bl rjQ dk rc iz;ksx fd;k tkuk gS tc fuokZpd Lo;a gLrk{kj ugha dj ldrk½

eSa blds }kjk ?kks"k.kk djrk gwa fd eS og fuokZpd g wa ftls----------------------------------------------------------------------- Øe la[;k okyk

Mkd eri= mijksDr fuokZpu esa tkjh fd;k x;k gSA

fnukad --------------

fuokZpd dh vksj ls rlnhd vf/kdkjh ds gLrk{kj

fuokZpd dk irk -------------------------------------------------------------

-------------------------------------------------------------------------------------------------

3614

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

çek.k i=

eSa blds }kjk izekf.kr djrk g wa fd&

mijksDr ukfer fuokZpd O;fDrxr :i ls eq>s tkurk gSA ftls --------------------------------------- ¼igpkudrkZ½ }kjk esjh lUrqf"V

ds fy, igpkuk gS tks O;fDrxr :i ea s eq>s tkurk gAS

eq>s fo’okl gS fd fuokZpd fuj{kj gS tks ------------------------------- ¼v’kDrrk½ ls ihfM+r gS vkSj viuk er Lo;a vfHkfyf[kr

djus ea s ;k viuh ?kks"k.kk gLrk{kj djus ea s vleFkZ gSA

mlus eq> ls mldh vksj eri= fpfg~ur djus vkSj mi;ZqDr ?kks"k.kk ij gLrk{kj djus dh izkFkZuk dh FkhA

eSaus mldh mifLFkfr e sa vkSj mldh bPNk ds vuqlkj mldh vksj ls ere= fpfg~ur vkSj ?kks"k.kk gLrk{kfjr dh FkhA

igpkudrkZ ds gLrk{kj

rlnhd vf/kdkjh ds gLrk{kj

;fn dksbZ gks ...................................

inuke ..................................

irk ..................................................

Ikrk .......................................

........................................................

..............................................

frfFk .....................................

3616

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

iz:i & 15

[ nsf[k, fu;e 70< 4¼x½ ]

cM+k fyQkQk **[k**

uxj fuxe --------------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ------------------------------ dh okMZ la[;k

---------------------- ls lnL; ds pquko ea s iz;ksx fd;k tk;sA

fyQkQk **[k**

ljdkjh fcuk fVdV

izR;sd vf/kdkjh ftldh ns[kjs[k esa ;k ftlds }kjk Mkd eri= Hkstk tkrk gS og vfoyEc ir s ij bldk

forj.k lqfuf’pr djsxkA ¿fu;e 51d ¼4½À

fuokZpu&vfoyEc

Mkd eri=

uxj fuxe ----------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe --------------------------------dh okMZ la[;k ---

------------------- ls lnL; --------------------------------------ds pquko ds fy;sA

¼x.kuk ls iwoZ ugha [kksyk tkuk gS½

lsok eas

fjVfuaZx vf/kdkjh

** ------------------------------------------------

-------------------------------------------------------

--------------------------------------------------------

Hkstu s okys ds gLrk{kj----------------------------------------------

-----------------------------------------------

------------------------------------------------

* fjVfuZax vf/kdkjh ;gka ij okMZ ds leqfpr C;ksjs fy[ksaA

** fjVfuZax vf/kdkjh ;gka ij iwjk irk of.kZr djsaA

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3617

iz:i & 16

[ nsf[k, fu;e 70< ¼4½¼?k½ rFkk ¼6½¼d½ rFkk ¼x½ rFkk 70c¼1½ ]

Mkd eri= dk iz;ksx djus ds fy, fuokZpdksa ds ekxZn’kZu ds fy, fgnk;ras

uxj fuxe ---------------------------------------------- ds egkikSj dk pquko vFkok uxj fuxe ---------------------------------- dh okM Z

la[;k ---------------------- ls lnL; dk pqukoA

O;fDr ftu ds uke blds lkFk Hksts x;s eri= ij eqfnzr ga S os mijksDr fuokZpu esa mEehnokj gSaA ;fn vki

er nus k pkgrs gks rks vki uhps Hkkx&I e sa fn;s x;s funs’kk sa ds vuqlkj viuk er vfHkfyf[kr djxsa s rFkk rc Hkkx& II

esa foLr`r fgnk;rk sa dk vuqlj.k djsaxsA

Hkkx& I

fuokZpdksa ds fy, fgnk;ras

1- fuokZfpr fd, tku s okys lnL;k sa dh la[;k ,d gSA

vkidk dsoy ,d er gSA

vkidks ,d ls vf/kd mEehnokj ds fy, er ugh a nsuk pkfg,A ;fn vki ,slk djxsa s rks vkidk eri= vLohd`r

dj fn;k tk;sxkA

mEehnokj ftldk s vki viuk er nus k pkgrs gSa mlds uke ds lkeus Li"V :i ls fpg~u yxkr s gq;s er

vfHkfyf[kr djAsa

fpg~u bl izdkj yxk;k tk,xk tks mEehnokj ftldks vki viuk er ns jgs gSa dks Li"V :i ls lwfpr dj sa rFkk

lUnsg ds ijs gksA ;fn fpg~u bl izdkj yx;k x;k gS tks mEehnokj ftldks vkiu s viuk er fn;k gS dks

lUnsgiw.kZ cukrk gS rks vkidk er voS/k gks tk,xkA

fpg~u tk s eri= ij vkidks iSjk 4 ds vuqlkj ml ij djus visf{kr ga]S ds flok; vius gLrk{kj us dj sa ;k dksbZ

'kCn u fy[k sa ;k dksbZ fpg~u u yxk,a] gLrk{kj ;k fyf[kr esa dqN Hkh uk djsaA

fuokZpd iz:i&13 esa ?kks"k.kk ij vius gLrk{kjk sa dk lR;kiu eftLVªsV ;k jktif=r vf/kdkjh ls djok,xk] ;fn og

fuoZpku M;wVh ij gS rks fdlh jktif=r vf/kdkjh ls ;k ernku dsUnz ds ihBklhu vf/kdkjh ls ftl esa og

fuokZpu M;wVh ij gSA

3618

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

Hkkx& II

fuokZpdk sa ds fy, fgnk;ras

¼d½

vkidks eri= ij viuk er vfHkfyf[kr djus ds i’pkr eri= dks blds lkFk Hksts x;s **d** fpfg~ur NksVs

fyQkQs esa j[ksA fyQkQs dks cUn dj nsa vkSj mls eksgj yxkdj ;k vU;Fkk lqjf{kr dj nAsa

¼[k½

blds mijkUr vki blds lkFk Hksth xbZ iz:i&13 esa s ?kks"k.kk Hkh eftLVªVs ;k fdlh vU; vf/kdkjh tks vkids

gLrk{kj lR;kiu djus eas l{ke gks ¼nfs [k, mijksDr fgnk;rsa 7½ dh mifLFkfr esa gLrk{kj djus gSaA ?kks"k.kk ,sls

vf/kdkjh ds ikl y s tk,a vkSj mldh vkidh igpku ds ckj s esa lUrqf"V gksus ds ckn mldh mifLFkfr ea s bls

gLrk{kj djAsa vf/kdkjh ?kks"k.kk ij vkids gLrk{kj lR;kfir djsxk rFkk vkidks ykSVk,xkA vkidks viuk eri=

rlnhd vf/kdkjh dks uk rks fn[kkuk gS vkSj u gh mls crkuk gS fd vkius fdl izdkj er fn;k gSA

¼x½

;fn vki fu{kjrk] vU/ksiu ;k vU; v’kDrrk ds dkj.k mijksDr lwfpr jhfr ea s Lo;a eri= fpfg~ur djus vkSj

viuh ?kks"k.kk gLrk{kj djus ea s vleFkZ ga S rks vki en ¼[k½ e sa fufnZ"V fdlh vf/kdkjh }kjk vkidh vksj ls vkidk

er fpfg~ur djus vkSj ?kks"k.kk gLrk{kfjr djus ds fy;s gdnkj gSaA ,slk vf/kdkjh vkidh izkFkZuk ij vkidh

mifLFkr esa vkSj vkidh bPNk ds vuqlkj eri= dks fpfg~ur djsxkA og bl fufer vko’;d izek.ki= Hkh iwjk

djsxkA

¼?k½ vkidh ?kks"k.kk gLrk{kfjr fd, tkus vkSj vkids gLrk{kj en ¼[k½ ;k en ¼x½ ds vuqlkj vuqizekf.kr fd, tkus

ds i’pkr iz:i&13 ea s ?kks"k.kk] eri= vUrfoZ"V djus okys **d** fpfg~ur NksVs fyQkQs] **[k** fpfg~ur cM +s

fyQkQs esa j[ksA cM+s fyQkQs dks can djus ds i’pkr mls Mkd }kjk ;k lans’kokgd }kjk fjVfuZx vf/kdkjh dks

Hkst naAs vkidk s fpfg~ur fyQkQs ij miyC/k LFkku ij iwjs gLrk{kj djus gSaA vki }kjk dksbZ Hkh Mkd fVdV

yxkuh vko’;d ugha gSA

¼³½ vki lqfuf’pr dj ya s fd fyQkQk pquko vf/kdkjh ds ikl--------------------------------------** dks----------------cts ls iwoZ igaqp

tk,A

¼p½

d`i;k ;g Hkh /;ku j[k sa fd %&

¼i½

;fn vki viuh ?kks"k.kk mijksDr fufnZ"V jhfr esa vuqizekf.kr ;k izekf.kr djkus e sa vlQy jgrs gSa rks

vkidk eri= vLohd`r dj fn;k tk,xk ( rFkk

¼ii½

;fn fyQkQk fjVfuZx vf/kdkjh ds ikl------------------------------------------dks------------------cts ds i’pkr igaqpsxk rks

vkids er dh x.kuk ugha dh tk,xhA

* fuokZpu ds leqfpr C;ksjs vUr% LFkkfir djsaA

** ;gka erx.kuk ds izkjaHk ds fy, fu;r le; vkSj frFk fofufnZ"V djaAs

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3619

ç:i & 17

[ nsf[k, fu;e 70Fk ¼1½] 70 n¼1½ ¼ii½] 70 i ¼2½ ¼d½ rFkk ¼[k½] 70Q ¼1½ ]

Hkkx I & vfHkfyf[kr erksa dk ys[kk

uxj fuxe ------------------------------------------ ds egkikSj dk pquko vFkok uxj fuxe ------------------ dh okM Z la[;k ----------------------

ls lnL; dk pqukoA

ernku dsUnz dh la[;k rFkk uke--------------------------------------------

ernku dsUnz ij iz;ksx dh xbZ ernku e’khu dh igpku la[;k

fu;a=.k ;wfuV-------------------------------------------

ernku ;wfuV--------------------------------------------

Ekrnku dsUnz ds fu;r fuokZpdka s dh dqy la[;kA

Ekrnkrk jftLVj ¼iz:i 11½ ea s ntZ ernkrkvk sa dh dqy la[;kA

^^mijksDr esa ls dksbZ ugha ^^ ds fy;s ernkrkvksa dh dqy la[;k A

fu;e 70N ;k 70t ds v/khu ernku djus ds fy, vuqKkr u fd, x, ernkrkvk sa dh la[;kA

ernku e’khu ds vuqlkj vfHkfyf[kr erksa dh dqy la[;kA

D;k en 5 ds lkeus ;Fkknf’kZr erk sa dh dqy la[;k in 2 ds lkeus ;Fkknf’kZr ernkrkvksa dh dqy la[;k ?kVk&en

3 ds lkeus nf’kZr er vfHkfyf[kr u djus dk fofu’p; djus okys ernkrkvk sa dh la[;k ?kVk&en 4 ds lkeus

ernkrkvksa dh la[;k ¼2&3&4½ ls esy djrh gS ;k blesa dkbZ QdZ ik;k x;k gAS

mu ernkrkvk sa dh la[;k ftudks fufonr eri= fu;e 56 ds v/khu tkjh fd, x, FksA

fufonr eri=k sa dh la[;kA

Øe la[;k

-------------------------------------ls--------------------------------------------rd

¼d½ iz;ksx ds fy, ikz Ir----------------------------------------

¼[k½

fuokZpdkas dks tkjh fd, x,------------------------------

¼x½

iz;qDr u fd, x, vkSj okil fy, x,---------------

dkxt dh lhyksa dk ys[kk

Øe la[;k

-------------------------------------ls ------------------------------------- rd

ernku ,tsUV ds gLrk{kj

nh xbZ dkxt dh lhyksa dh

1 -------------------------------------------------

Øe la[;k -------------------------------- ls ------------------------------------------ rd

2 --------------------------------------------------

2- nh xbZ lhyk sa dh dqy la[;k

3 --------------------------------------------------

3- iz;qDr dkxt dh lhyksa dh la[;k

4 --------------------------------------------------

4- fjVfuZax vf/kdkjh dk s okil dh

5 --------------------------------------------------

xbZ viz;qDr dkxt dh lhyksa dh

6 --------------------------------------------------

la[;k ¼en 3 e sa ls 2 ?kVkb,½

7 --------------------------------------------------

5- u"V gqbZ dkxt dh lhyk sa dh Øe

la[;k] ;fn dksbZ gSA

frfFk --------------------------------

ihBklhu vf/kdkjh ds gLrk{kj

LFkku------------------------------------

ernku dsUnz la[;k-------------------

3620

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

Hkkx II&erx.kuk dk ifj.kkke

Øe la[;k

mEehnokj dk uke

vfHkfyf[kr erk sa dh la[;k

----------

dqy

D;k mijksDr n’kkZ, x, erksa dh dqy la[;k Hkkx I dh en la[;k 5 ds lkeus n’kkZ, x, erk sa dh dqy la[;k ls

esy djrh gS ;k nksuk sa ;ksxksa ea s dksbZ folaxfr /;ku e sa vkb Z gAS

LFkku----------------------------------

frfFk ------------------------------

x.ku i;Zos{kd ds gLrk{kj

mEehnokj@fuokZpu [email protected] vfHkdrkZvk sa ds uke

iwjs gLrk{kj

----------------------------------

-----------------------------------

fjVfuZax v/kdkjh@ihBklhu vf/kdkjh ds gLrk{kj^^A

vkuUn ,e- ’kju]

iz/kku lfpo] gfj;k.kk] ljdkj]

'kgjh LFkkuh; fudk; foHkkxA

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3621

HARYANA GOVERNMENT

URBAN LOCAL BODIES DEPARTMENT

Notiﬁcation

The 14th November, 2018

No. 2/10/20018-RII .— In exercise of the powers conferred by sub-section (1) of Section 32 of the Haryana

Municipal Corporation Act, 1994 (16 of 1994) and in consultation with State Election Commission, the Governor

of Haryana hereby makes the following rules further to amend the Haryana Municipal Corporation Election

Rules, 1994, namely :-

These rules may be called the Haryana Municipal Corporation Election (Amendment) Rules, 2018.

In the Haryana Municipal Corporation Election Rules, 1994 (hereinafter called the said rules), in the Preamble,

for the words ―holding election of the membersǁ, the words ―holding election of the Mayor and membersǁ shall be

substituted.

In the said rules, in rule 2, in clause (h), for the words ―the membersǁ, the words ―the Mayor and membersǁ

shall be substituted.

In the said rules, for rule 23, the following rule shall be substituted, namely:-

―23. Disqualiﬁcations for Mayor and members.- (1) A person shall be disqualiﬁed for being chosen

as, and for being a Mayor and member of the Corporation, if he incurres any of the disqualiﬁcation as

mentioned in section 8.

(2) No person shall be eligible for election as a Mayor and member of the Corporation who, in the case

of a seat reserved for Scheduled Castes, Backward Classes or woman, is not a member of any of these

categories.‘‘

In the said rules, in rule 24-,

(i)

in sub-rule (1), for the words ―ineligible for membershipǁ, the words ―ineligible for Mayor or

membershipǁ shall be substituted;

(ii)

in sub-rule (4), for the words ― for election in the same wardǁ, the words ―for election of Mayor and

member in the same wardǁ shall be substituted; and

(iii)

in the proviso of sub-rule (4), for the words ―for election in the same wardǁ, the words ―for election of

Mayor or member in the same wardǁ shall be substituted.

In the said rules, in rule 25,-

(i)

for sub-rule (1), the following sub-rule shall be substituted, namely:-

―(1) The nomination paper of a candidate shall not be deemed to have been duly delivered unless

at the time of delivery of the same under rule 24, the candidate has either deposited or causes to be

deposited a sum shown in the table below with the Deputy Commissioner in cash or enclose with the

nomination paper a receipt showing that the said sum has been deposited in the treasury, or

Government promissory notes of equal value at the market rate of the day:-

Table

Amount of deposit

If the candidate is not a member of Scheduled

Caste, Backward Class or a Woman

If the candidate is a member of Scheduled

Caste, Backward Class or a woman

Mayor

Member

Mayor

Member

` 10,000.00

` 3,000.00

` 5,000.00

` 1,500.00

Provided that where a candidate has ﬁled more than one nomination paper for election of Mayor

and member in the same ward, not more than one deposit shall be required by him under this sub-rule.ǁ

3622

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

(ii)

in sub rule (4), for the existing proviso, the following proviso shall be substituted, namely:-

―Provided that, if a candidate has ﬁled a nomination paper at an election of Mayor or

member in more than one ward, not more than one of the deposits made by him or on his behalf

shall be returned and the remainder shall be forfeited by the Government.ǁ

In the said rules, in rule 32, in sub-rule (1), for the words ―one candidate in any ward,ǁ the words ―one

candidate for Mayor or member in any ward,ǁ shall be substituted.

In the said rules, for rule 33, the following rule shall be substituted, namely.-

―33.

Poll to be taken if number of candidate is more than number of vacancies.- If the number of

contesting candidate for Mayor and for member in any ward is more than one, a poll shall be taken.ǁ

In the said rules, in rule 34, for the words ―member in the ward or wards in which he was a candidateǁ, the

words ―Mayor or member in the ward or wards in which he was a candidateǁ shall be substituted.

10.

In the said rules, in rule 63, for the words ―if no fresh poll is required to be held in that wardǁ, the words ―if

no fresh poll is required to be held for Mayor and for member in that wardǁ shall be substituted.

11.

In the said rules, for rule 71, the following rule shall be substituted, namely:-

―71. Oath of allegiance of the ofﬁce of Mayor and members, and term of the ofﬁce of Mayor,

Senior Deputy Mayor and Deputy Mayor etc.- (1) The Divisional Commissioner shall, within a period of

thirty days of the notiﬁcation of the names of the Mayor and members elected to the Corporation, convene

and preside over the ﬁrst meeting of the newly constituted Corporation at forty eight hours notice to be

delivered at the ordinary place of residence of elected Mayor and members. The notice shall clearly state the

Oath of allegiance shall be administered to the Mayor and members present.

(2)

The Commissioner shall, within a period of sixty days of the notiﬁcation of the names of the

Mayor and members elected to the Corporation convene a meeting of the Corporation at forty eight hours

notice to be delivered at the ordinary place of residence of Mayor and members. The notice shall clearly state

that the election of Senior Deputy Mayor and Deputy Mayor shall be held in this meeting to be presided over

by the Mayor in the presence of the Commissioner.

(3)

The Divisional Commissioner shall administer the oath of allegiance to the Mayor and

members present as prescribed in section 33.

(4)

The oath of allegiance shall be administered to a Mayor and member who was not present at

the meeting convened under sub-rule (3) or to a member elected or nominated to ﬁll a casual vacancy,

subsequently by the Mayor and in the case of Mayor by the Divisional Commissioner concerned.

(5)

The term of the ofﬁce of Mayor shall be for ﬁve years or the residue of the term of his ofﬁce.

(6)

The term of the ofﬁce of Senior Deputy Mayor and Deputy Mayor shall be for ﬁve years or the

residue of the term of his ofﬁce as a member, whichever is less. The Senior Deputy Mayor and Deputy

Mayor shall be elected from amongst the Members of the Corporation.

(7)

The ofﬁces of the Mayor in the Corporations shall be ﬁlled through direct election by the

electors from amongst the persons belonging to the General Category, Scheduled Castes, Backward Classes

and Women by rotation which shall determined in the manner that the number of ofﬁces of the Mayor

reserved for the Scheduled Castes and Backward Classes in the State shall bears as may be the same

proportion to the total number of such the ofﬁces of the Corporation as the population of Scheduled Castes

and Backward Classes in the State bears to the total population of the State:

Provided that not less than one third of the total number of ofﬁces of the Mayor in the

Corporations shall be reserved for Women including the ofﬁces reserved for Scheduled Castes and

Backward Classes Women. The reservation of ofﬁces for women shall rotate to different Corporations,

which shall be determined by draw of lots, by a Committee consisting of Director, Urban Local Bodies

Department, Divisional Commissioner and Commissioner of the concerned Corporation:

Provided further that number of ofﬁces of the Mayor for Scheduled Castes and Backward

Classes shall be determined on the basis of their population and shall rotate to different remaining

Corporation ﬁrstly, having largest population of Scheduled Castes, secondly, from the remaining

Corporations having largest population of Backward Classes and they rotate in the subsequent terms of

ofﬁces of the Corporation having their next largest population and so on. In case of percentage of population

of two Corporations as regards Backward Classes and Scheduled Castes is the same, the reservation shall be

determined by draw of lots to be conducted by a Committee referred in the above proviso.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3623

12.

In the said rules, in rule 72 .-

(i)

in existing marginal heading, the following marginal heading shall be substituted, namely:-

―Election of Senior Deputy Mayor and Deputy Mayor.ǁ; and

(ii)

in sub-rule (1), the word and sign ―Mayor,ǁ shall be omitted.

13.

In the said rules, in rule 73, the word and sign ―Mayor,ǁ wherever occurring shall be omitted.

14.

In the said rules, in rule 75 .-

(i)

in the marginal heading, the word and sign ―Mayor,ǁ shall be omitted; and

(ii)

in sub-rule (2) the words ―Mayor orǁ shall be omitted; and

(iii)

in sub-rule (4), in proviso, the words ―Mayor orǁ, shall be omitted.

15.

In the said rules, in rule 78 .-

(i)

in sub-rule (1), for the words ―No election of memberǁ, the words ―No election of Mayor or

memberǁ shall be substituted; and

(ii)

in sub-rule (2), for the words ―Mayor orǁ shall be omitted.

16.

In the said rules, for the existing Form Number 1, 1-C, 1-D, 2, 2 A, 2 B, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15,

16 and 17, the following forms shall be substituted, namely :-

3624

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM-1

[see rule 24(2)]

NOMINATION PAPER

Election to the Corporation

I, nominate as a candidate of election to Mayor from Municipal Corporation_________________or

election to Member from Ward Number_________of Municipal Corporation_____________________________.

Candidate‘s Name______________________________________________________________

Postal address ________________________________________________________________

Name of the above said candidate is entered at serial Number____________ of the electoral roll of Ward

Number__________ of Municipal Corporation_____________________

My name is entered at serial Number ________ of the electoral roll of Ward Number________ of

Municipal Corporation______________________.

Date:

(Signature of proposer)

I, the above mentioned candidate, assent to this nomination and hereby declare:-

(a)

that I have completed

years of age;

(b)

that I am set up at this election by the

party;

(c)

that the symbols I have chosen are in order of preference-

(i)

(ii)

and

(iii)

**I further declare that I am a member of the_____________________ Caste/Class which is a Scheduled

Caste/Backward Class of the State of _____________________in relation to __________________________(area)

in that State and for which the seat has been so reserved.

**I further declare that I am a women candidate for which the seat has been so reserved.

Signature of candidate

____________________________________

(**Strike out whichever is not applicable)

VERIFICATION BY MAGISTRATE

The above declaration is solemnly afﬁrmed before me by_________________________________________

_______________________ who is personally known to me or who has been identiﬁed to my satisfaction

be_______________________________________________

Place :- _______________

Signature of verifying

Date :- _______________

authority with full designation.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3625

(To be ﬁlled in by the Returning Ofﬁcer)

Serial Number of nomination paper _______________________________________________________________

This nomination was delivered to me at my ofﬁce at___________________________________(hour)

on ______________(date).

Returning Ofﬁcer

Decision of Returning Ofﬁcer accepting or rejecting the nomination paper

I have examined this nomination paper in accordance with Rule 27 of the Haryana Municipal Corporation

Election Rules, 1994 and decide as follows:-

Date:

Returning Ofﬁcer

The symbol assigned to the candidate is

Date:

Returning Ofﬁcer

Receipt for Nomination Paper and Notice of Scrutiny

(To be handed over to the person presenting the nomination paper)

Serial Number of nomination paper _________________

The nomination paper of candidate for the election to Mayor from Municipal Corporation

______________________ or election to member from Ward Number __________________________ of Municipal

Corporation _______________________________ was delivered to me at my ofﬁce at ______________________

(hour) on_______________ (date) by the candidate / proposer. All nomination papers shall betaken up for scrutiny

at___________________________ (date) at ___________________________________ (place).

Date:

Returning Ofﬁcer

3626

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM - 1C

(see rule 24A)

Please afﬁx your

recent passport

size photograph

here

Afﬁdavit to be ﬁled by the candidate along with nomination paper before the Returning Ofﬁcer for election

to Mayor from Municipal Corporation_______________ or election to member from Ward No. ______________ of

Municipal Corporation ________________

PART-A

I___________________ **son/daughter/wife of ____________________________ aged _______________

years, resident of_________________________________(mention full postal address), a candidate at the above

election, do hereby solemnly afﬁrm and state on oath as under:

(1)

I am a candidate set up by ________________________ (**name of the political party)/**am

contesting as an Independent candidate.

(**strike out whichever is not applicable)

(2)

My name is enrolled in_________________________________________________(Name of the

Municipal Corporation), at Serial Number ____________in Part Number ____________________

(3)

My contact telephone number(s) is/are ___________________________________and my e-mail id

(if any) is ________________

(4)

Details of Permanent Account- Number (PAN) and status of ﬁling of Income Tax return:

Serial

Number

Names

PAN

The ﬁnancia year

for which the last

Income Tax return

has been ﬁled

Total income

shown in Income- Tax return

(in Rs.)

Self

Spouse

Dependent-1

Dependent-2

Dependent-3

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3627

(5)

I am/am not accused of any offence(s) punishable with imprisonment for two years or more in a

pending case(s) in which a charge(s) has/have been framed by the court(s) of competent jurisdiction. If

the deponent is accused of any such offence(s) he shall furnish the following information: -

(i)

The following case(s) is/are pending against me in which charges have been framed by the court

for an offence punishable with imprisonment for two years or more:-

(a)

Case/First Information Report Number/ Numbers together with

complete details of concerned Police Station/ District State.

(b)

Section(s) of the concerned Act(s) and short description of the

offence(s) for which charged

(c)

Name of the Court, Case Number and date of order taking

cognizance:

(d)

Court(s) which framed the charge(s).

(e)

Date(s) on which the charge(s) was/were framed.

(f)

Whether all or any of the proceeding(s) have been stayed by any

Court(s) of competent jurisdiction.

(ii)

The following case(s) is/are pending against me in which cognizance has been taken by the court

[other than the cases mentioned in item (i) above]:-

(a)

Name of the Court, Case Number and date of order taking

cognizance:

(b)

The details of cases where the court has taken cognizance,

section(s) of the Act(s) and description of the offence(s) for which

cognizance taken

(c)

Details of Appeal(s)/Application(s) for revision (if any) ﬁled

against the above order(s)

(6) I have been/have not been convicted of an offence(s) [other than any offence(s) referred to in

sub-section (1) or sub-section (2), or covered in sub-section (3), of section 8 of the Representation of

the People Act, 1951 (43 of 1951)] and sentenced to imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid, he shall furnish the following

information:

In the following cases, I have been convicted and sentenced to imprisonment by a court of law:

(a)

The details of cases, Section(s) of the concerned Act(s) and

description of the offence(s) for which convicted

(b)

Name of the Court(s), Case Number and date(s) of order(s):

(c)

Punishment imposed

(d)

Whether any appeal was/has been ﬁled against the conviction

order. If so, details and the present status of the appeal:

3628

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

(7) That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse

and all dependents:

A. Details of movable assets:

Note: 1.— Assets in joint name indicating the extent of joint ownership will also have to be given.

Note: 2.— In case of deposit/Investment, the details including Serial Number, Amount, date of

deposit, the scheme, Name of the Bank/Institution and Branch are to be given

Note: 3.— Value of Bonds/Share Debentures as per current market value in Stock exchange in

respect of listed companies and as per books in case of non-listed companies should be

given.

Note: 4.— Dependent here has the same meaning as assigned in Explanation (v) under section 75A

of the Representation of the People Act. 1951.

Note: 5.— Details including amount is to be given separately in respect of each investment

Serial

Number

Description

Self

Spouse Dependent- 1 Dependent- 2 Dependent- 3

(i)

Cash in hand

(ii)

Details of deposit in

Bank accounts

(FDRs. Term

Deposits and all other

types of deposits

including saving

accounts). Deposits

with ﬁnancial

Institutions. Non-

Banking ﬁnancial

Companies and

Cooperative societies

and the amount in

each such deposit

(iii)

Details of investment

in Bonds debentures /

shares and units in

companies/mutual

funds and others and

the amount

(iv)

Details of investment

in NSS. Postal

Saving. Insurance

policies and

investment any

Financial instruments

in Post ofﬁce or

Insurance Company

and the amount

(v)

Personal loans/

advance given to any

person or entity

including ﬁrm,

company, Trust etc.

and other receivables

from debtors and the

amount

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3629

(vi)

Motor Vehicles/

Aircrafts/ Yachts/

Ships (Details of

Make registration

number etc. year of

purchase and amount)

(vii)

Jewellery, bullion and

valuable thing(s)

(give l details of

weight and value)

(viii)

Any other assets such

as value of claims/

interest

(ix)

Gross Total Value

B. Details of Immovable Assets:

Note: 1.— Properties in joint ownership indicating the extent of joint ownership will also have to

be indicated.

Note: 2.— Each land or building or apartment should be mentioned separately in this format.

Serial

Number

Description

Self Spouse Dependent- 1 Dependent- 2 Dependent- 3

(i)

Agricultural Land

Location(s) Survey

number(s)

Area (total

measurement in acres)

Whether inherited

property (Yes or No)

Date of purchase in

case of self acquired

property

Cost of Land (in case

of purchase) at the

time of

purchase

Any investment on the

land by way of

development,

construction etc.

Approximate current

market value

(ii)

Non-Agricultural

Land: Location(s)

Survey number(s)

Area (total

measurement in

square feet)

3630

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

Whether inherited

property (Yes or No)

Date of purchase in

case of self-acquired

property

Cost of Land (in case

of purchase) at the

time of purchase Any

investment on the land

by way of

development,

construction etc.

Approximate current

market value

(iii)

Commercial buildings

(including apartments)

-Location(s)

-Survey number(s)

Area (total

measurement in

square feet)

Built-up Area (total

measurement in

square feet)

Whether inherited

property (Yes or No)

Date of purchase in

case of self-acquired

property

Cost of property (in

case of purchase) at

the time of purchase

Any investment on the

property by way of

development,

Approximate current

market value

(iv)

Residential Buildings

(including

apartments) :-

Location(s)-Survey

number(s) area

Built up area

(Total measurement in

square feet)

Whether inherited

property (Yes or No)

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3631

Date of purchase in

case of self-acquired

property

Cost of property (in

case of purchase) at

the time of purchase

Any investment on the

land by way of

development,

construction etc.

Approximate current

market value

(v)

Others (such as

interest in property)

(vi)

Total of current

market value of (i) to

(v) above

(8)

I give herein below the details of liabilities/dues to public ﬁnancial institutions and government:-

(Note: please give separate details of name of bank, institution, entity or individual and amount before each item)

Serial

Number

Description

Self

Spouse

Dependent- 1

Dependent- 2

Dependent- 3

(i)

Loan or dues to Bank/ﬁnancial

institution(s)Name of the

Bank or

ﬁnancial institution, Amount

outstanding,

Nature of Loan Loan or dues

to any Other individuals/entity

other than mentioned above

Name(s)

Amount outstanding, nature of

loan

Any other liability Grand total

of liabilities

(ii)

Government dues: Dues to

departments dealing with

government accommodation

Dues to department dealing

with supply of water

Dues to department dealing

with supply of electricity

Dues to department dealing

with supply of telephones/

mobiles

3632

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

Dues to department dealing

with government transport

(including aircrafts and

helicopters)

Income tax dues

Wealth tax dues

Service tax dues

Municipal/Property Tax dues

Sales Tax dues

Any other dues

(iii)

Grand total of all Government

dues

(iv)

Whether any other liabilities

are in dispute, if so, mention

the amount involved and the

authority before which it is

pending.

(9)

Details of profession or occupation:

(a)

Self ………………………………………………….………

(b)

Spouse ……………………………………………………....

(10)

My educational qualiﬁcation is as under:-

………………………………………………………………………..

(Give details of highest School/University education mentioning the full form of the certiﬁcate/diploma/ degree

course, name of the School/College/University and the year in which the course was completed)

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3633

PART-B

(11)

ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART-A:

Name of the candidate

Sh./ Smt./Kum.

Full postal address

Name of the Municipal Corporation

Name of the political party which set up the candidate

(otherwise write ‗Independent‘)

(i)

Total number of pending cases where charges have

been framed by the Court for offences punishable

with imprisonment for two years or more

(ii) Total number of pending cases where the court(s)

have taken cognizance [other than the cases

mentioned in item (i) above

Total Number of cases in which convicted and sentenced to

imprisonment for one year or more [except for offences

referred to in subsections (1), (2) or (3) of section 8 of

Representation of the People Act, 1951]

PAN of

Year for which last

income Tax return

ﬁled

Total income

shown

(a) Candidate

(b) Spouse

Details of Assets and Liabilities in Rupees

Description

Self

Spouse

Dependent - 1 Dependent - 2 Dependent - 3

Moveable

Assets (Total

value)

Immovable Asset

(i)

Purchase Price of

self-acquired

immovable

property

(ii)

Development/

construction cost

of immovable

property after

purchase (if

applicable)

(iii) Approximate

Current market

price of-

(a) self-acquired

assets (Total

Value)

3634

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

(b) inherited

assets

(Total

Value)

Liabilities

(i)

Government

dues (Total)

(ii)

Loans from Bank,

Financial

Institutions and

others (Total)

10.

Liabilities that are under dispute

(i)

Government

dues (Total)

(ii)

Loans from Bank,

Financial

Institutions and

others (Total)

11.

Highest educational qualiﬁcation:

(Give details of highest School/ University education mentioning the full form of the certiﬁcate/

diploma/degree course, name of the School/College/ University and the year in which the course was

completed.)

Veriﬁcation

I, the deponent, above named, do hereby verify and declare that the contents of this afﬁdavit are true and

correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed there

from. I further declare that:-

(a)

there is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of

Part A and B above;

(b)

I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7

and 8 of Part A and items 8, 9 and 10 of Part B above.

Veriﬁed at……………………….. this the …………..day of…………………. ............................................................... ,

DEPONENT

….………………………………………………………………………………………………………………....………

Note: 1.— Afﬁdavit should be ﬁled latest by 10 A.M. on the date of scrutiny of nominations.

Note: 2.— Afﬁdavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a

Notary Public.

Note: 3.— All column should be ﬁlled up and no column to be left blank. If there is no information to furnish in

respect of any item, either "Nil" or "Not applicable", as the case may be, should be mentioned,

Note: 4.— The Afﬁdavit should be either typed or written legibly and neatly.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3635

FORM-1D

(see rule 24A)

Afﬁdavit/declaration to be ﬁled by the candidate along with nomination paper and Form 1C before the

Returning Ofﬁcer for election to Mayor from Municipal Corporation……………………….or election to member

from Ward Number……………… of Municipal Corporation……………………….

I……………………………………………..**son/daughter/wife ……………………………….…..………

aged ….…..years, resident of………………………………………………(Mention full postal address), a candidate at

the above election, do hereby solemnly afﬁrm and state on oath as under:

(1)

I am a candidate set up by ............................................................. (**name of the political party)/**am

contesting as an Independent .

(**strike out whichever is not applicable)

(2)

My name is enrolled in .................................................................... (Name of the Municipal Corporation) at

Serial Number ……………………….….. in Part No..............................................……...

(3)

My contact telephone number(s) is/are .......................................... ………………and my e-mail id (if any)

is …………………………………………….….……………………

(4)

I have not incurred any of the following disqualiﬁcations, as laid down under Section 8 of the Haryana

Municipal Corporation Act, 1994 :-

(i)

I have not been convicted and charges have not been framed against me in a criminal case for an

offence, punishable with imprisonment for not less than ten years.

(ii)

I have not failed to pay any arrear of any kind due to me to any Primary Agriculture

Co-operative Society, District Central Co-operative Bank and District Primary Co-operative

Agriculture Rural Development Bank. No Dues certiﬁcate(s) from the said institution(s) is/are

enclosed.

(iii)

I have not failed to pay arrears of electricity bills. No dues certiﬁcate from the concerned Power

Utility is enclosed.

(iv)

I have passed matriculation examination or its equivalent examination from recognized

institution/board

I have passed the middle class (in case of a woman candidate or a candidate belonging to

Scheduled caste)

I have passed the 5th class (in case of a woman candidate belonging to Scheduled caste, excluding

Mayor)

A true attested copy of certiﬁcate issued by the concerned Institution/Board is enclosed.

(v)

I have a functional toilet at the place of my residence.

DEPONENT

3636

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

VERIFICATION

I, the deponent, above named, do hereby verify and declare that the contents of this afﬁdavit are true and

correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed

there from.

Veriﬁed at……………………….. this the …………..day of ........................................................................ .

DEPONENT

…………………………………………………………………………………………………………………………….

Note:1.— Afﬁdavit/Declaration should be ﬁled latest by 10 A.M. on the date of scrutiny of nominations

Note: 2.— Afﬁdavit should be sworn before an Oath Commissioner or Magistrate of the First Class or

Notary Public.

Note: 3.— All columns should be ﬁlled up and no column to be left blank. If there is no information to

furnish in respect of any item, either "Nil" or "Not applicable", as the case may be, should be

mentioned,

Note: 4.— Afﬁdavit/Declaration should either be typed or written legibly and neatly."

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3637

FORM – 2

[see rule 40(2)]

APPOINTMENT OF POLLING AGENT

Election to Mayor from Municipal Corporation…………………………………….Or election to member

from Ward Number. ……..…………… of Municipal Corporation………………………………………………

a candidate at the above election, do

hereby appoint

son / daughter of____________________

____________________________as a polling agent to attend Polling Station Number ____________ at/place

ﬁxed for the poll at____________________________________________.

Place:

Signature of Candidate

Date: ______________________

I agree to act as such Polling Agent.

Place:

Signature of Polling Agent

Date:

Declaration of Polling Agent to be signed before Presiding Ofﬁcer

I hereby declare that at the above election, I will not do anything forbidden by the Municipal

Corporation Election Rules, 1994.

Date:

Signature of Polling Agent

Signed before me.

Date:

Signature of Presiding Ofﬁcer

3638

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM - 2A

[see rule 40A]

APPOINTMENT OF ELECTION AGENT

Election to Mayor from Municipal Corporation……………………………. Or election to member from

Ward Number ……..……… of Municipal Corporation………………………………………………………………….

The Returning Ofﬁcer

a candidate at the above election do hereby

appoint Sh.

(Name and Address) as my election agent from

this day at the above election.

Place

Date

Signature of Candidate

I accept the above appointment.

Place ______________________

Date ______________________

Signature of Election Agent

* Appropriate particular of the election to be indicated here.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3639

FORM - 2B

[see rule 40B (2)]

APPOINTMENT OF COUNTING AGENT

Election to Mayor from Municipal Corporation……………………………………. Or election to member

from Ward Number……..…. of Municipal Corporation……………………………..

The Returning Ofﬁcer/Presiding Ofﬁcer,

________________________________

_____________________a candidate/** the election agent of ______________________ who is

a candidate at the above election hereby appoint the following persons as my/his** counting agents to attend the

counting of votes at ___________________________________ .

Name of the Counting Agent

Address of the Counting Agent

etc.

Place

Date

Signature of Candidate/

Election Agent**

We agree to act as such Counting Agents.

etc.

Place ______________________

Date ______________________

Signature of the Counting Agents

3640

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

DECLARATION OF THE COUNTING AGENTS

(To be signed before the Returning Ofﬁcer/Presiding Ofﬁcer)

We hereby declare that at the above election, we shall not do anything forbidden under sub-sections (1)

and (2) of section 23 of the Haryana Municipal Corporation Act, 1994 (16 of 1994), which we have read/has been

read over to us.

etc.

Place

Date

Signature of Counting Agents

Signed before me

Signature of the Returning Ofﬁcer/

Presiding Ofﬁcer

*- Appropriate particulars of the Election to be inserted.

** - Strike off the inappropriate alternative.

Section 23 – (1)

Every ofﬁcer or clerk, agent or other person who performs any duties in connection with

the recording or counting votes at an election shall maintain an aid in maintaining the

secrecy of the voting and shall not (except for some purpose authorized by or under any

law) communicate to any person any information calculated to violate such secrecy.

(2)

Any person who willfully acts in contravention of the provisions of this section shall be

punished with imprisonment of either description for a term not exceeding three months, or

with ﬁne, or with both.ǁ.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3641

FORM-3

[see rule 47(2)(c)]

LIST OF CHALLENGED VOTES

Election to Mayor from Municipal Corporation……………………………. Or election to member from

Ward Number……..…. of Municipal Corporation……………………………..

Polling Station Number..........................Signature Sheet Number ……………

Serial No.

of entry

Name of

elector

Serial

number of

elector‘s

name in the

roll

Signature or

thumb

impression of

the person

challenged

Address of the

person

challenged

Name of

identiﬁer, if

any

Name of

challenger

Order of

Presiding

Ofﬁcer

Signature of

challenger on

receiving

refund of

deposit

Date :……………………………………….. Signature of Presiding Ofﬁcer

3642

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM-4

[see rule 54(2)]

LIST OF BLIND AND INFIRM VOTERS

Election to Mayor from Municipal Corporation……………………………. Or election to member from

Ward Number ……..…. of Municipal Corporation……………………………..

Number of Polling Station/Place of Poll

Serial number

of elector on the

roll

Full name of elector

Full name of

companion

Address of

companion

Signature of

companion

Dated ……………………..

Signature of Presiding Ofﬁcer

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3643

FORM-5

[see rule 56(2)]

LIST OF TENDERED VOTES

Election to Mayor from Municipal Corporation……………………………. Or election to member from

Ward Number……..…. of Municipal Corporation……………………………………………

Number of Polling Station/Place of Poll ………………………………………………..

Serial number and

name of elector on

the roll

Address of elector

Serial number of

tendered ballot

paper

Serial number of

ballot paper issued

to the person who

has already voted

Signature or thumb

impression of

person tendering

vote

Date:

Signature of Presiding Ofﬁcer

3644

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM-6

(See rule 58)

BALLOT PAPER ACCOUNT

Election to Mayor from Municipal Corporation………………………. Or election to member from Ward

Number ……..…. of Municipal Corporation……………………..

Number of Polling Station/Place of Poll

Serial Numbers

Total Number

(1)

Ballot papers received

(2)

Ballot papers un-used_______________

(a) with signature of the

Presiding Ofﬁcer, if any, and

(b) Without the signature of the

Presiding Ofﬁcer

(3)

Ballot papers issued to voters

(4)

Ballot papers cancelled______________

(a) for violation of voting procedure

(b) for any other reason

(5)

Ballot papers used as

tendered ballot papers

(6)

Ballot papers which should

Be in the Ballot Box

Date:

Signature of Presiding Ofﬁcer

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3645

FORM-7

[see rule 61(2) and 62(4)]

(To be ﬁlled after counting of votes)

FORM OF ACCOUNT OF BALLOT PAPERS

Election to Mayor from Municipal Corporation………………………. Or election to member from Ward

Number……..…. of Municipal Corporation…………………………………..

Polling Station Number -----------

Date of counting ----------------

Serial No.

Name of Candidate

Number of valid votes cast

____________________________

__________________________

____________________________

__________________________

_____________________________

__________________________

___________________________etc.

__________________________

(ii)

Rejected ballot papers

(iii)

Total

(iv)

Whether the total number of ballot papers shown against Item No.III above tallies with total shown against

Item Number 6 in Form-6 or any discrepancy noticed between these two ﬁgures.

Date:

Signature of Presiding Ofﬁcer

3646

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM - 8

[see rules 63, 70U(2)(c), 70V(1) and 70W(2)]

FORM OF CONSOLIDATIONOF ACCOUNT OF THE CONTED BALLOT PAPERS

Election to Mayor from Municipal Corporation……………………………………. Or election to member

from Ward Number ……………....…. of Municipal Corporation ……………………………………..

Polling

Station

Number

Total votes

found in the

ballot

box(es)/

EVM(s)

Number of

tendered

votes

Candidate‘s valid votes

Valid

votes

Total

Number of

rejected

ballot papers

Votes for

―NOTAǁ

option

Valid and

rejected

votes

B C D E F G H

Etc.

Total

Place

Date

Returning Ofﬁcer

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3647

FORM-9

[see rule 51-A(1)]

LETTER OF INTIMATION TO RETURNING OFFICER

The Returning Ofﬁcer

Constituency, Ward Number

Municipal Corporation of _____________

Sir,

I intend to cast my vote by post at the ensuing election to Mayor from Municipal Corporation…………….…

Or election to member from Ward Number…..……..…. of Municipal Corporation……………………..

I have been posted on election duty at polling station Number____________________of __________

Constituency, ( Ward Number)

in Municipal Corporation of _________________My name is entered at

Serial Number _____________________________ of the electoral rolls for __________________________

Constituency, (Ward Number)

of Municipal Corporation of _________________________________.

The ballot paper may be sent to me at the following address.

__________________________

Yours faithfully,

Place :

Date :

(______________)

3648

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM - 10

[see rule 70N(1)]

APPLICATION FOR ELECTION DUTY CERTIFICATE

Election to Mayor from Municipal Corporation………………………………. Or election to member from

Ward Number ……..…. of Municipal Corporation…………………………

The Returning Ofﬁcer, Ward

Number

Sir,

I intend to cast my vote in person at the ensuing election to the above ward. My name is entered at

Serial Number in part Number of the electoral roll for the above Ward.

I have been posted on election duty at Polling Station Number ___________Polling Station

Name ________________ of Ward Number_______________________.

I request that an Election Duty Certiﬁcate in Form 12 may be issued to enable me to vote at the

polling station where I shall be on duty on the polling day. It may be sent to me at the following address:-

_______________________________

Yours faithfully,

Date :

(Applicant‘s name)

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3649

FORM – 11

[see rules 70G, 70H(7), 70M, 70P(1)(f) and 70X(1)(e), Form 17]

REGISTER OF VOTERS

Election to Mayor from Municipal Corporation…………………………..…Or election to member from

Ward Number …………………..…. of Municipal Corporation……………………..

Number and Name of Polling Station ________________________________________________________________

Part Number of Electoral Roll ________________________________________________________________ _____

Serial

Number

Serial number of elector in the

electoral roll

Signature/thumb impression

of elector

Remarks

etc.

Signature of the Presiding Ofﬁcer

3650

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM – 12

[see rules 70N(1)(a) and 70P(1(e)]

ELECTION DUTY CERTIFICATE

Certiﬁed that Sh./Smt. ________________________________________________________________

S/o / D/o / W/o ________________________________________is an elector in the __________________*Ward,

his electoral roll number being that by reason of his being on election duty, he is unable to vote at the polling

station, where he is entitled to vote and as such is hereby authorized to vote at any polling station, he may be on duty

on the date of poll.

Place _________________

Signature of Returning Ofﬁcer

Date _________________

Seal

* Appropriate particulars to be inserted.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3651

FORM - 13

[see rule 70N(4)(a) and (6)(b) and (c) and Form 16]

DECLARATION BY ELECTOR FOR USE OF POSTAL BALLOT PAPER

(This side is to be used only when the elector signs the declaration himself)

Election to Mayor from Municipal Corporation…………………………………….. Or election to member

from Ward Number……….……..…. of Municipal Corporation……………………..

I hereby declare that I am the elector to whom the postal ballot paper bearing serial number

has been

issued at the above election.

Date:

Signature of the Elector

Address ...................................................................

................................................................................

ATTESTATION OF SIGNATURE

The above has been signed in my presence by ______________________________________(elector)

who is personally known to me/has been identiﬁed to my satisfaction by ________________________________

(identiﬁer) who is personally known to me .

Signature of the Identiﬁer

Signature of the Attesting Ofﬁcer,

If any _______________________________

Designation ____________________________

Address ____________________________

Address ______________________________

_____________________________

______________________________________

Date _________________________________

(This side is to be used when the elector cannot sign himself)

I hereby declare that I am the elector to whom the postal ballot paper bearing serial number______________

has been issued at the above election.

Date : ………………………………………

Signature of Attesting Ofﬁcer On behalf of Elector

Address of Elector ....................................................

...................................................................................

3652

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

CERTIFICATE

I hereby certify that –

(1)

the above named elector is personally known tome/has been identiﬁed to my satisfaction by

known to

me.(identiﬁer) who is personally

(2)

I am satisﬁed that the elector is illiterate/suffers from

(inﬁrmity) and is unable to record his vote himself or sign his declaration.

(3)

I was requested by him to mark the ballot paper and to sign the above declaration on his behalf.

(4)

The ballot paper was marked and the declaration signed by me on his behalf in his presence and in

accordance with his wishes.

Signature of the Identiﬁer

Signature of the Attesting Ofﬁcer,

If any .............................................................................

Designation .............................................

Address ..........................................................................

Address ....................................................

........................................................................................

..................................................................

3654

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

FORM - 15

[see rule 70N(4)(c)]

LARGE COVER ―Bǁ

To be used at Election to Mayor from Municipal Corporation………………………. Or election to

member from Ward Number..……..…. of Municipal Corporation……………………..

COVER ―Bǁ

SERVICE UNPAID

Every Ofﬁcer under whose care or through whom a postal ballot paper is sent shall ensure its delivery

to the address without delay. [Rule 51A(4)]

ELECTION – IMMEDIATE

Pastal Ballot Paper

For election to Mayor from Municipal Corporation…………………. Or election to member from

Ward Number..……..…. of Municipal Corporation……………...

(NOT TO BE OPENED BEFORE COUNTING)

The Returning Ofﬁcer

**__________________

Signature of the Sender _________________________________________

__________________________________________

Returning Ofﬁcer to insert here the appropriate particulars of the Ward.

Returning Ofﬁcer to mention here the full address.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3655

FORM - 16

[see rules 70N(4)(d) and (6)(a) and (c) and 70W(1)]

INSTRUCTION FOR THE GUIDANCE OF ELECTORS FOR USE OF POSTAL BALLOT PAPER

Election to Mayor from Municipal Corporation………………………. Or election to member from

Ward Number ……..…. of Municipal Corporation………………………………….

The person whose names are printed on the ballot paper sent herewith are candidates at the above

election. If you desire to vote you shall record your vote in accordance with the directions given in Part-I below and

then follow the instructions detailed in Part-II.

PART – I

DIRECTIONS TO ELECTORS

The number of members to be elected is one.

You have only one vote.

You must not vote for more than one candidate. If you do so your ballot paper shall b e rejected.

Record the vote by placing clearly a mark opposite the name of the candidate to whom you wish to give

that vote.

The mark shall be so placed as to indicate clearly and beyond doubt to which candidate you are giving

your vote. If the mark is so placed as to make it doubtful to which candidate you have given the vote,

that vote shall be invalid.

Do not put your signature or write any word or make any mark, sign or writing whatsoever on the ballot

paper other than the mark which you are required to make thereon in accordance with paragraph 4.

An elector shall obtain the attestation of his signature on the declaration in Form 13 by a magistrate or a

Gazetted Ofﬁcer, if he is on election duty, by any Gazetted Ofﬁcer or by the Presidi ng Ofﬁcer of the

polling station in which he is on election duty; and

3656

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

PART - II

INSTRUCTIONS FOR ELECTORS

(a)

After you have recorded your vote on the ballot, place the ballot paper in the smaller cover marked ―Aǁ

sent herewith. Close the cover and secure it by seal or otherwise.

(b)

You have then to sign the declaration in Form 13 also sent herewith in the presence of a Magistrate or

any other Ofﬁcer competent to attest your signature (see direction 7 above). Take the declaration to any

such Ofﬁcer and sign it in his presence after he has been satisﬁed about your identity. The Ofﬁcer shall

attest your signature and return the declaration to you. You must not show your ballot paper to the

Attesting Officer nor tell him how you have voted.

(c)

If you are unable to mark the ballot paper and sign the declaration yourself in the manner indicated above

by reason of illiteracy, blindness or other inﬁrmity you are entitled to have your vote marked and the

declaration signed on your behalf by any Ofﬁcer referred to in item (b). Such an Ofﬁcer shall at your

request mark the ballot paper in your presence and in accordance with your wishes. He shall also

complete the necessary certiﬁcate in this behalf.

(d)

After your declaration has been signed and your signature has been attested in accordance with item (b)

or item (c) place the declaration in Form 13 as also the smaller cover marked ―Aǁ containing ballot paper,

in the larger cover marked ―Bǁ. After closing the larger cover, sent it to the Returning Ofﬁcer by post or

by messenger. You have to give your full signature in the space provided on the cover marked ―Bǁ No

postage stamp need be afﬁxed by you.

(e)

You must ensure that the cover reaches the Returning Ofﬁcer before **

(f)

Please note that:

(i)

If you fail to get your declaration attested or certiﬁed in the manner indicated above, your ballot

paper shall be rejected; and

(ii)

If the cover reaches the Returning Ofﬁcer after

___on the______ ______your vote shall not

be counted.

* Appropriate particulars of the election to be inserted.

** Here specify the hour and date ﬁxed for the commencement of counting of votes.

HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

3657

FORM - 17

[see rules 70Q(1), 70R(1)(ii), 70U(2) (a) and (b), 70V(1)]

PART-I – ACCOUNT OF VOTES RECORDED

Election to Mayor from Municipal Corporation………………………. Or election to member from Ward

Number ……..…. of Municipal Corporation……………………..

Number and Name of Polling Station

Identiﬁcation Number of Voting Machine used at the Polling Station

Control Unit

Balloting Unit

Total Number of electors assigned to the Polling Station.

Total Number of voters entered in the Register of Voters (Form 11)

Total number of voters for ―None of the Aboveǁ.

Number of voters not allowed to vote under rule 70G or 70H

Total Number of votes recorded as per voting machine.

Whether the total Number of votes as shown against item 5 tallies with the total Number of voters as

shown against item 2 minus Numbers of voters deciding not to record votes as against item 3 minus

Number of voters as against item 4 (2-3-4) or any discrepancy noticed.

Number of voters to whom tendered ballot papers were issued under rule 56

Number of tendered ballot papers. Serial

number

From……………..to…………………

(a)

received for use

(b)

issued to electors

(c)

not used and returned

Account of papers seals

Serial numbers

From……………..to…………………

Signature of Polling Agents

Serial number of paper seals supplied.

From____________to

Total numbers supplied.

Number of paper seals used.

Number of unused paper seals returned to

Returning Ofﬁcer (Deduct item 3 from item 2);

Serial number of damaged paper seal, if any

Date

Signature of Presiding Ofﬁcer

Place _________________

Polling Station Number _____

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HARYANA GOVT. GAZ. (EXTRA.), NOV. 14, 2018 (KRTK. 23, 1940 SAKA)

PART-II – RESULT OF COUNTING

Serial Number

Name of Candidate

Number of votes recorded

-----

Total

Whether the total numbers of votes shown above tallies with the total Number of votes shown against the item

Number 5 of Part-I or any discrepancy noticed between the two totals.

Place

Date

Signature of Counting Supervisor/Presiding Ofﬁcer

Name of Candidate/election agent/counting agents

Full Signature

…………………………………….

…………………………………....

Signature of Returning Ofﬁcer/Presiding Ofﬁcer

ANAND M. SHARAN,

Principal Secretary to Government Haryana,

Urban Local Bodies Department.

8434—C.S.—H.G.P., Pkl.