“FORM 1-C”

(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 the election to Mayor from Municipal Corporation……………………………….………… or election to
member from Ward No. …………….… of Municipal Corporation…………………………………………

PART-A

I………………………………….………**son/daughter/wife of …………………………………..age………….….…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 No …………………..in Part No……………………..
(3) My contact telephone number(s) is/are ………………………….……………………………..and my e-mail
id (if any) is ………………………………………………………... and my social media account(s) (if any)
is/are.-
(i)…………………………………
(ii)………………………………..
(iii)……………………………….
(4) Details of Permanent Account- Number (PAN) and status of filing of Income Tax return:

Serial Names PAN The financial year for which Total income shown in
Number the last Income Tax return Income-Tax return
has been filed (in Rs.)
1 Self

2 Spouse

3 Dependent-1

4 Dependent-2
 5 Dependent-3

(5) Pending criminal cases:

(i) I declare that there is no pending criminal case against me.
(Tick this alternative if there is no criminal case pending against the candidate and
write NOT APPLICABLE against alternative (ii) below)

OR
(ii) The following criminal cases are pending against me:
(if there are pending criminal cases against the candidate, then tick this alternative
and score off alternative (i) above, and give details of all pending cases in the table
below)

TABLE

(a) FIR NO. with name and address

of Police Station concerned

(b) Case No. with Name of the Court

(c) Section(s) of concerned

Acts/codes involved (give no. of
the Section ………….of IPC, etc.).

(d) Brief description of offence

(e) Whether charges have been

framed (mention YES or NO)

(f) If answer against (e) above is

YES then give the date on which
charges were framed

(g) Whether any appeal/ application

for revision has been filed
against the proceedings
(Mention YES or NO)

(6) Cases of conviction:

(i) I declare that I have not been convicted for any criminal offence.
(Tick this alternative, if the candidate has not been convicted And write NOT
APPLICABLE against alternative (ii) below)

OR
(ii) I have been convicted for the offences mentioned below:
(If the candidate has been convicted, then tick this alternative and score off
alternative (i) above, and give details in the Table below)

TABLE
 (a) Case No.

(b) Name of the Court

(c) Sections of Acts/ Codes involved

(give no. of the Section, e.g.
Section…………of IPC, etc.).
(d) Brief description of offence for
which convicted

(e) Dates of orders of conviction

(f) Punishment imposed

(g) Whether any appeal has been

filed against conviction order
(Mention YES or NO)
(h) If answer to (g) above is YES,
give details and present status
of appeal

(7) I have given full and up-to-date information to my political party about all pending criminal
cases against me and about all cases of conviction as given in paragraphs (5) and (6)
[Candidates to whom this Item is not applicable should clearly write NOT APPLICABLE in
view of entries in 5(i) and 6(i) above]
Note:
1. Details should be entered clearly and legibly in BOLD letters
2. Details to be given separately for each case under different columns against each item.
3. Details should be given in reverse chronological order, i.e., the latest case to be
mentioned first and backwards in the order of dates for the other cases.
4. Additional sheet may be added if required.
5. Candidate is responsible for supplying all information in compliance of Hon’ble Supreme
Court’s Judgment in W.P.(C) No. 536 of 2011.

(8) 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’ means parents, son(s), daughter(s) of the candidate or spouse and any
other person related to the candidate whether by blood or marriage, who have no
separate means of income and who are dependent on the candidate for their livelihood.
Note: 5- Details including amount is to be given separately in respect of each investment.
Serial Description Self Spouse Dependent Dependent Dependent
Number -1 -2 -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 in 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.

(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.

Sr. Description Self Spouse Dependent Dependent Dependent

No. -1 -2 -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 sq.ft.)

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
sq.ft.)
Built-up Area (total
measurement in sq.ft.)
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, construction
etc.
Approximate current
market value

(iv) Residential Buildings

(including apartments) :
-Location(s)-Survey
-number(s)
Area (total measurement
in sq. ft.)
Built up area (Total
measurement in sq.ft.)

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 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

(9) 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)

Sr. Description Self Spouse Dependent Dependent Dependent

No. -1 -2 -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 (A) Has the Deponent been in occupation of YES/NO
to departments dealing accommodation provided by the Government (Please tick
with government at any time during the last ten years before the
accommodation the date of notification of the current election? appropriate
(B) If answer to (A) above is YES, the following alternative)
declaration may be furnished namely:
(i) The address of the Government
accommodation:
…………………………………………
…………………………………………
…………………………………………
(ii) There is no dues payable in respect of
above Government accommodation,
towards-
(a) Rent:
(b) Electricity charges:
(c) Water charges; and
 (d)Telephone charges as on
…………………(date)
[the date should be the last date of the third
month prior to the month in which the
election is notified or any date
thereafter].
Note- ‘No Dues Certificate’ from the agencies
concerned in respect of rent, electricity
charges, water charges and telephone
charges for the above Government
accommodation should be submitted.
(iii) Dues to department
dealing with government
transport (including
aircrafts and helicopters)

Self Spouse Dependent Dependent- Dependent-

-1 2 3
(iv) Income tax dues

(v) GST Dues

(vi) Municipal/Property tax

dues
(vii) Any other dues

(viii) Grand total of all

Government dues
(ix) Whether any other
liabilities are in dispute,
if so, mention the
amount involved and the
authority before which it
is pending.

(10) Details of profession or occupation:

(a) Self ………………………………………………………
(b) Spouse …………………………………………………
(11) Details of Sources of Income:
(a) Self……………….
(b) Spouse……………..
(c) Source of income, if any, of dependents ………………..
(12) Contracts with appropriate Government and any public company or companies
(a) Details of contracts entered by the candidate……………….
(b) Details of contracts entered into by spouse…………………
(c) Details of contracts entered into by dependents………………
(d) Details of contracts entered into by Hindu Undivided Family or Trust in which the
candidate or spouse or dependents have interest………………………………….
 (e) Details of contracts, entered into by partnership firms in which candidate or spouse or
dependents are partners ………………………………………..
(f) Details of contracts entered into by private companies in which candidate or spouse or
dependents have share………………………………

(13) 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)
PART-B

(14) Abstract of the detail given in (1) to (13) of part A:

1. Name of the candidate Sh./ Smt./Kum.

2. Full postal address

3. W. No. and Name of the Municipal Corporation

4. Name of the political party which set up the
candidate (otherwise write Independent)

5. Total number of pending criminal cases

6. Total Number of cases in which convicted

7. PAN of Year for which last Total income shown

income Tax return
filed
(a) Candidate

(b) Spouse

(c) Dependents

8. Details of Assets and Liabilities in Rupees:

Description Self Spouse Dependent Dependent Dependent

-1 -2 -3
A. Moveable
Assets (Total
value)
B. 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)
(b) inherited
assets (Total
Value)
9. 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 8 and 9 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" or “Not Known”, as
the case may be, should be mentioned,
Note: 4. The Affidavit should be either typed or written legibly and neatly.”.
 ßiz:i 1 xß
¼nsf[k, fu;e 24d½
d`Ik;k ;gka
viuk uohure
ikliksVZ vkdkj
dk QksVks fpidk,a

uxj fuxe] ----------------------------------------------------dss egkikSj dk pquko vFkok uxj fuxe] --------------------------------------------------dh

okMZ la[;k------------------------ ls lnL; ds pquko ds fy, fjVfuZax vf/kdkjh ds le{k ukekadu i= lfgr vH;FkhZ }kjk
izLrqr fd;k tkus okyk 'kiFki=A
Hkkx d
eSa----------------------------------------------------ßiq=@iq=h@iRuh --------------------------------------------vk;q---------------------o"kZ] tks---------------------------------
------------------------------------------------------------¼iwjk Mkd irk n'kkZ;½sa dk@dh fuoklh gw¡] mijksDr fuokZpu ds fy, vH;FkhZ gw¡]
lR;fu"Bk ls izfrKk djrk gw¡@djrh gw¡ vkSj 'kiFk ij fuEufyf[kr dFku djrk@djrh gw¡ fd %&
1- eSa -------------------------------------------------------(----------------------------¼jktuSfrd ny dk uke½ }kjk [kM+k fd;k x;k
vH;FkhZ@,d Lora= vH;FkhZ ds :i esa y³ jgk gw¡½A
¼tks ykxw u gks dkV ns½a
2- esjk uke] -------------------------------------------------------------- ¼uxj fuxe dk uke½] esa Hkkx la[;k ----------------------dh dze
la[;k --------------------ij izfo"V gSA
3- esjk lEidZ nwjHkk"k la[;k@la[;k,a ---------------------------------------------gS@gSa vkSj esjk bZ&esy vkbZ-Mh- ¼;fn dksbZ
gks½--------------------------------------------------------- gS rFkk esjk@esjs lks'ky ehfM;k [kkrk@[kkrs ¼;fn dksbZ gks½
fuEufyf[kr gS@gSa %&
(i) -----------------------------------
(ii) -----------------------------------
(iii)-----------------------------------

4- LFkkbZ [kkrk la[;k ¼iSu½ dk C;kSjs vkSj vk; dj fooj.kh nk;j djus dh fLFkfr%&

dze uke LFkkbZ [kkrk foRrh; o"kZ ftlds fy, vk; dj fooj.kh esa nf'kZr dqy
la[;k la[;k vafre vk;dj fooj.kh vk; ¼:Ik, esa½
nk;j dh xbZ gSA
1- Lo;a
2- ifr ;k iRuh
3- vkfJr&1
4- vkfJr&2
5- vkfJr&3

5- yfEcr vkijkf/kd ekeys %&

 ¼i½ eSa ;g ?kks"k.kk djrk@djrh gwa fd esjs fo:) dksbZ vijkf/kd ekeyk yfEcr ugha gSA ¼;fn vH;FkhZ
ds fo:) dksbZ vijkf/kd ekeyk yfEcr ugha gS rks] bl fodYi ij fu’kku yxk,a vkSj uhps fodYi
¼ii½ ds lkeus ykxw ugha gksrk gS fy[ksa½A
;k
¼ii½ esjs fo:) fuEufyf[kr vijkf/kd ekeys yfEcr gS%&
¼;fn vH;FkhZ ds fo:) vijkf/kd ekeys yfEcr gSa] rks bl fodYi ij fu’kku yxk,a vkSj mijksDr
fodYi ¼i½ dks dkV nsa vkSj uhps nh xbZ lkj.kh esa lHkh yfEcr ekey¨a dk C;kSjk nsaA
lkj.kh
¼d½ lEc) iqfyl Fkkus ds uke vkSj irs ds
lkFk izFke lwpuk fjiksVZ la[;k
¼[k½ U;k;ky; ds uke lfgr ekeyk la[;k
¼x½ vUrofyZr lEc) vf/kfu;eksa@
lafgrkvksa dh /kkjk,a ¼/kkjk dh la[;k nsa]
vFkkZr~ Hkkjrh; naM lafgrk] vkfn dh
/kkjk------½
¼?k½ vijk/k dk laf{kIr fooj.k
¼M+½ D;k vkjksi fojfpr fd;s x;s gSa ¼gka ;k
ugha dk mYys[k djsa½
¼p½ ;fn mijksDr en ¼M-½ ds lkeus mRrj
gka gS] rks og rkjh[k ns]a ftldks vkjksi
fojfpr fd;s x;s FksA
¼N½ D;k dkjZokfg;ksa ds fo:) dksbZ
vihy@iqujh{k.k ds fy, vkosnu nk;j
fd;k x;k gSA ¼gka ;k ugha dk mYys[k
djs½a

6- nks"kfl)h ds ekeys%&
¼i½ eSa ;g ?kks"k.kk djrk@djrh gwa fd eq>s fdlh vkijkf/kd ekeys esa nks"kfl) ugha fd;k x;k gS
¼;fn vH;FkhZ nks"kfl) ugha fd;k x;k rks bl fodYi ij fu’kku yxk,a vkSj uhps fodYi ¼ii½
ds lkeus ykxw ugha gksrk gS] fy[ksa½
;k

¼ii½ eq>s uhps of.kZr vijk/kksa ds fy, nks"kfl) fd;k x;k gS%&
¼;fn vH;FkhZ nks"kfl) fd;k x;k gS] rks bl fodYi ij fu’kku yxk,a vkSj mijksDr fodYi ¼i½
dks dkV nsa] vkSj uhps nh xbZ lkj.kh esa C;kSjs nsa½s
lkj.kh

¼d½ ekeyk la[;k

¼[k½ U;k;ky; dk uke
¼x½ vUrofyZr vf/kfu;eks@ a lafgrkvksa
dh /kkjk,a ¼/kkjk dh la[;k nsa]
vFkkZr Hkkjrh; naM lafgrk] vkfn
dh /kkjk------½
¼?k½ /kkjkvksa dk laf{kIr fooj.k ftuds
fy, nks"kfl) fd;k x;k gSA
¼M-½ nks"kfl)h ds vkns’kksa dh rkjh[ksa
¼p½ vf/kjksfir naM
 ¼N½ D;k nks"kfl)h ds vkns’k ds
fo:) dksbZ vihy nk;j dh xbZ
gS ¼gka ;k ugha dk mYys[k djsa½
¼t½ ;fn mijksDr en ¼N½ dk mRrj
gka gS] rks vihy ds C;kSjs rFkk
orZeku fLFkfr ns½a

7- eSaus] Åij iSjk ¼5½ rFkk ¼6½ esa fn;s x;s vuqlkj esjs fo:) lHkh yfEcr vkijkf/kd ekeyksa dh vkSj
nks"kfl)h ds lHkh ekeyksa ds ckjs esa vius jktuhfrd ny dks iwjh vkSj v|ru lwpuk ns nh gSA
¼vH;fFkZ;ksa] ftUgsa ;g en ykxw ugha gksrh gS] mijksDr iSjk 5¼i½ vkSj iSjk 6¼i½ dh izfof"V;ksa ds n``f"Vxr]
Li"V :i ls ykxw ugha gksrk gS] fy[kuk pkfg,½
fVIi.k%
1- C;kSjs Li"V :i ls vkSj lqikB~; :i ls cM+s v{kjksa esa izfo"V fd;s tkus pkfg,A
2- izR;sd en ds lkeus fofHkUu [kkuksa ds v/khu izR;sd ekeys ds fy, C;kSjs fyf[kr :i ls fn;s
tk;sAa
3- C;kSjs foykse dkykuqdze esa fn;s tkus pkfg,] vFkkZr~ uohure ekeys igys of.kZr fd, tk;sa
vkSj vU; ekeyksa ds fy, frfFk;ksa ds dze esa ihNs dh vksj of.kZr fd, tk,aA
4- vfrfjDr ’khV tksMh tk ldrh gS] ;fn visf{kr gksA
5- vH;FkhZ 2011 dh fjV ;kfpdk ¼flfoy½ la[;k 536 esa ekuuh; mPpre U;k;ky; ds fu.kZ;
dh vuqikyuk esa lHkh lwpuk,a nsus gsrq mRrjnk;h gSaA
8- eSa] esjs] esjs ifr ;k iRuh vkSj lHkh vkfJrksa dh vkfLr;ksa ¼py rFkk vpy bR;kfn½ ds C;kSjs uhps nsrk gw%a &
v- py vkfLr;ksa ds C;kSjs%

fVIi.k% 1& la;qDr LokfeRo dh lhek dks minf’kZr djrs gq, la;qDr uke esa vkfLr;ksa dk Hkh
fooj.k fn;k tk,xkA
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;kSjs fn, tkus gSaA
fVIi.k% 3& lwphc} daifu;ksa ds lac/a k esa LVkd ,Dlpstksa esa pkyw cktkj ewY; ds vuqlkj vkSj xSj
lwphc} daifu;ksa dh n’kk esa ys[kkcfg;ksa ds vuqlkj ca/ki=ksa@’ks;j fMcspjksa dk ewY;
fn;k tkuk pkfg,A
fVIi.k% 4& ÞvkfJrÞ ls vfHkizk; gS] mEehnokj ds ekrk&firk] iq=@iq=ksa] iq=h@iqf=;ksa vFkok
ifr@iRuh rFkk mEehnokj ls lEcfU/kr dksbZ vU; O;fDr pkgs jDr lEcU/kh ;k fookg
}kjk] ftldh fdlh vU; Lkzksrksa ls dksbZ vkenuh ugha gS rFkk vius thou ;kiu gsrq
iw.kZ :Ik ls mEehnokj ij fuHkZj gSA
fVIi.k 5& jde lfgr C;kSjs izR;sd fuos’k ds laca/k esa i`Fkdr~;k fn, tkus gSaA

Øe fooj.k Lo;a ifr ;k vkfJr& vkfJr& vkfJr&

la[;k iRuh 1 2 3
(i) gkFk udnh
(ii) cSad [kkrksa esa tek ds C;kSjs ¼fu;r
tek vkorhZ tek] vkof/kd tek
vkSj vU; lHkh izdkj ds tek
ftlesa cpr [kkrs Hkh ’kkfey gSa½
 foRrh; laLFkkvks]a xSj&cSafdax
foRrh; daifu;ksa vkSj lgdkjh
lkslkbfV;ksa ds ikl tek vkSj ,sls
izR;sd tek esa jde
(iii) daifu;ksa@ikjLifjd fuf/k;ksa vkSj
vU; esa ca/ki=ksa] fMcspjksa@ ’ks;jksa
rFkk ;wfuVksa esa fuos’k ds C;kSjs vkSj
jde
(iv) jk"Vªh; cpr ;kstuk] Mkd cpr
chek ikWfyfl;ksa esa fuos’k ds C;kSjs
vkSj Mkd?kj ;k chek daiuh esa
fdUgha foRrh; fy[krksa esa fuos’k
vkSj jde
(v) fdlh O;fDr ;k fudk; ftlesa
QeZ] dEiuh] U;kl bR;kfn
lfEefyr gSa] dks fn, x, oS;fDrd
_.k@vfxze vkSj _f.k;ksa ls vU;
izkI; rFkk jde
(vi) eksVj;ku@ok;q;ku@;kp@iksr
¼esd jftLVªdj.k la[;k vkfn dz;
djus dk o"kZ vkSj jde½
(vii) tsojkr] cqfy;u vkSj ewY;oku oLrq
¼oLrq,a½ ¼Hkkj vkSj ewY; ds C;kSjs nsa½
(viii) dksbZ vU; vkfLr;ka tSls fd
nkoksa@fgr dk ewY;
(ix) ldy dqy ewY;

vk- vpy vkfLr;ksa ds C;kSjs%

fVIi.k%1& la;qDr LokfeRo dh lhek dks minf’kZr djrs gq, la;qDr uke esa vkfLr;ksa dk fooj.k
Hkh fufnZ"V fd;k tkuk gSA

fVIi.k%2& izR;sd Hkwfe ;k Hkou ;k vikVZeSaV dk bl QkesZV esa i`Fkdr~;k o.kZu fd;k tkuk pkfg,A

Øe fooj.k Lo;a ifr ;k vkfJr 1 vkfJr 2 vkfJr 3

la[;k iRuh
(i) d`f"k Hkwfe dh vofLFkfr
¼vofLFkfr;ka½
loZs{k.k la[;ka ¼la[;k,a½

{ks= ¼,dM+ esa dqy eki½

 D;k fojklr esa vkbZ lEifRr
gS ¼gka ;k ughaa½
LokftZr lEifRRk dh n’kk esa
dz; dh frfFk
dz; ds le; Hkwfe dh ykxr
¼dz; dh n’kk esa½
fodkl] lafuekZ.k bR;kfn ds
ek/;e ls Hkwfe ij dksbZ fuos’k
vuqekfur pkyw cktkj ewY;
(ii) xSj d`f"k Hkwfe % vofLFkfr
¼vofLFkfr;ka½ loZs{k.k la[;ka
¼la[;k,a½
{ks= ¼oxZ QqV esa dqy eki½
D;k fojklr esa vkbZ laifRr
gS ¼gka ;k ughaa½
LokftZr laifRr dh n’kk esa
dz; dh frfFk
dz; ds le; Hkwfe dh ykxr
¼dz; dh n’kk esa½
fodkl] lfuekZ.k bR;kfn ds
ek/;e ls Hkwfe ij dksbZ fuos’k
vuqekfur pkyw cktkj ewY;
(iii) okf.kfT;d Hkou ¼vikVZesaV
lfgr½
vofLFkfr ¼vofLFkfr;ka½
loZs{k.k la[;k ¼la[;k,a½ {ks=
¼oxZ QqV esa dqy eki½
fufeZr {ks= ¼oxZ QqV esa dqy
eki½
D;k fojklr esa vkbZ lEifRr
gS ¼gka ;k ughaa½
LokftZr lEifRr dh n’kk esa
dz; dh frfFk
dz; ds le; Hkwfe dh ykxr
¼dz; dh n’kk esa½
fodkl] lafuekZ.k bR;kfn ds
ek/;e ls Hkwfe ij dksbZ
fuos’k] vuqekfur pkyw cktkj
ewY;
(iv) vkoklh; Hkou ¼vikVZesaV
lfgr½%&
vofLFkfr ¼vofLFkfr;ka½&
loZs{k.k la[;k ¼la[;k,a½ {ks=

fufeZr {ks= ¼oxZ QqV esa dqy

eki½
 D;k fojklr esa vkbZ laifRr
gS ¼gka ;k ughaa½
LokftZr laifRr dh n’kk esa
dz; dh frfFk
dz; ds le; laifRr dh
ykxr ¼dz; dh n’kk esa½
fodkl] lafuekZ.k bR;kfn ds
ek/;e ls Hkwfe ij dksbZ fuos’k
vuqekfur pkyw cktkj ewY;
(v) vU; ¼tSls lEifRr esa fgr½
(vi) iwokZsDr (i) ls (v) dk dqy
pkyw cktkj ewY;

9- eSa] yksd foRrh; laLFkkvksa vkSj ljdkj ds izfr nkf;Roksa@ns;ksa ds C;kSjs uhps nsrk gw¡%&
¼fVIi.k% d`I;k cSad] laLFkk] fudk; ;k O;f"Vd ds uke vkSj muesa izR;sd en ds le{k jde ds C;kSjksa dk
vyx&vyx fooj.k ns½a

Øe fooj.k Lo;a ifr ;k vkfJr 1 vkfJr 2 vkfJr 3

la[;k iRuh
(i) cSad@foRrh; laLFkk ¼laLFkkvksa½
dks _.k ;k ns; cSad ;k foRrh;
laLFkk dk uke] cdk;k jde]
_.k dh fdLe
iwokZsDr of.kZr ls fHkUu fdUgha
vU; O;f"Vdksa] fudk; dks _.k
;k ’kks/; uke] cdk;k jde]
_.k dh izd`fr
dksbZ vU; nkf;Ro

nkf;Roksa dk dqy ;ksx

(ii) ljdkjh ns;% ¼v½D;k vfHklk{kh orZeku fuokZpu dh gka@ugha
ljdkjh vkokl ls lacaf/kr vf/klwpuk dh frfFk ls iwoZ fiNys nl
foHkkxksa dks ns; o"kZ ds nkSjku fdlh Hkh le; ljdkj ¼d`I;k
}kjk miyC/k djk, x, vkokl ds mi;qDr
vf/kHkksx esa gSa \ fodYi
¼vk½;fn mijksDr ¼d½ dk mRrj gka gS] rks ij
fuEufyf[kr ?kks"k.kk izLrqr djsa] vFkkZr~%&
fu’kku
¼i½ ljdkjh vkokl dk irk%
------------------------------------------------------------------------------ yxk,a½
------------------------------------------------------------------------------
------------------------------------------------------------------------------
----------

¼ii½ mijksDr ljdkjh vkokl ds laca/k esa]

fuEufyf[kr esa ls dksbZ Hkh ns;
 Hkqxrku;ksX; ugha gS%&
¼d½ HkkVd (
¼[k½ fo|qr izHkkj (
¼x½ ty izHkkj ( vkSj
¼?k½ ------------¼frfFk½ dks VsyhQksu izHkkj
¼frfFk ml ekl ls] ftlesa
fuokZpu vf/klwfpr fd;k tkrk
gS] ls rhu ekl iwoZ dh vafre
frfFk ;k mlds i’pkr~ dh
dksbZ frfFk gksuh pkfg,½
fVIi.k&mijksDr ljdkjh vkokl ds
fy, HkkVd] fon~;qr izHkkj] ty
izHkkj vkSj VsyhQksu izHkkj dh
ckcr lEc) vfHkdj.kksa ls
^^csckdh izek.ki=** izLrqr
fd;k tkuk pkfg,A
(iii) ljdkjh ifjogu ls lacaf/kr
foHkkx dks ns; ¼ftleas varxZr
ok;q;ku vkSj gsyhdkWIVj Hkh
’kkfey gS½
Lo;a ifr ;k vkfJr 1 vkfJr 2 vkfJr 3
iRuh
(iv) vk; dj ns;
(v) eky vkSj lsok dj ns;

(vi) uxjikfydk@lEifRr dj ns;

(vii) dksbZ vU; ns;
(viii) lHkh ljdkjh ns;ksa dk dqy ;ksx
(ix) D;k dksbZ vU; nkf;Ro
fooknxzLr gS] ;fn ,slk gS rks
mlesa varoZfyr jde vkSj
izkf/kdkjh ftlds le{k og
yafcr gS] dk mYys[k djsaA

10- o`fRr ;k mithfodk ds C;kSjs &

¼d½ Lo;a -------------------------------------------
¼[k½ ifr ;k iRuh ---------------------------
11- vk; ds Lkzksrksa ds C;kSjs &
¼d½ Lo;a -------------------------------------------
¼[k½ ifr ;k iRuh ---------------------------

¼x½ vkfJrksa dh vk; ds Lkzksr] ;fn dksbZ gks -------------------------------------------------

12- leqfpr ljdkj vkSj fdlh lkoZtfud dEiuh ;k dEifu;ksa ds lkFk lafonk,a &
¼d½ vH;FkhZ }kjk dh xbZ lafonkvksa ds C;kSjs ------------------------------------------------------------
¼[k½ifr ;k iRuh }kjk dh xbZ lafonkvksa ds C;kSjs -------------------------------------------------
¼x½ vkfJrksa }kjk dh xbZ lafonkvksa ds C;kSjs -----------------------------------------------------------
¼?k½fganw vfoHkDr dqVqac ;k U;kl] ftlesa vH;FkhZ ;k mldk ifr ;k iRuh ;k vkfJr fgrc) gSa]
}kjk dh xbZ lafonkvksa ds C;kSjs ----------------------------------------------------
¼³½ Hkkxsnkjh QeZ }kjk dh xbZ lafonk,a ftlesa vH;FkhZ ;k ifr ;k iRuh ;k vkfJr Hkkxhnkj ds
C;kSjs --------------------------------
¼p½ izkbosV dEifu;ksa }kjk dh xbZ lfonakvksa] ftlesa vH;FkhZ ;k mldk ifr ;k iRuh ;k vkfJr
Hkkxhnkj gaS] ds C;kSjs--------------------------------------------------------------------------A

13- esjh 'kS{kf.kd vgZrk uhps fn, vuqlkj gS%&

--------------------------------------------------------------------------------------------------------------------------------------
¼izek.ki=@fMIyksek@fMxzh ikB;dze 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 o"kZ ftlesa ikB;dze iwjk
fd;k x;k Fkk] dk C;kSjk nsa½
Hkkx&[k
14- Hkkx&d ds ¼1½ ls ¼13½ rd esa fn, x, C;kSjksa dk m)j.k%&

1- vH;FkhZ dk uke Jh@Jherh@dq-

2- Mkd dk iwjk irk

3- okMZ la[;k rFkk uxj fuxe dk uke

4- jktuSfrd ny dk uke ftlus vH;FkhZ dks

[kM+k fd;k gS ¼vU;Fkk Lora= fy[ksa½

5- yafcr vkijkf/kd ekeyksa dh dqy la[;k

6- ,sls ekeyksa dh dqy la[;k ftuesa

nks"kfl) Bgjk;k x;k gS
7- --------------------dh o"kZ ftlds fy, vafre dqy n’kkZbZ xbZ vk;
LFkk;h ys[kk la[;k vk; dj fooj.kh nk;j
dh xbZ gS
¼d½ vH;FkhZ

¼[k½ ifr ;k iRuh

¼x½ vkfJr

8- vkfLr;ksa vkSj nkf;Roksa ds C;kSjs ¼:i, es½a

fooj.k Lo;a ifr ;k vkfJr 1 vkfJr 2 vkfJr 3

iRuh
v py vkfLr;ka
¼dqy ewY;½
vk vpy vkfLr;ka
(i) LokftZr vpy
lEifRr dh dz;
dher
(ii) dz; ds Ik’pkr~ vpy
laifr dh fodkl@
lafuekZ.k ykxr ¼;fn
ykxw gks½
(iii) vuqekfur orZeku
cktkj dher %
¼d½LokftZr
lEifRr
¼dqy ewY;½
¼[k½fojklrh
lEifRr;ka ¼dqy
dher½
9- nkf;Ro
(i) ljdkjh ns;
¼dqy½
(ii) cSad] foRrh; laLFkkvksa
vkSj vU; ls _.k
¼dqy½
10- ,sls nkf;Ro tks fooknk/khu gS
(i) ljdkjh ns;
(ii) cSad] foRrh; laLFkkvksa
vkSj vU; ls _.k
¼dqy½
11- mPpre 'kSf{kd vgZrk&
¼izek.ki=@fMIyksek@fMxzh ikB;dze ds iw.kZ iz:i dk mYys[k djrs gq, mPpre
fo|ky;@fo’ofo|ky; f’k{kk] fo|ky;@egkfo|ky;@fo’ofo|ky; dk uke vkSj o"kZ ftlesa
ikB~;dze iwjk fd;k x;k Fkk] dk C;kSjs nsa½
 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 lokZsre tkudkjh vkSj fo’okls ds vuqlkj lR; vkSj lgh gS vkSj bldk dksbZ Hkkx
feF;k ugha gS rFkk blesa dksbZ rkfRod rF; fNik;k ugha x;k gSA eSa ;g vkSj Hkh ?kks"k.kk djrk gwa
fd%
¼d½ esjs fo:) mijksDr Hkkx&d vkSj [k dh en 5 vkSj 6 esa mYysf[kr nks"kflf) dk ekeyk
;k yafcr ekeys ls fHkUu dksbZ nks"kflf) dk ekeyk yafcr ugha gS
¼[k½ esjs] esjs ifr ;k iRuh ;k esjs vkfJrksa ds ikl mijksDr Hkkx&d dh en 8 vkSj 9 rFkk
Hkkx&[k dh en 8] 9 vkSj 10 esa mYysf[kr ls fHkUu dksbZ Hkh vkfLr ;k nkf;Ro ugha
gSA

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

vfHklk{kh
----------------------------------------------------------------------------------------------------------------------------------------------------------------------
fVIi.k% 1 ’kiFki= ukekaduksa dh laoh{kk dh frfFk okys fnu nl cts ls igys rd nk;j fd;k
tkuk pkfg,A
fVIi.k% 2 ’kiFki= ij fdlh ’kiFk vk;qDr ;k izFke Js.kh eftLVªsV ds le{k ;k fdlh uksVjh
ifCyd ds le{k 'kiFk yh tkuh pkfg,A
fVIi.k% 3 lHkh [kkuksa dks Hkjk tkuk pkfg, vkSj dksbZ [kkuk [kkyh u NksMas +A ;fn fdlh en ds
lac/a k esa izLrqr djus gsrq dksbZ tkudkjh ugha gS] rks ;k rks ^^’kwU;** ;k ^^ykxw ugha gksrk**]
;k ßKkr ugha gS]ß 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**A