WHEREAS I, _________________ inhabitant of Vill: ____________
PO: __________________________________________________
PS: _____ ______________________________________________
Teh: __________________________________________________
Distt: _________________________________________________ [MAH] have been sentenced to pay a
fine of Rupees _____ and in default of payment thereof to undergo imprisonment for _____; and
whereas the Court has been pleased to order my release on condition of my executing a bond for my
appearance on the following date [or dates], namely :-

I hereby bind myself to appear before the Court of ____________ at _____________J_ o'clock on the
following date [or dates], namely:-
and, in case of making default herein, I bind myself to forfeit to Government the sum of Rs. _____ .

Dated,______________this______________.

[Signature]

WHERE A BOND WITH SURETIES IS TO BE EXECUTED, ADD –

We do hereby declare ourselves sureties for the above-named that he will appear before the Court of
_______________________ on the following date [or dates], namely:-

and, in case of his making default therein, we bind ourselves jointly and severally to forfeit to
Government the sum of Rs. __________________.
[Signatures]

Affidavit

I, __________________________, do hereby solemnly affirm and declare as under:-

1. That I own and possess immovable and movable property worth Rs. _____ at village: _____ PO: _____
Teh: _____ Dist: _____ MAH. The same is free from all encumbrances and I hereby declare that the
aforesaid property shall remain free from all encumbrances till the final disposal of the trial or I am
surety in the present case proportionately to the extent of the amount of the bail/surety bond.

2. That I am employee at _____ and draw a monthly salary of Rs. _____. Deponent

 Verification:

I, the above said deponent do hereby verify that the contents of my above affidavit are true and correct
to the best of my knowledge and belief, no part of it is false and nothing material has been concealed
therefrom.

Verified here at …………………………. Deponent