In the Court of the Sessions Judge at …………………….

Mr…………………………………..s/o……………………………………

resi…………………………………………. … Petitioner
Versus

The State of…

………………………………………………………………………………………
………………………Respondent
The humble petition of the petitioner above-named

Respectfully sheweth:

1. That a burglary was allegedly committed in a Colony which is near to the
Colony ….where the petitioner's house is located on the night of
dated………….
2. That owner of house, where burglary had been committed, bear enmity
with petitioner for many years on landed properties and is implicating the
petitioner falsely in said ………….. case.
3. That the petitioner believes that he may be arrested on accusing him the
said offence of burglary, a non-bailable offence by police at instance of said
owner of house where burglary is allegedly committed.

4. That the petitioner undertakes to abide by all conditions in clauses (i) to
(iii) of sub-stated in sec. (2) of section 438, Cr PC and obeying other
conditions so imposed by Your Honour.
your petitioner prays that Your Honour may be kindly pleased to issue a
direction to S.H.O. Police Station West that if petitioner is arrested he may
be released on bail on conditions that Your Honour may impose on
petitioner.
And your petitioner, as in duty bound, shall ever pray .

DEPONENT 

VERIFICATION

I, _____________________________ the above named deponent do
hereby verify on oath that the contents of the affidavit above are true to my
personal knowledge and nothing material has been concealed or falsely
stated. Verified at _______this _____day of_______
DATE:
PLACE:
DEPONENT