I Son of Shri R/o/Villege/City Of Accused District Ward No/House No/Street Pin Code State/Country having been arrested or detained without warrant by the Officer In charge of Police Station for having been brought before this Honorable Court charged with the offence of and required to give surety for my attendance before such Officer or Court on condition that I shall attend such Officer or Court on every day on which any investigation or trial is held with regard to such charge and in case of my making default herein myself to forfeit to Government the sum of Rs.
Signature of Accused
I Son of Shri Residence R/o/Villege/City Of Accused District Ward No/House No/Street Pin Code State/Country hereby declare myself for the above said Shri That he shall attend the Officer-in-charge of Police Station or the Court of Shri every day on which any investigation in the charge is made or any trial on such charge is held that he shall be and re-appear before such officer or court for the purpose of such investigation to answer the charge against him (as the case may be) and in the case of his making default herein I have bind myself to forfeit to Govt. the sum of Rs. .
DATED
Signature of Surety
I son / daughter / wife of Aged about R/o/Villege/City District Ward No/House No/Street Pin Code State/Country do hereby solemnly affirm and declare as under:
Verified at on this day of 20 that the contents of this Affidavit are true and correct to the best of my knowledge & nothing material has been concealed therefrom, no part of it is untrue.
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I Son of Shri R/o/Villege/City Of Accused District Ward No/House No/Street Pin Code State/Country having been arrested or detained without warrant by the Officer In charge of Police Station for having been brought before this Honorable Court charged with the offence of and required to give surety for my attendance before such Officer or Court on condition that I shall attend such Officer or Court on every day on which any investigation or trial is held with regard to such charge and in case of my making default herein myself to forfeit to Government the sum of Rs.
Signature of Accused