Judicial Form No. 46
[(See Rule 14(4)]
APPLICATION FOK SURETYSHIP
..of............... ... 20
.. ....JUDGE/JUDICIALMAGISTRATE......,..
TIRUNELVELI
in
State represented by..... ........ (Cr.No......................of
..of
Vs
solemnly affirm and state as follows:
I beg to offer myself as a Surety for Accused No.......
..Complainant
.Police Station)
Accused
(full name of accused)
1. 2.
(B)
. .................. .......who is charged under section.........
and who has been ordered to be released on bail in the sum of Rs..............
(in words) with the Surety I Sureties in the like amount, by the Judge / Judicial Magistrate
on.......
I give below certain particulars connecting myself :
(A) Full name of the Surety Qualification of any
Full residential Address
Period for which Surety has been residing at the above address
Rent paid for the residence
Whether the rrent bill/property tax recept of the residence stands in
the Surety's name
Occupation or business
Full business address
Nature and extent of business-and and surety's share therin
1
(C)
(D) E)
F)
Rent paid for the place of business :
Wether the rent bill I property tax receipt of the residence stands in
the Suretys name.
Name and address of the employer, if the surety is in service
Full address of the place of service
Amount of monthly PA and Allowances drawn
Length of service with the employer
Amount of provident fund if any at Surety's credit
Full particulars of house property owned, if any its locatiion, rateable value and the Suret's share or interest therein and whether it is in any way encumbered
Amount of Income Tax and paid during each of the last three years
Banking accounts, if any
Amounts now lying in each Banking account
Length of time for which the Surety has known the Accused personally
Whether the Surety is related to the Accused, if so how ?
Whether the Surety has stood surety for any other person in the preceding six monthsl, If so, state the names of the parties,the amount for which the Surety has stood surety for them; the Court and the number of the case against those accused and whether the case or cases against those persons are pending or have conculded.
Whether the Surety has, at any time, made an application for surety ship which was rejected, if so, give the particulars thereof.
2
(G) 3.
3A
Whether the surety is for has been involved in any civil litigation
Whether the surety himself has been concemed in any case as an accused person, if so give particulars or the case
Any other particulars in regard to the status of the Surety or his income and assets, which the Surety may desire to give.
I produce the following proof in support of my statement and give particulars of the same as below.
Rent bills of place of residence, Ration Card, Rent bills of place of business.
Deed of partnership or other documents relating to business, Certificate from the employer, Certificate ofAmount in the Provident Fund. Title Deeds of properties Municipality I Panchayat bills of the properties, Bank Pass Books, Income Tax payment receipts.
Other Proof
As per sub-rule (4) of rule 14, I produce one of the following documents mentioned below:
i) iii)
iv) v)
vi)
Passort
Identity card issued by the Election Commission of India,
Permanent Account Number Card ie. PAN Card issued by Income Tax Department
ATM / Debit Card or Credit Card issued by any Nationalised or Private Bank of standing at the National Level, having photograph of the holder thereon may be accepted in conjunction with any other authentic document like telephone bill or electric bill as proof of residential address
Identity Card issued by the Government Authorities or Public Statutory Corporation.
Any such document, which is oridinarily issued by any Authority after due verification of the identity of the person and his address, which the Judge or the Magistrate may think just and proper, in the interest, by recording specific reasons.
3
As per sub-rule (6) of Rule 14, I produce two copies of my latest passport size
(3B)
photograph.
I hereby declare that I have not stood surety before stood surety for.................person
4.
(give all the relevant
I pray that I may be accepted as a Surety for the above mentioned accused in the sum
5
of Rs..........
......(in .....
........20...
Solemnly affirmed at..........................................this Identified by :
Before me :
(Signature of Surety Advoc
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