I, _ (name), of _, being brought before the District Magistrate of (or as the
case may be) under a warrant issued to compel my appearance to answer to the charge of ,
do hereby bind myself to attend in the Court of on the _ day of nest, to answer
to the said charge, and to continue so to attend until otherwise directed by the Court; and, in case of my
making default herein, I bind myself to forfeit, to Government the sum of Rs. /-
Dated, this _ day of _____02.
I do hereby declare myself surety for the above-named __ of _, that he shall attend before in the Court of _ on the day of _ next, to answer to
the charge on which he has been arrested, and shall continue so to attend until otherwise directed by the Court; and, in case of his making default therein, I bind myself to forfeit, to Government, the sum of Rs.
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