Rajasthan Panchayati Raj Rules 1996 (Forms)

[See Rule 21 (1)]

Form of the Written Notice of Intention to Make a Motion Expressing Want of Confidence

In the Sarpanch/Up-Sarpanch of …….. a Panchayat

In the Pradhan/Up-Pradhan of …….. a Panchayati Samiti

In the Pramukh/Up–Pramukh of …….. a Zila Parishad.#

To,

The Chief Executive Officer/Development Commissioner, Zila Parishad Rajasthan, Jaipur#

Notice

Sir,

We, the undersigned elected members of the ……… Panchayat/Panchayat Samiti/Zila Parishad# hereby give this notice to you of our intention to make a motion of no-confidence in Shri ……..the Sarpanch/Up-Sarpanch/Pradhan/Up Pradhan/Pramukh/Up-Pramukh# of our Panchayat/Panchayat Samiti/Zila Parishad# and also annex hereto a copy of the proposed motion of no-confidence.

Yours Faithfully,

Place ………..

Date …………

# Deleted whichever is not applicable.

Form II

[See Rule 21(2)]

Form of the Notice of a Meeting of the Panchayat/Panchayat Samiti/Zila Parishad to be held for consideration of the No-confidence Motion Against the Sarpanch/Up-Sarpanch/Pradhan/Up-Pradhan/Up-Pramukh

To,

Shri ……………

Member,

Panchayat/Panchayat Samiti/Zila Parishad ………

Notice

Dear Sir.

This notice is hereby given to you of ……the meeting of Panchayat/Panchayat Samiti/Zila Parishad which shall be held at the office of the said Panchayat/Panchayat Samiti/Zila Parishad on ……… (date) at …….. (time) for consideration of the motion of no-confidence which has been made against Shri ……….. the Sarpanch/Up Sarpanch/Pradhan/Up-Pradhan/Pramukh/ Up Pramukh of the said Panchayat Panchayat Samiti/Zila Parishad

A copy of the motion is annexed hereto.

Chief Executive Officer/Development Commissioner

Place ………

Date ……….

Form III

[See Rule 31]

Panchayat/Panchayat Samiti/Zila Parishad ……..

TADA Bill of Shri …….. Designation ………..

Amount (in words)

Certificate

1. Certified that I was not provided with any free locomotion at the expense of a Government Local Fund or a Local Body.

2. Certified that the payment of this bill has not been received before.

3. Certified that I have actually traveled in the same class of accommodation for which TA. has been claimed.

4. Certified that on Sunday or another holiday for which daily allowance has been claimed by me, I was actually in camp.

Station: ………..

Date: …………..

…………………….
Signature

Countersignature Counter signed for Rupees (in words)

Abbreviated classification

Controlling Officer
Date:………..
For Treasury Use

Treasury/Bank

Pay Rs …….. Rupees (in words)

Examined and entered

Form IV

[See Rule 63]

Assessment of Demand of Taxes for the period ending………

Name of Panchayat ………….. Panchayat Samiti …………. District ……. Name of Tax ……….. Rate of Tax …………..

Date: ………..

Signature of Patwari

Form V

[See Rules 64 and 105]

Demand Slip

(Counter Foil)

Form VI

[See. Rule 67]

Demand and Collection Register

Panchayat Samiti ……………….

Panchayat ………….

For the year …………

Form VII

[See Rule 69(6)]

Cattle Entry Pass (in Red Colour)

Book No …………..

S.No ……………..

Date ……………..

1 Outpost No …………………

2. Name of breeder bringing the cattle ………….. S/o …………Caste …………. R/o ……………….

3. Place from where cattle brought ……….. Tehsil ………………. District …………….. State …………..

Special instructions: –

1 . Every trader/owner of cattle must obtain an entry pass failing which he shall be liable to a penalty at the time of departure.

2. The fact of the sale must be got entered in Mela Office immediately after the sale.

3. The fact of entry or exit of cattle for grazing of the incident of death of animal must be got entered on entry pass failing which tax will be charged for the such animal also.

Form VIII

[See Rule 69(4)]

Rawana (White Colour)

Book No …………..

Serial No ………..

Date ………………..

Cattle fair tax recovered from……….. (name of purchaser of cattle) S/o …….. R/O ……… as under :

Form IX

[See Rule 69(7)]

Registration of Sales

Form X

[See Rule 82(4)]

Receipt of Taxes/Octroi Duty

 

 

Date : ………

Signature of Octroi Collector

Form XI

[See Rule 85 (1)]

Receipt for Transit Goods

 

 

Form XII

[See Rule 91]

Form of License of Vehicle

Shri………S/o………resident of………has paid the vehicle tax for the year and is permitted to keep a vehicle described below within the Panchayat circle for the aforesaid period.

Description

Sarpanch………………

Panchayat…………..

Form XIII

[See Rule 106]

Form of Demand Notice

Panchayat……………Panchayat Samiti………….. Zila Parishad………..Case No………….Year………………..

To,

…………….
…………….

Particulars
…………………….

In the above case, a sum of Rs………..is due from you and in spite of demand slip dated you did not deposit the outstanding dues, hence you are hereby ordered to deposit the above amount within fifteen days failing which your movable property will be taken under custody and action for the realization of dues will be taken.

Given under may hand seal this day the……………………

Signature of Sarpanch

Form XIV

[See Rule 107]

Warrant of Attachment and Sale

Panchay at………………Panchayat Samiti……………Zila Parishad………..Case No……………..Year………….

Description
………………………

To,

……………..

In the above case a sum of Rs…………….is due from Shri…….S/o…..R/O and the same has not been paid inspite of notice of demand and demand slip and the time limit of 15 days has also expired. In pursuance of Rule 107 under Sub-Section (2) of Section 65 of the Rajasthan Panchayati Raj Act, 1994, you are hereby authorised to take under attachment the movable property of……………….excluding the articles exempted by law and produce the same before the Panchayat, attach and sell the said movable property according to law and deposit the sale proceeds in the Panchayat.

Given under any hand and seal this day the…………………

Signature of Sarpanch

Form XV

[See Rules 115 and 118]

Cattle Pound Register (Kine-House)

Form XVI

[See Rules 115 and 119]

Receipt for the Entry of Animal (In Two Foils)

 

Signature of Kine-House Incharge

Form XVII

[See Rule 115 and 126]

Pass for the Release of Animal From Kine-House

 

Signature of Kine-House Incharge

Form XVIII

[See Rules 115 and 126]

Pass for the Release of Animal

(To be Kept in The Panchayat)

 

Total Including previous total

Signature of Kine-House Incharge

Form XIX

[See Rules 115 and 127]

 

Signature of purchaser of animals

Signature of Sarpanch

Form XX

[See Rules 137]

Register of Buildings and other Immovable Property…………

District………..Year………..19…………

Form XXI

[See Rule 146]

District………..Year………..19…………

Form XXII

[See Rule 148]

Notice Inviting Objections Regarding Proposed Sale of Abadi Land.

Notice

No…………..

Date……………

Notice is hereby given that Shri……S/o………residence of…..has applied to this panchayat the land described below:-

(Description of Land)

If any one has any objection to the sale of the above mentioned land, he should file his objections within one month of the thereof.

[[During the Rajasv abhiyan or Prashasan Gaon ke sang abhiyan or any other abhiyan organised by order of the State Government for sale of land and Patta Vitran], period of filing objections will be seven days in place of one month]

Signature of Panchayat

Signature of Sarpanch

Form XXIII

[See Rule 167(1)]

Sale Deed of Abadi Land

This Deed of Sale is made on the………….day of……….between Panchayat established under the Rajasthan Panchayati Raj Act, 1994 (Rajasthan Act No. 13 of 1994), being a body corporate by virtue of the provisions of Section 9 of that Act, (hereinafter called “the Vendor”, of the one part and……..S/o…….resident of……..(hereinafter called the “Purchaser”), of the other part.

Whereas

1. The land described in the Schedule hereto and more particularly described in the plan annexed hereto which shows it as bounded in red, vests in the Vendor for the purpose of the Vendor.

2. The said land was put up to auction for sale on behalf of the Vendor on day of……….(pursuant to the application of Shri……..for purchase of the land) and the Purchaser’s bid of Rupees………being the highest was accepted.

Or

This said land has been sold by negotiation at market rate of Rs………(applicable for sale by negotiation) and has been auctioned by Resolution No……….dated……….of Vendor Panchayat and confirmed by Panchayat Samiti/Zila Parishad/State Government vide order No……..dated……..

3. The said auction was held in accordance with Rules 150 to 152 of the Rajasthan Panchayati Raj Rules, 1996; as amended upto date and

4. The Purchaser has deposited the said sum of Rupees to the credit of the Vendor.

Now this Deed Witnesses as follows: –

I . In pursuance of the said auction/sale and in consideration of the sum of Rupees……..paid by the purchaser as aforesaid (the receipt whereof the Vendor hereby acknowledges), the Vendor hereby; transfer to the purchaser the land described in the Schedule hereto and more particularly described in the plan annexed hereto which shows it as bounded in red. To hold the same to the Purchaser as absolute owner subject to the payment of such cesses and taxes as may be lawfully assessed or imposed thereon and subject to the restrictions imposed by the Rajasthan Panchayati Raj Act, 1994 and rules and bye-laws made thereunder as for the time being in force.

2. It is hereby agreed that the expression “the Vendor” hereinbefore used includes the successor and assigns of the Vendor, and the expression “the Purchaser” hereinbefore used includes his heirs, representatives, successors and assigns.

(Schedule and Plan to be annexed)

Signed on behalf of…………..Panchayati in pursuance of resolution No……….dated………of that Panchayat.

Signature of Sarpanch/Gram Sevak-cum-Secretary Purchaser’s Signature Witness

No. 1……………….
Witness No. I………………

Witness No. I……………………..

Witness No. II…………………….

Form XXIII -A

[See Rule 157 (1)]

Patta of Residential Land

Gram Panchayat………………

Panchayat Samiti…………………

District……………………..

This Deed in made on the …. ……. day of between (Name of Panchayat) Panchayat established under the Rajasthan Panchayati Raj Act, 1994 (Rajasthan Act No. 13 of 1994), (hereinafter called “the Allotting Authority”) of the one part…………..and S/o, W/o, D/o………resident of………..(hereinafter called “the allottee”), of the other part.

Whereas

The land described in the Scheduled annexed hereto which shows it as bound in red, vests in the Allotting Authority for the purpose of the allotment.

This patta issued in favour of Sh./Smt………..S/o/W/o……….resident of under Rule 157 (1) of the Rajasthan Panchayati Raj Rules, 1996 with following conditions.

1. The aforesaid allottee is in possession of old house more than fifty year/constructed during last fifty years from the date of commencement of the Rajasthan Panchayati Raj Rules, 1996 on Panchayat Abadi Land. The allottee has deposited fce rupees One Hundred/Two Hundred.

2. The area of land is marked in red ink in annexed map plan.

3. The allottee can mortgage the document for taking loan from Government Under taking, Co-operative Bank, Commercial Bank or any other financial institution for reconstruction of the house.

4. The allottee shall be liable to pay all taxes or other charges payable to Government or local authority.

Issued by Gram Panchayat………..on date……..in compliance of resolution No……….

Signature Secretary

Signature Sarpanch

Demarcation –

1. North……………………..

2. South……………………..

3. East………………………

4. West……………………….

Map:- (Land is shown in map is de-marked in red ink)

Measurement: –

North Direction:………………………

South Direction:………………………

East Direction:……………………….

West Direction………………………..

Total area……………………….Sq.Yard.

Signature Secretary

Signature Sarpanch

Form-XXIII-B

[See Rule 157(2)]

Allotment of Abadi Land/Regularisation of families possessing hutment/kucha.

Gram Panchayat ………………………..
Panchayat Samiti ………………………..
District ………………………(Rajasthan)

This Deed of allotment is made on the ………day of……..between (Name of Gram Panchayat) Panchayat established under the Rajasthan Panchayati Raj Act, 1994 (Rajasthan Act, No. 13 of 1994), being a body corporate by virtue of the provisions of Section 9 of the that Act, (hereinafter called “the Allotting Authority”), on the one part and Smt. ………… W/o ………… resident of (hereinafter called “the allottee”), of the other part.

Whereas

The land described in the Scheduled annexed here to which shows it as bound in red, vests in the Allotting Authority.

Whereas as family of allottee does not have any house or housing site any where and in possession of abadi land by way of construction a hutment/kutcha house upto year 2003 on the aforesaid land.

Whereas the Gram Panchayat has allotted and handed over possession of the land to the allottee under Rule 157 (2) of the Rajasthan Panchayati Raj Rules, 1996.

Whereas panchayat has agreed to allot above land measuring ……. Sq. yard (maximum 300 yards) on the terms and conditions hereinafter mentioned.

And Whereas the Panchayat had handed over possession of the demised land to allottee on …………………..

Now this Deed Witnesses as Follows:

1. This allotment is being made after following the procedure laid down in the rules.

2. Such land has been allotted free of cost to Smt for residential purpose with reference to his application to the allotting authority.

3. Allottee and his heirs have no right to transfer land to anybody and shall be in possession of allottee himself except provided in condition No.4.

4. To construct the house on this land the allottee will have right to mortgage the document for taking the loan from Government Undertaking. Co-operative Bank or from any other financial institution.

5. This plot can be utilized as residential purpose.

6. The allotting authority reserves the right to cancel the allotment of land if any false information is given by the allottee or if he transfers the plot to any person.

7. The allottee shall be bound to comply with the plans approved by Gram Panchayat for systematic development of village.

8. Allotting authority reserves the right to cancel the allotment, if the applicant violates any condition or provisions of rules. Before cancellation of allotment the allotting authority shall given the opportunity of hearing to the allottee.

9. The allottee shall be liable to pay all taxes or charges payable to Government and other local authority.

Issued by Gram Panchayat ……….. is on date ……… is compliance of resolution No. …………………

Signature Secretary

Signature Sarpanch

Demarcation –

1. North ………………………..

2. South ………………………..

3. East ………………………..

4. West. ………………………..

Map :- (Land is shown in map is demarked in red ink) Measurement :-

North Direction ………………………..

South Direction ………………………..

East Direction ………………………..

West Direction ………………………..

Total Direction : ……………………….. Sq Yard

Signature Secretary

Signature Sarpanch

Form XXIII-C

[See Rule 158]

Allotment of Abadi Land at concessional rate/free of cost

Gram Panchayat ………………………..
Panchayat Samiti ………………………..
District ……………………. (Rajasthan)

This Deed of allotment is made on the ………… day of …….. between (Name of Panchayat) Panchayat established under the Rajasthan Panchayati Raj Act, 1994 (Rajasthan Act, No. 13 of 1994). Being a body corporate by virtue of the Provisions of Section 9 of the that Act. (hereinafter called “the Allotting Authority”) of the one part and ………… S/o ……….. resident of ………….. (hereinafter called “the allottee “), of the other part.

Whereas

Whereas the allottee requested for allotment of land for construction of house at concession rate/free of cost and the Panchayat agree to allottee the same.

Whereas the Gram Panchayat has allotted and handed over possession of the land to allottee under Rule 158 of the Rajasthan Panchayati Raj Rules, 1996.

Whereas the Gram Panchayat has allotted and handed over possession of land to allottee under Rule 158 of the Rajasthan Panchayati Raj. Rules, 1996.

And Whereas Panchayat has agreed to allot land measuring …. Sq. yards (upto 150 yards) on the terms and conditions hereinafter mention for the residential purpose –

And Whereas the Panchayat had handed over possession of the demised land to allottee.

Now this Deed Witnesses as Follows :

1 . The allottee is eligible for allotment at Concessional rate/free of cost.

2. Land which is indicated in the annexed map allotment in red ink is transferred to allottee for residential purpose.

3. Allottee and his heirs have no right to transfer land to anybody and shall be in possession of allottee himself except provided in condition No. 4.

4. To construct the house on this land, the allottee shall have right to mortgage the document by taking the loan from Government Undertaking, Co-operative Bank or from any other financial institution.

5. Such land has been allotted at the rate of ………./- or free of cost to allottee for residential purpose with reference to his application, as per the provisions of the Rajasthan Panchayati Raj Rules, 1996.

6. This plot can be utilized as residential purpose.

7. The allotting authority reserves the right to cancel the allotment of land if any false information is given by the applicant or if he transfers the plot to anybody else.

8. The allottee will be bound to comply with the plans approved by Gram Panchayat with a view to systematic development of village.

9. Allotting authority reserves the right to cancel the plot if the applicant violates any condition or provisions of the rules. Before cancellation of such plot the allotting authority shall give the opportunity of hearing to the allottee.

10. The allottee shall be liable to pay all taxes or charges payable to Government and other local authority.

Issued by Gram Panchayat ………. is on date …….. is compliance of resolution No ………………………..

Signature Secretary

Signature Sarpanch

Demarkation:

1. North: ………………………..

2. South: ………………………..

3. East: ………………………..

4. West: ………………………..

Map: – (Land is shown in map is demarked in red ink) Measurement: –

1. North Direction: ………………………..

2. South Direction: ………………………..

3. East Direction: ………………………..

4. West Direction: ………………………..

Total Area………………………..Sq. Yard.

Signature Secretary

Signature Sarpanch”

Form XXIV

[See Rule 168 (1)]

Patta Bahi (Register of Sale Deeds) of Abadi Land

Panchayat ……………. Panchayat Samiti ………….. District …………

Form XXV

[See Rule 180]

Register of Works

Particulars of work ……………..

Form XXVI

[See Rule 191]

Form of Agreement

An agreement made this ……….. day of ………. between ………. (herienafter called the approved supplier which expression shall where the context so admits, be deemed to include his heirs, successors, executors and administrators) of the one part and Panchayat/Panchayat Samiti/Zila Parishad, which expression shall, where the context so admits be deemed to include its successors in office and assigns of the other part.

2. Whereas the approved supplier has agreed with the ……. Panchayat/Panchayat Samit/Zila Parishad to supply ………. all these articles set forth in the Schedule appended hereto in the manner set forth in the conditions of the tender and contract appended herewith and at the rates set forth in column ……… of the Schedule.

3. And whereas the approved supplier has deposited a sum of Rs ……….. in:

(I) Cash/Bank Draft/Banker Cheque No …….. dated …….

(II) Post office/Saving Bank Pass Book duly hypothecated to the Panchayat/Panchayat Samiti/Zila Parishad

(III) National Saving Certificates/Defence Saving Certificates/Kisan Vikas Patra or any other instrument under National Savings Scheme. (The Certificates being accepted at their surrender value).

4. Now these present witness –

(1) In consideration of the payments to be made by the said Panchayat/Panchayat Samiti/Zila Parishad at the rates set forth in the Schedule hereto the approved supplier shall duly supply the said articles set forth in ………. and …….. thereof in the manner set forth in the conditions of the tender and contract.

(2) The conditions of tender and contract for open tender as enclosed to the tender notice No …… dated ……… and also amended to this agreement will be deemed to be taken as part of this agreement an are binding on the parties executing this agreement.

(3) Letters No …………. received from tenderer and letter Nos. ………….. issued by the Panchayat/Panchayat Samiti/Zila Parishad and appended to this agreement shall also form part of this agreement.

(4)(a) The said Panchayat/Panchayat Samiti/Zila Parishad do hereby agree that if the approved supplier shall duly supply the said articles in the manner aforesaid and observe and keep the said terms and conditions, the Panchayat/Panchayat Samiti/Zila Parishad will through ……….. pay or cause to be paid to the approved supplier at the time and the manner set forth in the said conditions, the amount payable for each and every consignment.

(b) The mode of payment will be as specified below:-

1 : ………..

2 : ………..

3 : ………..

5. The delivery shall be effected and complied within………. period of……… from the date of this agreement and/or the date or order ……….

6. (1) In case of extension in the delivery period with liquidated damages, the recovery shall be made on the basis of following percentage of value of stores which the tenderer has failed to supply

Note – (I) Fraction of a day in reckoning period of delay in supplies shall be eliminated if it is less than half a day.

(II) The maximum amount of agreed liquidated damages shall be 10%

(III) If the supplier requires an extension of time in completion of contractual supply on account of occurrence of any hindrances, he shall apply in writing to the authority which had placed the supply order, for the same immediately on occurrence of the hindrance but not after the stipulated date of completion of supply.

(2) Delivery period may be extended with or without liquidated damages of the delay in supply of goods is oh account of hindrances beyond the control of the tenderer.

7. All disputes arising out of this agreement and all questions relating to the interpretation of this agreement shall be decided by the Government and the decision of the Government shall be final.

In witness whereof the parties hereto have set their hands on the ……..day …..

Signature of the Approval Supplier

Signature for and on behalf of the Panchayat/Panchayat Samiti/Zila Parishad

Date ………..

Witness No. I …….

Witness No. II …….

Date …………….

Witness No. I …….

Witness No. II …….

From XXVII

[See Rule 194(4)]

Budget Estimate of a Panchayat

Panchayat Samiti………………

For the year 20……..20………

Panchayat……………

Zila Parishad………………..

Form XVIII

[See Rule 194(4)]

[Part (A)]

Budget estimate of Panchayat Samity………..Zila Parishad…………..

Vikas Adhiari/Chief Executive Officer

Form XXVIII

[See Rule 194(4)]

Part – B

Detailed estimate of fixed charges viz. Pay of Officers and establishment of Panchayat

 

Part – C

Statement showing the actual expenditure of Panchayat Samity…………..
Zila Parishad …….for the year…..

Form XXIX

[See Rule 229]

Cash Book

Panchayat………….Samiti……….Zila Parishad………………..Year
19………19……………………

Payment

 

Form XXXI

[See Rule 234]

Claim for Payment

Form XXXII

[See Rule 236]

General Ledger

For the year

Form XXXIII

[See Rule 237]

Register of Revenue Realised

 

Form XXXIV

[See Rule 239]

Stock Register

For the year…………

Form XXXV

[See Rule 239]

Quarterly Statement of Accounts

For the year…………

Revenue

Payments

Form XXXVI

[See Rule 246(1)]

Abstract of Annual Account for the year………..

Revenue

Payments

Form XXXVII

[See Rule 246(2)]

Statement in Grant-in-aid Received and spent during the year…………

 

Form XXXVIII

[See Rule 26(3)]

Statement of Loans Received from…..and Payments made
during the year……

 

Form XXXIX

[See Rule 246(4)]

List of Works for the Year………..

For the year…………….

Form XL

[See Rule 246(5)]

Statement of Assets and Liabilities

For the year…………….

 

Form XLI

[See Rule 305]

Driver’s Log Bock

Vehicle No………..

Form XLII

[See Rule 305]

Stock Register

Vehicle No………..

From XLIII

[See Rule 305]

List of Tools and Equipment with the Vehicle

Vehicle No………..

Form XLIV

[See Rule 328]

Register of Applications for Inspection/grant of Copies

Form XLV

[See Rule 353]

General Ledger

Annual Adminstration Report ….Panchayat…….Panchayat Samiti
Year of……..

1. Name of Village and its population under Panchayat Samiti

(i) Name of Villages	Population
(A)
(B)	Total………..

2. Details of concern Panchas and Sarpanches.

1. Unanimous Elected

2. Contested Elected

3. Name of the Instituted Panchases

Total………….

4. Writs and Appeals against Panchases & Sarpanch

5. Names of Panches whose offices have been declared to have been vacated under Section 39 of the Rajasthan Panchayati Raj Act, 1994.

6. Names of Sarpanch or Up-Sarpanch whose office has become vacant under Section 41 of the Rajasthan Panchayati Raj Act, 1994.

7. Has any action been taken against the Panchayat under Section 94 of the Rajasthan Panchayati Raj. Act, 1994.

8. Details of meetings :-

(I) Total number of Gram Sabha meetings.

(II) Total number of meetings of the Panchayat for.

(A) Development works

(B) Administrative matters

Total A & B

(III) Meetings postponed due to incomplete quorum.

(IV) Resolutions passed unanimously

(V) Resolutions passed by majority.

9. Details regarding staff:-

(A) Secretary: –

(I) Name.

(II) Age.

(III) Educational qualifications

(IV) Trained or untrained

(V) Regular/on contract.

(VI) Full time or part time.

(VII) Pay per month, if on contract

(VIII) Does he work in any other Panchayat, if yes, then mention the name of such panchayat

(B) Other Staff/Contractors for Kine House/Sanitation etc.

(I) Other Clerks (No.)

(II) Peons (No.) .

(III) Staff for lighting (No.)

(IV) Sanitary (No.)

(V) Watch and ward :

(A) Honorary (No.)

(B) On Contract (No.)

(C) In how many villages such arrangements have made by Panchayat (No.)

10. Has panchayat rendered any assistance in natural calamities like fire, flood etc.

(I) No. of families given protection

(II) Estimated value of property saved.

(III) No. of village in which fire/food occurred

11. Has Panchayat organised voluntary labour force for community works and works for uplift of the people ? If yes, then give:-

(I) Number of people participated

(II) Number of hours devoted.

(III)Name of works executed

12. Fairs and hats.

(I) Fairs and hats organised by panchayat (No.)

13. Amount of Small Savings Certificates sold.

14. Has Panchayat seemed life and General Insurance business ? If yes, then:-

(I) No. of persons insured.

(II) Amount of general insurance business secured.

15. Has Abadi Land been allotted free of cost to the persons belonging to Scheduled Castes and Scheduled Tribes ? If yes, then:-

(I) Number of families to whom allotted.

(II) Sq. Yards of Land allotted.

16. (I) Does Panchayat undertake and render the Postal Services.

(II) No. of villages not having Postal facility.

17. No. of Panchas and Sarpanch who have attended the Training or other Camps also mention the no. of camps).

18. When the accounts of Panchayat were audited (Date).

19. Name of officials who have inspected Panchayat.

Name of the Officer

Date

20. Details regarding bye-laws passed by Panchayat (copy to be enclosed).

Part ‘B’

Physical progress of activities of panchayat during the year

(I)	General functions:-	Unit
	(A) Cases in which relief was mobilised in natural calamities	No.
	(B) Cases in which encroachments on public properties were removed.	No.
(II)	In the sphere of administration:-
	(A) For how many villages located in Panchayat circle, development plans were prepared.	No.
	(B) In how many villages the premises were numbered.	No.
(III)	Agriculture including Agriculture extension:-
	(A) Was any waste land developed, how much?	Acres
	(B) In how many villages grazing lands were maintained?	No.
(IV)	Animal husbandry dairying and poultry
	(A) In how many cases medical facilities for cattle provided	No.
	(B) Artificial Insemination service provided.	No.
	© Maintenance of stud bulls.	No.
(V)	Social and farm foresty, minor forest produce, fuel and fodder:-
	(A) for the improvement of agriculture how many model agriculture farms were established.	Acres
	(B) How many trees were planted on the sides of village and district roads and other public lands under its control?	No.
	© Village forests raised.	Acres
(VI)	Khadi, village and cottage industries:-
	(A) Village industries aided.	Names
	(B) How much amount given as aid, loans and advances	Rs.
(VII)	Drinking water:-
	(A) Construction, repairs and maintenance of drinking water wells, tanks & ponds.	No.
	(B) Prevention and control of water pollution.	No.
	© Maintenance of hand pumps and pump and tank schemes.	No.
(VIII)	Roads, buildings culverts, bridges, ferries, water-ways and other means of communication:-
	(A) Construction, maintenance and repairs of public streets.	Km.
	(B)Construction, maintenance and repairs of drains.	Metres
	© Construction, maintenance and repairs of bunds.	No.
	(D) Construction, maintenance and repairs of bridges/culverts.	No.
(IX)	Rural electrification including providing for and maintenance of lighting of public streets and other places:-
	New lamps installed for lighting	No.
(X)	Education (Primary):-
	Position of enrolment and attendance in primary Schools-how many boys and girls out of each one hundred boys and girls of the school going age group were enrolled and how many of such boys and girls were attending the school:-
	(A) Enrolment, as on 15th August:
	(1) Boy	No.
	(2) Girls	No.
	(B) Attendance, as on 1st March:
	(1) Boys	No.
	(2) Girls	No.
(XI)	Cultural activities:-
	(A) Established and maintenance of akharas clubs and other places of recreation and games.	No.
	(B) Established and maintenance of theatres for promotion of art and culture	No.
	© Public television and radio-sets installed.	No.
(XII)	Rural sanitation:-
	(A) Cleaning of public roads, drains, tanks, wells and other public places.	No.
	(B) Maintenance and regulation of burning and burial grounds.	No.
	© Construction and maintenance of rural latrines, facility parks, bathing platforms, soak pits etc.	No.
(XIII)	Public health and family welfare:-
	In how many villages infectious disease spread and out of those in how many villages measures were taken to prevent it.	No.
(XIV)	Construction and maintenance of Cattle sheds, ponds and cart stands.
	(A) Cattle ponds established and maintained.	No.
	(B) For the supply of water to animals for how many ponds arrangements were made for excavation, cleaning and maintenance.	No.
(XV)	Maintenance of Public parks, play grounds etc:-
	(A) Layout and maintenance of play grounds.	No.
	(B) Layout and maintenance of public parks.	No.
(XVI)	Any other activity which is in furtherance of functions enumerated in the First Schedule to the Act.

Part – C

Income and Expenditure Statement

For the Year……………

Form XLVI

[See Rule 354]

Annual Administration Report of Panchayat Samiti Zila Parishad

1. Constitution and Management: –

(1) Was there any change in the jurisdiction of the concerned Panchayati Raj Institution during the year ? Quote the number and date of order.

(2) What is the population of the concerned Panchayati Raj Institution according to the latest census figures available ?

(3) Give the names of the Panchayati Raj Institutions under the jurisdiction of the reporting Panchayati Raj Institutions.

(4) What is the total strength of concerned the Panchayati Raj Institutions ?

For Panchayati Samiti

For Panchayat Samiti

(5) Was there any election of the Chairperson or Deputy Chairperson during the year and was there any election dispute ?

(6) Whether any Chairperson/Deputy Chairperson or Member resigned from his office. If so, give particulars of the persons who resigned and reasons for such resignation.

(7) If standing committees were constituted, give details thereof.

(8) Whether any additional standing committee were constituted ? If so, give details thereof.

(9) Was the Deputy Chairperson in-charge of Office of the Chairperson ? If so, for what period ?

(10) Was there any motion of non-confidence against the Chairperson or the Deputy Chairperson.

2. Meetings. – How many meetings were held and how many meetings were adjourned for want of quorum ?

3. Management. – (1) Where is the office of the concerned Panchayati Raj Institution located ? If rented, what is the amount of rent paid ? (2) Are the prescribed registers and forms maintained ?

4. Establishment. – (l) State the number of staff employed with their scale of pay.

(2) Whether the existing staff is sufficient for the efficient discharge of the duties cast upon the concerned Panchayati Raj Institution ? If not, elucidate the jurisdiction for increased staff (details of staff required to be given)

5. Taxes. – (1) Give the particulars of taxes imposed by the concerned Panchayati Raj Institution.

6. Accounts and Audit. – (1) Are the prescribed accounts kept and the accounts of the receipts and expenditure maintained ?

(2) When was the audit of accounts conducted ?

(3) On what date was the audit report received ?

(4) Has a complete compliance report been sent to the Director, Local Fund Audit Department ?

(5) What are the irregularities which have not been complied with ?

(6) What were the amounts of over payments and losses shown in the Audit report ?

(7) Have the over payments been recovered ?

(8) What action has been taken to make good losses caused to the Panchayati Raj Institution Fund ?

7. General. – (1) Was the Panchayati Raj Institution dissolved ? If so, state the period.

(2) Was there any occasion when the State Government exercised powers under Secs. 92, 93, 97 or 100 ? If so, give details.

8. Other important activities.– Description with necessary details of such of the various important activities of the Panchayati Raj Institution as can give a correct picture of its performance during the year under report with reference to its functions enumerated in the relevant Schedule to the Act.

Form XLVII

[See Rule 358]

Form of Application for Recognition of Service Association of Members of Panchayat Samiti and Zila Association of Members of Panchayat Samiti and Zila Parishad Service

Name of the association ……………………

Address ……………………………

Dated the………day of……….20………….

1. The application is made by the persons whose names are subscribed hereunder :

2. The name of the service association on behalf of which the application is made :

3. The address of the Head Office of the service association to which all communications and notice may be addressed

4. The……..service association came into existence on………the date of……20………

5. The service association consists of Panchayat Samiti and………..Zila Parishad servants of the category of…………engaged in the various Panchayat Samiti and Zila parishads in the State and has………..members out of………person employed in the said Panchayat Samitis and Zila Parishads.

6. Three copies of the rules of the service association are enclosed :

Note– Table I hereto contains information about the rules and their contents and Table 11 hereto indicates the changes made in the rules from time to time.

7. A list of office bearers of the service association in Table III is attached hereto.

8. We have been duly authorised by the service association to make this application on its behalf by resolution.

No……………dated……………..

The number of the rule making provisions for the several matters detailed in column 1 are given in column 2 below:

Table I

Rules of Service Association

Table-II

Table III

List of Office Bearers

Rural Development and Panchayati Raj Department

Certificate of Recognition

The Government of the State of Rajasthan in pursuance of Rule 363 of the Rajasthan Panchayati Raj Rules, 1996 to hereby recognise……….association/ federation for the purpose of said rules.

Place……………………..

Date…………………..

Director Rural Development and Panchayati Raj

[Form XLVIII]

(See rule 173-A)

Application for Change of use of abadi land

1. Name of applicant……………………………………….

2. Address of the applicant…………………………………………

3. Description of land of which change of land use is desired

(a) Situated at……………………………….

(Attach map of the village to pin point the location in the village also attach the proposed land use plan)

(b) Khasara/Plot number……………………………………….. (Attach khasara/Plot plan as well as site plan containing description all specifications of four sides of the abadi land)

(c) Enclose Patta of the abadi land and mention the name of the authority or body by whom the same was issued.

(d) Is there any dispute or litigation pending in the court or other competent authority with respect to the abadi land in question for which change of use is sought ……………………..(If any, give full details)

(e) Is there any stay order of any court or other authority with regard to the land? if any? give full details thereof and also enclose copy of such order……………………………………….

(f) Present permissible use of abadi land ………………..

(g)Desired change of use of abadi land (give complete details)……….

(h) Reasons for seeking change of use of abadi land…………….

4. If any application for change of use of abadi land, now applied for, was made previously also? If so, give details thereof and also enclose copy of the order passed thereon………………………

5. Give details as to title of the land (such as free hold, lease hold, Pattadhari or otherwise lawful holder) -[enclose true copies of documents]…………………………………… .’……

6. Application fee- give details of fee having been paid- (enclose photo copy of the receipt by which application fee is paid)

Receipt

Application of the Applicant Shri……………… of………….for change of land use received on …………………(date).

Signature & Seal of Official
receiving the application in the office
of the officer/ Authority
competent to decide the application

[Form XLIX]

[See rule 173-A (10)(13)]

Permission for change of use of land under section 107-A of the Rajasthan Panchayati Raj Act, 1994.

Whereas applicant Shri…………s/o w/o……………address ………..place(village)……..panchayat…………Tehsil………. District……..has filed application for change of use in respect of, abadi land situated in ward No of village falling in Panchayat circle……….Tehsil………..District……….. measuring………………… Sqr. meters binded by limits and area as described in detail in the attached site plan alongwith neighbourhood area as shown in red color, subject to all existing conditions and incumbrances, easements attached to the afore cited land, by claiming right, title and interest in said land and making prayer for allowing change of use of land by invoking provisions contained in section 107-A of the Rajasthan Panchayati Raj Act, 1994 (Act No. 13 of 1994) and rules made thereunder and has submitted necessary documents in support of his prayer for change of use of land.

Therefore I……………….as Officer/Authority authorised by the State Government under section 107-A of the Rajasthan Panchayati Raj Act, 1994 have considered his request/prayer made in the Application in Form XLVIII and I am satisfied after perusal and examination of documents submitted by the applicant that his/her request is justified and the desired change of use of the Land may be allowed and the applicant is permitted to make desired change in use of the abadi land provided the Applicant deposits the change of land use charges within thirty days from the date of this order.

[Form L]

[See rule 173-A(14)]

Panchayat…………………..

Lease Deed

This Indenture is made this day of two thousand …………and…………….. Between the Governor of Rajasthan (hereinafter referred to as Lessor) of the one part and shri/smt……………………………s/o,w/o………………………………………… aged resident of village…………………….Tehsil…………….. Disttrict…………….. ( hereinafter called the Lessee) of the second part.

Whereas the Lessee being the existing Lessee of the Lessor has applied to the Lessor for change of use of abadi land under section 107-A of the Rajasthan Panchayati Raj Act, 1994 and the rules made thereunder and has requested for grant of permission for change of use of abadi land.

Now this indenture witness that in supersession of the earlier Lease Deed executed on ……………………..(give details) between the Lessor and Lessee and in consideration of the amount of change of use of land charges amounting to Rs. (rupees………………….only) paid by the Lessee (which the Lessor acknowledges) and the sum earlier paid at the time of execution of earlier Lease Deed as consideration for the said Lease Deed now sought to be superseded, The Lessee for himself or his heirs, executors and administrators and assigns covenants with the Lessor in the manner following, that is to say:-

(a) The Lessee shall from time to time pay all taxes, charges, cess etc. levied by the Lessor in accordance with law with respect to the land or buildings erected thereon;

(b) The Lessee shall not deviate in any manner from layout plan nor alter size of plot whether by sub-division, amalgamation or otherwise without seeking permission of the Lessor in accordance with law inforce at the relevant time;

(c) Whenever the title of the Lessee in the abadi Land which is subject matter of this indenture, is transferred in any manner whatsoever, the transferee shall be bound by all the covenants and conditions contained herein and be answerable in all respects therefor;

(d) The Lessee shall use the abadi land for …………..purposes and not for other purposes without seeking permission of the Lessor in accordance with law and that too by paying necessary change of land use charges as specified by law;.

(e) All powers exercisable by Lessor may be exercised by the officers/authorities authorised by him in accordance with law;

(f) This Lease is being granted under section 107-A of the Rajasthan Panchayati Raj Act, 1994 and rules made thereunder; and

(g) In this Lease the expression “the Lessor” and the expression “the Lessee” herein before used where the context so admits include in the case of Lessor, the successors, assigns and in the case of Lessee, his heirs, executors, administrators, legal representatives and the person or persons in whom Lease hold interests hereby created, shall for the time being be vested by assignment or otherwise.

In witness whereof Shri……………….for an on behalf of, by order or direction and by authority under law of the Lessor has set his hand shri/shrimati the Lessee has set into his/her hand the day and year first above written.

Signed…………………….

Lessee

Witness:

1- …………………………

2- ………………………….

For and on behalf of the Governor by authority/direction under law made by the Governor (the Lessor)

Signed by …………………………..

Lessor

Witness:

1- ………………………….

2- ………………………….

[Form LI]

[See rule 173-B (1)]

Application for permission for sub-division or reconstitution of plots.

To

The (Designation of Officer)/Authority

……………………Authority

…………………………….

Sir,

I/We hereby request permission under rulelt3-B of the Rajasthan Panchayati Raj Rules, 1996 for sub-division or reconstitution of plot of land situated in abadi area of mohalla/ward of village ……………………….. I/We enclose herewith the following documents:- –

(i) Title deed of ownership/Lessee…………………………… (Enclose true copies of such documents duly attested by a Gazetted Officer)

(ii) Site plan (4 copies) with information as required under the rule 173-B

(iii) Photo copy of the receipt as proof for depositing the fee and Charges.

[Form LII]

[See rule 173-B(10) (12)]

Permission for sub-division/reconstitution of Plot

Whereas applicant Shri/Shrimati …………………………. s/o/w/o…………address………..place……….village………… panchayat………………. Distt………………………………………….. has filed application for sub – division/reconstitution of plot of abadi land situated in Ward No…………of village falling in panchayat circle ………… Tehsil ……….. District …. measuring …………. (sqr. metres) [ give complete detail of the plot in case sub -division and give detail of each parcel or plot in case of reconstitution] binded by limits and areas as described in the attached site plan alongwith neighbourhood area as shown in ………… colour, subject to all existing condition and encumbrances, easements attached to the aforecited land and has submitted necessary documents in support of prayer for subdivision/reconstitution of the plot.

Where as I ……………………… as officer/Authority authorised by the State Government under section 107-B of the Rajasthan Panchayat Raj Act, 1994(Act No. 13 of 1994) have considered this request in the application filed in Form LI and I am satisfied after perusal and examination of the documents submitted by the applicant that his/her request for sub division/reconstitution of plot is justified and allowed and therefore the applicant is permitted to sub-divide/reconstitute the plot/plots and he/she has deposited the required charges therefor vide Receipt No. …………….Dated………in………… Panchayat as a sum of Rs ……… as per rate specified in rule 173-D of the Rajasthan Panchayati Raj Rule, 1996.The plan of Sub-division/reconstitution is appended herewith duly authenticated.

[Form LIII]

(See rule 173-G)

Name of the Panchayat…………………………..Register of Abadi land