Rajasthan Panchayati Raj Rules 1996
[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 ………..
Particulars of journeys and halt |
Kind of Journey by Rail, Road, or other |
Railways/Motor Lorry/Steamer/Airplane fare |
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Departure |
Arrival |
Class |
Amount of fare |
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Station |
Date |
Hour |
Station |
Date |
Hour |
mode |
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Rs. |
Ps. |
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Incidental Charges |
Daily Allowance |
Local Transport |
Purposes of Journey |
Remarks |
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Km. |
Rate |
Amount |
No. of days |
Rate |
Amount |
Particulars |
Amount |
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Ps. |
Rs. |
Ps. |
Rs. |
Ps. |
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11 |
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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
Panchayat Samiti/Zila Parishad Accountant Payee’s discharge |
Date |
Vikas Adhikari/Chief Executive Officer |
Received payment |
Paid Rs……..on …… |
Vide Cash Book Item No ………… |
Signature |
Cashier Vikas |
Adhikari/Chief Executive Officer |
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 …………..
Name of Village |
Name of Assessee and father’s Name, occupation, and address |
Areas |
Current Demand |
Total |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
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Date: ………..
Signature of Patwari
Form V
[See Rules 64 and 105]
Demand Slip
Book No ……………. |
S. No. …………. |
Village ……………. |
Panchayat ……… |
District …………. |
Panchayat Samiti ………. |
For the Year ……….. |
(Counter Foil)
Date |
Name of Assessee and father’s name, occupation, and address |
Name of Tax |
Demand |
Remarks |
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Area |
Current |
Total |
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2 |
3 |
4 |
5 |
6 |
7 |
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Form VI
[See. Rule 67]
Demand and Collection Register
Panchayat Samiti ……………….
Panchayat ………….
For the year …………
S No. |
Name of Village |
Name, Father’s Name, Occupation, and Addresses of the assessee |
Name of Tax |
Areas |
Current demand |
Total |
Ref. to demand slip |
Amount paid |
Total |
Ref. of receipt |
Ref. to recovery statement |
Remarks |
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No. |
Date |
Arrear |
Current demand |
No. |
Date |
No. |
Date |
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2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
17 |
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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 …………..
S. No. |
Kind of Animal |
Number |
Date of Return |
Remarks |
1 |
2 |
3 |
4 |
5 |
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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 :
Description of Cattle |
Number |
Price |
Mela Tax |
Remarks |
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Total |
Maximum |
Minimum |
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2 |
3 |
4 |
5 |
6 |
7 |
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Form IX
[See Rule 69(7)]
Registration of Sales
S. No. |
Date |
Name of purchaser with address |
Description of cattle Purchased |
Number |
Price |
Mela tax |
Name & address of seller |
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Total |
Max |
Min |
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2 |
3 |
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6 |
7 |
8 |
9 |
10 |
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Form X
[See Rule 82(4)]
Receipt of Taxes/Octroi Duty
Receipt Book No ………… |
S. No …………………….. |
Village …………….. |
Panchayat ………………. |
Panchayat Samiti ………………. |
District ………………….. |
Name of Depositor |
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Date |
Amount received with details |
Reference to demand slip |
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Name of Tax |
Amount |
No. |
Date |
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2 |
3 |
4 |
5 |
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Signature/T.I. of Tax payer |
In case of Octroi duty : |
Signature of Patwari |
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Date |
Value of goods |
Description of goods |
Rate of octroi |
Amount of octroi |
1 |
2 |
3 |
4 |
5 |
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Date : ………
Signature of Octroi Collector
Form XI
[See Rule 85 (1)]
Receipt for Transit Goods
Panchayat …………………… |
Panchayat Smity………. |
District…………….. |
Book No……………………….. |
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S.No………………… |
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Date…………………. |
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Name of octroi out-post…….. |
Date…………………. |
Name of importer…………. |
S/o……………. |
R/o………………… |
Description of goods |
Value |
Rate |
Amount Rs. |
Remarks |
1 |
2 |
3 |
4 |
5 |
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Railway/Goods Receipts No………. |
Date……………… |
Place of dispatch……………….. |
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Pass No…………………… |
Date…………….. |
Signature of the Importer |
Signature of In-charge Octroi Outpost |
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)
S. No. |
Date and time of the animal |
No. of receipt granted on the entry of the animal |
Description of animal |
Identification mark of the animal and appearance |
Name of the person bringing the animal and place of residence |
Name of owner of the animal and place of residence if known |
Date, time manner of disposal of the animal i.e., sold, released, or released or treated as unclaimed property |
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Date |
Time |
Manner |
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2 |
3 |
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5 |
6 |
7 |
8 |
9 |
10 |
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Receipt and No. of the disposal of the animal sold released treated as or unclaimed property |
No. of days for which the animal remained in kine house |
Fine and feeding charges realised |
Amount deposited in Panchayat fund or paid to the owner of the animal |
Total deposited in Panchayat fund or paid to the owner of the animal |
Name and addressed of individual obtaining the animal |
Signatures or Thumb impression of individual obtaining the animal |
Signature or incharges of cattle pound (Kind House) |
Remarks |
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Find |
Feeding Charges |
Panchayat fund |
Owner of animal |
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12 |
13 |
14 |
15 |
16 |
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18 |
19 |
20 |
21 |
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Form XVI
[See Rules 115 and 119]
Receipt for the Entry of Animal (In Two Foils)
Book No……….. |
Date……………………… |
Serial No…………….. |
Panchayat ………………….. |
Name of Kine-House…………………. |
Panchayat Samity……. |
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District…………………… |
Date and entry of animal |
Name and place of residence of the individual bringing the animal |
No. of animals admitted and description etc |
Name and place of the residence of the owner if it is known |
Kine-House Register Number |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
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Signature of Kine-House Incharge
Form XVII
[See Rule 115 and 126]
Pass for the Release of Animal From Kine-House
Book No……….. |
Date……………………… |
Serial No…………….. |
Panchayat ………………….. |
Name of Kine-House…………………. |
Panchayat Samity……. |
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District…………………… |
Date and time of entry of the animal |
Date and time of release of the animal |
No. of animals and description |
Name and place of residence of individual taking the animal |
Fine realised |
Grazing fee realised |
Any other recovery |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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Signature of Kine-House Incharge
Form XVIII
[See Rules 115 and 126]
Pass for the Release of Animal
(To be Kept in The Panchayat)
Book No……….. |
Date………………………. |
Serial No…………….. |
Panchayat ……………….. |
Name of Kine-House……………… |
Panchayat Samiti…………… |
Serial Number of the Kine House Register |
Date and time of release of the animal |
Amount of fine |
Grazing Fee |
Any other recovery |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
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Total Including previous total
Signature of Kine-House Incharge
Form XIX
[See Rules 115 and 127]
Receipt to be given to the purchaser of animal |
Receipt to be given to the purchaser of animal |
Book No…………… |
Book No…………………. |
Serial No……….Dated the…..19…. |
Serial No…. Dated the….. 19…. Name of Name of |
Kine House…………… |
Kine House……….. |
Panchayat………. |
Panchayat………. |
Panchayat Samiti…………… |
Panchayat Samiti………….. |
Kine-House Register Number |
Description o f animal and class |
Identification mark or appearance |
Name of purchaser of animal and place of residence |
Cost at which animals were sold by auction |
Particulars of entry in Cash book |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Signature of purchaser of animals
Signature of Sarpanch
Form XX
[See Rules 137]
Register of Buildings and other Immovable Property…………
Panchayat………………… |
Panchayat Samiti…………….. |
District………..Year………..19…………
Serial No. |
Date of receipt of property |
Particulars of property |
Value |
Purpose of which used |
Annual income if any |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Form XXI
[See Rule 146]
Panchayat…………….. |
Panchayat Samiti……………. |
District………..Year………..19…………
Serial No. |
Date of receipt of property |
Particulars of property |
Value |
Purpose of which used |
Annual income if any |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
Form XXII
[See Rule 148]
Notice Inviting Objections Regarding Proposed Sale of Abadi Land.
Panchayat…………… |
Panchayat Samiti………. |
Zila parishad……….. |
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
Not for use |
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 …………
S.No. |
File No. |
No. and date of order of Panchayat and date of confirmation by higher by authority, if any |
Plot No. & Size |
Total Cost of |
Name of person obtaining Sale Deed |
Signature of Recipient of Patta |
Signature of Secretary/Sarpacnch |
Date of sending of monthly statement to Panchayat Samiti from No…;to…. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
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Form XXV
[See Rule 180]
Register of Works
Name of Panchayat …………………….. |
Panchayat Smiti …………………………….. |
Particulars of work ……………..
S.No. |
Date of Commencement of work |
Amount sanctioned for the work |
Amount spent |
Name of person obtaining Sale Deed |
Signature of Recipient of Patta |
Remarks (Date of payment for wages/material be indicated) |
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Material |
Wages |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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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 ……….
S. No. |
Item |
Quantity |
Delivery Period |
1. |
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2. |
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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………………..
Estimated Income |
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Estimated Expenditure |
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S. No. |
Head wise sanctioned budget of previous year |
Actual Income of previous year |
Estimated Income of the year 20……..20…… |
S. No. |
Head of expenditure |
Sanctioned budget of previous year |
Actual expenditure of previous year |
Estimate expenditure of the year 20……..20……. |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
1. |
Opening Balance |
1 |
General Administration (A) of establishment (III) Honorium of Sarpanch/Meeting/Allowance/Refreshment in meeting |
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2 |
Construction of public streets, draines, latrines, soak pits |
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3. |
Own income from non-tax revenues (A) Sale of land (IV) Water Reservoirs (A) fisheries (V) Grazing charges (A) Grazing chages (VI) Agricultural Farms/Orchards (A) Shops and sites |
3. |
Construction of buildings (Schools, Dispensary, Anganwadi etc.) |
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4. |
Drinking water supply (I) Hand pumps |
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5. |
Sanitation and construction of drains etc. |
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6. |
Lighting: |
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7. |
Burning and Burial grounds |
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8. |
Cattle Pounds |
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9. |
Medical relief (Vaccination, family welfare camps) |
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4. |
Grant-in-aid from the Government |
10. |
Maternity and Child Welfare (Anganvadi Centers) |
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11. |
Public Health (Prevention of diseases) |
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12. |
Maintenance of public building vested in the Panchayat including school. buildings |
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13. |
Primary Education (I) construction |
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14. |
Slaughter houses |
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5. |
Grant-in-aid from Central Government through the D.R.D.A for |
15. |
Village defense |
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16. |
Development of Agricultural and Forestry |
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6. |
Grant-in-aid through Panchayat Samit/Zila Parishad for: (I) Maintenance of hand pumps and other water Supply Scheme (II) Maintenance of stud bulls. |
17. |
Census |
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18. |
Family Planning |
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19. |
Maintenance of stud bulls |
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20. |
Breeding and protecting cattle |
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21. |
Village industries |
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22. |
Assistance for fire. |
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7. |
Sums received by way of donations/contributions for Development. |
23. |
Welfare of the people (I) Maintenance of Akhadas/Clubs |
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8. |
Sums ordered by a Court or a department to be placed to the credit of Panchayat Funds. |
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9. |
Miscellaneous receipts (interest etc.) |
24. |
Other works of public utility |
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25. |
Miscellaneous/Audit fees |
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10. |
Loans, deposits advances (II) Deposits (A) Contractors (III) Advances |
26. |
Loans, deposits and advances |
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28 |
Closing balance |
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11. |
Total Receipts |
29. |
Grand total |
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12. |
Grant Total |
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Total Rs. |
Total Rs. |
Form XVIII
[See Rule 194(4)]
[Part (A)]
Budget estimate of Panchayat Samity………..Zila Parishad…………..
Receipts |
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Expenditure |
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S. No. |
Head wise sanctioned budget of previous year |
Actual Income of previous year |
Estimated Income of the year 20……..20…… |
S. No. |
Head of expenditure |
Sanctioned budget of previous year |
Actual expenditure of previous year |
Estimate expenditure of the year 20……..20……. |
Remarks |
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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1. |
Opening Balance |
1. |
2515-General administration (A) Of establishment (III) Honorarium of Chairperson |
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2. |
Own income form taxes (I) Trades, callings, professions and industries (P.S) |
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3. |
Own income from non-Tax revenues |
2. |
2202-Primary Education |
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4. |
Grant-in-aid from the state Government |
3. |
Expenses from own income (I) Siting fees/Refreshment in meetings |
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4. |
2215-water supply and cleaning (I) Salaries |
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5. |
Grant-in-aid from Central Government through D.R.D.A. For |
5. |
2215 (Plan) Rural sanitation programe (I) subsidy to B.P.L. For house hold latrines etc. |
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6. |
2810-Non-conventional sources of energy |
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6. |
Public contribution/donations |
7. |
2216-Rural housing assistance |
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7. |
Loans, deposits and advances |
8. |
2211-Family welfare |
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9. |
Development of wayside facilities on highways |
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8. |
Miscellaneous(interest etc.) |
10. |
Expenditure on Scheme of rural employment and poverty alleviation (I) Indira Avas |
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9. |
Total receipts |
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10. |
Grand total (including opening balance) |
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11. |
Loans for |
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12. |
Total expenditure |
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13. |
Closing balance |
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14. |
Grand total(including closing balance) |
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Total Rs, |
Total Rs, |
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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
Samity……… |
Zila Parishad……………….. |
For the year………………….. |
Account Head |
Serial Number |
Name or Number |
Designation |
Minimum of pay scale |
Rate of increment |
Maximum of pay scale |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Actual on 1st March |
Amount of provision for the period from march to February |
Date of increment falling due within the period |
Amount of increment |
Total of column 9 &11 |
Revised estimate for the current year |
Remarks |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
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Part – C
Statement showing the actual expenditure of Panchayat Samity…………..
Zila Parishad …….for the year…..
Head |
Original budget |
Change during the year |
Final budget for the year |
Actuals |
Variations |
Remarks |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Form XXIX
[See Rule 229]
Cash Book
Panchayat………….Samiti……….Zila Parishad………………..Year
19………19……………………
S. No. |
No. of receipt/Cheque/D.D./Challan and date |
From whom received |
Particulars |
Ledger A/C. No. |
Amount |
Classification on of Head of Account |
|
Cash |
Post Officer/Bank/Treasury |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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Payment
S. No. |
Voucher and date |
To whom paid |
Particulars |
Ledger A/C. No. |
Amount |
Classification on of Head of Account |
|
Cash |
Post Officer/Bank/Treasury |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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Form XXX |
From XXX |
[See rule 230] |
[See Rule 230] |
Counter Foil |
Receipt |
……..Panchayat/Panchayat Samity Zila Parishad |
……..Panchayat/Panchayat Samity Zila Parishad |
Book No…….. No……….. |
Book No…….. No……….. |
Received from Shri………………… |
Received from Shri……………… |
Item No. Particulars Period Amount of demand of Payment |
………………………… |
Register |
Rs. (In Words)……………………… |
………………………………………….. |
On account of …………………….. |
Total in word Rs………………………………. |
For the period………………………. |
Head of Office |
Head of Office |
Cashier |
Cashier |
Form XXXI
[See Rule 234]
Claim for Payment
Bill No ……………. Date ………………… |
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For Office Use |
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Pay Rs. ……….. Accountant |
Head of Office Date …………….. |
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Paid Rs …………….on ……..(date) vide cash book item No …………….. |
Cashier |
Form XXXII
[See Rule 236]
General Ledger
Panchayat……… |
Panchayat Samiti………….. |
Zila Parishad…………….. |
For the year
Date |
Particulars |
Cash Book Folio No. |
Dr. Amount |
Cr Amount |
Balance Amount |
1 |
2 |
3 |
4 |
5 |
6 |
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Form XXXIII
[See Rule 237]
Register of Revenue Realised
Panchayat……… |
Panchayat Samiti……………….. |
Zila Parishad………………….. |
S. No. |
Name of tax prayer or any other person from whom sums recovered |
Monthly rate if any Rs. |
Arrears of the last year |
Current demand |
Total column (4 & 5) Rs. |
Receipt No. & date and cash book page No. where amount credited |
Amount Rs. |
Total collection |
Amount written off Rs. |
Balance 6-(9+10) Rs. |
Initials of the Secretary |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
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Form XXXIV
[See Rule 239]
Stock Register
Panchayat……… |
Panchayat Samiti……………….. |
Zila Parishad………………….. |
For the year…………
Receipt |
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S. No. |
Date of purchase |
Full Particulars |
Balance in hand |
No. or quantity |
Total |
Cost |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Issue |
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Reference voucher No. |
To whom issued or for what purpose |
No. or quantity issued |
Balance |
Reference of issuing indent No. |
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8 |
9 |
10 |
11 |
12 |
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Form XXXV
[See Rule 239]
Quarterly Statement of Accounts
Panchayat……… |
Panchayat Samiti……………….. |
Zila Parishad………………….. |
For the year…………
Revenue
Account head |
Principal head of Revenue |
Budget head estimate for the year |
Actual revenue during the quarter |
Cumulative up to the end of the quarter |
1 |
2 |
3 |
4 |
5 |
|
As per budget head of Expenditure |
|
|
|
Payments
Account head |
Principal head of Expenditure |
Budget head estimate for the year |
Actual expenditure during the quarter |
Cumulative total up to the end of the quarter |
1 |
2 |
3 |
4 |
5 |
|
As per budget head of Expenditure |
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|
Form XXXVI
[See Rule 246(1)]
Abstract of Annual Account for the year………..
Panchayat……… |
Panchayat Samiti…………… |
Zila Parishad………………….. |
Revenue
Account head No. |
Principal head of Revenue |
Budget Provision |
Actuals |
Savings (-) |
1 |
2 |
3 |
4 |
5 |
|
As per budget head of Expenditure |
|
|
|
Payments
Account head No. |
Principal head of Expenditure |
Budget Provision |
Actuals |
Savings (-) |
1 |
2 |
3 |
4 |
5 |
|
As per budget head of Expenditure |
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Form XXXVII
[See Rule 246(2)]
Statement in Grant-in-aid Received and spent during the year…………
Panchayat……… |
Panchayat Samiti……………….. |
Zila Parishad………………….. |
Sr. No. |
Department |
Name of the Scheme |
Amount received during the year |
Amount spent during the year |
Particulars about completion certificate etc. |
1 |
2 |
3 |
4 |
5 |
6 |
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Form XXXVIII
[See Rule 26(3)]
Statement of Loans Received from…..and Payments made
during the year……
Panchayat……… |
Panchayat Samiti……………….. |
Zila Parishad………………….. |
Sr. No. |
Name of Department to which the loan relates |
Reference No. and date of sanction |
Purpose for which loan was granted |
Dates on which loan which was received |
No. of installments fixed |
Amount received |
Amount that became due for repayment during the year including arrears, if any |
Amount actually repaid |
Balance unpaid installment if adjusted out of gran-in-aid. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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Form XXXIX
[See Rule 246(4)]
List of Works for the Year………..
Panchayat……… |
Panchayat Samiti……………….. |
Zila Parishad………………….. |
For the year…………….
S. No. |
Name of Village |
Particulars of work |
Date of commencement |
Amount sanctioned |
Amount spent |
Other particulars whether carried out departmentally or through contract, date of completion etc. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Form XL
[See Rule 246(5)]
Statement of Assets and Liabilities
Panchayat……… |
Panchayat Samiti……………….. |
Zila Parishad………………….. |
For the year…………….
Liabilities |
Assets |
||
Head |
Amount |
Head |
Amount |
1. Deposits- |
1. Loans (Recoverable) |
||
(1) Security deposits from Government servant. |
………. |
(1) Agriculture |
……….. |
Total |
………. |
Total |
……….. |
2. Loans repayable to the State: |
|
2. Advances: |
|
(1) Agriculture |
|
(1)Miscellaneous Advance |
……….. |
Total |
………. |
Total |
……….. |
3. Other Loans |
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3. Investment |
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4. Bills Payable |
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4. Gran-in-aid |
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5. Un—utilised specific |
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5. Interest accrued on loans |
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Cash balance:…………. |
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(1) In Hand …………. |
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(2) In P.D. Account …………. |
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Total |
……….. |
Total |
……….. |
Grand Total |
………. |
Grand Total |
……….. |
Form XLI
[See Rule 305]
Driver’s Log Bock
Panchayat………….. |
Zila Parishad…………… |
Vehicle No………..
Date |
Time out |
In |
From |
To |
Route |
K.M. Reading at Commencement of journey |
Details of journey KM Reading at the end of journey |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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Distance travelled in Kms |
Purpose of |
Name of persons or particulars of articles carried |
Authority for making journey |
Petrol/Diesel in litters |
Supplies Lubricating oil in litters |
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9 |
10 |
11 |
12 |
13 |
14 |
||
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Signature of user |
Recoveries to the effected if any Rate |
Amount |
Signature of Controlling Officer |
Remarks |
|||
16 |
17 |
18 |
19 |
20 |
|||
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Form XLII
[See Rule 305]
Stock Register
Panchayat………….. |
Zila Parishad…………… |
Vehicle No………..
Date |
Petrol/Diesel/Power Line |
Oil |
Spares and replacement |
Repair |
Miscellaneous |
Purchase Price |
Remark |
1 |
2 |
3 |
4 |