ßç:i&4Þ

¼fu;e 26½
ukekadu i=
in dk uke & iap@ljiap@lnL; iapk;r lfefr@lnL; ftyk ifj"kn~ ¼fVd dk fu’kku (√) yxk,a½a -----------------------------------------
xzke iapk;r@iapk;r lfefr@ftyk ifj"kn~ dk uke ---------------------------------------------------------------------------------------------------------------------------------------
okMZ la[;k ¼iap] xzke iapk;r rFkk lnL; iapk;r lfefr@lnL; ftyk ifj"kn~ gsrq½ ------------------------------------------------------------------------
mEehnokj dk uke ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
firk vFkok ifr dk uke -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
vk;q ------------------------------------------ O;olk; --------------------------------------------------------------------------------------------------------------------------------------------------------------------------
irk-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
eksckbZy la[;k -------------------------- bZ&esy vkbZ0Mh0 -----------------------------------------------------------------------------------------------------------------------------------------------
blls iwoZ yM+s x, pqukoksa dh la[;k] ;fn dksbZ gks-------------------------------------------------------------------------------------------------------------------------------------------
tgka mEehnokj vuqlwfpr tkfr @fiNMk oxZ ¼d½ dk lnL; gS] rks og fo’ks"k tkfr ftlls lEcfU/kr gS%&
{ks= ls lEcfU/kr fuokZpu ukekoyh ij mEehnokj dh la[;k -------------------------------------------------------------------------------------------------------------------------------
mEehnokj }kjk ?kks"k.kk
eSa blds }kjk ?kks"k.kk djrk g¡@ w djrh g¡w fd eSa ljiap@iap@lnL;] iapk;r lfefr@lnL;] ftyk ifj"kn~ ds fuokZpu
ds fy;s mEehnokj ds :i esa Lo;a ukekafdr gks x;k g¡w @gks xbZ g¡wA
eSa vkxs ?kks"k.kk djrk g¡w@djrh gw¡ fd eSa uhps vfHkdfFkr rFkk gfj;k.kk iapk;rh jkt vf/kfu;e] 1994 ¼1994 dk 11½ dh
/kkjk 175 esa nhs xbZ dksbZ v;ksX;rk ugha j[krk gw¡@j[krh g¡Aw
dksbZ Hkh O;fDr fdlh xzke iapk;r dk ljiap vFkok iap vFkok fdlh iapk;r lfefr vFkok ftyk ifj"kn~ dk lnL;
ugha gksxk vFkok bl :i esa ugha cuk jgsxk tks-&
¼d½ bl vf/kfu;e ds izkjEHk ls iwoZ vFkok ckn esa %&
(i) tc rd mldks fl)nks"kh ls ikap o"kZ dh vof/k vFkok ,slh de vof/k tks ljdkj fdlh fof’k"V ekeys esa
vuqKkr djs] chr u xbZ gks] flfoy vf/kdkj laj{k.k vf/kfu;e] 1955 ¼1955 dk dsUnzh; vf/kfu;e 22½ ds
v/khu fdlh vijk/k( vFkok
(ii) tc rd mldh fu;qfDr ikap o"kZ dh vof/k vFkok ,slh de vof/k tks ljdkj fdlh fof’k"V ekeys esa
vuqKkr djs] chr u xbZ gks] fdlh vU; vijk/k dk fl)nks"k u gks x;k gks vkSj de ls de
N% ekl ds dkjkokl ls nf.Mr jgk gks( vFkok
¼[k½ fdlh l{ke U;k;ky; }kjk fod`r fpr U;k; fu.khZr fd;k x;k gS( vFkok
¼x½ U;k; fu.khZr fnokfy;k gS vkSj mUeqfDr izkIr u dh gks( vFkok
¼?k½ bl vf/kfu;e ds fdlh micU/k ds v/khu fdlh xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ esa vFkok iatkc
xzke iapk;r vf/kfu;e] 1952 ¼1953 dk 4½ rFkk iatkc iapk;r lfefr vf/kfu;e] 1961 ¼1961 dk 3½ ds v/khu
bl vf/kfu;e ds izkjEHk ls iwoZ] fdlh xzke iapk;r] iapk;r lfefr ;k ftyk ifj"kn~ esa mlds }kjk /kkfjr fdlh
in ls gVk fn;k x;k gks] vkSj ,sls gVk;s tkus dh frfFk ls ikap o"kZ dh vof/k u chr xbZ gks] tc rd og
jkti= esa vf/klwfpr fd;s x;s ljdkj ds fdlh vkns’k }kjk in ls ,sls gVk;s tkus ds en~ns mRiUu gksus okyh
v;ksX;rkvksa ls fueqZDr u dj fn;k x;k gks( vFkok
¼M½ bl vf/kfu;e ds fdlh micU/k ds v/khu in /kkj.k djus ls v;ksX; gks x;k gks vkSj vof/k] ftlds fy;s og
bl izdkj v;ksX; gks x;k gks] chr u xbZ gks( vFkok
¼p½ fdlh xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ esa fdlh oSrfud in vFkok ykHk dk in /kkj.k djrk gS(
vFkok
¼N½ xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ ds vkns’k }kjk fd;s x;s fdlh dk;Z esa Lo;a dk ;k mlds
Hkkxhnkj dk izR;{k ;k vizR;{k :i ls dksbZ va’k ;k fgr gS( ;k
¼t½ fdlh xzke iapk;r ds fdlh vf/kdkjh ;k lsod ls vfxze ;k m/kkj fy;s x;s /ku ds fdlh laO;okgkj esa Lo;a dk
vFkok mlds Hkkxhnkj dk izR;{k ;k vizR;{k :Ik ls dksbZ va’k ;k fgr gS( vFkok
¼>½ xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ ;k mlds v/khuLFk dksbZ xzke iapk;r] iapk;r lfefr vFkok
ftyk ifj"kn~ dk mlds }kjk ns; fdlh izdkj dk dksbZ cdk;k vFkok bl vf/kfu;e ds v/;k;ksa rFkk micU/kksa ds
vuqlkj mlls olwyh ;ksX; dksbZ jkf’k] bl fufer cuk;s x;s fu;eksa ds vuqlkj ml ij rkehy fd;s x;s fdlh
uksfVl ds Ik’pkr] rhu ekl ds Hkhrj Hkqxrku djus esa vlQy jgrk gS( vFkok
¼¥½ ljdkj dk lsod gS vFkok fdlh LFkkuh; izkf/kdj.k dk lsod gS( vFkok
¼V½ LosPNk ls fdlh fons’kh jkT; dh ukxfjdrk vftZr dj yh xbZ gS( vFkok fdlh fons’kh jkT; dh lR;fu"Bk
vFkok fu"Bk dh fdlh vfHkLohd`fr ds v/khu gS( vFkok
¼B½ bl vf/kfu;e ds fdlh vU; micU/kksa ds v/khu v;ksX; gS rFkk vof/k] ftlds fy;s og bl izdkj v;ksX; fd;k
x;k Fkk chr ugha xbZ gS( vFkok
 2

¼M½
xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ ds v/khu iV~Vs ds fy;s fdlh vfHk?k`fr dk /kkjd] vfHk/kkjh ;k
iV~Vk/kkjh gS vFkok mldh vksj xzke iapk;r] iapk;r lfefr ;k ftyk ifj"kn~ ds v/khu /kkfjr fdlh iV~Vs ;k
vfHk?k`fr ds fdjk;s ds cdk;k gS( vFkok
¼<½ fuokZpu dh frfFk ls iwoZorhZ ,d o"kZ dh vof/k ds nkSjku xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ ls
lEcfU/kr Hkwfe ;k vU; vpy lEifr dk vizkf/kd`r dCtk gS vFkok j[krk gS( vFkok
¼.k½ ljiap ;k iap ;k iapk;r lfefr vFkok fdlh ftyk ifj"kn~ dk lnL; gksrs gq;s] fu;eksa ds v/khu vuqKkr ls
vf/kd udnh gkFk esa j[krk gS vkSj fofgr izkf/kdkjh ds fdlh lk/kkj.k ;k fo’ks"k vkns’k ds vuqlj.k esa] mlds
}kjk fofufnZ"V le; ds Hkhrj izfr o"kZ bDdhl izfr’kr dh nj ij C;kt lfgr mls tek ugha djokrk gS( vFkok
¼r½ xzke iapk;r] iapk;r lfefr ;k ftyk ifj"kn~ dk ljiap ;k iap vFkok dksbZ v/;{k] mik/;{k] iz/kku ;k
mi&iz/kku ;k lnL; gksrs gq;s] xzke iapk;r] iapk;r lfefr ;k ftyk ifj"kn~ ls lEcfU/kr vFkok mlesa fufgr
vfHkys[k rFkk iaft;k rFkk vU; lEifr mldh vfHkj{kk esa gS] rFkk mls fofgr izkf/kdkjh ds fdlh lk/kkj.k ;k
fo’ks"k vkns’k ds vuqlj.k esa] vkns’k esa fofuZfn"V le; ds Hkhrj lkSai ugha nsrk( vFkok
¼Fk½ bl lEcU/k esa mfpr izkf/kdkj ds fcuk xzke iapk;r ds fo:) nkok eku ysrk gS(
¼n½ ukekadu Hkjrs le; feF;k tkfr izek.k&i= izLrqr djrk gS%
ijUrq [k.M ¼Fk½ rFkk ¼n½ ds v/khu ,slh fujZgrk N% o"kZ dh vof/k ds fy, gksxhA
O;k[;k 1 %& dksbZ Hkh O;fDr [k.M ¼N½ ds v/khu fdlh xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ dh lnL;rk
ds fy;s dsoy bl dkj.k ls v;ksX; ugha gksxk fd ,slk O;fDr %&
¼d½ fdlh la;qDr LVkd dEiuh esa 'ks;j j[krk gS vFkok ml le; ykxw fdlh fof/k ds v/khu fdlh iathd`r
lkslk;Vh esa dksbZ va’k ;k fgr j[krk gS] tks xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ esa lafonk djsxk
rFkk mlds }kjk vFkok mlds fufer fu;ksftr fd;k tk;sxk( vFkok
¼[k½ fdlh lekpkj i= esa dksbZ 'ks;j ;k fgr j[krk gS ftlesa fdlh xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~
ds dk;Z dykikas ds lEcU/k esa dksbZ foKkiu izfrLFkkfir fd;k tk;s( vFkok
¼x½ fdlh xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ }kjk ;k mldh vksj ls fy;s x;s fdlh _.k esa fdlh
fMcsUpj dk /kkjd gS ;k vU;Fkk lEcU/k gS( vFkok
¼?k½ ,d fof/k O;olk;h ds :i esa fdlh xzke iapk;r] iapk;r lfefr ;k ftyk ifj"kn~ dh vksj ls O;olkf;d :i esa
yxk gqvk gS( vFkok
¼M½ vpy lEifr ds fdlh iV~Vs esa] ftlesa mlds vius ekeys esa fdjk;s dh jkf’k dk vuqeksnu xzke iapk;r] iapk;r
lfefr vFkok ftyk ifj"kn~ }kjk fd;k x;k gS vFkok vpy lEifr ds foØ; ;k Ø; esa] vFkok ,sls iV~Vs] foØ;
;k dz; ds fdlh djkj esa] dksbZ 'ks;j vFkok fgr j[krk gS( vFkok
¼p½ fdlh oLrq ds xzke iapk;r] iapk;r lfefr vFkok ftyk ifj"kn~ dks ;nk&dnk fd;s tkus okys fodz; ftlesa og
fu;fer :i esa O;kikj djrk gS] ;k fdlh oLrq dk xzke iapk;r ls Ø; esa ftldk ewY; nksuksa esa ls fdlh Hkh
n’kk esa fdlh o"kZ esa ,d gtkj #Ik;s ls vf/kd ugha gksxk] 'ks;j ;k fgr j[krk gSA
O;k[;k 2 %& dksbZ Hkh O;fDr] ;fn mlus mEehnokjksa ds ukekadu ds fy;s fofgr fnu ls iwoZ mijksDr [k.M ¼>½ esa fufnZ"V
cdk;k jkf’k dk Hkqxrku dj fn;k gS] rks v;ksX; ugha le>k tk;sxkA

frfFk --------------------------- mEehnokj ds gLrk{kj

&&&&&&&&&&&&
mEehnokj }kjk ?kks"k.kk tks fdlh vuqlwfpr tkfr@fiNMk oxZ ¼,½ dk lnL; gS
eSa blds }kjk ?kks"k.kk djrk@djrh gw¡ fd eSa ------------------------------------------------- tkfr dk@dh lnL; gw¡] tks gfj;k.kk jkT; esa
vuqlwfpr tkfr@fiNM+k oxZ ¼d½ ds :i esa ?kksf"kr dh xbZ gSA

frfFk -------------------------------------- mEehnokj ds gLrk{kj

&&&&&&&&&&&
tkap dk çek.k i=
eSaus mEehnokj dh ik=rk dh tkap dj yh gS vkSj ;g ik;k gS fd og fuokZpu ds fy;s [kM+k gksus ds ;ksX; gS vkSj blfy;s eSa ---
---------------------------------------------- ukekadu i= Lohdkj djrk gw¡
eSus bl ukekadu i= dh tkap dh gS vkSj bls fuEufyf[kr dkj.kks ls jn~n djrk gw¡A
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

frfFk -------------------- ukekadu i= dh tkap djus okys

vf/kdkjh ds gLrk{kj
mEehnokj dks fn;k x;k pquko izrhd ----------------------------------------------------------------------------- gSA

fjVfu±x vf/kdkjh ds gLrk{kj

&&&&&&&&&&&&&&&&

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
¼fjVfu±x vf/kdkjh }kjk Hkjk tkuk½
lqiqnZxh dk çek.k i=
Øe la[;k -------------------------------------------------------------------------------------------------------------------------------------- ;g ukekadu i= eq>s esjs dk;kZYk; ------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- esa ¼frfFk rFkk le;½
--------------------------------------------------------------------------------------------------------------------------------------------------------------liqnZ fd;k x;k gSA

frfFk -------------------- fjVfu±x vf/kdkjh ds gLrk{kj

&&&&&&&&&&&&&&&&&
 3

“iz:i 4&d
¼nsf[k, fu;e 26 ¼3½ rFkk 27½

Ñi;k ;gk¡ viuk

uohure ikliksVZ
vkdkj dk QksVks
fpidk,aAa

xzke iapk;r@iapk;r lfefr@ftyk ifj"kn~ ------------------------------------------ds okMZ la[;k-------------------------Cykd ----------------------------ftyk

--------------------------------------- ds fuokZpu ds fy, fjVfuZax vf/kdkjh ds le{k ukekadu i= lfgr vH;FkhZ }kjk izLrqr fd;k tk,xkA
Hkkx&d
eSa -----------------------------------------------------**iq=@iq=h@iRuh ---------------------------------------------------vk;q------------------o"kZ] tks------------------------------------------
---------------------------------------------------------------¼iwjk Mkd irk of.kZr djsa½ dk@dh fuoklh gw¡ vkSj mijksDr fuokZpu ls vH;FkhZ gw¡] lR;fu"Bk
ls izfrKk djrk@djrh gw¡]wa vkSj ’kiFk ij fuEufyf[kr dFku djrk@djrh gw¡ fd %&
¼1½ eSa ------------------------------------------------------------------------------------------¼**jktuSfrd ny dk uke½ }kjk [kM+k fd;k ;k vH;FkhZ@
**,d Lora= vH;FkhZ ds :i esa yM+ jgk gw¡A
¼**tks ykxw u gks dkV ns½a
¼2½ esjk uke---------------------------------------------------------------------------------¼xzke iapk;r@iapk;r lfefr@ftyk ifj"kn~ dk uke½ esa okMZZ
laa[;k----------------------------dh Øe la[;k--------------------------ij izfo"V gSA
¼3½ esjk laidZ nwjHkk"k la[;k@la[;k,a ----------------------------------------------------------gS@gSa vkSj esjk bZ&esy vkbZMh ¼;fn dksbZ gks½-----
-------------------------------------------------------gS rFkk esjk@esjs lks’ky ehfM;k [kkrk@[kkrs ¼;fn dksbZ gks½fuEufyf[kr gS@gSa%
¼i½ -------------------------------------------
¼ii½ -------------------------------------------
¼iii½ -------------------------------------------
¼4½ LFkkbZ ys[kk la[;k ¼iSu½ ds C;kSjs vkSj vk;dj fooj.kh nk;j djus dh fLFkfr%&
Øe uke LFkkbZ [kkrk foRrh; o"kZ ftlds fy, vk;dj fooj.kh esa nf'kZr
la[;k la[;k vafre vk;dj fooj.kh dqy vk; ¼#Ik, esa½
nk;j dh xbZ gSA
1- Lo;a
2- ifr ;k iRuh
3- vkfJr&1
4- vkfJr&2
5- vkfJr&3
¼5½ yfEcr vkijkf/kd ekeys&
¼i½ eSa ;g ?kks"k.kk djrk@djrh gwWa fd esjs fo:) dksbZ vijkf/kd ekeyk yfEcr ugha gSA ¼;fn vH;FkhZ ds
fo:) dksbZ vijkf/kd ekeyk yfEcr ugha gS] rks bl fodYi ij fu’kku yxk,a vkSj uhps
fodYi ¼ii½ ds lkeus ykxw ugha gksrk gS fy[ksa½A
;k
¼ii½ esjs fo:) fuEufyf[kr vkijkf/kd ekeys yfEcr gaS %&
¼;fn vH;FkhZ ds fo:) vkijkf/kd ekeys yfEcr gSa] rks bl fodYi ij fu’kku yxk,a vkSj mijksDr
fodYi ¼i½ dks dkV nsa vkSj uhps nh xbZ lkj.kh esa lHkh yfEcr ekey¨a dk C;kSjk nsa½
lkj.kh
¼d½ lEc) iqfyl Fkkus ds uke vkSj irs ds
lkFk izFke lwpuk fjiksVZ la[;k
¼[k½ U;k;ky; ds uke lfgr ekeyk la[;k
¼x½ vUrofyZr lEc) vf/kfu;eksa@lafgrkvksa
dh /kkjk,a ¼/kkjk dh la[;k nsa] vFkkZr~
Hkkjrh; naM lafgrk] 1860 vkfn dh
/kkjk-----------½
¼?k½ vijk/k dk laf{kIr fooj.k
¼M+½ D;k vkjksi fojfpr fd;s x;s gSa ¼gka ;k
ugha dk mYys[k djs½a
¼p½ ;fn mijksDr en ¼M-½ ds lkeus mRrj
gka gS] rks og frfFk nsa] ftldks vkjksi
fojfpr fd;s x;s FksA
¼N½ D;k dk;Zokfg;ksa ds fo:) dksbZ
vihy@iqujh{k.k ds fy, vkosnu nk;j
fd;k x;k gSA ¼gka ;k ugha dk mYys[k djsa½
¼6½ nks"kflf) ds ekeys &
¼i½ eSa] ;g ?kks"k.kk djrk@djrh gw¡ fd eq>s fdlh vkijkf/kd ekeys esa nks"kfl) ugha fd;k x;k gS ¼;fn
vH;FkhZ nks"kfl) ugha fd;k x;k rks bl fodYi ij fu’kku yxk,a vkSj uhps fodYi ¼ ii½ ds lkeus ykxw
ugha gksrk gS] fy[ks½a
;k
¼ii½ eq>s uhps of.kZr vijk/kksa ds fy, nks"kfl) fd;k x;k gS%&
¼;fn vH;FkhZ nks"kfl) fd;k x;k gS] rks bl fodYi ij fu’kku yxk,a vkSj mijksDr fodYi¼ i½ dks dkV
nsa] vkSj uhps nh xbZ lkj.kh esa C;kSjs ns½sa
 4

lkj.kh
¼d½ ekeyk la[;k
¼[k½ U;k;ky; dk uke
¼x½ vUrofyZr vf/kfu;eks@ a lafgrkvksa
dh /kkjk,a ¼/kkjk dh la[;k nsa]
vFkkZr Hkkjrh; naM lafgrk] 1860
vkfn dh /kkjk----------------------½
¼?k½ vijk/k dk laf{kIr fooj.k ftuds
fy, nks"kfl) fd;k x;k gSA
¼M½ nks"kflf) ds vkns’kksa dh frfFk;ka
¼p½ vf/kjksfir naM
¼N½ D;k nks"kflf) ds vkns’k ds fo:)
dksbZ vihy nk;j dh xbZ gS
¼gka ;k ugha dk mYys[k djsa½
¼t½ ;fn mijksDr en ¼N½ dk mRrj gka
gS] rks vihy ds C;kSjs rFkk orZeku
fLFkfr ns½a
¼7½ eSau]s Åij iSjk ¼5½] ¼6½ esa fn;s x;s vuqlkj esjs fo:) lHkh yfEcr vkijkf/kd ekeyksa dh vkSj nks"kflf) ds lHkh
ekeyksa ds ckjs esa vius jktuhfrd ny dks iwjh vkSj v|ru lwpuk ns nh gSA
¼vH;fFkZ;ks]a ftUgsa ;g en ykxw ugha gksrh gS] mijksDr iSjk 5¼ i½ vkSj iSjk 6¼i½ dh izfof"V;ksa ds n``f"Vxr] Li"V :i
ls ykxw ugha gksrk gS] fy[kuk pkfg,½
fVIi.k %&
1- C;kSjs Li"V :i ls vkSj lqikB~; :i ls cM+s v{kjksa esa izfo"V fd;s tkus pkfg,A
2- izR;sd en ds lkeus fofHkUu [kkuksa ds v/khu izR;sd ekeys ds fy, C;kSjs fyf[kr :i ls fn;s tk;sAa
3- C;kSjs foykse dkykuqØe esa fn;s tkus pkfg,] vFkkZr~ uohure ekeys igys of.kZr fd, tk;sa vkSj vU;
ekeyksa ds fy, frfFk;ksa ds Øe esa ihNs dh vksj of.kZr fd, tk,aA
4- vfrfjDr ’khV tksM+h tk ldrh gS] ;fn visf{kr gksA
5- vH;kFkhZ 2011 dh fjV ;kfpdk ¼flfoy½ la[;k 536 esa ekuuh; mPpre U;k;ky; ds fu.kZ; dh vuqikyuk
esa lHkh lwpuk,a nsus gsrq mRrjnk;h gSA
¼8½ eSa] esj]s esjs ifr ;k iRuh vkSj lHkh vkfJrksa dh vkfLr;ksa ¼py rFkk vpy bR;kfn½ ds C;kSjs uhps nsrk gw%a
v- py vkfLr;ksa ds C;kSj%s
fVIi.k% 1& la;qDr LokfeRo dh lhek dks minf’kZr djrs gq, la;qDr uke esa vkfLr;ksa dk Hkh fooj.k
fn;k tk,xkA
fVIi.k% 2& tek@fuos’k dh n’kk esa] Øe la[;k] jde] tek dh frfFk] Ldhe] cSad@laLFkk dk uke
vkSj 'kk[kk lfgr C;kSjs fn, tkus gSaA
fVIi.k% 3& lwphc) daifu;ksa ds laca/k esa LVkd ,Dlpstksa esa pkyw cktkj ewY; ds vuqlkj vkSj xSj
lwphc) daifu;ksa dh n’kk esa ys[kkcfg;ksa ds vuqlkj ca/ki=ks@
a ’ks;j fMcsapjksa dk ewY; fn;k
tkuk pkfg,A
fVIi.k% 4& ÞvkfJrÞ ls vfHkizk; gS] vH;FkhZ ds ekrk&firk] iq=@iq =ks]a iq=h@iqf=;ksa vFkok ifr@iRuh
rFkk vH;FkhZ ls lEcfU/kr dksbZ vU; O;fDr pkgs jDr laca/kh ;k fookg }kjk] ftldh fdlh
vU; L=ksrksa ls dksbZ vkenuh ugha gS rFkk vius thou ;kiu gsrq iw.kZ :Ik ls vH;FkhZ ij
fuHkZj gaSA
fVIi.k% 5&jde lfgr C;kSjs izR;sd fuos’k ds laca/k esa i`Fkdr~;k fn, tkus gSaA
Øe fooj.k Lo;a ifr ;k vkfJr&1 vkfJr&2 vkfJr&3
la[;k iRuh
(i) gkFk udnh
(ii) cSad [kkrksa esa tek ds
C;kSjs ¼fu;r tek vkorhZ]
tek] vkof/kd tek vkSj
vU; lHkh izdkj ds tek
ftlesa cpr [kkrs Hkh
’kkfey gSa½ foRrh;
laLFkkvks]a xSj cSafdax
foRrh; daifu;ksa vkSj
lgdkjh lkslkbfV;ksa ds
ikl tek vkSj ,sls
izR;sd tek esa jde
(iii) daifu;ks@ a ikjLifjd
fuf/k;ksa vkSj vU; esa
ca/ki=ks]a fMcsapjks@
a ’ks;jksa
rFkk ;wfuVksa esa fuos’k ds
C;kSjs vkSj jde
(iv) jk"Vªh; cpr ;kstuk]
Mkd cpr chek
ikWfyfl;ksa esa fuos’k ds
 5

C;kSjs vkSj Mkd?kj ;k

chek daiuh esa fdUgha
foRrh; fy[krksa esa fuos’k
vkSj jde
(v) fdlh O;fDr ;k fudk;
ftlesa QeZ] dEiuh]
U;kl bR;kfn lfEefyr
gSa] dks fn, x, oS;fDrd
_.k@ vfxze vkSj
_f.k;ksa ls vU; izkI;
rFkk jde
(vi) eksVj;ku@ok;q;ku@
;kp @ iksr ¼esd
jftLVªdj.k la[;k vkfn
Ø; djus dk o"kZ ds
C;kSjas vkSj jde½
(vii) tsojkr] cqfy;u vkSj
ewY;oku oLrq ¼oLrq,a½
¼Hkkj vkSj ewY; ds C;kSjs
nsa½
(viii) dksbZ vU; vkfLr;ka tSls
fd nkoks@ a fgr dk ewY;
(ix) ldy dqy ewY;
vk- vpy vkfLr;ksa ds C;kSj%s
fVIi.k%1& la;qDr LokfeRo dh lhek dks minf’kZr djus okyh la;qDr LokfeRo esa lEifÙk;ka dks Hkh
minf’kZr fd;k tkuk gSA
fVIi.k%2& izR;sd Hkwfe ;k Hkou ;k vikVZeaVS dk bl QkesZV esa i`Fkdr~;k o.kZu fd;k tkuk pkfg,A
Øe fooj.k Lo;a ifr ;k vkfJr&1 vkfJr&2 vkfJr&3
la[;k iRuh
(i) —f"k Hkwfe % vofLFkfr
¼vofLFkfr;ka½
loZs{k.k la[;k ¼la[;k,a½
{ks= ¼,dM+ esa dqy eki½
D;k fojklr esa vkbZ
lEifRr gS ¼gka ;k ughaa½
LokftZr lEifRr dh n’kk
esa Ø; dh frfFk
Ø; ds le; Hkwfe dh
ykxr ¼Ø; dh n’kk esa½
fodkl] lafuekZ.k bR;kfn
ds ek/;e ls Hkwfe ij
dksbZ fuos’k
vuqekfur pkyw cktkj
ewY;
(ii) xSj —f"k Hkwfe % vofLFkfr
¼vofLFkfr;ka½ loZs{k.k
la[;k ¼la[;k,a½
{ks= ¼oxZ QqV esa dqy
eki½
D;k fojklr esa vkbZ
laifr gS ¼gka ;k ughaa½
LokftZr laifr dh n’kk
esa Ø; dh frfFk
Ø; ds le; Hkwfe dh
ykxr ¼Ø; dh n’kk esa½
fodkl] lafuekZ.k bR;kfn
ds ek/;e ls Hkwfe ij
dksbZ fuos’k
vuqekfur pkyw cktkj
ewY;
(iii) okf.kfT;d Hkou
¼vikVZeaVs lfgr½
vofLFkfr ¼vofLFkfr;ka½
loZs{k.k la[;k ¼la[;k,½
{ks= ¼oxZ QqV esa dqy
eki½
 6

fufeZr {ks= ¼oxZ QqV esa

dqy eki½
D;k fojklr esa vkbZ
lEifÙk gS ¼gka ;k ughaa½
LokftZr laifr dh n’kk
esa Ø; dh frfFk
Ø; ds le; lEifÙk dh
ykxr ¼Ø; dh n’kk esa½
fodkl] lafuekZ.k bR;kfn
ds ek/;e ls lEifÙk ij
dksbZ fuos’k
vuqekfur pkyw cktkj
ewY;
(iv) vkoklh; Hkou ¼vikVZeV sa
lfgr½%&
vofLFkfr
¼vofLFkfr;ka½&loZs{k.k
la[;kad ¼la[;k,a½
{ks= ¼oxZ QqV esa dqy
eki½
fufeZr {ks= ¼oxZ QqV esa
dqy eki½
D;k fojklr esa vkbZ
laifÙk gS ¼gka ;k ughaa½
LokftZr laifÙk dh n’kk
esa Ø; dh frfFk
Ø; ds le; lEifRr dh
ykxr ¼Ø; dh n’kk esa½
fodkl] lafuekZ.k bR;kfn
ds ek/;e ls Hkwfe ij
dksbZ fuos’k
vuqekfur pkyw cktkj
ewY;
(v) vU; ¼tSls fd laifÙk esa
fgr½
(vi) iwokZsDr (i) ls (v) dk dqy
pkyw cktkj ewY;
¼9½ eSa] yksd foRrh; laLFkkvksa vkSj ljdkj ds izfr nkf;Roks@ a ns;ksa ds C;kSjs uhps nsrk gw¡%&
¼fVIi.k% d`i;k cSad] laLFkk] fudk; ;k O;f"Vd ds uke vkSj muesa izR;sd en ds le{k jde ds C;kSjksa dk
vyx&vyx fooj.k ns½a
Øe fooj.k Lo;a ifr ;k vkfJr&1 vkfJr&2 vkfJr&3
la[;k iRuh
(i) cSad@foRrh;
laLFkk¼laLFkkvksa½ dks _.k ;k
ns; cSad ;k foRrh; laLFkk
dk uke] cdk;k jde] _.k
dh fdLe
iwokZsDr of.kZr ls fHkUu
fdUgha vU; O;f"Vdks]a
fudk; dks _.k ;k ns;
uke] cdk;k jde] _.k dh
fdLe
dksbZ vU; nkf;Ro
nkf;Roksa dk dqy ;ksx
(ii) ljdkjh ns;% ¼v½ D;k vfHklk{kh orZeku fuokZpu dh vf/klwpuk gka@ugha
ljdkjh vkokl ls lacaf/kr dh frfFk ls iwoZ fiNys nl o"kZ ds nkSjku ¼d`i;k
foHkkxksa dks ns; fdlh Hkh le; ljdkj }kjk miyC/k djk, mi;qDr
x, vkokl ds vf/kHkksx esa gSa\ fodYi ij
¼vk½ ;fn mijksDr ¼v½ dk mRrj gka gS] rks fu’kku
fuEufyf[kr ?kks"k.kk izLrqr djsa] vFkkZr~%& yxk,a½
¼i½ ljdkjh vkokl dk irk%
----------------------------------------------------------------------------
----------------------------------------------------------------------------
----------------------------------------------------------
¼ii½ mijksDr ljdkjh vkokl ds laca/k esa]
fuEufyf[kr esa ls dksbZ Hkh ns; Hkqxrku
 7

;ksX; ugha gS%&

¼d½ HkkVd (
¼[k½ fo|qr izHkkj (
¼x½ ty izHkkj vkSj
¼?k½ ------------¼frfFk½ dks VsyhQksu izHkkj
¼frfFk ml ekl ls] ftlesa fuokZpu
vf/klwfpr fd;k tkrk gS] ls rhu
ekl iwoZ dh vafre frfFk ;k mlds
i’pkr~ dh dksbZ frfFk gksuh pkfg,½
fVIi.k-& mijksDr ljdkjh vkokl ds fy,
HkkVd] fo|qr izHkkj] ty izHkkj
vkSj VsyhQksu izHkkj dh ckcr
lEc) vfHkdj.kksa ls ^^csckdh
izek.ki=** izLrqr fd;k tkuk
pkfg,A
(iii) ljdkjh ifjogu ls lacaf/kr
foHkkx dks ns; ¼ftlesa
ok;q;ku vkSj gsyhdkWIVj Hkh
’kkfey gS½
Lo;a ifr ;k vkfJr 1 vkfJr 2 vkfJr 3
iRuh
(iv) vk; dj ns;
(v) Ekky vkSj lsok dj ns;

(vi) iapk;r@laifÙk dj ns;

(vii) dksbZ vU; ns;
(viii) lHkh ljdkjh ns;ksa dk dqy
;ksx
(ix) D;k dksbZ vU; nkf;Ro
fooknxzLr gS] ;fn ,slk gS
rks mlesa varofyZr jde
vkSj izkf/kdkjh dk] ftlds
le{k og yafcr gS] dk
mYys[k djsaA
¼10½ o`fRr ;k mithfodk ds C;kSjs &
¼d½ Lo;a -------------------------------------------
¼[k½ ifr ;k iRuh ---------------------------
¼11½ vk; ds L=ksrksa ds C;kSjs&
¼d½ Lo;a -------------------------------------------
¼[k½ ifr ;k iRuh ---------------------------
¼x½ vkfJrksa dh vk; ds lzksrksa] ;fn dksbZ gks -------------------------------------------------
¼12½ leqfpr ljdkj vkSj fdlh lkoZtfud dEiuh ;k dEifu;ksa ds lkFk lafonk,a &
¼d½ vH;FkhZ }kjk dh xbZ lafonkvksa ds C;kSjs ------------------------------------------------------------
¼[k½ ifr ;k iRuh }kjk dh xbZ lafonkvksa ds C;kSjs -------------------------------------------------
¼x½ vkfJrksa }kjk dh xbZ lafonkvksa ds C;kSjs -----------------------------------------------------------
¼?k½ fganw vfoHkDr dqVacq ;k U;kl] ftlesa vH;FkhZ ;k mldk ifr ;k iRuh ;k vkfJr fgrc) gSa] }kjk dh xbZ
lafonkvksa ds C;kSjs ----------------------------------------------------
¼³½ Hkkxhnkjh QeZ }kjk dh xbZ lafonk,a ftlesa vH;FkhZ ;k ifr ;k iRuh ;k vkfJr Hkkxhnkj gSa] ds
C;kSjs --------------------
¼p½ izkbosV dEifu;ksa }kjk dh xbZ lfonakvks]a ftlesa vH;FkhZ ;k mldk ifr ;k iRuh ;k vkfJr Hkkxhnkj gSa]
ds C;kSjs---------------------------------------------------------------------------A
¼13½ esjh 'kS{kf.kd vgZrk uhps fn, vuqlkj gS%&
--------------------------------------------------------------------------------------------------------------------------------------
¼izek.ki=@fMIyksek@fMxzh ikB;Øe ds iw.kZ iz:i dk mYys[k djrs gq, mPpre fo|ky;@fo’ofo|ky; f’k{kk
ds C;kSjs nsrs gq, fo|ky;@egkfo|ky;@fo’ofo|ky; dk uke vkSj o"kZ ftlesa ikB;Øe iwjk fd;k x;k Fkk] dk
C;kSjk nsa½
Hkkx&vk
¼14½ Hkkx&v ds ¼1½ ls ¼13½ rd esa fn, x, C;kSjksa dk m)j.k%&
1- vH;FkhZ dk uke Jh@Jherh@dq-
2- Mkd dk iwjk irk
3- okMZ la[;k rFkk xzke iapk;r@iapk;r
lfefr@ftyk ifj"kn~ dk uke
4- jktuSfrd ny dk uke ftlus vH;FkhZ dks
[kM+k fd;k gS ¼vU;Fkk Lora= fy[ksa½
5- yafcr vkijkf/kd ekeyksa dh dqy la[;k
6- ,sls ekeyksa dh dqy la[;k ftuesa nks"kfl)
 8

Bgjk;k x;k gS
7- --------------------dh o"kZ ftlds fy, vafre dqy n’kkZbZ xbZ vk;
LFkk;h ys[kk la[;k vk; dj fooj.kh nk;j
dh xbZ gS
vH;FkhZ
ifr ;k iRuh
vkfJr
8- vkfLr;ksa vkSj nkf;Roksa ds C;kSjs ¼:i, esa½
fooj.k Lo;a ifr ;k vkfJr 1 vkfJr 2 vkfJr 3
iRuh
v py vkfLr;ka
¼dqy ewY;½
vk vpy vkfLr;ka
(i) LokftZr vpy laifr dh Ø;
dher
(ii) Ø; ds Ik’pkr~ vpy laifr dh
fodkl@ lafuekZ.k ykxr ¼;fn
ykxw gks½
(iii) vuqekfur orZeku cktkj dher%
¼d½ LokftZr lEifr ¼dqy ewY;½
¼[k½ fojklrh vkfLr;ka
¼dqy ewY;½
9- nkf;Ro
(i) ljdkjh ns;
¼dqy½
(ii) cSad] foRrh; laLFkkvksa vkSj vU;
ls _.k ¼dqy½
10- ,sls nkf;Ro tks fooknk/khu gS
(i) ljdkjh ns;
(ii) cSad] foRrh; laLFkkvksa vkSj
vU; ls _.k ¼dqy½
11- mPpre 'kSf{kd vgZrk&
¼izek.ki=@fMIyksek@fMxzh ikB;Øe ds iw.kZ iz:i dk mYys[k djrs gq, mPpre
fo|ky;@fo’ofo|ky; f’k{kk] fo|ky;@egkfo|ky;@fo’ofo|ky; dk uke vkSj o"kZ ftlesa
ikB~;Øe iwjk fd;k x;k Fkk] dk C;kSjs nsa½
lR;kiu
eSa] mijksDr ukfer vfHklk{kh] blds }kjk] lR;kiu vkSj ?kks"k.kk djrk g¡w @djrh g¡w fd bl 'kiFki= dh fo"k;&oLrq
esjh lokZsre tkudkjh vkSj fo’okl ds vuqlkj lR; vkSj lgh gS vkSj bldk dksbZ Hkkx feF;k ugha gS rFkk blesa dksbZ rkfRod
rF; fNik;k ugha x;k gSA eSa ;g Hkh ?kks"k.kk djrk g¡w fd%
¼d½ esjs fo:) mijksDr Hkkx v vkSj vk ds en 5 vkSj 6 esa mYysf[kr nks"kflf) dk ekeyk ;k yafcr ekeys ls
fHkUu dksbZ nks"kflf) dk ekeyk yafcr ugha gSA
¼[k½ esj]s esjs ifr ;k iRuh ;k esjs vkfJrksa ds ikl mijksDr Hkkx&v dh en 8 vkSj 9 esa rFkk Hkkx vk ds
en 8] 9 vkSj 10 esa mYysf[kr ls fHkUu dksbZ Hkh vkfLr;ka;k nkf;Ro ugha gSA
vkt ----------------------20------------------ds--------------------fnu dks ----------------------dks lR;kfir fd;k x;kA

vfHklk{kh
--------------------------------------------------------------------------------------------------------------------------------------------------------------
fVIi.k% 1 ’kiFki=@?kks"k.kk ukekadu Hkjus dh frfFk dks 3 cts ls igysrd nk;j fd;k tkuk pkfg,A
fVIi.k% 2 iapk;r lfefr rFkk ftyk ifj"kn~ ds lnL; ds pquko yM+ jgs vH;FkhZ ds ekeys esa izFke Js.kh eSftLVªsV
vFkok uksVjh ifCyd vFkok mPp U;k;ky; }kjk fu;qDr ’kiFk vk;qDr vFkok {ks= ds vf/kdkfjrk j[kus
okys mie.My vf/kdkjh ¼flfoy½@rglhynkj@uk;c rglhynkj ¼ftls dk;Zdkjh eSftLVªsV dh
'kfDr;ka iznku dh xbZ gksa½ ds le{k 'kiFk yh tkuh pkfg,A
fVIi.k% 3 xzke iapk;r ds iap rFkk ljiap ds in ds fy; pquko yM+ jgs vH;FkhZ ds ekeys esa ml }kjk lwpuk
lkns dkxt ij rS;kj djds nsuh gksxhA
fVIi.k% 4 lHkh [kkuksa dks Hkjk tkuk pkfg, vkSj dksbZ [kkuk [kkyh u NksM A+sa ;fn fdlh en ds laca/k esa izLrqr
djus gsrq dksbZ tkudkjh ugha gS] rks ;k rks Þ’kwU;Þ ;k Þykxw ugha gksrkß] ;k ÞKkr ugha gS]ß tSlh Hkh
fLFkfr gks] mfYyf[krfd;k tkuk pkfg,A
fVIi.k% 5 ’kiFki= Vafdr ;k lqikB~; :Ik ls lkQ&lkQ fyf[kr gksuk pkfg,A**A

iz#i 4&[k
¼nsf[k;s fu;e 26 ¼4½ rFkk 27½

--------------------------------------------¼xzke iapk;r@iapk;r lfefr@ftyk ifj"kn~ dk uke] okMZ la[;k%& ---------------------CykWd--

---------------------ftyk ----------------------------------dks fuokZpu ds fy, fjVjfuax vkfQlj ds le{k mEehnokj }kjk ukekadu
i= vkSj iz#i&4 d lfgr 'kiFk i= izLrqr fd;k tk,xkA
 9

eS----------------------------------------------iq=@iq=h@iRuh----------------------- vk;q------------------------ o"kZ------------ ¼iwjk Mkd irk of.kZr djs½a

dk@dh fuoklh gwa mijksDr fuokZpu ls mEehnokj gw]a lR;fu"Bk ls izfrKk djrk gwa@djrh gw]a vkSj 'kiFk ij
fuEufyf[kr dFku djrk gw@ a djrh gwa%&
¼1½ eSa--------------------¼jktuSfrd ny dk uke½ }kjk [kM+k fd;k x;k mEehnokj gwa@Lora= mEehnokj ds
#i esa yM+ jgk gwa@jgh gwAa
¼tks ykxw u gks mls dkV ns½a
¼2½ esjk uke -----------------------------------------------------¼xzke iapk;r@iapk;r lfefr@ftyk ifj"kn~ dk uke½] okMZ
la[;k--------------------esa Øe la[;k ------------------ij gSA
¼3½ esjk lEidZ@VsyhQksu ua0 --------------------gS vkSj esjk bZ&esy vkbZ Mh ¼;fn dksbZ gksa½ --------------------------gSA
¼4½ ;g fd eSaus gfj;k.kk iapk;rh jkt vf/kfu;e] 1994 dh /kkjk 175 esa ;Fkk vf/kdfFkr ds v/khu
fuEu v;ksX;rk izkIr ugh dh gS%&
¼d½ eSa fdlh ,sls vijkf/kd ekeys tks nl o"kZ ds dkjkokl ls de n.Muh; ugha gS] esa
fl}nks'k ugha fd;k x;k gwa vkSj esjs fo#} vkjksi Hkh ugh yxk, x;s gSA
¼[k½ eSa fdlh izkFkfed —f"k lgdkjh lkslkbZVh] ftyk dsUnzh; lgdkjh cSad rFkk ftyk
izkFkfed lgdkjh —f"k xzkeh.k fodkl cSad ds mldh vkSj fdlh izdkj ds ns; ds
fdUgha cdk;ksa dk Hkqxrku djus esa vlQy ugha jgk gwaA dfFkr la[;k laLFkkvkas ls
vkns; izek.k i= layXu gSA
¼x½ eSa fctyh fcykssa ds cdk;ksa dk Hkqxrku djus esa vlQy ugha jgk gwa] lEcfU/kr fon~;qr
mi;ksx dk vkns; izek.k i= layXu gSA
¼?k½ eSaus fdlh ekU;rk izkIr@cksMZ ls eSfVªd ijh{kk ;k blds ijh{kk ikl dh gSA
;k
eSaus feMy d{kk ikl dh gSaA
¼fdlh efgyk mEehnokj ;k vuqlwfpr tkfr ls lEcfU/kr mEehnokj dh n’kk esa½
;k
eSaus ikapoh d{kk ikl dh gSaA
¼iap ds in ds fy, fuokZpu yM+ jgh vuqlwfpr tkfr ls lEcfU/kr efgyk mEehnokj dh
n’kk esa½ lEc} laLFkk@cksMZ }kjk tkjh izek.k i= dh lgh lR;kfir izfr layXu gSA
¼M+½ esjs fuokl LFkku ij dk;Z’khy 'kkSpky; gSA

vfHklk{kh

lR;kiu
eSa] mij ukfer] vfHklk{kh] bldh }kjk ;g lR;kiu vkSj ?kks"k.kk djrk gw@
a djrh gwa fd bl 'kiFk
i= dh fo"k;&oLrq esjh lokSRre tkudkjh vkSj fo’okl ds vuqlkj lR; vkSj lgh gS vkSj bldk dksbZ Hkkx
feF;k ugha gS vkSj blesa ls dksbZ rkfRod rF; ugha fNik;k x;k gSA

vfHklk{kh

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
fVIi.k 1%& 'kiFk i=@?kks"k.kk] ukekdau Hkjus ds vafre fnuk dks 3 cts ls igys rd QkbZy fd;k tkuk
pkfg,A
fVIi.k 2%& iapk;r lfefr rFkk ftyk ifj"kn~ lnL; ds pquko yM+ jgs mEehnokj ds ekeys esa tks izFke
Js.kh eSftLVªVs vFkok uksVjh ifCyd vFkok mPp U;k;ky; }kjk fu;qDr 'kiFk vk;qDr vFkok
{ks= dh vf/kdkfj;rk j[kus okys mie.My vf/kdkjh ¼uk0½@rglhynkj@uk;c rglhynkj
 10

¼ftls dk;Zdkjh eftLVªsV dh 'kfDr;ka iznku dh xbZa gks½a ds lEeq[k 'kiFk&i= ij izLrqr dh
tk,xhA
fVIi.k 3%& xzke iapk;r ds iap rFkk lajiap ds in ds fy, pquko yM+ jgs mEehnokj ds ekeys esa ml
}kjklwpuk lkns dkxt ij rS;kj djds nsuh gksx a hA
fVIi.k 4%& lHkh dkWye Hkjsa tkus pkfg,a vkSj dksbZ dkWye [kkyh u NksMA+s ;fn fdlh en ds laca/k esa
dksbZ tkudkjh ugha gS rks 'kwU; ;k ykxw ugh gksrk tSlh Hkh fLFkfr gks]a mfYyf[kr fd;k tkuk
pkfg,A
fVIi.k 5%& 'kiFk i=@?kks"k.kk ;k rks Vafdr ;k lqikB; rFkk lkQ&lkQ fy[kh gksuh pkfg,A

------------------

9901—S.E.C.—H.G.P., Pkl.
 “FORM – 4”
(rule 26)
NOMINATION PAPER
Name of Post –Panch/Sarpanch/Member, Panchayat Samiti/Member, Zila Parishad (mark tick) (√)
Name of the Gram Panchayat/Panchayat Samiti/Zila Parishad________________________________________________
Ward No (for Panch, Gram Panchayat and Member Panchayat Samiti/Zila Parishad) _____________________________
Name of candidate _________________________________________________________________________________
Father’s or Husband’s name__________________________________________________________________________
Age___________________Occupation_________________________________________________________________
Address__________________________________________________________________________________________
Mobile No. _______________________ E-mail Id _______________________________________________________
Number of Election contested earlier, if any _____________________________________________________________
Where the candidate is a member of the Scheduled Caste/Backward Class-A, the particular caste to which the candidate
belongs: ________________________________________________________________________________________
_______________________________________________________________________________________________
Number of the candidate on the electoral roll pertaining to the area _________________________________________

DECLARATION BY CANDIDATE
I hereby declare that I have nominated myself as a candidate for the election of Sarpanch/Panch/Member,
Panchayat Samiti/Member Zila Parishad.
I further declare that I have not incurred any of the disqualifications, laid down as under and in section 175 of the
Haryana Panchayati Raj Act, 1994 (11 of 1994).
No person shall be a Sarpanch or a Panch of a Gram Panchayat or a member of a Panchayat Samiti or Zila
Parishad or continue as such who-
(a) has, whether before or after the commencement of the Act, been convicted,-
(i) of an offence under the Protection of Civil Rights Act, 1955 (central Act 22 of 1955), unless a period
of five years, or such lesser period as the Government may allow in any particular case, has elapsed
since his conviction; or
(ii) of any other offence and been sentenced to imprisonment for not less than six months, unless a
period of five years, or such lesser period as the Government may allow in any particular case, has
elapsed since his release; or
(b) has been abjudged by a competent Court to be of unsound mind; or
(c) has been abjudicated an insolvent and has not obtained his discharge; or
(d) has been removed from any office held by him in a Gram Panchayat, Panchayat Samiti or Zila Parishad
under any provision of the Act or in a Gram Panchayat, Panchayat Samiti or Zila Parishad before the
commencement of the Act under the Punjab Gram Panchayat Act, 1952 (4 of 1953) and Punjab Panchayat
Samiti Act, 1961 (3 of 1961), and a period of five years has not elapsed from the date of such removal,
unless he has, by an order of the Government notified in the Official Gazette been relieved from the dis-
qualifications arising on account of such removal from office; or
(e) has been disqualified from holding office under any provision of the Act and period for which he was so
disqualified has not elapsed; or
(f) holds any salaried office or office of profit in any Gram Panachayat, Panchayat Samiti or Zila Parishad;
(g) has directly or indirectly, by himself or his partner any share or interest in any work done by order of the
Gram Panchayat, Panchayat Samiti or Zila Parishad;
(h) has directly or indirectly, by himself or his partner share or interest in any transaction of money advanced
or borrowed from any officer or servant or any Gram Panchayat; or
(i) fails to pay any arrears of any kind due by him to the Gram Panchayat, Panchayat Samiti or Zila Parishad or
any Gram Panchayat, Panchayat Samiti or Zila Parishad subordinate thereto or any sum recoverable from
him in accordance with the provisions of the Act, within three months after a special notice in accordance
with the rules made in this behalf has been served upon him;
(j) is servant of Government or a servant of any Local Authority; or
(k) has voluntarily acquired the citizenship of a Foreign State or is under any acknowledgement of allegiance or
adherence to a Foreign State; or
(l) is disqualified under any other provision of this Act and the period for which he was so disqualified has not
elapsed; or
(m) is a tenant or lessee holding a lease under the Gram Panchayat , Panchayat Samiti or Zila Parishad or is in
arrears of rent of any lease or tenancy held under the Gram Panchayat, Panchayat Samiti or Zila Parishad;
or
(n) is or has been during the period of one year preceeding the date of election, in unauthorized possession of
land or other immovable property belonging to the Gram Panchayat, Panchayat Samiti or Zila Parishad; or
(o) being a Sarpanch or Panch or a member of Panchayat Samiti or a Zila Parishad has cash in hand in excess
of that permitted under the rules and does not deposit the same alongwith interest at the rate of twenty one
 2

percentum per year in pursuance of a general or special order of the prescribed authority within the time
specified by it; or
(p) being a Sarpanch or Panch or a Chairman, Vice-Chairman or Member, President or vice President or
member of Panchayat Samiti or Zila Parishad has in his custody prescribed records and registers and other
property belonging to, or vested in, Gram Panchayat, Panchayat Samiti or Zila Parishad and does not hand
over the same in pursuance of a general or special order of the prescribed authority within the time specified
in the order;
(q) admits the claim against Gram Panchayat without proper authorization in this regard;
(r) furnishes a false caste certificate at the time of filing nomination:
Provided that the disqualifications under clauses (q) and (r) shall be for a period of six years.
Explanation 1.- A person shall not be disqualified under clause (g) for membership of a Gram Panchayat, Panchayat
Samiti or Zila Parishad by reason only of such person –
(a) having share in any joint stock company or a share or interest in any society registered under any law for
the time being in force which shall contract with or be employed by or on behalf of Gram Panchayat,
Panchayat Samiti or Zila Parishad; or
(b) having a share or interest in any newspaper in which any advertisement relating to the affairs of a Gram
Panchayat, Panchayat Samiti or Zila Parishad may be inserted; or
(c) holding a debenture or being otherwise concerned in any loan raised by or on behalf of any Gram
Panchayat, Panchayat Samiti or Zila Parishad; or
(d) being professionally engaged on behalf of any Gram Panchayat, Panchayat Samiti or Zila Parishad as a
Legal Practitioner; or
(e) having any share or interest in any lease of immovable property in which the amount of rent has been
approved by the Gram Panchayat, Panchayat Samiti or Zila Parishad in its own case or in any sale or
purchase of immovable property or in any agreement for such lease, sale or purchase; or
(f) Having a share or interest in the occasional sale to the Gram Panchayat, Panchayat Samiti or Zila Parishad
of any article in which he regularly trades or in the purchase from the Gram Panchayat of any article to a
value in either case not exceeding in any year one thousand rupees.
Explanation 2.- A person shall not be deemed to be disqualified if he has paid the arrears or the sum referred to in clause
(i) of this sub-section prior to the day prescribed for the nomination of candidates.

Signature of Candidate
……………………

DECLARARTION BY A CANDIDATE WHO IS A MEMBER OF ANY SCHEDULED

CASTE/BACKWARD CLASSES (A)
I do hereby declare that I am a member of the _______________ caste which has been declared to be Scheduled
Caste/Backward Classes (A) in the State of Haryana

Date ______ Signature of Candidate

(to be filled in by Returning Officer)

CERTIFICATE OF SCRUTINY

I have scrutinized the eligibility of the candidate and find that he/she is qualified to stand for election, and I,
therefore, accept the nomination _____________________.
I have scrutinized this information and reject it for the following reasons.

Date ______________ Signature of Officer Scrutinising

the nomination paper.

The election symbol assigned to the candidate is _________________________________

Signature of Returning Officer

………………………………………………………………………………………………………………………….......
CERTIFICATE OF DELIVERY

Serial No.______
This nomination paper was delivered to me at my office at ________________________________________ (date and
hour).

Date __________ Signature of Returning Officer

 3

“FORM 4-A
[(see rule 26(3) and 27)]

Please affix
yourrecent
passport
size photograph
here

To be presented by the candidate along with nomination paper before the Returning Officer for election to Gram
Panchayat/Panchayat Samiti/Zila Parishad ……………………… Ward ……………. Block………………… District
………………...
PART-A
I………………………………………..**son/daughter/wife ………………….………………………………
aged….…..years, resident of………………………….………………..…………………….. (mention full postal address),
a candidate for the above election, do hereby solemnly affirm and state on oath as under:–
(1) I am a candidate set up by ……………………………………………… (**name of the political
party)/**am contesting as an Independent candidate.
(**strike out whichever is not applicable)
(2) My name is enrolled in ……………………………………………… (Name of Gram Panchayat/ Panchayat
Samiti/Zila Parishad) in Ward……….. at Serial Number.…………………..
(3) My contact telephone number(s) is/are ………………………………………………..and my e-mail ID (if
any) is …………………………………………………………… and my social media account(s)
(if any) is/are.–
(i) …………………………………
(ii) ………………………………..
(iii) ……………………………….
(4) Details of Permanent Account Number (PAN) and status of filing of Income Tax return:
Serial Names PAN The financial year for which Total income shown in
Number the last Income-Tax return Income-Tax return
has been filed (in Rs.)
1 Self
2 Spouse
3 Dependent-1
4 Dependent-2
5 Dependent-3
(5) Pending criminal cases:
(i) I declare that there is no pending criminal case against me.
(Tick this alternative if there is no criminal case pending against the candidate and write
NOT APPLICABLE against alternative (ii) below)
OR
(ii) The following criminal cases are pending against me:
(if there are pending criminal cases against the candidate, then tick this alternative and score off
alternative (i) above, and give details of all pending cases in the table below)

TABLE
(a) First Information Report
Number with name and
address of Police Station
concerned
(b) Case Number. with Name of
the Court
(c) Section(s) of concerned
Acts/codes involved (give
Number. of the Section
………….of Indian Penal
Code, 1860 etc.).
(d) Brief description of
offence
(e) Whether charges have been
framed (mention YES or
NO)
 4

(f) If answer against (e)

above is YES then give
the date on which charges
were framed
(g) Whether any appeal/
application for revision
has been filed against the
proceedings (Mention
YES or NO)
(6) Cases of conviction:
(i) I declare that I have not been convicted for any criminal offence.
(Tick this alternative, if the candidate has not been convicted and write NOT APPLICABLE
against alternative (ii) below)
OR
(ii) I have been convicted for the offences mentioned below:
(If the candidate has been convicted, then tick this alternative and score off alternative (i) above, and
give details in the Table below)
TABLE
(a) Case Number
(b) Name of the Court
(c) Sections of Acts/
Codes involved
(give Number of the
Section, e.g.
Section…………of
Indian Penal Code,
1860, etc.).
(d) Brief description of
offence for which
convicted
(e) Dates of orders of
conviction
(f) Punishment
imposed
(g) Whether any appeal
has been filed
against conviction
order (Mention
YES or NO)
(h) If answer to (g)
above is YES, give
details and present
status of appeal
(7) I have given full and up-to-date information to my political party about all pending criminal cases against
me and about all cases of conviction as given in paragraphs (5) and (6).
[Candidates to whom this Item is not applicable should clearly write NOT APPLICABLE in view of
entries in 5(i) and 6(i), above]
Note:
1. Details should be entered clearly and legibly in BOLD letters
2. Details to be given separately for each case under different columns against each item.
3. Details should be given in reverse chronological order, i.e., the latest case to be mentioned first and
backwards in the order of dates for the other cases.
4. Additional sheet may be added, if required.
5. Candidate is responsible for supplying all information in compliance of Hon’ble Supreme Court’s Judgment
in Writ Petition (Civil) No. 536 of 2011.
(8) That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and all
dependents:
A. Details of movable assets:
Note:1. Assets in joint name indicating the extent of joint ownership shall also have to be given.
Note:2. In case of deposit/Investment, the details including Serial Number, Amount, date of deposit, the
scheme, Name of the Bank/Institution and Branch are to be given.
 5

Note:3. Value of Bonds/Shares/Debentures as per current market value in Stock exchange in respect of
listed companies and as per books in case of non-listed companies should be given.
Note:4. ‘Dependent’ means parents, son(s), daughter(s) of the candidate or spouse and any other person
related to the candidate whether by blood or marriage, who have no separate means of income
and who are dependent on the candidate for their livelihood.
Note:5. Details including amount is to be given separately in respect of each investment
Serial Description Self Spouse Dependent- 1 Dependent- 2 Dependent- 3
Number
(i) Cash in hand
(ii) Details of deposit in Bank
accounts (FDRs, Term
Deposits and all other
types of deposits
including saving
accounts), Deposits with
financial Institutions,
Non- Banking financial
Companies and
Cooperative societies and
the amount in each such
deposit.
(iii) Details of investment in
Bonds, debentures /
shares and units in
companies/mutual funds
and others and the
amount.
(iv) Details of investment in
National Savings
Scheme, Postal Saving,
Insurance policies and
investment in any
Financial instruments in
Post officeor Insurance
Company and theamount.
(v) Personal loans/ advance
given to any person or
entity including firm,
company, Trust etc. and
other receivablesfrom
debtors and the amount.
(vi) Motor Vehicles/
Aircrafts/Yachts/Ships
(Details of Make,
registration number etc.
year of purchase and
amount).
(vii) Jewellery, bullion and
valuable thing(s) (give
details of weight
andvalue).
(viii) Any other assets such as
value of claims/Interest.
(ix) Gross Total Value
B. Details of ImmovableAssets:
Note:1. Properties in joint ownership indicating the extent of joint ownership shall also have to be
indicated.
Note:2. Each land or building or apartment should be mentioned separately in this format.
Serial Description Self Spouse Dependent- 1 Dependent- 2 Dependent- 3
Number
(i) Agricultural Land
Location(s) Survey
number(s)
Area (total measurement
in acres)
 6

Whether inherited
property (Yes or No)
Date of purchase in
case of self acquired
property
Cost of land (in case of
purchase) at the time
ofpurchase
Any investment on the
land by way of
development,
construction etc.
Approximate current
market value
(ii) Non-
AgriculturalLand:
Location(s)
Survey number(s)
Area (total measurement
in sq.ft.)
Whether inherited
property (Yes or No)
Date of purchase in
case of self-acquired
property
Cost of land (in case of
purchase) at the time
ofpurchase
Any investment on
the land by way of
development,
constructionetc.
Approximate current
market value
(iii) Commercial buildings
(including apartments)
-Location(s)
-Survey number(s)
Area (total measurement
in sq.ft.)
Built-up Area (total
measurement in sq. ft.)
Whether inherited
property (Yes or No)
Date of purchase in case
of self-acquired property
Cost of property (in
case of purchase) at
the time of purchase
Any investment on the
property by way of
development,
construction etc.
Approximate current
market value
(iv) Residential Buildings
(including apartments) :
-Location(s)-Survey
-number(s)
Area (total measurement
in sq. ft.)
 7

Built up area (Total

measurement in sq.ft.)
Whether inherited
property (Yes or No)
Date of purchase in
case of self-acquired
property
Cost of property (in
case of purchase) at
the time of purchase
Any investment on the
land by way of
development,
construction etc.
Approximate current
market value
(v) Others (such as
interest in property)
(vi) Total of current market
value of (i) to
(v) above
(9) Igive herein below the details of liabilities/dues to public financial institutionsand government :–
(Note: please give separate details of name of bank, institution, entity or individual and amount before each item)

Serial Description Self Spouse Dependent- 1 Dependent- 2 Dependent- 3

Number
(i) Loan or dues to
Bank/financial
institution(s) Name of the
Bank or financial
institution, Amount
outstanding, Nature of
Loan
Loan or dues to any
Other individuals/ entity
other than mentioned
above Name(s), Amount
outstanding, Nature of
loan
Any other liability
Grand total of
liabilities
(ii) Government dues: (A) Has the Deponent been in occupation of YES/NO
Dues to departments accommodation provided by the Government at any (Please tick
dealing with time during the last ten years before the date of the appropriate
government notification of the current election? alternative)
accommodation (B) If answer to (A) above is YES, the following
declaration may be furnished, namely:–
(i) The address of the Government accommodation:
……………………………………………………
……………………………………………………
……………………………………………………
(ii) There is no dues payable in respect of above
Government accommodation, towards-
(a) Rent:
(b) Electricity charges:
(c) Water charges; and
(d) Telephone charges as on …………(date)
[the date should be the last date of the third
month prior to the month in which the election
is notified or any date thereafter].
 8

Note.— ‘No Dues Certificate’ from the

agencies concerned in respect of rent,
electricity charges, water charges and
telephone charges for the above
Government accommodation should be
submitted.

(iii) Dues to department

dealing with
government transport
(including aircrafts and
helicopters)

(iv) Income tax dues

Self Spouse Dependent-1 Dependent-2 Dependent-3

(v) GST Dues

(vi) Panchayat/Property tax

dues

(vii) Any other dues

(viii) Grand total of all

Government dues
(ix) Whether any other
liabilities are in
dispute, if so, mention
the amount involved
and the authority before
which it is pending.

(10) Details of profession or occupation:

(a) Self ………………………………………………………
(b) Spouse …………………………………………………
(11) Details of Sources of Income:
(a) Self……………….
(b) Spouse……………..
(c) Source of income, if any, of dependents ………………..
(12) Contracts with appropriate Government and any public company or companies
(a) Details of contracts entered into by the candidate……………….
(b) Details of contracts entered into by spouse…………………
(c) Details of contracts entered into by dependents………………
(d) Details of contracts entered into by Hindu Undivided Family or Trust in which the candidate or spouse or
dependents have interest………………………………….
(e) Details of contracts entered into by partnership firms in which candidate or spouse or dependents are
partners ………………………………………..
(f) Details of contracts entered into by private companies in which candidate or spouse or dependents have
share………………………………
(13) My educational qualification is asunder:–
………………………………………………………………………………..
(Give details of highest School/University education mentioning the full form of the certificate/diploma/degree
course, name of the School/College/University and the year in which the course was completed)

PART-B
(14) Abstract of the details given in (1) to (13) of Part-A :

1. Name of the candidate Shri/Smt./Kum.

2. Full postal address

3. Ward No. and Name of the Municipal

Council/Committee

4. Name of the political party which put up the

candidate (otherwise write ‘Independent’)
 9

5. Total number of pending criminal cases

6. Total Number of cases in which convicted

7. PAN No. of….. Year for which last Total income shown
income Tax return
filed

Candidate
Spouse

Dependents

8. Details of Assets and Liabilities in Rupees

Description Self Spouse Dependent-1 Dependent-2 Dependent-3

A Moveable Assets
(Total value)
B Immovable Assets

(i) Purchase Price of

self-acquired
immovable
property
(ii) Development/
construction cost of
immovable
property after
purchase (if
applicable)
(iii) Approximate
Current market
price of-

(a) self-acquired
assets (Total Value)
(b) inherited assets
(Total Value)

9. Liabilities

(i) Government dues

(Total)
(ii) Loans from Bank,
Financial
Institutions and
others (Total)
10. Liabilities that are
under dispute

(i) Government dues

(Total)
(ii) Loans from Banks,
Financial
Institutions and
others (Total)

11. Highest educational qualification:………………………………………..

(Give details of highest School/ University education mentioning the full form of the
certificate/diploma/degree course, name of the School/College/University and the year in which the
course was completed.)
 10

VERIFICATION
I, the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct
to the best of my knowledge and belief and no part of it is false and nothing material has been concealed therefrom. I
further declare that:-
(a) there is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of
Part A and B above;
(b) I, my spouse or my dependents do not have any assets or liabilities, other than those mentioned in items
8 and 9 of Part A and items 8, 9 and 10 of Part B above.
Verified at……………………….. this the …………..day of…………………………………,

DEPONENT
------------------------------------------------------------------------------------------------------- -------------------------------------------
Note: 1. Affidavit/declaration should be filed before 3.00 PM on the day of filing nomination.
Note: 2. In the case of a candidate contesting the election of a member of Panchayat Samiti and Zilla Parishad, the oath
should be taken before a Magistrate of the First Class or a Notary Public or an Oath Commissioner appointed
by the High Court or a Sub-Divisional Officer (Civil)/Tehsildar/Naib Tehsildar (to whom the powers of an
executive magistrate has been given) having jurisdiction over the area.
Note: 3. In the case of a candidate contesting for the post of Panch and Sarpanch of Gram Panchayat, the information
shall have to be prepared by him on a plain paper.
Note: 4. All columns should be filled up and no column to be left blank. If there is no information to furnish in respect
of any item, either "Nil" or "Not applicable” or “Not Known", as the case may be, should be mentioned.
Note: 5. The Affidavit should be either typed or written legibly and neatly.”.

ANIL MALIK,
Additional Chief Secretary to Government, Haryana,
Development and Panchayat Department.

9901—S.E.C.—H.G.P., Pkl.