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FORM I

[See rule 3]

FORM OF COMPLAINT

 

BEFORE THE LOKAYUKTA, HARYANA

 

Complainant …..………………. son of, daughter of/wife of ……………… ………

……………………………… (add description of profession, residence etc.)

 

In the  matter  of allegation  against  …………………………………………… son of / daughter of / wife of………………………………………………...…………… holding  the office  of …………………………………………………………………..... at  …………… …………………………

The above named complainant is satisfied that the aforesaid public servant,--

 

(i)          has knowingly and intentionally abused his position as such to obtain any undue gain ……………… or favour to himself or to any other person or to cause undue harm to any other person; and / or

 

(ii)        was actuated in the discharge of his functions as such public servant by corrupt motives, and / or

 

(iii)    is guilty of corruption; and / or

 

(iv)       is  in  possession  of  pecuniary  resources  of  property  dis-proportionate   to  his known source of income and such pecuniary resources of property is held by the public  servant  personally  or by  any  member  of his  family  or by  some  other person on his behalf.

(Strike out the clause or clauses not relevant to the complaint.)

 

To support the allegations the complainant relies on the following facts and is also filing an affidavit:-

 

(1) (2) (3) (4)

 

The complainant has/has not for the same matter resorted to a remedy by way of proceeding before a tribunal/ a court of law/ an authority empowered to decide the matter particulars of which are as under:-

(give particulars and result, if any)

 

 

The necessary deposit of Rs. 1000/- has been made by affixing Judicial stamps of that value on the complaint.

 

 

PRAYER

 

It is, therefore, prayed that an inquiry be made against the public servant.

 

..……………………………………

Signature/ thumb mark of the applicant


 

 

 

VERIFICATION:

 

I ………………son  of/daughter  of/wife of Shri …………………  resident  of

……………...  hereby  verify  that the facts  stated  by me in paras  …………  ………

………  …….  to  …………………………………in  the    complaint  are  true  to  my personal knowledge and/or the facts stated by me in paras ……… ……… ………   to

…………………  are  based  on  information  received  from  ………………  (give  the name) and / or documents, and the same are believed by me to be true.

 

 

 

..……………………………………………….

.

Signature/ thumb mark of the applicant


 

FORM II

[See rule  3]

Note:- This affidavit should be got prepared on a non-judicial stamp paper worth Rs. 3/- and then it should be got attested from a notary or an Oath Commissioner or Magistrate 1st Class.

 

 

FORM OF AFFIDAVIT

 

I ………………………………………………………… Son of /daughter  of/ wife of

 

Shri ……………………………… Profession ……………….……………..., resident of

 

…………………  tehsil ……………  District  ……………………  do hereby  solemnly affirm and state as follows:-

(1)  that I am the complainant in this case;

 

(2)  that the statements of this complaint have been read by / read over to me and understood

/heard by me and these are true to the best of my knowledge and belief;

 

(3)  that the facts stated by me in paras ………………  to …………………  are true to the best of  my knowledge and belief stated in paras ……………………………………… are  based  on  the  information  given  to  me  by  Shri  ……………………...   and/  or documents which, I believe to be true.

 

 


 

 

 

Place ………………………….. Dated ………………………….


..………………………………………………..

Signature/ thumb mark of the deponent


 

 

Affidavit sworn before me.

 

Certified that the above averment was declared before me on oath / affirmation this  ……………………………  day  of  …………………….200       at  ………  in  the District of ……………………  by Shri/ Smt./ Miss …………… who was identified by Shri/Smt./Miss  ……………………………………… who is personally  known  to me. The contents of the above affidavit have been read over and explained to the deponent who admitted the same to be correct and true.

 

…………………………………………………..

Designation of the authority before whom affidavit is sworn

 

 

Place …………………………….. Dated …………………………….


 

FORM III

[See Rule 8(1)AND (2) ]

 

FORM OF CERTIFICATE TO BE GIVEN BY THE OFFICE OF THE LOKAYUKTA, TO A PERSON FOR RECORDING EVIDENCE BEFORE LOKAYUKTA

 

1.              Certified   that   ……………………………………  was   summoned   to   give evidence    before    the    Loyaukta    in    his    public/private    capacity    in    case    of

…………………………………   and   was   required   to   attend   for   a   period   of

………………………………………… days i.e. from …………….……..……………

…………………………………….. to ………………………………….

 

2.              Further certified that he has been paid the following  amounts  in accordance with the rules for attending the office of the Lokayukta for the purpose:

 

(i) Travelling Allowance Rs.                      . (ii) Subsistence Allowance Rs.                                                                             

 

Place …………………………….. Date ………………………………

 

 

 

 

 

for: Lokayukta, Haryana.


 

 

FORM NO. IV

 

{See Rule 6(2)}

 

Office of the Lokayukta, Haryana, Chandigarh.

 

 

 

Proceedings No……………..                                 Dated………….

 

To

Shri/Shrimati…………….

 

 

 

 

Ref:-     Your Complaint dated………………

 

Your complaint date……..  against Shri/Shrimati………………. Is found to be deficient in the following particulars.   You are hereby requested to supply the omissions and rectify the defects mentioned below within ten days after receipt of this communication,  failing which your complaint will be disposed of on the basis of the available material.

 

Particulars:-

 

1.   Form No. 1 not filled.

 

2.   Prescribed fee of Rs. 1000/-  to be paid.

 

3.   Complaint is not signed by the complainant.

 

4.   Affidavit of the complainant in the prescribed form and/or of the witnesses not enclosed.

 

5.   Name, designation  and address  of the public servant  complained  against not furnished.

 

 

6.   Documents  relief on or true copies thereof in the custody and control of the complainant not enclosed.

 

7.   Particulars  of  documents  relied  on  not  in  the  custody  or  control  of  the complainant not furnished.

 

8.   Required sets of copies of affidavits and documents not enclosed.

 

9.   Other reasons.

 

Yours faithfully, Registrar,

for Lokayukta of Haryana.


                         FORM NO. V

 

{See Rule 6(4)}

 

Office of the Lokayukta, Haryana, Chandigarh.

 

 

 

Proceedings No……………..                                 Dated…………. To

Shri/Shrimati…………….

 

 

 

 

Your complaint, date……. …..containing certain allegations against Shri/Shrimati……………………………….is    rejected   for   the   reasons   mentioned below:-

 

 

Reasons for rejection of the complaint:

 

1.   The   defects    and/or   omissions    pointed    out   in   proceedings    N……………

dated………………  have not been rectified and /or supplied.

2.    The  complaint  does  not  disclose  an  allegation  which  can  be  investigated  by  the

Lokayukta.

 

3.   There are no sufficient grounds for investigating the complaint.

 

4.   Other remedies are available to the complainant and in the circumstances of the case it would be more proper for the complainant to avail of such remedies.

 

5.   The public servant against whom the complaint is made is not one in respect of whom a complaint can be entertained by the Lokayukta.

 

6.   The complaint is made after the expiry of six years from the date on which the action complained against is alleged to have taken place.

7.   An  earlier  complaint  based  on  the  same  allegation  as  those  made  in  the  present complaint was previously disposed of by the Lokayukta or any other authority through proceedings No…………………dated……..

 

8.   The prescribed fee of Rs. 1000/- has not been paid.

 

 

 

 

Lokayukta, Haryana


                     

 

                       FORM NO. VI

 

{See Rule 14(1) (a)}

 

Proceedings of the Lokayukta, Haryana, Chandigarh.

 

 

No……………..                                                                    Dated:…………….

 

To

Shri/Shrimati…………….

 

 

 

 

Ref:-     Complaint No…………of………….200….

 

After conducting a preliminary verification into the above complaint the Honourable Lokayukta proposes to conduct an investigation into it.  So, you are hereby afforded an opportunity to offer your comments on:

 

(i)            the complaint, dated……………………………...sent against you by Shri / Shrimati   …………..   …………………A    copy   of   which   is   herewith enclosed along with copies of affidavits produced by the complainant;

 

(ii)           the  enclosed  statement  containing  an  allegation  against  you,  which  the Hon’ble Lokayukta has on his own motion proposed to investigate for the grounds mentioned therein;

 

(iii)          the action in respect of which His Excellency, the Governor of Haryana has required the Hon’ble Lokayukta to conduct an investigation as per the enclosed copy.

 

 

You may, therefore,  submit your comments as aforesaid on …………… … … at 10.30 A.M. before the Hon’ble Lokayukta at his office together with such affidavits of witnesses and documents in the original and three sets of copies thereof, as you may desire  to  be  examined  and  considered  before  further  steps  in  the  investigation  are ordered.

 

You may engage another public servant or a legal practitioner to represent you. If you fail to appear in the aforesaid  manner  and submit  your comments  as aforesaid,  further  investigation  may  be proceeded  with  on the basis  of the material available.

 

 

 

Registrar,

for Lokayukta, Haryana.