FORM A

11¨É½þÉ®úɹ]Åõ ¶ÉɺÉxÉ ®úÉVÉ{ÉjÉ +ºÉÉvÉÉ®úhÉ ¦ÉÉMÉ SÉÉ®ú-¤É, ¨ÉÉSÉÇ 22, 2017/SÉèjÉ 1, ¶ÉEäò 1939 14.Duties and responsibilities of members of the Gram Rakshak Dal.–The members of the Gram Rakshak Dal shall,— (a) inform the Police and the State Excise Department in writing about the illegal manufacture, transport, possession and sale of liquor in the village ; (b) prevent persons from causing and creating nuisance in public due to liquor consumption, counselling such persons or give written warning to such persons by signatures of at least three members of the Gram Rakshak Dal ; (c) arrange programmes to curb the addiction, educate such people and create awareness about the adverse effects of alcoholism ; (d)after intimation from the officers of the State Police Department or State Excise Department, co-operate in the legal proceeding and shall remain present as a Panch /Witness in the case. 15.Review of Gram Rakshak Dal working.—(1)The Taluka level committee constituted by the Government Resolution, Home Department, No.CRM.2004/608/Pol-11, dated the 23 rd December 2005, for prohibition of illegal liquor shall convene a quarterly review meeting of the Gram Rakshak Dal. The Chairperson and the Member Secretary shall attend such meeting. The Tahsildar, Police Inspector and State Excise officer shall coordinate the review meeting and submit its report to the Sub-Divisional Magistrate. (2)The Member-Secretary shall maintain the Register of Preventive Measures, collect information regarding illegal/illicit liquor, classification of information, storage of records and such other works. FORM A [See Rule 3(1)] Application form for the Establishment of Gram Rakshak Dal by Gram Sabha. To, The Sub-Divisional Magistrate, Dist. ….............. Subject : To establish Gram Rakshak Dal At.... village, District.... Sir / Madam, With reference to the above subject, you are requested to establish a Gram Rakshak Dal under section 134A of the Maharashtra Prohibition Act (XXV of 1949). The manufacturing and selling of illegal liquor has increased in our village........ Misbehaviour of alcoholic persons and harassment to women’s creating social safety problem. Therefore to prevent it, Gram Sabha has passed a resolution to establish a Gram Rakshak Dal under the MaharashtraGram Rakshak Dal Rules, 2017. The certified copy of the Resolution is attached herewith. Yours truly, Gramsevak Sarpanch ¦ÉÉMÉ SÉÉ®ú--¤É--63--2+ 12 ¨É½þÉ®úɹ]Åõ ¶ÉɺÉxÉ ®úÉVÉ{ÉjÉ +ºÉÉvÉÉ®úhÉ ¦ÉÉMÉ SÉÉ®ú-¤É, ¨ÉÉSÉÇ 22, 2017/SÉèjÉ 1, ¶ÉEäò 1939 Enclosure : Names of Members of the Gram Rakshak Dal Proposed. Sr. Name Address Sign Name and Signature Remarks No. of Witness, if the applicant has establish thumb impression (1) (2) (3) (4) (5) (6) FORM - B [See Rule 3 (2)] Application Form for to call Special Gram Sabha to establish Gram Rakshak Dal by Women Voters. To, Sub-Divisional Magistrate, …............................................ Dist. …................................... Subject.––To call special Gram Sabha to establish Gram Rakshak Dal. Dear Sir / Madam, With reference to above subject you are requested to call a special Gram Sabha to establish a Gram Rakshak Dal in our Village ...... Tal..... Dist........ The manufacturing and sell of illegal liquor has results increase misbehaviour of alcoholic persons, harassment of women which creates the social safety problem. Therefore to prevent it, special Gram Sabha should be called to pass the resolution to establish a Gram Rakshak Dal under the MaharashtraGram Rakshak Dal Rules, 2017. The list of women voters with signature is attached herewith. Yours Truly, Sr. Name Address Sign Name and Sign of Remarks No. the Witness, if the applicant has establish thumb impression (1) (2) (3) (4) (5) (6)