Maharashtra Excise Manual
Page 1077 of 1109

FORM C

Subject. To call special Gram Sabha to establish Gram Rakshak Dal.

Dear Sir/Madam,

With reference to the above subject, you are requested to call a special Gram Sabha to establish a Gram Rakshak Dal our village Tai 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 Maharashtra Gram Rakshak Dal Rules, 2017. The list of women voters with signature is attached herewith.

Yours truly,

St No. Name Address Sign Name and Sign of the Witness, if the applicant has establish thumb impression Remarks
(1) (2) (3) (4) (5)

FORM C

[See Rule 14(e)]

Gram Rakshak Dal Members Record

Sr. No. Subject The names of members present Operational details Signature of members
(1) (2) (3) (4) (5)