Bond For Appearance Of Offender Released Pending Realisation Of Fine
[See section 465 (1) (b)]
WHEREAS I, (name) inhabitant of (place), have been sentenced to pay a fine of rupees and in default of payment thereof to undergo imprisonment for ; and whereas the Court has been pleased to order my release on condition of my executing a bond for my appearance on the following date (or dates), namely:—
I hereby bind myself to appear before the Court of at o’clock on the following date (or dates), namely:—
and, in case of making default herein, I bind myself to forfeit to Government the sum of rupees.
Dated, this day of , 20 .
(Signature)