Amendment status not verified — confirm the current text below against the official source.
<1, Name. dcslgnatim aa at the time of the matter oanplfdnrd agatnit and r-nysent addins (If known) of the ptmxi again*! whom complaint is being muh. tf? Date what Ute tame for Uie nonpiltnt a rum w lleesoox foe M ay in submitting the complaint lin co* cl ctenplhuit brenjt tlno. barred under sub* aecUon U) of Sxtkn Hl (4) Whether any cemplamt iom earlier nude before • naptnor authority or proceeding taken before a Tribunal or a Court of low ? If to. with what remit? If not, pleiic briefly state tbr rrlt.ia, 7 Wholher It la <a| An allegation* (<u defined in Section 2XtiJ of the Ac’t A grievance + « i defined in Section 2«fi) of the Act) 8 Lilt of nertosu who fcavu sworn afBdnjta In lupport of the eompiulnt 3« • Seetim 2<b),-' alltgatlon" m iwlatton to > pubHc wr/ont morns any aftmution that such public servant— (I) hu abused hi, posItKo n ewh to cbtson any gam or Uvour Io ItliKMlf <e to any other parson or to cause undue hsrt» or hardship to any other person, hill is gully of oruptieo or lack of integrity «n his cajwoty « such pubbc servsM.•n , - - -i-Seettco a(<tl—"grlmnot" m*«ns a claim by • person that ho summed jnjwUcr or undue hnrdshlp In cocseqtnsKe of msled- mlnlstrsdloo ft Aw there other persons who hov* hmiu-ltdgn »hou> the facts reia'lrjr 'O ihe «raol»int whom you would like to be summoned by the Idtnyuk’n ! Uus-Lokayukt* I® 11*1 of documents attached to th» ixctpUmt tselwftig sfMas-lt of ’he mmolslnsn" IS. The p»rtirular» of 'he fun furt of the cempidnt) Nolo . 7he form can he copied oul on plain p'per by lb* coot* plainsnt Additions! pages can be added. locoKhng to the requirements of 'he tnmpUlnt rJ r. P C 3ARMAH. Secretary to the Govt of Awam. Politic*! DeptiTCncn’ A.G P. fP«We»«) « « t -l W0-2T..W Goviu\Mi \ r or \ssam The Assam Lokayukta and Upa-Lokayuktas Act. 1985 ( With Amendments ) AND The Assam Lokayukta and Upa-Lokayuktas Rules. 1988 POLITICAL \> DI.FAR TAtl.M GOVT OP ASSAM DISPVR. GUWAHATIh ; It mini ul (Ik Aium <n»rniR<nl l‘ipw GvMllMi -Taifttl