Schedule 1V

(See Section 61) FORM OF OATHS OR AFFIRMATION Form of oath or affirmation to be made by a member of a Gram Panchayat, an Anchal Samiti or a Zilla Parishad. | having been declared a member of Gram Pamchayat/Anchal Samiti/ Zilla Parishad do swear in the name of God/Solemnly affirm that I will bear true faith and allegiance to the Constitution of India as by law established, and I will faithfully discharge the duties upon which I am about to enter. Date: Signature: Name in block letters : Address: | | | | | | | | | a a