FORM B

[see section 12(7)] Warrant for the temporary release of prisoners

Whereas prisoner (Number, Name, Father’s Name and Address) at present confined in ____ Jail, ____ under warrant dated ____ (date of conviction) of _____(name of sentencing court) has applied for his temporary release under section 3 or 4 or 5 of the Haryana Good Conduct Prisoners (Temporary Release) Act, 2022;

And whereas the releasing authority is satisfied that the applicant is entitled to be released under the Act;

Now, therefore, Releasing Authority hereby authorise the temporary release of the said prisoner from custody on emergency parole/regular parole/furlough for a period of _______ (period of release) subject to the conditions specified below:–

(1) The prisoner shall during the period of his temporary release reside at ______ (complete address). He shall not without obtaining the prior permission of the District Magistrate visit any place not specified in the release warrant during the said period.

(2) At the time of his release on emergency parole/regular parole/furlough, the prisoner shall give to the District Magistrate _______ full particulars of the place where he intends to reside during the period of his temporary release and shall keep the District Magistrate informed of any subsequent changes of his residence during the said period.

(3) The prisoner shall during the period of temporary release keep peace and maintain good behavior.

(4) After the expiry of the said period of _____ (period of release) for which the prisoner has been temporary released on emergency parole/regular parole/furlough, the said prisoner shall surrender himself to the Superintendent Jail from which he is so released to undergo the unexpired period if his sentence.

(5) The prisoner shall before his release on emergency parole/regular parole/furlough furnish to the satisfaction of the District Magistrate, _______, a personal bond and _____ (number of sureties) in the sum of Rs. __________________ (Rupees______________) (in words) each for faithful observance of the conditions specified in the release warrant.

(6) When the surety furnished becomes insolvent or dies, the State Government may order the prisoner to furnish fresh surety immediately and if such surety is not furnished, the State Government may proceed as if there had been a non-compliance of the conditions of this order.

(7) In addition to the action under sub-sections (2) and (3) of section 9 and section 10 of this Act, the amount of bond shall stand forfeited to the State Government in case any condition of the bond is not fulfilled.

Given under my hand this ________ day of _______________ SEAL Signature of the Releasing Authority Endst. No. Dated A copy is forwarded to :- (1) The Superintendent Jail, _______________ Jail _____________ for necessary action. (2) The District Magistrate,_______________ for execution and necessary action. (3) The Superintendent of Police, _____ with the direction to keep a close watch on the activities of the said prisoner during the temporary release.

Signature of the Releasing Authority

I _________________________ son of ____________________ hereby acknowledge receipt of the above warrant and understand the conditions specified in the above warrant of release and I accept them.

Signature and thumb impression of the Prisoner.