(See sections 125 and 126)
WHEREAS I,...................(name), inhabitant of ...........(place), have been called upon to enter into a bond to keep the peace for the term of..................or until the completion of the inquiry in the matter of................now pending in the Court of..............., I hereby bind myself not to commit a breach of the peace, or do any act that may probably occasion a breach of the peace, during the said term or until the completion of the said inquiry and, in case of my making default therein, I hereby bind myself to forfeit, to Government, the sum of rupees................
Dated, this................. day of............... , 20 ............ .
(Signature)
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