(See section 190)
I,..............(name) of ................... (place), do hereby bind myself to attend at...............in the Court of.............. at.............o'clock on the............day of..............next and then and there to prosecute (or to prosecute and give evidence) (or to give evidence) in the matter of a charge of..............against one A. B., and, in case of making default herein, I bind myself to forfeit to Government the sum of rupees................
Dated, this................ day of................, 20 ............ .
(Signature)
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