FORM 4-A

[ See rule 26 ]

To

*   The Pradhan

*   The Pramukh

*   The Adhyaksh

______________________________________ (Name of GP/PS/ZP as the case may be).

            _________________________________ (Name) Member of ________________

(Name of Gram Panchayat /Panchayat Samiti/Zilla Parishad) hereby move a resolution as detailed below for adoption in the next meeting of the Panchayat.

Place :

Date :

Name of Member.

*  Score out whichever is not applicable.

THE RESOLUTION.

(Here write or type the full text of the resolution. Append separate sheet if required )