114Schedule – 10(A)
(Related to Rule 27)
Certificate No ……………………………. District : …………………….
Name, surname & address Village Development Committee or Municipality : ………………………..
of depositor : ……………………………… Village Committee : ……………………………
Age : …………………………………………. Ward No. : ……………………
Father’s Name : …………………………..
Personal Register

Zone : ……………………………………
District : ………………………………..
Village Development Committee or Municipality : ……………………………..
Ward No.: ……………………………..
Certificate No. : …………………….
Certificate
Place to mark by the
Government office
after receiving the
Government Deposit
(Security)
Place to Mark by the
Government Office
after receiving the
Government Deposit
Place to mark by the
Government office after
receiving the Deposit
Place to mark by the
Government office after
receiving the Deposit
The matters to be Remembered by the certificate holders :-
1. This certificate shall be kept safe from being torn or destroyed and considering it as one’s own property.
2. Check the account posted in the certificate whether it is correct or not and even show to others for checking.
3. If the certificate has been lost, a written notice shall be given to the land reform officer and ward committee and village
committee.

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Notice to Government Offices :-
1. If anyone come to keep the Saving Receipt of a person from whom the Government due has to be recovered, as a security or
deposit, the amount of paid saving shall be checked by asking to furnish the concerned certificate.
2. In the certificate, it shall mention that for how much amount which year’s saving amount it has been given as a security or
deposit and also shall fix the seal of the office on it.
3. The office receiving the deposit (security) shall only keep the saving receipt which has kept as deposit and the certificate shall
be returned back to the concerned person.
Appeal of Land Reform Office:
Submit saving amount that has to be paid by you in time and also tell others to submit it in time. You may easily receive the loan
from the ward committee and village committee. If you take the loan from village committee or ward committee, you shall not pay
more interest and even you shall not keep your house and farm as mortgage. Make saving for the brighter future of your children.
So, Receive the loan for
increasing the production in the field –
Why – To purchase advanced (chemical) fertilizer
Why – To pay water revenue, for the arrangement of irrigation.
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Why – To purchase (buy) oxen.
Why – To purchase seeds.
Why – To feed the family members.
Why – To cure if become sick.
Why – To for the better future of children.