“APPENDIX VII-A [See rule 95(2)] STATEMENT TO CHARACTER AND PARTICULARS OF SERVICE OF THE ACCUSED Rank, Name and Number _______________ of the Coast Guard Station ___________
1. The following is a fair and true summary of the entries in the service book of the accused, exclusive of convictions by a Coast Guard Court or a criminal court and of summary awards under section 57 or 57A of the Coast Guard Act, 1978.
Within last 12 months Since joining service For(a) _____________ times __________ __times (a) Insert the For _______________ times ____________times statement of For _______________times ____________times offence and the relevant Sectionof theCoast GuardAct, 1978 Number of instances of gallantry or distinguished conduct.
or There are no entries in the service book of the accused.
2. Irrespective of this trial the accused’s general character* is ___. *The character
3. The present age of the accused according to his (record of assessment of service/enrolment papers) is ______________. the enrolled
4. The date of his appointment/enrolment specified in his (record persons will of service/enrolment papers) is ____________. be recorded in
5. (In the case of an officer) The accused hold the substantive terms of rule rank of ____ since _____ and acting rank of _____ since______. 19 of the
6. The accused after joining Coast Guard has served continuously Coast Guard till present date:-- (Condition of In the rank of _______ for ______ years since_______ of Service) In the rank of _______ for ______ years since_______ Rules, 1986 In the rank of _______ for ______ years since_______
7. The accused is entitled to reckon ____________ years service for the purpose of determining his person of gratuity.
8. The accused is in possession of the following decorations and rewards _______.
9. The accused has been in custody awaiting trial on the present charge(s) for ________ day in civil custody and _______ days in Coast Guard custody, making a total of __________ days of which ________ days were spent in hospital.
10. There are o previous convictions against the accused.
or The previous convictions of the accused by a Coast Guard Court and summary awards under sections 57 or 57A of the Coast Guard Act, 1978, are set out in the Schedule annexed to this Statement.
SCHEDULE OF CONVICTIONS BY A COAST GUARD COURT OR CRIMINAL COURT AND OF SUMMARY AWARDS UNDER SECTIONS 57 OR 57A OF THE COAST GUARD ACT, 1978 The accused Rank_________ Name ____________ No.____________ of Coast Guard Ship/Establishment ___________.
Note :- Verbatim extract from the service book stating these convictions must be inserted -------------------------------------------------------------------------------------------------------------------- Description of Court/ Place and date of Charge(s) of Sentence/ Remarks authority awarding trial/summary which Summary punishments award convicted award summarily ______________________________________________________________________ I hereby certify that the foregoing schedule of convictions is a true extract from the service records in my custody.
Station____________ _______________________ Date_________20 Commanding Officer [File No.LW/0155/661/US(P)/D(N-II)] G.S. AUDHKHASI, Under Secy,(Pers)/D(Navy-II) Note : In the Coast Guard(Discipline) Rules, 1983 published in the Gazette of India vide S.R.O. 46E dated 19th May 1983 in Part II, Section 4 of the Gazette of India and these rules have not been amended so far.