First Schedule (Section 7 (2)) Form of Declaration I,......................................son of...................................................................resident of........................................ do hereby solemnly declare and affirm that I will truly serve as a member of the Uttar Pradesh Home Guards, the duties and responsibilities whereof I have assumed with full understanding, for a period of three years from the date of enrolment (including the period spent over training), which period may be extended by the State Government with my consent. I further undertake to serve as a member of the Uttar Pradesh Home Guards at any time or any place during such period if I am called for duty. I will to the best of my skill and knowledge discharge the duties of the Home Guards, and will, even at the peril of my life, ever be ready to protect the Constitution of India and the honour of the National Flag. Signature. Address................   

Second Schedule Section 7 (2) Form of Certificate of Appointment Name.....................................son of..........................................resident of...................................... has been appointed a member of the Uttar Pradesh Home Guards under Section 7 (2) of the Uttar Pradesh Home Guards Act, 1963. When lawfully on duty on being called out to serve as auxiliary to the police or to help in maintaining public order or Internal security he shall have same powers, privileges and protection as an officer of corresponding rank of the police force appointed under any enactment for the time being in force and shall, subject to such adaptation and modifications as may be made therein by the State Government, be subject to the provisions of the Police Act, 1861 and the rules or regulations made thereunder. Date of appointment...................... Place..................... Date............................... .................................... Signature and seal of the prescribed officer.