PANCHNAMA
Search carried out by : Sh. XXX , Enforcement Officer
RO, Delhi West
Search Premises : M/s XYZ (DL/CPM/XXXXX)
Address
Owner/ Occupant of the premises: Sh. ABC, Designation
Address, ID type and No.
Details of the witness as mentioned in table-A below :-
Sr.
No. Name of witness Father's name Age Designation Full Address
1
2
3
Table-A
Today, on date …………,at about …………hrs, Sh. XXX , enforcement officer, under the authority of search
warrant no…………….issued by APFC, arrived at the premises as mentioned above.
Upon arrival-
a) The officer identified himself and disclosed the purpose of visit. That is to ‘ search and seizure’ in
M/s XYZ, which is a defaulter for non-payment of provident fund & allied dues for period from……. To
……….. under section 14B/7Q of EPF&MP Act despite a number of opportunities already provided in
this matter.
b) presence of independent witness as mentioned above was ensured.
c) Search Warrant was shown to and acknowledged the owner/occupant.
d)officer offered himself for personal search before commencement.
Thereafter , a syatematic search of the premises was carried out in the presence of the Panch Witness
and the occupant.
Attached movable properties as detailed below in Table-B –
Description
Sr. of Quantity/ Identification
No. items seized Details mark no. Remark
Table-B
All seized items were packed ,sealed and signed by the officers, witness and owner/occupant. Proper
acknowledgement of the taken. The search was concluded at……………….
We also hereby state that during the search any/no incidence like… was occurred.
Accordingly, we solemnly declare that this panchname was drawn by the panch and facts mentioned
herein are true and fair to the best of our observation and knowledge.
Signatures-
1st Witness (name)
2st Witness (name)
Owner/occupant( name & designation)
Search officer (name & Designation)
Copy to-
1. owner/occupant
2. Witness
3. APFC