1 NO. EDN-H(2)B(2) 5&6/2010-11-PHH() Directorate of Elementary Education. Himachal Pradesh Dated Shimla-171001, the 11 th August, 2011. OFFICE ORDER Consequent upon the selection in the interview conducted by the State Selection Committee during the month of April & May 2011 in respect of persons with disability the following candidates are hereby appointed as Trained Graduate Teachers (,/Non-Medical/Medical) in order of their respective Merit purely on contract basis on the fixed salary of Rs.13900/- (i.e. minimum of pay band Rs.10300 plus grade pay 3600/-P.M). The appointees are directed to report for duty in the respective school of their posting against clear-cut vacancy, as shown against their name(s) within 20 days positively subject to the acceptance and fulfillment of the following specific terms and conditions in addition to the usual terms and conditions of appointment annexed as Annexure A. 1. Since the appointment is being offered purely on contract basis, the candidate will have to execute a bond on judicial paper with the Principal/Headmaster of concerned school, where he/she is posted that he/she has carefully gone through the conditions of the contract appointment and the conditions imposed are acceptable to him. The joining report will be accepted only after the execution of the requisite bond between the Head of institution and the candidate. 2. The contract will be initially for one year and the candidate shall have to enter in to fresh contract agreement with the head of institution after completion of one year. The contract shall be extendable on year to year basis subject to satisfactory performance of the candidate. 3. It will be the personal responsibility of the candidate/individual to inform this directorate on the proforma enclosed duly counter signed by the concerned Principal/Headmaster of their school that he/she has joined the place of his appointment on or before schedule period failing which this offer shall stand withdrawn without any notice. 4. That the educational and professional qualifications possessed by the candidate will be the same as prescribed by the department for the post of TGT in the concerned group(subject) before the joining report is accepted. The Head of the school will ensure that the educational and professional qualification possessed by the candidate are from a recognized University. Necessary verification to this effect is to be made by the Head of the concerned school at the time of his/her joining. Duly attested copies of certificates awarded to the candidates by the recognized University/Board be kept in the office for record. 5. The Head of the school will also ensure that the candidate is a permanent handicapped and Medical certificate issued by the Medical Board/Chief Medical officer of district. Necessary verification to this effect is to be made by the Head of the concerned school at the time of his/her joining. Duly attested copies of medical certificate issued in favour of the candidate be kept in the office for record. If the offer of contractual appointment is acceptable to the candidates he/she shall submit an acceptance of offer in writing as per Annexure-A-II to this directorate immediately on receipt of the orders. If the acceptance is not received within 15 days from the issue of these orders it will be deemed that the candidate is not willing to join and offer will be withdrawn automatically without any notice:- Sr. No Merit wise list Name & Address D.O.B Reg No. and Emp Exchange 1 Lal Singh Thakur s/o Sh Dhyan Singh, # 3391, Sector 27-D, Chandigarh(Village Chhargari PO Neoli, Distt. Kullu, HP 175101 2 Sandhira Kumari d/o Sh Gian Chand, Village Nalawan,PO Kadwin, Tehsil Rohru, Distt. Shimla, HP 171225 3 Sureshna d/o Sh Megh Singh. VPO Rhumni, Tehsil Thunag, Distt. Mandi, HP. 4 Pratap Chand s/o sh Munsih Ram VPO Jia, Tehsil Palampur, Kangra 24.07.81 Kullu 1.12.83 200807514 Rohru Category Subject Place of posting 08.11.84 PH-465/08 07.01.68 1107/99 ST GMS Grahan u/c Manikaran (Kullu) Pujarli-4 Darbar Thach Ganed 1
2 5 Pratap Singh s/o Sh Nikka Ram, Village Dungloch,PO Bharanoo, Tehsil Chopal, Distt. Shimla 6 Reena Devi d/o Sh Hari Singh. Set No 6,Type 3 Block 3, Misti Chamber Khalini, Shimla-2 7 Anil Kumar s/o Sh. Prem Kumar, Village Baral, PO Baroti, Tehsil Sarkaghat, Distt. Mandi.HP 175040 8 Shashi Kiran w/o Sh. Pawan Kumar, Vill. Laleen, PO Changar, Tehsil & District. Hamirpur,174505 9 Arvind Rana s/o Sh. O.P. Rana, H.No. 494-A,Depot. Bazar, Dharamshala, Distt. Kangra 10 Chhatar Singh s/o Sh Surjan Singh, Village Thand, PO Nogli, Tehsil Rampur, Distt. Shimla,HP 172022 11 Savita Bhardwaj d/o Sh Babu Ram, H.No. 25/4, Amarpur Muhalla, Tehsil Nahan, Distt. Sirmour, HP 12 Pushpa Kumari W/o Sh Shyam Sunder, d/o Sh Khiali Ram, Vill Ladiani, PO Lehri Sarail, tehsil Ghumarwin, District Bilaspur 13 Arun Kumar s/o Sh Tej Ram, VPO Amroh, Tehsil Bhoranj, Distt. Hamirpur, HP.177024 14 Bhoop Ram s/o sh Uma Chand Verma, Village Lamsher, PO Jassal, Tehsil Karsog, District Mandi(H.P) 171302 15 Vedika Sharma d/o Sh. Arvind Nayan Sharma, Ward No. 2 Mohalla Rampuri, Nurpur, District Kangra,HP 176202 16 Champa Thakur D/O Jai Singh Vill.Dikrund Tehsil. Churah,Distt. Chamba-176316 17 Chet Ram s/o Sh Ram Krishan, VPO Gunahakalan, Tehsil Nalagarh, Distt. Solan 174102 18 Deva Chand s/o Sh Hem Singh, VPO Bagshar, Tehsil Karsog, Distt. Mandi, HP. 19 Sarita Kumari d/o Sh. Purshotam Ram, Vill Bandal, PO Gopalpur, Tehsil Sarkaghat, District Mandi, HP 175001 20 Rimal Jeet Kaur d/o Sh. Harbans Singh, VPO Basdehra, Tehsil & District. Una,HP. 174315 21 Pooja Kumari d/o Sh Kali Dass, Village Dodvi,PO Hadeta, Tehsil Nadaun, Distt. Hamirpur,HP. 22 Hem Lata w/o Sh Birender Singh Guleria, VPO Sari Tehsil Sarkaghat, Mandi-175025 07.03.82 PH-2261/08 18.01.85 PH 1/10 28.10.85 4476/08 Sarkaghat 22.10.74 1066/05 Hamirpur PH-123/06 26.07.83 PH-1215/08 16.07.79 200601173 Pooh 08.04.86 PH-1722/08 01.09.76 PH-625/04 24.01.73 PH 2369/09 01.01.79 200609020 Karsog PH- 805/08 22.11.81 PH-399/06 04.10.78 14/08 PH- 99/05 04.08.85 PH-2694/09 SC 12.05.79 Karsog 22.09.82 261/06 21.03.78 PH-1075/03 28.08.86 PH-1734/08 20.04.73 1948/10 Sarkaghat PH-597/10 GMS Pujali (Chopal) Shimla Dhamwari GMS Devidarh u/c Jahal Bathri Bhunad GMS Pat u/c Kasha Pat as substitute Bhanog Baneri (Sirmour) (Kullu) Kalwari Nanj GMS Talehan u/c Bagshar Raipur Bairagarh (Solan Mittian Dhar Kot Tungal Charatgarh Kuriala Sari 2
3 23 Reena Kumari d/o Sh. Jai Chand, VPO Shilla, Tehsil Dharamshala, District. Kangra 20.07.80 PH-974/03 Andora 24 Bhuttu Singh S/O Sh.Ram Singh,Village Bhadred P.O. Grouru,Tehsil Sarkaghat, Distt. Mandi 25 Parmod Kumar s/o Sh. Gauri Dutt Sharma, VPO Gharwasra, Tehsil Sarkaghat, District Mandi 26 Sakat Sharma s/o Sh Raiya Ram, Village Kanda,PO Hallau, Tehsil Chopal, Distt. Shimla-171110 27 Raj Kumar s/o Sh Dharam Chand Thakur, Village Chaswal,PO Sajao Piplu, Tehsil Sarkaghat, Distt. Mandi, HP 175025 28 Dinesh Kumari d/o Sh. Parkash Chand, VPO Oil, Tehsil Amb, District Una-177206 29 Archana Dogra d/o Sh Naresh Dogra, VPO Sathana, Tehsil Fatehpur, Distt. Kangra 30 Umesh Kumar s/o Sh. Dila Ram, VPO Balt, Tehsil Sadar District. Mandi,HP. 31 Parveen Kumar s/o Sh. Pawan Kumar, Vill Virata, PO Dhurkadi, Tehsil & District. Kangra 32 Sunita Chauhan d/o Sh Shyap Pal, VPO Mahadev, Tehsil Sunder Nagar, Distt, Mandi, HP. 33 Sheela Devi d/o Sh Jai chand alias Dumna Ram, Vill Chandru,PO Jaidevi, Tehsil Sundernagar, Distt. Mandi, HP 34 Sapna Pathania d/o Sh Anant Ram, VPO Darwar, Tehsil Sarkaghat, Distt. Mandi,HP 175025 35 Rashmi Verma d/o Sh. Trilok Verma, VPO Gagret, Tehsil Amb, District. Una 36 Priya Sharma d/o sh. Vipan Kumar Sharma, Una Road Amb, District Una 177203 37 Kuldeep Singh s/o Sh Ishwar Dass, Village Badyana,PO Lagmanwin, Tehsil Bhoranj, Distt. Hamirpur,HP. 10.12.73 PH-156/10 02.02.83 PH-2460/08 15.09.87 PH-2721/09 NM( VI) 20.07.74 200617101 Sarkaghat NM 25.04.79 PH-760/05 NM( 18.10.86 PH-768/09 NM( 18.03.75 PH-923/03 NM( 01.04.78 892/03 NM( 07.03.88 PH-1713/10 Med( VI) 22.11.74 Sundernaga r 29.06.86 10.08.01 Sarkaghat Med Med 28.02.77 PH-331/04 Med 21.08.85 487/05 Amb Med 04.09.82 PH-2291/08 Med Nau Panau Guin GMS Bandoor u/c Pabban (Kullu Goshal Badokhari Sihunta Bughar GMS Farotka u/c Bathri Buchher (Kullu) Jarol Sadhot Bhakra (Bilaspur) Doli Swar Batch wise list 1 Raj Kumar s/o Sh Ujjal Ram, VPO Chhari, Tehsil & District Chamba,H.P. 2 Ramesh Kumar s/o Sh Devi Ram, VPO Talyana, Tehsil Ghumarwin, Distt. Bilaspur, HP 01.06.75 PH-998/02 30.06.74 PH-183/09 Daand Chahbag 3
4 3 Amrik Singh s/o Sh. Harbhajan Singh, Vil Bassa,PO Kamllam Wala, Tehsil Shri Naina Devi Jee, Distt. Bilaspur,HP 4 Reena Kumari d/o Sh. Birbal, Vill, Sulpur, PO BhamblaTehsil Sarkaghat, District, Mandi,HP. 175004 5 Neelam Kumari d/o Sh Khem Chand, Village Karnala, PO Jachh, Tehsil Chachiot, Distt. Mandi 6 Sanjay s/o Sukh Ram, Vill Maked, PO Cholthra, Tehsil Sarkaghat, District Mandi 7 Ajay Kumar s/o Sh. Krishan Dev, K.K. Niwas Ex Navy, Vill Brahampur, PO Gondhpur Banehra, Tehsil Amb, District Una, 8 Veena Devi d/o Sh Surat Singh, VPO & Tehsil Shillai, Distt. Sirmour, H.P. 173027 9 Vishal Dogra s/o Sh Vijay Dogra, H. No. 237,W.No.8 Near Bus Stand, Hamirpur, 177001 10 Vinod Kumar s/o Sh. Chattar Singh, Vill Dunghi, PO Tikkar Khatrian, Tehsil Bhoranj, District Hamirpur-177026 11 Raksha Devi d/o Sh Dina Nath, VPO Ghumarwin, Opposite UCO Bank, Distt. Bilaspur 175034 12 Priyanka Sharma D/O Ram Swaroop Sharma, VPO Romehar, Distt. Kangra- 176052 13 Pawan Kumar s/o Sh Salig Ram, Vill Kolri,PO Bari, Tehsil & Distt. Hamirpur 177001 14 Priti Rana w/o Sh Kuldeep, Village Gharana, Tehsil Khudian, District Kangra, H.P. 176030 15 Ranvir S/o Sh Bhandari Ram, Vill Gugrehra, PO Gandir, Tehsil Jhandutta, District Bilaspur 16 Neelam Kumari, D/O Rup Lal Sharma, Vill.Bandal, PO Tihra, Sarkaghat, Distt. Mandi- 175026 17 Santosh Kumar s/o Sh Ghanshyam, Village Thamera, PO Surajpur Bari, Tehsil Sarkaghat, Distt. Mandi- 174024 18 Manjeet Kaur w/o Sh. Mahender singh, Vill Dhanyuri, PO Manlog Kalan, Tehsil Nalagarh, District Solan 19 Satish Kumar s/o Sh. Roop Lal, Vill Tamota, PO Udheharian, Tehsil Indora, District Kangra 20.03.75 PH-1742/10 16.06.78 692/03 16.01.77 1777/10 Gohar PH- 948/10 16.02.78 PH-98/2004 20.05.74 533/04 Amb 17.12.81 W-600/06 Shillai 23.09.81 200717492 Hamirpur PH-1411/10 16.11.76 926/03 Bhoranj PH=2372/09 09.05.77 PH-1024/10 28.01.74 200629658 D/Shala 25.02.76 PH-1859/08 25.01.79 w-1624/07 Palampur 21.01.77 398/04 PH- 53/10 16.01.79 200607375 Sarkaghat 1469/08 ( HI) 28.09.80 PH-861/10 12.04.68 PH-2786/09 27.09.68 697/04 Beral Heun Pehad GMS Bhatkidhar u/c B.C. Thach (Mandi GMS Majhar u/c Keolidhar Chulehari Shillai (Sirmour) GMS Baila Gajon u/c Tatiana (Sirmour) Teuri Ramshehar Bhadsali Diara GMS Jujpur u/c Pihri (Kangra) Chhichachi GMS Sihan u/c Heun Pehad Sarachi Diggal Hatli 4
20 Surender Kumar s/o Sh. Sita Ram, Vill Thana Brahmna, PO Balah, Tehsil Barsar, District Hamirpur 174305 21 Ravinder Sharma s/o Sh. Ved Bhushan, H. No. 45 New Housingh Board Colony, Nahan Sirmour 22 Sangeeta Kumari d/o Sh. Madan Lal, Vill Kaharian, PO & Tehsil Jawali, District Kangra-176023 23 Raman Kumar s/o Sh Hans Raj Sharma, Village Dipur, PO Hatwar, Tehsil Ghumarwin, Distt. Bilaspur, HP. 24 Ranjeet Singh s/o Sh. Shri Ram, VPO Ratwari, Tehsil Nalagarh, District Solan 25 Arjun Singh s/o Sh. Jaswant Singh Vill Chatta, PO Jagnoli, Tehsil Fatehpur, District Kangra 26 Sher Singh s/o Sh. Bestu Ram, Vill Gahar, PO & Tehsil Thunag, District Mandi, 27 Sanjeev Kumar s/o Sh Bansi Ram Village Ropa Rajputan, PO Jaura Amb, Tehsil Barsar, Distt. Hamipur, HP 28 Bhunesh Kumar s/o Sh Harbans Lal, Village Bharoon,PO Nehran Pukhar, Tehsil Dehra Gopipur, Distt. Kangra 177104 29 Kuldeep Singh s/o Sh. Swaran singh, Vill Udey Pur, PO Charatgarh, District Una 174315 30 Yogesh Thakur S/O Sh. Kehar Singh Vill.Kothi P.O.Karara Tehsil & District.Hamirpur 177027 31 Parmod Kumar s/o sh. Hari Singh, VPO Mandap, Tehsil Sarkaghat, District Mandi 32 Manish Kumar s/o Sh. Madan Chand Katoch, VPO Hatwas, Tehsil & District Kangra 33 Nisha Devi w/o Sh. Sh. Ravinder Kumar,VPO Dharamshala Mahanta, Sub Tehsil Amb, Distt. Una, H.P. 177110 34 Nutan Thakur W/o Sh. Jitender Thakur, Thakur Niwas, Near HP Civil Secretariate(East), Chhota Shimla, District. Shimla 35 Usha Devi d/o Sh Sohan Singh, C/o Sohan Auto Mobile Workshop Totu, Distt. Shimla 36 Neeraj Soni S/o Sh Sulekh Soni, Ward No $ Shiv Nagar, Hamirpur District Hamirpur, HP 177001 25.06.72 PH-155/05 02.02.69 621/04 28.08.68 PH-501/03 25.11.73 PH-1731/10 02.02.73 1239/2k 01.04.72 PH-502/03 13.11.75 PH-900/04 03.05.80 PH-2664/09 NM( VI) 20.02.71 PH-704/03 NM( 20.09.72 PH-553/03 OBC NM( 01.04.76 PH-277/07 Hamirpur PH-277/07 NM( 03.01.74 570/02 NM( 27.10.75 791/02 NM( 11.11.78 PH-1901/08 SC Med 30.06.80 200739155 Shimla PH- 46/10 04.08.82 PH-982/04 Arki 07.01.79 2506/04 Hamirpur PH-23/05 Med Med Med 5 Lalhri Wasni (Sirmour) Lanaud (Kangra) Neharian Ratwari Sathana (Kangra) Thunag GMS Thuari u/c Kot Sanore Balag GMS Kuthera Kherla u/c Amb GMS Kiar u/c Bagain Thunag Parihar Kadh Piran Domehar Surhar (Bilaspur) Sui 5 Director of Elementary Education Himachal Pradesh
6 Endst. No. even dated Shimla-171001 the 11 th August, 2011 Copy for information and n/a to:- 1. The Principal Secretary (Education) to the Govt. of Himachal Pradesh, Shimla-171002 with reference to his letter No. letter no:shiksha-ii-kha(1)3/98-loose dated 16.6.08 2. The Director of Social Justice & Empowerment, HP. Shimla-171009. 3. The Director of Higher Education, H.P Shimla-171001. 4. The Commissioner cum Director of Labour & Employment Himachal Pradesh, Shimla- 171002. 5. All the Deputy Directors of Elementary Education, Himachal Pradesh. They are directed that the character and antecedents of the candidate appointed may be got verified within three months of the date of his joining and report be sent to this directorate within 10 days after completion of the scheduled date time of three months. The intimation of the joining of the candidate may also be sent. 6. The concerned Principal with the directions that before accepting the joining report of the candidate a bond on Judicial Paper(in triplicate) is required to be executed between the Head of the institution and the contract appointee as per specimen copy enclosed. Original copy of the bond will be retained in the office of the school, other copy is to be handed over to the appointee and third copy will be forwarded to this directorate alongwith joining report. The joining will be treated incomplete if this office has not received aforesaid documents. The joining of appointee will be treated from the date of signing of the bond. It must be ensured that the candidate is a permanent handicapped and Medical certificate has been issued by the Medical Board/Chief Medical officer of the district. Necessary verification to this effect is to be made by the Head of the concerned school at the time of his/her joining. Duly attested copies of medical certificate issued in favour of the candidate be kept in the office for record. 7. The D.A. dealing with seniority/transfer matters in the Estt. Branch-II(internal)directorate of Elementary Education with the directions that the separate seniority of the teachers appointed on contract basis be maintained. 8. The concerned Employment Exchanges. 9. Individual concerned through Registered Post. 10. The Guard file. Director of Elementary Education Himachal Pradesh 6
7 Annexure- A TERMS AND CONDITIONS of Contract Appointment(TGT) 1. The concerned candidate will have to produce the medical fitness certificate from the Chief Medical Officer/Medical Officer of the Illaqa/area concerned at the time of his/her joining. 2. The candidate concerned shall have to submit a declaration to the effect that if married, he/she has only one spouse living. The woman candidate(s) will declare that she has not married a person having a living wife. 3 The concerned candidate shall have to produce attested copies of his/her academic/professional qualification/domicile/ date of birth etc. certificates 4 The concerned candidate shall have to produce a character certificate from any gazetted Officer to whom he/she is known for the last ten years 5 The concerned candidate shall furnish a declaration to the effect that he/she is not a dismissed employee of any Govt./Semi Govt. Department/ Organization. 6 The appointment may be terminated at any time by a month s notice on either side without assigning any reason. 7 The concerned candidate will have to make an oath of allegiance/faithfulness to the constitution of India. 8 The candidate(s) belonging to SC/ST/OBC etc. will furnish the requisite certificate on the prescribed form only issued by the competent authority. 9. His/her retention in service is subject to his/her character and antecedent being found satisfactory which should be got verified by the concerned Deputy Director/Head of concerned school within scheduled period of three months. 10 He/she will have to give in writing whether he/she was ever convicted by the criminal court and if so the particulars of the offence and punishment be stated. Failing to disclose the facts, he/she will render himself/herself liable to be removed from service without any notice as and when the factual facts comes to light. 11 The candidate(s) concerned shall have to produce the certificate of his/her being a citizen of India 12. In case the candidate belongs to Antodaya/IRDP family he/she shall have to produce a certificate to this effect from Block Development Officer of the area concerned. 13 In case of any of the certificates/information produced/given by the candidate is found false/wrong, later on his/her services will be terminated. 14 The appointee shall have to serve in the difficult area Sub-Cadre for a minimum period of five years. Sd/- Director of Elementary Education, Himachal Pradesh 7
8 Annexure-A-! Name of the candidate Father Name/husband name Date of Birth Category Dateof joining Signature of the candidates Signature of the Principal/Head Master 8
9 Annexure-A-II To The Director of Elementary Education, Himachal Pradesh, Shimla-171001. Subject:- Appointment to the post of TGT ( ) Sir, Reference your letter No dated I hereby submit my acceptance the offer of appointmet. I will be submitting my joining at the appointment school within prescribed time. 2. The offer is not acceptable to me and I do not intend to join as TGT(NM) on contract basis. (Strike out which ever is not applicablewant) Signature of the candidate (Sr.No. in the appointment order) 9
10 Annexure-B Form of contract/ agreement to be executed between the Trained Graduate Teacher (Name of the post) and the Government of Himachal Pradesh through Director of Elementary Education. (Designation of the Appointing Authority). This agreement is made on this day of in the year between Sh./Smt. S/O Shri R/O Contract appointee (hereinafter called the FIRST PARTY), AND The Governor of Himachal Pradesh through Director of Elementary Education (Designation of the Appointing Authority)/Head of the Institution i.e Principal/Headmaster ( here-in-after the SECOND PARTY). Whereas, the SECOND PARTY has engaged the aforesaid FIRST PARTY and the FIRST PARTY has agreed to serve as a Trained Graduate Teacher (Name of the post) on contract basis on the following terms & conditions:- 1.That the FIRST PARTY shall remain in the service of the SECOND PARTY as a Trained Graduate Teacher ( Name of the post) for a period of 1 year commencing on day of and ending on the day of It is specifically mentioned and agreed upon by both the parties that the contract of the FIRST PARTY with SECOND PARTY shall ipsofacto stand terminated on the last working day i.e on And information/ notice shall not be necessary. 2.The contractual amount of the FIRST PARTY will be Rs.13900/- (i.e. minimum of pay band Rs.10300 per month plus grade pay 3600/-P.M). 3.The service of FIRST PARTY will be purely on temporary basis. The appointment is liable to be terminated in case the performance/ conduct of the contract appointee is not found good or if a regular incumbent is appointed/ posted against the vacancy for which the first party was engaged on contract. 4.The contractual appointment shall not confer any right to incumbent for the regularization of service at any stage. 5.Contractual Trained Graduate Teacher ( Name of the post) will be entitled for one day casual leave after putting in one month service. This leave can be accumulated upto one year. No leave of any kind is admissible to the contractual Trained Graduate Teacher (Name of the post). He will not be entitled for Medical Reimbursement and L.T.C etc. Only maternity leave will be given as per Rules. 6. Unauthorized absence from the duty without the approval of the Controlling Officer shall automatically lead to the termination of the contract. A contractual Trained Graduate Teacher ( Name of the post) will not be entitled for contractual amount for the period of absence from duty. 7.Transfer of an official appointed on contract basis will not be permitted from one place to another in any case. 8.Selected candidate will have to submit a certificate of his/her fitness from a Government/ Registered Medical Practitioners. In case of Woman candidates pregnant beyond twelve weeks will render her temporarily unfit till the confinement is over. The woman candidate should be reexamined for fitness from an authorized Medical Officer/ Practitioner. 9. Contract appointee will be entitled to TA/DA, if required, to go on tour in connection with his/ her official duties at the same rate as applicable to regular counter-part official. 10 The Employees Group Insurance Scheme as well as EPF/GPF will not be applicable to contractual appointee(s). 10
11 IN WITNESS the FIRST PARTY AND SECOND PARTY have herein to set their hands the day, month and year first, above written. IN THE PRESENCE OF WITNESS: 1. (Name and full Address) 2. (Name and full Address) (Signature of the FIRST PARTY) IN THE PRESENCE OF WITNESS: 1. (Name and full Address) 2. (Signature of the Second PARTY) (Name and full Address) 11