FORM OF APPLICATION

FOR REGISTRATION OF A PUBLIC TRUST

Service Request No (SRN) NND/46816/1860/24

Application Date 27/02/2025

Inward Number -

Inward Date

To
The Deputy/Assistant Charity Commissioner,
Nanded Region / Sub-region

In the matter of Public Trust SHRI BALAJI BAHUUDDESHIYA SEVABHAVI SANSTHA AJAMWADI TQ LOHA DIST NANDED
,
HOUSE NO 270 AJAMWADI TQ LOHA DIST NANDED HOUSE NO 270 AJAMWADI TQ LOHA DIST NANDED HOUSE NO 270
AJAMWADI TQ LOHA DIST NANDED, Nanded, Loha, Raywadi 431708

I, BALAJI HANMANT GUTTE trustee of the above named public trust, hereby apply under section 18 of the Bombay Public Trust
Act, 1 950,

for the registration of the said public trust.

2. I submit the following necessary particulars:

(ai) The designation by which the public trust is or shall be known SHRI BALAJI BAHUUDDESHIYA SEVABHAVI SANSTHA
(Name of the Public Trust) AJAMWADI TQ LOHA DIST NANDED
HOUSE NO 270 AJAMWADI TQ LOHA DIST NANDED
HOUSE NO 270 AJAMWADI TQ LOHA DIST NANDED
HOUSE NO 270 AJAMWADI TQ LOHA DIST NANDED,
Nanded, Loha, Raywadi 431708
(i) Name of the trustees and managers with their addresses

Sr. No. Name Address

1 JANKIRAM PUNDALIK MUNDE AJAMWADI TQ LOHA DIST NANDED Nanded Loha Raywadi

2 ROSHAN SANTOSH RATHOD KHEMA THANDA TQ KANDHAR DIST NANDED Nanded Kandhar
Shekapur
3 PARASRAM RAMRAO CHOLE GOLEGAONWADI TQ LOHA DIST NANDED Nanded Loha Golegaon P.U.

4 MADAN JANKIRAM MUNDE AJAMWADI TQ LOHA DIST NANDED Nanded Loha Raywadi

5 RAJU SITARAM MUNDE AJAMWADI TQ LOHA DIST NANDED Nanded Loha Raywadi

6 SANTOSH DHONDIBA GITE BABULGAON TQ KANDHAR DIST NANDED Nanded Kandhar Hadoli B.S.

7 SITARAM PUNDALIK MUNDE AJAMWADI TQ LOHA DIST NANDED Nanded Loha Raywadi

8 ANKUSH DHONDIBA GITE BABULGAON TQ KANDHAR DIST NANDED Nanded Kandhar Hadoli B.S.

(ii) Mode of succession to the trusteeship and managership ELECTION

(iii) Objects of the trust

Charitable/Welfare

Educational
 Medical

Old Age Homes

Orphanage

Social Service

Sports

(iv) (a) Particulars of the documents creating the trust

(iv) (b) Particulars other than documents about the origin or creation of trust

(v) Particulars of the scheme, if any, relating to the trust

(vi) Movable property with estimated value of each class of such property
Sr. No. Property Details Estimated Value in INR

3 MEMBRSHIP FEES 2057.00

Total 2057.00
Estimated Value

(vii)(a) Details of immovable property showing the village or town where situate, along with C.S., Municipal or Survey No., area,
assessment or Judi and description of the tenure on which held.

(vii)(b) Estimated value of each immovable property

(viii) Sources of income of the trust DONATION GRANT BANK INTRESS

(ix) Average gross annual income 0.00

(x) Average annual expenditure 0.00

(xi) Amount of average annual expenditure

Particulars Amount in INR

(a) On remuneration to trustees and manager 0.00

(b) On establishment and staff 0.00

(c) On religious objects 0.00

(d) On charitable objects 0.00

(e) On miscellaneous items 0.00

(xii) Particulars of encumbrances, if any, on trust property 0

(xiii) Particulars of title-deeds pertaining to trust property and the names of trustees in BALAJI HANMANT GUTTE
possession thereof
(xiv) Remarks, if any ASPER ABOVE

3. Fee of Rs.50.00 accompanies.

Name BALAJI HANMANT GUTTE

Address नांदेड

Date: 27-02-2025