THE ALL INDIA SERVICES (DISCIPLINE AND APPEAL) RULES, 1969 
                       
        Enclosure to MHA O.M. No. 45/5/53-Est(A), dated 08-01-1959.
        ANNEXURE A
        (Here enter description of the proceedings)
        The Government of India having been pleased to undertake, my defence in the above proceedings, I hereby agree to render such assistance to Government as may be required for my defence and further agree that I shall not hold Government in any way responsible if the proceedings end in a decision adverse to me.
        Date................................
        Signature of the retired Government servant.