FORM -1 - AUTHORISATION FOR SEARCH, SEIZURE AND FREEZING UNDER SUB-SECTION (1) AND SUB-SECTION (1A) OF SECTION 17 OF THE ACT - Prevention of Money-Laundering (Forms, Search And Seizure or Freezing And The Manner of Forwarding The Reasons And Material To The Adjudicating Authority, Impounding And Custody of Records And The Period of Retention) Rules, 2005

FORM -1 [See sub-rule (1) of rule 3] AUTHORISATION FOR SEARCH, SEIZURE AND FREEZING UNDER SUB-SECTION (1) AND SUB-SECTION (1A) OF SECTION 17 OF THE ACT Authorization Number....................of .................... [year] Dated WHEREAS I.................... [Director/Additional Director/Joint Director/Deputy Director], have reason to believe that ................................................................................[name and complete address of the person] (i) has committed an act which constitutes money-laundering, or (ii) is in possession of proceeds of crime involved in money-laundering, or (iii) is in possession of records relating to money-laundering, and certain documents including proceeds of crime and/ or records relating to money laundering, which in my opinion, will be useful for or relevant to the investigation and other proceedings under the Prevention of Money-laundering Act, 2002 (15 of 2003) are secreted in the premises specified in the Schedule below. I hereby authorize.................... ........................................ [name and designation of the Authority ] to conduct the search of the premises specified in Schedule below, under sub-section (1) of section 17 of the Prevention of Money-laundering Act, 2002 (15 of 2003) and rule 3 of these Rules. The officer so authorized to conduct search shall seize or freeze any record or property, as the case may be, which is considered relevant for the purposes of proceedings under Act as per procedure specified in rule 4 of these rules. Given under my hand and seal on this....................day of .................... Two thousand .................... Schedule of Premises [Director/Additional Director/Joint Director/ Deputy Director] [Signature with seal]