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Bombay High Court

USHIK MAHESH GALAversusDIRECTORATE OF ENFORCEMENT AND ANR

Decided
Disposal
Disposed Off

Holding

The Court held that the applicant is "sick and infirm" within the meaning of the proviso to Section 45(1) of the PMLA and therefore is entitled to enlargement of medical bail.

Summary

Ushik Mahesh Gala, accused under the Prevention of Money Laundering Act, 2002, was arrested in 2025 and subsequently granted interim medical bail for gall‑bladder surgery. After undergoing additional hernia surgery in July 2026, he applied for an enlargement of medical bail, citing morbid obesity and post‑operative complications. The Court examined medical reports, the statutory provisions of Section 45(1) of the PMLA and the proviso that a person who is "sick or infirm" may be released on bail without satisfying the twin conditions. Relying on precedents that treat obesity and its sequelae as a disease rendering the accused infirm, the Court held that the applicant fell within the ambit of the proviso. Consequently, the Court granted the requested enlargement of medical bail subject to strict conditions. The order also directed the investigating officer to monitor the applicant’s health and cooperation with the investigation.

Issues considered

  • Whether the applicant satisfies the twin conditions under Section 45(1) of the PMLA for bail.
  • Whether the applicant's medical condition qualifies as "sick and infirm" under the proviso to Section 45(1) of the PMLA, justifying enlargement of medical bail.

Legislation cited

Subjects

  • medical bail
  • PMLA
  • Section 45(1)
  • sick and infirm
  • obesity
  • hernia surgery
  • economic offences
  • Enforcement Directorate

Judgment

                                                                BA.1836.2026.doc

Ajay

               IN THE HIGH COURT OF JUDICATURE AT BOMBAY
                         CRIMINAL APPELLATE JURISDICTION

                      BAIL APPLICATION NO.1836 OF 2026

       Ushik Mahesh Gala                                 .. Applicant
             Versus
       Directorate of Enforcement and Anr.               .. Respondents

                                  ....................
        Mr. Rishi Bhuta, Advocate and Mr. Vikram Nankani, Senior
         Advocate a/w. Mr. Rashmin Khandekar, Mr. Pushkraj Deshpande,
         Mr. Rohan Marathe and Ms. Bhumika Khandelwal i/b. ALMT Legal,
         Advocates for Applicant.
        Mr. Pavan Patil a/w. Mr. Shubham Saraf, Mr. Tanmay Deshmukh
         and Mr. Soham Badole, Advocates for Respondent No.1
        Ms. Gauri S. Rao, APP for Respondent No.2 – State.
                                   ......…...........

                                  CORAM : MILIND N. JADHAV, J.
                                  DATE         : AUGUST 24, 2026.

       P.C.:

       1.       Heard Mr. Bhuta, Advocate for Applicant, Mr. Patil, learned

       Advocate for Directorate of Enforcement and Ms. Rao, learned APP for

       Respondent No.2 – State.


       2.       Present Bail Application is filed by Applicant under Section

       483 of Bharatiya Nagarik Suraksha Sanhita, 2023 seeking enlargement

       on medical bail pursuant to his arrest by Respondent No.1 in

       ECIR/MBZO-I/14/2024.


       3.       Applicant is arraigned as Accused No.8 in EOW Crime No.08

       of 2022 filed by Economic Offences Wing (for short “EOW”). Applicant



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was arrested on 25.02.2022 by EOW in the predicate offences and

subsequently enlarged on bail by 47th Magistrate Court on 14.03.2022.

This order was taken / challenged unsuccessfully right upto the

Supreme Court. Three years thereafter, in or about 2025, i.e.

Respondent No.1 registered ECIR/MBZO-I/14/2024 consisting of

offences under Schedule – I of Prevention of Money Laundering Act,

2002 (for short “PMLA, 2002”) being Sections 420 and 467 of Indian

Penal Code, 1860 at Worli Police Station which was transferred to

Economic Offences Wing as Crime No.08 of 2022. Applicant was

arrested in respect of scheduled offences on 17.11.2025 and was

remanded to custody till 24.11.2025.


4.       On 18.12.2025, Applicant filed Bail Application No.1273 of

2025 before Special Judge seeking interim medical bail for gall bladder

surgery which was allowed by order dated 24.12.2025. This was in

view of the subsisting medical ailment and condition of Applicant.

However, Applicant was unable to undertake his surgery and hence he

filed Miscellaneous Application No.89.2026 dated 19.01.2026 seeking

extension of medical bail. By order dated 23.01.2026 medical bail was

extended till 02.03.2026. Applicant underwent gall bladder surgery on

07.02.2026 and sought extension of medical bail for a period of 6

months for rehabilitation which was rejected by order dated

06.04.2026. However on challenge interim relief was continued by this

Court. Hence present Bail Application on medical grounds.

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5.        Mr. Bhuta, has taken me through the Applicant’s Medical

Reports placed on record and prepared by the State run J.J. Hospital

and the Applicant’s treating doctor Mr. Borude of “Bariatics by

Borude”. With his able assistance I have perused the same. He would

submit that since filing of present Bail Application, health of Applicant

has progressively worsened. He would submit that post Applicant’s gall

bladder surgery on 07.02.2026, he experienced severe abdominal

cramps which were subsequently diagnosed as hernia and he

underwent further hernia surgery on 10.07.2026 and is now under

rehabilitation. He would submit that Applicant suffers from morbid

obesity which increased his risk of hernia and but undergoing hernia

surgery, he is at a high risk of port – site hernia developing at incision

locations due to his weight related issue.


5.1.      He would submit that on 16.07.2026, Dr. Rahul Borude,

Bariatic Surgeon examined the Applicant and advised him complete

bedrest until November 2026 as post operative rehabilitation. He

would submit that Applicant is medically vulnerable due to his morbid

obesity which resulted in his surgeries. He would submit that

Applicant’s medical condition squarely falls under the provisio to

Section 45(1) of PMLA, 2002 and hence urges Court to enlarge the

Applicant on Medical bail.


5.2.      He would refer to and rely upon the following decisions o in



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support of his case:-


                (i)      Pranjil Batra Vs. Directorate of Enforcement1
                (ii) Sameer Mahandru                               Vs.   Directorate     of
                     Enforcement2
                (iii) Devki Nandan Garg Vs. Directorate of
                      Enforcement3
                (iv) Naresh Goyal Vs. Directorate of Enforcement and
                     Anr.4
                (v) Naresh Goyal Vs. Directorate of Enforcement 5
                (vi) Subodh Kumar Goel Vs. Enforcement Directorate6
                (vii) Ramesh Chandra Vs. Directorate of Enforcement7
                (viii)Radhika Kapoor Vs. State and Ors.8
                (ix) Sandeep Aggarwal Vs. Priyanka Aggarwal9
                (x) Joni S.K. Vs. Union of India and Ors.10
                (xi) Dr. P.V. Varavara Rao Vs. National Investigating
                     Agency and Anr.11


6.              PER CONTRA, Mr. Patil, learned Advocate appearing for

Respondent No.1 – Enforcement Directorate would submit that

Applicant has failed to satisfy the mandatory twin conditions under

Section 45(1) of PMLA, 2002 and allegations and case against

Applicant involves serious economic offenses. He would submit that

the twin conditions for grant of bail under Section 45(1) of PMLA,

2002 are to be construed and applied strictly to accused persons who
1 CRM – M – 23705 of 2022 decided on 04th November 2022
2 Crl. MA No.10859 of 2023 decided on 12th June 2023
3 2022 SCC OnLine Del 3086
4 Bail Application No.2494 of 2024 decided on 11th November 2024
5 2024 SCC Online Bom 1259
6 2025 SCC Online Cal 6939
7 2025 SCC OnLine Del 1706
8 2016 SCC OnLine Del 6652
9 2021 SCC OnLine Del 5521
10 WPA No.27189 of 2024 decided on 21st May 2025
11 2021 SCC OnLine Bom 230

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are sick and infirm and where continuous custody would adversely

affect their health. He would submit that medical condition of

Applicant is not that serious or life threatening that warrants his

release on bail notwithstanding that his is already enlarged on Medical

bail since 24.12.2025 and he having undergone two surgeries

especially when adequate treatment and follow up can be provided

within jail or government facilities to him and hence Applicant’s does

not fall within the definition of sick and infirm per person as

contemplated in the provisio of Section 45(1) of PMLA, 2002.


6.1.      He would submit that Applicant had undergone bariatric

surgery in 2022 followed by gall bladder removal surgery and is in post

– operative care and suffering from post – operative dyspepsia along

with sacropenia. He would submit that these medical conditions

merely involve digestive discomfort and reduced muscle mass, that

they are standard features of post bariatric surgery recovery and do not

indicate existence of any acute or life threatening condition which

requires emergency intervention, intensive care or continuous

hospitalization.


6.2.      He would submit that though admittedly Applicant suffers

from obesity, it is not pleaded as an independent subsisting illness but

only formed the basis for Applicant’s bariatric surgery. He would

submit that Applicant is confined to post operative management and



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recovery which does not disclose any serious life threatening ailments

to attract provisio to Section 45 of PMLA, 2002 to his case.


6.3.             He would submit that prevention of further infections,

continuity of care, monthly follow ups and long term dietary

supervision are not conditions that render Applicant incapable of

medical assistance by prison hospital while in custody. He would

submit that Applicant underwent gall bladder surgery and was

discharged in a stable condition with now only routine follow up

advised.


6.4.             He would submit that Applicant only requires post operative

care and no serious or life threatening ailment is made out so as to

attract provisio to Section 45 PMLA, 2002. He would submit that

interim bail on medical grounds in such a situation cannot be granted

only as a matter of routine and must be granted as an exception and

Applicant’s case does not fall within any such exception so as to

warrant consideration. He would refer to and rely upon the following

decisions of this Court, various High Courts and the Supreme Court in

support of his submissions:- (i) Kewal Krishan Kumar Vs. Directorate of

Enforcement12, (ii) Ramesh Chandra Vs. Directorate of Enforcement 13,

(iii) Aditya Avinash Sood Vs. State of Maharashtra14 and; (iv) Asim

Mallik Vs. State of Odisha15
12   (2023) SCC OnLine Del 1547
13   2024 SCC OnLine Del 1821
14   2025 SCC OnLine Bom 5587
15   Diary No.57403 of 2024 decided on 24.04.2025



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7.        I have heard the learned Advocates appearing for the parties

and with their able assistance, perused the record of the case.

Submissions made by learned Advocates at the bar have received due

consideration of the Court.


8.         Applicant before this Court seeks enlargement on medical

bail and has filed numerous medical reports and discharge summary

issued by Dr. Rahul Borude of Bariatrics by Borude, J.J. Group of

Hospitals Mumbai, Breach Candy Hospital and Chief Medical Officer

Mumbai Central Prison to show that he suffered from several ailments

since 2022 which prompted have him to undergo a number of

surgeries. Certain reports are alluded to determine the severity of

Applicant's medical condition viz:- (i) Medical report dated 18.02.2026

issued by Dr. Rahul Borude of “Bariatrics by Borude” states that

Applicant is in post operative rehabilitation however since his immune

system may be compromised hence he is at risk of severe infection

which may be fatal and life threatening; (ii) Discharge summary dated

13.07.2026 issued by Breach Candy Hospital states that Applicant

suffers from Multi Incisional Hernias on his abdomen for which surgery

was performed on 10.07.2026 by Dr. Rahul Borude and; (iii) Medical

report dated 16.07.2026 issued by Dr. Rahul Borude of “Bariatrics by

Borude” states that Applicant is being managed for post - operative

gastrectomy performed in 2022, gall bladder removal surgery in

February 2026 and abdominal hernia surgery in July 2026 for which

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he was advised rehabilitation at home and close clinical observation.


9.        The core case of Respondent No.1 - ED is that Applicant's

medical condition is not serious or life threatening and can be treated

through jail hospital and Government hospitals and that Applicant has

failed to fulfill the twin conditions for grant of bail under Section 45(1)

of PMLA and that his he is in post operative rehabilitation, therefore he

cannot invoke the provisio to Section 45(1) of PMLA.


10.       Perusal of the material on record and submissions made by

both parties would show that prior to 2022, Applicant suffered from

morbid     obesity   and     underwent      Sleeve    Gastrectomy      and

Cholecystectomy surgery (bariatric surgery) on 18.11.2022. It is seen

that due to certain side effects of the said bariatric surgery, he

underwent gall bladder removal surgery on 07.02.2026, however due

to his consistence obesity he developed abdominal hernia for which he

underwent hernia repair surgery on 10.07.2026. Case of Respondent

No.1 – ED is that Applicant is in post surgery rehabilitation and

therefore facilities provided by government and State run medical

institutions / jails will serve as adequate healthcare facilities for

Applicant’s recuperation in such background. I cannot countenance this

submission since as seen above, the material filed on record paint a

clear picture of Applicant's medical infirmities and poor health

conditions which stem from his morbid obesity. I would like to refer to



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and rely upon a decision passed by the Punjab and Haryana High Court

in the case of Pranjil Batra Vs. Directorate of Enforcement 16 which was

relied upon by Mr. Bhuta to enumerate that obesity is a disease that

may lead to causation of several other diseases. Relevant paragraph

No.21 thereof is reproduced hereinbelow for ease of reference:-

           21. Obesity, as in the case of the petitioner, who weighs 153
           kilograms is not just a symptom but is itself a disease which
           becomes root-cause of several other diseases. With such co-
           morbodities, the response, the resistance, the resilience and the
           capacity of the body to fight ailments and recuperate
           efficaciously, decreases substantially. The jail doctor or for that
           matter, a civil hospital may not be fully equiped to handle a
           patient having multiple aiments who apart from medical
           treatmet may require a certain level of monitoring, care and
           attention which ordinarily is not available in jail. Considering
           the co-morbodities of the petitioner, it can safely be said that he
           falls in the exception of being “sick” as carved out in Section 45
           of the Act, so as to be entitled tobe released on bail. The
           petitioner, otherwise has been behind bars since the last about 8
           months. Supplementary complaint already stands presented
           against him. There is no occasion for his custodial interrogation
           now at this stage. The co-accused Radhe Shyam and Bansi Lal
           were released on bail immediately upon their appearance in
           Court pursuance to issuance of summons for their appearance.


11.        The words of the Punjab and Haryana High Court in the case

of Pranjil Batra Vs. Directorate of Enforcement17 deserve reiteration in

the present case since Applicant suffers from morbid obesity and

consequently was compelled to undergo three different surgeries

despite which on two occasions i.e. on 22.12.2025 and as recent as on

18.02.2026 his condition was described as life threatening by his

treating doctor. Therefore, in my considered opinion it would be

wholly erroneous to conclude that Applicant is fully recovered and
16 Supra
17 Supra

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cured and merely suffers from obesity since as seen from above obseity

is not a mere disease or life condition but an underlying cause for

further medical complications which can affect overall health and

lifestyle, and in the present case have certainly done so, and therefore

Applicant deserves appropriate rehabilitation and medical care and

attention if he is to stand trial.


12.        It is seen that in the case of Devki Nandan Garg Vs.

Directorate of Enforcement 18, relied upon by Mr. Bhuta, Delhi High

Court has rightly held in paragraph No.34 in the said decision that

when any person accused of scheduled offences under PMLA, 2002 fall

within the the ambit of the term “sick and infirm” in the provisio to

Section 45(1) of PMLA, 2002, that accused person is not mandatorily

required to fulfill the twin conditions for grant of bail as enumerated in

Section 45(1) of PMLA, 2002. Contents of paragraph No.34 therefore

come to the aid of Applicant in the present case and it is reproduced

hereinbelow for ease of reference:-

           34. The above position was noted by the Supreme Court in
           Gautam Kundu v. Enforcement Directorate [Gautam Kundu v.
           Enforcement Directorate, (2015) 16 SCC 1 : (2016) 3 SCC (Cri)
           603] , particularly para 34 which reads as under: (SCC p. 16,
           para 34)
                “34. We note that admittedly the complaint is filed
                against the appellant on the allegations of
                committing the offence punishable under Section 4
                of the PMLA. The contention raised on behalf of the
                appellant that no offence under Section 24 of the
                SEBI Act is made out against the appellant, which is
                a scheduled offence under the PMLA, needs to be

18 Supra

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                considered from the materials collected during the
                investigation by the respondents. There is no order
                as yet passed by a competent court of law, holding
                that no offence is made out against the appellant
                under Section 24 of the SEBI Act and it would be
                noteworthy that a criminal revision praying for
                quashing the proceedings initiated against the
                appellant under Section 24 of the SEBI Act is still
                pending for hearing before the High Court. We have
                noted that Section 45 of the PMLA will have
                overriding effect on the general provisions of the
                Code of Criminal Procedure in case of conflict
                between them. As mentioned earlier, Section 45 of
                the PMLA imposes two conditions for grant of bail,
                specified under the said Act. We have not missed
                the proviso to Section 45 of the said Act which
                indicates that the legislature has carved out an
                exception for grant of bail by a Special Court when
                any person is under the age of 16 years or is a
                woman or is sick or infirm. Therefore, there is no
                doubt that the conditions laid down under Section
                45-A of the PMLA, would bind the High Court as
                the provisions of special law having overriding
                effect on the provisions of Section 439 of the Code
                of Criminal Procedure for grant of bail to any
                person accused of committing offence punishable
                under Section 4 of the PMLA, even when the
                application for bail is considered under Section 439
                of the Code of Criminal Procedure.”
           35. Thus, the proviso to Section 45(1) of the PMLA carves out
           an exception from the rigours of Section 45 for persons who are
           sick or infirm. Once a person falls within the proviso of Section
           45(1), he need not satisfy the twin conditions under Section
           45(1) as elucidated in the dicta of Gautam Kundu case [Gautam
           Kundu v. Enforcement Directorate, (2015) 16 SCC 1 : (2016) 3
           SCC (Cri) 603] .


13.        The Court in Naresh Goyal Vs. Directorate of Enforcement

and Anr.19 took a lenient approach to the provisio to Section 45(1) of

PMLA, 2002 wherein this Court went one step further to hold that once

the accused person falls into the meaning of “sick and infirm” as

enumerated under the provisio of Section 45(1) of PMLA, 2002 and is

released on medical bail, the same would continue to subsist even if
19 Supra

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the accused person subsequently recovers from his medical condition.

The relevant paragraph No.26 is reproduced hereunder for ease of

reference:-

          26. In my view, the question as to whether the person falls
          within the ambit of the proviso to Section 45(1) i.e. whether he
          is sick or infirm has to be determined at the stage of
          consideration for bail. Once the Court finds that the accused
          falls within the ambit of the said proviso, then the order of
          release on bail would enure, even if subsequently the accused
          recovers from the sickness or infirmity.


14.       Therefore, from the above decision it is seen that the long

standing practice of “bail is the rule, jail is the exception” is aptly put

into practice in such open and shut cases. In the present circumstances,

Applicant suffers from various medical conditions for which he has

undergone 3 surgeries over the span of less than 4 years which have

affected his overall health and perusal of his medical reports prima

facie show that he requires ample post rehabilitation care and

monitoring for side effects and symptoms that may arise. This can only

be done if Applicant receives treatment at a hospital of his choice and

is well taken care of away from infection related environment. There is

a qualitative difference in the treatment received as an undertrial

prisoner especially in jail barracks and jail hospital and as a citizen

under no restraint. It is seen from the precarious medical condition,

degree of care and monitoring of existing / subsisting ailments from

which the Applicant suffers along with observations for any untoward

complications that may arise altogether clearly justify grant of medical


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bail to the Applicant before me in accordance with provisio to Section

45(1) of PMLA, 2002.


15.       There is no doubt that discharge summary issued by Breach

Candy Hospital dated 13.07.2026 states that Applicant was discharged

after his hernia repair surgery however it will have to be appreciated in

context of the health condition of Applicant evident from the entire

compilation of medical reports appended on record. The discharge

summary issued by Breach Candy Hospital dated 13.07.2026 cannot be

appreciated in isolation and must be read along with all of Applicant’s

medical reports placed before this Court since they have accurately

charted the course of Applicant’s health condition from November

2022 till date which was appreciated by Court while granting Medical

bail for his surgeries since December 2025.


16.       In my considered opinion, though Applicant was discharged

from Breach Candy Hospital on 13.07.2026 after his hernia repair

surgery, it can by no stretch of imagination indicate that he is fit to be

sent back to prison or the hospital attached to the prison. Perusal of

the material on record bring home the conclusion that sickness,

infirmity and health conditions of Applicant are severe and hence

directing Applicant to return to custody or even the prison hospital

upon his discharge, is incompatible with his health conditions and that

it would run the risk of deterioration of his health to the point of no



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return in that case. We are otherwise all aware of the jail conditions

and the enormity of congestion in jails.


17.       In view of the aforesaid strong circumstances presented by

Applicant’s medical reports and discharge summary, Applicant has

made out a strong case for grant of medical bail.


18.       Investigating Officer shall be at the liberty to visit the

hospital / home of Applicant for investigation. Applicant’s supervising

doctors are directed to prepare appropriate reports about the status

and medical condition of Applicant and his availability to co-operate

with the investigation depending on his recovery and apprise the

Investigating Officer about the same within 15 days from today.


19.       Applicant shall cooperate and provide all details for

investigation as called upon. The Application of Applicant is primarily

considered on medical grounds at this stage and it is subject to

revocation if he and / or other accused persons do not co-operate with

the investigation. Merely because at this stage unless the entire chain

which is linked is to be traced including the absconding Accused or

there maybe involvement of other parties, keeping the Applicant in jail

in his present condition when he is ready to co-operate cannot be the

answer. Hence, on both counts but with a direction that Applicant's

through their other accused persons shall ensure complete co-

operation with the investigation on all counts and make all disclosures,


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the present order is passed.


20.       That apart this Court while passing orders on pervious

occasions in so far as the Applicant's medical condition is concerned

has clearly applied its mind and the same is certified by the reports

before this Court. Hence on medical ground, Applicant deserves

enlargement on bail for medical treatment and rehabilitation which

cannot be denied to him in view of his precarious medical condition

and requirement for post surgery rehabilitation. Needless to state that

every 6 months the Applicant will present himself at J.J. Hospital for a

checkup and the Dean of the said hospital shall, through a committee,

examine the status of Applicant’s health parameter and give opinion in

a Report to the prosecution. Prosecution will be at liberty to approach

this Court on the basis on that Report for custody of the Applicant and

for cancellation of his medical bail.


21.       In view of the above, Applicant be released on bail on

medical grounds on following conditions:-


          (i)    Applicant – Ushik Mahesh Gala be released on bail, on

          furnishing a P.R. Bond of Rs.2,00,000/- and one or more

          sureties in the like amount;


          (ii)   It is directed that the other accused persons, if any,

          whose names shall be provided by the Applicant to the

          Investigating Officer, shall attend investigation before the

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Investigating Officer on the first and third Monday of every

month from 10:00 a.m. to 5:00 p.m. with all disclosures as

called for by the Investigating Officer initially for a period of

three (3) months from today and thereafter the Applicant

will also join in the investigation along with all the other

accused persons who are directed to be present before the

Investigating Officer as directed or as called for by the

Investigating Officer thereafter. Investigating Officer shall be

at liberty to visit the Applicant’s home with 2 days advanced

notice to enquire about his rehabilitation and keep record of

the same for Court’s information if so required later;


(iii) Applicant shall not leave the country without prior

permission of the Court;


(iv) Applicant shall not influence any of the witnesses or

tamper with the evidence in any manner;

(v) Applicant shall keep the Investigating Officer informed

of his current address and mobile contact number and / or

change of residence or mobile details, if any, from time to

time, as applicable;

(vi) Applicant shall surrender his passport with the

Investigating Officer of the concerned police station;

(vii) Applicant shall not indulge in any activity similar to the



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                                           activities on the basis of which the Applicant stands

                                           prosecuted;

                                           (viii) Applicant shall not try to establish communication with

                                           any co-accused or any other person involved directly or

                                           indirectly in similar activities, through any mode of

                                           communication;

                                           (ix) Any infraction of the conditions shall entail cancellation

                                           of bail granted to the Applicant.


                                 22.       Liberty to apply for cancellation of this order to prosecution

                                 in case of any breach of the conditions.


                                 23.       Bail Application No.1836 of 2026 is allowed and disposed in

                                 above terms.


                                                                               [ MILIND N. JADHAV, J. ]

       Ajay
              Digitally signed
              by AJAY
AJAY       TRAMBAK
TRAMBAK    UGALMUGALE
UGALMUGALE Date: 2026.08.24
              11:35:45 +0530




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