CD I
(Referred to in I, 10)
(Application
ORDINARY !URGENT
Form)
AFFIXED HERE COURT FEE STAMP OF 40 PAISE AND COURT FEE STAMP OF THE COST OF COPY
I
Class or case whether Civil,·
Criminal Revenue or
Miscellaneous (2) Original
or appeal
The applicant request ~hat copies detailed in statement No. --1 be granted
Name of Parties
Plaintiff or
Complainant
Defendant
or
Accused
Name of Village or place,
Name of
Nature of case with with had last Number where
Presiding
valuation of suit or .the property in dispute is
Officer of the
description of
situated or where disputes subordinate and
offence as the case
arose or offence was
appellate Court,
maybe
committed
ifany
[STATEMENT
NO. II APPLICANTS
Date of
decision first
and of
appelleate
Court
Purpose for
which copy is
required
Detail of copies
required
Seal
or
Signature
of the "
applicant
ADDRESS
--------------------------------------------------------------~
Name to be written clearly
Parentage
Occupation
Distt. Address
Name of the Village and Post office
APPENDIX
STATEMENT No. III
1.
How will delivery of the copy be taken personally or by registered post?
Note:
(a)
The only necessary advance 50 paise in court fee stamps to be affixed to the 'application, but"
the applicant may also at his option affix stamps to cover the cost of the copy.
(b)
It required by registered post's an extra charge of 50 paise in Court - tee stamps is leviable
(c)
It required by v.P.P. an extra charge 75 Paise in court fee stamps will be leviable
2.
What is the value of the court fee stamps including the 50 paise Court fee stamps affixed to this
application- ? .
.
3.
A receipt will be given in C.D. 10. If the application is personally delivered or it will be sent by post
if an additional 50 paise Court fee.
Application rejected under the rule.
Date
Copying Supervisor?
A copy may be supplied
Date
Copying Supervisor
A search fee of 50 paise should be levied.
Copying Supervisor