No. F.

5/Judl(I)/2018, dated: 29/10/2018

w.e.f. 29th October, 2018

ANNEXURE_X

PROFORMA FOR FIRST LISTING

SECTION_ _ _ __
The case pertains to (Please tick/check the correct box}:

• Central Act: (Title)

• Section:

• Central Rule: (Title)

• Rule No(s}

• State Act: (Title)

• Section:

• State Rule: (Title)

• Rule No(s)

• Impugned Interim Order: (Date)

• Impugned Final Order/Decree: (Date)

• High Court: (Name)

• Names of Judges:

• Tribunal/Authority: (Name}

1. Nature of matter: • Civil • Criminal

2. (a) Petitioner/ appellant No. l :

(b) e-mail ID:
(c) Mobile phone number:
3. (a) Respondent No. l :_ _ _ _ _ _ _ _ _ _ _ _ __
(b) e-mail ID:_ _ __ _ _ __ _ _ _ _ _ __.____ _
(c) Mobile phone number: _ _ _ _ _ _ _ _ _ _ __

4. (a) Main category classification: _ __ _ _ __

(b) Sub classification:- - - - - - - - - - -

5. Not to be listed before :- - - -- - - - - - - -

6. (a) Similar disposed of matter with citation, if any, & case

details:- - - - - - - -- -
(b) Similar pending matter with case details: _ _ _ _ _ __

7. Criminal Matters:

(a) Whether accu sed/convict has su1rendered: D

Yes No. D
(b) FIR No._ _ _ _ _ _ _ _ __ Date: _ _ _ __
(c) Police Station: _ __ _ __ _ _ _ __
(d) Sentence Awarded: _ _ _ _ _ _ _ __ _
(e) Period of sentence undergone including period of
detention/ custody undergone: _ _ _ _ _ _ __
8. Land Acquisition Matters:

(a) Date of Section 4 notification: _ _ __ _ _

(b) Date of S ection 6 notification: _ _ _ _ __
(c) Da te of Section 17 notification:_ _ _ __
9. Tax Matters: State the tax effect:- - - - - -

10. Specia l Category (first petitioner/ appellant only):

D Senior Citizen>65 years D SC/ST O woman/child D Disabled
D Legal a id case D In cu stody
11. Vehicle Number (in case of Motor Accident Claim m atters):

Date: AOR for petitioner(s)/appellant(s)

(Name)_ _ ·_ _ _ _ __ _
Registration No._ _ _ _ _ __