SCHEDULE – I

FORM – 1 MEDIATION APPLICATION FORM

[SEE RULE 3(1)]

DISTRICT LEGAL SERVICES AUTHORITY, BENGALURU URBAN

GROUND FLOOR, CITY CIVIL COURT COMPLEX, BENGALURU -560009

DD in favour of: “Chairperson & Member Secretary, DLSA, Bengaluru Urban”

DETAILS OF PARTIES :

1. Name of applicant: WIPRO Enterprises (P) Limited

2. Address and contact details of applicant:

Address: WIPRO Enterprises (P) Ltd,

‘C’ Block,CCLG Division
Doddakannelli,
Sarjapur Road
Bengaluru - 560 035.

Having its Office at,

Wipro Infrastructure Engineering

No.88, 5th Floor
S.B Towers, M.G.Road
Bengaluru- 560 001.

Telephone No:

Mobile No:

E-mail ID:

3. Name of opposite party: 1. Advance Core Metal Engineering LLP

Address and contact details of Opposite Party

Address: 1. Advance Core Metal Engineering LLP

E-10/11(2), MIDC. Opp. Divigi Warner’
Bhosari, Pune 411026
Maharastra, India

Telephone No:

Mobile No:

E-mail ID:

DETAILS OF DISPUTES:

1. Nature of dispute as per section 2(1)(c) of the Commercial Courts Act 2015 (4 of
2016):

Present dispute arises out of contract between the parties hence it falls under the category
defined under section 2(1)(c)(vi) of the Commercial Courts Act,2015.

2. Quantum of claim:
Outstanding amount of Rs.5,88,256/- Rupees Five Lakhs Eighty Eight Thousand Two Hundred
and Fifty Six)

3. Territorial Jurisdiction:

The cause of action Partly arises at Bangalore, within the territorial jurisdiction of the
commercial court at Bangalore.

4. Brief synopsis of commercial dispute (not to exceed 5000 words):

The applicant has acquired the entire automation business including purchase of all business
assets of ICC pursuant to the Business Purchase Agreement dated March 29, 2019 between
Wipro Enterprises (P) Limited (through its WIN automation solutions business) (“Wipro” ) and
Incite Cam Centre (“ICC”), That the Opposite party had placed purchase orders for the purchase
of products Viz., jigs and fixtures (hereinafter “Products”), and accordingly ICC had supplied,
installed and commissioned the products and issued invoices for a total value of Rs.5,88,256/-
(Rupees Five Lakhs Eighty Eight Thousand Two Hundred and Fifty Six /-). The said supplies
were made by ICC with explicit credit terms, however, as on date the amount of Rs.5,88,256/-
(Rupees Five Lakhs Eighty Eight Thousand Two Hundred and Fifty Six /-) remains outstanding
and payable.

5. Additional points of relevance:

DETAILS OF FEE PAID:

Fee paid by DD No. dated Name of the Bank and

Branch
Online Transaction No. dated

Date: Name and Signature of Applicant

Note: Form shall be submitted to the authority with a fee of One Thousand Rupees