FORM. C.A.I.

(RULE) Application for copy Urgent Ordinary

To the District Officer_
Name of the application whom file/Applicant
SPACEFOR COURTFEES STAMP
Wlo, Dlo, Slo
Resident of
Post Office and District
Description and number of the case from the record of which the copy is
Court fee stamp filed with the application
Required
Number. Value
Mauza
P.S. Goswara No. ICopy to be sent by post or
will applicant attend in
District Person
Name of Parties. Signature
Nature of case Date of Decision|
Date
Order Next date fixed if pending.
Name of the
Order on application
court deciding the case or where pending
Signature of the copying agent with
Date of order etc.
| Name of description Purpose for which copy Date.
of the Papers of is required whether it is
which copy is required for Private use for Signature of recipient of copy with
required filling in some court etc. Date