মামলার আবেদনপত্র
বরাবর,
চেয়ারম্যান তারিখঃ......................
গ্রাম আদালত
দিলপাশার ইউনিয়ন পরিষদ
ভাঙ্গুড়া,পাবনা।
আবেদনকারী ও প্রতিবাদীর নাম ও ঠিকানা
আবেদনকারী |
প্রতিবাদী |
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নামঃ |
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নামঃ |
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পিতার নামঃ |
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পিতার নামঃ |
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মাতার নামঃ |
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মাতার নামঃ |
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গ্রামঃ |
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গ্রামঃ |
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ডাকঘরঃ |
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ডাকঘরঃ |
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উপজেলাঃ |
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উপজেলাঃ |
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জেলাঃ |
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জেলাঃ |
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ঘটনার বিবরণঃ
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স্বাক্ষীগনের নাম ও ঠিকানাঃ
(১)
(২)
(৩)
আবেদনকারীর স্বাক্ষর
পরিকল্পনা ও বাস্তবায়নে: মন্ত্রিপরিষদ বিভাগ, এটুআই, বিসিসি, ডিওআইসিটি ও বেসিস