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Application for the case

Case application

Along with that,

Chairman                                                                                                                                             তারিখঃ......................

Village court

Dilpasar Union Parishad

Bhaagura, Pabna

 

 

Applicant and Representative Name and Address

Village:

Applicant

 Protestor

name

 

name

 

Father's Name:

 

Father's Name:

 

Mother's Name:

 

Mother's Name:

 

Village:

 

Village:

post office

 

post office

 

upazila

 

upazila

 

District:

 

 District:

 

 

The details of the incident

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Witness's name and address

(1)

 

(2)

 

(3)

 

 

                                                                                                           Applicant's signature