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Application for the case
To,

Mr. Chairman

No. 3 Noihati Union Parishad

Rupsha Khulna.

Date of application: -

Subject:


 Mr.,
1. Applicant's name, father's name, mother's name, applicant's national identity card number, address and mobile number: -

2. Defendant's name, father's name, mother's name, address and mobile number: -

3. Witness name, father's name, mother's name, address and mobile number: -

4. Place and time of the incident: -

5. Briefly the subject of dispute, the fair claim of the applicant and the remedy of the candidate: -