Delhi High Court.

Please fill up the Details

Name of Applicant	::

Fathers/ Husband’s name	::

Residential address (Tel. no. if any)	::

Whether Employed/Unemployed	::

Place of Work	::

Nationality & Religion	::

Whether SC/ST (proof in support of it)	::

Income per month (Affidavit on Rs. 10/-non-judicial paper in support of it)	::

Name and Address of Opposite party (Tel. No. if any)	::

Whether legal aid is Required to file: Suit/Application/s 125 Cr. P.C/CivilsWrit/CriminalWrit Labors Case/Services Matter/(Please state the category) :
State the full address of immovable property in dispute the place where property situated	::
In money suit, state the date or) which it fell due	::

Whether any application has been filed previously before this Authority, if yes, mention date and file No. of application (Registration No.)	::

Details of Your problems ( in brief)	::

Please state whether any case is pending, any court, if so, the details there of	::

Nature of relief sought	::

Attach file	::