PROFORMA
(to be appended with the complaint u/s 138 [Link])
In the Court of
1. Complanaint :
2. Accused :
3. Amount of cheque :
4. Date of cheque :
5. Drawn on Bank & Branch :
6. Date of Dishonour :
7. Reason of Dishonour :
8. Date of Knowledge of :
Dishonour of cheque
9. Date of Notice :
10. Date of Service(Actual) :
(Denied, if any)
11. Date of Filling of complaint :
12. Whether Filed Within the :
statutory period of limition
13. Document filed(please tick) :
* cheque :
* memo of Dishonour/bank intimation :
* Copy of Legal Notice :
* Copy of Postal Receipt :
* Copy of A.D., if any :
* Other(Please specify) :
Date Counsel for Complaint