In the Court of District & Sessions

Judge/Senior Civil Judge, Delhi

Civil Appeal/ Criminal Revision / Criminal Appellate Jurisdiction

Original

Criminal Appeal, Criminal Revision, Civil Appeal/ Suit No………..

___________________________________________________________________________ Petitioner

VERSUS
___________________________________________________________________________Respondent

INDEX
S. No. Particulars Court Fee Pages

1. …………………………………………………………………………………………………………………………………………………………

2. …………………………………………………………………………………………………………………………………………………………

3. …………………………………………………………………………………………………………………………………………………………

4. …………………………………………………………………………………………………………………………………………………………

5. …………………………………………………………………………………………………………………………………………………………

6. …………………………………………………………………………………………………………………………………………………………

7. …………………………………………………………………………………………………………………………………………………………

8. …………………………………………………………………………………………………………………………………………………………

9. …………………………………………………………………………………………………………………………………………………………

10. …………………………………………………………………………………………………………………………………………………………

Dated: this day of 200

Advocate for

Plaintiff/ Appellant

Defendant/ Respondent
 ADDRESS FORM
In the Court of :

Case Versus

Suit Date of Hearing

The address of Plaintiff/ Defendant/ Applicant is as under :-

Name with Caste Resident of Post Office Tehsil Distt. Remarks

Father’s
Name

Sir,

All the summons, notices orders etc. In connection with the above suit be sent to me at
the address given above.

In Case of any change in address, the same shall be communicated to with full
particulars and details.
 CHECK LIST
1. Details of the case whether 138 N.I. Act, complaint
case etc.

2. Total Cheque(s) Amount Only in 138 Cases. Rs.

3. Area of bounce cheque (s)

4. Name Male/Female
Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.

5. Name Male/Female
Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.

5-a. Name Male/Female

Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.
5-b. Name Male/Female
Address of the complaint ,

Age :
(Whether Sr. Citizen)
Gender
Contact No.
6. Name of Police Station

7. Any other information with respect to present case.

 CHECK-LIST
1. VALUATION OF SUIT JURISDICTION

2. NAME & ADDRESS OF ADVOCATE

3. NATURE OF SUIT

4. AGE OF PARTIES Plaintiff

Defendant

5. CAVEAT

6. WHETHER ANYT EARMARKED COURT

7. COURT FEE AFFIXED Sl Relief Valuation Valuation Court fee

No. Sought of Relief of relief paid on
for the for the each relief
purpose of purpose individually
jurisdiction of court
fee
1.
2.
3.
4.
5.
6.
7.
8. CONNECTED CASES IF ANY & NAME OF THE
COURT WHERE PENDING
 FORM NO. 45
Bond and Bail Bond for Attendance Before
Office Incharge of Police Station of Court
(Section 436, 437, 438 (3) and 441)
In the court of Shri……………………………………………………………………………………………………………………….……………

Police Station Next date of hearing

Under Section Sent to Jail on

F.I.R. No.

Bail Bond
I …………………………..…………………………………….. Son of Shri…………………………………………………………….….
Residence …………………………………………………………………………………………………………….…………………………
having been arrested or detained without warrant by the Officer In charge of ……..……………………………
Police Station for having been brought before this Honorable Court charged with the offence of
……………………………………………………………………………………. and required to give surety for my attendance
before such Officer of Court on condition that I shall attend such Officer Officer or Court on every day on
which any investigation or trial is held with regard to such charge and in case of my making default here
in myself to forfeit to Government the sum of Rs. …………………………………………………………………

DELHI Signature

DATED

I ………………………………………………………………… Son of Shri ………………………………………….……………………………….

Residence …………………………………………………………………………………………………………………………………………………
hereby declare myself for the above said Shri………………………………………………………………..………………………….
That he shall attend the Officer-in-charge of ……………………………………………………….……………………………………
Police Station or the Court of Shri……………………………………………………………………………………………………………..
every day on which any investigation in the charge is made or any trial on such charge is held that he
shall be and re-appear before such officer or court for the purpose of such investigation to answer the
charge against him ( as the case may be ) and in the case or his making default herein I have blind myself
to forefeit to Govt. the sum of Rs. ……………………………………………….

Dated this Day of 20

Signature.

Witness

1. ……………………………………………………………..
2. ……………………………………………………………..
 AFFIDAVIT
I………………………………….………………………son / daughter / wife of……………………….……………………………….
Aged about……………… R/o………………………………………………………………………………………..……………………………
do hereby solemnly affirm and declare as under…………………………………………………………………………………..

1. That deponent is the resident of above said address and having his/her Ration Card no. is …………
………….……………. and Election Card No. ………………………………………….. .
2. That accused is…………………………………………………………………………………………………………………..………of
the deponent and deponent has full control over him/her and capable to produce him/her
before this hon’ble court.
3. That deponent is working as …………………..………………………….. at …...…………………………………………..
T/C. No………………………………………….… earns Rs………………………..………………….. per month.
4. That deponent is the owner of household articles valued about of Rs. …………………………………….
5. That deponent is the owner of the immovable property bearing No. ………….…………………………….
Measuring …………………………………..…… sq. yards situated at …………………………..……………………………
valued not less than Rs……………………………………
6. That deponent undertakes to produce the accused before the honourable court on every date
of hearing.
7. That I have an F.D.R. No………………………………………………..… Issued by ……………………………………..
For Rs. …………………………………….
8. That I own a vehicle No. ………………………………….. make…………………………. R/C no ………………….….
………………..…………. at present valued not less than Rs. ……………………………………….

DEPONENT

VERIFICATION
Verified at Delhi on this ……………………….. day of 200 ……….. that the contents of this Affidavit are true
and correct to the best of my knowledge & nothing material has been concealed therefrom, no part of it
is untrue.

DEPONENT
 BAIL BOND U/S 437-A CR.P.C.

BOND & BAIL BOND FOR ATTENDANCE BEFORE THE APPELLANT COURT

In the court of Sh. ____________________________________________________

P.S. …:_________________

U/S ___________________

FIR No._________________

PERSONAL BOND

I, ________________________ S/o. Sh. ________________________________

R/o________________________________________________________________Having been
acquitted by this Hon’ble Court on ________________ in above said case FIR No.
_________________ P.S. ___________________U/s _____________ and required to give
surety for my attendance before the Hon’ble Court on condition that I shall attend the Hon’ble
Appellate Court on every date of hearing in which any appeal filed against the judgment &
Order of acquittal, passed by this Hon’ble Court and in case making default therein I myself
undertake to forfeit to the Govt. of India the sum of Rs. ____________________

Delhi

Date:

Signature

SURETY BOND

I, _________________ S/o. Sh. ______________________ R/o _______________

____________________________________hereby declare myself for the above said Sh.
________________________ S/o ____________________________ shall attend the appellate
court every date in which any appeal filed against the Judgment & Order of acquittal, passed by
this Hon’ble Court and in case making default therein I myself undertake to forfeit to the Govt.
of India the sum of Rs.__________________

Dated this ………………………………………..day of ……………………….201

Signature

Presented by:
 AFFIDAVIT
I………………………………….………………………son / daughter / wife of……………………….……………………………….
Aged about……………… R/o………………………………………………………………………………………..……………………………
do hereby solemnly affirm and declare as under…………………………………………………………………………………..

1. That deponent is the resident of above said address and having his/her Ration Card no. is …………
………….……………. and Election Card No. ………………………………………….. .
2. That accused is…………………………………………………………………………………………………………………..………of
the deponent and deponent has full control over him/her and capable to produce him/her
before this hon’ble court.
3. That deponent is working as …………………..………………………….. at …...…………………………………………..
T/C. No………………………………………….… earns Rs………………………..………………….. per month.
4. That deponent is the owner of household articles valued about of Rs. …………………………………….
5. That deponent is the owner of the immovable property bearing No. ………….…………………………….
Measuring …………………………………..…… sq. yards situated at …………………………..……………………………
valued not less than Rs……………………………………
6. That deponent undertakes to produce the accused before the honourable court on every date
of hearing.
7. That I have an F.D.R. No………………………………………………..… Issued by ……………………………………..
For Rs. …………………………………….
8. That I own a vehicle No. ………………………………….. make…………………………. R/C no ………………….….
………………..…………. at present valued not less than Rs. ……………………………………….

DEPONENT

VERIFICATION
Verified at Delhi on this ……………………….. day of 200 ……….. that the contents of this Affidavit are true
and correct to the best of my knowledge & nothing material has been concealed therefrom, no part of it
is untrue.

DEPONENT
 Memorandum of Appearance
Of
M.A. Advocate
B.A. L.L.B. Pleader

In the Court of ……………………………………………………………………………………………………

In Rs…………………………………………………………………………………………………………………………………………….

VERSUS

……………………………………………………………………………………………………………………………………………………
The undersigned is appearing in the above case on behalf of……………………………………………………..

……………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………

He has been authorized to appear by…………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………………………….

Date: ……………........

Advocate

Pleader
 FORM. C.A.I.
(RULE)

Application for copy Urgent Ordinary

To the District Officer ____________________________________
Name of the application whom file/Applicant _________________ SPACE FOR COURT FEES STAMP
W/o, D/o, S/o _____________________ Resident of_______________
Post Office and District______________________________
Description and number of the case from the record of which the copy
is Required _______________________________________________
Court fee Stamp filed with the application _______________________
Mauza Number ______________________Value________________________

P.S. Goshwara No. I copy to be sent by post or

Will applicant attend in
District________________________________________________
Name of Parties _______________________________________ Person ____________________________________________________
Nature of case ________________________________ Date of Decision
Order Next date fixed if pending ______________________________
Name of the Court deciding the case or where pending ____________ Signature ___________________
_________________________________________________________ Date_____________________

Date of order etc. Name of description Purpose for which Order on application ________________________________________
of the Papers of copy is required Signature of the Copying Agent with____________________________
which copy is whether it is required
required for Private use for Date _____________________________________________________
filing in some court Signature of recipient of copy with _____________________________
etc.
Date _____________________________________________________
IN THE COURT OF ______________________________________________________________________

NO ________________________________________________OF 201

IN THE MATTER OF

VERSUS

FIR / Case No.

NDOH :-

HUMBLE APPLICATION FOR INSPECTION OF THE COURT FILE

MOST RESPECTFULLY SHOWETH :-

1. That the above said matter is pending adjudication and determination before the Hon’ble Court
and the next date of hearing is ________________.
2. That the counsel for the ______________________________ wants to inspect the Court file and
documents.

PRAYER

It is therefore, most respectfully prayed that this Hon’ble Court may be pleased to allow the Counsel for
the _______________________ to inspect the Court file.

Yours faithfully

Address Advocate

NEW DELHI

DATED :

For the Petitioner /

Respondent
 List of Document Produced by PLAINTIFF
DEFENDANT
Order XIII Rule of the order of Civil Procedure from prescribed by the High Court in the Court of

Suit No.___________of 201

_______________________________________________________________________________Plaintiff

Versus
____________________________________________________________________________Defendant

List of documents produced with the plaint (or the first Hearing on behalf of the Plaintiff or Defendant)

Date of Hearing This list as filed by This day of 201

1 2 3 4 5 6
Serial Descriptions and date if That the What become of the document Remark
No. any of this document Document is
intended to
prove

Brought the If rejected date

record the of return to
exhibit mark Party &
put on the Signature of
document Party or
Pleader to
whom the
document was
return

Through
Advocate

Signature of
Party or Pleas
date
Processing
 Process Fee Form
IN THE COURT OF…………………………………………………………………………………………………………………………

Suit/Case No. ………………………………………..

………………………………………………………………..Versus………………………………………………………………………

P.D.O.H………………………………… N.D.O.H……………………………….

Date of Filing Filed By Purpose of Number Amount of P. Court Fee

Whom Filing Fees Affixed

…………………………………………………………………………………………………………………………………………………….

In the Court of Shri

………………………………………………………………………………………………………………………..

Suit/Case No. ………………………….

In Re……………………………………………………………….V/S………………………………………………………………………

P.D.O.H. ……………………………………… N.D.O.H. ……………………………….

Date of Filing………………………………………

Ahlmad / Asstt. Ahlmad

 IN THE COURT OF_______________, _____________,

DELHI.

C.S (COMM.) / CIVIL SUIT _____OF _____{year}

IN THE MATTER OF:-

___________________ ….PLAINTIFF

VERSUS

___________________ …DEFENDANT

LIST OF DOCUMENTS ALONGWITH DOCUMENTS FILED ON BEHALF OF THE PLAINTIFF/ DEFENDANT

S. NO. DETAILS OF DOCUMENTS ORIGINAL/ MODE OF LINE OF PAGE NO.

DOCUMENTS IN POWER/ PHOTOCOPY EXECUTION/ CUSTODY
POSSESSION / OFFICE ISSUANCE OF
CONTROL/ COPY RECEIPT
CUSTODY OF
1.

2.

3.

4.

5.

6.

7.

8.

9.

This is mere a template for your convenience only.

 IN THE COURT OF_______________, _____________,

DELHI.

C.S (COMM.) / CIVIL SUIT _____OF _____{year}

IN THE MATTER OF:-

___________________ ….PLAINTIFF

VERSUS

___________________ …DEFENDANT

LIST OF DOCUMENTS ALONGWITH DOCUMENTS FILED ON BEHALF OF THE PLAINTIFF/ DEFENDANT

S. NO. DETAILS OF DOCUMENTS ORIGINAL/ MODE OF LINE OF PAGE NO.

DOCUMENTS IN POWER/ PHOTOCOPY EXECUTION/ CUSTODY
POSSESSION / OFFICE ISSUANCE OF
CONTROL/ COPY RECEIPT
CUSTODY OF
1.

2.

3.

4.

5.

6.

7.

8.

9.

This is mere a template for your convenience only.

 IN THE COURT OF___________, _____________,

DELHI (________).

C.S (COMM.) / CIVIL SUIT _____ OF _____{year}

IN THE MATTER OF:-

________________ ….PLAINTIFF

VERSUS

________________ …DEFENDANT

STATEMENT OF TRUTH / AFFIDAVIT

I,____________________D/S/o __________________, aged ____years, Party / Authorized Representative,

having address ______________________________________, the deponent do hereby solemnly affirm and
declare as under:

1. I am the Party / Authorized Representative of the Plaintiff / Defendant in the above suit and competent to
swear this affidavit.
2. I am sufficiently conversant with the facts of the case and have also examined all relevant documents and
records in relation thereto.
3. I say that the statements made in paragraphs are true to my knowledge and statements made in ___
paragraphs are based on information received which I believe to be correct and statements made in ___
paragraphs are based on legal advice.
4. I say that there is no false statement or concealment of any material fact, document of record and I have
included information that is according to me, relevant for the present suit.
5. I say that all documents in my (Plaintiff / Defendant) power, possession, control or custody, pertaining to
the facts and circumstances of the proceedings initiated by me or against me have been disclosed and
copies thereof annexed with the plaint / written statement / replication, and that I do not have any other
documents in my power, possession, control or custody.
6. I say that the above mentioned pleading comprises of a total of ___ pages, each of which has been duly
signed by me.
7. I state that the Annexures hereto are true copies of the documents referred to and relied upon by me.
8. I state that I am aware that for any false statement or concealment, I shall be liable for action taken against
me under the law for the time being in force.

Place:
Date:
Deponent
VERIFICATION
I, ______________ do hereby declare that the statements made above are true to my knowledge. Verified
at _______on the ____ day of _____{year}.

Deponent
This is mere a template for your convenience only.
 SCHEDULE I

FORM 1: MEDIATION APPLICATION FORM

[See rule 3(1)]
Name of the Authority and address

DETAILS OF PARTIES:

1. Name of applicant :
2. Address and contact details of applicant:
Address:-
Telephone No. ...................Mobile.............................E-mail ID:...........................
3. Name of opposite party:
4. Address and contact details of opposite party:
Address:-
Telephone No. ...................Mobile.............................E-mail ID:...........................
DETAILS OF DISPUTE:
1. Nature of dispute as per section 2(1)(c) of the Commercial Courts Act 2015 (4 of
2016):
2. Quantum of Claim:
3. Territorial jurisdiction of the competent Court:
4. Brief synopsis of commercial dispute (not to exceed 5000 words):
5. Additional points of relevance:

DETAILS OF FEE PAID:

Fee paid by DD No...........................dated.....................Name of Bank and

branch........................Online transaction
No...........................dated.......................

Date:

Note.- Form shall be submitted to the Authority with a fee of one thousand
rupees.

For Office Use:

Form received on :
File No. allotted:
Mode of sending notice to the opposite party:
Notice to opposite party sent on:
Whether Notice acknowledged by opposite party or not:
Date of Non-starter report/Assignment of commercial dispute to Mediator:
 FORM 2: NOTICE/FINAL NOTICE TO THE OPPOSITE PARTY FOR PRE-
INSTITUTION MEDIATION

[See rule 3(2) and rule 3(3)]

Name of the Authority and address.

1. Whereas a commercial dispute has been submitted to (name of

Authority) by (name of applicant) against (name of opposite party)
requesting for pre-institution mediation in terms of section 12-A of Chapter
III-A of Commercial Courts Act, 2015. A copy of the mediation application
Form is attached herewith.

2. The opposite party is here but directed to appear in person or

through his duly authorized representative or Counsel on.............
(Date).................(Time) at the () and convey his consent to participate in
mediation process.

3. Failure to appear before the Authority by opposite party would be

deemed as his refusal to participate in mediation process initiated by the
applicant.

4. In case, the date and time mentioned in para 2 i sought to be

rescheduled the same can be done by the opposite party either on its own
or through its authorized representative or counsel by making a request in
writing at-least two days prior to the scheduled date of appearance.

Authority address Signature of the Authority

Date:
 FORM 3 : NON-STARTER REPORT
[See Rule 3 (4) and (6)]

Name of the Authority and address

1. Name of the applicant :

2. Date of application for Pre-Institution mediation :

3. Name of the opposite party :

4. Date scheduled for appearance of opposite party :

5. Report made under rule 3(4) or 3(6) :

[Link]-Starter Report reason :

…............................................................................................................................
................................................................................................................................
…............................................................................................................................

Date : Signature of the Authority

Copy to :
Applicant.
Opposite Party.
 FORM 4 : SETTLEMENT
[See rule 7(1)(vii)]

Name of the Authority and address

1. Name of the Mediator :

2. Name of the applicant :

3. Name of the opposite party :

4. Date of application for Pre-Institution mediation :

5. Venue of mediation :

6. Date(s) of mediation :

7. No. of sittings and duration of sittings :

8. Terms of settlement :

Date :
Signature of Opposite Party Signature of Applicant Signature of Mediator
 FORM:FAILURE REPORT
[See rule 7(1)(ix)]
Name of the Authority and address

1. Name of the Mediator :

2. Name of the applicant :
3. Name of the opposite party :
4. Date of application for Pre-Institution mediation :
5. Venue of mediation :
6. Date(s) of mediation :
7. No. of sitting and duration of sittings :
8. Reasons for failure :

Date :

Signature of Applicant Signature of Opposite Party

Signature of Mediator

Form 6 : MEDIATION DATA

[See Rule10(2)]

No.
Name of Nature of of
No. of application slab-wise as No. appli
Applicant Opposite of
per Schedule II catio
Party Party appli No.
n
catio of No. of
wher
n appli application
Nam e no
disp catio where
e of settl
Sr. osed n parties
the eme
No off refer reached a
Auth nt
aspe red settlement
ority Indiv Corp Indiv Corp arriv
I II III IV V r for as per Rule
idual orate idual orate ed at
Rule medi 7(1)(vii)
as
3(4) ation
per
and
Rule
3(6)
7(1)
(ix)
 *SCHEDULE II
MEDIATION FEE
[See rule 11]

Sr. No. QUANTUM OF CLAIM MEDIATION FEE PABLUM TO

AUTHORITY
(IN Indian rupees)
1. From Rs. 3,00,000 to Rs. 10,00,000. Rs. 15,000
2. Above Rs. 10,00,000 and upto to Rs. 50,00,000. Rs. 30,000
3. Above Rs. 50,00,000 and upto to Rs. 1,00,00,000. Rs. 40,000
4. Above Rs. 1,00,00,000 and upto to Rs. 3,00,00,000. Rs. 50,000
5. Above Rs. 3,00,00,000. Rs. 75,000
 THE COMMERCIAL COURTS (STATISTICAL DATA)
Rules, 2018*

In exercise of the powers conferred by sub-section (1) of section 21-A of the

Commercial Courts Act, 20154 and in pursuance of section 17 of the said Act, the
Central Government hereby makes the following rules, namely:-

1. Short title and commencement. (1) These rules may be called The Commercial
Courts (Statistical Data) Rules, 2018.
(2) They shall come into force on the date of their publication in the Official Gazette.

2. definitions. - (1) In these rules unless the context otherwise requires, -

(a) “Act” means the Commercial Courts Act, 2015 (4 of 2016);
(b) “Schedule” means the Schedule appended to these rules.
(2) The words and expressions used and not defined in these rules but defined in the
Act, Shall have the same meanings as respectively assigned to them in that Act.

3. Collection and disclosure of data by Commercial Courts, Commercial

Appellate Courts, Commercial Divisions and Commercial Appellate Divisions of
High Courts. - The statistical data, as required by section 17 of the Act, regarding the
number of suits, applications, appeals or writ petitions filed before the Commercial
Courts, Commercial Appellate Courts, Commercial Division or Commercial Appellate
Division, as the case may be, the pendency of such cases, the status of each case,
and the number of cases disposed off, shall be maintained, updated and published by
the tenth day of every month in the form specified in Schedule appended to these
rules, by the concerned High Courts on their website.

SCHEDULE
FORMAT FOR STATISTICAL DATA
[See rule 3]

no. of cases
No. of new Total Cases Average no.
No. of case disposed
Name cases instituted pending in the of days
Sr. pending (on (during the
of the (during the Court (on the last taken to
No the 1st day of months as
Court month as per day of the month decide the
month of ……) per column
column 3) as per column3) case
3)
(1) (2) (3) (4) (5) (6) (7)

_____________________

*Vide G.S.R. 607(E), dated 3-7-2018, published in the Gazette of India, Ext., Pt. II, S. 3(i),
dated 3-7-2018.
IN THE COURT OF…………………………………………………………………………………………………………………………

Suit/Appeal No. …………………………………………………………………………………………JURISDICTION OF 201

In re:-

……………………………………………………………………………………………………Plaintiff(s) or Petitioner(s)

Appellant(s) Complainant(s)

VERSUS

……………………………..………………………………………………………Defendant (s)/ Respondent(s) / Accused Know all to whom

these Present shall come that I/we ……………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………….……………………………………………………….

The above named…………………………………………………………………………………………….………………………………………………………..

………………………………………………………………………………………………………………………do hereby appoint

(herein after called the advocate/s) to be my / our Advocate in the above – noted case authorize him:-

To act, appear and plead in the above-noted case in this court or in any other court in which the same
may be tried or heard and also in the appellate court including High Court subject to payment of fees separately
for each court by me/us.

To sign file, verify and present pleadings, appeals cross-objection or petitions for executions review,
revision, withdrawal, compromise or other petitions or affidavits or other documents as may be deemed necessary
or proper for the prosecution of the said case in all its stages subjects to payment of fees for each stage.

To file and take back documents, to admit and/or deny the documents of opposite party.

To withdraw or compromise the said case or submit to arbitration any differences of disputes
that may arise touching or in any manner relating to the said case.

To take execution proceedings on paying separate fee.

To deposit, draw and receive money, cheques, cash and grant receipts hereof and to do all
other acts and things which may be necessary to be done for the progress and in the course of the
prosecution on the said case.

To appoint and instruct any other Legal Practitioner authorizing him to exercise the power and
authority hereby conferred upon the Advocate whenever he may think fit to do so and to sign the
power of attorney on our behalf.

And I/we undersigned to hereby agree to ratify and confirm all acts done by the Advocate or
his substitute in the matter as my/our own acts, as if done by me/us to all intents and purpose.

And I/we undertake that I/We or my/our duly authorized agent would appear in court on all
hearings and will inform the Advocate for appearance when the case is called.

And I/We undersigned do hereby agree not to hold the advocate or his substitute responsible for the
result of the said case. The adjournment costs whenever ordered by the court shall be of the Advocate which he
shall receive and retain for himself.

And I/we undersigned do hereby agree that in the event of the whole or part of the fee agreed by me/us
to be paid to the advocate remaining unpaid he shall be entitled to withdraw from the prosecution of the said case
until the same is paid up. The fee settle is only for the above case and above Court. I/We hereby agree that once
the fee is paid, I /We will not be entitled for the refund of the same in any case whatsoever and if the case
prolongs for more than 3 years the original fee shall be paid again by me/us.

IN WITNESS WHERE OF I/We do hereunto set my/our hand to these presents the contents of which have
been understood by me/us on this ………………………………Day of……………………201 Accepted subject to the terms of
the fees.

Advocate Client Client

I Identify the Signature/Thumb Impression of Below Mentioned Person,

Signed in My Presence. The Client.