মামলার আবেদনপত্র
বরাবর,
চেয়ারম্যান তারিখঃ......................
গ্রামআদালত
পারভাঙ্গুড়া ইউনিয়ন পরিষদ
ভাঙ্গুড়া,পাবনা।
বাদী ও বিবাদীর নাম ও ঠিকানা
বাদী | বিবাদী | ||
নামঃ |
| নামঃ |
|
পিতার নামঃ |
| পিতার নামঃ |
|
মাতার নামঃ |
| মাতার নামঃ |
|
গ্রামঃ |
| গ্রামঃ |
|
ডাকঘরঃ |
| ডাকঘরঃ |
|
উপজেলাঃ |
| উপজেলাঃ |
|
জেলাঃ |
| জেলাঃ |
|
ঘটনার বিবরণঃ
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স্বাক্ষীগনের নাম ও ঠিকানাঃ
(১)
(২)
(৩)
আবেদনকারীর স্বাক্ষর
পরিকল্পনা ও বাস্তবায়নে: মন্ত্রিপরিষদ বিভাগ, এটুআই, বিসিসি, ডিওআইসিটি ও বেসিস