মামলার আবেদন

বরাবর,

         চেয়ারম্যান সাহেব

        ৪ নং ভালুক গাছী ইউনিয়ন পরিষদ

         পুঠিয়া, রাজশাহী।

বিষষ: . . . . .. . ... . . . . . . . .. . .  .  . .. . .  . . . আবেদন।

                                              বাদী                                                                                                                                                   বিবাদী

                                   মো: .....................................                                                                                                  মো: ......................................................................

                         পিতা: /স্বামী: ..........................................                                                                                          পিতা: /স্বামী: .......................................................

                            গ্রাম: ............................................................                                                                                  গ্রাম: ..................................................................

                      ডাকঘর: ................................. .........................                                                                               ডাকঘর: ...................................................................

                       থানা: .....................................................................                                                                          থানা: ......................................................................

                       জেলা: ........................................................................                                                                        জেলা: .......................................................................

জনাব,

       আমি এই মমে আরজি পেশ করছি  যে, .....................................................................................................................................................................................................

..................................................................................................................................................................................................................................................................

................................................................................................................................................................................................................................................................ ।

        অতএব, বিবাদিকে...............................................................................................................................................................................................................................

..............................................................................................................................................................................................।

                                                                                                                                                                                                                   আবেদন কারির স্বাক্ষর

তারিখ: .......................                                                                                                                                                                 মো: .......................................................