BEFORE THE DEBTS RECOVERY TRIBUNAL

At _______________  

Case No: ___________ of _________  

                                        In the matter of :

                                       __________________________

                                       __________________________

                                      ___________________________  . . . . . . . . . . . . . . . . . . . . . . . . . . .Applicant

                                       Vs

                                     ________________________

                                     _________________________

                                     _________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . .  Respondent (See Rule 4)

                                    Application under Section 19 of the Recovery of Debts Due to Banks and Financial Institutions 1 [Act] 1993.

                                    For use in Tribunal's Office  

                                   DATE OF FILING

                                   DATE OF RECEIPT BY POST

                                   OR 

                                   REGISTRATION  NO                                                                                                               Signature

                                                                                                                                                                                    Registrar  

IN THE DEBT RECOVERY TRIBUNAL

(Name of the place)  

                              BETWEEN

                               A B                                                                                                                 Applicant. 

                              AND 

                             C D                                                                                                                  2 [Defendant]

                             * Delete whichever is not applicable 

I

DETAILS OF APPLICATION

                   1. Particulars of the applicant:

                   2. Particulars of the 1 [defendant] .'

                   3. Jurisdiction of the Tribunal:

                       The applicant declares that the subject matter of the recovery of debt due falls within the jurisdiction of the Tribunal.

                  4. Limitation:

                      The applicant further declares that the application is within the limitation prescribed in Section 24 of the Recovery of Debts Due to 

                      Banks and Financial Institution 2[Act], 1993.

                  5. Facts of the case:

                       The facts of the case are given below:-

                       (Give here a concise statement of facts in a chronological order, each paragraph containing as nearly as possible a separate 

                         issue,  fact or otherwise)

                  6. Relief(s) sought:

                       In view of the facts mentioned in Para 5 above, the applicant prays for the following relief(s):-

                       [Specify below the relief(s) sought explaining the ground for relief(s) and the legal provisions (if any) relied upon]

                  7. Interim order, if prayed for: 

                       Pending final decision on the application, the applicant seeks issue of the following interim order:-

                       {Give here the nature of the interim order prayed for with reasons)

                 8. Matter not pending with any other court, etc.:

                      The applicant further declares that the matter regarding which this application has been made is not pending before  any court 

                      of law or  any other authority or any other Bench of the Tribunal.

                 9. Particulars of Bank Draft/Postal Order in respect of the application fee:

                       1. Name of the Bank on which drawn 

                       2. Demand Draft No.

                      OR

                     1. Number of Indian Postal Order{s)

                     2. Name of the. issuing Post Office ~

                             3.  Date of issue of Postal Order(s)

                             4.  Post Office at which payable.

              10. Details of Index:

                      An index in duplicate containing the details of the documents to be relied upon is enclosed.

               11. List of enclosures.

            Place

        Date                                                                            Signature of the applicant