Evidence Claim

IN THE COURT OF _________, MACT, _________

_________        Versus        _________

CLAIM PETITION

EVIDENCE BY WAY OF AFFIDAVIT ON BEHALF OF PETITIONER

I, _________ son of _________, resident of _________, _________, do hereby solemnly affirm and declare as under:-
1-    That the deponent was _________.

2-    That the accident was caused due to _________.

3-    That prior to accident the deponent _________.

4-    That all the respondents are liable to _________.

5-    That the deponent sustained _________.

6-    That the petition of the deponent for a sum of _________/-.

DEPONENT

VERIFICATION:

Verified that the contents of my above affidavit are true to best of my knowledge and belief and nothing has been concealed therein.

Verified at _________ on _________

DEPONENT

 

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