Application Form for Funding

Application Form: Funding for Legal Remedy

The General Secretary

1. Name of the Applicant:
2. Membership No.:
3. Details of the Case (in brief):


4. Court for Adjudication:
5. Name of the Advocate:
6. Amount Required: Rs. _________
7. Account Details:

8. Supporting Documents:

(Signature of the Applicant)

For Office Use Only

9. Decision of the Legal Cell

10. Payment details (if applicable)

(Signature of General Secretary)

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