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 

 

DETAILS OF APPLICATION

 

1. Particulars of the applicant: 

 

(i) Name of the applicant,

 

(ii) Address of Registered Office

 

(iii) Address for Service of all notices,

 

2. Particulars of the 1 [defendant] .

 

(i) Name of the 1[defendant].

 

(ii) Office address of the l[defendant]

 

(iii) Address for service of all notices.

 

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