বরাবর,
চেয়ারম্যান তারিখঃ......................
গ্রামআদালত
খানমরিচ ইউনিয়ন পরিষদ
ভাঙ্গুড়া,পাবনা।
বাদী ও বিবাদীর নাম ও ঠিকানা
বাদী |
বিবাদী |
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নামঃ |
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নামঃ |
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পিতার নামঃ |
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পিতার নামঃ |
|
মাতার নামঃ |
|
মাতার নামঃ |
|
গ্রামঃ |
|
গ্রামঃ |
|
ডাকঘরঃ |
|
ডাকঘরঃ |
|
উপজেলাঃ |
|
উপজেলাঃ |
|
জেলাঃ |
|
জেলাঃ |
|
ঘটনার বিবরণঃ
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স্বাক্ষীগনের নাম ও ঠিকানাঃ
(১)
(২)
(৩)
আবেদনকারীর স্বাক্ষর
Planning and Implementation: Cabinet Division, A2I, BCC, DoICT and BASIS