IN THE COURT OF _____

_____    Versus        _____

CLAIM PETITION

APPLICATION FOR ISSUING FORM “C’  FOR _____/- TO THE APPLICANT/PETITIONR

AFFIDAVIT

I, _____ son of _____, resident of _____, District _____, do hereby solemnly affirm and declare as under:-
1-    That I have moved the above noted application for issuing form “C” for _____/-.
2-    That the deponent spent an amount of _____/- after borrowing the amount from his relatives and friends on the credit basis @ __% per month.
3-    That now the deponent has to repay the loan amount along with interest very urgently and hence the entire amount of award be released to the deponent.

DEPONENT

VERIFICATION:-
Verified that the contents of my above affidavit are true and  correct to the best of my knowledge and belief and nothing has been concealed therein.
Verified at _____on _____

DEPONENT