Gram Adalot Application' s form

Form-1

[Note to Rule-3]

1. Name of Applicant……………………………………………………………….

2.Applicant's Father's Name………………………………………………………………..

3. Name of Applicant's Mother: ………………………………………………………………

4. Name of Applicant's Spouse: …………………………………………………….

5. Applicant's National Identity Card No :………………………………………………..

6. Name of Respondent:……………………………………………………………………………………...

7. Name of father of respondent:……………………………………………………………….

8. Name of the protestant's mother: ………………………………………………..

9. Name of witness:…………………………………………………………………………….

10. Name of witness's father: ……………………………………………………………….

11. Name of witness's mother: …………………………………………………………..

12. Name of Witness's Spouse:……………………………………………………………

13. Name of National Identity Card of Witness:…………………………………..

14. Name of Union:………………………………………………………………………………

15. Objections: ……………………………………………………………………………………..

16. Candidate Remedy:…………………………………………………………………………

Applicant's signature/signature

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