Along with that,
Chairman
.................................................. .Union Council. Case number:
Upazila ................................................. ......... Submitted the date
District: ................................................. The type of case ................
Subject: Formation and Settlement of Village Courts.
Name and address of the applicant's name and address. The names and addresses of witnesses
The place of the incident:
Date
Time
Tapesil
Applicant's family member number. By such type of activity, the defendants / defendants have caused me / our great damage which is worth ......................... .......... ........................... I / We do this wrong
Son: girl: others: praying for help.
The number of protesting family members.
Son: girl: others
Applicant's signature
Planning and Implementation: Cabinet Division, A2I, BCC, DoICT and BASIS