THE GAUHATI HIGH COURT
(HIGH COURT OF ASSAM, NAGALAND, MIZORAM AND ARUNACHAL PRADESH)
Date of Filing DD / MM / YYYY
FILING FORM FOR OFFICE USE ONLY
Case Type : Civil Criminal Caveat Filing No.
Petitioner : _____________________________________ Case No.
Name : ____________________________________ Relation : Spouse Brother
Father Sister
Gender : Male Female Other Mother Father-in-law
Son Mother-in-law
Age : ____years Dt. of Birth : _________ (DD/MM/YYYY) Daughter Other ___________
No. of extra Petitioners : ___
Religion : Hindu Muslim Christian Sikh Budhism other____________________
Caste : General SC ST(P) ST(H) OBC
Address : __________________________________________________________________________________
State : ____________________ Town ________________ Taluka/Sub-Div. __________________________
Police Station : _____________________________ Post Office: ________________________ Pin - ____________
Mobile No.: __________________ e-mail ______________________________________________
Petitioner’s Advocate : Code Name of Advocate Mobile No.
_______________________________ _______________
Petitioner’s Extra Advocate : ________________________________ _______________
_______________________________ _______________
_______________________________ _______________
Respondent : _____________________________________
Gender : Male Female Other
Age : ____years Dt. of Birth : _________ (DD/MM/YYYY) No. of extra Respondents : ___
Religion : Hindu Muslim Christian Sikh Budhism other____________________
Caste : General SC ST(P) ST(H) OBC
Address : __________________________________________________________________________________
State : ____________________ Town ________________ Taluka/Sub-Div. __________________________
Police Station : _____________________________ Post Office: ________________________ Pin - ____________
Mobile No.: __________________ e-mail ______________________________________________
Code Name of Advocate Mobile No.
Respondent’s Advocate : ______________________________ _______________
Respondent’s Extra Advs : ______________________________ _______________
______________________________ _______________
______________________________ _______________
Petitioner’s Extra Information Respondent’s Extra Information
Passport No.: _______________ PAN : _____________ Passport No. : _______________ PAN : _____________
Country : _______________ Nationality : _____________ Country : _______________ Nationality : _____________
Occupation :_____________________________________ Occupation : _____________________________________
State : _______________ Fax No. : ______________ State : _______________ Fax No. : ______________
Town : _______________ Mobile No. : ______________ Town : _______________ Mobile No. : ______________
Taluka : _______________ Differently Abled : Taluka : _______________ Differently Abled :
Alternate address : ______________________________ Alternate address : ______________________________
District : __________________________ Ward : _______ District : __________________________ Ward : _______
Village : _______________________________________ Village : _______________________________________
Acts : ___________________________________________________________________________________
Sections : ______________________________________________ Category Code : ____________
Supplementary Form-1
Sl. No.
Petitioner
Respondent ___________________________________________
Gender : Male Female Other
Age : ____years Dt. of Birth : _________ (DD/MM/YYYY) No. of extra Respondents : ___
Religion : Hindu Muslim Christian Sikh Budhism other____________________
Caste : General SC ST(P) ST(H) OBC
Address : ______________________________________________________________________________________
State : ____________________ Town ___________________ Taluka/Sub-Div. ___________________________
Police Station : _____________________________ Post Office: ________________________ Pin - ____________
Mobile No.: ____________________ e-mail ____________________________________________________
Petitioner
Respondent ___________________________________________
Gender : Male Female Other
Age : ____years Dt. of Birth : _________ (DD/MM/YYYY) No. of extra Respondents : ___
Religion : Hindu Muslim Christian Sikh Budhism other____________________
Caste : General SC ST(P) ST(H) OBC
Address : ______________________________________________________________________________________
State : ____________________ Town ___________________ Taluka/Sub-Div. ___________________________
Police Station : _____________________________ Post Office: ________________________ Pin - ____________
Mobile No.: ____________________ e-mail ____________________________________________________
Petitioner
Respondent ___________________________________________
Gender : Male Female Other
Age : ____years Dt. of Birth : _________ (DD/MM/YYYY) No. of extra Respondents : ___
Religion : Hindu Muslim Christian Sikh Budhism other____________________
Caste : General SC ST(P) ST(H) OBC
Address : ______________________________________________________________________________________
State : ____________________ Town ___________________ Taluka/Sub-Div. ___________________________
Police Station : _____________________________ Post Office: ________________________ Pin - ____________
Mobile No.: ____________________ e-mail ____________________________________________________
Petitioner
Respondent ___________________________________________
Gender : Male Female Other
Age : ____years Dt. of Birth : _________ (DD/MM/YYYY) No. of extra Respondents : ___
Religion : Hindu Muslim Christian Sikh Budhism other____________________
Caste : General SC ST(P) ST(H) OBC
Address : ______________________________________________________________________________________
State : ____________________ Town ___________________ Taluka/Sub-Div. ___________________________
Police Station : _____________________________ Post Office: ________________________ Pin - ____________
Mobile No.: ____________________ e-mail ____________________________________________________
Supplementary Form-2
IF THE CASE IS AGAINST AN ORDER PASSED BY ANY SUB-ORDINATE COURT OF ASSAM
Type : Sub-ordinate Court Quashi Judicial
FIRST APPELLATE COURT TRIAL COURT
State
District
Sub-Ordinate Court Name
CNR No
Judge’s Name
Case type
Case No.
Year of Regn.
Date of decision
CC applied date
CC Ready date
POLICE STATION COMPLAINT DETAILS
Police Challan Private Complaint
State Remarks
District
Police Station
Date of offence
Dt. of filing charge sheet
FIR Type Written / Oral / Over Phone / By SMS / By e-mail
FIR No. & Year
Investigation Officer
Belt No.
Investigating Officer-1
Belt No. 1
Trials Session / Regular / Summon / Summary
Offence Remark
Authorised Signatory
Supplementary Form-3
SUBMIT FOLLOWING DETAILS IN CASE OF MOTOR VEHICLE ACCIDENT CASES
State
District
Taluka / Sub-Division
Police station
FIR Type Written / Oral / Over phone / By SMS / By e-mail
CR No.
Year
Date of Accident
Time of Accident
Place of Accident
Name
Compensation claimed
Name of Insurance Company
Vehicle type Private / Commercial / Government / Army
Vehicle Registration No.
Driving Licence No.
DL Issuing Authority
Authorised Signatory
