MOBILE NO.

________________

Name and address of the Applicant

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APPLICATION FOR CERTIFIED COPY

IN THE HON'BLE FAMILY COURT, MUMBAI

COURT NO._____

Petition No.____________ of ________

To,
The Registrar,
Family Court, Bandra,
Mumbai

Name of the Parties : _________________________________

… Petitioner No.1
V/s
_________________________________
… Respondent / … Petitioner No.2

1) Documents of which Copies : 1)

are required 2)
3)
4)
2) No. of Copies required :
3) Date of Judgment / Order :
4) Next Date in the matter : (if matter is pending)
5) Purpose : Court : Private :
6) Cost : Ordinary : Urgent :
7) Reason for urgent :
( )

Date: Petitioner No._____ / Respondent

AUTHORITY

Authority is given to Shri / Smt. ______________________________to

collect the certified copies.

(Authorized Signatory) Petitioner No._____ / Respondent

…2...
 ...2...

For office use only

Application No. :

Applicant Name :

Application Received On :

Ready On :

Delivered On :

Application Type : Urgent : Ordinary :

Photocopy Pages : Rs.

Total : Rs.

Superintendent,
Copying Department,
Date: Family Court, Mumbai

Deposit : Rs.
Charges : Rs.
Refund : Rs.
Deficit : Rs.

Certified copy receiver signature & date