I/We am/are not member/members

of the Welfare Fund therefore Stamp

of Rs. 2 is/are not affixed herewith
N.B.(Strike our which is not
applicable)

VAKALATNAMA

IN THE COURT OF FIRST JOINT CIVIL JUDGE(JD) PANVEL, AT PANVEL

CRI.MA.

---------------------------------------------------- … Petitioner

V/S

---------------------------------------------------- … Respondant

We above named Inhabitant of --------------------the -------------------- In the above matter

hereby appoint Advocate --------------------------------------------------------------------, Advocate

Court to appear and act for me/us as my/ our Advocate/s.

Witness my /our hand this ___ day of ______ 2021.

ADVOCATE

Accepted & Filed in Court

On: ___/____/ 2021

ADD- 301/B, Glacia,

Opp. Ganger Eye nation,
Tembhi naka, Thane.
(MAH/ 1285/ 1992)