( See Below for Description of the Forms )

FORM I

[RULE 4]

APPLICATION UNDER SECTION 19 OF THE ADMINISTRATIVE TRIBUNAL ACT, 1985

Title of the Case :

INDEX

S. Nos. Description of documents relied upon Page No.

1. Application
2.
3.
4.
5.
6.

Signature of the applicant

For use in Tribunal’s Office
Date of filing …………………………………….orDate of Receipt by Post …………………………Registration No. …………………………………. Signature for Registrar

IN THE CENRAL ADMINISTRATIVE TRIBUNAL ……………………BENCH

A.B. (add description such as son of,
Resident of and place of employment or
last employed.) APPLICANT

Versus

C.D. (add description and the residential or official
address on which the service of notices is to
be effected on the respondent or respondents.
The details of each respondent are to be given
in a chronological order.) RESPONDENT

DETAILS OF APPLICATION:

1. Particulars of the order against which the application is made:

(Particulars of the order giving the details like the number, date and the authority which has passed the order, against which the application is made).

2. Jurisdiction of the Tribunal :

The applicant declares that the subject matter of the order against which he wants redressal is within the jurisdiction of the Tribunal.

3. Limitation :

The applicant further declares that the application is within the limitation period prescribed in section 21 of the Administrative Tribunals Act, 1985.

4. Facts of the case :

(Give here a concise statement of facts in a chronological order, each paragraph containing as nearly as possible a separate issue or fact).

5. Grounds for relief with legal provisions:

6. Details of the remedies exhausted :

The applicant declares that he has availed of all the remedies available to him under the relevant service rules etc.

(Give here chronologically the details of representations made and the outcome to such representations with reference to the number of Annexure to be given in support thereof).

7. Matters not previously filed or pending with any other court :

The applicant further declares that he had not previously filed any application, writ petition or suit regarding the matter in respect of which this application has been made, before any court or any other authority or any other Bench of the Tribunal nor any such application, writ petition or suit is pending before any of them.

In case the applicants had previously filed any such application, writ petition or suit, the stage at which it is pending, and if decided, the list of the decisions should be given with reference to the number of Annexure to be given in support thereof.

8. Relief sought :

In view of the facts mentioned in para 6 above the applicant prays for the following relief(s) :-

(Specify below the relief(s) sought explaining the grounds for such relief(s) and the legal provisions, if any, relied upon).

9. Interim order, if any prayed for :

Pending final decision on the application, the applicant seeks the following interim relief :

(Give here the nature of the interim relief prayed for).

10. In the event of application being sent registered post, it may be stated whether the applicant desires to have oral hearing at the admission stage and if so, he shall attach a self addressed Post Card or Inland Letter, at which intimation regarding the date of hearing could be sent to him.

11. Particulars of Banks Draft/Postal Order filed in respect of the application fee.

12. List of enclosures:

1.
2.
3.
4.
VERIFICATION

I ……………………………..(Name of the applicant) S/o, W/o, D/o ………………, age ………… working as …………………..in the office of …………………….., resident of ……………………………, do hereby verify that the contents of paras ………….. to ………….are true to my personal knowledge and paras……………
to …………. believed to be true on legal advice and that I have not suppressed any material fact.

Date : ……………
Place : …………..
Signature of the applicant

FORM II

[RULE 4 (4)]

RECEIPT SLIP

Receipt of the application filed in the Central Administrative Tribunal………… Bench by Shri/Kum/Smt…………………………………… in the Ministry/Department/Office of …………………………………………… residing at …………………………………………….is hereby acknowledged.

For Registrar
Dated : Central Administrative Tribunal
Seal : ………………Bench

FORM III

[RULE 8(3)]

IN THE CENTRAL ADMINSITRATIVE TRIBUNAL
………………………….BENCH

Misc. Application No. ……………….. of ………..

in
Original/Transferred Application No. ……………. of …………..

XXX …………………………………………….. Applicant/Petitioner
Versus
YYY………………………………………………. Respondent/Applicant

Brief facts leading to the application.

Relief or Payer :

Verification :
I ……………………………..(Name of the applicant) S/o, W/o, D/o ………………, age ………… working as …………………..in the office of …………………….., resident of ……………………………, do hereby verify that the contents of para ………….. to ………….are true on legal advice and that I have not suppressed, any material fact.

Date : …………… Signature of the applicant

Place : ………….. Signature of the Advocate

FORM IV

[rule 25 (2)]
APPLICATION FOR THE REGISTRATION OF A CLERK

1. Name of legal practitioner on whose behalf the clerk is to be registered.
2. Particulars of the clerk to be registered
(i) Full name :
(in capital)

(ii) Father’s name :
(iii) Age and date of Birth :
(iv) Place of birth :
(v) Nationality :
(vi) Educational qualification :
(vii) Particulars of previous employment, if any :
I, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, (Clerk above-named) do hereby affirm that the particulars relating toe me given above are true.

Signature of Clerk
3. Whether the legal practitioner has a clerk already registered in his employ and whether the clerk sought to be registered is in lieu of or in addition to the clerk already registered.

4. Whether the clerk sought to be registered is hereby registered as a clerk of any other legal practitioner and if so, the name of such practitioner.

I, …………………………….(legal practitioner) certify that the particulars given above are true to the best of my information and belief and that I am not aware of any fact which would render unsuitable the registration of the said ……………. (name) as a clerk. Further, I enclose, Postal Order for Rs. 2.50 being the costs of Identity Card along with 2 passport size photographs of the applicant duly attested by me.

Signature of the Legal Practitioner
Dated : …………………

To

The Registrar
Central Administrative Tribunal
………………………….Bench