IN THE COURT OF _________, MACT, _________
_________ Versus _________
CLAIM PETITION
EVIDENCE BY WAY OF AFFIDAVIT ON BEHALF OF PETITIONER
I, _________ son of _________, resident of _________, _________, do hereby solemnly affirm and declare as under:-
1- That the deponent was _________.
2- That the accident was caused due to _________.
3- That prior to accident the deponent _________.
4- That all the respondents are liable to _________.
5- That the deponent sustained _________.
6- That the petition of the deponent for a sum of _________/-.
DEPONENT
VERIFICATION:
Verified that the contents of my above affidavit are true to best of my knowledge and belief and nothing has been concealed therein.
Verified at _________ on _________
DEPONENT
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