Name and No.

of the Case:
Name of the Parties:

Recovery Application for Rs.

No. of Defendants:
Status of each Defendant:

Nature of Loan:
Statement of Account duly certified under Bankers Book of Evidence Act,
1861, at Page no.
Statement of Interest as Annexure A/3 at Page no.
Statement of Miscellaneous expenses at A/4 at Page no.
Documents as per List of Documents at Page no.