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SPECIAL LEAVE PETITION

F O R M - 28 

IN THE SUPREME COURT OF INDIA 

(Order XVI Rule 4(1) (a) 

CIVIL APPELLATE JURISDICTION 

SPECIAL LEAVE PETITION 

(Under Article 136 of the Constitution of India) 

S.L.P. (Civil) No. .........................................................of......................... BETWEEN Position of parties 

In the Court/ in this 

Tribunal from Court 

whose order the 

Petition arises 

A) (Here insert the 

name/names of the 

petitioner (s) Petitioner/ 

Respondent/ Petitioner 

Appellant 

B) 

C) 

A N D 

D) (Here insert the Petitioner/ 

name/names of Respondent/ Respondent respondent Appellant 

E) 

F) 

........2/-

-2- 

To 

Hon'ble the Chief Justice of India 

and His Companion Judges of the 

Supreme Court of India. 

The Special Leave Petition of the Petitioner most respectfully showeth :- 

1. The petitioner/petitioners above named respectfully submits this petition seeking special leave to appeal against the judgment/order of 

(Here specify the Court/Tribunal against whose order the leave to appeal is sought for together with number of the case, date of the order and the nature of the order such as allowing or dismissing the matter or granting or refusing the interim order etc.) 

2. QUESTION OF LAW: 

The following questions of the law arises for consideration by this Hon'ble Court: 

(here set out the questions of law arising for consideration precisely) 3. DECLARATION IN TERMS OF RULE 4(2) 

The petitioner states that no other petition seeking leave to appeal has been filed by him against the impugned judgment and order. 

4. DECLARATION IN TERMS OF RULE 6 

The annexures produced alongwith the SLP are true copies of the pleadings/documents which formed part of the records of the case in the Court/Tribunal below against whose order the leave to appeal is sought for in this petition. 

5. GROUNDS 

Leave to appeal is sought for on the following grounds. 

(Here specify the grounds precisely and clearly) 

6. GROUNDS FOR INTERIM RELIEF: 

(here specify briefly the grounds on which interim relief is sought to) .......3/-

-3- 

7. MAIN PRAYER 

(Here set out the main prayer) 

8. INTERIM RELIEF 

(Here set out the interim prayer) 

Place : Advocate for the petitioner Date : 

Settled by : 

(Specify the name of the Advocate in case where the petition is settled by an Advocate) 

By the order of the Court 

Sd/- 

( ) 

Registrar (Judicial)


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